225 Participants Needed

Vitamin C for Infant Lung Function

(VCSIP Trial)

Recruiting at 1 trial location
CM
KM
Overseen ByKristin Milner, BS, CMA, CCRP
Age: < 18
Sex: Any
Trial Phase: Academic
Sponsor: Oregon Health and Science University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether taking vitamin C during pregnancy can improve lung function in children born to mothers who smoked while pregnant. Researchers are monitoring these children to determine if the benefits persist until age 10. They are comparing three groups: children whose mothers smoked and took vitamin C, children whose mothers smoked and took a placebo, and children whose mothers did not smoke. Women who participated in the original study and their children are eligible for this follow-up.

As a Phase 2 trial, this research measures how well vitamin C improves lung function in an initial, smaller group of children, offering participants a chance to contribute to important findings.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that taking vitamin C during pregnancy is safe for women who smoke. In studies where pregnant women took 500 mg of vitamin C daily, it was well-tolerated and did not cause any problems. There is no strong evidence of harmful side effects for the mothers or their babies.

These studies also found that vitamin C can improve lung function in newborns. Specifically, babies born to mothers who took vitamin C performed better on breathing tests.

Overall, taking vitamin C appears to be a safe choice for pregnant smokers, with research supporting its benefits for the baby's lung health.12345

Why are researchers excited about this trial?

Researchers are excited about using Vitamin C to help improve infant lung function because it offers a unique approach compared to standard care for managing the effects of smoking during pregnancy. Most current strategies focus on smoking cessation and managing complications after birth. However, Vitamin C could directly enhance lung development by combating oxidative stress caused by smoking in pregnant women. This simple, inexpensive supplement may provide a proactive solution to protect infant lung health before any damage occurs.

What evidence suggests that this trial's treatments could be effective for improving lung function in children of pregnant smokers?

This trial will compare the offspring of smokers who received Vitamin C during pregnancy with those who received a placebo, as well as with offspring of non-smokers. Research has shown that taking vitamin C during pregnancy can improve lung function in babies born to mothers who smoke. One study found that extra vitamin C helped newborns breathe more easily and reduced wheezing in their first year. Another study suggested that children might have fewer cases of asthma up to age ten if their mothers took vitamin C while pregnant. Additionally, vitamin C has improved certain aspects of lung function, such as the amount of air a person can exhale forcefully. These findings suggest that vitamin C could provide long-term breathing benefits for children of mothers who smoke.16789

Who Is on the Research Team?

CM

Cindy McEvoy, MD, MCR

Principal Investigator

Oregon Health and Science University

Are You a Good Fit for This Trial?

Inclusion Criteria

Female participants and their infants were randomly assigned to receive vitamin C or a placebo, with pregnant non-smokers and their babies acting as the benchmark in the VCSIP study.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Pregnant smokers receive daily supplementation of Vitamin C (500 mg/day) or placebo

Duration of pregnancy

Follow-up

Participants are monitored for pulmonary function and respiratory outcomes through 10 years of age

10 years
Yearly spirometry tests and quarterly respiratory questionnaires

Long-term assessment

Assessment of airway lumen cross sectional areas and DNA methylation differences at 10 years of age

1 visit at 10 years of age

What Are the Treatments Tested in This Trial?

Interventions

  • Vitamin C
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Group I: Offspring of smokers who received Vitamin CExperimental Treatment1 Intervention
Group II: Offspring of smokers who received PlaceboExperimental Treatment1 Intervention
Group III: Offspring of non-smokersExperimental Treatment0 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Oregon Health and Science University

Lead Sponsor

Trials
1,024
Recruited
7,420,000+

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator

Trials
3,987
Recruited
47,860,000+

Indiana University

Collaborator

Trials
1,063
Recruited
1,182,000+

Citations

Vitamin C Supplementation for Pregnant Smoking Women ...Supplemental vitamin C to pregnant smokers improved newborn PFTs and decreased wheezing through 1 year in the offspring. Vitamin C in pregnant smokers may be ...
577: Vitamin c supplementation for pregnant smokers to ...Additional vitamin C supplementation for pregnant smokers would prevent 6936 cases of wheezing/asthma prior to age ten, 6080 cases of asthma at age ten, and ...
Vitamin C to Pregnant Smokers Persistently Improves ...Vitamin C (500mg/day) supplementation for pregnant smokers has been reported to increase newborn pulmonary function and infant forced expiratory flows (FEFs) ...
A meta-analysis of the effects of vitamin C supplementation for ...Vitamin C supplementation for smoking pregnant women may enhance the pulmonary function of their offspring, particularly in FEF25-75, FEF50, FEF75, and FVC.
Vitamin C for Pregnant Smokers to Improve Infant Lung ...Animal models show that prenatal nicotine exposure increases α-7 nAChR expression, leading to dysanaptic lung growth (12, 13) and decreased elastin levels, and ...
Effect of Vitamin C Supplementation for Pregnant Smokers ...These findings suggest that vitamin C supplementation for pregnant smokers may decrease the effects of smoking in pregnancy on childhood airway function and ...
A meta-analysis of the effects of vitamin C supplementation ...The offspring of pregnant smokers who received vitamin C supplementation exhibited improved Forced Expiratory Flow between 25 and 75% (FEF25-75) ...
Vitamin C to pregnant smokers persistently improves infant ...Vitamin C (500 mg·day−1) supplementation for pregnant smokers has been reported to increase newborn pulmonary function and infant forced expiratory flows (FEFs) ...
Improvements in lung function following vitamin C ...Vitamin C supplementation to pregnant smokers is associated with buccal DNA methylation in offspring at 5 years of age.
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