Calcium D-Glucarate for Cancer Prevention

Verdict: Unproven for cancer prevention in humans

Calcium D-glucarate has not been shown to prevent cancer in people. The case for it rests entirely on laboratory and animal work plus a plausible mechanism, with no completed human trials to back it up.

U ⚫ U Unverified Taiwan Regulatory Restriction

🔬Why this grade7-layer evidence engine

The evidence here is graded Unverified because it never reaches the human-outcome level. Every primary source in the PubMed record is a review, mechanism paper, or animal study: rat pharmacokinetics showing the active beta-glucuronidase inhibitor 1,4-glucarolactone is absorbed and excreted (PMID 9101079), a mouse lung-tumor mechanism report (PMID 15136472), and narrative monographs and commentaries calling for trials that were never run (PMID 7744577, PMID 12197785, PMID 15035900). None reports efficacy in people.

Major institutions are explicit. Memorial Sloan Kettering states that although lab studies suggest anticancer effects, calcium glucarate has not been shown to treat or prevent cancer in humans. The American Cancer Society does not recommend any dietary supplement for cancer prevention. US and EU regulators have issued no review or approval for this use.

Two caveats sharpen the verdict. The 1995 Heerdt paper (PMID 7744577) is widely miscited in supplement marketing as a breast-cancer Phase 1 trial, but it is indexed as a review and reports no trial data. And Health Canada's product licence covers only support of liver glucuronidation, not cancer prevention, so it should not be read as an anticancer endorsement.

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Scoring transparency

All scores computed by a 7-layer evidence engine — fully auditable
Raw score 0.40
D
C
B
A
S
← counter-evidence / ineffectiveeffective / strong evidence →
Final grade
U · Taiwan Regulatory Restriction
Confidence
81%
Highly consistent evidence
Evidence level
E10
Mechanism / case reports / no human evidence

How strongly each layer supports this effect

lower = less supportive
L11 AI re-checkIndependent read
0.20
L2 PubMedPrimary literature
0.40
L1 ExamineGlobal benchmark
0.50
L3 MechanismPlausibility
0.50
L5 Clinical bodiesAuthoritative stance
0.50
Against Mixed Supports
View the full decision path (audit trail)
  1. compute_raw_score — 加權公式: L2×0.30 + L3×0.25 + L5×0.25 + L11×0.10 + L1×0.10 = 0.396
  2. tier_from_score — 依分數區間映射至 tier letter
  3. apply_hec_rules — 僅有 E10 級證據 (cohort/animal/mechanism),不足以下結論
  4. tier_strict_requirement_check — D 級條件未達 (需 E1-E3 negative;實際 E10)
  5. detect_disputes — 偵測到 0 個 hard + 0 個 soft dispute
  6. decide_status — 依 tier + dispute 結果決定 status

📄PubMed studies (5)L2 · primary research & systematic reviews

Calcium glucarate as a chemopreventive agent in breast cancer (Heerdt, Young, Borgen)
PMID: 7744577 1995 Other
Finding: Authors propose calcium glucarate may alter internal hormonal milieu and detoxify environmental agents implicated in breast cancer and call for future clinical trials; no original human efficacy data reported in this paper (frequently miscited as a 'Phase 1 trial' in secondary supplement literature).
🟠 Limited quality Academic
View on PubMed
Metabolism, uptake, and excretion of a D-glucaric acid salt and its potential use in cancer prevention (Walaszek et al.)
PMID: 9101079 1997 Other
Finding: 1,4-GL (the active beta-glucuronidase inhibitor) is formed from D-glucarate in the stomach, absorbed, distributed to internal organs, and excreted in urine and bile; authors hypothesize this PK supports use for breast/prostate/colon cancer prevention but no human efficacy data are presented.
Government
View on PubMed
Calcium-D-glucarate (Alternative Medicine Review monograph)
PMID: 12197785 2002 Other
Finding: Monograph notes elevated beta-glucuronidase is associated with hormone-dependent cancer risk and that oral calcium-D-glucarate inhibits beta-glucuronidase; explicitly identifies the human clinical evidence base as limited to mechanistic and animal studies with no completed efficacy RCT.
🟠 Limited quality Academic
View on PubMed
Mechanisms of lung cancer chemoprevention by D-glucarate (Walaszek et al.)
PMID: 15136472 2004 Other
Finding: Reports anti-promotion / post-initiation chemopreventive activity of dietary D-glucarate in mouse lung tumorigenesis via DNA-adduct removal, mutagenic suppression, and anti-inflammatory pathways; indexed by MEDLINE under Clinical Trial Phase I tag in error - paper is a preclinical mechanism review/animal report with no abstract and no human efficacy data.
Government
View on PubMed
Detoxifying cancer causing agents to prevent cancer (Walaszek)
PMID: 15035900 2003 Other
Finding: Authors argue that fruits/vegetables rich in D-glucaric acid or supplemental calcium D-glucarate offer a 'promising' chemoprevention approach, but explicitly acknowledge the framework is mechanistic/theoretical and that supportive human clinical efficacy trials have not been conducted.
🟠 Limited quality Academic
View on PubMed

🏛️Regulatory & authoritative positionsL4/L5 · FDA / EMA / NIH ODS / Cochrane / Mayo …

L4a US FDA
Neutral
CALCIUM SACCHARATE [USP MONOGRAPH]; CALCIUM SACCHARATE [USP-RS]; UNII 6AP9J91K4V; CAS 5793-89-5; Molecular Formula C6H8O8.Ca.4H2O; synonyms include Calcium D-Glucarate (1:1), Tetrahydrate; Calcium D-Saccharate Tetrahydrate; D-Glucaric Acid Calcium Salt Tetrahydrate. UNII availability does not imply any regulatory review or approval. source↗
L4e WHO
Supportive
Product Name: Calcium D-Glucarate. NPN: 80083170. Licence Holder: New Roots Herbal Inc. Medicinal Ingredient: D-Glucaric acid calcium salt (1:1), 650.0 mg. Recommended Use or Purpose: Helps to support glucuronidation, a liver detoxification pathway. Recommended Dose: Adults take 2 capsules daily. Cautions and Warnings: Do not use if you are pregnant or breastfeeding. Consult a health care pract… source↗
L5a NIH Office of Dietary Supplements
Cautious
Although lab studies suggest anticancer effects, calcium glucarate has not been shown to treat or prevent cancer in humans. source↗
L5e Specialty Society (condition-mapped)
Not addressed
At this time, the ACS does not recommend the use of dietary supplements to prevent cancer. source↗
PMID 100% verifiedevery citation checked via NCBI Entrez
🔬5 PubMed studiesindependently re-checked by multiple sub-agents
engine_version: v1.0 claim_id: CLM-COND-cancer-prevention-INT-calcium-d-glucarate-001 繁體中文版 →