A Study of Hydroxychloroquine vs Placebo to Prevent COVID-19 Infection in Patients Receiving Radiotherapy

Stopped early · Phase 2 · Has a placebo group

Conditions studied: COVID-19, Cancer

In brief

The researchers are doing this study to find out whether the study drug hydroxychloroquine can prevent infection with the COVID-19 virus, compared with placebo, in people who are receiving radiation therapy for their cancer. The placebo used in this study is a tablet that looks the same as the study drug and is taken in the same way, but it does not contain any active ingredients.

Key facts

Study ID

NCT04381988

Run by

Memorial Sloan Kettering Cancer Center

People needed

4

Starts

2020-05-07

Expected to finish

2021-04-21

Last updated by the study team

2021-10-27

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age ≥ 18
• ECOG 0-3
• For patients who have not started radiation at the time of screening: patients are required to have a plan in place for a minimum of 10 radiation treatments with or without concurrent systemic therapy
• For patients who have already started radiation at the time of screening: patients must complete enrollment such that they are able to receive at least 10 radiation treatments with hydroxychloroquine.
• Disease Site
• Mandatory inclusion criteria:
• No COVID-19 symptoms within 14 days of enrollment:
• (Temp >38C in addition to sore throat, cough, wheezing, chest tightness, shortness of breath, body aches, chills, diarrhea, and anosmia)
• If symptoms are present within 14 days of enrollment, patients with a negative COVID-19 PCR or COVID-19 serology assay are eligible for inclusion.
• No close contact with confirmed COVID-19 person
• Close contact defined as:
• Within 6 feet for prolonged period
• Cohabitating
• Optional laboratory criteria (Recommended if available)
• Negative pre-treatment SARS-CoV-2 rapid antigen test result (within 1 week of enrollment)
• Negative pre-treatment SARS-CoV-2 PCR test result (within 1 week of enrollment) using MSKCC laboratory or outside laboratory assay
• Negative pre-treatment Standard Q COVID-19 IgM/IgG rapid serology result (within 1 week of enrollment)
• Blood serum for SARS-CoV-2 serology tests (being validated by MSKCC)
• Disease site meets following criteria:
• Head and Neck / High-Risk Skin Cancer
• Lung Cancer
• Breast Cancer
• Prostate Cancer
• Central Nervous System Tumors
• Gastrointestinal System Cancer

You may not qualify if…

• Previous positive test for SARS-CoV-2
• Previous positive serology test for SARS-CoV-2
• Recent Chest CT meeting CT exclusion criteria
• Live in a skilled nursing facility with COVID-19 symptoms (Temp >38 C in addition to sore throat, cough, wheezing, chest tightness, shortness of breath, body aches or chills, diarrhea, anosmia)
• Known hypersensitivity to hydroxychloroquine or 4-aminoquinoline derivatives
• Pre-existing retinopathy
• Known chronic kidney disease, stage 4 or 5, or receiving dialysis
• Breast Feeding
• Tamoxifen
• Absolute neutrophil Count <1,000/ml at registration
• Concurrent use of any other quinine derivative
• Antiarrhythmic medications: amiodarone, sotalol, dofetilide, procainamide, quinidine, flecainide
• Glucose-6-phosphate dehydrogenase deficiency
• Pre-treatment corrected QT interval (QTc) ≥470 milliseconds**
• Prisoners
• Inability to participate
• Psoriasis
• History of suicidal ideation
• CT Criteria for Enrollment Exclusion (Optional - only for patients who received a diagnostic CT as part of standard of care or a thoracic CT as part of radiation simulation): All patients with COVID-19 typical radiographic findings on CT Chest as defined by the RSNA will be excluded. Patients with any NEW COVID-19 indeterminate radiographic findings on CT Chest that are concerning for COVID-19 will be excluded. COVID-19 indeterminate features are permitted if they can be demonstrated as STABLE on prior (>14 calendar days) CT Chest or PET/CT. If no prior comparison is available AND any intermediate or typical feature is present, the patient is not eligible.
• COVID-19 Atypical Features
• Isolated lobar or segmental consolidation without GGO
• Discrete small nodules (centrilobular, "tree-in-bud")
• Lung cavitation
• Smooth interlobular septal thickening with pleural effusion
• COVID-19 Indeterminate Features

Where it is running

• Memoral Sloan Kettering Basking Ridge (All Protocol Activities) — Basking Ridge, New Jersey, United States
• Memoral Sloan Kettering Monmouth (All protocol activities) — Middletown, New Jersey, United States
• Memorial Sloan Kettering Bergen (All protocol Activities) — Montvale, New Jersey, United States
• Memorial Sloan Kettering Commack (All Protocol Activities) — Commack, New York, United States
• Memoral Sloan Kettering Westchester (All protocol activities) — Harrison, New York, United States
• Memorial Sloan Kettering Cancer Center (All Protocol Activities) — New York, New York, United States
• Memorial Sloan Kettering Nassau (All Protocol Activities) — Uniondale, New York, United States

Full record on ClinicalTrials.gov

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