Evidence map›Paper›PMID 33017904›Full record

ArticleMedical hypotheses2020

Inhaled hydroxychloroquine to improve efficacy and reduce harm in the treatment of COVID-19.

Oisín Kavanagh, Anne Marie Healy, Francis Dayton, Shane Robinson, Niall J O'Reilly, Brian Mahoney, Aisling Arthur, Gavin Walker, John P Farragher

Open access · greenAbstract readLetter
In one paragraph

Article in Medical hypotheses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
0.8field-weighted citation impact, top 16% 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, 30 citations in OpenAlex.

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  11. Scoping insight on antiviral drugs against COVID-19.Arabian journal of chemistry · 2021
    Review
  12. Review
  13. Review
  14. Exploring insights of hydroxychloroquine, a controversial drug in Covid-19: An update.Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association · 2021
    Review
  15. Article
  16. Review
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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 4 institutions in 1 country.

Oisín KavanaghSSPC, The Science Foundation Ireland Research Centre for Pharmaceuticals, Ireland; Bernal Institute, University of Limerick, Ireland. Electronic address: Oisin.Kavanagh@ul.ie.
Anne Marie HealySSPC, The Science Foundation Ireland Research Centre for Pharmaceuticals, Ireland; School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Ireland.
Francis DaytonSSPC, The Science Foundation Ireland Research Centre for Pharmaceuticals, Ireland.
Shane RobinsonSSPC, The Science Foundation Ireland Research Centre for Pharmaceuticals, Ireland; Janssen Sciences Ireland, Cork, Ireland.
Niall J O'ReillySSPC, The Science Foundation Ireland Research Centre for Pharmaceuticals, Ireland; Pharmaceutical and Molecular Biotechnology Research Centre, Waterford Institute of Technology, Ireland.
Brian MahoneySSPC, The Science Foundation Ireland Research Centre for Pharmaceuticals, Ireland.
Aisling ArthurSSPC, The Science Foundation Ireland Research Centre for Pharmaceuticals, Ireland.
Gavin WalkerSSPC, The Science Foundation Ireland Research Centre for Pharmaceuticals, Ireland; Bernal Institute, University of Limerick, Ireland.
John P FarragherSSPC, The Science Foundation Ireland Research Centre for Pharmaceuticals, Ireland.
Science Foundation Ireland · IETrinity College Dublin · IEUniversity of Limerick · IEWaterford Institute of Technology · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current formulations and dose regimens of hydroxychloroquine (HCQ) put patients at risk of harm. An analysis of clinical trials registered on ClinicalTrials.gov revealed that this may continue as many studies combine HCQ with agents that prolong the QT interval. Further, almost all of the trials registered do not consider dosage adjustment in the elderly, a patient population most likely to require HCQ treatment. Here we describe an inhaled formulation of HCQ which has passed safety studies in clinical trials for the treatment of asthma and discuss how this approach may reduce side-effects and improve efficacy. As this simple formulation progressed to phase II studies, safety data can be used to immediately enable phase II trials in COVID-19.

Indexed as

Administration, InhalationAdolescentAdultAgedAsthmaBetacoronavirusClinical Trials, Phase I as TopicClinical Trials, Phase II as TopicCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentFemaleHumansHydroxychloroquineLungMaleHydroxychloroquine

Identifiers

PMID33017904
PMCPMC7361049
OpenAlexW3042586703

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.