Page last updated: 2024-10-28

hydroxychloroquine and Hypercoagulability

hydroxychloroquine has been researched along with Hypercoagulability in 10 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
"Utilizing an orthotopic murine PDA model in C57/Bl6 mice and patient correlative samples, we studied the role of NETs in PDA hypercoagulability and targeted this pathway through treatment with the NET inhibitor chloroquine."7.88Chloroquine reduces hypercoagulability in pancreatic cancer through inhibition of neutrophil extracellular traps. ( Boone, BA; Doerfler, WR; Ellis, JT; Liang, X; Lotze, MT; Miller-Ocuin, J; Murthy, P; Neal, MD; Ross, MA; Sperry, JL; Wallace, CT; Zeh, HJ, 2018)
"A 71-year old gentleman with history of arterial hypertension treated with valsartan presented on was hospitalized at the Infectious Diseases Unit, University of Bologna (Italy) for severe acute respiratory syndrome- coronavirus-2 (SARS-CoV-2) and received treatment with hydroxychloroquine 200mg bid (400 mg bid the first day), azithromycin 400 mg qd, thrombotic prophylaxis with enoxaparin 4000 UI qd and Venturi mask oxygen delivering FiO2 of 31%."3.96Clinical experience with therapeutic dose of Low-Molecular-Weight Heparin. ( Bartoletti, M; Viale, P, 2020)
"Utilizing an orthotopic murine PDA model in C57/Bl6 mice and patient correlative samples, we studied the role of NETs in PDA hypercoagulability and targeted this pathway through treatment with the NET inhibitor chloroquine."3.88Chloroquine reduces hypercoagulability in pancreatic cancer through inhibition of neutrophil extracellular traps. ( Boone, BA; Doerfler, WR; Ellis, JT; Liang, X; Lotze, MT; Miller-Ocuin, J; Murthy, P; Neal, MD; Ross, MA; Sperry, JL; Wallace, CT; Zeh, HJ, 2018)
" However, should some hospitalized patients have dosage escalation to intermediate dose? Should some be considered for full-dose anticoagulation without a measurable thromboembolic event and how should that anticoagulation be monitored? Should patients receive postdischarge anticoagulation and with what medication and for how long? What thrombotic issues are related to the various medications being used to treat this coagulopathy? Is antiphospholipid antibody part of this syndrome? What is the significance of isolated ischemic stroke and limb ischemia in this disorder and how does this interface with the rest of the clinical and laboratory features of this disorder? The aims of this article are to explore these questions and interpret the available data based on the current evidence."2.72COVID-19 and Its Implications for Thrombosis and Anticoagulation. ( Berkman, SA; Tapson, VF, 2021)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (20.00)29.6817
2010's1 (10.00)24.3611
2020's7 (70.00)2.80

Authors

AuthorsStudies
Everaert, BR1
Muylle, J1
Bartholomeus Twickler, T1
Di Perri, G1
Viale, P1
Bartoletti, M1
Jacquet-Lagrèze, M1
Riad, Z1
Hugon-Vallet, E1
Ferraris, A1
Fellahi, JL1
Del Castillo, R1
Martinez, D1
Sarria, GJ1
Pinillos, L1
Garcia, B1
Castillo, L1
Carhuactocto, A1
Giordano, FA1
Sarria, GR1
Berkman, SA1
Tapson, VF1
Saraiva-Mangolin, S1
Vaz, CO1
Ruiz, T1
Mazetto, BM1
Orsi, FA1
Boone, BA1
Murthy, P1
Miller-Ocuin, J1
Doerfler, WR1
Ellis, JT1
Liang, X1
Ross, MA1
Wallace, CT1
Sperry, JL1
Lotze, MT1
Neal, MD1
Zeh, HJ1
Metjian, A1
Lim, W1
McLaurin, EY1
Holliday, SL1
Williams, P1
Brey, RL1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase I/II Study of Preoperative Gemcitabine in Combination With Oral Hydroxychloroquine (GcHc) in Subjects With High Risk Stage IIb or III Adenocarcinoma of the Pancreas[NCT01128296]Phase 1/Phase 235 participants (Actual)Interventional2010-10-31Completed
Randomized Phase II Trial of Pre-Operative Gemcitabine and Nab Paclitacel With or With Out Hydroxychloroquine[NCT01978184]Phase 2104 participants (Actual)Interventional2013-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Disease-free Survival (DFS)

Median number of months of disease-free survival for participants receiving study treatment. (NCT01128296)
Timeframe: Up to 30 months

Interventionmonths (Median)
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (1200 mg/Day)11.97

Number of Participants That Experienced a Dose Limiting Toxicity (DLT)

Number of Participants at each dose level of HCQ that experienced a Dose Limiting Toxicity (DLT). (NCT01128296)
Timeframe: Up to 31 days

