Evidence map›Paper›PMID 32645478›Full record

SynthesisTravel medicine and infectious disease

Hydroxychloroquine safety: A meta-analysis of randomized controlled trials.

Khalid Eljaaly, Kasim Huseein Alireza, Samah Alshehri, Jaffar A Al-Tawfiq

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Travel medicine and infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Safety of Hydroxychloroquine: What a Dermatologist Should Know.American journal of clinical dermatology · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Medication related to pigmentation of oral mucosa.Medicina oral, patologia oral y cirugia bucal · 2022
    Review
  9. Hydroxychloroquine in systemic lupus erythematosus: overview of current knowledge.Therapeutic advances in musculoskeletal disease · 2022
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Hydroxychloroquine Safety Outcome within Approved Therapeutic Protocol for COVID-19 Outpatients in Saudi Arabia.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Article
  16. Global contributions of pharmacists during the COVID-19 pandemic.Journal of the American College of Clinical Pharmacy : JACCP · 2020
    Article
  17. Review
  18. 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

4 authors at 3 institutions in 2 countries.

Khalid EljaalyFaculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia; College of Pharmacy, University of Arizona, Tucson, AZ, USA. Electronic address: khalid-eljaaly@live.com.
Kasim Huseein AlirezaFaculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia.
Samah AlshehriFaculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia; College of Pharmacy, University of Arizona, Tucson, AZ, USA.
Jaffar A Al-TawfiqInfectious Disease Unit, Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
King Abdulaziz University · SASaudi Aramco Medical Services Organization · SAUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHydroxychloroquine (HCQ) is currently being examined for COVID-19. No previous meta-analysis has evaluated its side effects versus placebo. We conducted this meta-analysis to compare the safety of HCQ versus placebo.

methodsTwo authors independently searched PubMed and EMBASE databases for randomized controlled trials (RCTs) of adults comparing the adverse events (AEs) of HCQ versus placebo for any indication. Peto odds ratios (Peto ORs) and 95% confidence intervals (CIs) were calculated based on random-effects models. The heterogeneity (I

resultsNine RCTs (eight were double-blind) with a total of 916 patients were included. HCQ caused significantly more skin pigmentation than placebo (Peto OR, 4.64; 95% CI, 1.13 to 19.00; P-value = 0.033; I

conclusionsThis meta-analysis of RCTs found a significantly higher risk of skin pigmentation in HCQ users versus placebo. More data are needed to evaluate HCQ in the context of COVID-19 treatment.

Indexed as

Alzheimer DiseaseAntirheumatic AgentsArthritis, RheumatoidAsymptomatic InfectionsBetacoronavirusChronic UrticariaCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentDizzinessExanthemaFatigueGastrointestinal DiseasesGlomerulonephritis, IGAHeadacheHIV InfectionsAntirheumatic AgentsHydroxychloroquineAdverse reactionChloroquineCOVID-19HydroxychloroquineHyperpigmentationSystematic review

Identifiers

PMID32645478
PMCPMC7342171
OpenAlexW3038185704

What OpenQuestion holds

Textmetadata
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.