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Hydroxychloroquine

Generic Name
Hydroxychloroquine
Brand Names
Plaquenil, Sovuna
Drug Type
Small Molecule
Chemical Formula
C18H26ClN3O
CAS Number
118-42-3
Unique Ingredient Identifier
4QWG6N8QKH
Background

Hydroxychloroquine is a racemic mixture consisting of an R and S enantiomer. Hydroxychloroquine is an aminoquinoline like chloroquine. It is a commonly prescribed medication in the treatment of uncomplicated malaria, rheumatoid arthritis, chronic discoid lupus erythematosus, and systemic lupus erythematosus. Hydroxychloroquine is also used for the prophylaxis of malaria in regions where chloroquine resistance is unlikely. It was developed during World War II as a derivative of quinacrine with less severe side effects. Chloroquine and hydroxychloroquine are both being investigated for the treatment of SARS-CoV-2.

The FDA emergency use authorization for hydroxychloroquine and chloroquine in the treatment of COVID-19 was revoked on 15 June 2020.

Hydroxychloroquine was granted FDA approval on 18 April 1955.

A recent study reported a fatality in the group being treated with hydroxychloroquine for COVID-19.

Indication

Hydroxychloroquine is indicated for the prophylaxis of malaria where chloroquine resistance is not reported, treatment of uncomplicated malaria (caused by P. falciparum, P. malariae, P. ovale, or P. vivax), chronic discoid lupus erythematosus, systemic lupus erythematosus, acute rheumatoid arthritis, and chronic rheumatoid arthritis.

Associated Conditions
Acute Rheumatoid Arthritis, Malaria, Porphyria Cutanea Tarda, Q Fever, Sjogren's Syndrome (SS), Systemic Lupus Erythematosus, Uncomplicated Malaria caused by Plasmodium Vivax, Uncomplicated Malaria caused by Plasmodium malariae, Uncomplicated Malaria caused by Plasmodium ovale, Chronic Discoid Lupus Erythematosus (DLE), Chronic Rheumatoid Arthritis, Uncomplicated Malaria caused by Plasmodium falciparum
Associated Therapies
-

Hydroxychloroquine in Cystic Fibrosis

Phase 1
Completed
Conditions
Cystic Fibrosis
First Posted Date
2006-04-06
Last Posted Date
2008-01-30
Lead Sponsor
Vanderbilt University
Target Recruit Count
20
Registration Number
NCT00311883
Locations
🇺🇸

Vanderbilt University Medical Center, Nashville, Tennessee, United States

Treatment of Early Aggressive Rheumatoid Arthritis (TEAR)

Phase 4
Completed
Conditions
Rheumatoid Arthritis
Interventions
First Posted Date
2005-11-29
Last Posted Date
2014-07-17
Lead Sponsor
University of Alabama at Birmingham
Target Recruit Count
755
Registration Number
NCT00259610
Locations
🇺🇸

University of Alabama at Birmingham, Birmingham, Alabama, United States

Plaquenil for Alopecia Areata, Alopecia Totalis

Phase 4
Completed
Conditions
Alopecia Areata
First Posted Date
2005-09-15
Last Posted Date
2009-08-13
Lead Sponsor
Hordinsky, Maria K., MD
Target Recruit Count
16
Registration Number
NCT00176982
Locations
🇺🇸

State University of New York at Stony Brook, Stonybrook, New York, United States

🇺🇸

University of Minnesota, Minneapolis, Minnesota, United States

Hydroxychloroquine vs. Clobetasol Rinse to Treat Oral Lichen Planus

Phase 2
Completed
Conditions
Lichen Planus, Oral
First Posted Date
2005-01-31
Last Posted Date
2008-03-04
Lead Sponsor
National Institute of Dental and Craniofacial Research (NIDCR)
Target Recruit Count
74
Registration Number
NCT00102557
Locations
🇺🇸

National Institute of Dental And Craniofacial Research (NIDCR), Bethesda, Maryland, United States

Hydroxychloroquine in Treating Patients With Newly Diagnosed Chronic Graft-Versus-Host Disease

Phase 3
Completed
Conditions
Graft Versus Host Disease
First Posted Date
2003-01-27
Last Posted Date
2014-02-14
Lead Sponsor
Children's Oncology Group
Target Recruit Count
82
Registration Number
NCT00031824
Locations
🇺🇸

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland, United States

🇺🇸

All Children's Hospital, St. Petersburg, Florida, United States

🇺🇸

Maine Children's Cancer Program, Scarborough, Maine, United States

and more 100 locations
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