Page last updated: 2024-10-28

hydroxychloroquine and Extravascular Hemolysis

hydroxychloroquine has been researched along with Extravascular Hemolysis in 18 studies

Hydroxychloroquine: A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970)
hydroxychloroquine : An aminoquinoline that is chloroquine in which one of the N-ethyl groups is hydroxylated at position 2. An antimalarial with properties similar to chloroquine that acts against erythrocytic forms of malarial parasites, it is mainly used as the sulfate salt for the treatment of lupus erythematosus, rheumatoid arthritis, and light-sensitive skin eruptions.

Research Excerpts

ExcerptRelevanceReference
"Eighty patients with active rheumatoid arthritis (RA) entered a double-blind randomized study of 24 weeks duration, to compare the efficacy and toxicity of hydroxychloroquine, dapsone, and a combination of both drugs in treatment of RA."9.07A double-blind comparative study of hydroxychloroquine and dapsone, alone and in combination, in rheumatoid arthritis. ( Christensen, L; Haar, D; Hansen, TM; Rasmussen, KJ; Sølvkjaer, M; Unger, B, 1993)
"Eighty patients with active rheumatoid arthritis (RA) entered a double-blind randomized study of 24 weeks duration, to compare the efficacy and toxicity of hydroxychloroquine, dapsone, and a combination of both drugs in treatment of RA."5.07A double-blind comparative study of hydroxychloroquine and dapsone, alone and in combination, in rheumatoid arthritis. ( Christensen, L; Haar, D; Hansen, TM; Rasmussen, KJ; Sølvkjaer, M; Unger, B, 1993)
"Case records were analyzed for G6PD deficiency, HCQ use, length of exposure to HCQ, demographic characteristics, and laboratory evidence of hemolysis."1.72Association of Hydroxychloroquine use and Hemolytic Anemia in Patients With Low Levels of Glucose-6-Phosphate Dehydrogenase. ( Johnson, BK; Mejia Saldarriaga, M; Ramirez de Oleo, IE, 2022)
"Hydroxychloroquine is an antimalarial drug that has been prescribed for the treatment of patients with COVID-19 infection."1.62Estimation of the uncertainty of values assigned to calibration materials prepared in-house: An example for hydroxychloroquine calibrators in blood-hemolysate-based matrix. ( Canalias, F; Rigo-Bonnin, R, 2021)
"The patient was diagnosed to have systemic lupus erythematosus and immune-mediated intravascular haemolysis and was treated with prednisolone and hydroxychloroquine."1.62Immune-mediated Coombs negative intravascular haemolysis in systemic lupus erythematosus (SLE). ( Bammigatti, C; Jose, A; Kolar Vishwanath, V; Magendiran, B, 2021)
"Hydroxychloroquine (HCQ) has its own side effects, some of which are very serious like acute haemolysis in glucose-6-phosphate dehydrogenase (G6PD) deficient patients."1.56A case report of serious haemolysis in a glucose-6-phosphate dehydrogenase-deficient COVID-19 patient receiving hydroxychloroquine. ( Clevenbergh, P; De Bels, D; Leemans, S; Mahadeb, B; Maillart, E; Salaouatchi, MT; Van Noten, H; Vandergraesen, T, 2020)
"The leading diagnoses were systemic lupus erythematosus (32%), rheumatoid arthritis (29%), and inflammatory arthritis (14%)."1.48Examination of Hydroxychloroquine Use and Hemolytic Anemia in G6PDH-Deficient Patients. ( Clowse, MEB; Criscione-Schreiber, LG; Eudy, AM; Mohammad, S, 2018)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19903 (16.67)18.7374
1990's1 (5.56)18.2507
2000's0 (0.00)29.6817
2010's2 (11.11)24.3611
2020's12 (66.67)2.80

