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Last Updated: December 12, 2025

CLINICAL TRIALS PROFILE FOR ASCORBIC ACID


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505(b)(2) Clinical Trials for ascorbic acid

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Dosage NCT01533090 ↗ Evaluation of Reduced-volume PEG Bowel Preparation Administered the Same Day of Colonoscopy Completed Catholic University of the Sacred Heart N/A 2010-04-01 The conventional total dose of 4 L of polyethylene glycol (PEG) given the day before the procedure is safe and effective. It has been the standard cleansing regimen for the last 25 years. To overcome the difficulty in completing the bowel preparation due to large volume and/or taste, reduced-volume (mixed) bowel preparation of bisacodyl and 2 L of PEG have been shown to provide adequate colon cleansing and better tolerability. LoVol-esse is a reduced-volume PEG-based bowel preparation to be used in combination with bisacodyl and designed to improve patient tolerability and attitude toward bowel cleansing prior to colonoscopy thanks to the reduced volume and improved taste. The present study is intended to compare the new dosing regimen of the bowel lavage solution given the same day compared with standard PEG formulation (SELG 1000) given the day before colonoscopy.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for ascorbic acid

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000595 ↗ Evaluation of Subcutaneous Desferrioxamine as Treatment for Transfusional Hemochromatosis Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 2 1978-01-01 To determine whether deferoxamine prevented the complications of transfusional iron overload.
NCT00006021 ↗ Arsenic Trioxide Plus Vitamin C in Treating Patients With Recurrent or Refractory Multiple Myeloma Completed National Cancer Institute (NCI) Phase 1/Phase 2 2000-06-01 RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Vitamin C may increase the effectiveness of arsenic trioxide by making cancer cells more sensitive to the drug. PURPOSE: Phase I/II trial to determine the effectiveness of arsenic trioxide plus vitamin C in treating patients who have recurrent or refractory multiple myeloma.
NCT00006021 ↗ Arsenic Trioxide Plus Vitamin C in Treating Patients With Recurrent or Refractory Multiple Myeloma Completed University of Miami Phase 1/Phase 2 2000-06-01 RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Vitamin C may increase the effectiveness of arsenic trioxide by making cancer cells more sensitive to the drug. PURPOSE: Phase I/II trial to determine the effectiveness of arsenic trioxide plus vitamin C in treating patients who have recurrent or refractory multiple myeloma.
NCT00085345 ↗ Melphalan, Arsenic Trioxide, and Ascorbic Acid in Treating Patients With Relapsed or Refractory Multiple Myeloma Withdrawn Oncotherapeutics Phase 2 1969-12-31 RATIONALE: Drugs used in chemotherapy, such as melphalan, arsenic trioxide, and ascorbic acid, work in different ways to stop cancer cells from dividing so they stop growing or die. Arsenic trioxide and ascorbic acid may also help melphalan kill more cancer cells by making them more sensitive to the drugs. PURPOSE: This phase II trial is studying how well giving melphalan together with arsenic trioxide and ascorbic acid works in treating patients with relapsed or refractory multiple myeloma.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ascorbic acid

Condition Name

Condition Name for ascorbic acid
Intervention Trials
Sepsis 11
Septic Shock 10
Colonoscopy 7
Colorectal Cancer 5
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Condition MeSH

Condition MeSH for ascorbic acid
Intervention Trials
Multiple Myeloma 13
Neoplasms, Plasma Cell 12
Sepsis 12
Pancreatic Neoplasms 12
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Clinical Trial Locations for ascorbic acid

Trials by Country

Trials by Country for ascorbic acid
Location Trials
United States 134
Korea, Republic of 22
Egypt 15
Spain 12
Italy 7
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Trials by US State

Trials by US State for ascorbic acid
Location Trials
Pennsylvania 12
New York 10
California 10
Arizona 8
Massachusetts 7
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Clinical Trial Progress for ascorbic acid

Clinical Trial Phase

Clinical Trial Phase for ascorbic acid
Clinical Trial Phase Trials
PHASE4 3
PHASE3 1
PHASE2 4
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Clinical Trial Status

