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NCT04353037

PATCH 2&3:Prevention & Treatment of COVID-19 (Severe Acute Respiratory Syndrome Coronavirus 2) With Hydroxychloroquine

Terminated Phase 2 Results posted Last updated 19 October 2021
What this trial tests

Phase 2 trial testing Group 1 HCQ in Coronavirus in 39 participants. Terminated before completion.

Timeline
7 April 2020
Primary endpoint
11 July 2020
11 July 2020

Quick facts

Lead sponsorUnitedHealth Group
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment39
Start date7 April 2020
Primary completion11 July 2020
Estimated completion11 July 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

UnitedHealth Group — full company profile →

Who can join

Adults 18 to 75, any sex, with Coronavirus or Corona Virus Infection. 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.

Substudy 1 - Number of COVID-19+ PCR Patients in Self-quarantine Who Are Hospitalized Primary · Until completion of study, 29 to 31 days after beginning treatment.

Number of COVID-19+ PCR patients in self-quarantine who are hospitalized up to 31 days after beginning HCQ or Placebo

GroupValue95% CI
Sub Study 1 Group 1 (HCQ)0
Sub Study 1 Group 2 (Placebo)0
Sub Study 2:Number of Health Care Workers Testing Positive at 2 Months Primary · Until completion of study, 2 months after start of treatment.

Rate of COVID-19 infection (confirmed by accepted testing methods) at 2 months

GroupValue95% CI
Sub Study 2 Group 1 (HCQ)0
Sub Study 2 Group 2 (Placebo)0
Sub Study 1 - Secondary Infection of Co-inhabitants of COVID-19 Positive PCR Patients in Self-quarantine Secondary · Until completion of study, 29 to 31 days after beginning treatment.

Co-inhabitants of COVID-19 positive PCR patients in self-quarantine that test positive up to 31 days after patient begins treatment with HCQ or Placebo

GroupValue95% CI
Sub Study 1 Group 1 (HCQ)0
Sub Study 1 Group 2 (Placebo)0
Sub Study 1 - Rate of Negative Tests at End of Treatment for COVID-19 Positive PCR Patients in Self-quarantine Secondary · 15-17 days after completion of 14 day treatment

Rate of negative tests at end of treatment for COVID-19 positive PCR patients in self-quarantine

GroupValue95% CI
Sub Study 1 Group 1 (HCQ)6
Sub Study 1 Group 2 (Placebo)0
Sub Study 1 - Rate of Negative Tests at End of Treatment for COVID-19 Positive PCR Patients in Self-quarantine Secondary · 1-3 days after completion of 14 day treatment

Rate of negative tests at end of treatment for COVID-19 positive PCR patients in self-quarantine

GroupValue95% CI
Sub Study 1 Group 1 (HCQ)4
Sub Study 1 Group 2 (Placebo)0
Sub Study 2:Health Care Workers: Assessment of Any Medical Events That Occur During the ~60 Day Active Period Secondary · Until completion of study, 2 months (~60 days) after start of treatment.

Assessment of any medical events that occur during the \~60 day active period that is felt to be related to receipt of HCQ

moderate adverse events
GroupValue95% CI
Sub Study 2 Group 1 (HCQ)2
Sub Study 2 Group 2 (Placebo)0
minor adverse events
GroupValue95% CI
Sub Study 2 Group 1 (HCQ)1
Sub Study 2 Group 2 (Placebo)0
Sub Study 2:Health Care Workers:Rate of Hospitalization Secondary · Until completion of study, 2 months after start of treatment.

if the participant gets COVID and has severe symptoms and hospitalized, end point reached if before the end of the 2 month period

GroupValue95% CI
Sub Study 2 Group 1 (HCQ)0
Sub Study 2 Group 2 (Placebo)0

Adverse events — posted to ClinicalTrials.gov

Time frame: Until completion of study, 2 months after start of treatment.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Sub Study 1 Group 1 (HCQ)
Serious: 0/6 (0%)
Deaths: 0/6
Sub Study 1 Group 2 (Placebo)
Serious: 0/3 (0%)
Deaths: 0/3
Sub Study 2 Group 1 (HCQ)
Serious: 0/8 (0%)
Deaths: 0/8
Sub Study 2 Group 2 (Placebo)
Serious: 0/7 (0%)
Deaths: 0/7
Other adverse events (6 terms — click to expand)

ReactionSystemSub Study 1 Group 1 (HCQ)Sub Study 1 Group 2 (Place…Sub Study 2 Group 1 (HCQ)Sub Study 2 Group 2 (Place…
Nasal congestionGeneral disorders
HeadacheGeneral disorders
AngioedemaGeneral disorders
NauseaGeneral disorders
Decreased AppetiteGeneral disorders
abdominal painGeneral disorders

Data from ClinicalTrials.gov NCT04353037 adverse events section.

Sponsor's own description

The proposed hypothesis is that high doses of hydroxychloroquine (HCQ) for at least 2 weeks can be effective antiviral medication both as a treatment in ambulatory patients and prophylaxis/treatment in health care workers because it impairs lysosomal function and reorganizes lipid raft (cholesterol and sphingolipid rich microdomains in the plasma membrane) content in cells, which are both critical determinants of Emerging Viral Disease (EVD) infection. This hypothesis is based on a growing literature linking chloroquine to antiviral activity. It is estimated that enough information exists to launch a clinical trial of hydroxychloroquine for 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. Multicenter Interim Guidance on Use of Antivirals for Children With Coronavirus Disease 2019/Severe Acute Respiratory Syndrome Coronavirus 2.
    Chiotos K, Hayes M, Kimberlin DW, Jones SB, et al · · 2021 · cited 74× · PMID 32918548 · DOI 10.1093/jpids/piaa115
  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. Outcomes Evaluated in Controlled Clinical Trials on the Management of COVID-19: A Methodological Systematic Review.
    Mathioudakis AG, Fally M, Hashad R, Kouta A, et al · · 2020 · cited 14× · PMID 33333777 · DOI 10.3390/life10120350
  6. Recent Updates in Experimental Research and Clinical Evaluation on Drugs for COVID-19 Treatment.
    Zou H, Yang Y, Dai H, Xiong Y, et al · · 2021 · cited 12× · PMID 34880750 · DOI 10.3389/fphar.2021.732403
  7. Potential Treatment Options for COVID-19: A Comprehensive Review of Global Pharmacological Development Efforts.
    Neupane K, Ahmed Z, Pervez H, Ashraf R, et al · · 2020 · cited 10× · PMID 32754388 · DOI 10.7759/cureus.8845
  8. Ethical review of off-label drugs during the COVID-19 pandemic.
    Li QY, Lv Y, An ZY, Dai NN, et al · · 2022 · cited 2× · PMID 35979109 · DOI 10.12998/wjcc.v10.i17.5541

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