Cardiac arrest & resuscitation

Early high-dose vitamin C for out-of-hospital cardiac arrest: the VITaCCA randomized clinical trial

Intensive Care MedPublished Randomised controlled trial

Authors' conclusion

In out-of-hospital cardiac arrest patients, intravenous vitamin C did not reduce organ dysfunction at 96 h, but even worsened organ function outcomes in the 10 g group.

Study context

Population
Comatose adults resuscitated from shockable OHCAincluded in primary analysis
Participants
273 adults
Comparison
IV vitamin C 3 g or 10 g daily for 96 h vs placebo
  • Placebon = 93reference
  • 3 gn = 91
  • 10 gn = 89
Primary endpoint
Change in resuscitation-sequential organ failure assessment (R-SOFA) score
Follow-up
96 h
Methodological detailsdouble-blind, multicentre, phase 2, placebo-controlled
  • Double-blind
  • Multicentre
  • Phase 2
  • Placebo-controlled

Primary result

As reported in the abstract

Change in R-SOFA score

Placebo

- 3.2

mean · SD 5.7

3 g

- 2.3

mean · SD 7.4

10 g

- 0.8

mean · SD 7.6

Less improvement with 10 g
Difference, points (95% CI)P value
10 g vs Placebo
2.5(0.5–4.5)
P = 0.01
10 g vs 3 g
1.6(- 0.4 to 3.6)
P = 0.12

Safety

Vitamin C 10 g led to higher troponin T release, worse renal function and worse neurological outcomes

Original publication

Early high-dose vitamin C for out-of-hospital cardiac arrest: the VITaCCA randomized clinical trial. Intensive Care Med. Published 16 June 2026. doi:10.1007/s00134-026-08492-5

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