Evidence map›Paper›PMID 41739218›Full record

Trial reportEuropean journal of nutrition2026

Effect of vitamin C and hesperidin on serum uric acid concentrations in healthy adults with high uric acid levels: the randomized controlled 'HesperidrinC trial'.

Janna Enderle, Rebecca Dörner, Daria Tondar, Mario Hasler, Caroline Gilcher, Christof B Steingass, Ralf Schweiggert, Manfred J Müller, Anja Bosy-Westphal

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04316390 (Influence of Hesperidin and Vitamin C on Uric Acid Concentration), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04316390 nacompletednot on this map

Influence of Hesperidin and Vitamin C on Uric Acid Concentration

TypeinterventionalSponsorUniversity of KielRan2022 to 2023Enrolled40ConditionsHigher Uric Acid Concentrations (>5,5 mg/dl), HealthyArmsControl, Hesperidin, Vitamin C, Hesperidin + Vitamin C
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Janna EnderleInstitute of Human Nutrition and Food Science, Christian-Albrechts University Kiel, Düsternbrooker Weg 17, 24105, Kiel, Germany.ORCID http://orcid.org/0009-0000-0483-860X
Rebecca DörnerInstitute of Human Nutrition and Food Science, Christian-Albrechts University Kiel, Düsternbrooker Weg 17, 24105, Kiel, Germany.ORCID http://orcid.org/0000-0002-7576-2099
Daria TondarInstitute of Human Nutrition and Food Science, Christian-Albrechts University Kiel, Düsternbrooker Weg 17, 24105, Kiel, Germany.
Mario HaslerApplied Statistic, Agricultural and Food Economics Faculty, Christian-Albrechts University Kiel, Kiel, Germany.ORCID http://orcid.org/0000-0002-4781-2386
Caroline GilcherChair of Analysis and Technology of Plant-based Foods, Department of Beverage Research, Geisenheim University, Geisenheim, Germany.ORCID http://orcid.org/0009-0006-6466-9549
Christof B SteingassChair of Analysis and Technology of Plant-based Foods, Department of Beverage Research, Geisenheim University, Geisenheim, Germany.ORCID http://orcid.org/0000-0001-8269-4525
Ralf SchweiggertChair of Analysis and Technology of Plant-based Foods, Department of Beverage Research, Geisenheim University, Geisenheim, Germany.ORCID http://orcid.org/0000-0003-0546-1335
Manfred J MüllerInstitute of Human Nutrition and Food Science, Christian-Albrechts University Kiel, Düsternbrooker Weg 17, 24105, Kiel, Germany.ORCID http://orcid.org/0000-0002-7280-2411
Anja Bosy-WestphalInstitute of Human Nutrition and Food Science, Christian-Albrechts University Kiel, Düsternbrooker Weg 17, 24105, Kiel, Germany. abosyw@nutrition.uni-kiel.de.ORCID http://orcid.org/0000-0002-8318-9448

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWhile orange juice has been reported to decrease serum uric acid (SUA), the effects of the specific constituents hesperidin and vitamin C are not fully understood. The present study aimed to unravel their possible SUA-lowering effects.

methodsIn a randomized controlled, double-blind, two-way cross-over, two-week intervention, the effects of four orange-flavored drinks (200 mL/d) on SUA (primary outcome) were compared in 40 adults (21–78 y; BMI 17.9–41.4 kg/m2) with high SUA. One drink was a placebo; the others contained 600 mg vitamin C (VitC), 240 mg hesperidin (Hesp), or both (VitC+Hesp). Blood and urine concentrations of uric acid, vitamin C, and hesperidin metabolites were measured, along with the HOMA index as a potential confounder.

resultsVitC increased plasma vitamin C levels, Hesp increased urinary excretion of hesperidin metabolites, and VitC+Hesp increased both. Higher baseline plasma vitamin C levels resulted in diminished increases in vitamin C (VitC: r = -0.53; p = 0.02 and VitC+Hesp: r = -0.79; p < 0.001). Levels of SUA decreased in response to VitC and VitC+Hesp with no changes in urinary uric acid excretion (UUA) or clearance (UAC). The increase in plasma vitamin C was associated with a decrease in SUA (r = -0.25; p < 0.03) with larger effects at higher baseline SUA (r = -0.24; p = 0.03). A high HOMA index was associated with lower plasma vitamin C and elevated SUA.

conclusionVitamin C but not hesperidin decreased serum uric acid levels without affecting uric acid excretion. CLINICAL TRIALS REGISTRATION: www.clinicaltrials.gov ; NCT04316390; July 15, 2022.

Indexed as

Ascorbic AcidHesperidinHyperuricemiaUric AcidAdultAgedCitrus sinensisCross-Over StudiesDouble-Blind MethodFemaleFruit and Vegetable JuicesHumansMaleMiddle AgedYoung AdultAscorbic AcidHesperidinUric AcidHesperidinHyperuricemiaSerum uric acidUric acid excretionVitamin c

Identifiers

PMID41739218
PMCPMC12935826

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.