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Not yet recruitingNCT07866274Updated Oct 8, 2026

Effect of Vitamin C Administration on Intraoperative Bleeding in Patients Undergoing Sinusoscopy

A Phase 2 interventional study of Ascorbic acid and Placebo in Chronic Rhinosinusitis, Intraoperative Bleeding and Blood Loss, Surgical, sponsored by Assiut University. Not yet recruiting. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-08.

Sponsored by Assiut University · Phase 2, Interventional, and Prevention

Updated Oct 8, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
78
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Functional endoscopic sinus surgery (FESS), or sinusoscopy, is a standard surgical procedure used to treat chronic rhinosinusitis and other conditions of the nasal sinuses. However, bleeding during surgery is a frequent challenge that can obstruct the surgeon's view, lengthen operative time, and increase the risk of complications.

Vitamin C (ascorbic acid) supports collagen synthesis, capillary wall strength, and blood vessel integrity, which may help minimize mucosal bleeding during surgical procedures.

The purpose of this randomized clinical trial is to evaluate whether administering preoperative Vitamin C reduces intraoperative bleeding, enhances surgical field visibility, and shortens operative duration in adult patients undergoing elective sinusoscopy.

Participants will be randomly assigned to one of two groups:

  • Vitamin C Group: Receives a standardized 500 mg dose of Vitamin C before surgery.
  • Control Group: Receives standard perioperative care/placebo before surgery.

Total blood loss will be recorded during surgery, surgical field clarity will be evaluated every 15 minutes using the Boezaart scale, and participants will be monitored for postoperative bleeding and potential side effects for up to 48 hours.

02

Conditions studied

  • Chronic Rhinosinusitis
  • Intraoperative Bleeding
  • Blood Loss, Surgical

Keywords

  • Vitamin C
  • Ascorbic Acid
  • Functional Endoscopic Sinus Surgery
  • FESS
  • Sinusoscopy
  • Surgical Field Visibility
  • Boezaart Scale
  • Epistaxis
03

In context

Blood Loss, Surgical

218 studies on the registry are indexed under Blood Loss, Surgical; 39 are open to participants now.

This study's planned enrollment of 78 is below the median of 90 across 157 interventional studies indexed under Blood Loss, Surgical.

Browse Blood Loss, Surgical studies →

Lead sponsor

Assiut University is the lead sponsor of 4,916 studies on the registry; 2,113 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients scheduled for elective functional endoscopic sinus surgery (FESS / sinusoscopy)
  • Age between 18 and 65 years
  • American Society of Anesthesiologists (ASA) physical status I or II

Exclusion criteria

Exclusion Criteria:

  • Pre-existing bleeding disorders, coagulopathy, or concurrent anticoagulant/antiplatelet therapy
  • History of renal stones (nephrolithiasis) or severe renal impairment
  • Pregnant or lactating females
  • Current smokers
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
78 participants (estimated)

Study arms

  • Experimental
    Vitamin C Group

    Patients scheduled for elective functional endoscopic sinus surgery (FESS) receiving a standardized dose of 500 mg Vitamin C (ascorbic acid) preoperatively in addition to standard general anesthesia and monitoring.

    Drug: Ascorbic acid

  • Placebo comparator
    Control Group

    Patients scheduled for elective functional endoscopic sinus surgery (FESS) receiving matching placebo or standard perioperative care preoperatively in addition to standard general anesthesia and monitoring.

    Other: Placebo

Interventions

  • DrugAscorbic acid

    Administration of a standardized dose of 500 mg Vitamin C (ascorbic acid) preoperatively prior to functional endoscopic sinus surgery (FESS).

    Also known as: Vitamin C

  • OtherPlacebo

    Administration of matching placebo or standard perioperative care preoperatively prior to functional endoscopic sinus surgery (FESS).

06

What researchers measure

Primary outcomes

  1. Total Intraoperative Blood Loss

    Total intraoperative blood loss measured in milliliters (mL). Calculated as the total fluid collected in the suction canisters minus the volume of surgical irrigation fluid used, added to the volume calculated from blood-soaked gauzes (determined gravimetrically: wet gauze weight minus dry gauze weight, where 1 g = 1 mL).

    Time frame: Through completion of surgery, up to 2 hours

07

Study locations

No study locations are listed for this record.

08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 8, 2026
Show all 1 update
  1. Oct 8, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07866274
Lead sponsor
Assiut University
Responsible party
Zeinab Ahmed Mahmoud Sanad (Resident, Assiut University) — Principal investigator
First posted
Oct 8, 2026
Start date
Nov 2026 (estimated)
Primary completion
Nov 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Oct 8, 2026

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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