Review: Hydroxychloroquine and Chloroquine for Treatment of SARS-CoV-2 (COVID-19)

  • Katelyn A Pastick
    Department of Medicine, University of Minnesota, Minneapolis, Minnesota
  • Elizabeth C Okafor
    Department of Medicine, University of Minnesota, Minneapolis, Minnesota
  • Fan Wang
    Department of Experimental and Clinical Pharmacology, University of Minnesota, Minneapolis, Minnesota
  • Sarah M Lofgren
    Department of Medicine, University of Minnesota, Minneapolis, Minnesota
  • Caleb P Skipper
    Department of Medicine, University of Minnesota, Minneapolis, Minnesota
  • Melanie R Nicol
    Department of Experimental and Clinical Pharmacology, University of Minnesota, Minneapolis, Minnesota
  • Matthew F Pullen
    Department of Medicine, University of Minnesota, Minneapolis, Minnesota
  • Radha Rajasingham
    Department of Medicine, University of Minnesota, Minneapolis, Minnesota
  • Emily G McDonald
    Clinical Practice Assessment Unit, Department of Medicine, McGill University Health Centre, Montreal, Canada
  • Todd C Lee
    Clinical Practice Assessment Unit, Department of Medicine, McGill University Health Centre, Montreal, Canada
  • Ilan S Schwartz
    Division of Infectious Diseases, Department of Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta
  • Lauren E Kelly
    Department of Pediatrics and Child Health, Department of Pharmacology, University of Manitoba, Winnipeg, Canada
  • Sylvain A Lother
    Department of Medicine, Sections of Critical Care and Infectious Diseases, University of Manitoba, Winnipeg, Canada
  • Oriol Mitjà
    Fight AIDS and Inf Dis Foundation, Hospital Germans Trias i Pujol, Barcelona, Spain
  • Emili Letang
    Department of Infectious Diseases, Hospital del Mar/Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain
  • Mahsa Abassi
    Department of Medicine, University of Minnesota, Minneapolis, Minnesota
  • David R Boulware
    Department of Medicine, University of Minnesota, Minneapolis, Minnesota

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<jats:title>Abstract</jats:title><jats:p>Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a rapidly emerging viral infection causing coronavirus disease 2019 (COVID-19). Hydroxychloroquine and chloroquine have garnered unprecedented attention as potential therapeutic agents against COVID-19 following several small clinical trials, uncontrolled case series, and public figure endorsements. While there is a growing body of scientific data, there is also concern for harm, particularly QTc prolongation and cardiac arrhythmias. Here, we perform a rapid narrative review and discuss the strengths and limitations of existing in vitro and clinical studies. We call for additional randomized controlled trial evidence prior to the widespread incorporation of hydroxychloroquine and chloroquine into national and international treatment guidelines.</jats:p>

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