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SepsisPhase 2CEMVISNCT05194189

Clinical Efficacy of Megadose Vitamin C in Sepsis

A Phase 2 study testing Vitamin C and 5% glucose injection in people with Sepsis and Septic Shock, run by Zhujiang Hospital at 4 sites in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

In this multicenter, randomized, single-blind, placebo-controlled clinical trial. Patients will be randomly assigned to receive Vitamin C or placebo for 4 days or until ICU discharge (whatever come first). The primary outcome is 28-day all-cause mortality. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Sepsis, Septic Shock
What is being tested?
Vitamin C and 5% glucose injection
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
234 participants
Where
4 sitesChina
Study dates
8 Feb 2022to 25 Dec 2024
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Meets the diagnostic criteria for sepsis-3 developed by the American Society of Critical Care Medicine (SCCM)/European Critical Care Medicine Association (ESICM)
  • Age ≥18 years old and age ≤80 years old.
  • Procalcitonin ≥2 ng/ml

Who cannot join

  • Age<18 years, or age>80 years.
  • Pregnancy or lactating
  • A solid-organ or bone marrow transplant patients.
  • Patients with myocardial infarction within the past 3 months.
  • Advanced pulmonary fibrosis .
  • Patients with cardiopulmonary resuscitation before enrollment.
Show all 16Show fewer
  • HIV-positive patients.
  • granulocyte-deficient patients.
  • blood/lymphatic system tumors are not remission.
  • patients with limited care (lack of commitment to full aggressive life support).
  • patients with long-term use of immunosuppressive drugs or with immunodeficiency.
  • patients with advanced tumors.
  • patients combined with non-infectious factors leading to the death(uncontrollable major bleeding, brain hernia, etc.).
  • surgically unresolved infection sources(such as some intraperitoneal infection etc.)
  • patients allergic to vitamin c.
  • patients with G6PD deficiency.

Trial locations and contacts

4 sites in 1 country.

China4 sites
  • Department of Critical Care Medicine of Zhujiang Hospital,Southern Medical University

    Guanzhou, Guangdong

  • Department of Critical Care Medicine of Nanfang Hospital of Southern Medical University

    Guanzhou

  • Department of Critical Care Medicine of Yunfu People's Hospital

    Yunfu, Guangdong, 527300

  • Department of Critical Care Medicine of Zhongshan People's Hospital

    Zhongshan, Guangzhou, 528403

Other trials in China

About this study

Official title: Clinical Efficacy of Megadose Vitamin C in Sepsis (CEMVIS): A Multicenter, Randomized, Single-blind, Placebo-controlled Clinical Trial

In this multicenter, randomized, single-blind, placebo-controlled clinical trial. Patients will be randomly assigned to receive Vitamin C or placebo for 4 days or until ICU discharge (whatever come first). The primary outcome is 28-day all-cause mortality.

Read the detailed description

Investigational drug: Vitamin C for injection

Study title: Clinical efficacy of megadose vitamin C in sepsis (CEMVIS): A Multicenter, Randomized, Single-blind, Placebo-controlled Clinical Trial

Principal Investigator: Zhanguo Liu, professor, Department of Critical Care Medicine, Zhujiang Hospital, Southern Medical University

Study subjects: Adult septic/septic shock patients with procalcitonin(PCT)≥2ng/ml at recruitment.

Study phase: Investigator Initiated Trial(IIT)

Study objectives: The objective of the study is to determine whether megadose vitamin c, compared to placebo, improve the prognosis of sepsis, including the reduction in mortality, the protection of organ function and reduction of inflammatory response, and to determine the safety of megadose vitamin c in patients with sepsis.

Study design: A Multicenter, Randomized, Single-blind, Placebo-controlled Clinical Trial

Method: Megadose vitamin C group: routine treatment follow the recommendation of the guidelines for sepsis in 2021+ 12 g vitamin C (48 ml) injection every 12 h for 4 days or until ICU discharge (death or transfer from ICU to general ward or discharge), whatever come first. Placebo control group: routine treatment follow the recommendation of the guidelines for sepsis in 2021 + 48ml 5% glucose injection every 12 h for 4 days or until ICU discharge (death or transfer from ICU to general ward or discharge), whatever come first.

