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Hydroxychloroquine for COVID19: The curtains close on a comedy of errors

Assessed by RV012 · Lecturer (Teaching & Research)

Assessed on 30 Oct 2025

OverallReviewer's overall integrity assessment, derived from all research questions No concerns

DOI 10.1016/j.lana.2022.100268 (opens in new tab)

Resource ripekg:research-integrity-assessment/RIPEA1E8EFC45F75DDADC

5 Research Questions · 3 Evidence Items

Q1.1 — Does the study have an associated retraction?

Automated Assessment:Assessment produced by the automated systemNo
Human Assessment:Assessment by a domain expert reviewer, informed by AI resultsNo

Rationale: I chose this paper specifically because I knew of falsifications and scandals in the field during the pandemic. It is not surprising that one of the references was retracted, but it does show the importance of having such a tool when reviewing the evidence. Please note that the DOI is a bit odd and goes both to a commentary about this paper and the paper itself. There are no retractions reported in the journal for the main paper.

Supporting Evidence (1)

Retraction NoticeSource: Retraction Watch database

Hydroxychloroquine in the Treatment of COVID-19: A Multicenter Randomized Controlled Study

10.4269/ajtmh.1073ret (opens in new tab)
Journal: The American Journal of Tropical Medicine and HygienePublisher: American Society of Tropical Medicine and HygieneDate: 2 Sept 2022

RetractionWatch ID:Record identifier in the Retraction Watch database 39037

Rationale: Concerns/Issues About Data;Duplication of Data;Investigation by Journal/Publisher;Unreliable Data;Upgrade/Update of Prior Notice(s)

Q1.2 — Does the study have an associated expression of concern or other relevant post-publication notice?

Automated Assessment:Assessment produced by the automated systemNo
Human Assessment:Assessment by a domain expert reviewer, informed by AI resultsNo

Rationale: I have no concerns either.

Q1.3 — Do other studies by the research team highlight causes for concern?

Automated Assessment:Assessment produced by the automated systemNo
Human Assessment:Assessment by a domain expert reviewer, informed by AI resultsUnclear

Rationale: I have put unclear here because the paper has more than three authors (40 to be precise, plus a research coalition). It is unclear what the systems means by 3 authors - who is missing?

Q2.2 — Are there concerns relating to the timing or absence of study registration?

Automated Assessment:Assessment produced by the automated systemYes
Human Assessment:Assessment by a domain expert reviewer, informed by AI resultsUnclear

Rationale: Submission two months after recruitment started, but study continued for a long time after that. Either unclear or yes.

Supporting Evidence (2)

Clinical Trial RegistrationSource: Clinical trial registry (e.g. ClinicalTrials.gov, ISRCTN)

Registration ID: NCT04466540

Registry: ClinicalTrials.gov

Registry Link: https://clinicaltrials.gov/study/NCT04466540 (opens in new tab)

Registration Date: 09-07-2020

Prospective:Whether the trial was registered before participant recruitment began No

Assessment Rationale:How INSPECT-AI determined the prospective registration status by comparing dates Registration date is after LLM recruitment start date.

Study Design EvidenceDates and timelines extracted by INSPECT-AI from the publication text

Recruitment Start: 12-05-2020

Recruitment Start Rationale:INSPECT-AI's reasoning for how it identified the recruitment start date Findings: 'From May 12, 2020 to July 07, 2021, 1372 patients were randomly allocated...' so recruitment start is 12 May 2020.

Recruitment End: 07-07-2021

Recruitment End Rationale:INSPECT-AI's reasoning for how it identified the recruitment end date Findings: 'From May 12, 2020 to July 07, 2021, 1372 patients were randomly allocated...' so recruitment finish is 07 July 2021.

Study End: N/A

Study End Rationale:INSPECT-AI's reasoning for how it identified the study end date No explicit study end date is mentioned.

Overall — What is the overall integrity assessment of the study?

Automated Assessment:Assessment produced by the automated systemN/A
Human Assessment:Assessment by a domain expert reviewer, informed by AI resultsNo concerns

Rationale: I was not sure if if should have chosen "some concerns" instead, because of the trial being registered two months after recruitment started.