CClinicalTrials.gg
Status unknownNCT04443270Updated Jul 14, 2020

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

A Phase 1 interventional study of Chloroquine phosphate in COVID-19, sponsored by CMN "20 de Noviembre". Status unknown at 1 site in Mexico. Open to participants aged 18 Years to 59 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-07-14.

Sponsored by CMN "20 de Noviembre" · Phase 1, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Jul 2020), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 1
Study type
Interventional
Enrollment
200
Allocation
Non-randomized
Ages
18 Years to 59 Years
Sex
All
01

Study summary

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.

Read the detailed description

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.

02

Conditions studied

  • COVID-19

Browse trials for

Keywords

  • COVID-19
  • Chloroquine phosphate
  • Prophylactic
  • Health Personnel
  • Severe Acute Respiratory Syndrome Coronavirus-2
03

In context

COVID-19

7,640 studies on the registry are indexed under COVID-19; 488 are open to participants now.

This study's planned enrollment of 200 is above the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

CMN "20 de Noviembre" is the lead sponsor of 4 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 59 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

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.
05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    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.

    Drug: Chloroquine phosphate

  • No intervention
    Control group

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

Interventions

  • DrugChloroquine 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.

    Also known as: Plasmodín

06

What researchers measure

Primary outcomes

  1. Negative Polymerase Chain Reaction assay at day 0

    Prior to the participation of each health worker, a pharyngeal exudate sample will be taken with a swab. RNA will be obtained by applying severe acute respiratory syndrome coronavirus-2 real time polymerase chain reaction kit, using specific oligonucleotides in polymerase chain reaction.

    Time frame: Day 0

  2. Polymerase Chain Reaction assay at day 60

    A pharyngeal exudate sample will be taken with a swab. RNA will be obtained by applying severe acute respiratory syndrome coronavirus-2 real time polymerase chain reaction kit, using specific oligonucleotides in polymerase chain reaction.

    Time frame: Day 60

Secondary outcomes

  1. Clinical improvement related to COVID-19

    Ordinal Scale for Clinical Improvement according the "World Health Organization R\&D Blueprint novel Coronavirus COVID-19 Therapeutic Trial Synopsis" will apply at baseline and 30-day follow-up as follows: No clinical or virological evidence of infection = 0 No limitation of activities = 1 Limitation of activities = 2 Hospitalized, no oxygen therapy = 3 Oxygen by mask or nasal prongs = 4 Non-invasive ventilation or high-flow oxygen = 5 Intubation and mechanical ventilation - Score = 6 Ventilation + additional organ support-pressors, renal replacement therapy, extracorporeal membrane oxygenation = 7 Death = 8

    Time frame: Baseline (day 0) and 30-day follow up

  2. Clinical improvement related to COVID-19

    Ordinal Scale for Clinical Improvement according the "World Health Organization R\&D Blueprint novel Coronavirus COVID-19 Therapeutic Trial Synopsis" will apply at baseline and 30-day follow-up as follows: No clinical or virological evidence of infection = 0 No limitation of activities = 1 Limitation of activities = 2 Hospitalized, no oxygen therapy = 3 Oxygen by mask or nasal prongs = 4 Non-invasive ventilation or high-flow oxygen = 5 Intubation and mechanical ventilation - Score = 6 Ventilation + additional organ support-pressors, renal replacement therapy, extracorporeal membrane oxygenation = 7 Death = 88

    Time frame: From 30-day to 60-day follow-up

  3. Heart rhythm negative adverse event related to the Chloroquine Phosphate Prophylactic Use

    An EKG will be performed to measure QT interval at baseline and 30-day follow-up. The EKG follows the standards and guidelines established by the Centro Médico Nacional "20 de Noviembre."

    Time frame: Baseline (day 0) and 30-day follow up

  4. Heart rhythm negative adverse event related to the Chloroquine Phosphate Prophylactic

    An EKG will be performed to measure QT interval at 60-day follow-up. The EKG follows the standards and guidelines established by the Centro Médico Nacional "20 de Noviembre."

