ClinicalTrials.gg
CompletedNCT03338569Updated Jul 14, 2021Results posted

Vitamin C and Septic Shock

A Phase 2/3 interventional study of Vitamin C and Placebo in Septic Shock and Sepsis, sponsored by University of Minnesota. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-07-14.

Sponsored by University of Minnesota · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
125
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 23 studies testing Ascorbic Acid in Shock, Septic — 2 open to participants now, 2 under way, none of them phase 3. Ascorbic Acid · Shock, Septic.

Enrollment
8th of 23
125 · median 71
Started
2017
with 1 other
Phase 2/3
2 of 23
none open now
Registered
4th of 23
by date

Among the 23 studies testing Ascorbic Acid in Shock, Septic, this one is the 8th largest by enrollment, is one of 2 that started in 2017, is one of 2 in phase 2/3, and was the 4th registered.

Shock, Septic

1,078 studies on the registry are indexed under Shock, Septic; 232 are open to participants now.

Browse Shock, Septic studies →

Open to participants now

2 of the 23 studies testing Ascorbic Acid in Shock, Septic are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

About Ascorbic Acid

Ascorbic Acid: first FDA approval 1947 (BEROCCA PN). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 136 Shock, Septic studies recruiting now, 102 (75%) set no upper age limit and 19 (14%) stop at 75 or younger; 12 take children under 18; 13 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 23 studies testing Ascorbic Acid in Shock, Septic, or all of them as a file.
02

Study summary

This is a randomized, double-blind, placebo-controlled clinical trial to compare Vitamin C versus placebo for patients presenting to the ICU with a diagnosis of septic shock.

Read the detailed description

This is a multi-site, randomized, double-blind, placebo-controlled trial comparing a regimen of moderate-dose (6000 mg per day) Vitamin C supplementation versus placebo for the treatment of patients presenting to the ICU with septic shock. Both groups will continue to receive all other standard of care measures for septic shock as clinically indicated. Groups will be enrolled and receive study drug/placebo for 4 days (96 hours) or until 24 hours post-last pressor dose, whichever is sooner.

03

Conditions studied

  • Septic Shock
  • Sepsis
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

    • Capability to provide written consent from participant or legally authorized representative (LAR) if the participant is unable or incapacitated due to severity of illness.

      • Age ≥ 18 years
      • Septic shock as pragmatically defined as:

        o Order for intravenous antimicrobials with either procalcitonin > 2 mg/dL within 24 hours of enrollment OR other clinical suspicion of infection or confirmed infection AND

      • Hypotension requiring vasopressor therapy, despite fluid resuscitation of at least 30 cc/kg AND
      • Lactate > 2 mmol/L 24 hr prior to enrollment AND
      • Presence of sepsis defined as equal to or greater than 2 SIRS criteria and/or acute increase in qSOFA score of 2 points or more.

        • SIRS criteria: 1) Temperature greater than 38° or less than 36° Celsius. 2) Heart rate greater than 90 beats per minute. 3) Respiratory rate greater than 20 breaths per minute OR arterial carbon dioxide tension less than 32 mmHg. 4) White blood cell count greater than 12,000 cell/µL, less than 4,000 cells/µL, OR band cells greater than 10% of the total white blood cell population.
        • qSOFA: 1 point each is assigned for: 1) systolic blood pressure below 100, 2) respiratory rate greater than 22, and 3) mental status not at baseline.

Exclusion criteria

Exclusion Criteria:

    • Unable to start infusion within 24 hours of septic shock identification

      • Currently pregnant or breastfeeding
      • Patient to receive comfort measures only
      • Cardiac Arrest
      • Cardiovascular Surgery patients receiving prophylactic peri-operative antibiotics \< 48 hours post-operation
      • Participation in another study involving an product within 30 days of the baseline visit
      • Allergy to Vitamin C
      • History of nephrolithiasis
      • History of G6PD deficiency
      • ESRD patients, transplant eligible on dialysis currently taking vitamin C supplementation
      • Clinical course that treating clinician decides would preclude safe participation
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
125 participants (actual)

Study arms

  • Sham comparator
    Placebo

    Placebo designed to mimic intervention

    Drug: Placebo

  • Active comparator
    Intervention

    6000 mg per day Vitamin C supplement

    Drug: Vitamin C

Interventions

  • Continuous infusion of vitamin C

    Also known as: ascorbic acid

  • DrugPlacebo

    Placebo designed to mimic intervention

06

What researchers measure

Primary outcomes

  1. Number of Participants With ICU Mortality

    Outcome is reported as the number of patients who expired while receiving care in the intensive care unit (ICU).

