Surgisphere is a company that specializes in the analysis of clinical data. It provided the large datasets on COVID-19 patients that formed the basis of two papers recently published in The Lancet and The New England Journal of Medicine, both of which were retracted on June 4th. Suspicions had been raised about the validity of the data, provided by Surgisphere founder Sapan S. Desai (archived ResearchGate page) who was an author on both papers.
But that might not be the only concern about Desai’s work. Here I will discuss a paper from his PhD project at the University of Illinois at Chicago that appears to have some serious image problems.
Last week, a new retrospective study from Tongji Hospital in Wuhan was published in Science China Life Sciences (a Springer Link journal). The study found 47% fatalities in critically ill #COVID19 patients that were given regular treatment, and only 19% fatalities in patients treated with low doses of hydroxychloroquine (HCQ).
These results sound amazing.
But I took a closer look. And I have lots of questions.
Recently a paper published in Nucleic Acid Therapeutics, a Mary Liebert publication not to be confused with the more glamorous Nucleic Acid Research journal, was brought to my attention. It described the potential use of small RNAs as a therapeutic against SARS-CoV-2.
Alas, it is most memorable because of the alarmingly short time-to-acceptance, lack of references, and the omission of several conflicts of interest.
A new study from Brazil is reporting significant positive effects of hydroxychloroquine (HCQ) + azithromycin (AZM) on early-stage suspected COVID19 cases. The study was posted as a preliminary manuscript draft on Dropbox a couple of days ago. I just tweeted my thoughts in a long thread, but here is a bit more polished version.
The IHU Mediterranee Infection, the Marseille hospital that claims that hydroxychloroquine + azithromycin treatment will cure almost everyone infected with COVID-19 has been reporting very low death rates for COVID-19 patients. As of today, their website reports that the IHU has a much lower death – 1.7% – than the worldwide COVID-19 mortality rate of 6.2%.
While that might look amazing at first glance, these numbers are not surprising, given the high numbers of virus tests that the institute has been performing. Let’s take a closer look at their testing to better understand how the Marseille hospital can get such low mortality rate numbers.
The International Society of Antimicrobial Chemotherapy (ISAC) has shared concerns about the Gautret et al. paper published in its own journal. This paper, published under senior authorship of Didier Raoult from the IHU-Méditerranée Infection in Marseille, describes a small study that showed remarkable effects of Hydroxychloroquine and Azithromycin treatment in COVID-19 patients.
After world leaders and politicians started to tweet and endorse this study, many people pressured health officials to start treating COVID-19 patients with this regime, although the study was small and not yet confirmed by independent, larger, and better randomized other studies.
Several scientists and medical professionals, including myself, had concerns about how patients were assigned to each treatment group, how PCR results were reported, why patients with a poor outcome had been left out of the final results, and how this treatment could potentially result in serious side effects. I wrote about my concerns in this blogpost and on PubPeer.
Now, ISAC, who is overseeing the International Journal of Antimicrobial Agents, the journal that published this study, has joined in those concerns.
This blog post is based on a Twitter thread I did on March 27, 2020, after seeing Mathieu Rebeaud’s Tweet about a new white paper from the institute of Didier Raoult. That not-yet peer reviewed paper describes a group of 80 COVID-19 patients, all treated with a combination of hydroxychloroquine and azithromycin. This treatment had shown some promising results in a very small, not well-executed study by the same group. Unfortunately, this second study does not have a control group and the patients did not appear to be very sick. So here is my critical review.