Padayatty · CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne 2006 · case series · n=3

Intravenously administered vitamin C as cancer therapy: three cases.

Cited 253 times in the scientific literature.

Level 4 - case-series / case-control

Case series (retrospective evaluation of three clinical cases)

PubMed 16567755 · doi:10.1503/cmaj.050346 · record verified 2026-08-30

What was done

The authors examined clinical records for three patients with advanced cancer who received high-dose intravenous vitamin C therapy, evaluated in accordance with National Cancer Institute (NCI) Best Case Series guidelines. Tumor pathology was independently verified by NCI pathologists blinded to diagnoses and treatments.

What was found

The abstract reports no specific numerical survival times, patient demographics, tumor types, or treatment regimens. It reports that all three patients had advanced, histopathologically verified cancers and achieved unexpectedly long survival times after intravenous vitamin C therapy. Pharmacokinetic context cited in the abstract indicates that oral vitamin C (18 g/d) reaches peak plasma levels of ~220 µmol/L, whereas intravenous administration reaches ~25-fold higher concentrations at the same dose, and 50–100 g infusions reach ~14,000 µmol/L, exceeding the in vitro cytotoxic threshold for cancer cells (>1,000 µmol/L).

Why it matters

Because prior negative randomized trials evaluated oral rather than intravenous vitamin C, these cases and pharmacokinetic differences support re-evaluating high-dose intravenous vitamin C in formal clinical trials.

Limits

The study is restricted to an uncontrolled series of three selected patients, making it impossible to determine causality, rule out spontaneous remission or concurrent therapies, or assess efficacy. Specific numerical survival data, cancer types, and safety outcomes are not reported in the abstract.

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