Table 1 Data summary for the six studies selected for CQ/HCQ-induced myopathy.

From: The toxic effects of chloroquine and hydroxychloroquine on skeletal muscle: a systematic review and meta-analysis

Authors

Year

Country

Type of study/Level of evidence*

Total #Patients (genders F, M)

Patients treated with HCQ/CQ

Patient age in years mean/SD

Dosages (mg for daily dose; gr for cumulative dose)

Duration (years mean or mean range)

Primary diseases

Wang et al.32

1999

Canada

Prospective study/Level III-2

224 (136F, 88NR)

156 HCQ or CQ

34 ± 14

200 to 400 mg/day HCQ

4.2 ± 5.6

SLE (number of patients)

Casado et al.9

2005

Spain

Prospective study/Level III-2

119 (84 F, 35 M)

111 CQ/8 HCQ

57.5 ± 13.9

3.5 mg/kg/day QC, 6.5 mg/kg/day HQC

3 (40.4 months)

RA [69], PR [14], SS [11], SLE [9], , CT [7], psoriatic arthritis [4], and other rheumatic conditions [5]

Kalajian et al.33

2009

USA

Prospective study/Level III-2

21 (20 F, 1 M)

8 CQ/13 HCQ

51. 7 ± 11.37

minimum of 200 mg of HQC or 250 mg of QC/daily

0.25–9.0

LE

Tselios et al.23*

2016

Canada

Retrospective Case Control study/Level III-3

1778 87.1% F (cases), 87.8% F (controls)

186CQ/806 HCQ#

41.85 ± 14.45a

43.86 ± 15.95b

155.11gr of CQ (a)

341.55gr of HCQ (a)

89gr of CQ (b)

355gr of HCQ (b)

3.84–4.33

SLE

Khoo et al.5

2017

Australia

Retrospective Case Control study/Level III-3

34 (NR)

18

NR

200 mg–800 mg

0.35–11.58

Inflammatory Myositis

  1. F female, M male; Primary diseases: LE (various types of lupus Erythematosus), SLE systemic lupus erythematosus, RA rheumatoid arthritis, PR palindromic rheumatism, SS Sjogren’s syndrome, CT connective tissue disease.
  2. #Sum of group case + group control (group case are patients with elevated enzymes for muscle injury (CK) and group control is patients with non-elevation. a = case group b = control group.
  3. *Data from Tselios et al.23 were obtained from Table 1 of the original study.