Research brief · for a medical researcher

Repurposed antiparasitics and cancer: a clickable evidence map

Not a claim that oncology guidelines already list these as cures. A compact set of primary papers, trials, and reviews showing multi-target anti-cancer activity — and where human data exists — so you can open the sources yourself.

Focus: Ivermectin · Mebendazole · Fenbendazole Format: glance → click paper Companion dump: Right2Try Giant Source List (bulk PubMed)

How to read this in five minutes

Evidence is tiered so preclinical mass is not confused with Phase 3 proof.

The honest framing: There is a large, peer-reviewed literature showing these agents hit oncogenic pathways (microtubules, PAK1, Wnt/β-catenin, glycolysis, cancer stem cells, MDR pumps) across many tumor types. Mebendazole has the most formal neuro-oncology trial activity. Ivermectin has active immuno-oncology combination trials. Fenbendazole has strong lab/animal data and patient lore, but thin controlled human data. None of the three are FDA-approved for cancer as of mid-2026.

BPhase 1/2 trial — safety ± early efficacy
CObservational cohort — real-world / self-report
DCase series / report
EIn vivo animal models
FIn vitro / mechanism / review
PProtocol paper — framework, not RCT proof

If you only open six things

Highest signal density for a trained reader. Each link is primary or registry.

Human / near-human data

This is the section that matters most if the claim is about patients, not petri dishes.

NCT05318469
Ivermectin + balstilimab or pembrolizumab Metastatic triple-negative breast cancer · Phase I/II
Open trial →
NCT07487805
ICONIC — Ivermectin + immune checkpoint inhibition Solid tumors · Phase II (ASCO-cited)
Open trial →
NCT01837862
Mebendazole + bevacizumab + irinotecan Pediatric / young adult high-grade glioma · Phase 1 published
Open trial →
NCT01729260
Mebendazole + temozolomide Newly diagnosed high-grade glioma · Johns Hopkins
Open trial →

Phase 1: Mebendazole in high-grade glioma

Tier B

Krystal et al., Pediatr Blood Cancer 2024. MBZ with bevacizumab and irinotecan was safe and well tolerated up to 200 mg/kg/day. Efficacy needs further study — but this is formal human oncology trial data, not social media.

PaperYear
A phase 1 study of mebendazole with bevacizumab and irinotecan in high-grade gliomas 2024
Phase 2a: individualized mebendazole in advanced gastrointestinal cancer 2021
Reverse swing-M: Phase 1 repurposing MBZ in recurrent high-grade glioma 2020

Observational: Ivermectin + mebendazole cohort

Tier C

Hulscher, McCullough, Risch, et al., Anticancer Research 2026. Prospective telemedicine program: N=197 enrolled, 122 completed ~6-month survey. Self-reported clinical benefit 84.4%; regression 15.6%; NED 32.8%. Authors flag observational design, self-report, concurrent conventional therapy, and selection bias. Treat as hypothesis-generating — open the methods before the headline number.

Source
PubMed abstract Anticancer Res. 2026;46(6):3243-3255 2026
Full text (IIAR)
Zenodo preprint / PDF

Ivermectin

Human antiparasitic (FDA-approved for parasites). Extensive preclinical oncology literature; active ICI combination trials.

Mechanisms often reported: PAK1 inhibition · Wnt/β-catenin · importin α/β nuclear transport · Akt/mTOR · YAP1 · mitochondrial stress · MDR/P-gp reversal · immune “cold→hot” conversion with checkpoint blockade

Paper (click)Cancer / scopeTierYear
Ivermectin, a potential anticancer drug derived from an antiparasitic drug Review F 2020
Antitumor effects of ivermectin at clinically feasible concentrations Review / feasibility F 2020
Ivermectin as an alternative anticancer agent (2025 review) Review F 2025
IVM induces cytostatic autophagy via PAK1/Akt in breast cancer Breast F 2016
IVM converts cold tumors hot and synergizes with immune checkpoint blockade Breast / immuno-onc E 2021
npj Breast Cancer — City of Hope IVM + checkpoint inhibitor (TNBC models) TNBC E 2021
Macrocyclic lactones inhibit WNT-TCF pathway responses in human cancer Multiple F 2014
Ivermectin as an inhibitor of cancer stem-like cells CSC F 2017
IVM inhibits angiogenesis, growth and survival of glioblastoma GBM E 2016
IVM + gemcitabine induces apoptosis in pancreatic cancer cells Pancreatic F 2022
IVM synergizes sorafenib in hepatocellular carcinoma HCC F 2022
FOXA1 and Ku70/Ku80 as targets of IVM in prostate cancer Prostate F 2022
IVM abrogates neutrophil extracellular traps and prevents melanoma metastasis Melanoma E 2022
Efficacy of IVM against colon cancer in DMH rat model Colorectal E 2022
IVM enhances paclitaxel via ABCB1 in NSCLC Lung F 2024
IVM inhibits bladder cancer growth; oxidative stress & DNA damage Bladder F 2024
Synergistic anti-tumor effect of dichloroacetate and ivermectin Metabolic combo F 2022
Ivermectin in cancer treatment: should healthcare providers… (gap analysis) Clinical gap F 2025
Bulk PubMed list (IVM section)

Hundreds of related PMIDs (mixed quality — includes some non-oncology hits):

right2try.com/sources.php → Ivermectin

Mebendazole

Human antiparasitic. Strongest formal oncology trial footprint of the three — especially brain tumors (Johns Hopkins lineage).

