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NCT04345653

Hydroxychloroquine as Chemoprevention for COVID-19 for High Risk Healthcare Workers

Completed Phase 2 Results posted Last updated 12 May 2021
What this trial tests

Phase 2 trial testing Hydroxychloroquine Sulfate (HCQ) in Covid19 in 48 participants. Completed in 10 May 2021.

Timeline
14 April 2020
Primary endpoint
5 June 2020
10 May 2021

Quick facts

Lead sponsorHackensack Meridian Health
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeprevention
Enrollment48
Start date14 April 2020
Primary completion5 June 2020
Estimated completion10 May 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Hackensack Meridian Health — full company profile →

Who can join

Adults 18 to 99, any sex, with Covid19. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Recruitment Feasibility Primary · Study period, up to two months from the day the first participant was screened

To evaluate the feasibility of this protocol including participants' recruitment within the estimated time frame, i.e. understand the ability of the team to identify eligible participants, enroll them, retain them and follow them up until study completion.

GroupValue95% CI
Study Arm46
Resource Utilization Primary · Study period, up to two months from the day the first participant was screened

To evaluate the utilization of tests and drug for this study in consideration with the limited availability of both for research purposes as reflected on the number of participants that got tested and received at least one dose of the drug.

GroupValue95% CI
Study Arm - Hydroxychloroquine Sulfate (HCQ)46
Safety as Reflected on the Number and Severity of Adverse Events and Serious Adverse Events Primary · 28 day post enrollment

To Determine the Safety profile for a previously well studied drug in this select group of HCP. Incidence of well described side effects would be studied over the course of the study and will be compared with the side effects and their prevalence as described in the Pharmacy manual for HCQ.

Serious Adverse events
GroupValue95% CI
Study Arm - Hydroxychloroquine Sulfate (HCQ)0
Adverse events
GroupValue95% CI
Study Arm - Hydroxychloroquine Sulfate (HCQ)24
Early Feasibility as Reflected on the Number of Participants Contracting COVID-19 (10% or Less) in Comparison to the Expected 30% as Per CDC. Primary · 28 day post enrollment

To evaluate the early efficacy of HCQ in high-risk, healthy volunteers in the prevention of acquiring COVID-19 while continuing to follow standard precautions that meet or exceed Centers of Disease Control (CDC) guidelines.

GroupValue95% CI
Study Arm - Hydroxychloroquine Sulfate (HCQ)0

Adverse events — posted to ClinicalTrials.gov

Time frame: Overall follow up period: 6 month. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Study Arm - Hydroxychloroquine Sulfate (HCQ)
Serious: 0/46 (0%)
Deaths: 0/46
Other adverse events (9 terms — click to expand)

ReactionSystemStudy Arm - Hydroxychloroq…
DiarrheaGastrointestinal disorders
FatigueGeneral disorders
Shortness of breath and chest painCardiac disorders
NauseaGastrointestinal disorders
HeadachesNervous system disorders
Abdominal painGastrointestinal disorders
RashSkin and subcutaneous tissue disorders
Mood DisorderPsychiatric disorders
AlopeciaSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT04345653 adverse events section.

Sponsor's own description

The study proposes to conduct an open-label Phase II trial to evaluate the feasibility, safety and early efficacy of hydroxychloroquine (HCQ) administration in reduction of transmission of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and development of Corona Virus Disease 2019 (COVID-19) in high-risk, healthy acute care provider participants exposed, directly or indirectly, to COVID-19 patients. There is a more than 50 years track record of safety of HCQ for treatment and prevention of various disease states. Early data on use of HCQ for COVID treatment suggests anti-viral activity and immunomodulatory properties for reducing inflammation associated with COVID-19.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Chloroquine or hydroxychloroquine for prevention and treatment of COVID-19.
    Singh B, Ryan H, Kredo T, Chaplin M, et al · · 2021 · cited 140× · PMID 33624299 · DOI 10.1002/14651858.cd013587.pub2
  2. SARS-CoV-2: A comprehensive review from pathogenicity of the virus to clinical consequences.
    Lotfi M, Rezaei N. · · 2020 · cited 70× · PMID 32492197 · DOI 10.1002/jmv.26123
  3. Cancer, immune suppression and Coronavirus Disease-19 (COVID-19): Need to manage drug safety (French Society for Oncology Pharmacy [SFPO] guidelines).
    Slimano F, Baudouin A, Zerbit J, Toulemonde-Deldicque A, et al · · 2020 · cited 29× · PMID 32623296 · DOI 10.1016/j.ctrv.2020.102063
  4. Hydroxychloroquine and Covid-19: A Cellular and Molecular Biology Based Update.
    Pal A, Pawar A, Goswami K, Sharma P, et al · · 2020 · cited 20× · PMID 32641874 · DOI 10.1007/s12291-020-00900-x
  5. Hydroxychloroquine as Prophylaxis for Coronavirus SARS-CoV-2 Infection: Review of the Ongoing Clinical Trials.
    Galvis V, Spinelli FR, Tello A, Sossa CL, et al · · 2020 · cited 8× · PMID 33994644 · DOI 10.1016/j.arbr.2020.05.010
  6. Pandemic COVID-19: Current status and challenges of antiviral therapies.
    Chan W, He B, Wang X, He ML. · · 2020 · cited 8× · PMID 32837984 · DOI 10.1016/j.gendis.2020.07.001
  7. Current Trends and Future Approaches in Small-Molecule Therapeutics for COVID-19.
    Laws M, Surani YM, Hasan MM, Chen Y, et al · · 2021 · cited 6× · PMID 32693756 · DOI 10.2174/0929867327666200721161840
  8. Hydroxychloroquine as Prophylaxis for Coronavirus SARS-CoV-2 Infection: Review of the Ongoing Clinical Trials Hidroxicloroquina como profilaxis para la infección por coronavirus SARS-CoV-2: revisión de los ensayos clínicos en curso
    Galvis V, Spinelli F, Tello A, Sossa C, et al · · 2020

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