“…Recent clinical trials found that high-dose IV infusions of ascorbate (1.5-2.2 g/kg, 3× weekly, over 6 weeks) combined with chemotherapeutic agents improved progression-free survival (PFS) or overall survival (OS) in some types of cancer without serious side effects [16,72,76,77]. Under the catalysis of endogenous or exogenous metals such as Fe 3+ , high-dose ascorbate produces large amounts of H 2 O 2 and increases the cellular stress levels, resulting in DNA damage, cell cycle arrest, apoptosis, and autophagy while inhibiting epithelial-mesenchymal transition (EMT) and angiogenesis [5,12,18,71,78]. Therefore, it is currently believed that the antitumor mechanism of ascorbate mainly utilizes its pro-oxidative activity rather than antioxidative activity in most cancer cells [70].…”