Evidence map›Paper›PMID 25862759›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2015

Brain Penetration and Efficacy of Different Mebendazole Polymorphs in a Mouse Brain Tumor Model.

Ren-Yuan Bai, Verena Staedtke, Teresia Wanjiku, Michelle A Rudek, Avadhut Joshi, Gary L Gallia, Gregory J Riggins

Registry-linked trialAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 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 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

44 citing papers in PubMed, 83 citations in OpenAlex.

  1. Article
  2. Stearyl amine tailored spanlastics embedded within tetronicDaru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Mebendazole InhibitsJournal of fungi (Basel, Switzerland) · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Double Repositioning: Veterinary Antiparasitic to Human Anticancer.International journal of molecular sciences · 2022
    Review
  18. Article
  19. European Mistletoe (Veterinary sciences · 2022
    Article
  20. Article
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.

Ren-Yuan Bai *Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Verena Staedtke *Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Teresia WanjikuSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Michelle A RudekSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Avadhut JoshiDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Gary L GalliaDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Gregory J RigginsDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Johns Hopkins University · USSidney Kimmel Comprehensive 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 Research (UL1)UL1RR025005 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$75.8M
Research Education Program for Residents and Fellows in Neurology - PorrasR25NS065729 · NINDS · JOHNS HOPKINS UNIVERSITY · PI HILLIS, ARGYE E. · 2009 to 2024
$3.3M
UPLC with Tandem MS for Sensitive Quantitative Analysis of Small MoleculesS10RR026824 · NCRR · JOHNS HOPKINS UNIVERSITY · PI RUDEK, MICHELLE A · 2010 to 2010
$429k
NCI NIH HHS P30 CA006973NCI NIH HHS P30-CA006973, UL1-RR025005NCRR NIH HHS 1S10RR026824-01NCRR NIH HHS S10 RR026824NCRR NIH HHS UL1 RR025005NINDS NIH HHS R25 NS065729NINDS NIH HHS R25NS065729
6 · The paper itself

Abstract

purposeMebendazole (MBZ), first used as an antiparasitic drug, shows preclinical efficacy in models of glioblastoma and medulloblastoma. Three different mebendazole polymorphs (A, B, and C) exist, and a detailed assessment of the brain penetration, pharmacokinetics, and antitumor properties of each individual mebendazole polymorph is necessary to improve mebendazole-based brain cancer therapy. EXPERIMENTAL DESIGN AND

resultsIn this study, various marketed and custom-formulated mebendazole tablets were analyzed for their polymorph content by IR spectroscopy and subsequently tested in an orthotopic GL261 mouse glioma model for efficacy and tolerability. The pharmacokinetics and brain concentration of mebendazole polymorphs and two main metabolites were analyzed by LC/MS. We found that polymorph B and C both increased survival in a GL261 glioma model, as B exhibited greater toxicity. Polymorph A showed no benefit. Polymorph B and C both reached concentrations in the brain that exceeded the IC₅₀ in GL261 cells 29-fold. In addition, polymorph C demonstrated an AUC₀₋₂₄h brain-to-plasma (B/P) ratio of 0.82, whereas B showed higher plasma AUC and lower B/P ratio. In contrast, polymorph A presented markedly lower levels in the plasma and brain. Furthermore, the combination with elacridar was able to significantly improve the efficacy of polymorph C in GL261 glioma and D425 medulloblastoma models in mice.

conclusionsAmong mebendazole polymorphs, C reaches therapeutically effective concentrations in the brain tissue and tumor with fewer side effects, and is the better choice for brain cancer therapy. Its efficacy can be further enhanced by combination with elacridar.

Indexed as

AnimalsBrain NeoplasmsChemistry, PharmaceuticalDisease Models, AnimalHumansMebendazoleMedulloblastomaMiceNeoplasms, ExperimentalNeutrophilsMebendazole

Identifiers

PMID25862759
PMCPMC4526400
OpenAlexW2133833211

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.