Interventionparticipants (Number)
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (200 mg/Day)0
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (400 mg/Day)0
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (600 mg/Day)0
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (800 mg/Day)0
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (1000 mg/Day)0
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (1200 mg/Day)0

Overall Survival (OS)

Median number of months of overall survival for participants receiving study treatment. (NCT01128296)
Timeframe: Up to 35 months

Interventionmonths (Median)
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day)34.83

R0 Resection Rate

Number of participants that underwent a resection with microscopically margin-negative resection in which no gross or microscopic tumor remains in the primary tumor bed (24) / number of that completed treatment (31) (NCT01128296)
Timeframe: Up to 30 months

Interventionpercentage of participants (Number)
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day)77

Disease-free Survival (DFS) by CA 19-9 Response

Median number of months of disease-free survival for participants who experienced Ca 19-9 (surrogate biomarker) response (either an increase or decrease in Ca 19-9), or no Ca 19-9 response. Per participant increases in Ca 19-9 ranged from >0 to 225%. Per participant decreases in Ca 19-9 ranged from >0 to 100%. (NCT01128296)
Timeframe: Up to 30 months

Interventionmonths (Median)
Ca 19-9 ResponseNo Ca 19-9 Response
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day)21.46.9

Disease-free Survival (DFS) by Response to HCQ Treatment

Median number of months of disease-free survival in participants who did and did not experience response to HCQ treatment. Patients who had >51 % increase in their LC3-II staining were classified as having a response to HCQ. (NCT01128296)
Timeframe: Up to 30 months

Interventionmonths (Median)
Response to HQC treatmentNo response to HQC treatment
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day)15.036.9

Disease-free Survival by p53 Genetic Status

(NCT01128296)
Timeframe: Up to 35 months

Interventionmonths (Median)
p53 WTp53 Mutant
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day)21.411.8

Overall Survival (OS) by CA 19-9 Response

Median number of months of overall survival for participants who experienced Ca 19-9 (surrogate biomarker) response (either an increase or decrease in Ca 19-9), or, no Ca 19-9 response. Per participant increases in Ca 19-9 ranged from >0 to 225%. Per participant decreases in Ca 19-9 ranged from >0 to 100%. (NCT01128296)
Timeframe: Up to 35 months

Interventionmonths (Median)
Ca 19-9 Response (increase or decrease)No Ca 19-9 Response
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day)34.88.8

Overall Survival (OS) by p53 Mutant Status

(NCT01128296)
Timeframe: Up to 35 months

Interventionmonths (Median)
p53 WTp53 Mutant
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day)NA26.1

Overall Survival (OS) by Response to HCQ Treatment

Median number of months of overall survival in participants who did and did not experience response to HCQ treatment. Patients who had >51 % increase in their LC3-II staining were classified as having a response to HCQ. (NCT01128296)
Timeframe: Up to 35 months

Interventionmonths (Median)
Response to HQC treatmentNo response to HQC treatment
Preoperative Gemcitabine (1500 mg/m^2) + HCQ (≤1200 mg/Day)34.8310.83

Age at Diagnosis

The mean age of patients at the time of diagnosis of disease (as a variable in the proportional odds logistic regression, secondary analysis of Evans Grade). (NCT01978184)
Timeframe: Baseline - At the time of diagnosis, prior to treatment

Interventionyears (Mean)
Gemcitabine + Abraxane63.6
Gemcitabine + Abraxane and Hydroxychloroquine66.1

Carbohydrate Antigen 19-9 (CA19-9) Response

Levels of Carbohydrate antigen 19-9 (CA19-9) response to pre-operative gemcitabine/ nab-paclitaxel measured in the serum (original scale) (NCT01978184)
Timeframe: Prior to treatment (average 73.3 +/- 9.9 days prior to surgery)

Interventionunits per milliliter (U/mL) (Mean)
Gemcitabine + Abraxane351.820
Gemcitabine + Abraxane and Hydroxychloroquine1534.633

Carbohydrate Antigen 19-9 (CA19-9) Response

Levels of Carbohydrate antigen 19-9 (CA19-9) response to pre-operative gemcitabine/ nab-paclitaxel measured in the serum (original scale). (NCT01978184)
Timeframe: After treatment (50-67 days post treatment/surgery)

Interventionunits per milliliter (U/mL) (Mean)
Gemcitabine + Abraxane319.079
Gemcitabine + Abraxane and Hydroxychloroquine1696.710

CT Tumor Size

Tumor size as measured via computerized tomography (CT) scan (as a variable in the proportional odds logistic regression, secondary analysis of Evans Grade). (NCT01978184)
Timeframe: Baseline - At the time of diagnosis, prior to treatment

