Drug intelligence / Profile preview

hydroxychloroquine + indomethacin + azithromycin

Development stage
Unknown
Lead developer
Perseverance Research Center
Modality
Small Molecules
Administration
Oral
01

Overview

This therapeutic combination, evaluated by Perseverance Research Center, LLC, consists of the antimalarial hydroxychloroquine, the nonsteroidal anti-inflammatory drug (NSAID) indomethacin, and the macrolide antibiotic azithromycin (Zithromax). It was investigated in a Phase II clinical trial (NCT04344457) for the treatment of patients with mild COVID-19 symptoms. The rationale for the cocktail involved hydroxychloroquine's potential to interfere with SARS-CoV-2 viral entry and replication, indomethacin's ability to reduce systemic inflammation and potentially inhibit viral nucleocapsid synthesis, and azithromycin's immunomodulatory effects alongside its role in preventing secondary bacterial infections. The trial was an open-label, single-arm study conducted in Arizona to measure the time to symptom resolution over a 14-day treatment period. Despite initial interest, subsequent large-scale clinical evidence has generally failed to demonstrate a significant clinical benefit for hydroxychloroquine-based regimens in treating COVID-19.

Other names
Hydroxychloroquine, Indomethacin and Zithromax cocktailHCQ + indomethacin + azithromycin
02

Targets

Bacterial 50S ribosomal subunitPGHS-1 (Prostaglandin G/H Synthase 1)TLR9 (Toll-like receptor 9)PTGS2 (Prostaglandin-Endoperoxide Synthase 2)TLR7 (Toll-like receptor 7)

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