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High-dose Ascorbic Acid Intravenous Injection Decreases Mitochondrial DNA Damage in Chronic Fatigue Patients: Randomized-controlled Study

Phase 4
Conditions
Chronic Fatigue
Interventions
Drug: ascorbic acid 10g/20ml
Drug: Normal Saline 150ml
Registration Number
NCT01926132
Lead Sponsor
Yonsei University
Brief Summary

Reactive Oxygen Species (ROS) can cause oxidative damage, resulting in oxidation of lipids, proteins and DNA. In fatigue patients, there are some evidences of oxidative damage to DNA. Ascorbic acid was known to protect mitochondrial injury against oxidative stress by depolarizing the mitochondrial membrane. The copy number of mitochondrial DNA(mtDNA) was suggested mitochondrial gene stability and biogenesis and reflected mitochondrial function. There is no evidence ascorbic acid would decrease the mtDNA damage in fatigue patients. The investigators hypothesized that decreasing in mtDNA copy number in salivary and blood sample may be reversed by high-dose vitamin C intravenous injection in fatigue patients. The investigators will compare the mtDNA copy number and fatigue scale between moderate-severe fatigue patients and control group that had not malignant and chronic illness by a randomized controlled trial.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria
  1. Adults with above 18 years old and 6 month fatigue duration
  2. Moderate to severe fatigue scale (Brief fatigue inventory-Korean version scale ≥ 4)
  3. Normal limit values in the screening test (White blood cell count, Hemoglobin, Creatinine, SGOT/SGPT, Thyroid stimulating hormone, Urinalysis)
  4. Normal limit values in glucose 6 phosphate dehydrogenase level
  5. Agree the subjects explanation
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Exclusion Criteria
  1. pregnancy and lactation
  2. acute common cold, acute gastroenteritis, uncontrolled diabetes, uncontrolled hypertension, liver disease or renal disease
  3. previous medical history, affectable by high-dose ascorbic acid (gout, renal calculi and glucose 6 phosphate dehydrogenase deficiency)
  4. hypersensitivity from ascorbic acid
  5. vitamin supplement intake until 2 days ago
  6. drug interactions with ascorbic acid ( aspirin, Fe, phenytoin, estrogen, tetracycline, coumarin, corticosteroid)
  7. Do not read a consent fom
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ascorbic acid 10g/20mlascorbic acid 10g/20mlNormal Saline 130ml+ ascorbic acid 10g/20ml , covered bottle for the blind allocation
Normal Saline 150mlNormal Saline 150mlNormal Saline 150ml, covered bottle
Primary Outcome Measures
NameTimeMethod
fatigue scale2 weeks after 10g ascorbic aicd intravenous injection
Secondary Outcome Measures
NameTimeMethod
mitochondrial DNA copy number on blood and salivary samples2 weeks after 10g ascorbic aicd intravenous injection

Trial Locations

Locations (1)

Gangnam Severance Hospital

🇰🇷

Seoul, Korea, Republic of

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