Chloroquine Phosphate Against Infection by the Novel Coronavirus SARS-CoV-2 (COVID-19): The HOPE Open-Label, Non Randomized Clinical Trial

NCT ID: NCT04344951

Last Updated: 2021-09-23

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-06

Study Completion Date

2020-11-30

Brief Summary

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This is an open label clinical study to evaluate the activity of chloroquine phosphate in patients with SARS-CoV-2 virus infection. The study aims to document possible prevention of pneumonia in patients staying at home and in improving the symptoms of SARS-CoV-2 pneumonia in patients who will be hospitalised.

Detailed Description

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Humanity has been experiencing a new pandemic of the SARS Coronavirus-19 virus (SARS-CoV-2) since December 2019, causing the disease known as COVID-19. As of March 23, 2020, there have been 382,341 documented episodes of infection worldwide, of which 16,567 have died. An important limitation in the treatment of the disease is the absence of drugs with known antiviral activity against SARS-CoV-2. Recent data suggest that chloroquine has sufficient in vitro activity against the SARS-CoV-2 virus by inhibiting virus entry into cells. It has recently been described that hydroxychloroquine significantly reduces the percentage of patients who have positive sputum in the SARS-CoV-2 virus within 6 days. However, the clinical efficacy of the drug has not been described and it has significant side effects, including more than 10% anorexia, headache, blurred vision, diarrhea or vomiting, and myocardiotoxicity. The frequency of adverse effects of chloroquine in combination with the well-known in vitro activity of chloroquine have led to the design of clinical trials around the world to document the benefits of its use. The present study will evaluate the activity of chloroquine phosphate in patients with SARS-CoV-2 virus infection.

Conditions

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Pneumonia, Viral Covid-19

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Prospective, open label, Phase II study
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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UNIKINON (Chloroquine phosphate)

Once a patient is considered eligible for the study, they will receive oral chloroquine phosphate. The total duration of treatment will be 7 days. The dosage will be 500mg every 12 hours. It is clarified that any other treatment at the discretion of the therapist is permitted except for the administration of hydroxychloroquine.

Group Type EXPERIMENTAL

UNIKINON (Chloroquine phosphate) 200mg tablets

Intervention Type DRUG

Two and a half tablets (500mg) twice daily for seven days.

Interventions

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UNIKINON (Chloroquine phosphate) 200mg tablets

Two and a half tablets (500mg) twice daily for seven days.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18 or older
* Both genders
* For women of childbearing age, they should use or be willing to use a double contraceptive method during the study. A urine pregnancy test to exclude pregnancy will be performed prior to study initiation.
* Written consent after information provided by the patient or the legal representative in the event that the patient cannot consent.
* Upper respiratory or lower respiratory tract infection, as in Annexes II and III respectively.
* Positive respiratory secretion test for SARS-CoV-2 virus by molecular techniques or positive blood IgM titers.

Exclusion Criteria

* Under 18 years of age
* Denial of written consent
* Any patient case where it has been decided not to rejuvenate
* Serum AST values greater than 5 times the upper normal range
* QTc interval in rest electrocardiogram greater than 500msecs
* Pregnancy or lactation. Urgent pregnancy test to exclude pregnancy before inclusion in the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Athens General Hospital Hippokrateio

UNKNOWN

Sponsor Role collaborator

Sotiria Thoracic Diseases Hospital of Athens

OTHER

Sponsor Role collaborator

Sismanoglio General Hospital

OTHER

Sponsor Role collaborator

Divine Providence Hospital Pammakaristos

UNKNOWN

Sponsor Role collaborator

AHEPA University Hospital

OTHER

Sponsor Role collaborator

University Hospital, Ioannina

OTHER

Sponsor Role collaborator

Corfu General Hospital Agia Irini

UNKNOWN

Sponsor Role collaborator

Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories S.A.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Helen Sambatakou, MD

Role: PRINCIPAL_INVESTIGATOR

Athens General Hospital "Hippokrateio", 2nd department of Pathology

Nikolaos Koulouris, MD

Role: PRINCIPAL_INVESTIGATOR

Athens General Hospital of Thoracic Diseases "SOTIRIA", 1st University Pulmonary Clinic

Garyfallia Poulakou, MD

Role: PRINCIPAL_INVESTIGATOR

Athens General Hospital of Thoracic Diseases "SOTIRIA", 3rd University Pathology Clinic

Malvina Lada, MD

Role: PRINCIPAL_INVESTIGATOR

General Hospital of Athens "Sismanoglio", 2nd Department of Pathology

Ioannis Baraboutis, MD

Role: PRINCIPAL_INVESTIGATOR

Divine Providence Hospital "Pammakaristos", Pathology Department

Symeon Metallidis, MD

Role: PRINCIPAL_INVESTIGATOR

University General Hospital of Thessaloniki AHEPA, 1st University Pathology Clinic

Haralambos Milionis, MD

Role: PRINCIPAL_INVESTIGATOR

University General Hospital of Ioannina, 1st University Pathology Clinic

Ilias Papanikolaou, MD

Role: PRINCIPAL_INVESTIGATOR

Corfu General Hospital Agia Irini, Pulmonary Clinic

Locations

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Divine Providence Hospital "Pammakaristos"

Athens, , Greece

Site Status

Athens General Hospital "Hippokrateio"

Athens, , Greece

Site Status

Athens General Hospital of Thoracic Diseases "SOTIRIA", 1st University Pulmonary Clinic

Athens, , Greece

Site Status

Athens General Hospital of Thoracic Diseases "SOTIRIA", 3rd University Pathology Clinic

Athens, , Greece

Site Status

Corfu General Hospital Agia Irini

Corfu, , Greece

Site Status

University General Hospital of Ioannina

Ioannina, , Greece

Site Status

General Hospital of Athens "Sismanoglio"

Marousi, , Greece

Site Status

University General Hospital of Thessaloniki AHEPA

Thessaloniki, , Greece

Site Status

Countries

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Greece

References

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Arabi YM, Murthy S, Webb S. COVID-19: a novel coronavirus and a novel challenge for critical care. Intensive Care Med. 2020 May;46(5):833-836. doi: 10.1007/s00134-020-05955-1. Epub 2020 Mar 3. No abstract available.

Reference Type RESULT
PMID: 32125458 (View on PubMed)

Devaux CA, Rolain JM, Colson P, Raoult D. New insights on the antiviral effects of chloroquine against coronavirus: what to expect for COVID-19? Int J Antimicrob Agents. 2020 May;55(5):105938. doi: 10.1016/j.ijantimicag.2020.105938. Epub 2020 Mar 12.

Reference Type RESULT
PMID: 32171740 (View on PubMed)

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.

Reference Type RESULT
PMID: 32205204 (View on PubMed)

Other Identifiers

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UNIKINON-01/HOPE

Identifier Type: -

Identifier Source: org_study_id

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