Evidence map›Paper›PMID 18952164›Full record

Trial reportFree radical biology & medicine2009

Vitamin C treatment reduces elevated C-reactive protein.

Gladys Block, Christopher D Jensen, Tapashi B Dalvi, Edward P Norkus, Mark Hudes, Patricia B Crawford, Nina Holland, Ellen B Fung, Laurie Schumacher, Paul Harmatz

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Free radical biology & medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01028976 (Obesity, Inflammation and Oxidative Stress), which is not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01028976 phase3completednot on this mapstarted 2010, after this paper: background citation

Obesity, Inflammation and Oxidative Stress

TypeinterventionalSponsorUniversity of California, BerkeleyRan2010 to 2012Enrolled512ConditionsC-reactive Protein, Inflammation, Obesity, Oxidative StressArmsVitamin C (ascorbic acid), Placebo tablet
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 113 citations in OpenAlex.

  1. Pooled it
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  12. The Role of Vitamins in the Pathogenesis of Asthma.International journal of molecular sciences · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Gladys BlockUniversity of California, Berkeley, 94720, USA. gblock@berkeley.edu
Christopher D Jensen
Tapashi B Dalvi
Edward P Norkus
Mark Hudes
Patricia B Crawford
Nina Holland
Ellen B Fung
Laurie Schumacher
Paul Harmatz
University of California, Berkeley · USMontefiore Medical Center · US

Funding

ZIDOVUDINE &LAMIVUDINE &NEVIRAPINE COMBINATION THERAPY IN HIV 1 INFM01RR001271 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KESSLER, DAVID A · 1985 to 2006
$22.7M
Obesity, Inflammation, and Oxidative StressR01DK062378 · NIDDK · UNIVERSITY OF CALIFORNIA BERKELEY · PI BLOCK, GLADYS · 2004 to 2011
$4.2M
NCRR NIH HHS M01 RR001271NCRR NIH HHS MO1-RR01271NIDDK NIH HHS R01 DK062378NIDDK NIH HHS R01DK062378
6 · The paper itself

Abstract

Plasma C-reactive protein (CRP) is an inflammatory biomarker that predicts cardiovascular disease. Lowering elevated CRP with statins has reduced the incidence of cardiovascular disease. We investigated whether vitamin C or E could reduce CRP. Healthy nonsmokers (N=396) were randomized to three groups, 1000 mg/day vitamin C, 800 IU/day vitamin E, or placebo, for 2 months. Median baseline CRP was low, 0.85 mg/L. No treatment effect was seen when all participants were included. However, a significant interaction was found, indicating that treatment effect depends on baseline CRP concentration. Among participants with CRP indicative of elevated cardiovascular risk (> or =1.0 mg/L), vitamin C reduced the median CRP by 25.3% vs placebo (p=0.02) (median reduction in the vitamin C group, 0.25 mg/L, 16.7%). These effects are similar to those of statins. The vitamin E effect was not significant. In summary, treatment with vitamin C but not vitamin E significantly reduced CRP among individuals with CRP > or =1.0 mg/L. Among the obese, 75% had CRP > or =1.0 mg/L. Research is needed to determine whether reducing this inflammatory biomarker with vitamin C could reduce diseases associated with obesity. But research on clinical benefits of antioxidants should limit participants to persons with elevations in the target biomarkers.

Indexed as

AdultAge FactorsAscorbic AcidBiomarkersBody Mass IndexCardiovascular DiseasesC-Reactive ProteinEthnicityFemaleHumansMaleMenopauseMiddle AgedSex FactorsVitamin EAscorbic AcidBiomarkersC-Reactive ProteinVitamin E

Identifiers

PMID18952164
PMCPMC2631578
OpenAlexW2004891464

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.