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DRUG CLASS:

Phospholipase A2 inhibitor

7d
HCQ in Resectable Localized Prostate Cancer (clinicaltrials.gov)
P1, N=20, Not yet recruiting, Lionel.D.Lewis, MD
New P1 trial
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BNIP3 (BCL2 Interacting Protein 3)
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hydroxychloroquine
22d
Effect of EPA-FFA on Polypectomy in Familial Adenomatous Polyposis (clinicaltrials.gov)
P3, N=204, Active, not recruiting, S.L.A. Pharma AG | Recruiting --> Active, not recruiting | Trial completion date: Jan 2024 --> Jul 2024 | Trial primary completion date: Dec 2023 --> Jun 2024
Enrollment closed • Trial completion date • Trial primary completion date
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APC (APC Regulator Of WNT Signaling Pathway)
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APC mutation
23d
Inhibiting Pink1/Parkin-mediated mitophagy enhances the anticancer effects of quercetin in hepatocellular carcinomaf. (PubMed, Biochem Biophys Res Commun)
In vivo experiments using Hep3B xenograft models revealed that the combination of quercetin with the mitophagy inhibitor hydroxychloroquine or SIRT1 knockdown significantly enhanced the anticancer effects of quercetin, as evidenced by reduced tumor size and weight, increased necrosis and apoptosis, and decreased proliferation in tumor tissues. These findings suggest that quercetin-induced mitochondrial fusion and Pink1/Parkin-dependent mitophagy may negatively influence its anti-cancer effects in HCC. Targeting mitophagy may enhance the therapeutic potential of quercetin in HCC treatment.
Journal
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SIRT1 (Sirtuin 1) • MFN2 (Mitofusin 2) • PINK1 (PTEN Induced Kinase 1)
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hydroxychloroquine
1m
Therapeutic Effect of Hydroxychloroquine on Immunoglobulin A (IgA) Nephropathy Course QUIgAN Study (clinicaltrials.gov)
P2, N=334, Not yet recruiting, Centre Hospitalier Universitaire de Saint Etienne
New P2 trial
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hydroxychloroquine
2ms
IPE-PREVENTION: The Use of Icosapent Ethyl on Vascular Progenitor Cells in Individuals With Elevated Cardiovascular Risk (clinicaltrials.gov)
P4, N=70, Completed, Canadian Medical and Surgical Knowledge Translation Research Group | Active, not recruiting --> Completed
Trial completion
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CRP (C-reactive protein)
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icosapent ethyl
2ms
HCQ+ADC vs ADC in the Treatment of Advanced Breast Cancer (clinicaltrials.gov)
P1/2, N=120, Recruiting, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
New P1/2 trial • Combination therapy • Metastases
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Enhertu (fam-trastuzumab deruxtecan-nxki) • Trodelvy (sacituzumab govitecan-hziy) • hydroxychloroquine
2ms
MCOLN1/TRPML1 in the lysosome: a promising target for autophagy modulation in diverse diseases. (PubMed, Autophagy)
In summary, given the involvement of MCOLN1-mediated autophagy in the pathogenesis of cancer and myocardial I/R injury, targeting MCOLN1 May provide clues for developing new therapeutic strategies for the treatment of these diseases. Exploring the regulation of MCOLN1-mediated autophagy in diverse diseases contexts will surely broaden our understanding of this pathway and offer its potential as a promising drug target.Abbreviation: CCCP:carbonyl cyanide3-chlorophenylhydrazone; CQ:chloroquine; HCQ: hydroxychloroquine;I/R: ischemia-reperfusion; MAP1LC3/LC3:microtubule associated protein 1 light chain 3; MCOLN1/TRPML1:mucolipin TRP cation channel 1; MLIV: mucolipidosis type IV; MTORC1:MTOR complex 1; ROS: reactive oxygenspecies; SQSTM1/p62: sequestosome 1.
Review • Journal
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SQSTM1 (Sequestosome 1) • MAP1LC3B (Microtubule Associated Protein 1 Light Chain 3 Beta)
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hydroxychloroquine • chloroquine phosphate
2ms
Hydroxychloroquine and Cognitive Function After Surgery (clinicaltrials.gov)
P4, N=21, Active, not recruiting, Duke University | Suspended --> Active, not recruiting | N=30 --> 21 | Trial completion date: Dec 2024 --> Jun 2024 | Trial primary completion date: Dec 2024 --> May 2023
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date • Surgery
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hydroxychloroquine
2ms
Combination of theoretical analysis and experiments: Exploring the role of PLA2G7 in human cancers, including renal cancer. (PubMed, Heliyon)
Treatment with a PLA2G7 gene inhibitor (darapladib) significantly decreased the viability of ACHN and 786-O cell lines. Additionally, we observed an association between PLA2G7 mRNA levels and various drug sensitivity. Our study suggests that PLA2G7 has the potential to serve as a valuable biomarker and therapeutic target for cancer, particularly in the context of renal cancer.
Journal • Tumor mutational burden
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TMB (Tumor Mutational Burden) • MSI (Microsatellite instability)
2ms
Evaluation of Hydroxychloroquine to Prevent CIPN (clinicaltrials.gov)
P2, N=0, Withdrawn, University of Arizona | N=24 --> 0 | Not yet recruiting --> Withdrawn
Enrollment change • Trial withdrawal
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paclitaxel • hydroxychloroquine
2ms
CAESAR: Hydroxychloroquine as a Steroid-sparing Agent in Extrapulmonary Sarcoidosis (clinicaltrials.gov)
P4, N=140, Not yet recruiting, Hospices Civils de Lyon | Trial completion date: Sep 2028 --> Apr 2029 | Initiation date: Sep 2023 --> Apr 2024 | Trial primary completion date: Sep 2027 --> Apr 2028
Trial completion date • Trial initiation date • Trial primary completion date
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TNFA (Tumor Necrosis Factor-Alpha)
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hydroxychloroquine
2ms
Novel ERG for Detection of Hydroxychloroquine Retinopathy (clinicaltrials.gov)
P=N/A, N=140, Not yet recruiting, King's College Hospital NHS Trust | Initiation date: Dec 2023 --> May 2024
Trial initiation date
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hydroxychloroquine
2ms
Administration of Hydroxychloroquine (Plaquenil) to African Americans and Hispanics for the Treatment of Mild to Severe Ulcerative Colitis (clinicaltrials.gov)
P1/2, N=20, Active, not recruiting, Icahn School of Medicine at Mount Sinai | Recruiting --> Active, not recruiting
Enrollment closed • IO biomarker
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CTLA4 (Cytotoxic T-Lymphocyte Associated Protein 4) • IL2RA (Interleukin 2 receptor, alpha) • CD4 (CD4 Molecule) • ISG20 (Interferon Stimulated Exonuclease Gene 20)
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CTLA4 expression
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hydroxychloroquine
3ms
HAZCpaC: A Study of Quintuple Therapy to Treat COVID-19 Infection (clinicaltrials.gov)
P2, N=118, Completed, ProgenaBiome | Recruiting --> Completed | Phase classification: P2a --> P2 | N=600 --> 118 | Trial completion date: Sep 2024 --> Feb 2024 | Trial primary completion date: Jun 2023 --> Feb 2024
Trial completion • Phase classification • Enrollment change • Trial completion date • Trial primary completion date
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hydroxychloroquine
3ms
1ASSJHCQ: Hydroxychloroquine Blood Levels in Primary Sjögren Syndrome Patients (clinicaltrials.gov)
P=N/A, N=74, Completed, University of Sao Paulo General Hospital | Active, not recruiting --> Completed
Trial completion
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hydroxychloroquine
3ms
Betulinic acid induces apoptosis of HeLa cells via ROS-dependent ER stress and autophagy in vitro and in vivo. (PubMed, J Nat Med)
Besides, BA initiated the formation of autophagosomes and inhibited autophagic flux by the co-administration of BA with 3-methyladenine (3-MA) and chloroquine (CQ), respectively. The in vivo experiment manifested that hydroxychloroquine (HCQ) enhanced the apoptosis induced by BA...Thus, BA could be a potential chemotherapy drug for cervical cancer, and inhibition of autophagy could enhance the anti-tumor effect of BA. However, the interactions of signaling factors between ERS-mediated and autophagy-mediated apoptosis deserve further attention.
Preclinical • Journal
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HSPA5 (Heat Shock Protein Family A (Hsp70) Member 5) • BECN1 (Beclin 1)
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hydroxychloroquine
3ms
The predictive value of miR-377 and phospholipase A2 in the early diagnosis of diabetic kidney disease and their relationship with inflammatory factors. (PubMed, Immunobiology)
miR-377 and phospholipase A2 have good diagnostic efficiency for the early diagnosis of diabetic kidney disease. They can be used as early biomarkers.miR-377 and phospholipase A2 were positively correlated with inflammatory factors and involved in the occurrence and development of diabetic kidney disease.
Journal
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IL6 (Interleukin 6) • IL18 (Interleukin 18) • TGFB1 (Transforming Growth Factor Beta 1)
3ms
Suppression of hypoxia-induced CAV1 autophagic degradation enhances nanoalbumin-paclitaxel transcytosis and improves therapeutic activity in pancreatic cancer. (PubMed, Eur J Pharmacol)
Furthermore, both in vivo and in vitro studies confirmed that suppressing the autophagic degradation of CAV1 via EC-specific ATG5 knockdown or hydroxychloroquine sulfate (HCQ) treatment significantly enhanced nab-paclitaxel translocation across the endothelial barrier into pancreatic cancer cells and amplified the inhibitory effect of nab-paclitaxel on pancreatic tumour growth. The stimulation of CAV1 expression by EC-specific overexpression of exogenous CAV1 or administration of gemcitabine hydrochloride (GE) had the same effect. These results demonstrated that suppressing CAV1 autophagic degradation is a novel translatable strategy for enhancing nab-paclitaxel chemotherapeutic activity in the treatment of pancreatic cancer.
Journal
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CAV1 (Caveolin 1) • ATG5 (Autophagy Related 5)
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CAV1 expression
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gemcitabine • albumin-bound paclitaxel • hydroxychloroquine
3ms
MYC-dependent MiR-7-5p regulated apoptosis and autophagy in diffuse large B cell lymphoma by targeting AMBRA1. (PubMed, Mol Cell Biochem)
The addition of hydroxychloroquine, an autophagy inhibitor, reduced autophagy and increased apoptosis in DLBCL cells...MiR-7-5p also suppressed autophagy and apoptosis by targeting AMBRA1 in DLBCL cells. Therefore, these data suggest that targeting miR-7-5p may be a promising strategy in DLBCL therapy.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • MIR7 (MicroRNA 7) • AMBRA1 (Autophagy And Beclin 1 Regulator 1)
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MYC expression • miR-7 expression
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hydroxychloroquine
3ms
SHIELD: Effects of Stopping Hydroxychloroquine in Elderly Lupus Disease (clinicaltrials.gov)
P3, N=330, Not yet recruiting, NYU Langone Health | Initiation date: Oct 2023 --> Apr 2024
Trial initiation date • Head-to-Head
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hydroxychloroquine
3ms
New P3 trial
3ms
Disease-Modifying Medications in Patients with Rheumatoid Arthritis in the USA: Trends from 2016 to 2021. (PubMed, Drugs Real World Outcomes)
About half of patients with RA were on DMARDs. As expected, csDMARDs were highly used consistently. The COVID-19 pandemic might have influenced the use of HCQ and infusion DMARDs. Triple therapy use remains low.
Journal
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TNFA (Tumor Necrosis Factor-Alpha)
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methotrexate • hydroxychloroquine
3ms
HCQ-IDEAL: Clarifying Misbeliefs About Hydroxychloroquine: Developing a Decision Aid for Patients With Lupus (clinicaltrials.gov)
P=N/A, N=200, Recruiting, University of Wisconsin, Madison | Not yet recruiting --> Recruiting
Enrollment open
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hydroxychloroquine
4ms
Inhibiting PLA2G7 reverses the immunosuppressive function of intratumoral macrophages and augments immunotherapy response in hepatocellular carcinoma. (PubMed, J Immunother Cancer)
Macrophage-specific PLA2G7 serves as a novel biomarker capable of prognosticating immunotherapy responsiveness and inhibiting PLA2G7 has the potential to enhance the efficacy of ICB therapy for HCC.
Journal • IO biomarker
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CD8 (cluster of differentiation 8)
4ms
New P2 trial
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KRAS (KRAS proto-oncogene GTPase)
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Avastin (bevacizumab) • hydroxychloroquine • leflunomide
4ms
A phase II trial targeting disseminated dormant tumor cells with hydroxychloroquine, everolimus or the combination to prevent recurrent breast cancer (“CLEVER�) (YIR 2024)
The CLEVER trial provides proof-of-principle that therapeutic targeting of dormant BC is feasible and active in eliminating DTCs by targeting dormancy-specific mechanisms. Follow up for recurrence and survival is ongoing.
P2 data • Tumor cell
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MammaPrint • Oncotype DX Breast Recurrence Score®Test
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everolimus • hydroxychloroquine
4ms
Hydroxychloroquine in Mild Graves' Orbitopathy (clinicaltrials.gov)
P4, N=108, Recruiting, National Taiwan University Hospital | Trial primary completion date: Mar 2023 --> Dec 2024
Trial primary completion date
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hydroxychloroquine
4ms
HCQ-IDEAL: Clarifying Misbeliefs About Hydroxychloroquine: Developing a Decision Aid for Patients With Lupus (clinicaltrials.gov)
P=N/A, N=200, Not yet recruiting, University of Wisconsin, Madison | Initiation date: Dec 2023 --> Apr 2024
Trial initiation date
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hydroxychloroquine
4ms
Neoadjuvant mFOLFIRINOX With Perioperative Oral Hydroxychloroquine in Resectable Pancreatic Adenocarcinoma (clinicaltrials.gov)
P1/2, N=40, Recruiting, West Virginia University | Trial primary completion date: Jun 2023 --> Jun 2025
Trial primary completion date • Combination therapy
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oxaliplatin • irinotecan • hydroxychloroquine
4ms
Testing an Omega-3 Fatty Acid-Based Anti-Cancer Therapy for Patients With Triple-Negative Inflammatory Breast Cancer That Has Spread to Other Parts of the Body (clinicaltrials.gov)
P1/2, N=1, Terminated, National Cancer Institute (NCI) | N=18 --> 1 | Trial completion date: Jun 2026 --> Dec 2023 | Recruiting --> Terminated | Trial primary completion date: Jun 2026 --> Dec 2023; Other - Poor accrual
Enrollment change • Trial completion date • Trial termination • Trial primary completion date • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor) • EPHA2 (EPH receptor A2) • ABCA1 (ATP Binding Cassette Subfamily A Member 1)
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PGR expression
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dasatinib • icosapent ethyl
4ms
SMILE: Study of Anti-Malarials in Incomplete Lupus Erythematosus (clinicaltrials.gov)
P2, N=187, Active, not recruiting, Milton S. Hershey Medical Center | Trial completion date: Jan 2024 --> Jan 2025 | Trial primary completion date: Nov 2023 --> Sep 2024
Trial completion date • Trial primary completion date
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hydroxychloroquine
5ms
MetaHcQ: Metabolic Effects of Hydroxychloroquine (clinicaltrials.gov)
P=N/A, N=21, Terminated, Washington University School of Medicine | N=30 --> 21 | Suspended --> Terminated; COVID-19 & loss of funding
Enrollment change • Trial termination
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hydroxychloroquine
5ms
SCUT II: Steroids and Cross-linking for Ulcer Treatment (clinicaltrials.gov)
P3, N=279, Active, not recruiting, Thomas M. Lietman | Recruiting --> Active, not recruiting
Enrollment closed
5ms
Autoimmune disease, including Lupus Panniculitis in association with Panniculitic Cell Lymphomas. (PubMed, Clin Dermatol)
The third patient presented in 2003 with LP and overlying skin features of acute LE, initially responding to Plaquenil, and then four years later was diagnosed with PGD-TCL heralded by Plaquenil treatment resistance...Identifying histologic features associated with an autoimmune diathesis should not be considered exclusionary to diagnosing any panniculitis T cell lymphoma. A clinical, histomorphologic, and pathophysiologic continuum appears between LP with SPTCL and PGD-TCL of the fat.
Journal
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
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CD8 expression
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hydroxychloroquine
5ms
BRAVE-EPA: Brain Amyloid and Vascular Effects of Eicosapentaenoic Acid (clinicaltrials.gov)
P2/3, N=131, Completed, VA Office of Research and Development | Active, not recruiting --> Completed
Trial completion
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icosapent ethyl
5ms
Hydroxychloroquine in Prevention of Preeclampsia (clinicaltrials.gov)
P=N/A, N=50, Completed, Assiut University | Recruiting --> Completed | Trial completion date: Jun 2022 --> Jul 2023
Trial completion • Trial completion date
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hydroxychloroquine • aspirin
5ms
New trial • Compliance
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hydroxychloroquine
5ms
Hydroxychloroquine and Unexplained Recurrent Miscarriage (clinicaltrials.gov)
P=N/A, N=156, Completed, Assiut University | Active, not recruiting --> Completed | Trial completion date: Mar 2022 --> Jul 2023 | Trial primary completion date: Jan 2022 --> Mar 2023
Trial completion • Trial completion date • Trial primary completion date
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hydroxychloroquine • aspirin
5ms
EMT2: EPA for Metastasis Trial 2 (clinicaltrials.gov)
P3, N=418, Active, not recruiting, Mark A Hull, PhD FRCP | Recruiting --> Active, not recruiting
Enrollment closed • Surgery
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icosapent ethyl
6ms
HUGS: The Efficacy of Aspirin Combined With Hydroxychloroquine Treatment in High Risk Pregnancies for Preeclampsia (clinicaltrials.gov)
P3, N=58, Recruiting, Yoo-min Kim | Trial completion date: Apr 2025 --> Dec 2025 | Trial primary completion date: Apr 2024 --> Dec 2024
Trial completion date • Trial primary completion date
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hydroxychloroquine • aspirin
6ms
HITMAN: Phase I/II Study of Hydroxychloroquine With Itraconazole With Biochemically Recurrent Prostate Cancer (clinicaltrials.gov)
P1/2, N=12, Completed, St Vincent's Hospital, Sydney | Active, not recruiting --> Completed | Trial completion date: Jul 2024 --> Oct 2023 | Trial primary completion date: Mar 2023 --> Aug 2023
Trial completion • Trial completion date • Trial primary completion date
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hydroxychloroquine • Tolsura (SUBA-itraconazole)
6ms
StopRA: Strategy to Prevent the Onset of Clinically-Apparent Rheumatoid Arthritis (clinicaltrials.gov)
P2, N=144, Terminated, National Institute of Allergy and Infectious Diseases (NIAID) | Completed --> Terminated; Enrollment was closed before reaching the target. In the 1st interim analysis after enrollment closure, the follow up & treatment of active participants were stopped early due to evidence of futility.
Trial termination
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hydroxychloroquine