Clearing the Fog: Is Hydroxychloroquine Effective in Reducing Coronavirus Disease-2019 Progression? A Randomized Controlled Trial.

covid-19 disease progression hcq mild infection rct viral clearance

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
30 Mar 2021
Historique:
entrez: 3 5 2021
pubmed: 4 5 2021
medline: 4 5 2021
Statut: epublish

Résumé

Background Hydroxychloroquine (HCQ) has been considered for the treatment of coronavirus disease 2019 (COVID-19), but data on its efficacy are conflicting. We analyzed the efficacy of HCQ along with standard of care (SOC) treatment, compared with SOC alone, in reducing disease progression in mild COVID-19. Methods A single-center open-label randomized controlled trial was conducted from April 10 to May 31, 2020 at Pak Emirates Military Hospital, Rawalpindi. Five hundred patients of both genders between the ages of 18 and 80 years with mild COVID-19 were enrolled in the study. A total of 349 patients were assigned to the intervention group (standard dose of HCQ plus SOC) and 151 patients were assigned to SOC only. The primary outcome was progression of disease while secondary outcome was polymerase chain reaction (PCR) negativity on days 7 and 14. The results were analyzed on Statistical Package for Social Sciences (SPSS; IBM Corp., Armonk, NY) version 23. A p-value <0.05 was considered significant.  Results The median age of the intervention group was 34 ± 11.778 years and control group was 34 ± 9.813 years. Disease progressed in 16 patients, 11 (3.15%) of which were in the intervention group and 5 (3.3%) in the control group (p-value = 0.940). PCR negative cases in intervention and control groups on day 7 were 182 (52.1%) and 54 (35.8%), respectively (p-value = 0.001); and on day 14 were 244 (69.9%) and 110 (72.9%), respectively (p-value = 0.508). Consecutive PCR negativity on days 7 and 14 was observed in 240 (68.8%) patients in the intervention group compared to 106 (70.2%) in the control group (p-value = 0.321). Conclusion The addition of HCQ to SOC in hospitalized mild COVID-19 patients neither stops disease progression nor helps in early and sustained viral clearance.

Identifiants

pubmed: 33936897
doi: 10.7759/cureus.14186
pmc: PMC8083993
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e14186

Informations de copyright

Copyright © 2021, Kamran et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Sultan M Kamran (SM)

Pulmonology and Critical Care, Pak Emirates Military Hospital, Rawalpindi, PAK.

Hussain Abdul Moeed (HA)

Pulmonology, Pak Emirates Military Hospital, Rawalpindi, PAK.

Zill-E-Humayun Mirza (ZE)

Pulmonology, Pak Emirates Military Hospital, Rawalpindi, PAK.

Arshad Naseem (A)

Pulmonology and Critical Care, Pak Emirates Military Hospital, Rawalpindi, PAK.

Rizwan Azam (R)

Pulmonology, Pak Emirates Military Hospital, Rawalpindi, PAK.

Naqeeb Ullah (N)

Pulmonology, Pak Emirates Military Hospital, Rawalpindi, PAK.

Farrukh Saeed (F)

Gastroenterology, Pak Emirates Military Hospital, Rawalpindi, PAK.

Wasim Alamgir (W)

Critical Care, Pak Emirates Military Hospital, Rawalpindi, PAK.

Salman Saleem (S)

Infectious Disease, Pak Emirates Military Hospital, Rawalpindi, PAK.

Shazia Nisar (S)

Internal Medicine, Army Medical College, Rawalpindi, PAK.
Internal Medicine, Pak Emirates Military Hospital, Rawalpindi, PAK.

Classifications MeSH