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

NCT ID: NCT04443270

Last Updated: 2020-07-14

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

PHASE1

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-27

Study Completion Date

2021-01-31

Brief Summary

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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.

Detailed Description

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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

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COVID-19

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Controlled Clinical Trial
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors
The Outcome Assessor will be an external member of the Internal Medicine Service, which will be blinded to the intervention.

Study Groups

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Chloroquine phosphate prophylactic group

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.

Group Type EXPERIMENTAL

Chloroquine phosphate

Intervention Type DRUG

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.

Control group

Health personnel who want to be included voluntary in the study and meet the inclusion criteria without Chloroquine use.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Chloroquine phosphate

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.

Intervention Type DRUG

Other Intervention Names

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Plasmodín

Eligibility Criteria

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Inclusion Criteria

* 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.

Exclusion Criteria

* 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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

59 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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CMN "20 de Noviembre"

OTHER

Sponsor Role lead

Responsible Party

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Sandra Muñoz López

Internal Medicine Service Member, MD, MSc

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sandra Muñoz-López, MD, MSc

Role: PRINCIPAL_INVESTIGATOR

CMN "20 de Noviembre"

Sandra Muñoz-López, MD, MSc

Role: STUDY_DIRECTOR

CMN "20 de Noviembre"

Maricela Escarela-Serrano, MD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Fedra Irazoque-Palazuelos, MD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Luis Montiel-López, MD, MSc

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Paul Mondragón-Terán, PhD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Alberto H De la Vega-Bravo, MD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Juan A Pineda-Juárez, PhD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Juan A Suárez-Cuenca, MD, PhD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Sofía L Alcaraz-Estrada, PhD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Eduardo Soei-Sarmiento, BsC

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Maribel Santosbeña-Lagunes, MD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Joel Vargas-Hernández, MD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Carlos A Delgado-Quintana, MD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Alejandro Alanis-Vega, MD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Ricardo P Vázquez-Alvarado, MD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Mireya Rodríguez-Martínez, MD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

María C Méndez-Vidrio, MD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Fidel Cerda-Tellez, MD

Role: STUDY_CHAIR

CMN "20 de Noviembre"

Locations

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Centro Médico Nacional "20 de Noviembre"

Mexico City, Benito Juárez, Mexico

Site Status

Countries

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Mexico

Central Contacts

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Sandra Muñoz-López, MD, MSc

Role: CONTACT

+52 55 52 00 5003 ext. 14240

Juan A Suárez-Cuenca, MD, PhD

Role: CONTACT

+52 55 52 00 5003 ext. 14661

Facility Contacts

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Sandra Muñoz-López, MD, MSc

Role: primary

+52 55 5200 5003 ext. 14240

Juan A Suárez-Cuenca, MD, PhD

Role: backup

+52 55 5200 5003 ext. 14661

References

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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.

Reference Type BACKGROUND
PMID: 32113704 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32183901 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32166607 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32112977 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32141569 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32081636 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32238757 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32074550 (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 BACKGROUND
PMID: 32205204 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32311322 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32311324 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32294495 (View on PubMed)

Related Links

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https://www.who.int/emergencies/diseases/novel-coronavirus-2019

World Health Organization. Coronavirus disease (COVID-19) outbreak situation.

https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen

World Health Organization. Rolling updates on coronavirus disease (COVID-19).

https://www.fda.gov/drugs/drug-safety-and-availability/fda-cautions-against-use-hydroxychloroquine-or-chloroquine-covid-19-outside-hospital-setting-or

FDA cautions against use of hydroxychloroquine or chloroquine for COVID-19 outside of the hospital setting or a clinical trial due to risk of heart rhythm problems. 2020.

Other Identifiers

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01

Identifier Type: -

Identifier Source: org_study_id

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