    Time frame: From 30-day to 60-day follow-up

  5. COVID-19 symptomatic onset rate

    According to the National Committee for Epidemiological Surveillance (CONAVE) in Mexico, COVID-19 symptomatic onset rate defined as the presence of cough, fever or headache during the last 7 days, accompanied at least one of the following symptoms: dyspnea, arthralgia, myalgia, odynophagia / pharyngeal burning, rhinorrhea, conjunctivitis or chest pain.

    Time frame: From baseline (day 0) to 60-day follow up

07

Study locations

1 site
  • Centro Médico Nacional "20 de Noviembre"
    Mexico City, Benito Juárez 03229, Mexico
08

References and documents

Publications

  • 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. PubMed 32113704 ↗
  • 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. PubMed 32183901 ↗
  • 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. PubMed 32166607 ↗
  • 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. Erratum In: Int J Surg. 2020 May;77:217. doi: 10.1016/j.ijsu.2020.03.036. PubMed 32112977 ↗
  • 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. PubMed 32141569 ↗
  • 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. PubMed 32081636 ↗
  • 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. PubMed 32238757 ↗
  • 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. PubMed 32074550 ↗
  • 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. PubMed 32205204 ↗
  • 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. PubMed 32311322 ↗
  • 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. PubMed 32311324 ↗
  • 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. PubMed 32294495 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 14, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04443270
Lead sponsor
CMN "20 de Noviembre"
Responsible party
Sandra Muñoz López (Internal Medicine Service Member, MD, MSc, CMN "20 de Noviembre") — Principal investigator
First posted
Jun 23, 2020
Start date
Jul 27, 2020 (estimated)
Primary completion
Oct 31, 2020 (estimated)
Completion
Jan 31, 2021 (estimated)
Last update
Jul 14, 2020

Study contacts

Sandra Muñoz-López, MD, MSc
Contact
ssanml@yahoo.com.mx
+52 55 52 00 5003 ext. 14240
Juan A Suárez-Cuenca, MD, PhD
Contact
juan.suarezcue@issste.gob.mx
+52 55 52 00 5003 ext. 14661
Sandra Muñoz-López, MD, MSc
principal investigator · CMN "20 de Noviembre"
Sandra Muñoz-López, MD, MSc
study director · CMN "20 de Noviembre"
Maricela Escarela-Serrano, MD
study chair · CMN "20 de Noviembre"
Fedra Irazoque-Palazuelos, MD
study chair · CMN "20 de Noviembre"
Luis Montiel-López, MD, MSc
study chair · CMN "20 de Noviembre"
Paul Mondragón-Terán, PhD
study chair · CMN "20 de Noviembre"
Alberto H De la Vega-Bravo, MD
study chair · CMN "20 de Noviembre"
Juan A Pineda-Juárez, PhD
study chair · CMN "20 de Noviembre"
Juan A Suárez-Cuenca, MD, PhD
study chair · CMN "20 de Noviembre"
Sofía L Alcaraz-Estrada, PhD
study chair · CMN "20 de Noviembre"
Eduardo Soei-Sarmiento, BsC
study chair · CMN "20 de Noviembre"
Maribel Santosbeña-Lagunes, MD
study chair · CMN "20 de Noviembre"
Joel Vargas-Hernández, MD
study chair · CMN "20 de Noviembre"
Carlos A Delgado-Quintana, MD
study chair · CMN "20 de Noviembre"
Alejandro Alanis-Vega, MD
study chair · CMN "20 de Noviembre"
Ricardo P Vázquez-Alvarado, MD
study chair · CMN "20 de Noviembre"
Mireya Rodríguez-Martínez, MD
study chair · CMN "20 de Noviembre"
María C Méndez-Vidrio, MD
study chair · CMN "20 de Noviembre"
Fidel Cerda-Tellez, MD
study chair · CMN "20 de Noviembre"

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 Jul 2020. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion