Status:

UNKNOWN

Hydroxychloroquine in Unexplained Recurrent Pregnancy Loss

Lead Sponsor:

Ain Shams University

Conditions:

Recurrent Pregnancy Loss

Eligibility:

FEMALE

18-35 years

Phase:

PHASE1

Brief Summary

To investigate efficacy and safety of Hydroxychloroquin in improving pregnancy outcome in women with unexplained recurrent pregnancy loss .

Detailed Description

Recurrent pregnancy loss (RPL) remains a significant challenge in obstetrical practice. It is not only emotionally devastating for expectant women but is also medically challenging. Approximately 1-3%...

Eligibility Criteria

Inclusion

  • Women aged between 18 and 35 years inclusive.
  • Women with at least three previous consecutive miscarriages in the first trimester of pregnancy of unknown origin with no uterine cavity abnormality that might explain recurrent miscarriage at 3D ultrasonography
  • Women who have given their informed consent.
  • Patient who did received standard treatment and failed in an ongoing pregnancy

Exclusion

  • Previous history VTE (venous thromboembolization)
  • Persistent positive APL antibodies: lupus anticoagulant and/or APL (anticardiolipin or anticardiolipin IgG or IgM) titers \>99th percentile or \>40 with at least 12 weeks interval between two positive determinations (persistent antibodies) or a specific clinical setting of APS (thrombotic or obstetrical, apart from RM in the first trimester of pregnancy) .
  • Known contraindication to a treatment by HCQ (retinopathy, hypersensitivity to chloroquine or HCQ, G6PD deficiency, acute intermittent porphyria, chronic liver or kidney insufficiency, extensive cutaneous psoriasis not controlled by local treatment, significant chronic digestive or haematologic disease) .
  • Indication to a treatment by HCQ (rheumatoid arthritis, Lupus, solar eczema) or previous exposure for \>5years to HCQ.
  • BMI \> 35
  • Condition may have an effect on immune reaction e.g. history of HCV or HBV .
  • Endocrinopathies such as ( DM ,thyroid disorders , hyperprolactinemia ) .
  • History of hormonal contraception or intrauterine device usage in last 3 months preceeding .

Key Trial Info

Start Date :

March 1 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2023

Estimated Enrollment :

70 Patients enrolled

Trial Details

Trial ID

NCT05237843

Start Date

March 1 2022

End Date

January 1 2023

Last Update

February 14 2022

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