Course: 4 days

Sample size: 234

The number of study center: 4

Study center:

  1. Department of Critical Care Medicine of Zhujiang Hospital,Guangzhou, Guangdong, China
  2. Department of Critical Care Medicine of Yunfu People' s Hospital, Yunfu, Guangdong, China
  3. Department of Critical Care Medicine of Zhongshan People's Hospital, Zhongshan, Guangdong, China
  4. Department of Critical Care Medicine of Nanfang Hospital,Guangzhou, Guangdong, China

Primary endpoint: 28-day all-cause mortality.

Secondary endpoints:

  1. The state of liver function: the serum level of transaminase(AST、ALT)、total bilirubin at 96 h after randomization
  2. The state of lung function: oxygenation index(PaO2/FiO2) at 96h after randomization
  3. The state of kidney function: serum level of Creatinine (Cr)、blood urea nitrogen(BUN)、Cystatin(Cys) at 96 h after randomization
  4. The state of inflammatory response: the serum level of interleukin-6(IL-6) and C-reactive protein(CRP) at 96 h after randomization.
  5. The state of infection: the serum level of procalcitonin(PCT) and white blood cell (WBC) at 96 h after randomization.
  6. The state of circulation system: the serum level of lactate at 96 h after randomization
  7. Organ dysfunction assessed by Sequential Organ Failure Assessment (SOFA) score at 96 h after randomization
  8. The duration of successful cessation of supportive therapies for organ dysfunction including vasoactive agents, mechanical ventilation.
  9. The duration of continuous renal replacement therapy(CRRT)
  10. The length of stay in ICU

Safety endpoints:

  1. adverse events
  2. Serious adverse events
Conditions
Sepsis, Septic Shock
Being tested
Vitamin C, 5% glucose injection
Keywords
megadose vitamin C
Medical subject headings
Sepsis, Shock, Septic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Vitamin CDrug

    12 g vitamin C (48 ml) will be intravenously injected by a infusion pump every 12 h for 4 days or at ICU discharge

  • 5% glucose injectionDrug

    5% glucose solution 48 ml every 12 h for 4 days or at ICU discharge.

Study groups in NCT05194189
Study groupRoleWhat they receive
Megadose vitamin C groupExperimental12 g vitamin C (48 ml) will intravenously injected by a infusion pump every 12 h for 4 days or until ICU discharge
Receives: Drug: Vitamin C
Placebo groupPlacebo comparator5% glucose solution 48 ml every 12 h for 4 days or until ICU discharge.
Receives: Drug: 5% glucose injection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 28-day all-cause mortality

    All-cause mortality from the enrollment to the 28th days

    Measured: The outcome will be assessed at the 28 day after enrollment

Secondary outcomes (17)
  1. liver function(1)

    the serum level of Alanine transaminase(ALT)

    Measured: The outcome will be assessed at the 0, 1 ,2 ,4 day after enrollment

  2. liver function(2)

    the serum level of Aspartate transaminase (AST)

    Measured: The outcome will be assessed at the 0, 1 ,2 ,4 day after enrollment

  3. liver function(3)

    the serum level of total bilirubin

    Measured: The outcome will be assessed at the 0, 1 ,2 ,4 day after enrollment

  4. lung function

    oxygenation index(PaO2/FiO2),the patients treated with extracorporeal membrane oxygenation will not collect this indicator.

    Measured: The outcome will be assessed at the 0, 1 ,2 ,4 day after enrollment

  5. kidney function(1)

    serum level of Creatinine (Cr)

    Measured: The outcome will be assessed at the 0, 1 ,2 ,4 day after enrollment

  6. kidney function(2)

    serum level of blood urea nitrogen(BUN)

    Measured: The outcome will be assessed at the 0, 1 ,2 ,4 day after enrollment

  7. kidney function(3)

    serum level of Cystatin(Cys)

    Measured: The outcome will be assessed at the 0, 1 ,2 ,4 day after enrollment

  8. inflammatory response(1)

    the serum level of interleukin-6(IL-6)

