1/ There is a claim that Hydroxychloroquine has not being tested in clinical trials for either prophylaxis or mild COVID.
A thread:
Mild-to-moderate
https://www.nejm.org/doi/full/10.1056/NEJMoa2019014
A thread:
Mild-to-moderate
https://www.nejm.org/doi/full/10.1056/NEJMoa2019014
3/ Prophylaxis for high-risk or moderate-risk exposure.
https://www.nejm.org/doi/full/10.1056/NEJMoa2016638
https://www.nejm.org/doi/full/10.1056/NEJMoa2016638
4/ Yet to be published (PEP = post exposure prophylaxis)
https://clinicaltrials.gov/ct2/show/NCT04304053
https://clinicaltrials.gov/ct2/show/NCT04304053
5) What about PrEP (pre-exposure prophylaxis)?
Ongoing study recruiting 40,000 participants
https://clinicaltrials.gov/ct2/show/NCT04303507
Ongoing study recruiting 40,000 participants
https://clinicaltrials.gov/ct2/show/NCT04303507
7/ And while the May 2020 meta analysis said "Evidence on the benefits and harms of using hydroxychloroquine or chloroquine to treat COVID-19 is very weak and conflicting."
https://www.acpjournals.org/doi/10.7326/M20-2496
It is absolutely untrue (even in May) to say that there are no studies.
https://www.acpjournals.org/doi/10.7326/M20-2496
It is absolutely untrue (even in May) to say that there are no studies.
8/ Studies in PEP, PrEP and mild disease are important because, let's face it, if you can avoid a disease or catch it early, why not? After all, lots of successful examples: antiretrovirals for HIV; malaria prophylaxis.
9/ But with more and more evidence, unfortunately, hydroxychloroquine does not appear to be useful and increasingly appears harmful. End/