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CompletedNCT03872011Updated Sep 23, 2021

Vitamin C, Thiamine and Hydrocortisone for the Treatment of Septic Shock

A Phase 3 interventional study of Vitamin C,thiamine,hydrocortisone and Placebo in Septic Shock, sponsored by Northern Jiangsu People's Hospital. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-09-23.

Sponsored by Northern Jiangsu People's Hospital · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
408
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether the combination therapy (vitamin C,thiamine and hydrocortisone) is effective in the treatment of septic shock.

Read the detailed description

Septic Shock is a leading cause of morbidity and mortality in critically ill patients worldwide.

A potential benefit of vitamin C with thiamine and low-dose hydrocortisone in the treatment of septic shock has recently been described(PMID 27940189) . The patients with septic shock who received this combination of medications weaned off pressors earlier, suffered less organ failure, and had improved mortality. The doses of vitamin C used in this trial are high, yet seemed to be safe and can be considered for use.

In this randomized controlled trial, we aim to evaluate the effect of the combination therapy (vitamin C,thiamine and hydrocortisone) on septic shock.

02

Conditions studied

  • Septic Shock

Keywords

  • septic shock
  • vitamin C
  • thiamine
  • hydrocortisone
  • mortality
03

In context

Shock, Septic

862 studies on the registry are indexed under Shock, Septic; 207 are open to participants now.

This study's enrollment of 408 is above the median of 80 across 530 interventional studies indexed under Shock, Septic.

Browse Shock, Septic studies →

Lead sponsor

Northern Jiangsu People's Hospital is the lead sponsor of 60 studies on the registry; 31 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

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

Inclusion criteria

  • Age 18 years old or older
  • Onset of septic shock within 12 hours

Exclusion criteria

Exclusion Criteria:

  • Systemic corticosteroid therapy within the last 3 months before septic shock
  • High-dose steroid therapy
  • Immunosuppression
  • Pregnant
  • Known glucose-6 phosphate dehydrogenase (G-6PD) deficiency
  • Known hemachromatosis
  • Known allergy to vitamin C, hydrocortisone, or thiamine
  • Anticipated death from a preexisting disease within 90 days after randomization (as determined by the enrolling physician)
  • Refusal of the attending staff or patient family
05

Study design

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

Study arms

  • Experimental
    Vitamin C,thiamine,hydrocortisone

    The combination of vitamin C, thiamine, hydrocortisone : Vitamin C 2g every 6 hours x 5-days Thiamine 200mg every 12 hours x 5-days Hydrocortisone 200mg as a continuous infusion x 5-days

    Drug: Vitamin C,thiamine,hydrocortisone

  • Placebo comparator
    Placebo

    Normal Saline Solution (0.9%NaCl) in a volume to match all experimental arm components

    Drug: Placebo

Interventions

  • DrugVitamin C,thiamine,hydrocortisone

    Vitamin C (2g) will be diluted in 100ml 0.9%NACL and administered ivd every 6 hours for 5 days or until participant is discharged from the ICU. Thiamine(200mg) will be diluted in 100ml 0.9%NACL and administered ivd every 12 hours for 5 days or until participant is discharged from the ICU. Hydrocortisone was administered 200 mg/d as a continuous infusion for 5 days or until participant is discharged from the ICU.

    Also known as: Ascorbic Acid, Vitamin B1

  • DrugPlacebo

    Normal saline (0.9% NaCl solution) volume to match all components

    Also known as: Normal saline

06

What researchers measure

Primary outcomes

  1. 90-day mortality

    Death from any cause at 90 days after the onset of septic shock

    Time frame: 90 days after randomization

Secondary outcomes

  1. ICU mortality

    All-cause mortality at ICU discharge

    Time frame: 90 days after randomization

  2. Hospital mortality

    All-cause mortality at hospital discharge

    Time frame: 90 days after randomization

  3. 28-day mortality

    Death from any cause at 28 days after the onset of septic shock

    Time frame: 28 days after randomization

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Study locations

1 site
  • Northern Jiangsu Province people's hospital
    Yangzhou, Jiangsu 225000, China
08

References and documents

Publications

  • Lyu QQ, Zheng RQ, Chen QH, Yu JQ, Shao J, Gu XH. Early administration of hydrocortisone, vitamin C, and thiamine in adult patients with septic shock: a randomized controlled clinical trial. Crit Care. 2022 Sep 28;26(1):295. doi: 10.1186/s13054-022-04175-x. PubMed 36171582 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 23, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03872011
Lead sponsor
Northern Jiangsu People's Hospital
Responsible party
Qing-quan Lv (Principal Investigator, Northern Jiangsu People's Hospital) — Principal investigator
First posted
Mar 12, 2019
Start date
Feb 19, 2019
Primary completion
Sep 20, 2021
Completion
Sep 20, 2021
Last update
Sep 23, 2021

Study contacts

Qingquan Lyu, Master
principal investigator · Northern Jiangsu People's Hospital

Oversight

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

Not currently enrolling

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

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