    Measured: The outcome will be assessed at the 0, 1 ,2 ,4 day after enrollment

  9. inflammatory response(2)

    the serum level of C-reactive protein(CRP)

    Measured: The outcome will be assessed at the 0, 1 ,2 ,4 day after enrollment

  10. Indicators of infection(1)

    the serum level of procalcitonin(PCT)

    Measured: The outcome will be assessed at the 0, 1 ,2 ,4 day after enrollment

  11. Indicators of infection(2)

    the level of white blood cell count(WBC)

    Measured: The outcome will be assessed at the 0, 1 ,2 ,4 day after enrollment

  12. The level of lactate

    the serum level of lactic acid

    Measured: The outcome will be assessed at the 0, 1 ,2 ,4 day after enrollment

  13. Sequential Organ Failure Assessment (SOFA) score

    Organ dysfunction assessed by Sequential Organ Failure Assessment (SOFA) score. SOFA score is based on six different scores, one each for the respiratory, cardiovascular, hepatic, coagulation, renal and neurological systems. The highest score for each of the six items is 4 points, and the lowest score is 0 points. Finally, the scores of the six items are summed to get the value of the sofa score. The range of the sofa score is 0-24.Higher values represent a worse outcome.

    Measured: The outcome will be assessed at the 0, 1 ,2 ,4 day after enrollment

  14. The cessation of mechanical ventilation(MV) administration

    The duration from the MV administration to the successful cessation in hours( The successful cessation is defined as the termination of MV for more than 48-hours. This outcome measure is intended only for patients receiving MV)

    Measured: The outcome will be assessed at the 28 day after enrollment

  15. The cessation of vasoactive drugs administration

    The duration from the vasoactive drugs administration to the successful cessation in hours( The successful cessation is defined as the attainment of a clinician-prescribed mean arterial pressure target for more than 24-hours without the use of vasoactive drugs.This outcome measure is intended only for patients receiving vasoactive drugs)

    Measured: The outcome will be assessed at the 28 day after enrollment

  16. The duration of CRRT

    The duration of CRRT therapy in hours( This outcome measure is intended only for patients receiving CRRT)

    Measured: The outcome will be assessed at the 28 day after enrollment

  17. ICU length of stay

    ICU length of stay

    Measured: The outcome will be assessed at the 28 day after enrollment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Jan 2022
  2. Study start8 Feb 2022
  3. Primary completion4 Dec 2024
  4. Study completion25 Dec 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
The participants in treatment group receive intravenous megadose vitamin C. The participants in control group receive 5% glucose injection with same volume.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
234 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05194189
Sponsor's protocol ID
2020-KY-069-05
Acronym
CEMVIS
Status last verified
May 2026
First submitted
3 Jan 2022
Last updated
13 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: The datasets generated and analyzed during the study are available from the corresponding author on reasonable request.

Publications

  • Wang, G., Liang, Z., Guan, J. et al. Clinical Efficacy of Megadose Vitamin C in Sepsis: Protocol for a Multicenter Randomized Single-Blind Placebo-Controlled Clinical Trial. Intensive Care Res 4, 129-136 (2024). https://doi.org/10.1007/s44231-024-00066-7

  • Liu F, Zhu Y, Zhang J, Li Y, Peng Z. Intravenous high-dose vitamin C for the treatment of severe COVID-19: study protocol for a multicentre randomised controlled trial. BMJ Open. 2020 Jul 8;10(7):e039519. doi: 10.1136/bmjopen-2020-039519.

    PubMed 32641343
  • Chang P, Liao Y, Guan J, Guo Y, Zhao M, Hu J, Zhou J, Wang H, Cen Z, Tang Y, Liu Z. Combined Treatment With Hydrocortisone, Vitamin C, and Thiamine for Sepsis and Septic Shock: A Randomized Controlled Trial. Chest. 2020 Jul;158(1):174-182. doi: 10.1016/j.chest.2020.02.065. Epub 2020 Mar 31.

    PubMed 32243943

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Vitamin C and 5% glucose injection in people with Sepsis and Septic Shock, run by Zhujiang Hospital at 4 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

28-day all-cause mortality (time frame: The outcome will be assessed at the 28 day after enrollment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05194189, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 May 2026.

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