Trial Outcomes & Findings for COVID-19 PrEP HCW HCQ Study (NCT NCT04354870)

NCT ID: NCT04354870

Last Updated: 2022-12-14

Results Overview

Antibody titers will be measured to determine seroconversion, a binomial endpoint defined by a four-fold increase in antibody titers compared to baseline.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

130 participants

Primary outcome timeframe

Baseline to 1 month post-baseline

Results posted on

2022-12-14

Participant Flow

Participant milestones

Participant milestones
Measure
HCQ Group
Approximately 300 Health Care Workers (HCW) who choose to be provided HCQ Hydroxychloroquine (HCQ): Loading dose: 600 mg, oral, 1 day Maintenance dose: 200 mg, oral, daily, for 90 days
Control Group
approximately 50 HCW who choose not to be provided HCQ
Overall Study
STARTED
83
47
Overall Study
COMPLETED
35
14
Overall Study
NOT COMPLETED
48
33

Reasons for withdrawal

Reasons for withdrawal
Measure
HCQ Group
Approximately 300 Health Care Workers (HCW) who choose to be provided HCQ Hydroxychloroquine (HCQ): Loading dose: 600 mg, oral, 1 day Maintenance dose: 200 mg, oral, daily, for 90 days
Control Group
approximately 50 HCW who choose not to be provided HCQ
Overall Study
Lost to Follow-up
32
12
Overall Study
Withdrawal by Subject
10
16
Overall Study
Did not complete all study visits
6
5

Baseline Characteristics

COVID-19 PrEP HCW HCQ Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
HCQ Group
n=35 Participants
Approximately 300 Health Care Workers (HCW) who choose to be provided HCQ Hydroxychloroquine (HCQ): Loading dose: 600 mg, oral, 1 day Maintenance dose: 200 mg, oral, daily, for 90 days
Control Group
n=14 Participants
approximately 50 HCW who choose not to be provided HCQ
Total
n=49 Participants
Total of all reporting groups
Age, Continuous
43.6 years
n=5 Participants
43.7 years
n=7 Participants
43.7 years
n=5 Participants
Sex: Female, Male
Female
19 Participants
n=5 Participants
9 Participants
n=7 Participants
28 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
5 Participants
n=7 Participants
21 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
33 Participants
n=5 Participants
14 Participants
n=7 Participants
47 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
27 Participants
n=5 Participants
9 Participants
n=7 Participants
36 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to 1 month post-baseline

Antibody titers will be measured to determine seroconversion, a binomial endpoint defined by a four-fold increase in antibody titers compared to baseline.

Outcome measures

Outcome measures
Measure
HCQ Group
n=56 Participants
Approximately 300 Health Care Workers (HCW) who choose to be provided HCQ Hydroxychloroquine (HCQ): Loading dose: 600 mg, oral, 1 day Maintenance dose: 200 mg, oral, daily, for 90 days
Control Group
n=24 Participants
approximately 50 HCW who choose not to be provided HCQ
Change From Baseline in the Number of Participants With Seroconversion to SARS-CoV-2 at 1 Month
4 Participants
2 Participants

PRIMARY outcome

Timeframe: 4 Weeks Prior to Baseline

To characterize whether high-risk HCW who seroconvert to SARS-CoV-2 have asymptomatic infection or report symptoms of COVID-19 in the 4 weeks preceding seroconversion (assessed by symptom questionnaire).

Outcome measures

Outcome measures
Measure
HCQ Group
n=56 Participants
Approximately 300 Health Care Workers (HCW) who choose to be provided HCQ Hydroxychloroquine (HCQ): Loading dose: 600 mg, oral, 1 day Maintenance dose: 200 mg, oral, daily, for 90 days
Control Group
n=24 Participants
approximately 50 HCW who choose not to be provided HCQ
Number of Participants With Symptomatic vs. Asymptomatic Seroconversion
Symptomatic Seroconversion
1 Participants
2 Participants
Number of Participants With Symptomatic vs. Asymptomatic Seroconversion
Asymptomatic Seroconversion
3 Participants
0 Participants

SECONDARY outcome

Timeframe: Day 90

To assess the tolerability of hydroxychloroquine SARS-CoV-2 PrEP in this population

Outcome measures

Outcome measures
Measure
HCQ Group
n=83 Participants
Approximately 300 Health Care Workers (HCW) who choose to be provided HCQ Hydroxychloroquine (HCQ): Loading dose: 600 mg, oral, 1 day Maintenance dose: 200 mg, oral, daily, for 90 days
Control Group
n=47 Participants
approximately 50 HCW who choose not to be provided HCQ
Number of Participants With of AEs or SAEs Possibly, Probably, or Definitely Related to HCQ Upon Study Termination Time
with AEs Related to HCQ
8 Participants
0 Participants
Number of Participants With of AEs or SAEs Possibly, Probably, or Definitely Related to HCQ Upon Study Termination Time
with SAEs Related to HCQs
0 Participants
0 Participants

Adverse Events

HCQ Group

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
HCQ Group
n=83 participants at risk
Approximately 300 Health Care Workers (HCW) who choose to be provided HCQ Hydroxychloroquine (HCQ): Loading dose: 600 mg, oral, 1 day Maintenance dose: 200 mg, oral, daily, for 90 days
Control Group
n=47 participants at risk
approximately 50 HCW who choose not to be provided HCQ
Ear and labyrinth disorders
Tinnitus
1.2%
1/83 • 90 days
0.00%
0/47 • 90 days
Gastrointestinal disorders
Diarrhea
2.4%
2/83 • 90 days
0.00%
0/47 • 90 days
Skin and subcutaneous tissue disorders
Itching
1.2%
1/83 • 90 days
0.00%
0/47 • 90 days
General disorders
Hair Loss
1.2%
1/83 • 90 days
0.00%
0/47 • 90 days
General disorders
Appetite Loss
1.2%
1/83 • 90 days
0.00%
0/47 • 90 days
Gastrointestinal disorders
Gastrointestinal Discomfort
1.2%
1/83 • 90 days
0.00%
0/47 • 90 days
Gastrointestinal disorders
Gastroesophageal Reflux
1.2%
1/83 • 90 days
0.00%
0/47 • 90 days
Skin and subcutaneous tissue disorders
Rash
1.2%
1/83 • 90 days
0.00%
0/47 • 90 days

Additional Information

H. Michael Belmont, MD

NYU Langone Health - Bellevue Hospital

Phone: 646-501-7400

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place