[HTML][HTML] Hydroxychloroquine prophylaxis and treatment is ineffective in macaque and hamster SARS-CoV-2 disease models

K Rosenke, MA Jarvis, F Feldmann, B Schwarz… - Jci Insight, 2020 - ncbi.nlm.nih.gov
K Rosenke, MA Jarvis, F Feldmann, B Schwarz, A Okumura, J Lovaglio, G Saturday…
Jci Insight, 2020ncbi.nlm.nih.gov
We remain largely without effective prophylactic/therapeutic interventions for COVID-19.
Although many human COVID-19 clinical trials are ongoing, there remains a deficiency of
supportive preclinical drug efficacy studies to help guide decisions. Here we assessed the
prophylactic/therapeutic efficacy of hydroxychloroquine (HCQ), a drug of interest for COVID-
19 management, in 2 animal disease models. The standard human malaria HCQ
prophylaxis (6.5 mg/kg given weekly) and treatment (6.5 mg/kg given daily) did not …
Abstract
We remain largely without effective prophylactic/therapeutic interventions for COVID-19. Although many human COVID-19 clinical trials are ongoing, there remains a deficiency of supportive preclinical drug efficacy studies to help guide decisions. Here we assessed the prophylactic/therapeutic efficacy of hydroxychloroquine (HCQ), a drug of interest for COVID-19 management, in 2 animal disease models. The standard human malaria HCQ prophylaxis (6.5 mg/kg given weekly) and treatment (6.5 mg/kg given daily) did not significantly benefit clinical outcome, nor did it reduce SARS-CoV-2 replication/shedding in the upper and lower respiratory tract in the rhesus macaque disease model. Similarly, when used for prophylaxis or treatment, neither the standard human malaria dose (6.5 mg/kg) nor a high dose (50 mg/kg) of HCQ had any beneficial effect on clinical disease or SARS-CoV-2 kinetics (replication/shedding) in the Syrian hamster disease model. Results from these 2 preclinical animal models may prove helpful in guiding clinical use of HCQ for prophylaxis/treatment of COVID-19.
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