Could a common arthritis drug help prevent miscarriages?
NCT ID NCT06652113
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tests whether adding hydroxychloroquine (an anti-inflammatory drug) to levothyroxine (a thyroid hormone) can increase live birth rates in women with thyroid antibodies and unexplained recurrent pregnancy loss. About 800 women will take either the combination or levothyroxine alone, starting at least 8 weeks before pregnancy and continuing through pregnancy. The main goal is to see if more women in the combination group give birth after 28 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- hydroxychloroquine and levothyroxine
- What this could lead to
- If successful, this could offer a new treatment option to help women with thyroid antibodies and unexplained recurrent pregnancy loss have a live birth.
- What could go wrong
- This is a mid-stage trial, so results are not guaranteed. The combination may not improve outcomes over levothyroxine alone, and hydroxychloroquine can have side effects like vision problems or heart issues.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 796 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2024
- Expected to finish
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Mar 2037
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 to 40 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria: 1. Women with history of two or more pregnancy loss with the same male partner (including biochemical pregnancies). 2. Karyotype analyses show no pathological abnormalities in each individual of the recruited couple. 3. Women aged between 20 and 40 years old (including 20 and 40). 4. Lupus anticoagulant (LA), anticardiolipin antibody (ACA), and anti-beta2-glycoprotein I antibodies (anti-β2-GP1 Ab) tests are all negative. 5. It is confirmed by ultrasound or hysteroscopy that there are no pathological lesions that affect the morphology of the uterine cavity (such as submucosal uterine fibroids, uterine malformations). 6. TPO-Ab positive (TPO-Ab \> 60 IU/mL using the Siemens kit of electrochemiluminescence method, or TPO-Ab \> 34 IU/mL using the Roche kit of chemiluminescence method). 7. Biochemically euthyroid. TSH, free triiodothyronine (FT3), and free thyroxine (T4) are all within the reference range of corresponding laboratory testing in each research center. Exclusion criteria: 1. Rheumatic diseases, such as systemic lupus erythematosus, undifferentiated connective tissue disease, etc. 2. Metabolic or endocrine diseases, such as diabetes. 3. Abnormal renal function: plasma creatinine level ≥130 μmol/L or abnormal liver function: alanine aminotransferase ≥80U/L or aspartate aminotransferase ≥80U/L. 4. Hypertension and malignant tumors. 5. Under treatment with glucocorticoids or immunosuppressor, including cyclosporine, azathioprine, prednisone, and methylprednisolone. 6. Body Mass Index (BMI) \>28kg/m2. 7. Past history of hyperthyroidism, hypothyroidism, and thyroid malignant tumors; 8. Allergy to 4-aminoquinoline compound, or those with retinal or visual field lesions caused by 4-aminoquinoline compound.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Sun Yat-Sen Memorial Hospital
RECRUITINGGuangzhou, Guangdong, 510000, China
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Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
NOT_YET_RECRUITINGGuangzhou, Guangdong, 510120, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Immune protein G-CSF put to the test for unexplained recurrent miscarriage
- Uterine bacteria may hold key to IVF success
- Tender loving care texts may boost pregnancy success
- Brain zaps may reveal hidden Heart-Brain link in pregnancy loss
- Brain zap trial aims to calm hearts in pregnancy loss anxiety