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. Author manuscript; available in PMC: 2021 Jul 3.
Published in final edited form as: J Crit Care. 2020 Jan 8;57:231–239. doi: 10.1016/j.jcrc.2019.12.011

Table 1.

Completed and Ongoing Clinical Trials of Vitamin C, Thiamine, and Corticosteroids in Sepsis and Septic Shock (adult only >18 yrs)*

Trial name Centers Location #of Subjects Study design Entry diagnosis Primary outcome Trial identifier
Ascorbic acid, Corticosteroids, and Thiamine in Sepsis (ACTS) Trial Multicenter US 200 (C) Randomized, double-blind, placebo-controlled trial Sepsis/septic shock Change in Sequential Organ Failure Assessment (SOFA) score at 72 hours NCT03389555
Vitamin C, Thiamine and Steroids in Sepsis (VICTAS) Multicenter US 501 (C) Randomized, placebo-controlled, double-blind, adaptive trial Sepsis with acute respiratory or cardiovascular organ dysfunction Vasopressor and ventilator-free days at 30 days after randomization NCT03509350
Metabolic Resuscitation Using Ascorbic Acid, Thiamine, and Glucocorticoids in Sepsis (ORANGES) Two centers NJ, US 140 (C) Randomized, double-blind placebo-controlled trial Sepsis/septic shock Time to vasopressor independence (hours) through study completion; Change in SOFA score at 4 days post-randomization NCT03422159
The Vitamin C, Hydrocortisone and Thiamine in Patients with Septic Shock Trial (VITAMINS) Multicenter Australia, New Zealand, Brazil 216 (C) Randomized, placebo-controlled trial Sepsis/septic shock Time alive and free of vasopressors at day 7 (168 hours) after randomization. NCT03333278
Thiamine, Vitamin C and Hydrocortisone in the Treatment of Septic Shock Single center Michigan, US 60 (T) (R) Placebo-controlled trial Septic shock Mortality rate compared to Marik’s 2017 study5 NCT03540628
Hydrocortisone, Vitamin C, and Thiamine for the Treatment of Sepsis and Septic Shock (HYVCTTSSS) Single center Guangdong, China 80 (C) Randomized, placebo-controlled trial Sepsis/septic shock Hospital survival at 14 days NCT03258684
Pilot Study on the Use of Hydrocortisone, Vitamin C and Thiamine in Patient with Sepsis and Septic Shock Single center Girona, Spain 40(T) (R) Placebo-controlled trial Septic shock and multiorgan failure 28-day mortality NCT04111822
Outcomes of Septic Shock Patients Treated with a Metabolic Resuscitation Bundle Consisting of Intravenous Hydrocortisone, Ascorbic Acid and Thiamine) Single center Wisconsin, US 80 (T) (NR) Placebo-controlled trial Sepsis/septic shock Duration of vasopressors at study conclusion, up to 3 months NCT03913468
Vitamin C, Thiamine and Hydrocortisone for the Treatment of Septic Shock Single center Yangzhou, China 406 (T) (R) Placebo-controlled trial Sepsis/septic shock 90-day mortality NCT03872011
Effect of IV Vitamin C, Thiamine, and Steroids on Mortality of Septic Shock Single center NY, US 130(T) (R) Placebo-controlled trial Sepsis/septic shock 30-day mortality NCT03828929
Evaluation of Hydrocortisone, Vitamin C and Thiamine for the Treatment of Septic Shock (HYVITS) Single center Doha, Qatar 216 (T) (R) Prospective, randomized, two-arm parallel-group trial Sepsis/septic shock 60-day mortality NCT03380507
Vitamin C, Hydrocortisone and Thiamine for Septic Shock (CORVICTES) Single center Athens, Greece 400 (T) (R) Placebo-controlled trial Septic shock Cerebral autoregulation 24–78 hours after randomization; Cerebral blood flow 24–78 hours after randomization NCT03592693
Vitamin C, Steroids, and Thiamine, and Cerebral Autoregulation and Functional Outcome in Septic Shock (CORVICTES-ϒM) Single center Athens, Greece 100 (T) (R) Placebo-controlled trial Septic shock Cerebral autoregulation 24–78 hours after randomization; Cerebral blood flow 24–78 hours after randomization NCT03649633
Therapy With Hydrocortisone, Ascorbic Acid, Thiamine in Patients With Sepsis Single center Tanta, Egypt 80 (T) (NR) Placebo-controlled trial Sepsis/septic shock Change in SOFA score at 28 days and procalcitonin level NCT04160676

C-Completed, T-Target, R-Recruiting, NR-Not Recruiting