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Morning Briefing

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Monday, Jun 8 2020

Full Issue

Scientists At Odds Over Hydroxychloroquine's Future In The Battle Against COVID-19

British scientists halted a large trial of the controversial anti-malarial drug, but WHO is continuing to study the efficacy of the treatment.

The World Health Organization is continuing its clinical trial of hydroxychloroquine, after British scientists halted a large trial that had been exploring use of the drug to treat patients with COVID-19 when initial results showed no evidence of benefit. 鈥淭here are two distinct trials with their own protocols, their own oversight committees. Therefore we will continue for now,鈥 Soumya Swaminathan, the WHO鈥檚 chief scientist, told an online news briefing when asked about the British trial halt. (6/5)

A major clinical trial showed the malaria drug hydroxychloroquine had no benefit for patients hospitalized with Covid-19, likely closing the door to the use of the highly publicized medicine in the sickest patients 鈥 a use for which it was widely prescribed as the pandemic hit the U.S. The results come from a study called RECOVERY, funded by the U.K. government, that sought to randomly assign large numbers of patients to multiple potential treatments in the country鈥檚 National Health Service. The goal was to rapidly get answers as to what worked and what didn鈥檛. (Herper, 6/5)

Hydroxychloroquine, the anti-malarial drug touted and previously taken by President Donald Trump to fight coronavirus, has fallen out of favor and public view as studies 鈥 like one halted Friday 鈥 have suggested it does little to treat infection while exposing users to dangerous side effects. Not all researchers have given up on the drug, however, and recent developments show it is not yet dead as a potential weapon against COVID-19, especially as a preventative in people not yet exposed to the virus. (Cavazuti, 6/7)

Meanwhile 鈥

With last week鈥檚 retractions of two Covid-19 papers from a pair of the world鈥檚 top medical journals, the scientific community is once again wrestling with聽the question that arises any time a聽high-profile publication blows up: Could this have been prevented? Entire forests have been felled so scholars can write papers on 鈥渢he flawed process鈥 of peer review, in which journal editors ask (usually three) outside experts to read a manuscript for rigor, methodological soundness, consistency, and overall quality. (Begley, 6/8)

The University of Utah has 鈥渕utually agreed鈥 to terminate the faculty appointment of Amit Patel, who was among the authors of two retracted papers on Covid-19 and who appears to have played a key role in involving a little-known company that has ignited a firestorm of controversy. 鈥淭he terminated position was an unpaid adjunct appointment with the Department of Biomedical Engineering,鈥 a university spokesperson told STAT. Patel had listed the affiliation on both papers, published in the Lancet and the New England Journal of Medicine. The spokesperson聽 declined to comment on whether the decision was related to the retractions. (Herper and Sheridan, 6/7)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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