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COVID-19Phase 1NCT04443270

Chloroquine Phosphate Prophylactic Use in Health Personnel Exposed to COVID-19 Patients

A Phase 1 study testing Chloroquine phosphate in people with COVID-19, run by CMN "20 de Noviembre" at 1 site in Mexico.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The primary objective of this study is to evaluate the efficacy and security of chloroquine phosphate prophylactic use for reducing the risk of infection by severe acute respiratory syndrome coronavirus-2 in Health Care Workers exposed to COVID-19 patients. Read more about this study

Who is it for?
Ages 18 to 59 yearsHealthy volunteers can take part
Conditions the study is for
COVID-19
What is being tested?
Chloroquine phosphate
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteMexico
Study dates
27 Jul 2020to 31 Jan 2021
Phase
Phase 1
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 59 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Health Care Workers as first line of hospital care exposed to COVID-19 patients.
  • Initial polymerase chain reaction assay negative test for severe acute respiratory syndrome coronavirus-2 infection.
  • Both sexes
  • Agree to participate in the study after signing an informed consent letter.

Who cannot join

  • Health Care Workers as first line of hospital care exposed to COVID-19 patients with history of heart disease, arrhythmias or QT segment prolongation.
  • Health Care Workers as first line of hospital care exposed to COVID-19 patients with liver or kidney disease of any etiology.
  • Health Care Workers as first line of hospital care exposed to COVID-19 patients with retinopathy of any etiology.
  • Health Care Workers as first line of hospital care exposed to COVID-19 patients with allergy to chloroquine.
  • Health Care Workers as first line of hospital care exposed to COVID-19 patients with a history or diagnosis of psoriasis.
  • Health Care Workers as first line of hospital care exposed to COVID-19 patients with important primary clinical alterations: renal (creatinine> 3), liver (Alanine Aminotransferase and Aspartate Aminotransferase x 3), endocrine, neurological.

Trial locations and contacts

1 site in 1 country.

Sandra Muñoz-López, MD, MSc contact

+52 55 52 00 5003 ext. 14240

ssanml@yahoo.com.mx

Juan A Suárez-Cuenca, MD, PhD contact

+52 55 52 00 5003 ext. 14661

juan.suarezcue@issste.gob.mx

Mexico1 site
  • Centro Médico Nacional "20 de Noviembre"

    Mexico City, Benito Juárez, 03229

    Sandra Muñoz-López, MD, MSc, +52 55 5200 5003 ext. 14240, ssanml@yahoo.com.mx

    Juan A Suárez-Cuenca, MD, PhD, +52 55 5200 5003 ext. 14661, juan.suarezcue@issste.gob.mx

Other trials in Mexico

About this study

Official title: Efficacy of Chloroquine Phosphate Prophylactic Use in First-line Health Personnel Exposed to COVID-19 Patients

The primary objective of this study is to evaluate the efficacy and security of chloroquine phosphate prophylactic use for reducing the risk of infection by severe acute respiratory syndrome coronavirus-2 in Health Care Workers exposed to COVID-19 patients.

Read the detailed description

Health Care Workers as first line of hospital care, are at high risk of infection by severe acute respiratory syndrome coronavirus-2 due for the exposure to COVID-19 patients. The pharmacological treatment with chloroquine phosphate has emerged as one of the main therapeutic approaches for COVID-19 patients. However, some studies have described and hypothesized that the use of prophylactic chloroquine phosphate could provide some protection against COVID-19 infection reducing the chances of contagion in Health Care personnel during the development of the pandemic. A controlled clinical trial will be conducted in a tertiary hospital in Mexico City, Mexico. Participants will be divide in two groups; 1) intervention: who will receive chloroquine phosphate (300 mg/day during the first 30 days and 150mg/day during the last 30 days) and 2) control, both with a follow up for 60 days.

Conditions
COVID-19
Being tested
Chloroquine phosphate
Keywords
COVID-19, Chloroquine phosphate, Prophylactic, Health Personnel, Severe Acute Respiratory Syndrome Coronavirus-2
Medical subject headings
COVID-19

What participants receive

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

  • Chloroquine phosphateDrug

    Also called Plasmodín

    Drug: Chloroquine phosphate

    Dosage form, frequency and duration: 300 mg per day during initial 30 days and 150 mg per day during the next 30 days.

