Evidence map›Paper›PMID 32674929›Full record

ReviewInternational journal of antimicrobial agents2020

Reply to Gautret et al: hydroxychloroquine sulfate and azithromycin for COVID-19: what is the evidence and what are the risks?

Julian D Machiels, Chantal P Bleeker-Rovers, Rob Ter Heine, Janette Rahamat-Langendoen, Quirijn de Mast, Jaap Ten Oever, Teun Bousema, Reinout van Crevel, Heiman Fl Wertheim

Open access · greenAbstract readReview
In one paragraph

Review in International journal of antimicrobial agents, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 15% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Chloroquine or hydroxychloroquine for prevention and treatment of COVID-19.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Article
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  14. Observational
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  17. World Lung Day 2020 at theAmerican journal of physiology. Lung cellular and molecular physiology · 2020
    Article
  18. Review
  19. Publishing in face of the COVID-19 pandemic.International journal of antimicrobial agents · 2020
    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

9 authors at 1 institution in 1 country.

Julian D MachielsDepartment of Medical Microbiology & Radboudumc Center for Infectious Diseases, the Netherlands.
Chantal P Bleeker-RoversDepartment of Internal Medicine & Radboudumc Center for Infectious Diseases, the Netherlands.
Rob Ter HeineDepartment of Pharmacy & Radboudumc Center for Infectious Diseases, the Netherlands.
Janette Rahamat-LangendoenDepartment of Medical Microbiology & Radboudumc Center for Infectious Diseases, the Netherlands.
Quirijn de MastDepartment of Internal Medicine & Radboudumc Center for Infectious Diseases, the Netherlands.
Jaap Ten OeverDepartment of Internal Medicine & Radboudumc Center for Infectious Diseases, the Netherlands.
Teun BousemaDepartment of Medical Microbiology & Radboudumc Center for Infectious Diseases, the Netherlands.
Reinout van CrevelDepartment of Internal Medicine & Radboudumc Center for Infectious Diseases, the Netherlands.
Heiman Fl WertheimDepartment of Medical Microbiology & Radboudumc Center for Infectious Diseases, the Netherlands. Electronic address: Heiman.wertheim@radboudumc.nl.
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The severity of COVID-19 has resulted in a global rush to find the right antiviral treatment to conquer the pandemic and to treat patients. This requires reliable studies to support treatment. In a recently published study by Gautret et al. the authors concluded that hydroxychloroquine monotherapy and hydroxychloroquine in combination with azithromycin reduced viral load. However, this trial has several major methodological issues, including the design, outcome measure and the statistical analyses. In this paper we discuss the background, clinical evidence, pharmacology and methodological issues related to this clinical trial. We understand the rush to release results, however in case conclusions are far reaching the evidence needs to be robust.

Indexed as

BetacoronavirusAzithromycinClinical Trials as TopicCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentDrug Therapy, CombinationHumansHydroxychloroquineOutcome Assessment, Health CarePandemicsPneumonia, ViralResearch DesignSARS-CoV-2AzithromycinHydroxychloroquine2019-nCoVAzithromycinCOVID-19(Hydroxy)chloroquineSARS-CoV-2

Identifiers

PMID32674929
PMCPMC7357524
OpenAlexW3040968261

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.