A major British clinical trial has found hydroxychloroquine has “no benefit” for patients hospitalized with COVID-19, scientists said Friday, in the first large-scale study to provide results for a drug at the centre of political and scientific controversy.
Hydroxychloroquine, a decades-old malaria and rheumatoid arthritis drug, has been touted as a possible treatment for the new coronavirus by high profile figures, including US President Donald Trump, and has been included in several randomized clinical trials.
The University of Oxford’s Recovery trial, the biggest of these so far to come forward with findings, said that it would now stop recruiting patients to be given hydroxychloroquine “with immediate effect”.
“Our conclusion is that this treatment does not reduce the risk of dying from COVID among hospital patients and that clearly has a significant importance for the way patients are treated, not only in the UK, but all around the world,” said Martin Landray, an Oxford professor of medicine and epidemiology who co-leads the study.
The randomized clinical trial — considered the gold standard for clinical investigation — has recruited a total of 11,000 patients from 175 hospitals in the UK to test a range of potential treatments.
Other drugs continuing to be tested include: the combination of HIV antivirals Lopinavir and Ritonavir; a low dose of the steroid Dexamethasone, typically used to reduce inflammation; antibiotic Azithromycin; and the anti inflammatory drug Tocilizumab.
Researchers are also testing convalescent plasma from the blood of people who have recovered from COVID-19, which contains antibodies to fight the virus.
Researchers said 1,542 patients were randomly assigned to hydroxychloroquine and compared with 3,132 patients given standard hospital care alone.
They found “no significant difference” in mortality after 28 days between the two groups, and no evidence that treatment with the drug shortens the amount of time spent in hospital.
“This is a really important result, at last providing unequivocal evidence that hydroxychloroquine is of no value in treatment of patients hospitalized with COVID-19,” said Peter Openshaw, a professor at Imperial College London, in reaction to the results.
He added that the drug was “quite toxic” so halting the trials would be of benefit to patients.
Hydroxychloroquine has been in use for years but it has a number of potentially serious side effects, including heart arrhythmia.
– ‘It doesn’t work’ –
Researchers from the Recovery trial said they would share their data with the World Health Organization (WHO), which on Wednesday restarted its own trials of hydroxychloroquine.
They were temporarily halted last month because of a now-retracted observational study in The Lancet medical journal that had suggested hydroxychloroquine and chloroquine, a related compound, were ineffective against COVID-19 and even increased the risk of death.
Authors of the Lancet research said on Thursday that they could no longer vouch for the integrity of its underlying data, in the face of serious concerns raised by fellow scientists over a lack of clarity about the countries and hospitals that contributed patient information.
The scandal cast a shadow over The Lancet and another top medical journal, but it did nothing to clear up the increasingly politicized question of whether or not hydroxychloroquine works as a treatment for COVID-19.
Openshaw said the Recovery trial should be credited with continuing the research until they could reach a definitive conclusion on hydroxychloroquine.
“Everyone regrets that it doesn’t work, but knowing that allows us to focus on finding drugs that actually help recovery from COVID-19,” he added.
Oxford professor Peter Horby, the lead investigator on the Recovery Trial, said there was probably a “very large number” of people around the world taking hydroxychloroquine for COVID-19, with countries including the US, China and Brazil authorizing it.
A separate clinical trial on Wednesday in the US and Canada found that taking hydroxychloroquine shortly after being exposed to COVID-19 does not work to prevent infection significantly better than a placebo.
© 2020 AFP
American Airlines ordered passengers to stop social distancing — because they hadn’t paid for exit seats
On Wednesday, The New York Times reported that the flight crew on an American Airlines trip ordered two passengers to stop social distancing and move back to their seats.
The reason? The empty row they moved into cost slightly more.
"On a June 30 flight on American Airlines from Dallas to Newark, Joy Gonzalez, an aviation engineer based in Seattle, found herself seated at a window with two older passengers beside her in the middle and aisle seats," reported Elaine Glusac. "In order to gain more social distance, she and the aisle passenger both moved to seats behind them where two rows were empty. But before takeoff, a flight attendant ordered them back to their assigned seats, telling them they had not paid for those exit row seats, which are more expensive."
Trump’s rally ‘likely’ increased COVID-19: health official
At Wednesday's White House briefing, Press Secretary Kayleigh McEnany was confronted with the fact that President Donald Trump's rally in Tulsa, Oklahoma led to an outbreak of COVID-19 cases. Her reply was to plead ignorance: "I have no data to indicate that."
However, according to a health official in Tulsa, the pattern of cases indicates it is "likely" that it did just that.
"President Donald Trump’s campaign rally in Tulsa in late June that drew thousands of participants and large protests 'likely contributed' to a dramatic surge in new coronavirus cases, Tulsa City-County Health Department Director Dr. Bruce Dart said Wednesday," reported Sean Murphy for the Associated Press. "Tulsa County reported 261 confirmed new cases on Monday, a one-day record high, and another 206 cases on Tuesday. By comparison, during the week before the June 20 Trump rally, there were 76 cases on Monday and 96 on Tuesday."
New Hampshire Republican officials aren’t interested in attending Trump’s upcoming rally
President Donald Trump held a campaign rally in Tulsa, Oklahoma, that was supposed to be massive, but one of the main problems that came up for the team is that thousands and thousands of people signed up for tickets, who never attended. This time, they think they've figured it out, said the New York Times.
"Campaign officials believe they will be able to prevent the kind of ticket prank that helped turn Mr. Trump's rally last month," the report said, noting that the crowd was a "far smaller event than expected — but they still can't say for sure."
"Registering for a rally means you've RSVPed with a cellphone number, and we constantly weed out bogus numbers," campaign spokesman, Tim Murtaugh said. "These phony ticket requests never factor into our thinking. What makes this lame attempt at hacking our events even more foolish is the fact that every rally is general admission — entry is on a first-come-first-served basis, and prior registration is not required."