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1.
P. R. health sci. j ; 24(4): 269-276, Dec. 2005.
Article in English | LILACS | ID: lil-472815

ABSTRACT

Case studies suggest that vitamin C, given intravenously at doses of 10-100 grams/day can improve patient well being and in some cases, reduce tumor size. While ascorbate is generally considered safe, clinical data on high intravenous doses is limited. Twenty-four late stage terminal cancer patients were given continuous infusions of 150 to 710 mg/kg/day for up to eight weeks. Blood chemistry and blood count profiles were obtained at roughly one-week intervals while patient health, adverse events and tumor progression were monitored. The majority of patients were vitamin C deficient prior to treatment. Intravenous infusions increased plasma ascorbate concentrations to a mean of 1.1 mM. The most common adverse events reported were nausea, edema, and dry mouth or skin; and these were generally minor. Two Grade 3 adverse events 'possibly related' to the agent were reported: one patient with a history of renal calculi developed a kidney stone after thirteen days of treatment and another patient experienced hypokalemia after six weeks of treatment. White blood cell counts were stable while hemoglobin and hematocrit levels dropped slightly during treatment, consistent with trends observed prior to therapy. Blood creatinine, BUN, glucose, and uric acid concentrations decreased or remained stable during therapy, suggesting that ascorbate infusions did not adversely affect renal function. One patient had stable disease and continued the treatment for forty-eight weeks. These data suggest that intravenous vitamin C therapy for cancer is relatively safe, provided the patient does not have a history of kidney stone formation.


Subject(s)
Humans , Male , Female , Ascorbic Acid/administration & dosage , Neoplasms/drug therapy , Vitamins/administration & dosage , Infusions, Intravenous , Pilot Projects , Terminal Care
2.
P. R. health sci. j ; 24(2): 145-150, Jun. 2005.
Article in English | LILACS | ID: lil-472967

ABSTRACT

Sodium ascorbate is preferentially toxic to tumor cells at high concentrations. It has not been established, however, whether sufficient intra-tumor ascorbate concentrations are safely achievable in vivo. We administered sodium ascorbate subcutaneously or orally for eighteen days to Sewall-Wright strain-2 guinea pigs bearing intradermal L-10 hepatocarcinoma tumors. Tumor masses and intra-tumor ascorbate concentrations were determined at necropsy. L-10 cells formed tumors that metastasized to the lymph nodes, with tumor burdens reaching nearly 50 grams in untreated animals. Subcutaneous injections of ascorbate (500 mg/kg/day) inhibited tumor growth by as much as sixty-five percent, with oral supplementation reducing it by roughly fifty percent. Tumor growth correlated inversely with intra-tumor ascorbate concentration, the latter exceeding 2 mM in some cases. Ascorbate concentrations sufficient to kill tumor cells can be safely achieved in solid tumors in vivo, suggesting a possible role for high dose intravenous ascorbate in treating cancer.


Subject(s)
Animals , Ascorbic Acid/administration & dosage , Antioxidants/administration & dosage , Cell Line, Tumor/drug effects , Ascorbic Acid/analysis , Antioxidants/analysis , Dose-Response Relationship, Drug , Guinea Pigs , Liver Neoplasms, Experimental/drug therapy , Cell Growth Processes/drug effects
3.
P. R. health sci. j ; 23(2): 115-118, Jun. 2004.
Article in English | LILACS | ID: lil-390793

ABSTRACT

A series of seven cases are presented in which intravenous vitamin C has been used as antineoplastic agent in the treatment of different types of cancers. The cancers cases reviewed are the following: Renal cell carcinoma (2), Colorectal cancer (1), Pancreatic cancer (1), Non-Hodgkin's lymphoma (2) and breast cancer (1). Toxic reactions were not observed at these high doses of intravenous Vitamin C. All patients were prescreened for Glucose 6--phosphate dehydrogenase deficiency before administering intravenous Vitamin C in order to prevent hemolysis


Subject(s)
Humans , Male , Female , Middle Aged , Ascorbic Acid/administration & dosage , Antineoplastic Agents/administration & dosage , Antioxidants/administration & dosage , Neoplasms/drug therapy , Ascorbic Acid/adverse effects , Antineoplastic Agents/adverse effects , Antioxidants/adverse effects , Injections, Intravenous , Treatment Outcome
4.
P. R. health sci. j ; 22(3): 287-290, Sept. 2003.
Article in English | LILACS | ID: lil-355994

ABSTRACT

High dose intravenous(i.v.) ascorbic acid (AA) has been used as therapy for infectious disease from bacterial and viral origin and adjuvant therapy for cancer. In this publication we describe a clinical protocol that has been developed over the past twenty years utilizing high dose i.v. AA as therapy for cancer. This includes principles of treatment, rationale, baseline workup, infusion protocol, precautions and side effects.


Subject(s)
Humans , Ascorbic Acid/administration & dosage , Anti-Infective Agents , Ascorbic Acid/adverse effects , Ascorbic Acid/pharmacology , Ascorbic Acid/therapeutic use , Antineoplastic Agents/administration & dosage , Antineoplastic Agents/adverse effects , Antineoplastic Agents/pharmacology , Antineoplastic Agents/therapeutic use , Clinical Protocols , Dose-Response Relationship, Drug , Bacterial Infections/drug therapy , Infusions, Intravenous , Neoplasms/drug therapy , Virus Diseases
5.
P. R. health sci. j ; 21(4): 323-338, Dec. 2002.
Article in English | LILACS | ID: lil-356232

ABSTRACT

BACKGROUND: Plant materials represent promising sources of anti-cancer agents. We developed and tested a novel extract from the ubiquitous plant Convolvulus arvensis. MATERIALS AND METHODS: Convolvulus arvensis components were extracted in boiling water, and small molecules were removed by high-pressure filtration. The extract's biological activity was assessed by measuring its effects on S-180 fibrosarcoma growth in Kun Ming mice and on heparin-induced angiogenesis in chick embryos. We also examined the extract's effects on lymphocytes ex vivo and tumor cell growth in vitro. RESULTS: The extract (primarily proteins and polysaccharides) inhibited tumor growth in a dose-dependent fashion when administered orally. At the highest dose tested, 200 mg/kg/day, tumor growth was inhibited by roughly seventy percent. Subcutaneous or intraperitoneal administration at 50 mg/kg/day also inhibited tumor growth by over seventy percent. The extract's acute LD50 in Kun Ming mice was 500 mg/kg/day when injected, indicating that tumor growth inhibition occurred at non-toxic doses. It inhibited angiogenesis in chick embryos, improved lymphocyte survival ex vivo, and enhanced yeast phagocytosis, but did not kill tumor cells in culture. CONCLUSION: High molecular mass extract deserves further study as an anti-cancer agent.


Subject(s)
Humans , Convolvulus , Neoplasms/drug therapy , Neovascularization, Pathologic/drug therapy , Phytotherapy , Plant Preparations/therapeutic use , Cells, Cultured , Lymphocytes/drug effects , Mice , Molecular Weight , Neoplasms/pathology
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