Hydroxychloroquine (HCQ) for Recurrent Pregnancy Loss

NCT ID: NCT03305263

Last Updated: 2020-03-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

186 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-25

Study Completion Date

2023-01-31

Brief Summary

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Recurrent pregnancy loss (RPL) defined as 3 or more pregnancy losses affects approximately 3% of couples trying to achieve parenthood. Most cases of RPL are unexplained and have no effective treatment to improve the chance of a live birth. Exciting indications for using Hydroxychloroquine (HCQ) include: Malaria profylaxis and treatment, systemic and discoid lupus erythematosus (SLE) and rheumatoid athritis (RA). HCQ has been reported to have the following properties (anti-thrombotic, vascular-protective, immunomodulatory, improving glucose tolerance, lipid-lowering, and anti-infectious).

There is no data concerning the benefit of HCQ in RPL. Administration for other indications provides extensive safety data during pregnancy.

This study has the potential to establish support for a new treatment option for unexplained RPL.

Detailed Description

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Conditions

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Recurrent Pregnancy Loss

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Hydroxychlorochine HCQ

Women in the experimental arm will take 200 mg HCQ tablets every day, starting minimum 2 months (recommended 3-6) prior to conception and continuing until 28 weeks of pregnancy or until the pregnancy is over.

Group Type EXPERIMENTAL

Hydroxychloroquine

Intervention Type DRUG

One tablet a day from inclusion until end of pregnancy or gestational age 28

Hydroxychlorochine HCQ Placebo

Women in the experimental arm will take 200 mg HCQ placebo tablets every day, starting minimum 2 months (recommended 3-6) prior to conception and continuing until 28 weeks of pregnancy or until the pregnancy is over.

Group Type PLACEBO_COMPARATOR

Hydroxychloroquine placebo

Intervention Type DRUG

One tablet a day from inclusion until end of pregnancy or gestational age 28

Interventions

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Hydroxychloroquine

One tablet a day from inclusion until end of pregnancy or gestational age 28

Intervention Type DRUG

Hydroxychloroquine placebo

One tablet a day from inclusion until end of pregnancy or gestational age 28

Intervention Type DRUG

Other Intervention Names

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Placebo

Eligibility Criteria

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Inclusion Criteria

1. ≥ 4 confirmed consecutive pregnancy losses prior to gestational age 22+0 in women with unexplained RPL
2. ≥ 3 confirmed consecutive pregnancy losses prior to gestational age 22+0 in women with unexplained RPL with minimum one second trimester loss.

Exclusion Criteria

1. Age below 18 years or above 39 at inclusion
2. Abnomal uterine anatomi at hysterosalpingography/hysteroscopy or hydrosonography
3. Chromosomal abnormalities within the couple
4. Menstrual cycle below 23 days or above 35 days
5. Lupusantikoagulans positivity or immunoglobulin (Ig)G/IgM anticardiolipinantibodies (≥10 GPL kU/l at Rigshospitalets Laboratorium) or plasma homocystein ≥25 mikrogr./l at repeated measurement with 12 weeks interval.
6. HIV or Hepatitis B or C positive
7. Psoriasis, retinopathy og serious imparied hearing (Contraindications for HCQ)
8. Chronic disease that lead to intake of immunemodulatory drugs or potentially pregnancy toxic agents
9. Hemoglobin ≤ 6.5 mmol/L, leukocytes \<3.5 E9/L, platelets \<145 E9/L at inclusion
10. Previous treatment with HCQ in pregnancy
11. \>1previous live birth
12. previous participation in this trial
Minimum Eligible Age

18 Years

Maximum Eligible Age

39 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Rigshospitalet, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Henriette Svarre Nielsen, MD, DMSc

Consultant, Head of Recurrent Pregnancy Loss Unit, Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Rigshospitalet

Copenhagen, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Henriette Svarre Nielsen, MD, DMSc

Role: CONTACT

+4535457515

Louise Lunøe, Nurse

Role: CONTACT

+4535458486

Facility Contacts

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Louise Lunøe, Nurse

Role: primary

+4535458486

Henriette S Nielsen, MD

Role: backup

+4535457515

Other Identifiers

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2016-004981-24

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

HCQDenmark

Identifier Type: -

Identifier Source: org_study_id

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