Analgesics
Antiandrogens
Antihistamines
Azvudine
Bromhexine
Budesonide
Colchicine
Conv. Plasma
Curcumin
Famotidine
Favipiravir
Fluvoxamine
Hydroxychlor..
Ivermectin
Lifestyle
Melatonin
Metformin
Minerals
Molnupiravir
Monoclonals
Naso/orophar..
Nigella Sativa
Nitazoxanide
PPIs
Paxlovid
Quercetin
Remdesivir
Thermotherapy
Vitamins
More

Other
Feedback
Home
 
next
study
previous
study
c19hcq.org COVID-19 treatment researchHCQHCQ (more..)
Melatonin Meta
Metformin Meta
Antihistamines Meta
Azvudine Meta Molnupiravir Meta
Bromhexine Meta
Budesonide Meta
Colchicine Meta Nigella Sativa Meta
Conv. Plasma Meta Nitazoxanide Meta
Curcumin Meta PPIs Meta
Famotidine Meta Paxlovid Meta
Favipiravir Meta Quercetin Meta
Fluvoxamine Meta Remdesivir Meta
Hydroxychlor.. Meta Thermotherapy Meta
Ivermectin Meta

All Studies   Meta Analysis       

Hydroxychloroquine for SARS CoV2 Prophylaxis in Healthcare Workers – A Multicentric Cohort Study Assessing Effectiveness and Safety

