Evidence map›Paper›PMID 32292817›Full record

ArticleOne health (Amsterdam, Netherlands)2020

Coalition: Advocacy for prospective clinical trials to test the post-exposure potential of hydroxychloroquine against COVID-19.

Stephane Picot, Aileen Marty, Anne-Lise Bienvenu, Lucille H Blumberg, Jean Dupouy-Camet, Pierre Carnevale, Shigeyuki Kano, Malcolm K Jones, Cláudio Tadeu Daniel-Ribeiro, Santiago Mas-Coma

Open access · goldAbstract readEditorial
In one paragraph

Article in One health (Amsterdam, Netherlands), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 14% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. BCG vaccine: a hope to control COVID-19 pandemic amid crisis.Human vaccines & immunotherapeutics · 2020
    Review
  7. Article
  8. Review
  9. Deciphering SARS-CoV-2 Virologic and Immunologic Features.International journal of molecular sciences · 2020
    Review
  10. Article
  11. COVID-19 and globalization.One health (Amsterdam, Netherlands) · 2020
    Article
  12. Article
  13. Chloroquine: A Potential Drug in the COVID-19 Scenario.Transactions of the Indian National Academy of Engineering : an international journal of engineering and technology · 2020
    Review
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

10 authors at 8 institutions in 5 countries.

Stephane PicotMalaria Research Unit, ICBMS, UMR 5246, CNRS, INSA, CPE University Lyon, 69100 Villeurbanne, France.
Aileen MartyTranslational Medicine, HWCOM, FIU Health Travel Medicine Program and Vaccine Clinic Commander, Emergency Response Team Development, Miami, FL, United States.
Anne-Lise BienvenuMalaria Research Unit, ICBMS, UMR 5246, CNRS, INSA, CPE University Lyon, 69100 Villeurbanne, France.
Lucille H BlumbergDivision of Public Health Surveillance and Response, National Institute for Communicable Diseases, 2131 Johannesburg, South Africa.
Jean Dupouy-CametFaculté de Médecine Paris Descartes, Académie Vétérinaire de France, Paris, France.
Pierre CarnevaleInstitute of Research for Development (former), Montpellier Centre, BP 64501, 34394 Montpellier, France.
Shigeyuki KanoDepartment of Tropical Medicine and Malaria, Research Institute, National Center for Global Health and Medicine, Tokyo 162-8655, Japan.
Malcolm K JonesSchool of Veterinary Science, The University of Queensland, Brisbane, QLD, Australia.
Cláudio Tadeu Daniel-RibeiroLaboratório de Pesquisa em Malária, Instituto Oswaldo Cruz & Centro de Pesquisa de Diagnóstico e Treinamento, Fiocruz. Av. Brasil 4365. CEP 21.040-360, Rio de Janeiro, Brazil.
Santiago Mas-ComaDepartamento de Parasitología, Facultad de Farmacia, Universidad de Valencia, 46100, Valencia, Spain.
Centre National de la Recherche Scientifique · FRInstitut de Chimie et Biochimie Moléculaires et Supramoléculaires · FRInstitut de Recherche pour le Développement · FRNational Center for Global Health and Medicine · JPNational Health Laboratory Service · ZAThe University of Queensland · AUUniversitat de València · ESUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our coalition of public health experts, doctors, and scientists worldwide want to draw attention to the need for high-quality evaluation protocols of the potential beneficial effect of hydroxychloroquine (HCQ) as a post-exposure drug for exposed people. In the absence of an approved, recognized effective pre or post-exposure prophylactic drug or vaccine for COVID-19, nor of any approved and validated therapeutic drug, coupled with social and political pressure raised by publicity both regarding the potential beneficial effect of hydroxychloroquine (HCQ) as well as potential risks from HCQ, we urge the immediate proper clinical trials. Specifically, we mean using HCQ for post-exposure of people with close contact with patients with positive COVID19 rtPCR, including home and medical caregivers. We have reviewed the mechanisms of antiviral effect of HCQ, the risk-benefit ratio taking into consideration the PK/PD of HCQ and the thresholds of efficacy. We have studied its use as an antimalarial, an antiviral, and an immunomodulating drug and concluded that the use of HCQ at doses matching that of the standard treatment of Systemic Lupus erythematous, which has proven safety and efficacy in terms of HCQ blood and tissue concentration adapted to bodyweight (2,3), at 6 mg/kg/day 1 (loading dose) followed by 5 mg/kg/ day, with a maximum limit of 600 mg/day in all cases should swiftly be clinically evaluated as a post-exposure drug for exposed people.

Indexed as

ChloroquineCoronavirus, malaria, antiviralCOVID19HydroxychloroquineImmunomodulationSARS-CoV2Systemic lupus erythematosus

Identifiers

PMID32292817
PMCPMC7128742
OpenAlexW3014839023

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.