Drug intelligence / Profile preview

ascorbic acid + alpha-tocopherol + selenium

Development stage
Phase 3
Lead developer
National Cancer Institute
Modality
Small Molecules
Administration
Oral
01

Overview

This combination drug consists of ascorbic acid (Vitamin C), alpha-tocopherol (Vitamin E), and selenium. It was evaluated by the National Cancer Institute (NCI) in the Shandong Intervention Trial, a large-scale Phase 3 study in Linqu County, China. The intervention aimed to inhibit the progression of precancerous gastric lesions—such as chronic atrophic gastritis, intestinal metaplasia, and dysplasia—to gastric cancer in a high-risk population. Ascorbic acid and alpha-tocopherol act as antioxidants, while selenium is a trace element with potential chemopreventive properties. Long-term follow-up data indicated that this supplementation significantly reduced gastric cancer incidence and mortality over a 22-year period.

Other names
vitamin supplementShandong Intervention Trial vitamin supplementvitamin C + vitamin E + selenium
02

Targets

GPX1 (Glutathione peroxidase 1)TXNRD2 (Thioredoxin reductase 2)GPX4 (Glutathione peroxidase 4)

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