Page last updated: 2024-10-24

chloroquine and Granulomatosis, Wegener's

chloroquine has been researched along with Granulomatosis, Wegener's in 7 studies

Chloroquine: The prototypical antimalarial agent with a mechanism that is not well understood. It has also been used to treat rheumatoid arthritis, systemic lupus erythematosus, and in the systemic therapy of amebic liver abscesses.
chloroquine : An aminoquinoline that is quinoline which is substituted at position 4 by a [5-(diethylamino)pentan-2-yl]amino group at at position 7 by chlorine. It is used for the treatment of malaria, hepatic amoebiasis, lupus erythematosus, light-sensitive skin eruptions, and rheumatoid arthritis.

Research Excerpts

ExcerptRelevanceReference
"Chloroquine has been demonstrated to effectively reduce the extrarenal synthesis of 1,25-dihydroxyvitamin D and serum calcium concentration in hypercalcemic patients with sarcoidosis."1.29Hypercalcemia associated with Wegener's granulomatosis and hyperparathyroidism: etiology and management. ( Bone, HG; Edelson, GW; Talpos, GB, 1993)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19905 (71.43)18.7374
1990's1 (14.29)18.2507
2000's1 (14.29)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Abud-Mendoza, C1
de la Fuente, H1
Cuevas-Orta, E1
Baranda, L1
Cruz-Rizo, J1
González-Amaro, R1
SILTZBACH, LE1
Edelson, GW1
Talpos, GB1
Bone, HG1
Henkind, P1
Gold, DH1
Böke, W2
Boden, BF1
Kraus, Z1
Vortel, V1
Fingerland, A1
Salavec, M1
Krch, V1
Reich, H1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Double Blind, Placebo Controlled, Phase II, Randomized Study of Lovastatin Therapy in the Treatment of Mildly Active Rheumatoid Arthritis[NCT00302952]Phase 264 participants (Actual)Interventional2007-11-06Terminated (stopped due to Slow enrollment &Study Drug Expiration (Target: 40 randomized participants /arm))
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Adjusted Mean Change From Baseline in Log Transformed C - Reactive Protein (CRP) at Day 84

Blood draw for CRP, an acute phase reactant used to identify the presence of nonspecific inflammation. Change=Day 84 value minus Baseline value. Normal serum CRP reference range in this study is 0-4 mg/L (log transformed: -4.2 to 1.4). Participants with measurements for designated time points were included in analysis. An increased CRP level indicates the presence of inflammation. Reduced CRP levels could mean a decrease in inflammation. (NCT00302952)
Timeframe: Baseline (Day 0), Day 84 (Wk 12)

Interventionmg/L (Mean)
Lovastatin 80 mg-0.4
Placebo-0.3

Adjusted Mean Change From Baseline in Serum Anti-cyclic Citrullinated Peptide (Anti-CCP) by ELISA (ELISA: Enzyme-linked Immunosorbent Assay)

Anti-CCP antibodies are autoantibodies frequently detected in the serum of individuals with rheumatoid arthritis. In this study, a positive value for anti-CCP was 8 IU/mL or greater; a negative value for anti-CCP was <8 IU/mL. Change= subtraction of Day 0 from Day 84 anti-CCP value. In general, high levels of the antibody indicate an aggressive rheumatoid arthritis and a higher risk of joint damage. Participants with measurements for designated time points included in analysis. (NCT00302952)
Timeframe: Baseline ( Day 0), Day 84 (Wk 12)

InterventionIU/mL (Mean)
Lovastatin 80 mg16.3
Placebo-1.0

Adjusted Mean Change From Baseline in Serum IgM Rheumatoid Factor by ELISA (ELISA: Enzyme-linked Immunosorbent Assay)

Rheumatoid factor (RF) is an antibody often present in the blood of a person with rheumatoid arthritis. In this study, a positive value for RF was 0.5 IU/mL or greater; a negative value for RF was <0.5 IU/mL. Change= Day 84 value minus Baseline value. In general, presence of the antibody indicates aggressive rheumatoid arthritis and higher risk of joint damage. Participants with measurements for designated time points included in analysis. (NCT00302952)
Timeframe: Baseline (Day 0), Day 84 (Wk 12)

