hydroxychloroquine
Trade name: plaquenil
Approved
Apr 18, 1955
Hydroxychloroquine possesses antimalarial properties and also exerts a beneficial effect in lupus erythematosus (chronic discoid or systemic) and acute or chronic rheumatoid arthritis. Although the exact mechanism of action is unknown, it may be based on ability of hydroxychloroquine to bind to and alter DNA. Hydroxychloroquine has also has been found to be taken up into the acidic food vacuoles of the parasite in the erythrocyte. This increases the pH of the acid vesicles, interfering with vesicle functions and possibly inhibiting phospholipid metabolism. In suppressive treatment, hydroxychloroquine inhibits the erythrocytic stage of development of plasmodia. In acute attacks of malaria, it interrupts erythrocytic schizogony of the parasite. Its ability to concentrate in parasitized erythrocytes may account for their selective toxicity against the erythrocytic stages of plasmodial infection. As an antirheumatic, hydroxychloroquine is thought to act as a mild immunosuppressant, inhibiting the production of rheumatoid factor and acute phase reactants. It also accumulates in white blood cells, stabilizing lysosomal membranes and inhibiting the activity of many enzymes, including collagenase and the proteases that cause cartilage breakdown. Hydroxychloroquine is used for the suppressive treatment and treatment of acute attacks of malaria due to Plasmodium vivax, P. malariae, P. ovale, and susceptible strains of P. falciparum. It is also indicated for the treatment of discoid and systemic lupus erythematosus, and rheumatoid arthritis. — NCATS
Clinical trial activity
477 trials · 536 clinical orgs · 28 marketing orgs
Earliest trial started Jul 1, 1993 (NCT00946790)
Timeline
1950s
- Apr 18, 1955
Advanz Pharma — Earliest FDA Approval
- Apr 18, 1955
Advanz Pharma — Marketing Organization
- Apr 18, 1955
Advanz Pharma — NDA Organization
- Apr 18, 1955
Advanz Pharma — NDA Secondary Org
1990s
- Jan 1, 1993
- Sep 30, 1994
Teva — Marketing Organization
- Nov 30, 1995
Watson Pharmaceuticals — Marketing Organization
- Nov 30, 1995
Sandoz — Marketing Organization
- Jan 27, 1996
Invatech — Marketing Organization
- Jan 27, 1996
CREEKWOOD PHARMS — Marketing Organization
- Jan 27, 1996
Allied Pharmaceutical Services — Marketing Organization
- May 29, 1998
Aurobindo Pharma — Marketing Organization
- May 29, 1998
Mylan — Marketing Organization
- Jan 1, 1999
Earliest Phase 3 Sponsor(trial)
2000s
- Jan 1, 2003
Earliest Phase 2 Sponsor(trial)
- Jun 14, 2007
IPCA Laboratories Ltd. — Marketing Organization
- Aug 15, 2007
Hikma — Marketing Organization
- Sep 21, 2007
Zydus Discovery DMCC — Marketing Organization
2010s
- May 1, 2018
Appco Pharma — Marketing Organization
- May 1, 2018
TWi Biotechnology, Inc. — Marketing Organization
- May 1, 2018
Dr. Reddy's Laboratories — Marketing Organization
- May 8, 2018
Alkaloida Zrt — Marketing Organization
- May 15, 2018
Amneal Pharmaceuticals — Marketing Organization
- Jul 6, 2018
Lupin — Marketing Organization
- Jul 6, 2018
Chartwell Pharmaceuticals — Marketing Organization
- Jan 15, 2019
Laurus Labs Ltd — Marketing Organization
- Jan 15, 2019
Rising Pharmaceuticals — Marketing Organization
2020s
- Apr 7, 2020
Accord Research — Marketing Organization
- May 14, 2020
Aavis Pharma — Marketing Organization
- May 14, 2020
Senores Pharms — Marketing Organization
- May 14, 2020
RISE PHARMA — Marketing Organization
- May 14, 2020
ANDA Repository — Marketing Organization
- Jan 14, 2022
Novitium Pharma — Marketing Organization
- Jan 14, 2022
Ani Pharmaceuticals — NDA Secondary Org
Indications
Approved for
Studied for
- Abortion, Habitual · Phase 4
- Abortion, Induced · Phase 3
- Abortion, Spontaneous · Phase 2
- Acute Coronary Syndrome · Phase 4
- Adenocarcinoma · Phase 1/Phase 2
- Alopecia Areata · Phase 4
- Anesthesia and Analgesia · Phase 2
- Anticoagulants · Phase 2
- Anti-Inflammatory Agents · Phase 4
- Antimalarials · Early Phase 1
- Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis · Phase 4
- Antiphospholipid Syndrome · Phase 4
- Antirheumatic Agents · Phase 4
- Arteriosclerosis · Phase 2
- Arthralgia · Phase 2
- Arthritis · Phase 2
- Arthritis, Juvenile · Phase 3
- Arthritis, Rheumatoid · Phase 4
- Arthropathy, Neurogenic · Phase 3
- Asymptomatic Diseases · Phase 4
- Asymptomatic Infections · Phase 4
- Atherosclerosis · Phase 4
- Atrial Fibrillation · Phase 4
- Atrial Flutter · Phase 4
- Autoimmune Diseases · Phase 3
- Axial Spondyloarthritis · Phase 4
- beta-Thalassemia · Phase 1/Phase 2
- Bile Duct Neoplasms · Phase 2
- Biliary Tract Neoplasms · Phase 2
- Borrelia Infections · Phase 4
- Brain Neoplasms · Phase 1/Phase 2
- Breast Neoplasms · Phase 2
- Carcinoma · Phase 2
- Carcinoma, Hepatocellular · Phase 1/Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 2
- Carcinoma, Renal Cell · Phase 1/Phase 2
- Carcinoma, Transitional Cell · Phase 2
- Cardiomyopathies · Phase 2/Phase 3
- Cardiovascular Diseases · Phase 4
- Cholangiocarcinoma · Phase 2
- Chondrocalcinosis · Phase 2
- Churg-Strauss Syndrome · Phase 4
- Colitis, Ulcerative · Phase 1/Phase 2
- Colonic Neoplasms · Phase 1/Phase 2
- Colorectal Neoplasms · Phase 2
- Communicable Diseases · Phase 2
- Coronary Artery Disease · Phase 4
- Coronary Disease · Phase 2
- Coronavirus · Phase 3
- Coronavirus Infections · Phase 4
- COVID-19 · Phase 4
- Crohn Disease · Phase 2
- Cystic Fibrosis · Phase 1
- Diabetes Mellitus · Phase 2
- Diabetes Mellitus, Type 1 · Phase 2
- Diabetes Mellitus, Type 2 · Phase 2
- Drug Combinations · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 3
- Dry Eye Syndromes · Phase 3
- Endothelial Cells · Phase 4
- Enzyme Inhibitors · Early Phase 1
- Esophageal Neoplasms · Phase 2
- Furunculosis · Phase 1/Phase 2
- Gastrointestinal Neoplasms · Phase 2
- General Surgery · Phase 4
- Genital Neoplasms, Female · Phase 2
- Giant Cell Arteritis · Phase 3
- Glioblastoma · Phase 2
- Glioma · Phase 1/Phase 2
- Glomerulonephritis, IGA · Phase 4
- Graft vs Host Disease · Phase 3
- Granulomatosis with Polyangiitis · Phase 4
- Graves Ophthalmopathy · Phase 4
- Health Personnel · Phase 3
- Healthy Volunteers · Phase 2
- Hearing Loss, Sudden · Phase 2
- Hematologic Neoplasms · Phase 2
- Hepatitis C · Phase 1/Phase 2
- Hepatitis C, Chronic · Phase 1/Phase 2
- Hidradenitis · Phase 1/Phase 2
- Hidradenitis Suppurativa · Phase 1/Phase 2
- HIV · Phase 3
- HIV Infections · Phase 2
- Hospitalization · Phase 3
- Hydroxychloroquine · Phase 4
- Hypertension · Phase 3
- IgA Vasculitis · Phase 4
- Immunosuppression Therapy · Phase 1
- Inflammation · Phase 4
- Insulin Resistance · Phase 3
- Kidney Diseases · Phase 4
- Kidney Failure, Chronic · Phase 4
- Klatskin Tumor · Phase 2
- Leukemia · Phase 2
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 2
- Leukemia, Myeloid, Acute · Phase 1
- Lichen Planus, Oral · Phase 2
- Liver Cirrhosis · Early Phase 1
- Liver Neoplasms · Phase 2
- Lung Diseases · Phase 3
- Lung Diseases, Interstitial · Phase 2
- Lung Neoplasms · Phase 2
- Lupus Erythematosus, Cutaneous · Phase 4
- Lupus Erythematosus, Systemic · Phase 4
- Lyme Disease · Phase 4
- Lyme Neuroborreliosis · Phase 4
- Lymphangioleiomyomatosis · Phase 1
- Lymphoma, Follicular · Phase 1/Phase 2
- Mastocytosis · Phase 2/Phase 3
- Melanoma · Phase 2
- Methotrexate · Phase 4
- Microscopic Polyangiitis · Phase 4
- Mucositis · Phase 1/Phase 2
- Multiple Myeloma · Phase 1/Phase 2
- Multiple Sclerosis · Phase 1/Phase 2
- Multiple Sclerosis, Chronic Progressive · Phase 2
- Muscle Cramp · Early Phase 1
- Mutation · Phase 2
- Myelodysplastic Syndromes · Phase 1/Phase 2
- Myocardial Infarction · Phase 4
- Myocarditis · Phase 2/Phase 3
- Neoplasm Metastasis · Phase 1/Phase 2
- Neoplasms · Phase 2
- Nephritis, Hereditary · Phase 2
- Nursing Homes · Phase 2/Phase 3
- Obesity · Phase 4
- Osteoarthritis · Phase 3
- Osteoarthritis, Knee · Phase 2
- Osteosarcoma · Phase 1/Phase 2
- Ovarian Neoplasms · Phase 2
- Pancreatic Neoplasms · Phase 2
- Pancreatitis, Chronic · Phase 2
- Parkinsonian Disorders · Phase 2
- Pericarditis · Phase 3
- Peripheral Nervous System Diseases · Phase 2
- Peroxisomes · Phase 2
- Pneumonia · Phase 4
- Pneumonia, Pneumocystis · Phase 3
- Pneumonia, Viral · Phase 3
- Porphyria Cutanea Tarda · Phase 2
- Prediabetic State · Phase 4
- Pre-Eclampsia · Phase 3
- Pre-Exposure Prophylaxis · Phase 3
- Pregnancy Complications · Phase 3
- Pregnant People · Phase 2
- Prostatic Neoplasms · Phase 2
- Pulmonary Surfactants · Early Phase 1
- Purpura, Thrombocytopenic, Idiopathic · Phase 4
- ras GTPase-Activating Proteins · Phase 2
- Rectal Neoplasms · Phase 1/Phase 2
- Renal Insufficiency, Chronic · Phase 4
- Respiratory Distress Syndrome · Phase 3
- Respiratory Insufficiency · Phase 3
- Respiratory Tract Infections · Phase 3
- Retinitis Pigmentosa · Phase 1/Phase 2
- Rheumatic Diseases · Phase 2
- Rheumatology · Phase 4
- Rosacea · Phase 1
- Sarcoidosis, Pulmonary · Phase 4
- Sarcoma · Phase 2
- Sarcoma, Clear Cell · Phase 1/Phase 2
- SARS-CoV-2 · Phase 4
- Severe Acute Respiratory Syndrome · Phase 3
- Sjogren's Syndrome · Phase 4
- Sleep Apnea Syndromes · Phase 4
- Small Cell Lung Carcinoma · Phase 2
- Spondylitis, Ankylosing · Phase 4
- Therapeutics · Phase 2
- Thrombocytopenia · Phase 3
- Vascular Stiffness · Phase 2
- Virus Diseases · Phase 3
- Zellweger Syndrome · Phase 2
Mechanism of action
- Toll-like receptor 7ANTAGONIST
TLR7 antagonist
- Toll-like receptor 9ANTAGONIST
TLR9 antagonist
- Ferriprotoporphyrin IXINHIBITOR
Ferriprotoporphyrin IX inhibitor
inhibits polymerisation
Approval history
- approvedApr 18, 1955
Chemistry & pharmacology
SMILES
CCN(CCO)CCCC(C)Nc1ccnc2cc(Cl)ccc12- Mol. weight
- 335.88 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL1535 ↗
- WikipediaHydroxychloroquine ↗
- NCATS4QWG6N8QKH ↗
- ChEMBLCHEMBL432481 ↗
- ChEMBLCHEMBL1690 ↗
Also known as
- 2-((4-((7-chloro-4-quinolyl)amino)pentyl)ethylamino)ethanol
- 2-((4-((7-chloro-4-quinolyl)amino)pentyl)ethylamino)ethanol
- 2-(n-(4-(7-chlor-4-chinolylamino)-4-methylbutyl)ethylamino)ethanol
- 2-(n-(4-(7-chlor-4-chinolylamino)-4-methylbutyl)ethylamino)ethanol
- 4,5-dihydro-2-(2,4-dihydroxyphenyl)-4-methylthiazole-4-carboxylic acid
- 4,5-dihydro-2-(2-hydroxy-4-hydroxyphenyl)-4-methylthiazole-4-carboxylic acid
- 4'-hydroxydesazadesferrithiocin
- 7-chloro-4-(4-(ethyl(2-hydroxyethyl)amino)-1-methylbutylamino)quinoline
- 7-chloro-4-(4-(ethyl(2-hydroxyethyl)amino)-1-methylbutylamino)quinoline
- 7-chloro-4-(4-(n-ethyl-n-beta-hydroxyethylamino)-1-methylbutylamino)quinoline
- 7-chloro-4-(4-(n-ethyl-n-beta-hydroxyethylamino)-1-methylbutylamino)quinoline
- 7-chloro-4-[4-(n-ethyl-n-beta-hydroxyethylamino)-1-methylbutylamino]quinoline
- 7-chloro-4-[4-(n-ethyl-n-beta-hydroxyethylamino)-1-methylbutylamino]quinoline
- 7-chloro-4-[5-(n-ethyl-n-2-hydroxyethylamino)-2-pentyl]aminoquinoline
- 7-chloro-4-[5-(n-ethyl-n-2-hydroxyethylamino)-2-pentyl]aminoquinoline
- deferitrin
- deferitrin
- deferitrin
- deferitrin
- ercoquin
- ercoquin
- gt56-252
- gt56-252
- hidroxicloroquina
- hidroxicloroquina
- hydrochloroquine
- hydrocholoquine
- hydroxychloroquine
- hydroxychloroquine
- hydroxychloroquine
- hydroxychloroquine
- hydroxychloroquine
- hydroxychloroquine
- hydroxychloroquine
- hydroxychloroquine
- hydroxychloroquine
- hydroxychloroquine
- (+-)-hydroxychloroquine
- (+-)-hydroxychloroquine
- (±)-hydroxychloroquine
- (±)-hydroxychloroquine
- hydroxychloroquine sulfate
- hydroxychloroquine sulfate
- hydroxychloroquine sulfate
- hydroxychloroquine sulfate
- hydroxychloroquinum
- hydroxychloroquinum
- nsc4375
- nsc4375
- oxichlorochine
- oxichlorochine
- oxichlorochine
- oxichlorochine sulfate
- oxichlorochine sulfate
- oxichloroquine
- oxichloroquine
- oxichloroquine
- oxiklorin
- oxychlorochin
- oxychloroquine
- plaquenil
- plaquenil
- plaquenil
- plaquenil
- polirreumin
- polirreumin
- quensyl
- quensyl
- quinoric
- tcmdc-123987
- tcmdc-123987
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07230028 | Phase 4 | Mar 1, 2026 | Radboud University |
| NCT06971744 | Phase 2 | Jan 1, 2026 | Medical University of South Carolina |
| NCT07138898 | Phase 2 | Sep 30, 2025 | New York University |
| NCT07265297 | Phase 3 | Aug 12, 2025 | National Taiwan University |
| NCT07061717 | Phase 3 | Jul 1, 2025 | Sun Yat-Sen University |
| NCT06816810 | Phase 2 | Mar 31, 2025 | University of Ottawa |
| NCT06862284 | Phase 2 | Mar 10, 2025 | Peking University |
| NCT06768294 | Phase 2 | Jan 31, 2025 | I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio |
| NCT06939582 | Phase 1/Phase 2 (Phase 2) | Dec 22, 2024 | Sichuan University |
| NCT06652113 | N/A | Dec 1, 2024 | Sun Yat-Sen University |
| NCT06676384 | Phase 4 | Nov 30, 2024 | Christian Medical College, Vellore, India, India Alliance, Medical Research Council, University of Leicester, University of Queensland |
| NCT06350630 | Phase 2 | Oct 31, 2024 | Government of France, University of Lyon |
| NCT06408298 | Early Phase 1 (Phase 1) | Sep 30, 2024 | Dartmouth University |
| NCT06479291 | N/A | Jul 31, 2024 | Dr. Stanley Ho Medical Foundation, Macau, Fudan University, Government of China, Macau University of Science and Technology Hospital |
| NCT06519617 | Phase 2 | Jul 13, 2024 | Peking University |
| NCT06467526 | Phase 2 | Jul 1, 2024 | Chang Gung University |
| NCT06389201 | N/A | May 1, 2024 | Nantong University |
| NCT06479317 | N/A | Apr 24, 2024 | Dr. Stanley Ho Medical Foundation, Macau, Fudan University, Government of China, Macau University of Science and Technology Hospital |
