Evidence map›Paper›PMID 29438178›Full record

ArticleAnti-cancer drugs2018

Treatment of pancreatic cancer with intravenous vitamin C: a case report.

Jeanne A Drisko, Oscar K Serrano, Lisa R Spruce, Qi Chen, Mark Levine

Registry-linked trialAbstract readCase Reports
In one paragraph

Article in Anti-cancer drugs, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06018883 (Vitamin C to Chemotherapy Related Anemia in Pancreatic Cancer), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.6field-weighted citation impact, top 11% 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.

NCT06018883 phase3active not recruitingnot on this mapstarted 2023, after this paper: background citation

Vitamin C to Chemotherapy Related Anemia in Pancreatic Cancer

TypeinterventionalSponsorFudan UniversityRan2023 to 2026Enrolled100ConditionsMetastatic Pancreatic AdenocarcinomaArmsAscorbate, Nab paclitaxel, Gemcitabine
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Metabolic engineering in food crops to enhance ascorbic acid production: crop biofortification perspectives for human health.Physiology and molecular biology of plants : an international journal of functional plant biology · 2022
    Review
  5. Review
  6. High-dose intravenous vitamin C, a promising multi-targeting agent in the treatment of cancer.Journal of experimental & clinical cancer research : CR · 2021
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Therapeutic Perspective of Vitamin C and Its Derivatives.Antioxidants (Basel, Switzerland) · 2019
    Review
  12. Review
  13. Ascorbic Acid in Colon Cancer: From the Basic to the Clinical Applications.International journal of molecular sciences · 2018
    Review
  14. Vitamin C andFrontiers in physiology · 2018
    Review
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

5 authors at 5 institutions in 1 country.

Jeanne A DriskoDepartment of Internal Medicine, Division of KU Integrative Medicine.
Oscar K SerranoDepartment of Surgery, Division of Transplantation, University of Minnesota, Minneapolis, Minnesota.
Lisa R SpruceAssociation of Perioperative Registered Nurses, Director of Evidence-Based Perioperative Practice, Denver, Colorado.
Qi ChenDepartment of Pharmacology, Toxicology, and Therapeutics, University of Kansas Health System, Kansas City, Kansas.
Mark LevineNational Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Clinical Nutrition Section, Bethesda, Maryland, USA.
Association of Perioperative Registered Nurses · USGTx (United States) · USNational Institute of Diabetes and Digestive and Kidney Diseases · USUniversity of Kansas · USUniversity of Minnesota · US

Funding

Ascorbic acid as a pharmacologic agent in disease treatmentZIADK053212 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI LEVINE, MARK A · 2009 to 2025
$8.5M
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDA) has a dismal prognosis and is often discovered at an advanced stage with few therapeutic options. Current conventional regimens for PDA are associated with significant morbidity, decreased quality of life, and a considerable financial burden. As a result, some patients turn to integrative medicine therapies as an alternate option after a diagnosis of PDA. Intravenous pharmacologic ascorbic acid (PAA) is one such treatment. The use of PAA has been passionately debated for many years, but more recent rigorous scientific research has shown that there are significant blood concentration differences when ascorbic acid is given parenterally when compared to oral dosing. This pharmacologic difference appears to be critical for its role in oncology. Here, we report the use of PAA in a patient with poorly differentiated stage IV PDA as an exclusive chemotherapeutic regimen. The patient survived nearly 4 years after diagnosis, with PAA as his sole treatment, and he achieved objective regression of his disease. He died from sepsis and organ failure from a bowel perforation event. This case illustrates the possibility of PAA to effectively control tumor progression and serve as an adjunct to standard of care PDA chemotherapy regimens. Our patient's experience with PAA should be taken into consideration, along with previous research in cell, animal, and clinical experiments to design future treatment trials.

Indexed as

Administration, IntravenousAgedAscorbic AcidBiliary Tract Surgical ProceduresCarcinoma, Pancreatic DuctalDisease ProgressionHumansIntegrative MedicineMalePancreatic NeoplasmsPositron Emission Tomography Computed TomographyPrognosisStentsAscorbic Acid

Identifiers

PMID29438178
PMCPMC5882293
OpenAlexW2790440974

What OpenQuestion holds

Textmetadata
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.