Evidence map›Paper›PMID 34334898›Full record

ArticleMedical journal, Armed Forces India2021

Open-label randomized control trial of hydroxychloroquine in patients with moderate to severe coronavirus disease 2019 infection.

Salil Gupta, Prashant Kumar Dixit, Parthasarathi Ghana, Kumar Abhisheka, Harshit Khurana, Vijoy Kumar Jha, Debasish Mahapatra, Jitesh Goel, Safia Ahmed, G Varadaraj

Open access · greenAbstract read
In one paragraph

Article in Medical journal, Armed Forces India, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Hydroxychloroquine as an Adjunct Therapy for Diabetes in Pregnancy.International journal of molecular sciences · 2024
    Review
  4. Review
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

10 authors at 2 institutions in 1 country.

Salil GuptaConsultant & Head (Medicine & Neurology), Command Hospital (Air Force), Bengaluru, India.
Prashant Kumar DixitGraded Specialist (Medicine), Command Hospital (Air Force), Bengaluru, India.
Parthasarathi GhanaCommanding Officer, Air Force Hospital, Gorakhpur, India.
Kumar AbhishekaSenior Advisor (Medicine & Endocrinology), Command Hospital (Air Force), Bengaluru, India.
Harshit KhuranaSenior Advisor (Medicine & Haematology), Command Hospital (Southern Command), Pune, India.
Vijoy Kumar JhaClassified Specialist (Medicine & Nephrology), Command Hospital (Air Force), Bengaluru, India.
Debasish MahapatraSenior Advisor (Medicine & Nephrology), 7 Air Force Hospital, Kanpur, India.
Jitesh GoelSenior Advisor (Medicine & Neurology), Command Hospital (Air Force), Bengaluru, India.
Safia AhmedClassified Specialist (Pulmonology), Command Hospital (Air Force), Bengaluru, India.
G VaradarajClassified Specialist (Medicine), Command Hospital (Air Force), Bengaluru, India.
Command Hospital Air Force · INCommand Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAt onset of coronavirus disease 2019 (COVID-19) pandemic, hydroxychloroquine (HCQ) was repurposed for treatment of patients based on reports that it had in vitro activity. The aim of this study was to find out if HCQ reduces number of days of hospitalization when given to patients with moderate to severe COVID-19 infections who require hospitalized care.

methodsThis was an open-label randomized control trial of HCQ administered 400 mg twice on day 1, then 400 mg once daily from day 2 to day 5 in patients with moderate to severe COVID-19 infection. Assessment was not blinded. Standard of care was given to both arms.Primary outcome was number of days of hospitalization till discharge or death.

resultOne hundred ten patients (55 in each arm) were included. Mean age was 58 years. Baseline characteristics were well matched. There was no difference in the primary outcome (13.67 vs 13.89; p = 0.98). Number of deaths were more in HCQ arm (RR: 1.81; 95% CI: 1.13-2.93; p = 0.03). There was no difference in number of days on oxygen or normalization of oxygen saturation, number who needed ventilator, days to ventilator requirement and days on ventilator. Twenty-nine patients in control arm received remdesivir. When adjusted analysis was done after removal of these patients, there was no difference in primary or secondary outcomes. Number of deaths in adjusted analysis were not significant (RR: 1.28; 95% CI: 0.87-1.88; p = 0.37).

conclusionHCQ does not change the number of days of hospitalization when compared with control.

Indexed as

COVID-19HospitalizationHydroxychloroquineOxygenVentilator

Identifiers

PMID34334898
PMCPMC8313076
OpenAlexW3183685773

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.