Authors

AuthorsStudies
Chen, H1
Qin, Z1
Zhao, J1
He, Y1
Ren, E1
Zhu, Y1
Liu, G1
Mao, C1
Zheng, L1
Beauverd, Y1
Adam, Y1
Assouline, B1
Samii, K1
Naymagon, L1
Berwick, S1
Kessler, A1
Lancman, G1
Gidwani, U1
Troy, K1
Oymak, Y1
Karapinar, TH1
Devrim, İ1
Maillart, E1
Leemans, S1
Van Noten, H1
Vandergraesen, T1
Mahadeb, B1
Salaouatchi, MT1
De Bels, D1
Clevenbergh, P1
Afra, TP2
Vasudevan Nampoothiri, R1
Razmi T, M2
Nampoothiri, RV1
Hafi, NAB1
De Franceschi, L1
Costa, E1
Dima, F1
Morandi, M1
Olivieri, O1
Schilling, WHK1
Bancone, G1
White, NJ1
Ramirez de Oleo, IE1
Mejia Saldarriaga, M1
Johnson, BK1
Rigo-Bonnin, R1
Canalias, F1
Onori, ME1
Ricciardi Tenore, C1
Urbani, A1
Minucci, A1
Magendiran, B1
Jose, A1
Kolar Vishwanath, V1
Bammigatti, C1
Mohammad, S1
Clowse, MEB1
Eudy, AM1
Criscione-Schreiber, LG1
HARBER, LC1
FLEISCHER, AS1
BAER, RL1
Prowse, C1
Pepper, D1
Dawes, J1
Haar, D1
Sølvkjaer, M1
Unger, B1
Rasmussen, KJ1
Christensen, L1
Hansen, TM1
Jobin, F1
Gagnon, FT1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Will Hydroxychloroquine Impede or Prevent COVID-19: WHIP COVID-19 Study[NCT04341441]Phase 3624 participants (Actual)Interventional2020-04-07Terminated (stopped due to Interim analysis did not reveal any safety concerns by the DSMB, but unblinded data did not provide support to continue. Event rate did not meet projected magnitude; given low recruitment potential, it is unlikely that a positive result will occur.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Assess the Impact of Chronic Weight-based Dosing of HCQ for COVID-19 Prevention.

Compare the rates of SARS-CoV 2 infections (number of events of symptomatic patients with a positive COVID-19 test) in the non-randomized comparator arm to the randomized hydroxychloroquine and placebo arms to assess the impact of chronic weight-based dosing of HCQ for COVID-19 prevention via weekly questionnaire and/or blood samples. This analysis includes all randomized and non-randomized groups in the study. (NCT04341441)
Timeframe: 8 Weeks

InterventionParticipants (Count of Participants)
Study Drug - Daily Dose1
Study Drug - Weekly Dose1
Placebo1
Non-Randomized Active Comparator0

Compare the Seroprevalence of SARS-CoV 2 IgM and/or IgG Positive Samples at Study Entry and Study Conclusion in All Participants Receiving HCQ Compared to Those Receiving Placebo.

Measurement of the seroprevalence of SARS-CoV 2 IgM and/or IgG positive samples in all arms of the study, randomized and non-randomized (Study Drug - Daily Dose, Study Drug - Weekly Dose, Placebo, and Non-Randomized Active Comparator). (NCT04341441)
Timeframe: 8 Weeks

InterventionParticipants (Count of Participants)
Study Drug - Daily Dose1
Study Drug - Weekly Dose1
Placebo2
Non-Randomized Active Comparator0

Comparison of the Emergence of Clinical Symptoms or COVID-19 Diagnosis in Participants Presenting Asymptomatically at Study Entry But Identified as Seropositive by Serology at Entry Between the Randomized Treatment Arms and Comparator Arm.

Measurement of the emergence of clinical symptoms or COVID-19 diagnosis in participants presenting asymptomatically at study entry but identified as seropositive by serology at entry between the randomized treatment arms and comparator arm and via weekly questionnaire and/or blood samples. (NCT04341441)
Timeframe: 8 Weeks

InterventionParticipants (Count of Participants)
Study Drug - Daily Dose1
Study Drug - Weekly Dose0
Placebo0
Non-Randomized Active Comparator0

Comparison of the Rate of SARS-CoV 2 Infections as Measured by IgM/IgG Seroconversion in Study Participants Receiving Randomized HCQ Versus Placebo.

Measurement of the rate of SARS-CoV 2 infections as measured by IgM/IgG seroconversion in study participants receiving randomized HCQ versus placebo via blood samples in the randomized arms of the study (Study Drug - Daily Dose, Study Drug - Weekly Dose, and Placebo). (NCT04341441)
Timeframe: 8 Weeks

InterventionParticipants (Count of Participants)
Study Drug - Daily Dose1
Study Drug - Weekly Dose1
Placebo2

Determine the Effect of Hydroxychloroquine Dose in the Prevention of COVID-19 Viremia and Disease.

Compare the rates of SARS-CoV 2 symptomatic infections (number of events with both symptoms and positive test for COVID-19) between the randomized hydroxychloroquine treatment arms and the placebo control arm to determine the effect of HCQ dose in the prevention of COVID-19 viremia and disease. This analysis only includes only the randomized arms in the study (Study Drug - Daily Dose, Study Drug - Weekly Dose, and Placebo). (NCT04341441)
Timeframe: 8 Weeks

InterventionParticipants (Count of Participants)
Study Drug - Daily Dose1
Study Drug - Weekly Dose1
Placebo1

Examine the Correlation Between HCQ Drug Levels and Development of COVID-19 Symptoms or Positive COVID-19 Test Results.

Examination of the correlation between HCQ drug levels and development of COVID-19 clinical symptoms and/or positive COVID-19 test results via weekly subject questionnaire and/or blood samples. (NCT04341441)
Timeframe: 8 Weeks

InterventionCorrelation coefficient (Number)
Study Drug - Daily DoseNA
Study Drug - Weekly DoseNA
PlaceboNA
Non-Randomized Active ComparatorNA

Identify Immunologic, Serological and Inflammatory Markers Associated With Acquisition and Response to COVID-19 in Both HCQ and Placebo Participants Developing Laboratory or Clinical Confirmed Disease.

Identification of immunologic, serological and inflammatory markers associated with acquisition and response to COVID-19 in both HCQ and placebo Participants developing laboratory or clinical confirmed disease via study visits, weekly questionnaire, and blood samples. (NCT04341441)
Timeframe: 8 weeks

InterventionInflammatory markers (Number)
Study Drug - Daily DoseNA
Study Drug - Weekly DoseNA
PlaceboNA
Non-Randomized Active ComparatorNA

To Determine if the Use of Hydroxychloroquine as Preventive Therapy Decreases the Rate of Acquisition of SARS-CoV 2 Infections With Clinical COVID-19 Disease in Study Participants for Each Randomized Treatment Arm as Compared to Placebo.

The rate of acquisition of SARS-CoV 2 infections and clinical COVID-19 disease (number of events) in study participants for each randomized hydroxychloroquine treatment arm was compared to the placebo treatment arm. This included both symptomatic and asymptomatic patients. (NCT04341441)
Timeframe: 8 Weeks

InterventionParticipants (Count of Participants)
Study Drug - Daily Dose1
Study Drug - Weekly Dose1
Placebo1
Non-Randomized Active Comparator0

To Examine Other Clinical Factors Contributing to the Risk of SARS-CoV 2 Infection in Healthcare Workers and First Responders.

Examination of other clinical factors contributing to the risk of SARS-CoV 2 infection including demographics, work type and location, positive COVID-19 partners, possible exposures and clinical symptoms via study visits and weekly questionnaire. (NCT04341441)
Timeframe: 8 Weeks

InterventionClinical factors (Number)
Study Drug - Daily DoseNA
Study Drug - Weekly DoseNA
PlaceboNA
Non-Randomized Active ComparatorNA

To Examine the Level of Care Needed by Participants in Each Arm Developing COVID19 as Measured as Requiring Emergency Room Visit, Hospitalization or Able to Stay Home Without Hospital Care.