Clinical Trial Status for ascorbic acid
Clinical Trial Phase Trials
Completed 115
Recruiting 32
Unknown status 24
[disabled in preview] 18
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Clinical Trial Sponsors for ascorbic acid

Sponsor Name

Sponsor Name for ascorbic acid
Sponsor Trials
National Cancer Institute (NCI) 13
Thomas Jefferson University 7
Ain Shams University 6
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Sponsor Type

Sponsor Type for ascorbic acid
Sponsor Trials
Other 340
Industry 40
NIH 21
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Clinical Trials Update, Market Analysis, and Projection for Ascorbic Acid

Last updated: October 26, 2025


Overview of Ascorbic Acid in the Pharmaceutical Sector

Ascorbic acid, commonly known as Vitamin C, is a vital nutrient with extensive applications in healthcare, functional foods, and cosmetic industries. Beyond its dietary supplement use, it holds significant therapeutic potential, prompting ongoing research and clinical evaluation. Its safety profile and well-established role in preventing and treating scurvy underpin its broad acceptance, but recent scientific developments have expanded its application landscape, especially in clinical settings targeting immune support, antioxidant therapy, and cancer adjunct treatment.


Recent Clinical Trials and Advancements

1. New Clinical Trials and Research Directions

Over the past few years, numerous clinical trials have re-examined ascorbic acid's role in modern medicine. A notable trend involves high-dose intravenous (IV) administration aimed at modulating oxidative stress in critically ill patients. For instance, a multi-center randomized controlled trial (RCT) published in 2021 evaluated high-dose IV vitamin C in sepsis, demonstrating potential benefits in reducing organ failure and mortality rates (source: [1]).

Simultaneously, research has expanded into oncology, exploring ascorbic acid as an adjuvant therapy to improve chemotherapy efficacy and reduce side effects. Several ongoing phase I and II trials are investigating intravenous administration of high-dose vitamin C in patients with pancreatic and ovarian cancers, with preliminary data suggesting improved quality of life and potential tumor suppression when combined with standard treatments (source: [2]).

2. Regulatory and Safety Developments

The regulatory landscape remains largely unchanged, with agencies such as the U.S. Food and Drug Administration (FDA) classifying oral ascorbic acid as generally recognized as safe (GRAS). However, for high-dose IV applications, clinical trial protocols are under strict review to assess safety and efficacy. Despite initial concerns over renal stones and gastrointestinal disturbances, recent data confirm the safety of controlled high-dose treatments when appropriately monitored (source: [3]).

3. Future Directions in Clinical Research

Upcoming trials focus on exploring ascorbic acid’s immunomodulatory properties, especially concerning viral infections including COVID-19. Several studies are assessing its role in mitigating cytokine storm phenomena. Moreover, investigations into its epigenetic effects and potential in neurodegenerative disease management are in preliminary phases.


Market Analysis

1. Global Market Size and Trends

The global vitamin C market was valued at approximately USD 1.2 billion in 2022 and is projected to grow at a compounded annual growth rate (CAGR) of 5.7% through 2030, driven by increasing consumer awareness and expanding clinical applications (source: [4]).

2. Market Segments and Key Drivers

  • Dietary Supplements: Constitutes the largest segment, fueled by consumer trends toward preventive healthcare.
  • Pharmaceutical Applications: Growing demand for IV formulations in hospital and clinical settings. The use in immune modulation, oncology, and critical care is increasingly recognized.
  • Cosmetic Industry: Utilizes ascorbic acid for skin brightening and anti-aging products, supporting cross-sector growth.

Key drivers include rising prevalence of chronic diseases requiring antioxidant therapy, the COVID-19 pandemic highlighting immune health, and technological advances facilitating more effective high-dose IV formulations.

3. Geographic Market Dynamics

  • North America: Leading market due to high healthcare expenditure, advanced clinical research infrastructure, and broad consumer awareness.
  • Europe: Significant growth driven by aging populations and regulatory support for innovative therapies.
  • Asia Pacific: Fastest-growing segment, with an increasing trend toward healthcare modernization and supplement consumption in China and India.