Study groups in NCT04443270
Study groupRoleWhat they receive
Chloroquine phosphate prophylactic groupExperimentalDrug: Chloroquine phosphate Dosage form, frequency and duration: 300 mg per day during initial 30 days and 150 mg per day during the next 30 days.
Receives: Drug: Chloroquine phosphate
Control groupNo interventionHealth personnel who want to be included voluntary in the study and meet the inclusion criteria without Chloroquine use.

What is being measured

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

  1. Negative Polymerase Chain Reaction assay at day 0

    Prior to the participation of each health worker, a pharyngeal exudate sample will be taken with a swab. RNA will be obtained by applying severe acute respiratory syndrome coronavirus-2 real time polymerase chain reaction kit, using specific oligonucleotides in polymerase chain reaction.

    Measured: Day 0

  2. Polymerase Chain Reaction assay at day 60

    A pharyngeal exudate sample will be taken with a swab. RNA will be obtained by applying severe acute respiratory syndrome coronavirus-2 real time polymerase chain reaction kit, using specific oligonucleotides in polymerase chain reaction.

    Measured: Day 60

Secondary outcomes (5)
  1. Clinical improvement related to COVID-19

    Ordinal Scale for Clinical Improvement according the "World Health Organization R\&D Blueprint novel Coronavirus COVID-19 Therapeutic Trial Synopsis" will apply at baseline and 30-day follow-up as follows:

    No clinical or virological evidence of infection = 0 No limitation of activities = 1 Limitation of activities = 2 Hospitalized, no oxygen therapy = 3 Oxygen by mask or nasal prongs = 4 Non-invasive ventilation or high-flow oxygen = 5 Intubation and mechanical ventilation - Score = 6 Ventilation + additional organ support-pressors, renal replacement therapy, extracorporeal membrane oxygenation = 7 Death = 8

    Measured: Baseline (day 0) and 30-day follow up

  2. Clinical improvement related to COVID-19

    Ordinal Scale for Clinical Improvement according the "World Health Organization R\&D Blueprint novel Coronavirus COVID-19 Therapeutic Trial Synopsis" will apply at baseline and 30-day follow-up as follows:

    No clinical or virological evidence of infection = 0 No limitation of activities = 1 Limitation of activities = 2 Hospitalized, no oxygen therapy = 3 Oxygen by mask or nasal prongs = 4 Non-invasive ventilation or high-flow oxygen = 5 Intubation and mechanical ventilation - Score = 6 Ventilation + additional organ support-pressors, renal replacement therapy, extracorporeal membrane oxygenation = 7 Death = 88

    Measured: From 30-day to 60-day follow-up

  3. Heart rhythm negative adverse event related to the Chloroquine Phosphate Prophylactic Use

    An EKG will be performed to measure QT interval at baseline and 30-day follow-up.

    The EKG follows the standards and guidelines established by the Centro Médico Nacional "20 de Noviembre."

    Measured: Baseline (day 0) and 30-day follow up

  4. Heart rhythm negative adverse event related to the Chloroquine Phosphate Prophylactic

    An EKG will be performed to measure QT interval at 60-day follow-up.

    The EKG follows the standards and guidelines established by the Centro Médico Nacional "20 de Noviembre."

    Measured: From 30-day to 60-day follow-up

  5. COVID-19 symptomatic onset rate

    According to the National Committee for Epidemiological Surveillance (CONAVE) in Mexico, COVID-19 symptomatic onset rate defined as the presence of cough, fever or headache during the last 7 days, accompanied at least one of the following symptoms: dyspnea, arthralgia, myalgia, odynophagia / pharyngeal burning, rhinorrhea, conjunctivitis or chest pain.

    Measured: From baseline (day 0) to 60-day follow up

Timeline

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

  1. First posted23 Jun 2020
  2. Study start27 Jul 2020 (estimated)
  3. Primary completion31 Oct 2020 (estimated)
  4. Study completion31 Jan 2021 (estimated)

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 1
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Controlled Clinical Trial
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04443270
Sponsor's protocol ID
01
Status last verified
Jul 2020
First submitted
17 Jun 2020
Last updated
14 Jul 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020 May;109:102433. doi: 10.1016/j.jaut.2020.102433. Epub 2020 Feb 26.

