IVERMECTIN

The antiparasitic drug ivermectin has promising test tube and pre-clinical research in animal models only. These rarely translate into patient success, and are a long way from any well targeted standard of care in oncology. There is presently only one active clinical trial in human patients and the results pending in triple negative breast cancer. The preliminary report shows tendencies to positive effect but there is a long way to go there. The proposed mechanism of making tumors more sensitive to immunotherapy drugs remains unproven. There are, in contrast, multiple opportunities you can find using our Pathfinder, the Supplements and Food Libraries that can boost immunotherapy outcomes safely whilst lowering, not increasing, side effects.

As can been seen with many other research studies, re-purposed drugs frequently disappoint in the lack of benefits. There are many parallels with fenbendazole aka “fenben” where test tube and mouse studies are heavily relied on in those proposing these drugs in cancer with no ability to specify which types or subtypes of cancers may respond positively. Mebendazole, the FDA approved prescription anti-parasitic drug, has shown it can accelerate progression of several digestive system cancers over 60% (see Mebendazole). Its worth remembering the same is true in development of oncology drugs themselves, where many failures occur even at the phase III stage. In some cases all these additional drugs contribute  side effects of their own or actually increasing disease progression. (See also cimetidine in lung cancer immunotherapy for instance).

There is no basis for believing ivermectin can slow progression in cancers until some robust clinical evidence is presented. And some identification of which cancer types and subtypes are proposed. If the experience of mebendazole is any indication then it may in fact worsen the prognosis when used at random and without the knowledge, and recommendation, of your oncologist. Taking drugs like ivermectin at random is equally or even more likely to increase disease progression, and will have its owns side effects. In short: never self medicate these drugs based on unfounded hype and hope.

 

Ivermectin is an attractive cancer drug candidate as it’s inexpensive and already clinically approved, albeit for parasitic infections. Some preclinical studies have indeed found promising results using ivermectin, but these studies were done in cell cultures and animals, not in humans. As such, they cannot provide sufficient evidence that ivermectin helps treat cancer in people. Further studies are needed to reliably determine ivermectin’s effectiveness and safety when used to treat cancer in humans.

[Pre-clinical animal model] As demonstrated in our current study, the combination of ivermectin and PD-1 checkpoint blockade led to complete regression of the primary tumor in a significant fraction of animals, and with protective anti-tumor immunity in the responders. We went on to demonstrate that this novel combination is effective in the neoadjuvant, adjuvant, and metastatic settings that mimic clinical situations in which it may be used. Based on its novel dual mechanisms of action in cancer, ivermectin may also potentiate the anti-tumor act...

Moreover, emerging research unveils its potential as an anticancer agent, demonstrating antiproliferative and proapoptotic effects in diverse cancer cell lines. Although these findings are encouraging in unraveling the multifunctional therapeutic potential of ivermectin, extensive in vivo studies and clinical trials are crucial to translating preclinical observations into therapeutic benefits for humans.

..our [animal model] study demonstrated that IVM could inhibit the migration of multiple types of cancer cells in vitro and the metastasis of HCT-8 cells-derived tumor in vivo. Mechanistically, IVM suppressed the expressions of metastasis-related proteins through inhibiting the Wnt/β-catenin/integrin β1/FAK signaling pathway. Our findings suggested that IVM could be a potential therapeutic agent for the prevention and treatment of tumor metastasis used alone or in combination with chemotherapeutic drugs.