InterventionIU/mL (Mean)
Lovastatin 80 mg-5.4
Placebo2.8

Adjusted Mean Change From Baseline in the Disease Activity Score Using C-reactive Protein (DAS28-CRP) on Day 84

The DAS28-CRP score is on a scale of 0 to 10 and indicates current activity of rheumatoid arthritis (>5.1=high disease activity; 3.2-<=5.1=moderate disease activity; <=3.2=low disease activity; <2.6=remission). The score uses a combination of four variables: 1) the number of tender joints (of the 28 that are measured); 2) the number of swollen joints (of the 28 that are measured); 3) serum C-reactive protein (CRP) lab value in mg/L , and 4) Patient Global Assessment of Disease Activity. Using a formula, the physician determines the score. Participants with measurements for designated time points included in analysis. (NCT00302952)
Timeframe: Baseline (Day 0) to Day 84 (Wk 12)

InterventionScores on a scale (Mean)
Lovastatin 80 mg-0.5
Placebo-0.5

Change From Baseline in CPK at Day 84

Blood samples were taken from participants at Baseline and Day 84. Participants with measurements for designated time points included in analysis. Change=Day 84 value minus Baseline value. A positive difference reflects an increased laboratory parameter value over time; a negative difference reflects a decreased laboratory parameter value over time. Normal laboratory values depend on a subject age, gender, and the specific laboratory methods that were used to determine the lab values. Reference: http://www.merckmanuals.com/professional/appendixes/normal_laboratory_values/blood_tests_normal_values.html (NCT00302952)
Timeframe: Baseline (Day 0), Day 84 (Wk 12)

InterventionU/L (Mean)
Lovastatin 80 mg-2.4
Placebo8.0

Change From Baseline in Hematocrit (Hct) at Day 84

Blood samples were taken from participants at Baseline and Day 84. Participants with measurements for designated time points included in analysis. Change=Day 84 value minus Baseline value. A positive difference reflects an increased laboratory parameter value over time; a negative difference reflects a decreased laboratory parameter value over time. Normal laboratory values depend on a subject age, gender, and the specific laboratory methods that were used to determine the lab values. Reference: http://www.merckmanuals.com/professional/appendixes/normal_laboratory_values/blood_tests_normal_values.html (NCT00302952)
Timeframe: Baseline (Day 0), Day 84 (Wk 12)

Intervention% of packed red blood cells by volume (Mean)
Lovastatin 80 mg-0.5
Placebo-0.5

Change From Baseline in Mean Corpuscular Hemoglobin (MCH) at Day 84

Blood samples were taken from participants at Baseline and Day 84. Participants with measurements for designated time points included in analysis. Change=Day 84 value minus Baseline value. A positive difference reflects an increased laboratory parameter value over time; a negative difference reflects a decreased laboratory parameter value over time. Normal laboratory values depend on a subject age, gender, and the specific laboratory methods that were used to determine the lab values. Reference: http://www.merckmanuals.com/professional/appendixes/normal_laboratory_values/blood_tests_normal_values.html (NCT00302952)
Timeframe: Baseline (Day 0), Day 84 (Wk 12)

Interventionpg (Mean)
Lovastatin 80 mg-0.4
Placebo0.0

Change From Baseline in Mean Corpuscular Volume (MCV) at Day 84

Blood samples were taken from participants at Baseline and Day 84. Participants with measurements for designated time points included in analysis. Change=Day 84 value minus Baseline value. A positive difference reflects an increased laboratory parameter value over time; a negative difference reflects a decreased laboratory parameter value over time. Normal laboratory values depend on a subject age, gender, and the specific laboratory methods that were used to determine the lab values. Reference: http://www.merckmanuals.com/professional/appendixes/normal_laboratory_values/blood_tests_normal_values.html (NCT00302952)
Timeframe: Baseline (Day 0), Day 84 (Wk 12)

InterventionfL (Mean)
Lovastatin 80 mg-0.4
Placebo0.7

Change From Baseline in Red Cell Distribution Width (RDW) at Day 84

Blood samples were taken from participants at Baseline and Day 84. Participants with measurements for designated time points included in analysis. Change=Day 84 value minus Baseline value. A positive difference reflects an increased laboratory parameter value over time; a negative difference reflects a decreased laboratory parameter value over time. Normal laboratory values depend on a subject age, gender, and the specific laboratory methods that were used to determine the lab values. Reference: http://www.merckmanuals.com/professional/appendixes/normal_laboratory_values/blood_tests_normal_values.html (NCT00302952)
Timeframe: Baseline (Day 0), Day 84 (Wk 12)