Badyal et al., Journal of the Association of Physicians of India, 69:6, June 2021
Jun 2021  
  Post
  Facebook
Share
  Source   PDF   All Studies   Meta AnalysisMeta
Case, ≥6 weeks 60% Improvement Relative Risk Case, 4-5 weeks 35% Case, 2-3 weeks 23% HCQ for COVID-19  Badyal et al.  Prophylaxis Is pre-exposure prophylaxis with HCQ beneficial for COVID-19? Prospective study of 2,090 patients in India (May - Sep 2020) Fewer cases with HCQ (p<0.000001) c19hcq.org Badyal et al., J. the Association of P.., Jun 2021 FavorsHCQ Favorscontrol 0 0.5 1 1.5 2+
HCQ for COVID-19
1st treatment shown to reduce risk in March 2020, now with p < 0.00000000001 from 419 studies, recognized in 46 countries.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 112 treatments. c19hcq.org
Prophylaxis study with 12,089 Indian healthcare workers, showing lower risk of COVID-19 cases with treatment, and increasingly lower risk for longer durations of HCQ prophylaxis. The appendices are not currently available.
risk of case, 60.1% lower, RR 0.40, p < 0.001, treatment 247 of 617 (40.0%), control 611 of 1,473 (41.5%), adjusted per study, odds ratio converted to relative risk, ≥6 weeks.
risk of case, 35.1% lower, RR 0.65, p = 0.003, treatment 88 of 185 (47.6%), control 611 of 1,473 (41.5%), adjusted per study, odds ratio converted to relative risk, 4-5 weeks.
risk of case, 23.2% lower, RR 0.77, p = 0.03, treatment 80 of 181 (44.2%), control 611 of 1,473 (41.5%), adjusted per study, odds ratio converted to relative risk, 2-3 weeks.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Badyal et al., 7 Jun 2021, prospective, India, peer-reviewed, 18 authors, study period May 2020 - September 2020.
This PaperHCQAll
Hydoxychloroquine for SARS CoV2 Prophylaxis in Healthcare Workers -A Multicentric Cohort Study Assessing Effectiveness and Safety
Badyal Dinesh, Chandy Sujith, Chugh Preeta Kaur, Faruqui Atiya, Gupta Yk, Hazra Avijit, Kamat Sandhya, Kamboj Vp, Kaul Rajani, Kshirsagar Nilima, Maulik Subir, Medhi Bikash, Menon Geetha, Ranjalkar Jaya, Rao Vishnu, Shetty Yashashri, Tripathi Raakhi, Xavier Denis, Nimarpreet Kaur, Hatinder Jeet, Singh Sethi, Sharad Bedi, Deepti Dwivedi
n a l a r t i c l e affordable medicines such as HCQ is therefore needed. We report here a large multicenter prospective cohort study on HCWs, comparing HCQ and no HCQ for pre-exposure prophylaxis and the impact of age, gender, comorbidities, and exposure to SARS-CoV-2 cases, on HCQ effectiveness and safety. Methods This prospective, observational, multicenter cohort study in 44 hospitals in 17 states of India included HCW's (doctors, nurses, allied staff) who were either taking or not taking prophylactic treatment for COVID-19 and were likely to be exposed to COVID 19 cases. There were no exclusion criteria. C o n s e n t i n g H C Ws , f i l l e d a n online questionnaire, sent by e-mail or free messaging application, with information and consent.
Ethical approval All the sites obtained approval from their Institutional Ethics Committees to conduct the study. In addition, a p p r o va l f r o m t h e I C M R C e n t r a l Ethics Committee on Human Research (CECHR) was obtained (NCDIR/BEU/ I C M R -C E C H R / 7 5 / 2 0 2 0 / 1 3 t h M a y 2020)]. The study was registered on CTRI site -CTRI/2020/05/025183. Data sharing No additional data is available. All the authors affirm that the manuscript is an honest, accurate, and transparent account of the study being reported; that no important aspects of the study have b een omit t ed; and t hat any discrepancies from the study as planned have been explained. Acknowledgement The authors gratefully acknowledge D r . B a l r a m B h a r g a va , S e c r e t a r y , D e p a r t m e n t o f H e a l t h R e s e a r c h , Director General, Indian Council of Medical Research, Govt of India, for his guidance and support in setting up ICMR RUMC and conducting this Author contributions
References
Abella, Jolkovsky, Biney, Prevention and Treatment of COVID-19 with Hydroxychloroquine (PATCH) Investigators. Efficacy and safety of hydroxychloroquine vs placebo for pre-exposure SARS-CoV-2 prophylaxis among health care workers: a randomized clinical trial, JAMA Intern Med, doi:10.1001/jamainternmed.2020.6319
Agarwal, Ranjan, Mittal, Baitha, Use of hydroxychloroquine for pre-exposure prophylaxis in COVID 19: debate and suggested future course, Expert Rev Anti Infect Ther, doi:10.1080/14787210.2021.1828062
Bhattacharya, Chowdhury, Mukherjee, Pre-exposure Hydroxychloroquine use is associated with reduced COVID19 risk in healthcare workers -a retrospective cohort, MedRxiv, doi:10.1101/2020.06.09.20116806
Chatterjee, Anand, Singh, Healthcare workers and SARS-CoV-2 infection in India: A case-control investigation in the time of COVID-19, Indian J Med Res
Cook, Risk to health from COVID-19 risk for anesthetists and intensivists -a narrative revies, Anaesthesia
Garcia, Revet, Yrondi, Psychiatric disorders and hydroxychloroquine for coronavirus disease 2019 (COVID-19): A VigiBase study
Jiménez-Jáimez, Macías-Ruiz, Bermúdez-Jiménez, Absence of relevant QT interval prolongation in not critically ill COVID-19 patients, Sci Rep, doi:10.1038/s41598-020-78360-9
Liu, Cao, Xu, Hydroxychloroquine, a less toxic derivative of chloroquine, is effective in inhibiting SARS-CoV-2 infection in vitro, Cell Discov
Maa, Targeting endosomal acidification by chloroquine analogs as a promising strategy for the treatment of emerging viral diseases, Pharmacol Res Perspect, doi:10.1002/prp2.293
Marty, Jones, Systematic review of registered trials of Hydroxychloroquine prophylaxis for COVID-19 health-care workers at the first third of 2020, OneHealth, doi:10.1016/j.onehlt.2020.100141
Mathai, Behera, Hande, Hydroxychloroquine as pre-exposure prophylaxis against COVID-19 in health-care workers: A single-center experience, J Mar Med Soc
Mehra, Desai, Kuy, Retraction: Cardiovascular Disease, Drug Therapy, and Mortality in Covid-19, N Engl J Med, doi:10.1056/NEJMoa2007621
Mehra, Ruschitzka, Patel, Retraction-Hydroxychloroquine or chloroquine with or without a macrolide for treatment of COVID-19: a multinational registry analysis, The Lancet, doi:10.1016/S0140-6736(20)31324-6
Thotakura, Mallayasamy, Kshirsagar, A physiologically based pharmacokinetic modeling (PBPK) approach for evaluation and suggestion for hydroxychloroquine dosage regimens for the prophylaxis of COVID-19, Submitted to Ind J Med Res
White, Watson, Hoglund, COVID-19 prevention and treatment: A critical analysis of chloroquine and hydroxychloroquine clinical pharmacology, PLoS Med, doi:10.1371/journal.pmed.1003252
Loading..
Please send us corrections, updates, or comments. c19early involves the extraction of 100,000+ datapoints from thousands of papers. Community updates help ensure high accuracy. Treatments and other interventions are complementary. All practical, effective, and safe means should be used based on risk/benefit analysis. No treatment or intervention is 100% available and effective for all current and future variants. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. FLCCC and WCH provide treatment protocols.
  or use drag and drop   
Submit