Status:

TERMINATED

Hydroxychloroquine as Post-Exposure Prophylaxis Against COVID-19 Infection

Lead Sponsor:

Sanford Health

Conditions:

COVID-19

SARS-CoV 2

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

This is a prospective, double-blind, randomized, placebo-controlled study in two distinct cohorts to evaluate the efficacy and safety of hydroxychloroquine in the prevention of COVID-19 infection.

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Inclusion Criteria Cohort A:
  • ≥ 18 years old
  • Employee of healthcare organization in South Dakota or Sanford Health employee in any location and with exposure to a person with COVID-19 within the last 5 days
  • Occupational exposure as determined by the participant's employee health department (i.e. not wearing the proper Personal Protective Equipment (PPE))
  • Criteria according to Center for Disease Control (CDC) guidelines
  • Community exposure (within 6 feet for at least 15 minutes)
  • No current symptoms attributable to COVID-19, per HCW report (fever, cough, difficulty breathing, sore throat)
  • No prior COVID-19 positive diagnosis (eligible if previous testing is negative and meets all other inclusion and exclusion)
  • Ability to provide informed consent
  • Inclusion Criteria - Cohort B
  • ≥ 18 years old
  • High-risk person who had close contact (i.e. within 6 feet for at least 15 minutes) with a COVID-19 positive person within the last 5 days and is a South Dakota resident or high-risk person with close household contact of a COVID-19 positive Sanford employee
  • High-risk person defined by:
  • Age 18-44 with 2 or more comorbidities listed below
  • Age 45-79 with any comorbid condition listed below
  • Age 80 and above (regardless of comorbid conditions)
  • Co-morbid list
  • Congestive Heart Failure (CHF)
  • Chronic lung disease (Includes any of the following: asthma, chronic obstructive pulmonary disease, emphysema)
  • Solid organ transplant or immunosuppression (Defined as an outpatient prescription of greater than 10 mg/day of prednisone or equivalent, use of chemotherapy, or use of immunosuppressive agents for solid organ transplant or for an autoimmune disease.)
  • Chronic Kidney Disease or End Stage Renal Disease
  • Diabetes mellitus
  • Cardiovascular disease/Hypertension
  • Smoking/Vaping (currently using or history of using in the past 1 year)
  • Obesity (calculated by height and weight per participant report)
  • Hyperlipidemia
  • No current symptoms attributable to COVID-19
  • No prior COVID-19 positive diagnosis (eligible if previous testing is negative and meets all other inclusion and exclusion)
  • Ability to provide informed consent
  • Confirmed review of concomitant medications (with emphasis on cardiac medications)
  • Exclusion Criteria Cohort A \& B:
  • Known allergy to hydroxychloroquine or quinine
  • Known history of long QT syndrome
  • Known history of arrhythmia or dysrhythmia
  • Known current QTc \>500 ms
  • Known G6PD deficiency
  • Known history of hypoglycemia
  • Pregnant or Nursing by patient history
  • Use of any of the following concomitant medications: See Appendix D for Exclusion medication list
  • Concurrent diagnosis of dermatitis, porphyria, or psoriasis
  • History of chronic liver disease, including cirrhosis and/or diagnosis of hepatitis (infectious, idiopathic, or immune)
  • History of chronic kidney disease
  • Pre-existing retinopathy
  • Already taking hydroxychloroquine
  • Any condition or medication in the opinion of the investigator that would prohibit the use of hydroxychloroquine
  • Enrollment in another clinical with investigational drug or device
  • Inability to swallow pills
  • Adults unable to provide informed consent

Exclusion

    Key Trial Info

    Start Date :

    May 14 2020

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    June 4 2021

    Estimated Enrollment :

    1 Patients enrolled

    Trial Details

    Trial ID

    NCT04372017

    Start Date

    May 14 2020

    End Date

    June 4 2021

    Last Update

    December 10 2021

    Active Locations (1)

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    Sanford Health

    Sioux Falls, South Dakota, United States, 57104