More deaths, no benefit from malaria drug in VA virus study

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  • More deaths, no benefit from malaria drug in VA virus study
    https://apnews.com/a5077c7227b8eb8b0dc23423c0bbe2b2

    A malaria drug widely touted by President Donald Trump for treating the new coronavirus showed no benefit in a large analysis of its use in U.S. veterans hospitals. There were more deaths among those given hydroxychloroquine versus standard care, researchers reported.

    The nationwide study was not a rigorous experiment. But with 368 patients, it’s the largest look so far of hydroxychloroquine with or without the antibiotic azithromycin for COVID-19, which has killed more than 171,000 people as of Tuesday.

    The study was posted on an online site for researchers and has been submitted to the New England Journal of Medicine, but has not been reviewed by other scientists. Grants from the National Institutes of Health and the University of Virginia paid for the work.

    Researchers analyzed medical records of 368 male veterans hospitalized with confirmed coronavirus infection at Veterans Health Administration medical centers who died or were discharged by April 11.

    About 28% who were given hydroxychloroquine plus usual care died, versus 11% of those getting routine care alone. About 22% of those getting the drug plus azithromycin died too, but the difference between that group and usual care was not considered large enough to rule out other factors that could have affected survival.

    Hydroxychloroquine made no difference in the need for a breathing machine, either.

    • The nationwide study was not a rigorous experiment. The study was posted on an online site for researchers and has not been reviewed by other scientists.

      Appliquons à ce début d’étude la même rigueur qu’on applique aux autres, histoire de pas nous taxer de deux poids deux mesures :)

      Mais ça montre au moins que

      but now I think that people have realized we don’t know if it works or not and needs more study

    • L’étude (que je viens de parcourir) porte sur des données a posteriori fournies par les établissements de soin mais même si elle n’est pas menée sur un échantillon randomisé et en double aveugle, elle est au moins 10 fois plus rigoureuse que celle de Raoult : 3 bras, sélection des patients sur des critères objectifs et échantillon conséquent (+ de 350 patients).
      Et ils sont sympas de dire que 22% de mortalité juste avec l’antibiotique contre 11% sans ce traitement n’est pas une différence assez significative pour pouvoir affirmer que ça pose problème. Cette prudence est tout à leur honneur (surtout qu’on sent bien l’énervement dans leur publi face aux discours de Trump et compagnie) mais personnellement je commence à être assez bien convaincu que la potion du Dr Raoult relève plus du poison que du traitement.