Hydroxychloroquine...........

336,484 Views | 1854 Replies | Last: 11 mo ago by Jabin
culdeus
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AG
Not sure if has been posted or referenced elsewhere. https://www.medrxiv.org/content/10.1101/2020.04.10.20060699v1.full.pdf

French team fails to find support for hcq treatment.

Marcus Aurelius
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AG
For hypoxic pts further into course. Once again - not a large DBRPCT. So have to take the negative trials with a somewhat grain of salt like the pos ones.
Beat40
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Moxley said:

A large clinical trial is kicking off studying the efficacy of hydroxychloroquine for prophylaxis. They are looking for 15,000 healthcare workers across the country. They have also developed a registry for healthcare workers as they are going to be doing continuous research.

https://today.duke.edu/2020/04/health-care-workers-encouraged-join-covid-19-clinical-trial-registry

I'm glad to hear we're starting large studies on treatments in earlier stages of the disease.
jagvocate
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AG
Extra hot, extra wet, local anecodtes:

https://www.khou.com/article/news/health/coronavirus/texas-elderly-hydroxychloroquine-coronavirus-treatment-texas-city/285-7383185c-940c-4cb2-82ea-c4a5ffad3ffb?fbclid=IwAR37MnrFxdkgBijAYL8FLAGoPNo6XraPLu7Pv_8qmwwUW-NW_fc2O_5_IwE



AggieFrog
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Quote:

Hydroxychloroquine and Other Autoimmune Drugs Don't Fully Protect Against Coronavirus, Early Data Suggest

Data compiled by rheumatology researchers show dozens of patients who were taking Plaquenil and other drugs became infected

Dozens of people taking hydroxychloroquine and other treatments for chronic rheumatologic diseases have become infected with Covid-19, according to an analysis of emerging data that is a sign the drugs may not protect people from the new coronavirus.

More than five dozen people with chronic ailments like lupus and rheumatoid arthritis were taking medications such as hydroxychloroquine before being diagnosed with the coronavirus, according to data compiled by the Global Rheumatology Alliance, a coalition of rheumatologists, researchers and patients, and published in a medical journal Thursday.

Meanwhile, about 190 patients with the chronic diseases who were taking hydroxychloroquine reported in surveys to the alliance that they contracted Covid-19. Doctors also say they have treated individuals with coronavirus who were lupus patients taking hydroxychloroquine.

Researchers say the published data and surveys may be small but already show that hydroxychloroquine doesn't fully protect people from contracting the new virus.

https://www.wsj.com/articles/hydroxychloroquine-and-other-autoimmune-drugs-dont-fully-protect-against-coronavirus-early-data-suggest-11587222001
DadHammer
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AG
I really don't think any treatment is ever going to be 100%.

Anything above zero is worth trying if you're the one sick though. Personal preference. Try it if you want don't if you don't.
Zobel
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AG
Anything above zero has to be weighed by side effects. If you get one life saved and one life lost out of millions and millions, was that worth it? This is why you do studies.
DadHammer
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AG
The side effects are already proved to be super small on short term doses.
Zobel
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Agreed. But super small matters when you're talking about potentially prescribing it to millions of people, and needs to be weighed against benefit. If benefit is also super small, it may not be worth it.
DadHammer
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AG
Individual preference. Take or don't. Up to you. Me, I'm taking it.
FTAG 2000
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AG
AggieFrog said:

Quote:

Hydroxychloroquine and Other Autoimmune Drugs Don't Fully Protect Against Coronavirus, Early Data Suggest

Data compiled by rheumatology researchers show dozens of patients who were taking Plaquenil and other drugs became infected

Dozens of people taking hydroxychloroquine and other treatments for chronic rheumatologic diseases have become infected with Covid-19, according to an analysis of emerging data that is a sign the drugs may not protect people from the new coronavirus.

More than five dozen people with chronic ailments like lupus and rheumatoid arthritis were taking medications such as hydroxychloroquine before being diagnosed with the coronavirus, according to data compiled by the Global Rheumatology Alliance, a coalition of rheumatologists, researchers and patients, and published in a medical journal Thursday.

Meanwhile, about 190 patients with the chronic diseases who were taking hydroxychloroquine reported in surveys to the alliance that they contracted Covid-19. Doctors also say they have treated individuals with coronavirus who were lupus patients taking hydroxychloroquine.

Researchers say the published data and surveys may be small but already show that hydroxychloroquine doesn't fully protect people from contracting the new virus.

https://www.wsj.com/articles/hydroxychloroquine-and-other-autoimmune-drugs-dont-fully-protect-against-coronavirus-early-data-suggest-11587222001


So people with preexisting conditions are getting it?
PJYoung
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AG
Player To Be Named Later
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AG
The big question is, were these patients given the drugs early in the disease process or after it had progressed to being serious?
DadHammer
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AG
Don't believe that.
Bondag
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AG
Or were they on ventilators which we now believe could actually make things worse?
OldArmy71
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AG
The study says they were NOT on ventilators initially. Going on ventilator was an endpoint of the study (along with death).
Barnyard96
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AG
Taking HCQ and survive = Anecdotal

Taking HCQ and die = HCQ cause of death.