Review of the level of care needed by participants in each arm developing COVID19 as measured as requiring emergency room visit, hospitalization or able to stay home without hospital care via weekly questionnaire. (NCT04341441)
Timeframe: 8 Weeks

InterventionParticipants (Count of Participants)
Study Drug - Daily Dose0
Study Drug - Weekly Dose0
Placebo0
Non-Randomized Active Comparator0

Determine the Safety and Tolerability of HCQ Dosing for Preventive Strategy Against COVID-19 as Measured by Adverse Events and Serious Adverse Events.

Measurement of the safety and tolerability of HCQ dosing for preventive strategy against COVID-19 as measured by adverse events and serious adverse events reported via weekly questionnaire. (NCT04341441)
Timeframe: 8 Weeks

,,,
InterventionNumber of adverse events. (Number)
Adverse events (only Level 1 and 2) observed in the study.Serious adverse events (Level 3 or 4).
Non-Randomized Active Comparator20
Placebo1880
Study Drug - Daily Dose2060
Study Drug - Weekly Dose1930

Reviews

1 review available for hydroxychloroquine and Extravascular Hemolysis

ArticleYear
Glucose-6-phosphate dehydrogenase deficiency and hydroxychloroquine in the COVID-19 era: a mini review.
    Molecular biology reports, 2021, Volume: 48, Issue:3

    Topics: Adult; Aged; Antiviral Agents; COVID-19; COVID-19 Drug Treatment; Glucosephosphate Dehydrogenase Def

2021

Trials

1 trial available for hydroxychloroquine and Extravascular Hemolysis

ArticleYear
A double-blind comparative study of hydroxychloroquine and dapsone, alone and in combination, in rheumatoid arthritis.
    Scandinavian journal of rheumatology, 1993, Volume: 22, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Arthritis, Rheumatoid; Arthrography; Blood Sedimentation; C-Reactive

1993

Other Studies

16 other studies available for hydroxychloroquine and Extravascular Hemolysis

ArticleYear
Cartilage-targeting and dual MMP-13/pH responsive theranostic nanoprobes for osteoarthritis imaging and precision therapy.
    Biomaterials, 2019, Volume: 225

    Topics: Animals; Cartilage, Articular; Cell Death; Chondrocytes; Cytokines; Drug Liberation; Endocytosis; Fe

2019
COVID-19 infection and treatment with hydroxychloroquine cause severe haemolysis crisis in a patient with glucose-6-phosphate dehydrogenase deficiency.
    European journal of haematology, 2020, Volume: 105, Issue:3

    Topics: Aged; Betacoronavirus; Comorbidity; Coronavirus Infections; COVID-19; COVID-19 Drug Treatment; Gluco

2020
The emergence of methemoglobinemia amidst the COVID-19 pandemic.
    American journal of hematology, 2020, Volume: 95, Issue:8

    Topics: Azithromycin; Betacoronavirus; Coronavirus Infections; COVID-19; COVID-19 Drug Treatment; Diabetes M

2020
Why G6PD Deficiency Should Be Screened Before COVID-19 Treatment With Hydroxychloroquine?
    Journal of pediatric hematology/oncology, 2021, Volume: 43, Issue:1

    Topics: COVID-19; COVID-19 Drug Treatment; Glucosephosphate Dehydrogenase Deficiency; Hemolysis; Humans; Hyd

2021
A case report of serious haemolysis in a glucose-6-phosphate dehydrogenase-deficient COVID-19 patient receiving hydroxychloroquine.
    Infectious diseases (London, England), 2020, Volume: 52, Issue:9

