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COVID 19Phase 4NCT04330495

Randomized, Controlled, Double-blind Clinical Trial Comparing the Efficacy and Safety of Chemoprophylaxis With Hydroxychloroquine in Patients Under Biological Treatment and / or JAK Inhibitors in the Prevention of SARS-CoV-2 Infection

A Phase 4 study testing Hidroxicloroquina in people with COVID 19 and Immunomediated Inflammatory Disease in Treatment With Biological Agents and / or Jak Inhibitors, run by Instituto de Investigación Marqués de Valdecilla.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The investigators plan to evaluate a strategy of chemoprophylaxis with hydroxyloquine (HCQ) against COVID-19 infection in patients diagnosed with an immunomediated inflammatory disease who are following a treatment with biological agents and / or Jak inhibitors. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
Hidroxicloroquina
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
6 Apr 2020to 27 Aug 2021
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients who meet the requirements of the New Coronavirus Infection Diagnosis (Acute respiratory infection symptoms or acute cough alone and positive PCR)
  • Aged ≥18 and < 75 years male or female;
  • In women of childbearing potential, negative pregnancy test and commitment to use contraceptive method throughout the study.
  • Willing to take study medication
  • Willing to comply with all study procedures,
  • Diagnosis of IBD disease, rheumatoid arthritis, seronegative spondyloarthritis or psoriasis for more than 6 months.
  • Be on stable treatment with biological agents, for a minimum period of 6 months, including treatment with Infliximab, etanercept, adalimumab, certolizumab, golimumab, rituximab, abatacept, tocilizumab, sarilumab, secukinumab, vedolizumab, natalizumab, ustekinumab, tofacit
  • Able to provide oral and written informed consent

Who cannot join

  • Previous infection with SARS-CoV-2.
  • Current treatment with hydroxychloroquine / chloroquine.
  • Previous or current treatment with tamoxifen or raloxifene.
  • Previous eye disease, especially maculopathy.
  • Known heart failure grade III-IV of the classification of the New York Heart Association).
  • Any type of cancer (except basal cell) in the last 5 years.
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  • Pregnancy.
  • Refusal to give informed consent.
  • Evidence of any other unstable or clinically significant unstable, clinically significant, immunological, endocrine, hematologic, gastrointestinal, neurological, neoplastic, or psychiatric illness.
  • Instability or mental incompetence, so that the validity of the informed consent or the ability to complete the study is uncertain.
  • Positive antibodies to the human immunodeficiency virus.
  • Data on decompensated liver disease:
  • to. Aspartate aminotransferase (AST) and / or ALT> 10 x upper limit of normal (LSN).
  • Total bilirubin> 25 μmol / l (1.5 mg / dl). c. International normalized index> 1.4. d. Platelet count <100,000 / mm3. 17. Serum creatinine levels> 135 μmol / l (> 1.53 mg / dl) in men and> 110 μmol / l (> 24 mg / dl) in women.
  • 18.Significant kidney disease, including nephrotic syndrome, chronic kidney disease (patients with markers of liver injury or estimated glomerular filtration rate [eGFR] of less than 60 ml / min / 1.73 m2). If an abnormal value is obtained at the first screening visit, the measurement of eGFR may be repeated before randomization within the following time frame: minimum 4 weeks after the initial test and maximum 2 weeks before the planned randomization. Repeated abnormal eGFR (less than 60 ml / min / 1.73 m2) leads to exclusion from the study.Pregnant or lactating women; 19. Inability to consent and/or comply with study protocol; 20. Individuals with known hypersensitivity to the study drugs. 21. Any contraindications as per the Data Sheet of or Hydroxychloroquine.

About this study

The investigators plan to evaluate a strategy of chemoprophylaxis with hydroxyloquine (HCQ) against COVID-19 infection in patients diagnosed with an immunomediated inflammatory disease who are following a treatment with biological agents and / or Jak inhibitors. The strategy will be carried out through a randomised double blind, placebo-controlled clinical trial and will assess comparative rates of infection (prevalence, incidence), severity including mortality, impact on clínical course of the primary diseases and toxicity. Such evaluation will require prospective surveillance to assess the different end-points.

Drug interventions in this protocol will follow the Spanish law about off-label use of medicines.

Being tested
Hidroxicloroquina, Control group
Medical subject headings
COVID-19

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HidroxicloroquinaDrug

    Chemoprophylaxis with hydroxychloroquine at a dose of 200 mg twice a day for 6 months.

  • Control groupDrug

    Testing of SARS-CoV-2 and prescription of placebo (Hydroxychloroquine placebo) twice daily for 6 months

Study groups in NCT04330495
Study groupRoleWhat they receive
Testing and prophylaxis of SARS-CoV-2ExperimentalChemoprophylaxis with hydroxychloroquine at a dose of 200 mg twice a day for 6 months.
Receives: Drug: Hidroxicloroquina
placeboActive comparatorTesting of SARS-CoV-2 and prescription of placebo (Hydroxychloroquine placebo) twice daily for 6 months
Receives: Drug: Control group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence rate of new COVID-19 cases in both arms

    number of new cases divided by number of persons-time at risk

    Measured: From day 14 after start of treatment up to the end of follow-up: week 27

  2. Prevalence of COVID-19 cases in both arms

    percentage of cases of COVID 19

    Measured: 27 weeks after the beginning of the study

  3. Mortality rate secondary to COVID-19 cases in both groups

    Case fatality rate (CFR): the proportion of diagnosed cases of COVID 19 that lead to death

    Measured: 27 weeks after the beginning of the study

  4. Intensive Care Unit (CU) admission rate secondary to COVID-19 cases in both groups

    percentage of patients who need admission in an ICU due to COVID 19 infection

    Measured: 27 weeks after the beginning of the study

Secondary outcomes (2)
  1. Adverse events

    Presence and type of adverse events at this point.

    Measured: 12 weeks after the start of treatment

  2. Adverse events

    Proportion of participants that drop out of study

    Measured: 27 weeks after the beginning of the study

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Apr 2020
  2. Study start6 Apr 2020 (estimated)
  3. Primary completion6 Nov 2020 (estimated)
  4. Study completion27 Aug 2021

Why it stopped: * Care pressures on the investigator team during the COVID-19 pandemic. * Subsequent appearance of scientific evidence on the lack of efficacy of hydroxychloroquine in the treatment or prophylaxis of COVID-19 infection.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized, controlled, double-blind clinical trial
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04330495
Sponsor's protocol ID
EnCOVID-HidroxiCLOROQUINA
Status last verified
Sep 2021
First submitted
31 Mar 2020
Last updated
16 Sep 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Hidroxicloroquina in people with COVID 19 and Immunomediated Inflammatory Disease in Treatment With Biological Agents and / or Jak Inhibitors, run by Instituto de Investigación Marqués de Valdecilla.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 16 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence rate of new COVID-19 cases in both arms (time frame: From day 14 after start of treatment up to the end of follow-up: week 27). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Sep 2021; AzTrials last refreshed its copy on 30 Oct 2026.

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