    Time frame: 28 days

  2. All Cause Mortality at 28 Days

    Outcome is reported as the number of participants who have expired at 28 days post intervention

    Time frame: 28 days

Secondary outcomes

  1. Duration of Vasopressor Therapy

    Outcome is reported as the duration in hours of vasopressor therapy post intervention administration

    Time frame: 28 days

  2. Duration of ICU Stay Post Intervention Administration

    Outcome is reported as the duration (in days) that participants require care in the intensive care unit (ICU) post intervention administration

    Time frame: 28 days

  3. Time to Lactate Clearance Post Intervention Administration

    Time frame: 28 days

  4. Rate of Lactate Clearance Post Intervention Administration

    Outcome is reported as the number of participants who clear lactate from the bloodstream at 24, 48, 72, and 96 hours post intervention. Clearance is defined as a serum concentration of 2.0 mmol/l or less.

    Time frame: 24, 48, 72, and 96 hours post intervention

  5. Rate of Procalcitonin Clearance Post Intervention Administration

    Time frame: 4 days

  6. Number of Participants With Need for Renal Replacement Therapy

    Outcome is reported as the number of participants who require renal replacement therapy

    Time frame: 4 days

  7. Change in Serum Creatinine

    Outcome is report as the change in serum creatinine between baseline and 4 days following treatment. Outcome is reported in units of mg/dl.

    Time frame: Baseline and 4 days

  8. Change in Sequential Organ Failure Assessment (SOFA) Score

    SOFA score is a mortality prediction score that is based on the degree of dysfunction of 6 organ systems. Total scores range from 0 to 24, with higher scores indicating higher likely mortality.

    Time frame: Baseline and 4 days

  9. Change in Acute Physiology and Chronic Health Evaluation (APACHE) Scores

    APACHE score is a severity-of-disease classification system that is calculated from a patient's age and 12 routine physiological measurements. Total scores are computed based on several measurements and range from 0 to 71 with higher scores corresponding to more severe disease and a higher risk of death.

    Time frame: Baseline and 4 days

  10. Total Intravenous Fluid Administered

    Outcome is reported as the total volume of intravenous fluid (in liters) administered to participants during 24 hours following the initiation of study treatment.

    Time frame: 24 hours

07

Results

Posted Jul 14, 2021

Participant flow

Participant flow — Overall Study
MilestonePlaceboIntervention
Started6461
Completed5656
Not completed85
Withdrew: Physician decision83
Withdrew: Withdrawal by subject01
Withdrew: Lost to follow-up01

Outcome measures

PrimaryNumber of Participants With ICU Mortality

Outcome is reported as the number of patients who expired while receiving care in the intensive care unit (ICU).

Time frame:
28 days
Reported as:
Count of participants · Participants
Number of Participants With ICU Mortality
ParticipantsPlaceboIntervention
Number of Participants With ICU Mortality2014
PrimaryAll Cause Mortality at 28 Days

Outcome is reported as the number of participants who have expired at 28 days post intervention

Time frame:
28 days
Reported as:
Count of participants · Participants
All Cause Mortality at 28 Days
ParticipantsPlaceboIntervention
All Cause Mortality at 28 Days2616
SecondaryDuration of Vasopressor Therapy

Outcome is reported as the duration in hours of vasopressor therapy post intervention administration

Time frame:
28 days
Reported as:
Median · hours
Duration of Vasopressor Therapy
hoursPlaceboIntervention
Duration of Vasopressor Therapy27.1 (16.4 to 45.2)27.7 (13.6 to 47.6)
SecondaryDuration of ICU Stay Post Intervention Administration

Outcome is reported as the duration (in days) that participants require care in the intensive care unit (ICU) post intervention administration

Time frame:
28 days
Reported as:
Mean · days
Duration of ICU Stay Post Intervention Administration
daysPlaceboIntervention
Duration of ICU Stay Post Intervention Administration2.6 (1.5 to 5.3)2.9 (1.8 to 7.5)
SecondaryTime to Lactate Clearance Post Intervention Administration
Time frame:
28 days

No measurements were reported for this outcome.

SecondaryRate of Lactate Clearance Post Intervention Administration

Outcome is reported as the number of participants who clear lactate from the bloodstream at 24, 48, 72, and 96 hours post intervention. Clearance is defined as a serum concentration of 2.0 mmol/l or less.

Time frame:
24, 48, 72, and 96 hours post intervention
Reported as:
Count of participants · Participants
Rate of Lactate Clearance Post Intervention Administration
ParticipantsPlaceboIntervention
24 hours1312
48 hours1816
72 hours1818
96 hours1918
SecondaryRate of Procalcitonin Clearance Post Intervention Administration
Time frame:
4 days

No measurements were reported for this outcome.

SecondaryNumber of Participants With Need for Renal Replacement Therapy

Outcome is reported as the number of participants who require renal replacement therapy

Time frame:
4 days
Reported as:
Count of participants · Participants
Number of Participants With Need for Renal Replacement Therapy
ParticipantsPlaceboIntervention
Number of Participants With Need for Renal Replacement Therapy210
SecondaryChange in Serum Creatinine

Outcome is report as the change in serum creatinine between baseline and 4 days following treatment. Outcome is reported in units of mg/dl.