    Topics: Aged; Azithromycin; Betacoronavirus; Blood Transfusion; Continuous Renal Replacement Therapy; Corona

2020
Doubtful precipitation of hemolysis by hydroxychloroquine in glucose-6-phosphate dehydrogenase-deficient patient with COVID-19 infection.
    European journal of haematology, 2020, Volume: 105, Issue:4

    Topics: COVID-19; Glucosephosphate Dehydrogenase; Glucosephosphate Dehydrogenase Deficiency; Hemolysis; Huma

2020
Linking hydroxychloroquine to hemolysis in a 'suspected' glucose-6-phosphate dehydrogenase deficient patient with COVID-19 infection - a critical appraisal.
    European journal of internal medicine, 2020, Volume: 80

    Topics: Betacoronavirus; Coronavirus Infections; COVID-19; COVID-19 Drug Treatment; Glucosephosphate Dehydro

2020
Glucose-6-phosphate dehydrogenase deficiency associated hemolysis in COVID-19 patients treated with hydroxychloroquine/chloroquine: New case reports coming out.
    European journal of internal medicine, 2020, Volume: 80

    Topics: Betacoronavirus; Chloroquine; Coronavirus Infections; COVID-19; COVID-19 Drug Treatment; Glucosephos

2020
No evidence that chloroquine or hydroxychloroquine induce hemolysis in G6PD deficiency.
    Blood cells, molecules & diseases, 2020, Volume: 85

    Topics: Antimalarials; Chloroquine; COVID-19 Drug Treatment; Enzyme Inhibitors; Glucosephosphate Dehydrogena

2020
Association of Hydroxychloroquine use and Hemolytic Anemia in Patients With Low Levels of Glucose-6-Phosphate Dehydrogenase.
    Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2022, Jan-01, Volume: 28, Issue:1

    Topics: Anemia, Hemolytic; Black or African American; Glucosephosphate Dehydrogenase; Glucosephosphate Dehyd

2022
Estimation of the uncertainty of values assigned to calibration materials prepared in-house: An example for hydroxychloroquine calibrators in blood-hemolysate-based matrix.
    Clinical biochemistry, 2021, Volume: 89

    Topics: Antimalarials; Calibration; Chromatography, High Pressure Liquid; COVID-19; COVID-19 Drug Treatment;

2021
Immune-mediated Coombs negative intravascular haemolysis in systemic lupus erythematosus (SLE).
    BMJ case reports, 2021, Aug-20, Volume: 14, Issue:8

    Topics: Adult; Coombs Test; Female; Hemolysis; Humans; Hydroxychloroquine; Lupus Erythematosus, Systemic; Pr

2021
Examination of Hydroxychloroquine Use and Hemolytic Anemia in G6PDH-Deficient Patients.
    Arthritis care & research, 2018, Volume: 70, Issue:3

    Topics: Anemia, Hemolytic; Antirheumatic Agents; Black or African American; Clinical Decision-Making; Female

2018
ERYTHROPOIETIC PROTOPORPHYRIA AND PHOTOHEMOLYSIS.
    JAMA, 1964, Jul-20, Volume: 189

    Topics: Blood Chemical Analysis; Child; Erythrocytes; Hemolysis; Humans; Hydroa Vacciniforme; Hydroxychloroq

1964
Prevention of the platelet alpha-granule release reaction by membrane-active drugs.
    Thrombosis research, 1982, Feb-01, Volume: 25, Issue:3

    Topics: Alprostadil; Anticoagulants; Beta-Globulins; beta-Thromboglobulin; Blood Coagulation Factors; Blood

1982
Platelet reactions and immune processes. IV. The inhibition of complement by pyrazole compounds and other inhibitors of platelet reactions.
    Canadian journal of microbiology, 1970, Volume: 16, Issue:2

    Topics: Animals; Blood Coagulation; Blood Platelets; Chloroquine; Complement Inactivator Proteins; Erythrocy

1970