MedPath

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The FDA emergency use authorization for hydroxychloroquine and chloroquine in the treatment of COVID-19 was revoked on 15 June 2020.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

Public Health Emergency: SOLIDARITY TRIAL Philippines

First Posted Date
2021-08-27
Last Posted Date
2022-03-02
Lead Sponsor
University of the Philippines
Target Recruit Count
1314
Registration Number
NCT05024006
Locations
🇵🇭

Chinese General Hospital, Manila, Metro Manila, Philippines

🇵🇭

UP - Philippine General Hospital, Manila, Metro Manila, Philippines

🇵🇭

San Juan de Dios Educational Foundation Inc - Hospital, Pasay, Metro Manila, Philippines

and more 22 locations

Efficacy and Safety of Baricitinib in Sjogren's Syndrome

Phase 2
Completed
Conditions
Sjogren's Syndrome
Interventions
First Posted Date
2021-08-23
Last Posted Date
2024-12-11
Lead Sponsor
Peking Union Medical College Hospital
Target Recruit Count
90
Registration Number
NCT05016297
Locations
🇨🇳

Peking Union Medical College Hospital, Beijing, Beijing, China

Hydroxychloroquine and Indapamide in SPMS

Phase 2
Recruiting
Conditions
Multiple Sclerosis, Secondary Progressive
Interventions
First Posted Date
2021-08-19
Last Posted Date
2022-05-18
Lead Sponsor
University of Calgary
Target Recruit Count
35
Registration Number
NCT05013463
Locations
🇨🇦

Foothills Medical Centre, Calgary, Alberta, Canada

Clinical Trial For Early SARS-CoV-2 (COVID-19) Treatment

Phase 3
Completed
Conditions
Covid19
Interventions
First Posted Date
2021-07-29
Last Posted Date
2021-07-29
Lead Sponsor
Health Institutes of Turkey
Target Recruit Count
1120
Registration Number
NCT04981379
Locations
🇹🇷

Ankara City Hospital, Ankara, Turkey

🇹🇷

Istanbul University Istanbul Medicine Faculty, Istanbul, Turkey

🇹🇷

Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, Istanbul, Turkey

and more 3 locations

The Efficacy and Safety of Iguratimod (IGU) in the Treatment of Primary Sjögren's Syndrome

Phase 4
Recruiting
Conditions
Primary Sjögren's Syndrome
Interventions
First Posted Date
2021-07-28
Last Posted Date
2024-10-16
Lead Sponsor
Second Affiliated Hospital, School of Medicine, Zhejiang University
Target Recruit Count
78
Registration Number
NCT04981145
Locations
🇨🇳

Second affiliated hospital of zhejiang university,school of medical, Hangzhou, Zhejiang, China

A Study of Nipocalimab With Co-administration of Etanercept or Hydroxychloroquine in Healthy Participants

Phase 1
Completed
Conditions
Healthy
Interventions
First Posted Date
2021-07-22
Last Posted Date
2025-03-04
Lead Sponsor
Janssen Research & Development, LLC
Target Recruit Count
48
Registration Number
NCT04973566
Locations
🇳🇱

PRA Health Sciences, Groningen, Netherlands

Hidroxicloroquina With Azitromicina Versus Hidroxicloroquina and Placebo Int Patients With Mild COVID-19

Phase 2
Conditions
Covid19
Interventions
First Posted Date
2021-07-16
Last Posted Date
2021-08-04
Lead Sponsor
Coordinación de Investigación en Salud, Mexico
Target Recruit Count
105
Registration Number
NCT04964583
Locations
🇲🇽

UMF 28, Benito Juárez, Mexico City, Mexico

🇲🇽

Fundación IMSS, Cuauhtémoc, Mexico City, Mexico

🇲🇽

UMF 52, Cuautitlán Izcalli, State Of Mexico, Mexico

Prevention and Treatment With Hydroxychloroquine + Azithromycin of Acute Respiratory Syndrome Induced by COVID-19

Phase 2
Conditions
Acute Respiratory Distress Syndrome
Covid19
Interventions
First Posted Date
2021-07-08
Last Posted Date
2021-07-08
Lead Sponsor
Maimónides Biomedical Research Institute of Córdoba
Target Recruit Count
132
Registration Number
NCT04954040
Locations
🇪🇸

Centro de Salud Priego de Córdoba, Priego de Córdoba, Córdoba, Spain

Study of Hydroxychloroquine in Patients With X-linked Alport Syndrome in China (CHXLAS)

First Posted Date
2021-06-24
Last Posted Date
2023-12-07
Lead Sponsor
Shanghai Children's Hospital
Target Recruit Count
50
Registration Number
NCT04937907
Locations
🇨🇳

Shanghai Children's Hospital, Shanghai, Shanghai, China

The Clinical Features and Pregnancy Outcomes of CTD Patients

Recruiting
Conditions
Pregnancy Related
Connective Tissue Diseases
Interventions
Drug: low molecular weight heparin Enoxaparin
First Posted Date
2021-06-09
Last Posted Date
2023-11-18
Lead Sponsor
Qilu Hospital of Shandong University
Target Recruit Count
126
Registration Number
NCT04918524
Locations
🇨🇳

Qilu Hospital, Jinan, Shandong, China

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