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---
title: Large Study Finds No Benefit of Hydroxychloroquine for COVID-19
description: It’s not the first study to find that hydroxychloroquine may not help COVID-19 patients.
canonical: https://time.com/5841545/hydroxychloroquine-covid-study/
author: Alice Park
article:opinion: false
article:content_tier: free
article:published_time: 2020-05-22T15:52:58.000Z
article:modified_time: 2023-12-12T18:16:33.000Z
article:section: Health
og:title: Large Study Finds No Benefit — and Potential Harm — in Using Hydroxychloroquine for COVID-19
og:description: 'There was no evidence of benefit, and a consistent signal of harm'
og:url: https://time.com/5841545/hydroxychloroquine-covid-study/
og:site_name: TIME
og:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt35375df197a2da27/698a0e7109208f3633416c4b/Hydroxychloroquine-covid.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9
og:image:width: 5223
og:image:height: 2938
og:image:alt: Hydroxychloroquine COVID-19
og:type: article
twitter:card: summary_large_image
twitter:title: Large Study Finds No Benefit — and Potential Harm — in Using Hydroxychloroquine for COVID-19
twitter:description: 'There was no evidence of benefit, and a consistent signal of harm'
twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt35375df197a2da27/698a0e7109208f3633416c4b/Hydroxychloroquine-covid.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9
video:duration: 01:10
video:published: 2020-05-20
section: health
topics: hydroxychloroquine, coronavirus treatment, FDA guidance, clinical studies, drug safety, VA study, medical criticism
genre: press remarks, interview
tones: defensive, assertive, combative, confident
emotions: defiance (high), confidence (medium), suspicion (medium)
sentiment: negative
audience: general public, health-conscious readers, policy watchers, news consumers
people: Donald Trump
organizations: FDA, VA
products: hydroxychloroquine
content_suitability: health controversy [00:00-01:10]; death [00:05-00:29]; politics [00:05-01:10]
transcript_source: automatic transcription
transcript_reviewed: not applicable
---

![](https://static.time.com/v3/assets/bltea6093859af6183b/blt35375df197a2da27/698a0e7109208f3633416c4b/Hydroxychloroquine-covid.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9)


# Large Study Finds No Benefit — and Potential Harm — in Using Hydroxychloroquine for COVID-19

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<!-- video src="https://cdn.jwplayer.com/manifests/oBDiXQ8h.m3u8" -->
## Video: President Trump Defends His Hydroxychloroquine Use Amid Concerns

[Watch (HLS stream): President Trump Defends His Hydroxychloroquine Use Amid Concerns](https://cdn.jwplayer.com/manifests/oBDiXQ8h.m3u8) (1:10)

![President Trump Defends His Hydroxychloroquine Use Amid Concerns](https://cdn.jwplayer.com/v2/media/oBDiXQ8h/poster.jpg?width=720)

_Published 2020-05-20. President Trump emphatically defended himself against criticism from medical experts that his announced use of a malaria drug against the coronavirus could spark wide misuse by Americans of the unproven treatment with potentially fatal side effects._
Description, summary, key points, chapters, key quotes, questions and transcript, where present, were produced automatically from the video or its captions and were not reviewed.

## Summary
President Trump defends his use of hydroxychloroquine against the coronavirus, pushing back on concerns from medical experts. He says a study showing harm was flawed, pointing to very sick patients who were old and had heart problems and diabetes. He cites studies from Italy, France and Spain and says the drug seems very safe, while calling a VA study a phony study.

## Key points
- The FDA has said hydroxychloroquine should not be used outside of a hospital setting. (00:00)
- Trump says he was not told that hydroxychloroquine should be restricted to hospitals and rejects that claim. (00:05)
- Trump claims a study that found harm gave the drug to extremely sick people who were ready to die. (00:05)
- Trump says the patients in that study were old and had bad hearts, diabetes and other problems. (00:05)
- Trump says the study that produced false information was given to very sick patients by people he says were not friends of the administration. (00:05)
- Trump says great studies came out of Italy on hydroxychloroquine and mentions studies from France and Spain. (00:34)
- Trump says hydroxychloroquine is worth it as a line of defense and that he will stay on it for a while longer. (00:55)
- Trump says the drug seems very safe but calls a VA study a phony study. (01:02)

## Chapters
- [00:00 to 00:29] Disputing claims about hospital-only use and study. Trump rejects the FDA hospital-only guidance and criticizes a study of very sick patients as flawed.
- [00:29 to 00:45] Citing international studies on the drug. Trump says false information was spread and points to studies from Italy on hydroxychloroquine.
- [00:45 to 01:10] Defending the treatment as a line of defense. Trump describes studies from several countries, calls the drug worth trying and says it seems safe, while dismissing a VA study.

## Key quotes
- [00:05] President Trump: "There was a false study done where they gave it to very sick people, extremely sick people."
- [00:05] President Trump: "People that were ready to die."
- [00:55] President Trump: "I think it's worth it as a line of defense and I'll stay on it for a little while longer."
- [01:02] President Trump: "But that study was a phony study put out by the VA."

## Questions this video answers
- What did the FDA say about using hydroxychloroquine? [00:00]
- Why does Trump say the study showing harm is flawed? [00:05]
- Which countries' studies does Trump cite as showing benefit? [00:34]
- Why does Trump say he is using hydroxychloroquine? [00:55]
- How does Trump characterize the safety of the drug? [01:02]

## Content suitability
- health controversy [00:00-01:10]: Discussion of an unproven COVID-19 treatment and disputed safety claims about the drug.
- death [00:05-00:29]: References to very sick patients who were ready to die.
- politics [00:05-01:10]: Political figure disputing medical findings and accusing officials of bias.


