Evidence map›Paper›PMID 33671315›Full record

ArticlePathogens (Basel, Switzerland)2021

Chloroquine and Hydroxychloroquine: Efficacy in the Treatment of the COVID-19.

Tzu-Chuan Ho, Yung-Hsuan Wang, Yi-Ling Chen, Wan-Chi Tsai, Che-Hsin Lee, Kuo-Pin Chuang, Yi-Ming Arthur Chen, Cheng-Hui Yuan, Sheng-Yow Ho, Ming-Hui Yang and 1 more

Open access · goldAbstract read
In one paragraph

Article in Pathogens (Basel, Switzerland), 2021. 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
2.0field-weighted citation impact, top 11% 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, 34 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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  11. Treatment paradigms in Parkinson's Disease and Covid-19.International review of neurobiology · 2022
    Article
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  14. Clinical significance of olfactory dysfunction in patients of COVID-19.Journal of the Chinese Medical Association : JCMA · 2021
    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

11 authors at 7 institutions in 2 countries.

Tzu-Chuan HoDepartment of Medical Imaging and Radiological Sciences, Kaohsiung Medical University, Kaohsiung 807, Taiwan.
Yung-Hsuan WangSt. Dominic Catholic High School, Kaohsiung 802, Taiwan.
Yi-Ling ChenDepartment of Nuclear Medicine, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan.
Wan-Chi TsaiDepartment of Medical Laboratory Science and Biotechnology, Kaohsiung Medical University, Kaohsiung 807, Taiwan.ORCID 0000-0002-4490-3581
Che-Hsin LeeDepartment of Biological Science, National Sun Yat-sen University, Kaohsiung 804, Taiwan.ORCID 0000-0002-8543-3862
Kuo-Pin ChuangGraduate Institute of Animal Vaccine Technology, College of Veterinary Medicine, National Pingtung University of Science and Technology, Pingtung 912, Taiwan.
Yi-Ming Arthur ChenGraduate Institute of Biomedical and Pharmaceutical Science, Fu Jen Catholic University, New Taipei City 242, Taiwan.
Cheng-Hui YuanMass Spectrometry Laboratory, Department of Chemistry, National University of Singapore, Singapore 119077, Singapore.
Sheng-Yow HoDepartment of Radiation Oncology, Chi Mei Medical Center, Graduate Institute of Medical Science, Chang Jung Christian University, Tainan 710, Taiwan.ORCID 0000-0002-3997-6575
Ming-Hui YangDepartment of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung 813, Taiwan.
Yu-Chang TyanDepartment of Medical Imaging and Radiological Sciences, Kaohsiung Medical University, Kaohsiung 807, Taiwan.ORCID 0000-0002-1917-5893
Kaohsiung Medical University · TWFu Jen Catholic University · TWChi Mei Medical Center · TWKaohsiung Veterans General Hospital · TWNational Pingtung University of Science and Technology · TWNational Sun Yat-sen University · TWNational University of Singapore · SG

Funding

Ministry of Science and Technology MOST 108-2221-E-037-003
6 · The paper itself

Abstract

Chloroquine (CQ) and its derivative, hydroxychloroquine (HCQ), have attracted wide attention for treating coronavirus disease 2019 (COVID-19). However, conflicting outcomes have been found in COVID-19 clinical trials after treatment with CQ or HCQ. To date, it remains uncertain whether CQ and HCQ are beneficial antiviral drugs for combating COVID-19. We performed a systematic review to depict the efficacy of CQ or HCQ for the treatment of COVID-19. The guidelines of PRISMA were used to conduct this systematic review. We searched through articles from PubMed, Web of Science and other sources that were published from 1 January 2020 to 31 October 2020. The search terms included combinations of human COVID-19, CQ, and HCQ. Eleven qualitative articles comprising of four clinical trials and seven observation studies were utilized in our systematic review. The analysis shows that CQ and HCQ do not have efficacy in treatment of patients with severe COVID-19. In addition, CQ and HCQ have caused life-threatening adverse reactions which included cardiac arrest, electrocardiogram modification, and QTc prolongation, particularly during the treatment of patients with severe COVID-19. Our systematic review suggested that CQ and HCQ are not beneficial antiviral drugs for curing patients with severe COVID-19. The treatment effect of CQ and HCQ is not only null but also causes serious side effects, which may cause potential cardiotoxicity in severe COVID-19 patients.

Indexed as

chloroquinecoronavirus diseasehydroxychloroquine

Identifiers

PMID33671315
PMCPMC7922580
OpenAlexW3129925610

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.