Interventioncentimeters (Mean)
Gemcitabine + Abraxane2.562069
Gemcitabine + Abraxane and Hydroxychloroquine2.543056

Positive Lymph Node Involvement

The proportion of participants with positive (disease) lymph nodes involvement. (NCT01978184)
Timeframe: At the time of surgery (≥2 weeks and ≤6 weeks post chemotherapy)

Interventionproportion of participants (Number)
Gemcitabine + Abraxane0.8
Gemcitabine + Abraxane and Hydroxychloroquine0.561

Rate of R0 Resection

The proportion of participants having resection for cure or complete remission, in which the surgical margins are negative for tumor cells. R0 resection indicates a microscopically margin-negative resection, in which no gross or microscopic tumor remains in the primary tumor bed. (NCT01978184)
Timeframe: At the time of surgery (≥2 weeks and ≤6 weeks post chemotherapy)

Interventionproportion of participants (Mean)
Gemcitabine + Abraxane0.7
Gemcitabine + Abraxane and Hydroxychloroquine0.829

Age-Adjusted Charlson Comorbidity Index

The Charlson Comorbidity Index is a method of categorizing comorbidities of patients based on the International Classification of Diseases (ICD) diagnosis codes found in administrative data, such as hospital abstracts data. Each comorbidity category has an associated weight (from 1 to 6), based on the adjusted risk of mortality or resource use, and the sum of all the weights results in a single comorbidity score for a patient. A score of zero indicates that no comorbidities were found. The higher the score, the more likely the predicted outcome will result in mortality or higher resource use. Up to 12 comorbidities with various weightings can result in a maximum score of 24. The minimum score is zero. (NCT01978184)
Timeframe: Prior to treatment

,
InterventionParticipants (Count of Participants)
Age-Adjusted CCI=2Age-Adjusted CCI=3Age-Adjusted CCI=4Age-Adjusted CCI=5Age-Adjusted CCI=6Age-Adjusted CCI=7Age-Adjusted CCI=8
Gemcitabine + Abraxane3578520
Gemcitabine + Abraxane and Hydroxychloroquine121115822

Cancer Diagnosis Stage

"The number of participants in cancer diagnosis stage groups. Stage 0: cancer hasn't spread to nearby tissues/located in the same of origin.Stage I: cancers hasn't grown deeply into nearby tissues or spread to lymph nodes or other parts of the body. Stage II and III: cancers have grown more deeply into nearby tissues (may have metastasized to lymph nodes but not other parts of the body). Stage IV: most advanced stage (metastatic cancer) ; cancer has spread to other parts of the body. Stages subdivided further into the categories A (less agressive disease) and B (more advanced cancer). Example: stage IIA is less aggressive than stage IIB, but stage IIIA is more aggressive than stage IIB. (Stage variable used in the proportional odds logistic regression, secondary analysis of Evans Grade)." (NCT01978184)
Timeframe: Baseline - At the time of diagnosis, prior to treatment

,
InterventionParticipants (Count of Participants)
IAIBIIAIIBNot Available
Gemcitabine + Abraxane056190
Gemcitabine + Abraxane and Hydroxychloroquine2111207

Evans Grade Histopathologic Response

The number of patients who exhibited an Evans grade Histologic response (I, IIA, IIB, or III) to pre-operative gemcitabine / nab-paclitaxel. Histological response validated scoring system by Evans is as follows: Grade I: 1-9% tumor destruction, Grade II: 10 - 90%, Grade III: >90% tumor destruction (Grade IIA = 10-50% of tumor cells destroyed; Grade IIB = 50-90% of tumor cells destroyed), Grade IV: Absence of viable tumor cells. (NCT01978184)
Timeframe: Up to 4 years

,
Interventionnumber of participants (Number)
Evans grade - IEvans grade - IIAEvans grade - IIBEvans grade - III
Gemcitabine + Abraxane101730
Gemcitabine + Abraxane and Hydroxychloroquine712139

Robotic Resection Surgery

The number of participants who had robotic resection surgery. (Robotic surgery variable used in the proportional odds logistic regression, secondary analysis of Evans Grade). (NCT01978184)
Timeframe: At the time of surgery (≥2 weeks and ≤6 weeks post chemotherapy)

,
InterventionParticipants (Count of Participants)
Yes - robotic surgical resection procedureNo - not robotic surgical resection procedure
Gemcitabine + Abraxane822
Gemcitabine + Abraxane and Hydroxychloroquine1031

Type of Surgical Procedure (Operation)

The number of participants in having each type of surgical resection procedure: Celiac Axis Resection With Distal Pancreatectomy (DPCAR) (Modified Appleby), Distal Pancreatectomy, Total Pancreatectomy, or Whipple. (Operation variable used in the proportional odds logistic regression, secondary analysis of Evans Grade). (NCT01978184)
Timeframe: At the time of surgery (≥2 weeks and ≤6 weeks post chemotherapy)