Time frame:
Baseline and 4 days
Reported as:
Median · mg/dl
Change in Serum Creatinine
mg/dlPlaceboIntervention
Change in Serum Creatinine0.5 (-0.1 to 0.7).4 (0 to 0.7)
SecondaryChange in Sequential Organ Failure Assessment (SOFA) Score

SOFA score is a mortality prediction score that is based on the degree of dysfunction of 6 organ systems. Total scores range from 0 to 24, with higher scores indicating higher likely mortality.

Time frame:
Baseline and 4 days
Reported as:
Median · score on a scale
Change in Sequential Organ Failure Assessment (SOFA) Score
score on a scalePlaceboIntervention
Change in Sequential Organ Failure Assessment (SOFA) Score4 (2 to 6)4 (2 to 6)
SecondaryChange in Acute Physiology and Chronic Health Evaluation (APACHE) Scores

APACHE score is a severity-of-disease classification system that is calculated from a patient's age and 12 routine physiological measurements. Total scores are computed based on several measurements and range from 0 to 71 with higher scores corresponding to more severe disease and a higher risk of death.

Time frame:
Baseline and 4 days
Reported as:
Mean · score on a scale
Change in Acute Physiology and Chronic Health Evaluation (APACHE) Scores
score on a scalePlaceboIntervention
Change in Acute Physiology and Chronic Health Evaluation (APACHE) Scores7 (1 to 12)5 (3 to 10)
SecondaryTotal Intravenous Fluid Administered

Outcome is reported as the total volume of intravenous fluid (in liters) administered to participants during 24 hours following the initiation of study treatment.

Time frame:
24 hours
Reported as:
Mean · liters
Total Intravenous Fluid Administered
litersPlaceboIntervention
6 hours post initiation of study treatment.76 (.36 to 1.26)1.07 (.72 to 1.64)
24 hours post initiation of study treatment3.37 (1.98 to 4.7)3.59 (2.52 to 5.02)

Adverse events

Collected over 28 days. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo26/64 (40.6%)3/64 (4.7%)9/64 (14.1%)
Intervention16/61 (26.2%)4/61 (6.6%)8/61 (13.1%)
Most frequent serious events
Most frequent serious events
EventPlaceboIntervention
Elevated Troponin w/o ST elevationCardiac disorders0/642/61
New or worsening heart failureCardiac disorders2/640/61
BleedingBlood and lymphatic system disorders0/641/61
PancytopeniaBlood and lymphatic system disorders0/641/61
ArrythmiaCardiac disorders1/640/61
Most frequent other events
Most frequent other events
EventPlaceboIntervention
ArrythmiaCardiac disorders3/644/61
NauseaGastrointestinal disorders0/641/61
DysphagiaGastrointestinal disorders0/641/61
ThrombocytopeniaBlood and lymphatic system disorders1/641/61
Maculopapular rashSkin and subcutaneous tissue disorders0/641/61
Loose stoolsGastrointestinal disorders1/640/61
New or worsening heart failureCardiac disorders1/640/61
Elevated Troponin w/o ST elevationCardiac disorders1/640/61
Pleural EffusionRespiratory, thoracic and mediastinal disorders1/640/61
Bleeding eventBlood and lymphatic system disorders1/640/61

Baseline characteristics

Age, Continuous
Age, Continuous(years)PlaceboInterventionTotal
Mean73 (60.7 to 80)68.9 (60.1 to 79.9)71 (60.1 to 80)
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboInterventionTotal
Female313162
Male333063
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboInterventionTotal
American Indian or Alaska Native000
Asian224
Native Hawaiian or Other Pacific Islander000
Black or African American202
White5959118
More than one race000
Unknown or Not Reported101
Region of Enrollment
Region of Enrollment(participants)PlaceboInterventionTotal
United States6461125
08

Study locations

1 site
  • University of Minnesota Medical Center
    Minneapolis, Minnesota 55455, United States
09

References and documents

Publications

  • Wacker DA, Burton SL, Berger JP, Hegg AJ, Heisdorffer J, Wang Q, Medcraft EJ, Reilkoff RA. Evaluating Vitamin C in Septic Shock: A Randomized Controlled Trial of Vitamin C Monotherapy. Crit Care Med. 2022 May 1;50(5):e458-e467. doi: 10.1097/CCM.0000000000005427. Epub 2022 Jan 5. PubMed 34982738 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2017 to primary completion in Jun 2020, 30 months.

Results were first posted in Jul 2021, 1 year after primary completion.

Of 13 phase 2/3 interventional studies under Shock, Septic, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 40. This study's 30 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 31, 2017
First posted
Nov 9, 2017
StartActual
Dec 20, 2017
Primary completionActual
Jun 30, 2020
CompletionActual
Aug 10, 2020
Results first posted
Jul 14, 2021
Last update
Jul 14, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 14, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03338569
Responsible party
Sponsor
First posted
Nov 9, 2017
Start date
Dec 20, 2017
Primary completion
Jun 30, 2020
Completion
Aug 10, 2020
Results posted
Jul 14, 2021
Last update
Jul 14, 2021

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Ascorbic Acid

Start the discussion