Table 2.
Clinical studies of vitamins A, C, E, and D.
| Vitamins | Cancer type | Sample size | Study type | Type of vitamins and doses | The outcome of the study | References |
|---|---|---|---|---|---|---|
| Vitamin A | Acute promyelocytic leukemia | 235 | A randomized, controlled, open-label multicenter trial, phase 3 trial | All-trans retinoic acid (45 mg/m2) | Using all-trans retinoic acid with arsenic acid has increased the cure rate and reduced relapse chances | (140) |
| Gestational trophoblastic neoplasia | 32 | A randomized, controlled clinical trial | oral vitamin A (6,000 IU/day) | The intervention group exhibited a reduction of chemoresistance as well as a downregulation of the tumor marker β-hCG level | (141) | |
| Advanced cervical carcinoma | 30 | A randomized double-blind study | Vitamin A supplementation (8,000 IU/8 h) | Improved therapeutic response of the chemotherapy | (142) | |
| Vitamin C | Advanced-stage non-small cell lung cancer | 38 | Open-label, single-arm, non-randomized phase II study | Ascorbate (75 g twice per week) intravenously | Improved tumor deterioration and enhance immune response | (148) |
| Metastatic colorectal cancer or gastric cancer | 36 | Phase 1 open-label, single-center, dose-escalation, and speed-expansion study | Ascorbic acid (0.2–1.5 g/kg) infusion | Improved therapeutic response of the chemotherapy and significantly decreased the side effects | (149) | |
| Vitamin E | Thyroid carcinoma | 89 | A randomized, controlled clinical trial | NA | The results revealed the protective impact of vitamin E on salivary glands by enhancing parotid excretion function | (150) |
| Prostate cancer | 154 | A randomized, placebo-controlled, double-blinded clinical trial | Vitamin E (400 IU/day) | Significantly decreased serum C22 lactone sulfate which is highly associated with modulating androgenic steroid metabolites | (151) | |
| Vitamin D | non-small-cell lung cancer | 155 | A randomized, double-blind, placebo-controlled, parallel group trial | Vitamin D supplements (1,200 IU/day) | Patients with lower 25(OH)D levels who have early-stage lung adenocarcinoma may have a better chance of surviving if they take vitamin D supplements. | (153) |