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CompletedNCT00632866JOQUERUpdated Jul 3, 2012

Hydroxychloroquine Versus Placebo in Primary Sjögren's Syndrome

A Phase 3 interventional study of Hydroxychloroquine and Placebo in Primary Sjögren's Syndrome, sponsored by Assistance Publique - Hôpitaux de Paris. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2012-07-03.

Sponsored by Assistance Publique - Hôpitaux de Paris · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Primary Sjögren's syndrome (SJp) affects 0.1% of the population. This systemic autoimmune disease systemic is characterized by disabling dryness, fatigue and pain, and systemic complications in 30% of patients. No treatment has proven effective in this disease. In open studies, some efficacy was observed with hydroxychloroquine but no RCT versus placebo has ever been done.

Thus, the primary purpose of this study is to evaluate the efficacy and safety of hydroxychloroquine (400mg/ day) on dryness, pain, and fatigue, assessed by the patient using visual analogical scales.

Read the detailed description

Primary Sjögren's syndrome (SJp) affects 0.1% of the population. This systemic autoimmune disease systemic is characterized by disabling dryness, fatigue and pain, and systemic complications in 30% of patients. No treatment has proven effective in this disease. In open studies, some efficacy was observed with hydroxychloroquine but no RCT versus placebo has ever been done.

Thus, the primary purpose of this study is to evaluate the efficacy and safety of hydroxychloroquine (400mg/ day) on dryness, pain, and fatigue, assessed by the patient using visual analogical scales (VAS).

Response is defined by the improvement of 30% or more of at least 2 out of 3 of the following VAS : most disabling dryness, fatigue, and pain.

02

Conditions studied

  • Primary Sjögren's Syndrome

Keywords

  • auto-immune diseases
  • hydroxychloroquine
  • primary Sjögren's syndrome
  • inflammatory arthritides
  • inflammatory rheumatic diseases
  • dryness
  • joint diseases
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In context

Sjogren's Syndrome

371 studies on the registry are indexed under Sjogren's Syndrome; 104 are open to participants now.

This study's enrollment of 120 is above the median of 50 across 244 interventional studies indexed under Sjogren's Syndrome.

Browse Sjogren's Syndrome studies →

Lead sponsor

Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,505 studies on the registry; 1,006 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients suffering from primary Sjögren's syndrome according to the European-American consensus group criteria
  • Male and female aged of 18 or more
  • Conducting a clinical examination beforehand.
  • Having undergone less than 6 months before an ophthalmological examination, which did not counter-indicated hydroxychloroquine.
  • Patient without heart conduction disturbance (PR>=0.2 sec and QRS>=0.08 sec).
  • Patient with the ability to give informed, dated and signed consent before the beginning of any proceedings related to the trial
  • Patients treated with corticosteroids and / or NSAIDs, and / or cyclosporine, and / or pilocarpine must have received stable doses of these treatments during the month preceding inclusion.

Exclusion criteria

Exclusion criteria:

  • SJ associated with other autoimmune diseases
  • Retinopathy /severe cataract/ monophthalmos
  • Previous or ongoing treatment by hydroxychloroquine
  • Treatment by another immunosuppressant not interrupted at least 4 weeks prior to inclusion, or 6 months prior to inclusion for cyclophosphamide or rituximab
  • lymphoma or other severe SJp complications: vasculitis responsible for a documented renal, neurological, digestive or heart involvement, glomerular disease associated with hematuria and / or proteinuria > 0.5 g / d), CNS involvement, peripheral neurological involvement with motor deficiency scored at 3 or less on a scale of 5 , interstitial pneumonitis, recent symptomatic cryoglobulinemia with neurological, renal, or other systemic involvement, myositis with motor deficiency (isolated purpura is not an exclusion criteria)
  • Chronic Alcoholism
  • Hepato-cellular insufficiency
  • Creatinine clearance \<60 ml / min
  • Risk of lost follow-up
  • People younger than 18, major trusteeship and guardianship, or deprived of liberty
  • Pregnancy /Breastfeeding
  • Hypersensitivity to chloroquine or to hydroxychloroquine or any of the other constituents of Plaquenil
  • Psoriasis or intermittent porphyria.
  • G6PD deficiency, congenital galactosemia, malabsorption syndrome, glucose and galactose, or lactase deficiency.
  • Non-membership in a social security system.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
120 participants (actual)

Study arms

  • Experimental
    1

    Active treatment : Hydroxychloroquine

    Drug: Hydroxychloroquine

  • Placebo comparator
    2

    Placebo

    Drug: Placebo

Interventions

  • DrugHydroxychloroquine

    Hydroxychloroquine : 200mg / day since 24 weeks

    Also known as: Plaquenil

  • DrugPlacebo

    Placebo : 2cp/ day since 24 weeks

06

What researchers measure

Primary outcomes

  1. Proportion of patients with an improvement of 30% or more of at least 2 out of the 3 following VAS: 1. the most disabling dryness 2. pain 3. fatigue

    Time frame: 6 months

Secondary outcomes

  1. SCHIRMER's test, van BIJSTERVELD score, salivary flow, disease systemic features, quality of life, interferon-inducible genes expression Association between clinical response and hydroxychloroquine blood level, interferon-inducible genes expression

    Time frame: 6 mois

07

Study locations

1 site
  • Hopital Bicëtre
    Le Kremlin Bicetre, 94275, France
08

References and documents

Publications

  • Gottenberg JE, Ravaud P, Puechal X, Le Guern V, Sibilia J, Goeb V, Larroche C, Dubost JJ, Rist S, Saraux A, Devauchelle-Pensec V, Morel J, Hayem G, Hatron P, Perdriger A, Sene D, Zarnitsky C, Batouche D, Furlan V, Benessiano J, Perrodeau E, Seror R, Mariette X. Effects of hydroxychloroquine on symptomatic improvement in primary Sjogren syndrome: the JOQUER randomized clinical trial. JAMA. 2014 Jul 16;312(3):249-58. doi: 10.1001/jama.2014.7682. PubMed 25027140 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 3, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00632866
Lead sponsor
Assistance Publique - Hôpitaux de Paris
Collaborators
Sanofi
Responsible party
Sponsor
First posted
Mar 11, 2008
Start date
Mar 2008
Primary completion
May 2011
Completion
May 2012
Last update
Jul 3, 2012

Study contacts

Xavier Mariette, MD, PhD
principal investigator · Assistance Publique - Hôpitaux de Paris

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2012. You cannot join it, but the record below documents what was studied.

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