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Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial.

Identifieur interne : 000061 ( PubMed/Corpus ); précédent : 000060; suivant : 000062

Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial.

Auteurs : Philippe Gautret ; Jean-Christophe Lagier ; Philippe Parola ; Van Thuan Hoang ; Line Meddeb ; Morgane Mailhe ; Barbara Doudier ; Johan Courjon ; Valérie Giordanengo ; Vera Esteves Vieira ; Hervé Tissot Dupont ; Stéphane Honoré ; Philippe Colson ; Eric Chabrière ; Bernard La Scola ; Jean-Marc Rolain ; Philippe Brouqui ; Didier Raoult

Source :

RBID : pubmed:32205204

Abstract

Chloroquine and hydroxychloroquine have been found to be efficient on SARS-CoV-2, and reported to be efficient in Chinese COV-19 patients. We evaluate the role of hydroxychloroquine on respiratory viral loads.

DOI: 10.1016/j.ijantimicag.2020.105949
PubMed: 32205204

Links to Exploration step

pubmed:32205204

Le document en format XML

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<name sortKey="Doudier, Barbara" sort="Doudier, Barbara" uniqKey="Doudier B" first="Barbara" last="Doudier">Barbara Doudier</name>
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<name sortKey="Courjon, Johan" sort="Courjon, Johan" uniqKey="Courjon J" first="Johan" last="Courjon">Johan Courjon</name>
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<nlm:affiliation>Infectiologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice, Nice, France; Université Côte d'Azur, Nice, France; U1065, Centre Méditerranéen de Médecine Moléculaire, C3M, Virulence Microbienne et Signalisation Inflammatoire, INSERM, Nice, France.</nlm:affiliation>
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<name sortKey="Giordanengo, Valerie" sort="Giordanengo, Valerie" uniqKey="Giordanengo V" first="Valérie" last="Giordanengo">Valérie Giordanengo</name>
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<nlm:affiliation>Department of Virology, Biological and Pathological Center, Centre Hospitalier Universitaire de Nice, 06200 Nice, France.</nlm:affiliation>
</affiliation>
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<name sortKey="Vieira, Vera Esteves" sort="Vieira, Vera Esteves" uniqKey="Vieira V" first="Vera Esteves" last="Vieira">Vera Esteves Vieira</name>
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<nlm:affiliation>IHU-Méditerranée Infection, Marseille, France.</nlm:affiliation>
</affiliation>
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<name sortKey="Dupont, Herve Tissot" sort="Dupont, Herve Tissot" uniqKey="Dupont H" first="Hervé Tissot" last="Dupont">Hervé Tissot Dupont</name>
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<nlm:affiliation>IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ, IRD, APHM, MEPHI, Marseille, France.</nlm:affiliation>
</affiliation>
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<name sortKey="Honore, Stephane" sort="Honore, Stephane" uniqKey="Honore S" first="Stéphane" last="Honoré">Stéphane Honoré</name>
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<nlm:affiliation>Service Pharmacie, Hôpital Timone, AP-HM, Marseille, France; Laboratoire de Pharmacie Clinique, Aix Marseille Université, Marseille, France.</nlm:affiliation>
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<name sortKey="Colson, Philippe" sort="Colson, Philippe" uniqKey="Colson P" first="Philippe" last="Colson">Philippe Colson</name>
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<nlm:affiliation>IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ, IRD, APHM, MEPHI, Marseille, France.</nlm:affiliation>
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<name sortKey="Chabriere, Eric" sort="Chabriere, Eric" uniqKey="Chabriere E" first="Eric" last="Chabrière">Eric Chabrière</name>
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<nlm:affiliation>IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ, IRD, APHM, MEPHI, Marseille, France.</nlm:affiliation>
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<name sortKey="La Scola, Bernard" sort="La Scola, Bernard" uniqKey="La Scola B" first="Bernard" last="La Scola">Bernard La Scola</name>
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<nlm:affiliation>IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ, IRD, APHM, MEPHI, Marseille, France.</nlm:affiliation>
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<name sortKey="Rolain, Jean Marc" sort="Rolain, Jean Marc" uniqKey="Rolain J" first="Jean-Marc" last="Rolain">Jean-Marc Rolain</name>
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<nlm:affiliation>IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ, IRD, APHM, MEPHI, Marseille, France.</nlm:affiliation>
</affiliation>
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<name sortKey="Brouqui, Philippe" sort="Brouqui, Philippe" uniqKey="Brouqui P" first="Philippe" last="Brouqui">Philippe Brouqui</name>
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<nlm:affiliation>IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ, IRD, APHM, MEPHI, Marseille, France.</nlm:affiliation>
</affiliation>
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<name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name>
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<nlm:affiliation>IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ, IRD, APHM, MEPHI, Marseille, France. Electronic address: Didier.raoult@gmail.com.</nlm:affiliation>
