Vollbracht Claudia, Raithel Martin, Krick Bianka, Kraft Karin, Hagel Alexander F
1 Pascoe Pharmazeutische Präparate GmbH, Giessen, Germany.
2 Department of Medicine II, Waldkrankenhaus Erlangen, Erlangen, Germany.
J Int Med Res. 2018 Sep;46(9):3640-3655. doi: 10.1177/0300060518777044. Epub 2018 Jun 27.
Objective Oxidative stress appears to be a key factor in the pathogenesis of allergic diseases and a potential therapeutic target in allergy treatment. Allergic diseases are reportedly associated with reduced plasma levels of ascorbate, which is a key physiological antioxidant. Ascorbate prevents excessive inflammation without reducing the defensive capacity of the immune system. Methods An interim analysis of a multicenter, prospective, observational study was conducted to investigate the change in disease-specific and nonspecific symptoms (fatigue, sleep disorders, depression, and lack of mental concentration) during adjuvant treatment with intravenous vitamin C (Pascorbin®; Pascoe, Giessen, Germany) in 71 patients with allergy-related respiratory or cutaneous indications. Results Between the start and end of treatment, the mean sum score of three disease-specific symptoms decreased significantly by 4.71 points and that of four nonspecific symptoms decreased significantly by 4.84 points. More than 50% of patients took no other allergy-related medication besides vitamin C. Conclusions Our observations suggest that treatment with intravenous high-dose vitamin C reduces allergy-related symptoms. Our observations form a basis for planning a randomized controlled clinical trial to obtain more definitive evidence of the clinical relevance of our findings. We also obtained evidence of ascorbate deficiency in allergy-related diseases.
Clinical Trials NCT02422901.
目的 氧化应激似乎是过敏性疾病发病机制中的关键因素,也是过敏治疗的潜在靶点。据报道,过敏性疾病与血浆中抗坏血酸水平降低有关,抗坏血酸是一种关键的生理抗氧化剂。抗坏血酸可预防过度炎症,同时不降低免疫系统的防御能力。方法 对一项多中心、前瞻性、观察性研究进行中期分析,以调查71例有过敏相关呼吸道或皮肤症状的患者在静脉注射维生素C(帕斯科宾®;德国吉森帕斯科公司)辅助治疗期间疾病特异性和非特异性症状(疲劳、睡眠障碍、抑郁和注意力不集中)的变化。结果 在治疗开始和结束之间,三种疾病特异性症状的平均总分显著下降4.71分,四种非特异性症状的平均总分显著下降4.84分。超过50%的患者除维生素C外未服用其他过敏相关药物。结论 我们的观察结果表明,静脉注射高剂量维生素C治疗可减轻过敏相关症状。我们的观察结果为规划一项随机对照临床试验奠定了基础,以获得更多关于我们研究结果临床相关性的确切证据。我们还获得了过敏相关疾病中抗坏血酸缺乏的证据。
临床试验编号NCT02422901。