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Alice Park](https://time.com/author/alice-park/)


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=96&quality=75&auto=webp)

## Alice Park


Senior Correspondent

Updated: Dec 12, 2023 6:16 PM UTCPublished: May 22, 2020 3:52 PM UTC

President Trump emphatically defended himself against criticism from medical experts that his announced use of a malaria drug against the coronavirus could spark wide misuse by Americans of the unproven treatment with potentially fatal side effects. 

![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Alice Park](https://time.com/author/alice-park/)


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=96&quality=75&auto=webp)

## Alice Park


Senior Correspondent

Updated: Dec 12, 2023 6:16 PM UTCPublished: May 22, 2020 3:52 PM UTC

**On June 4, 2020, three of the authors of this study decided to retract the study. After questions were raised about the data provided by Surgisphere, a data collection organization, the authors launched an independent review; Surgisphere would not provide the full dataset for the independent reviewers and the audit could not be performed, leading the authors to retract the paper.**

In the largest observational study thus far investigating the drug [hydroxychloroquine](https://time.com/5808894/hydroxychloroquine-coronavirus/) as a treatment for COVID-19, researchers found little evidence that it helps, and worrying evidence that the medication may cause harm.

In a [study published May 22 in the journal _Lancet_](https://www.thelancet.com/lancet/article/s0140673620311806), scientists in the U.S. and Switzerland report on an analysis of more than 96,000 people hospitalized with confirmed COVID-19 in 671 hospitals on six continents. Nearly 15,000 patients were treated with one of the following: chloroquine (which is an older version of hydroxychloroquine), hydroxychloroquine, or either of those drugs in combination with an antibiotic. The remainder did not receive any of these medications and served as the control.

People in any of the four treatment groups were more likely to die during their hospitalization than those not treated. People receiving either chloroquine or hydroxychloroquine alone were 16% to 18% more likely to die in the hospital compared to those not receiving the medications, and those treated with these medications in combination with an antibiotic were 22% to 24% more likely to die in the hospital. These risks remained significant even after the researchers controlled for factors such as smoking, underlying heart disease, diabetes, lung disease, or immune conditions.


In addition, those receiving the medications had higher risk of developing abnormal heart rhythms — a known risk factor of chloroquine and hydroxychloroquine — compared to people who were not treated with the medications.

“However we sliced and diced the data, the results were identical,” says Dr. Mandeep Mehra, chair of cardiovascular medicine at Brigham and Women’s Hospital and professor of medicine at Harvard Medical School, who led the study. “There was no evidence of benefit, and a consistent signal of harm — and in particular, harm linked to heart rhythm disturbances.”

The findings come as U.S. President Donald Trump [claimed to be taking hydroxychloroquine](https://time.com/5838541/trump-malaria-drug-coronavirus/), which he requested from the White House physician, because he “heard a lot of good stories.” Mehra notes that the study included only people diagnosed with COVID-19, while the President has not been reported to be infected.

Hydroxychloroquine is approved to treat malaria — replacing chloroquine in many parts of the world after the malaria parasite became resistant to chloroquine — as well as some autoimmune disorders like rheumatoid arthritis and lupus, because of its ability to tamp down inflammation. Doctors started to turn to the drug to treat COVID-19 after a small study in France suggested it might help alleviate some of the disease’s inflammatory symptoms, which can compromise breathing and cause respiratory failure. The evidence for the drug’s effectiveness, however, hasn’t been established, although ongoing rigorous trials randomly assigning patients to receive hydroxychloroquine or placebo are still ongoing (including [one headed by the U.S. National Institutes of Health](https://www.nih.gov/news-events/news-releases/nih-clinical-trial-hydroxychloroquine-potential-therapy-covid-19-begins)).


But there is growing evidence that the medication may not be as helpful as doctors had hoped. In a [study](https://time.com/5833945/hydroxychloroquine-coronavirus-study/) of more than 1,300 people admitted to New York Presbyterian-Columbia University Irving Medical Center, for example, people receiving hydroxychloroquine did not show any lower rate of needing ventilators, or a lower risk of dying during the study period than those not getting the drug. Studies from Europe and China similarly failed to find that the drug showed any benefit for patients.

Those studies have led the U.S. Food and Drug Administration (FDA) to [warn health providers](https://www.fda.gov/drugs/drug-safety-and-availability/fda-cautions-against-use-hydroxychloroquine-or-chloroquine-covid-19-outside-hospital-setting-or) that they should not prescribe hydroxychloroquine off-label for COVID-19 patients unless they are part of a research study or carefully monitored in a hospital setting.

In fact, as the evidence continues to suggest that hydroxychloroquine may not provide much benefit, and instead might increase the risk of harm to the heart, Mehra says doctors may shift from considering hydroxychloroquine to other drugs being studied as COVID-19 treatments, like [remdesivir](https://time.com/5840207/coronavirus-treatment-remdesivir/). Studies indicate that remdesivir, an antiviral that has not yet been approved to treat any disease, may help people with COVID-19 to recover faster, and the drug [received FDA emergency use authorization](https://time.com/5829170/remdesivir-study-results/) to treat hospitalized patients. Unlike hydroxychloroquine, remdesivir has not been linked to serious side effects so far, and therefore may be a more attractive option for doctors treating COVID-19 patients.


“They may be more likely to try something where there is a better chance of showing a net positive outcome,” says Mehra. “Why would you risk harm when there is so much consistent data showing lack of benefit \[with hydroxychloroquine\]?”

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