Evidence map›Paper›PMID 33620150›Full record

ArticleClinical and translational science2021

Applying the CiPA approach to evaluate cardiac proarrhythmia risk of some antimalarials used off-label in the first wave of COVID-19.

Annie Delaunois, Matthew Abernathy, Warren D Anderson, Kylie A Beattie, Khuram W Chaudhary, Julie Coulot, Vitalina Gryshkova, Simon Hebeisen, Mark Holbrook, James Kramer and 10 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.9field-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

17 citing papers in PubMed, 34 citations in OpenAlex.

  1. Frontiers in pharmacology · 2025
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  12. The Challenges of Predicting Drug-Induced QTc Prolongation in Humans.Toxicological sciences : an official journal of the Society of Toxicology · 2022
    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

20 authors at 8 institutions in 3 countries.

Annie DelaunoisUCB Biopharma SRL, Braine-l'Alleud, Belgium.
Matthew AbernathyEli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana, USA.
Warren D AndersonCenter for Public Health Genomics, University of Virginia, Charlottesville, Virginia, USA.
Kylie A BeattieGlaxoSmithKline, Stevenage, UK.
Khuram W ChaudharyGlaxoSmithKline, Collegeville, Pennsylvania, USA.
Julie CoulotB'SYS GmbH, Witterswil, Switzerland.
Vitalina GryshkovaUCB Biopharma SRL, Braine-l'Alleud, Belgium.
Simon HebeisenB'SYS GmbH, Witterswil, Switzerland.
Mark HolbrookCertara UK Ltd, Sheffield, UK.
James KramerCharles River, Cleveland, Ohio, USA.
Yuri KuryshevCharles River, Cleveland, Ohio, USA.
Derek LeishmanEli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana, USA.
Isabel LushboughUCB Biopharma SRL, Braine-l'Alleud, Belgium.
Elisa PassiniDepartment of Computer Science, University of Oxford, Oxford, UK.
Will S RedfernCertara UK Ltd, Sheffield, UK.
Blanca RodriguezDepartment of Computer Science, University of Oxford, Oxford, UK.
Eric I RossmanGlaxoSmithKline, Collegeville, Pennsylvania, USA.
Cristian TrovatoDepartment of Computer Science, University of Oxford, Oxford, UK.
Caiyun WuCharles River, Cleveland, Ohio, USA.
Jean-Pierre ValentinUCB Biopharma SRL, Braine-l'Alleud, Belgium.
UCB Pharma (Belgium) · BECharles River Associates · USUniversity of Oxford · GBEli Lilly (United States) · USGlaxoSmithKline (United States) · USTwitter (United States) · USGlaxoSmithKline (United Kingdom) · GBUniversity of Virginia · US

Funding

National Centre for the Replacement, Refinement and Reduction of Animals in Research NC/P001076/1
6 · The paper itself

Abstract

We applied a set of in silico and in vitro assays, compliant with the Comprehensive In Vitro Proarrhythmia Assay (CiPA) paradigm, to assess the risk of chloroquine (CLQ) or hydroxychloroquine (OH-CLQ)-mediated QT prolongation and Torsades de Pointes (TdP), alone and combined with erythromycin (ERT) and azithromycin (AZI), drugs repurposed during the first wave of coronavirus disease 2019 (COVID-19). Each drug or drug combination was tested in patch clamp assays on seven cardiac ion channels, in in silico models of human ventricular electrophysiology (Virtual Assay) using control (healthy) or high-risk cell populations, and in human-induced pluripotent stem cell (hiPSC)-derived cardiomyocytes. In each assay, concentration-response curves encompassing and exceeding therapeutic free plasma levels were generated. Both CLQ and OH-CLQ showed blocking activity against some potassium, sodium, and calcium currents. CLQ and OH-CLQ inhibited I

Indexed as

COVID-19 Drug TreatmentOff-Label UseSARS-CoV-2AnimalsAntimalarialsArrhythmias, CardiacChloroquineCHO CellsCricetulusDose-Response Relationship, DrugElectrocardiographyHumansHydroxychloroquineIon ChannelsAntimalarialsChloroquineHydroxychloroquineIon Channels

Identifiers

PMID33620150
PMCPMC8014548
OpenAlexW3129678228

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.