Evidence map›Paper›PMID 33953559›Full record

ReviewTherapeutics and clinical risk management2021

Chloroquine and Hydroxychloroquine for the Prevention and Treatment of COVID-19: A Fiction, Hope or Hype? An Updated Review.

Sultan A M Saghir, Naif A AlGabri, Mahmoud M Alagawany, Youssef A Attia, Salem R Alyileili, Shaaban S Elnesr, Manal E Shafi, Omar Y A Al-Shargi, Nader Al-Balagi, Abdullah S Alwajeeh and 9 more

Open access · goldAbstract readReview
In one paragraph

Review in Therapeutics and clinical risk management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. COVID-19 Therapeutic Potential of Natural Products.International journal of molecular sciences · 2023
    Review
  4. Article
  5. Low-cost zeolitic carriers for delivery of hydroxychloroquine immunomodulatory agent with antiviral activity.Microporous and mesoporous materials : the official journal of the International Zeolite Association · 2022
    Article
  6. Quinolizidines as Novel SARS-CoV-2 Entry Inhibitors.International journal of molecular sciences · 2022
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. 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

19 authors at 16 institutions in 10 countries.

Sultan A M SaghirDepartment of Medical Analysis, Princess Aisha Bint Al-Hussein College of Nursing and Medical Sciences, Al-Hussein Bin Talal University, Ma'an, 71111, Jordan.
Naif A AlGabriPathology Department, Faculty of Veterinary Medicine, Thamar University, Dhamar, Yemen.
Mahmoud M AlagawanyDepartment of Poultry, Faculty of Agriculture, Zagazig University, Zagazig, 44511, Egypt.
Youssef A AttiaDepartment of Agriculture, Faculty of Environmental Sciences, King Abdulaziz University, Jeddah, 21589, Kingdom of Saudi Arabia.
Salem R AlyileiliDepartment of Integrative Agriculture, College of Food and Agriculture, United Arab Emirates University, Al-Ain, 15551, United Arab Emirates.
Shaaban S ElnesrDepartment of Poultry Production, Faculty of Agriculture, Fayoum University, Fayoum, 63514, Egypt.
Manal E ShafiDepartment of Biological Sciences, Zoology, King Abdulaziz University, Jeddah, 21589, Kingdom of Saudi Arabia.
Omar Y A Al-ShargiDepartment of Pharmacology, College of Pharmacy, Riyadh Elm University, Riyadh, Kingdom of Saudi Arabia.
Nader Al-BalagiMinistry of Health, Riyadh, Kingdom of Saudi Arabia.
Abdullah S AlwajeehAnti-DopingLab, Doha, Qatar.
Omar S A AlsalahiDepartment of Medical Laboratories, Faculty of Medicine and Health Sciences, Hodeidah University, Al Hodaidah, Yemen.
Amlan K PatraDepartment of Animal Nutrition, West Bengal University of Animal and Fishery Sciences, Belgachia, Kolkata, India.
Asmaa F KhafagaDepartment of Pathology, Faculty of Veterinary Medicine, Alexandria University, Edfina, 22758, Egypt.
Ahmed NegidaSchool of Pharmacy and Biomedical Sciences, University of Portsmouth, Portsmouth, UK.ORCID 0000-0001-5363-6369
Ahmed NoreldinHistology and Cytology Department, Faculty of Veterinary Medicine, Damanhour University, Damanhour, 22511, Egypt.
Wesam Al-AmaratDepartment of Medical Support, Al-Karak University College, Al-Balqa' Applied University, Salt, Jordan.ORCID 0000-0001-6909-455X
Amer A AlmaimanDepartment of Applied Medical Sciences, Community College of Uniazah, Qassim University, Buraydah, 51431, Kingdom of Saudi Arabia.
Khaled A El-TarabilyDepartment of Biology, College of Science, United Arab Emirates University, Al-Ain, 15551, United Arab Emirates.ORCID 0000-0002-8189-7088
Mohamed E Abd El-HackDepartment of Poultry, Faculty of Agriculture, Zagazig University, Zagazig, 44511, Egypt.ORCID 0000-0002-2831-8534
Zagazig University · EGDamanhour University · EGAl-Balqa Applied University · JOAlexandria University · EGAl-Hussein Bin Talal University · JOAnti-Doping Laboratory · QAFayoum University · EGHodeidah University · YEKing Abdulaziz University · SAMinistry of Health · SAMurdoch University · AUQassim University · SARiyadh Elm University · SAThamar University · YEUnited Arab Emirates University · AEWest Bengal University of Animal and Fishery Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In December 2019, the novel coronavirus disease pandemic (COVID-19) that began in China had infected so far more than 109,217,366 million individuals worldwide and accounted for more than 2,413,912 fatalities. With the dawn of this novel coronavirus (SARS-CoV-2), there was a requirement to select potential therapies that might effectively kill the virus, accelerate the recovery, or decrease the case fatality rate. Besides the currently available antiviral medications for human immunodeficiency virus (HIV) and hepatitis C virus (HCV), the chloroquine/hydroxychloroquine (CQ/HCQ) regimen with or without azithromycin has been repurposed in China and was recommended by the National Health Commission, China in mid-February 2020. By this time, the selection of this regimen was based on its efficacy against the previous SARS-CoV-1 virus and its potential to inhibit viral replication of the SARS-CoV-2 in vitro. There was a shortage of robust clinical proof about the effectiveness of this regimen against the novel SARS-CoV-2. Therefore, extensive research effort has been made by several researchers worldwide to investigate whether this regimen is safe and effective for the management of COVID-19. In this review, we provided a comprehensive overview of the CQ/HCQ regimen, summarizing data from in vitro studies and clinical trials for the protection against or the treatment of SARS-CoV-2. Despite the initial promising results from the in vitro studies and the widespread use of CQ/HCQ in clinical settings during the 1st wave of COVID-19, current data from well-designed randomized controlled trials showed no evidence of benefit from CQ/HCQ supplementation for the treatment or prophylaxis against SARS-CoV-2 infection. Particularly, the two largest randomized controlled trials to date (RECOVERY and WHO SOLIDARITY trials), both confirmed that CQ/HCQ regimen does not provide any clinical benefit for COVID-19 patients. Therefore, we do not recommend the use of this regimen in COVID-19 patients outside the context of clinical trials.

Indexed as

antiviral drugschloroquineCOVID-19drug safetyhydroxychloroquineSARS-CoV-2treatments

Identifiers

PMID33953559
PMCPMC8092643
OpenAlexW3157474877

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.