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Hydroxylchloroquine wars, 4: Didier Raoult strikes again, with 80-patient test

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BREAKING: Professor Raoult has released a further result. Using Google Translate on two tweets:

Our two articles published this evening help to demonstrate:

     1. The effectiveness of our protocol, on 80 patients.

     2. The relevance of the association of hydroxychloroquine and azithromycin, thanks to research carried out in our P3 containment laboratory. https://t.co/Y91bsFOgB2

     – Didier Raoult (@raoult_didier) March 27, 2020

and:

New article published online by my teams: in vitro demonstration of the hydroxychloroquine / azithromycin synergy to counter the replication of SARS-COV2

     In vitro testing of Hydroxychloroquine and Azithromycin on SARS-CoV-2 shows synergistic effecthttps: //t.co/KUaag6N5FF

     – Didier Raoult (@raoult_didier) March 27, 2020

Here is a chart in one of the Twitter threads, which seems to document the efficacy of the HCQ-Z-pac cocktail across 5 – 6 days of treatment:

Of course, there is also a suggestion on Zinc supplements.

Let’s see how this further develops, one way or the other. END

U/D1: After searching, I found at Professor Raoult’s Institute as follows.

Exhibit 1, on the 80 patient study:

Clinical and microbiological effect of a combination of hydroxychloroquine and azithromycin in 80 COVID-19 patients with at least a six-day follow up: an observational study
Running title: Hydroxychloroquine-Azithromycin and COVID-19

Abstract
We need an effective treatment to cure COVID-19 patients and to decrease the virus carriage duration. In 80 in-patients receiving a combination of hydroxychloroquine and azithromycin we noted a clinical improvement in all but one 86 year-old patient who died, and one 74 year- old patient still in intensive care unit. A rapid fall of nasopharyngeal viral load tested by qPCR was noted, with 83% negative at Day7, and 93% at Day8. Virus cultures from patient respiratory samples were negative in 97.5% patients at Day5. This allowed patients to rapidly de discharge from highly contagious wards with a mean length of stay of five days. We believe other teams should urgently evaluate this cost-effective therapeutic strategy, to both avoid the spread of the disease and treat patients as soon as possible before severe respiratory
irreversible complications take hold.

Exhibit 2, on an in vitro study showing synergism between HCQ and Z-Pac at concentrations relevant to lung tissues:

In vitro testing of Hydroxychloroquine and Azithromycin on SARS-CoV-2 shows synergistic effect

Abstract
Human coronaviruses SARS-CoV-2 appeared at the end of 2019 and led to a pandemic with high morbidity and mortality. As there are currently no effective drugs targeting this virus, drug repurposing represents a short-term strategy to treat millions of infected patients at low costs. Hydroxychloroquine showed an antiviral effect in vitro. In vivo it also showed efficacy, especially when combined with azithromycin in a preliminary clinical trial. Here we demonstrate that the combination of hydroxychloroquine and azithromycin has a synergistic effect in vitro on SARS-CoV-2 at concentrations compatible with that obtained in human lung.

We thus find a more comprehensive study of patients, and further in vitro results showing synergistic action. Promising, to be further followed up.

Comments
JVL:
That is part of the core gap between ID and unguided evolutionary theory.
The core gap is that ID has the evidence and the science whereas unguided evolution has the liars and bluffers.ET
March 28, 2020
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JVL, the point first is, hoarding is a common problem, relieved by renewed confidence in ready supply. Unfortunately, it means that various types of patients face difficulties for the moment. In that context, I pointed to the terms used by ars technica which are only too reflective of the imbalances and polarised (often politicised) selective hyperskepticism that are afoot. We need to recognise this fallacy for what it is as we disbelieve what we should not because on a related matter we believe what we should not. If your yardstick is crooked, what is genuinely straight and upright will never fit with crookedness. We need to find naturally straight and upright plumb lines and respect their verdict. KF PS: In this case, we need to recognise that different degrees of warrant are relevant to different circumstances, depending on what is at stake. Here, there is a difference between warrant sufficient to justify early, experimental or emergency use given stark alternatives and warrant sufficient to justify general, routine use. What we have in hand clearly meets the first level. The second seems to be coming. Note here, the results in the OP.kairosfocus
March 28, 2020
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Kairosfocus: hoarding behaviour is unfortunately common, and needs to be countered through confidence in ready supply; the same has been happening with masks etc. Yes but in this case it's particularly sad when people who depend on them can't get them. I did not use the term "unproven" and I can't change the link.; I will gladly support the use of the drugs in question if the results of the ongoing clinical trials are positive. These exchanges are also speaking to much broader issues of warrant and how we respond to evidence. That is part of the core gap between ID and unguided evolutionary theory.JVL
March 28, 2020
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JVL, hoarding behaviour is unfortunately common, and needs to be countered through confidence in ready supply; the same has been happening with masks etc. That should not be too hard with a generic. However, an implication of such hoarding is precisely that many physicians -- a highly relevant group for evaluating evidence -- clearly are inclined to believe this may well work. In that context, emphasising "unproven" rather than "promising" speaks volumes on unbalanced partyline media reporting. The OP is showing that further evidence heightening warrant is emerging day by day. It is clear from in vitro studies over 15 years that this drug has antiviral properties, and in concentrations relevant to in-tissue contexts. Not only a significant number of cases but now repeated studies are showing the same. Two from Raoult, an Australian study, a 100 patient study in China come to mind. KF PS: These exchanges are also speaking to much broader issues of warrant and how we respond to evidence.kairosfocus
March 28, 2020
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A nationwide shortage of two drugs touted as possible treatments for the coronavirus is being driven in part by doctors inappropriately prescribing the medicines for family, friends, and themselves, according to pharmacists and state regulators.
It's making it hard for people who need those drugs to get them. https://arstechnica.com/science/2020/03/doctors-hoard-unproven-covid-19-meds-by-writing-prescriptions-for-selves-families/JVL
March 28, 2020
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U/D 1: I found two papers at the site for the Institute, adding to OP from Abstracts momentarily. KFkairosfocus
March 28, 2020
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Hydrochloroquine wars, 4: Didier Raoult strikes again, with 80-patient test (Where are the two new papers?)kairosfocus
March 28, 2020
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