Evidence map›Paper›PMID 25376612›Full record

ArticleMolecular cancer therapeutics2015

Repurposing the antihelmintic mebendazole as a hedgehog inhibitor.

Andrew R Larsen, Ren-Yuan Bai, Jon H Chung, Alexandra Borodovsky, Charles M Rudin, Gregory J Riggins, Fred Bunz

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Molecular cancer therapeutics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02644291 (Phase I Study of Mebendazole Therapy for Recurrent/Progressive Pediatric Brain Tumors), which is not on this map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
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.

NCT02644291 phase1completednot on this mapstarted 2016, after this paper: background citation

Phase I Study of Mebendazole Therapy for Recurrent/Progressive Pediatric Brain Tumors

TypeinterventionalSponsorSidney Kimmel Comprehensive Cancer Center at Johns HopkinsRan2016 to 2022Enrolled16ConditionsMedulloblastoma, Astrocytoma, Grade III, Glioblastoma, Anaplastic AstrocytomaArmsMebendazole
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 102 citations in OpenAlex.

  1. Trial
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  5. Mebendazole effectively overcomes imatinib resistance by dual-targeting BCR/ABL oncoprotein and β-tubulin in chronic myeloid leukemia cells.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2025
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  20. Double Repositioning: Veterinary Antiparasitic to Human Anticancer.International journal of molecular sciences · 2022
    Review
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

7 authors at 2 institutions in 1 country.

Andrew R LarsenDepartment of Radiation Oncology and Molecular Radiation Sciences, The Kimmel Cancer Center at Johns Hopkins, Baltimore, Maryland.
Ren-Yuan BaiDepartment of Neurosurgery, The Kimmel Cancer Center at Johns Hopkins, Baltimore, Maryland.
Jon H ChungDepartment of Radiation Oncology and Molecular Radiation Sciences, The Kimmel Cancer Center at Johns Hopkins, Baltimore, Maryland.
Alexandra BorodovskyDepartment of Neurosurgery, The Kimmel Cancer Center at Johns Hopkins, Baltimore, Maryland.
Charles M RudinMemorial Hospital Research Laboratories, Memorial Sloan Kettering Cancer Center, New York, New York.
Gregory J RigginsDepartment of Neurosurgery, The Kimmel Cancer Center at Johns Hopkins, Baltimore, Maryland. fbunz@jhmi.edu griggin1@jhmi.edu.
Fred BunzDepartment of Radiation Oncology and Molecular Radiation Sciences, The Kimmel Cancer Center at Johns Hopkins, Baltimore, Maryland. fbunz@jhmi.edu griggin1@jhmi.edu.
Sidney Kimmel Cancer Center · USMemorial Sloan Kettering Cancer Center · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
Training Program in Cellular and Molecular MedicineT32GM008752 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI RAO, RAJINI · 2000 to 2019
$11.7M
Targeting the ATR pathway in p53-deficient cancersR01CA157535 · NCI · JOHNS HOPKINS UNIVERSITY · PI BUNZ, FRED · 2011 to 2015
$1.7M
NCATS NIH HHS UL1 TR001079NCI NIH HHS P30 CA006973NCI NIH HHS P30CA006973NCI NIH HHS R01 CA157535NCI NIH HHS R01CA157535NIGMS NIH HHS T32 GM008752
6 · The paper itself

Abstract

The hedgehog (Hh) signaling pathway is activated in many types of cancer and therefore presents an attractive target for new anticancer agents. Here, we show that mebendazole, a benzamidazole with a long history of safe use against nematode infestations and hydatid disease, potently inhibited Hh signaling and slowed the growth of Hh-driven human medulloblastoma cells at clinically attainable concentrations. As an antiparasitic, mebendazole avidly binds nematode tubulin and causes inhibition of intestinal microtubule synthesis. In human cells, mebendazole suppressed the formation of the primary cilium, a microtubule-based organelle that functions as a signaling hub for Hh pathway activation. The inhibition of Hh signaling by mebendazole was unaffected by mutants in the gene that encodes human Smoothened (SMO), which are selectively propagated in cell clones that survive treatment with the Hh inhibitor vismodegib. Combination of vismodegib and mebendazole resulted in additive Hh signaling inhibition. Because mebendazole can be safely administered to adults and children at high doses over extended time periods, we propose that mebendazole could be rapidly repurposed and clinically tested as a prospective therapeutic agent for many tumors that are dependent on Hh signaling.

Indexed as

AnilidesAnimalsAntineoplastic AgentsBrain NeoplasmsCell Line, TumorCell ProliferationDrug RepositioningDrug SynergismFemaleHedgehog ProteinsHEK293 CellsHumansMebendazoleMedulloblastomaMiceMice, NudeAnilidesAntineoplastic AgentsHedgehog ProteinsHhAntag691MebendazolePyridinesReceptors, G-Protein-CoupledSmoothened ReceptorSMO protein, human

Identifiers

PMID25376612
PMCPMC4297232
OpenAlexW2116931094

What OpenQuestion 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 OpenQuestion graph.