There’s a paper out in Lancet today that will probably kill the whole idea of HCQ or chloroquine utility in COVID. It’s observational, but do suggestive of harm that it needs to be taken seriously.
90,000+ COVID patients in hundreds of hospitals worldwide with 15000 getting HCQ or chloroquine.
Results show a substantial INCREASE in mortality, and a quadrupling of ventricular arrhythmias.
This may lead to clinical trials being stopped. It’s also going to be unethical to give this in an outpatient setting with toxicity like that.
Good write up here.
Hydroxychloroquine: Enough Already? | In the Pipeline
I saw this earlier this morning, and must admit it is damning. I hope Trump knows what the hell he's doing when he plays doctor, because the numbers here point otherwise. He's very possibly endangering lives and giving false hope.
But I must play Devil's Advocate here, below:
While this is billed as a "study", let's not conflate it with a "trial", "test", or "experiment". Rather, it is external data analysis of raw data from a plethora of disparate & varied uncontrolled sources.
Which bring me to something that jumped-out at me:
That leaves 81,144 patients as a control group getting other standard of care.
??
How can there be a "control group", when doing simple external data analysis of disparate uncontrolled sources? I think "control group" is a misnomer, and can be deceiving. There is no "control" here.
In addition, what were the statistical factors where Hydroxy was administered in relation to it not being administered? Could the Hydroxy have been administered more often to those patients that were deemed to be in more morbid conditions? As a "last resort"? A, "What have we got to lose?", scenario? Possibly. We don't know. There were no uniform controlled parameters determining the distribution of the patients into the various therapeutic measures.
So, what are we to make of all this? Based upon the data analysis presented, obviously the use of Hydroxy would seem to not be indicated at this time based upon
this analysis alone. Its safety & efficacy can only be determined by legit
controlled trials.
So - we seem to be back where we started from, with no real scientific evidence to base our decisions upon, having a plethora of disparate relatively small clinical treatment studies that often lack adequate controls, that seem to be displaying a wide range of safety & efficacy that is not cohesive among the entire group.