Evidence map›Paper›PMID 37024906›Full record

ArticleTrials2023

The HAVEN study-hydroxychloroquine in ANCA vasculitis evaluation-a multicentre, randomised, double-blind, placebo-controlled trial: study protocol and statistical analysis plan.

Annastazia E Learoyd, Lauren Arnold, Fiona Reid, Nicholas Beckley-Hoelscher, Alina Casian, Shirish Sangle, Neil Morton, Louise Nel, Angela Cape, Susan John and 8 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04316494 (Hydroxychloroquine in ANCA Vasculitis Evaluation - A Multicentre, Randomised, Double-blind, Placebo-controlled Trial), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04316494 phase4terminatednot on this map

Hydroxychloroquine in ANCA Vasculitis Evaluation - A Multicentre, Randomised, Double-blind, Placebo-controlled Trial

TypeinterventionalSponsorGuy's and St Thomas' NHS Foundation TrustRan2020 to 2025Enrolled43ConditionsANCA Associated Vasculitis, Microscopic Polyangiitis, Churg-Strauss Syndrome, Wegener GranulomatosisArmsHydroxychloroquine, Placebo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Annastazia E Learoyd *School of Life Course and Population Sciences, Faculty of Life Sciences & Medicine, King's College London, London, UK. annastazia.learoyd@kcl.ac.uk.ORCID http://orcid.org/0000-0001-6964-9041
Lauren Arnold *Clinical Trial Management Platform, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Fiona ReidSchool of Life Course and Population Sciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.
Nicholas Beckley-HoelscherSchool of Life Course and Population Sciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.
Alina CasianLouise Coote Lupus Unit, Rheumatology Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Shirish SangleLouise Coote Lupus Unit, Rheumatology Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Neil MortonLouise Coote Lupus Unit, Rheumatology Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Louise NelLouise Coote Lupus Unit, Rheumatology Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Angela CapeKing's Clinical Trial Unit, Research Management and Innovation Directorate, King's College London, London, UK.
Susan JohnDepartment of Immunology, School of Immunology & Microbial Sciences, King's College London, London, UK.
Sangmi KimDepartment of Immunology, School of Immunology & Microbial Sciences, King's College London, London, UK.
Dharshene ShivapathamClinical Trial Management Platform, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Raashid LuqmaniNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, University of Oxford, Oxford, UK.
David JayneDepartment of Medicine, University of Cambridge, Cambridge, UK.
James GallowayCentre for Rheumatic Disease, Kings College London, London, UK.
Abdel DouiriSchool of Life Course and Population Sciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.
David D'CruzLouise Coote Lupus Unit, Rheumatology Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
HAVEN study group

Funding

Medical Research Council MR/R006253/1
6 · The paper itself

Abstract

backgroundPatients with non-severe ANCA-associated vasculitis (AAV) are often prescribed immunosuppressive medications that are associated with severe side effects and a reduced quality of life. There is an unmet need for safer effective treatments for these patients. Hydroxychloroquine is being explored due to its effect in similar autoimmune conditions such as systemic lupus erythematosus.

methodsDouble-blind, placebo-controlled multicentre trial recruiting 76 patients across 20 sites. Participants will be randomised 1:1 to hydroxychloroquine or placebo in addition to standard of care immunosuppressive therapies over the course of 52 weeks. A phase II selection design will be used to determine hdroxychloroquine's efficacy, using prednisolone dosage and Birmingham Vasculitis Activity Score as a measure of disease activity. Secondary outcomes will explore other elements of AAV progression, including disease flares and time to remission. DISCUSSION: This trial aims to explore Hydroxychloroquine as a treatment for patients with AAV. If effective, the need for immunosuppressive treatments such as prednisolone could be reduced. Hydroxychloroquine is safer, cheaper and has fewer adverse effects than conventional immunosuppressive treatments. This could improve patient outcomes while saving money for the NHS.

trial registrationISRCTN: ISRCTN79334891. Registered 07 June 2021. EudraCT: 2018-001268-40. Registered 13 September 2019. CLINICALTRIALS: gov: NCT04316494. Registered 20 March 2020.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisCOVID-19Antibodies, Antineutrophil CytoplasmicDouble-Blind MethodHumansHydroxychloroquineImmunosuppressive AgentsMulticenter Studies as TopicPrednisoloneQuality of LifeRandomized Controlled Trials as TopicSARS-CoV-2Treatment OutcomeAntibodies, Antineutrophil CytoplasmicHydroxychloroquineImmunosuppressive AgentsPrednisoloneAAVANCAAuto-immune conditionsHydroxychloroquinePrednisoloneVasculitis

Identifiers

PMID37024906
PMCPMC10077754

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.