,
InterventionParticipants (Count of Participants)
DPCARDistal PancreatectomyTotal PancreatectomyWhipple
Gemcitabine + Abraxane23124
Gemcitabine + Abraxane and Hydroxychloroquine05036

Reviews

4 reviews available for hydroxychloroquine and Hypercoagulability

ArticleYear
Left ventricular dysfunction in COVID-19: A diagnostic issue.
    Anaesthesia, critical care & pain medicine, 2020, Volume: 39, Issue:3

    Topics: Azithromycin; Betacoronavirus; Biomarkers; Coronavirus Infections; COVID-19; Cytokine Release Syndro

2020
Low-dose radiotherapy for COVID-19 pneumonia treatment: case report, procedure, and literature review.
    Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2020, Volume: 196, Issue:12

    Topics: Anti-Bacterial Agents; Antibodies, Monoclonal, Humanized; Anticoagulants; Antiviral Agents; Combined

2020
COVID-19 and Its Implications for Thrombosis and Anticoagulation.
    Seminars in respiratory and critical care medicine, 2021, Volume: 42, Issue:2

    Topics: Adenosine Monophosphate; Alanine; Ambulatory Care; Antibodies, Antiphospholipid; Antibodies, Monoclo

2021
ASH evidence-based guidelines: should asymptomatic patients with antiphospholipid antibodies receive primary prophylaxis to prevent thrombosis?
    Hematology. American Society of Hematology. Education Program, 2009

    Topics: Adult; Anticoagulants; Aspirin; Double-Blind Method; Drug Therapy, Combination; Evidence-Based Medic

2009

Other Studies

6 other studies available for hydroxychloroquine and Hypercoagulability

ArticleYear
Emerging cardiological issues during the COVID-19 pandemic.
    European journal of clinical investigation, 2020, Volume: 50, Issue:7

    Topics: Antiviral Agents; Arrhythmias, Cardiac; Betacoronavirus; Coronary Artery Disease; Coronavirus Infect

2020
The rationale for Low-Molecular Weight Heparin (LMWH) use in SARS-CoV-2 infection
    Le infezioni in medicina, 2020, 06-01, Volume: 28, Issue:suppl 1

    Topics: Adenosine Monophosphate; Alanine; Anticoagulants; Antiviral Agents; Biomarkers; Coronavirus Infectio

2020
Clinical experience with therapeutic dose of Low-Molecular-Weight Heparin.
    Le infezioni in medicina, 2020, Jun-01, Volume: 28, Issue:suppl 1

    Topics: Aged; Anti-Inflammatory Agents; Anticoagulants; Antihypertensive Agents; Azithromycin; Combined Moda

2020
Use of hydroxychloroquine to control immune response and hypercoagulability in patients with primary antiphospholipid syndrome.
    European journal of internal medicine, 2021, Volume: 90

    Topics: Antibodies, Antiphospholipid; Antiphospholipid Syndrome; Humans; Hydroxychloroquine; Immunity; Throm

2021
Chloroquine reduces hypercoagulability in pancreatic cancer through inhibition of neutrophil extracellular traps.
    BMC cancer, 2018, Jun-22, Volume: 18, Issue:1

    Topics: Adenocarcinoma; Animals; Chloroquine; DNA; Extracellular Traps; Female; Humans; Hydrolases; Hydroxyc

2018
Chloroquine reduces hypercoagulability in pancreatic cancer through inhibition of neutrophil extracellular traps.
    BMC cancer, 2018, Jun-22, Volume: 18, Issue:1

    Topics: Adenocarcinoma; Animals; Chloroquine; DNA; Extracellular Traps; Female; Humans; Hydrolases; Hydroxyc

2018
Chloroquine reduces hypercoagulability in pancreatic cancer through inhibition of neutrophil extracellular traps.
    BMC cancer, 2018, Jun-22, Volume: 18, Issue:1

    Topics: Adenocarcinoma; Animals; Chloroquine; DNA; Extracellular Traps; Female; Humans; Hydrolases; Hydroxyc

2018
Chloroquine reduces hypercoagulability in pancreatic cancer through inhibition of neutrophil extracellular traps.
    BMC cancer, 2018, Jun-22, Volume: 18, Issue:1

    Topics: Adenocarcinoma; Animals; Chloroquine; DNA; Extracellular Traps; Female; Humans; Hydrolases; Hydroxyc

2018
Predictors of cognitive dysfunction in patients with systemic lupus erythematosus.
    Neurology, 2005, Jan-25, Volume: 64, Issue:2

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Antibodies, Antiphospholipid; Aspirin; Autoant

2005