There is a pandemic in the world by COVID-19. Currently, the pharmacological curative or prophylactic treatments for this infection are not known. Recent studies have suggested that Hydroxy-Chloroquine could be effective in vitro and in vivo against COVID-19. The main objective of this study is to assess in patients with autoimmune disease treated with long course Hydroxy-Chloroquine initiated before the pandemic COVID-19 had an independent protective effect on the risk or the severity of infection with COVID-19.
A pre- or post-exposure treatment strategy has been validated in some infectious diseases. In particular, in HIV infection, this type of prophylactic treatment reduces the rate of infection in at-risk populations. The first studies from Chinese show that in case of immunosuppression or immunosuppressive treatment, whatever the causal pathology, COVID-19 infection is more severe. The present study presents a population of patients with lupus (SLE) or Gougerot's disease (SGD) who are treated for a long time, with Hydroxy-Chloroquine. The protective effect against COVID-19 infection of Hydroxy-Chloroquine compared to populations not exposed to this drug requires to be assessed in patients and their control groups under or without immunosuppressive treatments. It is hypothesized that long-term treatment with Hydroxy-Chloroquine in SLE or SGD taken in its usual indication before the onset of the pandemic could decrease the number of COVID19 infections and/or the intensity of the disease.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
547
Diagnosis of Covid-19 past infection will be made by serology
COVID 19 Self-Questionnaire
Limoges university Hospital
Limoges, France
Montpellier University Hospital
Montpellier, France
Pitié Salpêtrière Hospital - Hépatologie
Paris, France
Number of Participants With Positive Anti-SARS-CoV-2 Serology
Number of patients with positive anti-COVID19 serology depending on whether or not they were taking Hydroxy-Chloroquine
Time frame: 12 months post inclusion
Number of Patients Who Experienced Symptomatic or Severe (Hospitalization) COVID-19 Infection
Percentage of patients who experienced symptomatic or severe (hospitalization) COVID-19 infection, as determined by the self-administered questionnaire and medical consultation. Each subject will complete a self-administered questionnaire at the enrollment visit, describing the main symptoms of COVID-19 infection by answering "yes" or "no" to the various items. The physician will then conduct a medical assessment of the symptoms and their severity.
Time frame: From inclusion until the end of the study (at M12)
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Pitié Salpêtrière Hospital - Médecine interne
Paris, France
Haut-Lévêque Hospital - Gastro-entérologie
Pessac, France
Haut-Lévêque Hospital - Médecine interne
Pessac, France
Joseph Ducuing Hospital - Médecine interne
Toulouse, France
Toulouse university Hospital - Larrey Dermatologie
Toulouse, France
Toulouse University Hospital - Rhumatologie
Toulouse, France
Toulouse University Hospital
Toulouse, France
...and 2 more locations