Evidence map›Paper›PMID 31623675›Full record

Trial reportClinical epigenetics2019

Oral vitamin C supplementation to patients with myeloid cancer on azacitidine treatment: Normalization of plasma vitamin C induces epigenetic changes.

Linn Gillberg, Andreas D Ørskov, Ammar Nasif, Hitoshi Ohtani, Zachary Madaj, Jakob W Hansen, Nicolas Rapin, Johanne B Mogensen, Minmin Liu, Inge H Dufva and 4 more

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

Trial report in Clinical epigenetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02877277 (Restoring Physiological Vitamin C Levels to the Normal Range), which is not on this map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
7.0field-weighted citation impact, top 2% 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.

NCT02877277 nacompletednot on this map

Restoring Physiological Vitamin C Levels to the Normal Range: Influence on Epigenetic Regulation in Normal and Malignant Hematopoiesis

TypeinterventionalSponsorRigshospitalet, DenmarkRan2016 to 2017Enrolled20ConditionsMyelodysplastic Syndrome, Acute Myeloid LeukemiaArmsVitamin C, Placebo
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 85 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Vitamin C deficiency in allogeneic hematopoietic cell transplantation recipients in the peri-transplant period.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Epigenetics-targeted drugs: current paradigms and future challenges.Signal transduction and targeted therapy · 2024
    Review
  16. Article
  17. Review
  18. Micronutrient regulation of the DNA methylome.Frontiers in epigenetics and epigenomics · 2024
    Review
  19. Development of Novel Epigenetic Anti-Cancer Therapy Targeting TET Proteins.International journal of molecular sciences · 2023
    Article
  20. 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

14 authors at 4 institutions in 3 countries.

Linn GillbergDepartment of Haematology, Rigshospitalet, Copenhagen Biocenter, Building 2, 3rd floor, Ole Maaløes Vej 5, DK-2200, Copenhagen, Denmark.
Andreas D ØrskovDepartment of Haematology, Rigshospitalet, Copenhagen Biocenter, Building 2, 3rd floor, Ole Maaløes Vej 5, DK-2200, Copenhagen, Denmark.
Ammar NasifMRC London Institute of Medical Sciences (LMS), Imperial College, London, UK.
Hitoshi OhtaniVan Andel Research Institute, Grand Rapids, MI, USA.
Zachary MadajVan Andel Research Institute, Grand Rapids, MI, USA.
Jakob W HansenDepartment of Haematology, Rigshospitalet, Copenhagen Biocenter, Building 2, 3rd floor, Ole Maaløes Vej 5, DK-2200, Copenhagen, Denmark.
Nicolas RapinBiotech Research and Innovation Centre (BRIC), Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Johanne B MogensenDepartment of Haematology, Rigshospitalet, Copenhagen Biocenter, Building 2, 3rd floor, Ole Maaløes Vej 5, DK-2200, Copenhagen, Denmark.
Minmin LiuVan Andel Research Institute, Grand Rapids, MI, USA.
Inge H DufvaDepartment of Haematology, Herlev University Hospital, Copenhagen, Denmark.
Jens LykkesfeldtDepartment of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark.
Petra HajkovaMRC London Institute of Medical Sciences (LMS), Imperial College, London, UK.
Peter A JonesVan Andel Research Institute, Grand Rapids, MI, USA.
Kirsten GrønbækDepartment of Haematology, Rigshospitalet, Copenhagen Biocenter, Building 2, 3rd floor, Ole Maaløes Vej 5, DK-2200, Copenhagen, Denmark. kirsten.groenbaek@regionh.dk.ORCID 0000-0002-1535-9601
University of Copenhagen · DKVan Andel Institute · USMRC London Institute of Medical Sciences · GBHerlev Hospital · DK

Funding

Targeting DNA Methylation and the Cancer EpigenomeR35CA209859 · NCI · VAN ANDEL RESEARCH INSTITUTE · PI PETER A JONES · 2017 to 2026
$11.9M
Research Specialist Support-Targeting DNA Methylation and the Cancer EpigenomeR50CA243878 · NCI · VAN ANDEL RESEARCH INSTITUTE · PI Minmin Liu · 2019 to 2026
$934k
Medical Research Council MC_U120092689NCI NIH HHS R35 CA209859NCI NIH HHS R50 CA243878
6 · The paper itself

Abstract

backgroundPatients with haematological malignancies are often vitamin C deficient, and vitamin C is essential for the TET-induced conversion of 5-methylcytosine (5mC) to 5-hydroxymethylcytosine (5hmC), the first step in active DNA demethylation. Here, we investigate whether oral vitamin C supplementation can correct vitamin C deficiency and affect the 5hmC/5mC ratio in patients with myeloid cancers treated with DNA methyltransferase inhibitors (DNMTis).

resultsWe conducted a randomized, double-blinded, placebo-controlled pilot trial (NCT02877277) in Danish patients with myeloid cancers performed during 3 cycles of DNMTi-treatment (5-azacytidine, 100 mg/m

conclusionsNormalization of plasma vitamin C by oral supplementation leads to an increase in the 5hmC/5mC ratio compared to placebo-treated patients and may enhance the biological effects of DNMTis. The clinical efficacy of oral vitamin C supplementation to DNMTis should be investigated in a large randomized, placebo-controlled clinical trial.

trial registrationClinicalTrials.gov, NCT02877277 . Registered on 9 August 2016, retrospectively registered.

Indexed as

Administration, OralAgedAged, 80 and overAscorbic AcidAzacitidineCpG IslandsDenmarkDNA MethylationDouble-Blind MethodEpigenesis, GeneticFemaleHumansLeukemia, MyeloidMaleMiddle AgedMyelodysplastic SyndromesAscorbic AcidAzacitidineAzacitidineEpigeneticsHydroxymethylcytosineMyeloid cancerVitamin C

Identifiers

PMID31623675
PMCPMC6798470
OpenAlexW2981272943

What OpenQuestion holds

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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.