martes, 22 de diciembre de 2020

Chloroquine Phosphate is not Proved to be an Effective Treatment for Coronavirus: A Meta-analysis of Clinical Trials

Chloroquine Phosphate is not Proved to be an Effective Treatment for Coronavirus: A Meta-analysis of Clinical Trials


Mohamed Farouk Allam 

Department of Family Medicine, Faculty of Medicine, Ain Shams University. 


The Open Microbiology Journal 2020, 14: 310-311

DOI: 10.2174/1874434602014010310


Abstract:

The aim of this meta-analysis is to investigate the effectiveness of chloroquine in treating coronavirus, in general not only novel coronavirus (COVID­-19), by pooling the results of randomized controlled clinical trials (RCTs). Only 28 publications were identified; none of which was a RCT. Identified studies were published between 1987 and March 15, 2020. Of these 28 publications, 7 were published in 2020 and discussed the effectiveness of chloroquine against COVID-19. Till March 15, 2020, the final results of the clinical trials currently conducted in China were not available; only the preliminary results reported promising effectiveness of chloroquine against COVID-19. The other 21 publications not related to COVID-19 were distributed as follow; in vitro experiments (11 publications), in vivo experiments (5 publications), both in vitro and in vitro experiments (1 publication), and reviews (4 publications). Only 2 in vitro experiments were about Middle East Respiratory Syndrome coronavirus (MERS-CoV) and 5 publications (2 in vitro experiments, 2 reviews, and 1 in vivo experiment) were about Severe Acute Respiratory Syndrome coronavirus (SARS-CoV). In conclusion, this meta-analysis could not prove that chloroquine is an effective treatment against coronavirus in general or COVID-19 in particular. Expanded access trials should be encouraged especially that chloroquine is available, cheap and relatively safe drug.


Keywords: Chloroquine, coronavirus, COVID-19, Meta-analysis, Systematic Review.


The Open Microbiology Journal 2020, 14: 310-311

https://benthamopen.com/contents/pdf/TOMICROJ/TOMICROJ-14-310.pdf