Intervention% of mean corpuscle volume (Mean)
Lovastatin 80 mg-0.4
Placebo0.2

Percentage of Participants Meeting ACR20 Response Criteria at Day 84 (ACR: American College of Rheumatology)

Patients were ACR20 Responders if they had: at least 20% improvement in both tender joint count (28 examined) and swollen joint count (28 examined), and 20% improvement in at least three of the following 5 remaining ACR core measures: • Patient's pain assessment (Visual Analogue Scale (VAS) 100 mm) • Patient's global assessment of disease activity (VAS 100 mm) • Physician's global assessment of disease activity (VAS 100 mm) • Patient self-assessed disability (Health Assessment Questionnaire (HAQ)) score • Acute phase reactant C-reactive protein. Participants with measurements for designated time points were included in analysis. (NCT00302952)
Timeframe: Day 84 (Wk 12)

InterventionPercentage of participants (Number)
Lovastatin 80 mg29.0
Placebo40.0

Change From Baseline in Albumin, Total Protein, Hemoglobin, and Mean Corpuscular Hemoglobin Concentration (MCHC) at Day 84

Blood samples were taken from participants at Baseline and Day 84. Participants with measurements for designated time points included in analysis. Change=Day 84 value minus Baseline value. A positive difference reflects an increased laboratory parameter value over time; a negative difference reflects a decreased laboratory parameter value over time. Normal laboratory values depend on a subject age, gender, and the specific laboratory methods that were used to determine the lab values. Reference: http://www.merckmanuals.com/professional/appendixes/normal_laboratory_values/blood_tests_normal_values.html (NCT00302952)
Timeframe: Baseline (Day 0), Day 84 (Wk 12)

,
Interventiong/dL (Mean)
AlbuminTotal ProteinHemoglobinMCHC
Lovastatin 80 mg0.00.0-0.3-0.3
Placebo0.10.1-0.3-0.4

Change From Baseline in Alkaline Phosphatase, Alanine Aminotransferase (ALT), and Aspartate Aminotransferase (AST) at Day 84

Blood samples were taken from participants at Baseline and Day 84. Participants with measurements for designated time points included in analysis. Change=Day 84 value minus Baseline value. A positive difference reflects an increased laboratory parameter value over time; a negative difference reflects a decreased laboratory parameter value over time. Normal laboratory values depend on a subject age, gender, and the specific laboratory methods that were used to determine the lab values. Reference: http://www.merckmanuals.com/professional/appendixes/normal_laboratory_values/blood_tests_normal_values.html (NCT00302952)
Timeframe: Baseline (Day 0), Day 84 (Wk 12)

,
InterventionU/L (Mean)
Alkaline PhosphataseALTAST
Lovastatin 80 mg-3.0-1.8-1.2
Placebo0.40.70.8

Change From Baseline in Counts: White Blood Cells (WBC), Neutrophils, Bands, Lymphocytes, Monocytes, Eosinophils, Basophils, Platelets, and Reticulocytes at Day 84

Blood samples were taken from participants at Baseline and Day 84. Participants with measurements for designated time points included in analysis. Change=Day 84 value minus Baseline value. A positive difference reflects an increased laboratory parameter value over time; a negative difference reflects a decreased laboratory parameter value over time. Normal laboratory values depend on a subject age, gender, and the specific laboratory methods that were used to determine the lab values. Reference: http://www.merckmanuals.com/professional/appendixes/normal_laboratory_values/blood_tests_normal_values.html (NCT00302952)
Timeframe: Baseline (Day 0), Day 84 (Wk 12)

,
Intervention10^3/uL (Mean)
WBCNeutrophilsBandsLymphocytesMonocytesEosinophilsBasophilsPlatelet CountReticulocytes
Lovastatin 80 mg0.10.20.0-0.10.10.00.0-8.2-4.7
Placebo-0.4-0.60.00.10.00.00.0-5.60.0

Change From Baseline in Potassium, Sodium, Chloride, and Total CO2 at Day 84

Blood samples were taken from participants at Baseline and Day 84. Participants with measurements for designated time points included in analysis. Change=Day 84 value minus Baseline value. A positive difference reflects an increased laboratory parameter value over time; a negative difference reflects a decreased laboratory parameter value over time. Normal laboratory values depend on a subject age, gender, and the specific laboratory methods that were used to determine the lab values. Reference: http://www.merckmanuals.com/professional/appendixes/normal_laboratory_values/blood_tests_normal_values.html (NCT00302952)
Timeframe: Baseline (Day 0), Day 84 (Wk 12)

,
Interventionmmol/L (Mean)
PotassiumSodiumChlorideTotal CO2
Lovastatin 80 mg0.0-0.2-0.10.7
Placebo0.0-0.20.5-0.5

Change From Baseline in Total Bilirubin, Creatinine, BUN, Phosphorus, Calcium, and Glucose at Day 84

Blood samples were taken from participants at Baseline and Day 84. Participants with measurements for designated time points included in analysis. Change=Day 84 value minus Baseline value. A positive difference reflects an increased laboratory parameter value over time; a negative difference reflects a decreased laboratory parameter value over time. Normal laboratory values depend on a subject age, gender, and the specific laboratory methods that were used to determine the lab values. Reference: http://www.merckmanuals.com/professional/appendixes/normal_laboratory_values/blood_tests_normal_values.html (NCT00302952)
Timeframe: Baseline (Day 0), Day 84 (Wk 12)

,
Interventionmg/dL (Mean)
Total BilirubinCreatinineBUNPhosphorusCalciumGlucose
Lovastatin 80 mg0.00.0-0.40.00.0-4.3
Placebo0.10.0-0.50.00.0-1.2

Reviews

1 review available for chloroquine and Granulomatosis, Wegener's

ArticleYear
Ocular manifestations of rheumatic disorders. Natural and iatrogenic.
    Rheumatology, 1973, Volume: 4, Issue:0

    Topics: Adrenal Cortex Hormones; Arteritis; Arthritis, Juvenile; Arthritis, Rheumatoid; Chloroquine; Conjunc

1973

Trials

1 trial available for chloroquine and Granulomatosis, Wegener's

ArticleYear
Therapy with statins in patients with refractory rheumatic diseases: a preliminary study.
    Lupus, 2003, Volume: 12, Issue:8

    Topics: Adult; Aged; Aged, 80 and over; Antirheumatic Agents; Atorvastatin; Biomarkers; Blood Sedimentation;

2003

Other Studies

5 other studies available for chloroquine and Granulomatosis, Wegener's

ArticleYear
DIFFUSE PULMONARY GRANULOMATOSES AND FIBROSES.
    Modern treatment, 1964, Volume: 1

    Topics: Adrenal Cortex Hormones; Adrenocorticotropic Hormone; Arthritis; Arthritis, Rheumatoid; Beryllium; C

1964
Hypercalcemia associated with Wegener's granulomatosis and hyperparathyroidism: etiology and management.
    American journal of nephrology, 1993, Volume: 13, Issue:4

    Topics: Calcitriol; Chloroquine; Female; Granulomatosis with Polyangiitis; Humans; Hypercalcemia; Hyperparat

1993
[Eye findings in rheumatic diseases].
    Der Internist, 1974, Volume: 15, Issue:10

    Topics: Adolescent; Arthritis, Juvenile; Arthritis, Reactive; Arthritis, Rheumatoid; Behcet Syndrome; Catara

1974
Unusual cutaneous manifestations in Wegener's granulomatosis.
    Acta dermato-venereologica, 1965, Volume: 45, Issue:4

    Topics: Adrenal Cortex Hormones; Chloroquine; Cicatrix; Female; Granulomatosis with Polyangiitis; Humans; Ma

1965
[Eye involvement in Wegener's granulomatosis].
    Klinische Monatsblatter fur Augenheilkunde, 1967, Volume: 151, Issue:6

    Topics: Adrenal Cortex Hormones; Adult; Chloroquine; Cornea; Corneal Ulcer; Eye Diseases; Female; Granulomat

1967