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The FDA emergency use authorization for hydroxychloroquine and chloroquine in the treatment of COVID-19 was revoked on 15 June 2020.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

Randomized Controlled Trial of Hydroxychloroquine Combined With Low-dose Corticosteroid in Pulmonary Sarcoidosis

Phase 3
Conditions
Pulmonary Sarcoidosis
Interventions
First Posted Date
2022-02-21
Last Posted Date
2022-02-21
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Target Recruit Count
200
Registration Number
NCT05247554

Hydroxychloroquine in Unexplained Recurrent Pregnancy Loss

Phase 1
Conditions
Recurrent Pregnancy Loss
Interventions
First Posted Date
2022-02-14
Last Posted Date
2022-02-14
Lead Sponsor
Ain Shams University
Target Recruit Count
70
Registration Number
NCT05237843

Trial of Ulixertinib in Combination With Hydroxychloroquine in Patients With Advanced Gastrointestinal (GI) Malignancies

Phase 2
Terminated
Conditions
Tumor, Solid
Gastrointestinal Cancer
Interventions
First Posted Date
2022-02-02
Last Posted Date
2024-07-22
Lead Sponsor
BioMed Valley Discoveries, Inc
Target Recruit Count
47
Registration Number
NCT05221320
Locations
🇺🇸

Cleveland Clinic, Cleveland, Ohio, United States

🇺🇸

Washington University School of Medicine, Saint Louis, Missouri, United States

🇺🇸

University of California San Francisco, San Francisco, California, United States

and more 6 locations

Hydroxychloroquine in Mild Graves' Orbitopathy

Phase 4
Recruiting
Conditions
Graves Ophthalmopathy
Interventions
First Posted Date
2021-11-18
Last Posted Date
2025-02-25
Lead Sponsor
National Taiwan University Hospital
Target Recruit Count
108
Registration Number
NCT05126147
Locations
🇨🇳

National Taiwan University Hospital, Hsin-Chu branch, Hsinchu, Taiwan

🇨🇳

National Taiwan University Hospital, Taipei, Taiwan

Administration of Hydroxychloroquine (Plaquenil) to African Americans and Hispanics for the Treatment of Mild to Severe Ulcerative Colitis

Phase 1
Active, not recruiting
Conditions
Ulcerative Colitis (Disorder)
Interventions
First Posted Date
2021-11-12
Last Posted Date
2025-02-11
Lead Sponsor
Icahn School of Medicine at Mount Sinai
Target Recruit Count
3
Registration Number
NCT05119140
Locations
🇺🇸

Icahn School of Medicine at Mount Sinai/Mount Sinai Hospital, New York, New York, United States

🇺🇸

Emory University School of Medicine, Atlanta, Georgia, United States

The Potential Use of Nebulized Hydroxychloroquine for the Treatment of COVID-19

Phase 2
Conditions
2019 Novel Coronavirus
Interventions
Other: standard of care (SOC) for COVID-19
First Posted Date
2021-11-09
Last Posted Date
2022-03-07
Lead Sponsor
Ministry of Health Jordan
Target Recruit Count
110
Registration Number
NCT05113810
Locations
🇯🇴

Prince Hamza Hospital/ Amman Field Hospital, Amman, Jordan

New Clinical End-points in Patients With Primary Sjögren's Syndrome

First Posted Date
2021-11-09
Last Posted Date
2024-11-01
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Target Recruit Count
300
Registration Number
NCT05113004
Locations
🇫🇷

Eric Hachulla, Lille, France

🇫🇷

Raphaele Seror, Le Kremlin-Bicêtre, Ile De France, France

🇫🇷

Jacques Morel, Montpellier, France

and more 4 locations

The Danish Pre-HCQ COVID Dialysis Study

Phase 4
Withdrawn
Conditions
COVID-19
End Stage Renal Disease
Interventions
First Posted Date
2021-11-08
Last Posted Date
2021-11-08
Lead Sponsor
Nicholas Carlson
Registration Number
NCT05110651
Locations
🇩🇰

Rigshospitalet, Copenhagen, Denmark

🇩🇰

Herlev Hospital, Herlev, Denmark

🇩🇰

North Zealand Hospital, Hillerød, Denmark

Hydroxychloroquine in Isolated Cutaneous Mastocytosis Patients or Indolent Systemic Mastocytosis With Associated Skin Involvement Patients

Phase 2
Conditions
Mastocytosis
Interventions
First Posted Date
2021-10-20
Last Posted Date
2021-10-20
Lead Sponsor
University Hospital, Toulouse
Target Recruit Count
30
Registration Number
NCT05084872
Locations
🇫🇷

Larrey Hospital - Toulouse University Hospital, Toulouse, France

Finding Treatments for COVID-19: A Trial of Antiviral Pharmacodynamics in Early Symptomatic COVID-19 (PLATCOV)

Phase 2
Recruiting
Conditions
COVID-19
Interventions
Drug: Nirmatrelvir/ritonavir (e.g. PAXLOVID™)
Drug: Molnupiravir and nirmatrelvir/ritonavir (e.g. PAXLOVID™)
Other: No treatment
Drug: Monoclonal antibodies
Drug: Molnupiravir
First Posted Date
2021-09-13
Last Posted Date
2024-10-28
Lead Sponsor
University of Oxford
Target Recruit Count
3800
Registration Number
NCT05041907
Locations
🇳🇵

Sukraraj Tropical & Infectious Disease Hospital, Kathmandu, Nepal

🇧🇷

Universidade Federal de Minas Gerais, Minas Gerais, Brazil

🇱🇦

Laos-Oxford-Mahosot Wellcome Trust Research Unit, Vientiane, Lao People's Democratic Republic

and more 4 locations
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