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Status unknownNCT03305263Updated Mar 12, 2020

Hydroxychloroquine (HCQ) for Recurrent Pregnancy Loss

A Phase 3 interventional study of Hydroxychloroquine and Hydroxychloroquine placebo in Recurrent Pregnancy Loss, sponsored by Rigshospitalet, Denmark. Status unknown at 1 site in Denmark. Open to female participants aged 18 Years to 39 Years. Per ClinicalTrials.gov, last updated 2020-03-12.

Sponsored by Rigshospitalet, Denmark · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2020), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
186
Allocation
Randomized
Ages
18 Years to 39 Years
Sex
Female
01

Study summary

Recurrent pregnancy loss (RPL) defined as 3 or more pregnancy losses affects approximately 3% of couples trying to achieve parenthood. Most cases of RPL are unexplained and have no effective treatment to improve the chance of a live birth. Exciting indications for using Hydroxychloroquine (HCQ) include: Malaria profylaxis and treatment, systemic and discoid lupus erythematosus (SLE) and rheumatoid athritis (RA). HCQ has been reported to have the following properties (anti-thrombotic, vascular-protective, immunomodulatory, improving glucose tolerance, lipid-lowering, and anti-infectious).

There is no data concerning the benefit of HCQ in RPL. Administration for other indications provides extensive safety data during pregnancy.

This study has the potential to establish support for a new treatment option for unexplained RPL.

02

Conditions studied

  • Recurrent Pregnancy Loss

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03

Who can participate

Ages eligible
18 Years to 39 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. ≥ 4 confirmed consecutive pregnancy losses prior to gestational age 22+0 in women with unexplained RPL
  2. ≥ 3 confirmed consecutive pregnancy losses prior to gestational age 22+0 in women with unexplained RPL with minimum one second trimester loss.

Exclusion criteria

Exclusion Criteria:

  1. Age below 18 years or above 39 at inclusion
  2. Abnomal uterine anatomi at hysterosalpingography/hysteroscopy or hydrosonography
  3. Chromosomal abnormalities within the couple
  4. Menstrual cycle below 23 days or above 35 days
  5. Lupusantikoagulans positivity or immunoglobulin (Ig)G/IgM anticardiolipinantibodies (≥10 GPL kU/l at Rigshospitalets Laboratorium) or plasma homocystein ≥25 mikrogr./l at repeated measurement with 12 weeks interval.
  6. HIV or Hepatitis B or C positive
  7. Psoriasis, retinopathy og serious imparied hearing (Contraindications for HCQ)
  8. Chronic disease that lead to intake of immunemodulatory drugs or potentially pregnancy toxic agents
  9. Hemoglobin ≤ 6.5 mmol/L, leukocytes \<3.5 E9/L, platelets \<145 E9/L at inclusion
  10. Previous treatment with HCQ in pregnancy
  11. >1previous live birth
  12. previous participation in this trial
04

Study design

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

Study arms

  • Experimental
    Hydroxychlorochine HCQ

    Women in the experimental arm will take 200 mg HCQ tablets every day, starting minimum 2 months (recommended 3-6) prior to conception and continuing until 28 weeks of pregnancy or until the pregnancy is over.

    Drug: Hydroxychloroquine

  • Placebo comparator
    Hydroxychlorochine HCQ Placebo

    Women in the experimental arm will take 200 mg HCQ placebo tablets every day, starting minimum 2 months (recommended 3-6) prior to conception and continuing until 28 weeks of pregnancy or until the pregnancy is over.

    Drug: Hydroxychloroquine placebo

Interventions

  • DrugHydroxychloroquine

    One tablet a day from inclusion until end of pregnancy or gestational age 28

    Also known as: Placebo

  • DrugHydroxychloroquine placebo

    One tablet a day from inclusion until end of pregnancy or gestational age 28

05

What researchers measure

Primary outcomes

  1. Live birth

    Time frame: At delivery

Secondary outcomes

  1. Live birth after exclusion of patients with a chromosomal abnormal pregnancy loss, extrauterine pregnancy loss, intended abortion or patients with insufficient intake of study medicine

    Time frame: At delivery

  2. Birth weight

    Time frame: At delivery

  3. Gestational age

    Time frame: up to at delivery

  4. Admittance to neonatal unit

    Time frame: Within 28 days of delivery

  5. Immunological status

    Measuements of celllur and humoral immunity

    Time frame: Up to two years after end of study

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Study locations

1 of 1 sites recruiting
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03305263
Lead sponsor
Rigshospitalet, Denmark
Responsible party
Henriette Svarre Nielsen, MD, DMSc (Consultant, Head of Recurrent Pregnancy Loss Unit, Associate Professor, Rigshospitalet, Denmark) — Principal investigator
First posted
Oct 9, 2017
Start date
Jan 25, 2018
Primary completion
Jan 2022 (estimated)
Completion
Jan 2023 (estimated)
Last update
Mar 12, 2020

Study contacts

Henriette Svarre Nielsen, MD, DMSc
Contact
henriette.svarre.nielsen@regionh.dk
+4535457515
Louise Lunøe, Nurse
Contact
anne.louise.lunoee@regionh.dk
+4535458486

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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