TABLE OF REFERENCES

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https://ascopubs.org/doi/10.1200/JCO.2025.43.16_suppl.e131462.5The combination of ivermectin and balstilimab is safe and well tolerated. Encouraging CBR was observed in this heavily pretreated population, which warranted continued investigation. Clinical trial information: NCT05318469.. The study will continue to accrual of dose level 3. Of 8 evaluable patients, 1 had SD, 6 had PD, and 1 had PR. The median PFS was 2.5 month (95% CI 66 – Not reached). The 4-monthclinical benefit rate was 37.5% (95% CI 15.3%-91.7%). OS is too early to be assessed.
https://science.feedback.org/review/preclinical-studies-cannot-provide-sufficient-evidence-ivermectin-helps-treat-cancer-people/N/AIvermectin is an attractive cancer drug candidate as it’s inexpensive and already clinically approved, albeit for parasitic infections. Some preclinical studies have indeed found promising results using ivermectin, but these studies were done in cell cultures and animals, not in humans. As such, they cannot provide sufficient evidence that ivermectin helps treat cancer in people. Further studies are needed to reliably determine ivermectin’s effectiveness and safety when used to treat cancer in humans.This brings us to our second point. Cancer drug candidates fail more often than they succeed during clinical trials. In fact, a 2019 analysis showed just a 3.4% success rate for anticancer drugs tested in clinical trials[5]. Thirdly, preclinical studies don’t provide sufficient data on the effective dose and the risks of using ivermectin in cancer patients. While effective doses for treating parasitic infections with ivermectin are established, it’s unclear whether the same doses would also work for killing cancer cells in patients
https://www.nature.com/articles/s41523-021-00229-51While neither agent alone showed efficacy in vivo, combination therapy with ivermectin and checkpoint inhibitor anti-PD1 antibody achieved synergy in limiting tumor growth (p = 0.03) and promoted complete responses (p < 0.01), also leading to immunity against contralateral re-challenge with demonstrated anti-tumor immune responses. Going beyond primary tumors, this combination achieved significant reduction in relapse after neoadjuvant (p = 0.03) and adjuvant treatment (p < 0.001), and potential cures in metastatic diseaseAs demonstrated in our current study, the combination of ivermectin and PD-1 checkpoint blockade led to complete regression of the primary tumor in a significant fraction of animals, and with protective anti-tumor immunity in the responders. We went on to demonstrate that this novel combination is effective in the neoadjuvant, adjuvant, and metastatic settings that mimic clinical situations in which it may be used. Based on its novel dual mechanisms of action in cancer, ivermectin may also potentiate the anti-tumor activity of other FDA-approved ICIs.
https://pmc.ncbi.nlm.nih.gov/articles/PMC11008553/#sec31Moreover, emerging research unveils its potential as an anticancer agent, demonstrating antiproliferative and proapoptotic effects in diverse cancer cell lines. Although these findings are encouraging in unraveling the multifunctional therapeutic potential of ivermectin, extensive in vivo studies and clinical trials are crucial to translating preclinical observations into therapeutic benefits for humans.Ivermectin is now recognized as a multifaceted therapeutic with diverse potential beyond its established antiparasitic role. Although its established efficacy in combating various parasitic infections in humans and animals remains important, its therapeutic uses extend beyond. The anti-inflammatory and immunomodulatory properties of ivermectin are promising for managing inflammatory skin conditions and potentially autoimmune diseases. Its promising antiviral activity against viruses such as COVID-19 and adenoviruses, although it requires further rigorous clinical validation,
https://pmc.ncbi.nlm.nih.gov/articles/PMC9641399/1..our [animal model] study demonstrated that IVM could inhibit the migration of multiple types of cancer cells in vitro and the metastasis of HCT-8 cells-derived tumor in vivo. Mechanistically, IVM suppressed the expressions of metastasis-related proteins through inhibiting the Wnt/β-catenin/integrin β1/FAK signaling pathway. Our findings suggested that IVM could be a potential therapeutic agent for the prevention and treatment of tumor metastasis used alone or in combination with chemotherapeutic drugs.Mechanistically, IVM suppressed the expressions of the migration-related proteins via inhibiting the activation of Wnt/β-catenin/integrin β1/FAK and the downstream signaling cascades. Our findings indicated that IVM was capable of suppressing tumor metastasis, which provided the rationale on exploring the potential clinical application of IVM in the prevention and treatment of cancer metastasis.

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