Player To Be Named Later
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AG
This also seems counter-intuitive to what we've heard to date about the possible risks of HCQ. I've thought all along, possibly mistakenly, that QT problems with HCQ were generally aggravated with the addition of Azithro and usually less so when taken alone. Now we see HCQ being more dangerous when used alone than when Azithro is added? I thought that's why some physicians were using Doxycycline instead of Azithro with HCQ.
jwj
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Bondag said:

Or were they on ventilators which we now believe could actually make things worse?
Zobel
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AG
It's not saying that HC or HC+AZ contributed to death. It's just saying they found a statistical correlation between HC only and death, but really no other statistical correlctions between HC, HC+AZ for death or ventilation or death after going on a ventilator.

But it is a non-randomized, retrospective analysis. So, not as iron-clad as a trial done in one hospital, with a single control.

This is absence of evidence that HC or HC+AZ helps, not necessarily evidence it hurts - if that makes sense.
Player To Be Named Later
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k2aggie07 said:

It's not saying that HC or HC+AZ contributed to death. It's just saying they found a statistical correlation between HC only and death, but really no other statistical correlctions between HC, HC+AZ for death or ventilation or death after going on a ventilator.

But it is a non-randomized, retrospective analysis. So, not as iron-clad as a trial done in one hospital, with a single control.

This is absence of evidence that HC or HC+AZ helps, not necessarily evidence it hurts - if that makes sense.
I'm an ag major....... so barely.
Dr. Not Yet Dr. Ag
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Our ID docs have stopped using it as of this week based on recent negative studies. At this point there is not a very compelling reason to use this drug outside of ongoing clinical trials.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
2PacShakur
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AG
k2aggie07 said:

This is absence of evidence that HC or HC+AZ helps, not necessarily evidence it hurts - if that makes sense.
Half true. Since the comparative group is "none" (I assume none means no intervention and only standard of care), if the intervention resulted in better outcomes, then your hazard ratio (and 95% confidence intervals if statistically significant) would be less than 1 meaning the intervention resulted in less "hazard" than the comparative group (or standard of care in this case).
Zobel
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AG
None means no HC, which is part of the difficult. I don't know if it means uniform standard of care. But in this case the only p<.05 they found was HC alone had higher risk of death for all causes.
NawlinsAg01
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AG
I agreed with your assessment. A few additional comments:
- retrospective study based on actual treatment of patients. You have to consider if the reason for the treatment differences (HC / HC+ AZ vs no HC) was driven strictly by institutional policy (some docs are using HC and others just aren't with all of their patients) OR if patients who presented in a "worse" condition were treated with HC making them a sicker population at baseline
- related to the first point, there was significant difference in some baseline characteristics which may explain the difference in outcomes

All in all, this adds to the body of evidence that HCQ with or without AZ is not as effective as some may have hoped.
Infection_Ag11
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barnyard1996 said:

Taking HCQ and survive = Anecdotal

Taking HCQ and die = HCQ cause of death.




That's not what it's saying. At all.
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Infection_Ag11
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AG
k2aggie07 said:

It's not saying that HC or HC+AZ contributed to death. It's just saying they found a statistical correlation between HC only and death, but really no other statistical correlctions between HC, HC+AZ for death or ventilation or death after going on a ventilator.

But it is a non-randomized, retrospective analysis. So, not as iron-clad as a trial done in one hospital, with a single control.

This is absence of evidence that HC or HC+AZ helps, not necessarily evidence it hurts - if that makes sense.


This is accurate
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Infection_Ag11
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DadHammer said:

Don't believe that.


The thing about scientific realities are that they don't care what any of us believe. Our actions, feelings and disappointments have no impact on what is true.

If HCQ is effective that will eventually be revealed via the scientific method, and if not it won't be. As of right now the mounting body of evidence is not encouraging however.
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DTP02
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AG
We really need this one to work out, so that study, while not nearly conclusive because of the retrospective nature, is certainly not encouraging. The cheapness. availability, and proven history of low side-effects make hydroxychloroquine pretty much the perfect pharmacological solution... if it actually works.
Barnyard96
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AG
Infection_Ag11 said:

barnyard1996 said:

Taking HCQ and survive = Anecdotal

Taking HCQ and die = HCQ cause of death.




That's not what it's saying. At all.
Thanks. Dr FIngle Dingles comments come of as otherwise.
Snap E Tom
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Player To Be Named Later said:

The big question is, were these patients given the drugs early in the disease process or after it had progressed to being serious?
Like a lot of these studies, far along enough to be hospitalized which is pretty serious. The University of Minnesota prophylaxis study in progress should be very telling. If it shows no effect, I'll be ready to throw in the towel on HCQ.
DadHammer
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AG
barnyard1996 said:

Taking HCQ and survive = Anecdotal

Taking HCQ and die = HCQ cause of death.



So true
fig96
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AG
Wanting it to work doesn't change what the data is saying.

Anecdotal evidence seemed initially positive, more clinical evidence is not looking as positive. That isn't something to believe or not believe.
HouAggie2007
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Unless you are dadhammer
culdeus
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AG
Seems a lost cause here. And is causing patients that need it for other diseases stress
 
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