| NCT06479304 | N/A | Apr 24, 2024 | Dr. Stanley Ho Medical Foundation, Macau, Fudan University, Government of China, Macau University of Science and Technology Hospital |
| NCT06174766 | Phase 3 | Apr 1, 2024 | Hanmi Pharmaceutical |
Organizations
Research & Development (536)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| National Cancer Institute (NCI) | Government | 29 | 4 | 3 | 2002 |
| University of Pennsylvania | Academic/Hospital | 21 | 19 | 2 | 2007 |
| Rutgers University | Academic/Hospital | 14 | 9 | 2 | 2008 |
| Harvard University | Academic/Hospital | 13 | 9 | 4 | 2007 |
| University of Pittsburgh | Academic/Hospital | 10 | 9 | 3 | 2010 |
| Fudan University | Academic/Hospital | 8 | 6 | 4 | 2017 |
| Pfizer | For profit | 8 | 2 | 4 | 2004 |
| Sanofi | For profit | 8 | 5 | 3 | 2008 |
| Assistance Publique - Hôpitaux de Paris | Academic/Hospital | 6 | 6 | 2 | 2020 |
| Jiao Tong University | Academic/Hospital | 6 | 6 | 3 | 2016 |
| University of Lyon | Academic/Hospital | 6 | 5 | 4 | 2019 |
| University of Utah | Academic/Hospital | 6 | 4 | 3 | 2016 |
| Medical Research Council | Government | 5 | 1 | 3 | 2008 |
| New York University | Academic/Hospital | 5 | 5 | 2 | 2011 |
| Peking University | Academic/Hospital | 5 | 5 | 3 | 2014 |
| Shahid Beheshti University of Medical Sciences | Academic/Hospital | 5 | 5 | 1 | 2020 |
| University of Barcelona | Academic/Hospital | 5 | 5 | 3 | 2018 |
| University of London | Academic/Hospital | 5 | 4 | 3 | 2013 |
| University of Texas at Houston | Academic/Hospital | 5 | 4 | 2 | 2011 |
| Assiut University | Academic/Hospital | 4 | 4 | 2 | 2017 |
Marketing (33)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| ANDA Repository | For profit | MKTG | May 14, 2020 |
| Aavis Pharma | For profit | MKTG | May 14, 2020 |
| Accord Research | For profit | MKTG | Apr 7, 2020 |
| Advanz Pharma | For profit | MKTG | Apr 18, 1955 |
| Advanz Pharma | For profit | NDA | Apr 18, 1955 |
| Advanz Pharma | For profit | NDA2 | Apr 18, 1955 |
| Advanz Pharma | For profit | SYN | Apr 18, 1955 |
| Alkaloida Zrt | For profit | MKTG | May 8, 2018 |
| Allied Pharmaceutical Services | For profit | MKTG | Jan 27, 1996 |
| Amneal Pharmaceuticals | For profit | MKTG | May 15, 2018 |
| Ani Pharmaceuticals | For profit | NDA2 | Jan 14, 2022 |
| Appco Pharma | For profit | MKTG | May 1, 2018 |
| Aurobindo Pharma | For profit | MKTG | May 29, 1998 |
| CREEKWOOD PHARMS | For profit | MKTG | Jan 27, 1996 |
| Chartwell Pharmaceuticals | For profit | MKTG | Jul 6, 2018 |
| Dr. Reddy's Laboratories | For profit | MKTG | May 1, 2018 |
| Hikma | For profit | SYN | Aug 15, 2007 |
| Hikma | For profit | MKTG | Aug 15, 2007 |
| IPCA Laboratories Ltd. | For profit | MKTG | Jun 14, 2007 |
| Invatech | For profit | MKTG | Jan 27, 1996 |
| Laurus Labs Ltd | For profit | MKTG | Jan 15, 2019 |
| Laurus Labs Ltd | For profit | MKTG | Jan 15, 2019 |
| Lupin | For profit | MKTG | Jul 6, 2018 |
| Mylan | For profit | MKTG | May 29, 1998 |
| Novitium Pharma | For profit | MKTG | Jan 14, 2022 |
| RISE PHARMA | For profit | MKTG | May 14, 2020 |
| Rising Pharmaceuticals | For profit | MKTG | Jan 15, 2019 |
| Sandoz | For profit | MKTG | Nov 30, 1995 |
| Senores Pharms | For profit | MKTG | May 14, 2020 |
| TWi Biotechnology, Inc. | For profit | MKTG | May 1, 2018 |
| Teva | For profit | MKTG | Sep 30, 1994 |
| Watson Pharmaceuticals | For profit | MKTG | Nov 30, 1995 |
| Zydus Discovery DMCC | For profit | MKTG | Sep 21, 2007 |