Hydroxychloroquine to prevent SARS-CoV-2 infection among healthcare workers: early termination of a phase 3, randomised, open-label, controlled clinical trial.


Journal

BMC research notes
ISSN: 1756-0500
Titre abrégé: BMC Res Notes
Pays: England
ID NLM: 101462768

Informations de publication

Date de publication:
28 Feb 2023
Historique:
received: 01 07 2022
accepted: 30 01 2023
entrez: 28 2 2023
pubmed: 1 3 2023
medline: 3 3 2023
Statut: epublish

Résumé

To assess the effectiveness and safety of hydroxychloroquine (HCQ) prophylaxis for the prevention of SARS-CoV-2 infection in healthcare workers (HCW) on duty during the COVID-19 pandemic. A total of 68 HCWs met the eligibility criteria were randomly allocated to receive HCQ (n = 36) or not (n = 32). There were no significant differences between groups in respects to age, gender, or medical history. Eight participants met the primary efficacy endpoint of SAR-CoV-2 infection during the study period; there was no difference in incidence of SARS-CoV-2 infections between both study arms (HCQ: 5 vs Control: 3, p = 0.538). The relative risk of SARS-CoV-2 infection in the HCQ arm was 1.69 compared to the control group (95%CI 0.41-7.11, p = 0.463); due to poor participant accrual, the resulting statistical power of the primary efficacy outcome was 11.54%. No serious adverse events occurred; however, two (2/36, 5.6%) participants no longer wished to participate in the study and withdrew consent due to recurring grade 1 and 2 adverse events. ClinicalTrials.gov ID: NCT04414241. (Registered on June 4, 2020).

Identifiants

pubmed: 36849996
doi: 10.1186/s13104-023-06281-7
pii: 10.1186/s13104-023-06281-7
pmc: PMC9970848
doi:

Substances chimiques

Hydroxychloroquine 4QWG6N8QKH

Banques de données

ClinicalTrials.gov
['NCT04414241']

Types de publication

Randomized Controlled Trial Clinical Trial, Phase III Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

22

Informations de copyright

© 2023. The Author(s).

Références

JAMA. 2020 Dec 1;324(21):2161-2162
pubmed: 33165507
Int J Infect Dis. 2023 Jan 20;129:40-48
pubmed: 36682681
JAMA Cardiol. 2020 Sep 01;5(9):1036-1041
pubmed: 32936252
JAMA Netw Open. 2021 Mar 1;4(3):e210330
pubmed: 33646310
N Engl J Med. 2020 Aug 6;383(6):517-525
pubmed: 32492293
Lancet Reg Health Am. 2022 Jul;11:100268
pubmed: 35531052
Am J Trop Med Hyg. 2021 Feb 16;104(4):1176-1178
pubmed: 33591940
Heart Rhythm. 2020 Nov;17(11):1930-1935
pubmed: 32610165
Lancet Rheumatol. 2021 Jan;3(1):e2-e3
pubmed: 33521667
Int J Antimicrob Agents. 2020 Jul;56(1):105949
pubmed: 32205204
Ann Intern Med. 2020 Aug 18;173(4):287-296
pubmed: 32459529
Eur Respir J. 2022 Jan 6;59(1):
pubmed: 34326192
Enferm Infecc Microbiol Clin (Engl Ed). 2022 Jun-Jul;40(6):289-295
pubmed: 35680347
Lancet Respir Med. 2022 Jul;10(7):700-714
pubmed: 35709825
J Public Health Policy. 2021 Mar;42(1):182-184
pubmed: 33028932
Clin Infect Dis. 2021 Jun 1;72(11):e835-e843
pubmed: 33068425
Can J Cardiol. 2021 Sep;37(9):1353-1364
pubmed: 34077789

Auteurs

Alejandro Llanos-Cuentas (A)

Instituto de Medicina Tropical Alexander Von Humboldt, Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, San Martín de Porres, 15102, Lima, Peru. alejandro.llanos.c@upch.pe.

Alvaro Schwalb (A)

Instituto de Medicina Tropical Alexander Von Humboldt, Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, San Martín de Porres, 15102, Lima, Peru.

Juan Luis Quintana (JL)

School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.

Brian Delfin (B)

Department of Infectious Diseases, Hospital Cayetano Heredia, Lima, Peru.

Fiorela Alvarez (F)

Instituto de Medicina Tropical Alexander Von Humboldt, Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, San Martín de Porres, 15102, Lima, Peru.

César Ugarte-Gil (C)

Instituto de Medicina Tropical Alexander Von Humboldt, Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, San Martín de Porres, 15102, Lima, Peru.
School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.

Rosio I Guerra Gronerth (RI)

Centro Médico Naval Cirujano Mayor Santiago Tavara, Callao, Peru.
School of Medicine, Universidad Científica del Sur, Lima, Peru.

Aldo Lucchetti (A)

School of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, Peru.
Department of Infectious Diseases, Hospital Nacional Arzobispo Loayza, Lima, Peru.

Max Grogl (M)

U.S. Naval Medical Research Unit No. 6, Lima, Peru.

Eduardo Gotuzzo (E)

Instituto de Medicina Tropical Alexander Von Humboldt, Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, San Martín de Porres, 15102, Lima, Peru.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH