AUTHOR=Sun Wenwu , Zhao Bing , Li Jiaoyan , Wang Yihui , Qi Xing , Ning Ning , Sun Silei , Li Mengjiao , Yao Yi , Ni Tongtian , Ma Li , He Juan , Huang Jun , Yang Zhitao , Chen Ying , Sheng Huiqiu , Mao Enqiang TITLE=Effect of high-dose intravenous vitamin C therapy on the prognosis in patients with moderately severe and severe acute pancreatitis: protocol of a prospective, randomized, double-blinded, placebo-controlled study JOURNAL=Frontiers in Medicine VOLUME=10 YEAR=2023 URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2023.1278167 DOI=10.3389/fmed.2023.1278167 ISSN=2296-858X ABSTRACT=Introduction

Acute pancreatitis is a common gastrointestinal disease. The mortality of patients affected by severe acute pancreatitis (SAP) remains high. It is unclear whether high-dose intravenous vitamin C (HDIVC) therapy could improve the prognosis of these patients. The current prospective, randomized, double-blinded, placebo-controlled study will explore the effect of high-dose intravenous vitamin C therapy on the prognosis in patients with moderately severe and severe acute pancreatitis.

Methods and design

A total of 418 participants with moderately severe and severe acute pancreatitis who meet the eligible criteria will be randomly assigned in a 1:1 ratio to receive treatment with HDIVC (200 mg/kg/24 h) or placebo (saline) for a period of 7 days. The primary outcome is 28-day mortality in these patients. The secondary outcomes include organ functions and interventions, laboratory tests, healthcare, and 90-day mortality.

Ethics and dissemination

This protocol was approved by the institutional ethics board of the Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China (Registration Number: 2019-90). The report of the study will be published in peer-reviewed journals and presented at conferences, both nationally and internationally.

Clinical trial registration

Chinese Clinical Trial Registry (ChiCTR1900022022). Version 1.5.