    PubMed 32113704
  • Adhikari SP, Meng S, Wu YJ, Mao YP, Ye RX, Wang QZ, Sun C, Sylvia S, Rozelle S, Raat H, Zhou H. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infect Dis Poverty. 2020 Mar 17;9(1):29. doi: 10.1186/s40249-020-00646-x.

    PubMed 32183901
  • Singhal T. A Review of Coronavirus Disease-2019 (COVID-19). Indian J Pediatr. 2020 Apr;87(4):281-286. doi: 10.1007/s12098-020-03263-6. Epub 2020 Mar 13.

    PubMed 32166607
  • Sohrabi C, Alsafi Z, O'Neill N, Khan M, Kerwan A, Al-Jabir A, Iosifidis C, Agha R. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg. 2020 Apr;76:71-76. doi: 10.1016/j.ijsu.2020.02.034. Epub 2020 Feb 26.

    PubMed 32112977
  • Kannan S, Shaik Syed Ali P, Sheeza A, Hemalatha K. COVID-19 (Novel Coronavirus 2019) - recent trends. Eur Rev Med Pharmacol Sci. 2020 Feb;24(4):2006-2011. doi: 10.26355/eurrev_202002_20378.

    PubMed 32141569
  • Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020 Mar;55(3):105924. doi: 10.1016/j.ijantimicag.2020.105924. Epub 2020 Feb 17.

    PubMed 32081636
  • Ahn DG, Shin HJ, Kim MH, Lee S, Kim HS, Myoung J, Kim BT, Kim SJ. Current Status of Epidemiology, Diagnosis, Therapeutics, and Vaccines for Novel Coronavirus Disease 2019 (COVID-19). J Microbiol Biotechnol. 2020 Mar 28;30(3):313-324. doi: 10.4014/jmb.2003.03011.

    PubMed 32238757
  • Gao J, Tian Z, Yang X. Breakthrough: Chloroquine phosphate has shown apparent efficacy in treatment of COVID-19 associated pneumonia in clinical studies. Biosci Trends. 2020 Mar 16;14(1):72-73. doi: 10.5582/bst.2020.01047. Epub 2020 Feb 19.

    PubMed 32074550
  • Gautret P, Lagier JC, Parola P, Hoang VT, Meddeb L, Mailhe M, Doudier B, Courjon J, Giordanengo V, Vieira VE, Tissot Dupont H, Honore S, Colson P, Chabriere E, La Scola B, Rolain JM, Brouqui P, Raoult D. RETRACTED: Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial. Int J Antimicrob Agents. 2020 Jul;56(1):105949. doi: 10.1016/j.ijantimicag.2020.105949. Epub 2020 Mar 20.

    PubMed 32205204
  • Principi N, Esposito S. Chloroquine or hydroxychloroquine for prophylaxis of COVID-19. Lancet Infect Dis. 2020 Oct;20(10):1118. doi: 10.1016/S1473-3099(20)30296-6. Epub 2020 Apr 17. No abstract available.

    PubMed 32311322
  • Rathi S, Ish P, Kalantri A, Kalantri S. Hydroxychloroquine prophylaxis for COVID-19 contacts in India. Lancet Infect Dis. 2020 Oct;20(10):1118-1119. doi: 10.1016/S1473-3099(20)30313-3. Epub 2020 Apr 17. No abstract available.

    PubMed 32311324
  • Gendrot M, Javelle E, Clerc A, Savini H, Pradines B. Chloroquine as a prophylactic agent against COVID-19? Int J Antimicrob Agents. 2020 Jun;55(6):105980. doi: 10.1016/j.ijantimicag.2020.105980. Epub 2020 Apr 12.

    PubMed 32294495

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Chloroquine phosphate in people with COVID-19, run by CMN "20 de Noviembre" at 1 site in Mexico.

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 4 inclusion and 6 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: status not confirmed, as of the sponsor's last update on 14 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Mexico. Whether a site is taking part right now should be confirmed with that site. See every site.

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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

Results are not available in the source record.

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

Contact Sandra Muñoz-López, MD, MSc (+52 55 52 00 5003 ext. 14240, ssanml@yahoo.com.mx), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Negative Polymerase Chain Reaction assay at day 0 (time frame: Day 0). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04443270, which also lists 12 linked publications.

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 14 Jul 2020.

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