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<title level="j">International journal of antimicrobial agents</title>
<idno type="eISSN">1872-7913</idno>
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<date when="2020" type="published">2020</date>
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<div type="abstract" xml:lang="en">Chloroquine and hydroxychloroquine have been found to be efficient on SARS-CoV-2, and reported to be efficient in Chinese COV-19 patients. We evaluate the role of hydroxychloroquine on respiratory viral loads.</div>
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<Year>2020</Year>
<Month>03</Month>
<Day>24</Day>
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<ISSN IssnType="Electronic">1872-7913</ISSN>
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<ISOAbbreviation>Int. J. Antimicrob. Agents</ISOAbbreviation>
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<ArticleTitle>Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Chloroquine and hydroxychloroquine have been found to be efficient on SARS-CoV-2, and reported to be efficient in Chinese COV-19 patients. We evaluate the role of hydroxychloroquine on respiratory viral loads.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">French Confirmed COVID-19 patients were included in a single arm protocol from early March to March 16
<sup>th</sup>
, to receive 600mg of hydroxychloroquine daily and their viral load in nasopharyngeal swabs was tested daily in a hospital setting. Depending on their clinical presentation, azithromycin was added to the treatment. Untreated patients from another center and cases refusing the protocol were included as negative controls. Presence and absence of virus at Day6-post inclusion was considered the end point.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Six patients were asymptomatic, 22 had upper respiratory tract infection symptoms and eight had lower respiratory tract infection symptoms. Twenty cases were treated in this study and showed a significant reduction of the viral carriage at D6-post inclusion compared to controls, and much lower average carrying duration than reported of untreated patients in the literature. Azithromycin added to hydroxychloroquine was significantly more efficient for virus elimination.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Despite its small sample size our survey shows that hydroxychloroquine treatment is significantly associated with viral load reduction/disappearance in COVID-19 patients and its effect is reinforced by azithromycin.</AbstractText>
<CopyrightInformation>Copyright © 2020. Published by Elsevier B.V.</CopyrightInformation>
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<LastName>Honoré</LastName>
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<Affiliation>Service Pharmacie, Hôpital Timone, AP-HM, Marseille, France; Laboratoire de Pharmacie Clinique, Aix Marseille Université, Marseille, France.</Affiliation>
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<Affiliation>IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ, IRD, APHM, MEPHI, Marseille, France.</Affiliation>
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<Affiliation>IHU-Méditerranée Infection, Marseille, France; Aix Marseille Univ, IRD, APHM, MEPHI, Marseille, France. Electronic address: Didier.raoult@gmail.com.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2020</Year>
<Month>03</Month>
<Day>20</Day>
</ArticleDate>
</Article>
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<Country>Netherlands</Country>
<MedlineTA>Int J Antimicrob Agents</MedlineTA>
<NlmUniqueID>9111860</NlmUniqueID>
<ISSNLinking>0924-8579</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">2019-nCoV</Keyword>
<Keyword MajorTopicYN="N">COVID-19</Keyword>
<Keyword MajorTopicYN="N">SARS-CoV-2</Keyword>
<Keyword MajorTopicYN="N">azithomycin</Keyword>
<Keyword MajorTopicYN="N">clinical trial</Keyword>
<Keyword MajorTopicYN="N">hydroxychloroquine</Keyword>
</KeywordList>
<CoiStatement>Declaration of Competing Interest N/A</CoiStatement>
</MedlineCitation>
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<Year>2020</Year>
<Month>03</Month>
<Day>16</Day>
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<Year>2020</Year>
<Month>03</Month>
<Day>17</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2020</Year>
<Month>03</Month>
<Day>17</Day>
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<PubMedPubDate PubStatus="entrez">
<Year>2020</Year>
<Month>3</Month>
<Day>25</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<Year>2020</Year>
<Month>3</Month>
<Day>25</Day>
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<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline">
<Year>2020</Year>
<Month>3</Month>
<Day>25</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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</History>
<PublicationStatus>aheadofprint</PublicationStatus>
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<ArticleId IdType="pubmed">32205204</ArticleId>
<ArticleId IdType="pii">S0924-8579(20)30099-6</ArticleId>
<ArticleId IdType="doi">10.1016/j.ijantimicag.2020.105949</ArticleId>
</ArticleIdList>
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