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RecruitingNCT06350630QUIgANUpdated Oct 9, 2026

Therapeutic Effect of Hydroxychloroquine on Immunoglobulin A (IgA) Nephropathy Course QUIgAN Study

A Phase 2 interventional study of Hydroxychloroquine Oral Tablet and Placebo oral tablet in IgA Nephropathy, sponsored by Centre Hospitalier Universitaire de Saint Etienne. Recruiting at 8 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Centre Hospitalier Universitaire de Saint Etienne · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 4 months later.
Updated Oct 9, 20261 site addedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
334
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

immunoglobulin A (IgA) nephropathy (Berger disease) is the most frequent primary glomerulonephritis worldwide. This disease accounts for about 5% of the causes of end stage renal disease in France, representing a major public health issue. Its pathophysiology seems to be triggered by mucosal immunity abnormalities leading to the systemic misaddressing of mucosal IgA, generation of circulating immunoglobulin A1 (IgA1) immune complexes finally deposited in renal glomeruli leading to renal tissue inflammation and scarring processes. Among this pathogeny, innate immunity is involved at several steps, including mucosal immunity.

In this regard, hydroxychloroquine has been shown to generate a global anti-inflammatory effect, particularly through its action on Toll like receptors and dendritic cells. This drug is well tolerated, widely used for other auto-immune diseases (e.g. Systemic Lupus Erythematosus) and very low priced.

One randomized controlled study conducted in China has recently shown a significant drop in proteinuria of IgA nephropathy patients treated with hydroxychloroquine (-48.4%) compared to the placebo group (+10.0%), after a quite short-term follow-up (6 months) and a moderate statistical power (30 patients in each group).

Considering (i) the potential mechanism of therapeutic effect on this disease, (ii) the well documented safety profile of the drug for rheumatologic indications and posologies, and its low cost (iii) its efficacy in reducing proteinuria in IgA nephropathy patients in a preliminary Chinese randomized control study, the investigators aim in this study at establishing the beneficial impact of hydroxychloroquine on IgA nephropathy in a double blind randomized controlled trial on a Caucasian French population with harder outcomes and a longer follow-up compared to the Chinese preliminary study.

02

Conditions studied

  • IgA Nephropathy

Keywords

  • Hydroxychloroquine
  • proteinuria
03

In context

Glomerulonephritis, IGA

275 studies on the registry are indexed under Glomerulonephritis, IGA; 107 are open to participants now.

This study's planned enrollment of 334 is above the median of 62 across 221 interventional studies indexed under Glomerulonephritis, IGA.

Browse Glomerulonephritis, IGA studies →

Lead sponsor

Centre Hospitalier Universitaire de Saint Etienne is the lead sponsor of 597 studies on the registry; 127 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Social security affiliation
  • Signed
  • With proven IgA nephropathy (any vintage)
  • With at least one Oxford lesion (M, E, S, T, C) on last available kidney biopsy - With urine albumin/creatinine > 300mg/g,
  • under maximal tolerated labeled dose of renin-angiotensin-aldosterone system (RAAS) inhibitors for at least 3 months
  • Sodium-Glucose Transport Protein 2 (SGLT-2) inhibitors initiated at least 1 month before inclusion visit
  • Only patients treated with SGLT2i and RAAS dual therapy before inclusion
  • With estimate above 15 mL/min/1,73m² (Chronic Kidney Disease - EPIdemiology collaboration CKD-EPI formula)
  • Woman in childbearing with a highly effective method of
  • Agreement of woman in (WOCBP) to perform a urine pregnancy test every month until three months after the end of study treatment
  • Agreement of fertile male with WOCBP partner to use a condom for the duration of the study treatment up to 3 months after treatment the end of study treatment.

Exclusion criteria

Exclusion Criteria:

  • Secondary IgA nephropathy (Henoch Schonlein purpura, cirrhosis, inflammatory bowel disease)
  • or therapies in the past year before screening
  • to hydroxychloroquine (retinopathy, maculopathy, history of intolerance to hydroxychloroquine…)
  • Uncontrolled hypertension (systolic blood pression> 160 mmHg and/or diastolic blood pression >110 mmHg )
  • Long and/or QT prolonging medicines
  • Pregnancy or lactation
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
334 participants (estimated)

Study arms

  • Experimental
    Hydroxychloroquine

    Active hydroxychloroquine once daily by oral route at 6.5 mg/kg of ideal weight/day, with maximal dose of 400/mg day

    Drug: Hydroxychloroquine Oral Tablet

  • Placebo comparator
    Placebo

    Drug: Placebo oral tablet

Interventions

  • Active hydroxychloroquine once daily by oral route at 6.5 mg/kg of ideal weight/day, with maximal dose of 400mg/day for 3 years

  • DrugPlacebo oral tablet

    placebo once daily by oral route (no active drug - same dosage as hydroxychloroquine )

06

What researchers measure

Primary outcomes

  1. Absolute difference in estimate Glomerular Filtration Rate (GFR) between hydroxychloroquine group and control group evolution

    Time frame: 3 years

Secondary outcomes

  1. nephrological follow-up: proteinuria

    Time frame: 1 year

  2. nephrological follow-up: albuminuria

    Time frame: 1 year

  3. nephrological follow-up: GFR

    Time frame: 1 year

  4. nephrological follow-up: hematuria

    Time frame: 1 year

  5. nephrological follow-up: systolic and diastolic blood pressure

    Time frame: 1 year

  6. nephrological follow-up: proteinuria

    Time frame: 2 years

  7. nephrological follow-up: albuminuria

    Time frame: 2 years

  8. nephrological follow-up: GFR

    Time frame: 2 years

  9. nephrological follow-up: hematuria

    Time frame: 2 years

  10. nephrological follow-up: systolic and diastolic blood pressure

    Time frame: 2 years

  11. nephrological follow-up: proteinuria

    Time frame: 3 years

  12. nephrological follow-up: albuminuria

    Time frame: 3 years

  13. nephrological follow-up: hematuria

    Time frame: 3 years

  14. nephrological follow-up: systolic and diastolic blood pressure

    Time frame: 3 years

  15. end stage renal disease (GFR< 15mL/min/1.73m²)

    Time frame: 3 years

  16. death

    Time frame: 3 years

  17. adverse events (pruritus, gastro-intestinal disorders) and serious adverse events (QT enlargement, cardiomyopathy, ophthalmologic disorders, neuromyopathy, cytopenia)

    Time frame: 3 years

07

Study locations

8 of 8 sites recruiting
08

Updates

1 registry update since Sep 25, 2026
Sites
1 site added
Show site
  • Chr Metz Thionville Hopital Mercy · Metz, France
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    1 site added
    Show site
    • Chr Metz Thionville Hopital Mercy · Metz, France
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06350630
Collaborators
Ministry of Health, France
Responsible party
Sponsor
First posted
Apr 5, 2024
Start date
Jun 26, 2025
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2030 (estimated)
Last update
Oct 9, 2026

Oversight

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

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