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10.1093/cid/ciaa1009

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32674126!7454406!32674126
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suck abstract from ncbi


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pmid32674126      Clin+Infect+Dis 2021 ; 73 (11): e4073-e4081
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  • Hydroxychloroquine for Early Treatment of Adults With Mild Coronavirus Disease 2019: A Randomized, Controlled Trial #MMPMID32674126
  • Mitja O; Corbacho-Monne M; Ubals M; Tebe C; Penafiel J; Tobias A; Ballana E; Alemany A; Riera-Marti N; Perez CA; Suner C; Laporte P; Admella P; Mitja J; Clua M; Bertran L; Sarquella M; Gavilan S; Ara J; Argimon JM; Casabona J; Cuatrecasas G; Canadas P; Elizalde-Torrent A; Fabregat R; Farre M; Forcada A; Flores-Mateo G; Muntada E; Nadal N; Narejos S; Nieto A; Prat N; Puig J; Quinones C; Reyes-Urena J; Ramirez-Viaplana F; Ruiz L; Riveira-Munoz E; Sierra A; Velasco C; Vivanco-Hidalgo RM; Sentis A; G-Beiras C; Clotet B; Vall-Mayans M
  • Clin Infect Dis 2021[Dec]; 73 (11): e4073-e4081 PMID32674126show ga
  • BACKGROUND: No effective treatments for coronavirus disease 2019 (COVID-19) exist. We aimed to determine whether early treatment with hydroxychloroquine (HCQ) would be efficacious for outpatients with COVID-19. METHODS: Multicenter open-label, randomized, controlled trial conducted in Catalonia, Spain, between 17 March and 26 May 2020. Patients recently diagnosed with <5-day of symptom onset were assigned to receive HCQ (800 mg on day 1 followed by 400 mg once daily for 6 days) or usual care. Outcomes were reduction of viral load in nasopharyngeal swabs up to 7 days after treatment start, disease progression up to 28 days, and time to complete resolution of symptoms. Adverse events were assessed up to 28 days. RESULTS: A total of 293 patients were eligible for intention-to-treat analysis: 157 in the control arm and 136 in the intervention arm. The mean age was 41.6 years (SD, 12.6), mean viral load at baseline was 7.90 log10 copies/mL (SD, 1.82), and median time from symptom onset to randomization was 3 days. No differences were found in the mean reduction of viral load at day 3 (-1.41 vs -1.41 log10 copies/mL in the control and intervention arm, respectively) or at day 7 (-3.37 vs -3.44). Treatment did not reduce risk of hospitalization (7.1% control vs 5.9% intervention) nor shorten the time to complete resolution of symptoms (12 days, control vs 10 days, intervention). No relevant adverse events were reported. CONCLUSIONS: In patients with mild COVID-19, no benefit was observed with HCQ beyond the usual care.
  • |*COVID-19 Drug Treatment[MESH]
  • |*Hydroxychloroquine/therapeutic use[MESH]
  • |Adult[MESH]
  • |Humans[MESH]
  • |SARS-CoV-2[MESH]


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