Studies of Hydroxychloroquin Efficacy for Treating Covid-19

Below are multiple scientific studies found in medical journals that showed positive results from treating patients with HCQ:

U.S. https://www.medrxiv.org/content/10.1101/2021.05.28.21258012v1

This U.S. observational study preprint published May 28,2021 reevaluated 255 mechanically ventilated patients early on in the pandemic when hydroxychloroquine was still allowed. The survival rate of those on hydroxychloroquin increased to between 200% to 300% over the control group.

Spain: https://www.medrxiv.org/content/10.1101/2020.07.17.20155960v1

In a large Spanish study involving thousands of patients admitted with COVID-19, hydroxychloroquine and prednisone administration was found to be associated with improved outcomes. Other treatments were associated with no effect or worse outcomes. 

Italy: https://www.ejinme.com/article/S0953-6205(20)30335-6/fulltext

Italian study involving 3,451 participants that showed hydroxychoroquine use was associated with a 30% lower risk of death in COVID-19 hospitalized patients.

France: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315163/ 

French study found that early diagnosis, early isolation and early treatment of COVID-19 patients, with at least 3 days of HCQ-AZ lead to a significantly better clinical outcome and a faster viral load reduction than other treatments.

South Korea: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162746/

After a large COVID-19 exposure event in an LTCH (Long Term Health Care) in Korea, PEP (post-exposure prophylaxis ) using hydroxychloroquine (HCQ) was administered to 211 individuals, including 189 patients and 22 careworkers, whose baseline polymerase chain reaction (PCR) tests for COVID-19 were negative. PEP was completed in 184 (97.4%) patients and 21 (95.5%) careworkers without serious adverse events. At the end of 14 days of quarantine, all follow-up PCR tests were negative.

China: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7135139/

Study showed that chloroquine could reduce the length of hospital stay and improve the evolution of COVID-19 pneumonia, leading to recommend the administration of 500 mg of chloroquine twice a day in patients with mild, moderate and severe forms of COVID-19 pneumonia. Researchers said “the activity of hydroxychloroquine on viruses is probably the same as that of chloroquine since the mechanism of action of these two molecules is identical, and we are used to prescribe for long periods hydroxychloroquine, which would be therefore our first choice in the treatment of SARS-CoV-2.

India:  https://pubmed.ncbi.nlm.nih.gov/32205204/

Researchers found that hydroxychlroquine decreases the duration of viral shedding. In their study, they said We believe that the hydroxychloroquine prophylaxis in selected groups of high-risk contacts is a prudent approach considering the risk–benefit analysis”

While there may be other drugs better suited to treat COVID-19, these studies referenced above were not made known to the general public by most media outlets as hydroxychloroquine became highly politicized in 2020.

Studies that say hydroxychloroquine is not effective in treating COVID-19:

There are also studies that found HCQ did not work in treating COVID-19; however, as shown in the links below these studies were done on patients who were severely ill. HCQ appears to work best on patients in early stages of disease or as preventative to disease after exposure.

https://www.nih.gov/news-events/news-releases/hydroxychloroquine-does-not-benefit-adults-hospitalized-covid-19

https://www.acpjournals.org/doi/10.7326/M20-4207

https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa1009/5872589

The largest study that said Hydroxychloroquine was ineffective (which ended up being retracted) was the study published in the Lancet that involved over 96,000 participants from around the world. This was also the most controversial study on hydroxychloroquine and COVID-19 in the world. Questions about the research methodology surfaced right after the study was published. The Lancet launched a third-party peer review. The company that ran the study, Surgisphere Corporation, would not provide full access to the information for a third-party peer review so the Lancet ended up retracting the study.

Before it was retracted however, it had already resulted in almost all hydroxychloroquine studies being stopped. Just days after being published in the Lancet, the World Health Organization (WHO) and the UK Medicines and Healthcare products Regulatory Agency (MHRA) instructed organizers of clinical trials of hydroxychloroquine as a COVID-19 treatment or prophylaxis to suspend recruitment. The French government reversed an earlier ruling which had allowed hydroxychloroquine to be prescribed to patients hospitalized with the virus.

You can read more about the Surgisphere study “scandal” here: https://www.the-scientist.com/features/the-surgisphere-scandal-what-went-wrong–67955.

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