4. Competitive Landscape

Major players include DSM, BASF, DDW The Chemical Company, Tedaim, and Sigma-Aldrich. Companies are investing in bioavailability-enhanced formulations and novel delivery systems to differentiate their offerings. Patent filings related to high-dose intravenous formulations indicate a strategic focus on clinical applications.


Market Projection

Based on current trends, the market for ascorbic acid in pharmaceutical applications is expected to reach USD 2.1 billion by 2030, expanding at a CAGR of approximately 6%. Key growth niches include IV formulations for critical care and oncology adjuncts. The ongoing development of evidence-based clinical protocols could unlock wider adoption in hospital settings, further fueling demand.

Innovations in delivery technology, such as liposomal vitamin C, are likely to command premium pricing, opening new commercial opportunities. Additionally, increased funding and incentives towards research addressing immune health and infectious disease management can accelerate clinical adoption.


Regulatory Outlook and Challenges

While the safety profile of oral ascorbic acid is well-established, regulatory approval for high-dose IV uses remains contingent on rigorous clinical trial data demonstrating safety and efficacy. Future approvals may prompt new marketing claims and expanded indications, particularly if ongoing trials confirm therapeutic benefits.

Nevertheless, challenges exist, including differentiating products amidst generic "Vitamin C" offerings, navigating complex clinical trial phases, and addressing potential side effects associated with high-dose administration.


Key Takeaways

  • Clinical research is expanding the therapeutic scope of ascorbic acid, particularly in critical care and oncology, with high-dose IV strategies showing promising early results.
  • Market growth is driven by increasing applications in pharmaceuticals, functional foods, and cosmetics, supported by consumer health trends and technological innovation.
  • Regulatory pathways are evolving, with robust clinical data needed to substantiate high-dose IV indications and facilitate broader market access.
  • Geographic variations suggest North America and Europe will lead in adoption, while Asia Pacific offers significant growth potential due to rising healthcare investments.
  • Strategic focus for stakeholders should include investing in research collaborations, innovative delivery systems, and navigating regulatory frameworks to accelerate product development and commercialization.

FAQs

1. What are the main therapeutic applications of ascorbic acid currently under clinical evaluation?
Primarily, high-dose intravenous ascorbic acid is under investigation for its roles in sepsis management, cancer adjunct therapy, and immune modulation, with ongoing trials exploring its efficacy and safety.

2. Are there significant safety concerns associated with high-dose intravenous vitamin C?
Studies indicate that, when administered under clinical supervision, high-dose IV vitamin C is generally safe. Risks include oxalate nephropathy and gastrointestinal discomfort, requiring careful monitoring.

3. How does the market for ascorbic acid in pharmaceuticals compare to its use in consumer products?
While consumer supplements dominate the total market, pharmaceutical applications—especially IV formulations—are a growing segment, driven by clinical evidence and medical needs.

4. What technological innovations are shaping the future of ascorbic acid formulations?
Liposomal delivery systems, microencapsulation, and stabilized derivatives are advancing bioavailability and stability, enabling more effective therapeutic use.

5. What regulatory hurdles must be overcome for broader clinical use?
Robust clinical trial data demonstrating safety and efficacy are essential for approval of high-dose IV applications, alongside clear labeling and manufacturing standards.


References

  1. [1] Marik, P. E., & Hooper, M. H. (2021). Vitamin C for Sepsis: Rationale and Evidence. Critical Care Clinics.
  2. [2] Carr, A. C., & Cook, J. (2020). The Role of Vitamin C in Cancer Treatment. Nutrients.
  3. [3] Padayatty, S. J., et al. (2010). Intravenous vitamin C for cancer therapy. Cancer Chemother Pharmacol.
  4. [4] Zion Market Research. (2022). Vitamin C Market by Application — Global Industry Perspective, Comprehensive Analysis, and Forecast, 2022–2030.

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