“Drug is no longer a research priority; resources should focus on other more promising drugs to prevent covid-19”
Geneva: The anti-inflammatory drug hydroxychloroquine should not be used to prevent infection in people who do not have covid-19, say a World Health Organisation Guideline Development Group (GDG) panel of international experts in a report titled Rapid Recommendations: A living WHO guideline on drugs to prevent covid-19 published in a journal, The BMJ, today. Their strong recommendation is based on high certainty evidence from six randomised controlled trials involving over 6,000 participants with and without known exposure to a person with covid-19 infection.
High certainty evidence showed that hydroxychloroquine had no meaningful effect on death and admission to hospital, while moderate certainty evidence showed that hydroxychloroquine had no meaningful effect on laboratory confirmed covid-19 infection and it probably increases the risk of adverse effects, the report stated.
“As such, the panel considers that this drug is no longer a research priority and that resources should be used to evaluate other more promising drugs to prevent covid-19,” it added.
Today’s recommendation is the first version of a living guideline for drugs to prevent covid-19, developed by the World Health Organisation with the methodological support of MAGIC Evidence Ecosystem Foundation. It’s aim is to provide trustworthy guidance on the management of covid-19 and help doctors make better decisions with their patients.
Living guidelines are useful in fast moving research areas like covid-19 because they allow researchers to update previously vetted and peer reviewed evidence summaries. New recommendations for other preventive drugs for covid-19 will be added to this guideline as more evidence becomes available.
This guideline applies to all individuals who do not have covid-19, regardless of their exposure to a person with covid-19 infection, the WHO stated, adding that the panel judged that almost all people would not consider this drug worthwhile, and also decided that factors such as resources, feasibility, acceptability, and equity for countries and healthcare systems were unlikely to alter the recommendation.
– global bihari bureau