Mechanisms often reported: microtubule destabilization · anti-angiogenesis · cancer stemness / metastasis · STAT3 · radiosensitization · multi-pathway chemo-sensitization

Paper (click)Cancer / scopeTierYear
Mebendazole as a candidate for drug repurposing in oncology (extensive review) Review F 2019
Antiparasitic mebendazole shows survival benefit in 2 preclinical GBM models Johns Hopkins origin story for MBZ in glioma GBM E 2011
Brain penetration and efficacy of different MBZ polymorphs Brain tumors E 2015
Phase 1: MBZ + bevacizumab + irinotecan in high-grade gliomas HGG B 2024
Phase 2a: individualized MBZ in advanced GI cancer GI B 2021
Emerging perspectives on MBZ for brain cancers Neuro-onc review F 2023
MBZ synergises with docetaxel for prostate cancer Prostate E 2019
Potential and mechanism of MBZ for ovarian cancer treatment & maintenance Ovarian E 2020
MBZ disrupts stromal desmoplasia in pancreatic cancer models Pancreatic E 2021
In vitro and in vivo anticancer activity of MBZ in colon cancer Colorectal E 2023
MBZ potentiates radiation therapy in triple-negative breast cancer TNBC E 2018
MBZ induces apoptosis via Bcl-2 inactivation in chemoresistant melanoma Melanoma F 2008
MBZ for differentiation therapy of AML AML F 2019
MBZ prevents distant metastases partly via ITGβ4 and stemness Metastasis E 2022
MBZ inhibits tumor growth and prevents lung metastasis in advanced thyroid cancer models Thyroid E 2019

Fenbendazole

Veterinary benzimidazole. Strong cell/animal signal; human data mostly cases/anecdotes. Bioavailability and hepatotoxicity matter — see safety row.

Mechanisms often reported: microtubule disruption · p53 · GLUT1 / hexokinase / glycolysis block · proteasome impairment · pyroptosis (HK2/GSDME) · cancer stem cells

Paper (click)Cancer / scopeTierYear
Oral fenbendazole for cancer therapy in humans and animals Best single review (Nguyen et al., Anticancer Res 2024) Review F 2024
FBZ acts as moderate microtubule destabilizer; multi-pathway cancer cell death Mechanism F 2018
Fenbendazole as a potential anticancer drug Early positioning F 2013
Unexpected antitumorigenic effect of FBZ when combined with vitamins Famous lab serendipity paper Lymphoma model E 2008
FBZ induces pyroptosis in breast cancer via HK2/caspase-3/GSDME Breast E 2025
Transcriptome analysis: anticancer effects of FBZ on ovarian cancer Ovarian E 2024
FBZ + diisopropylamine dichloroacetate synergy in A549 lung cancer cells Lung F 2024
Redox-mediated anticancer activity of FBZ in TNBC cells TNBC F 2023
FBZ suppresses growth of hepatocellular carcinoma cells via p21 arrest HCC F 2022
Benzimidazoles induce apoptosis and pyroptosis in human glioblastoma cells GBM F 2021
Drug-induced liver injury after self-administration of FBZ (NSCLC patient) Safety flag — veterinary product self-use Safety D 2021
Makis et al. case series: self-administration FBZ (breast, prostate, melanoma) Heavily promoted online; check current retraction/status before citing as settled Case series 2025

By cancer type (quick index)

“Signal” means published work exists — not that guidelines recommend the agent.

Cancer Agents with published signals Human-data note
Glioblastoma / HGG MBZ (strongest path), IVM, benzimidazoles MBZ Phase 1 combos published
Breast / TNBC IVM (+ ICI), MBZ, FBZ IVM + checkpoint trials active
Prostate IVM, MBZ (+ docetaxel), FBZ Large share of 2026 observational cohort
Ovarian IVM, MBZ, FBZ Mostly preclinical
Pancreatic IVM (+ gemcitabine), MBZ Mostly preclinical
Colorectal / GI IVM, MBZ, FBZ family MBZ Phase 2a GI
Lung / NSCLC IVM, MBZ, FBZ FBZ hepatotoxicity case report
Melanoma IVM, MBZ, flubendazole Case-series claims online (verify status)
HCC / liver IVM (+ sorafenib), FBZ, MBZ Preclinical dominant
Leukemia / myeloma IVM, MBZ Preclinical / differentiation screens

Institutional context (worth reading too)

A serious researcher will want the counterweight. These are not “debunkings of mechanisms” — they track the clinical-evidence gap.

Companion brief

Separate page: published complete remissions, cell therapies, mRNA vaccines, and company approvals (not antiparasitics).