Evidence map›Paper›PMID 32400117›Full record

ArticleCancer medicine2020

Reverse swing-M, phase 1 study of repurposing mebendazole in recurrent high-grade glioma.

Vijay M Patil, Arti Bhelekar, Nandini Menon, Atanu Bhattacharjee, Vijai Simha, Ram Abhinav, Anuja Abhyankar, Epari Sridhar, Abhishek Mahajan, Ameya D Puranik and 6 more

Abstract readClinical Trial, Phase I
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. 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
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Repurposing of Anticancer Stem Cell Drugs in Brain Tumors.The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society · 2021
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

16 authors.

Vijay M PatilDepartment of Medical Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Arti BhelekarDepartment of Medical Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Nandini MenonDepartment of Medical Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Atanu BhattacharjeeSection of Biostatistics, Centre for Cancer Epidemiology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Vijai SimhaDepartment of Medical Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Ram AbhinavDepartment of Medical Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Anuja AbhyankarDepartment of Medical Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.ORCID 0000-0001-8077-3182
Epari SridharDepartment of Pathology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Abhishek MahajanDepartment of Radiology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Ameya D PuranikDepartment of Nuclear Medicine, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Nilendu PurandareDepartment of Nuclear Medicine, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Amit JanuDepartment of Radiology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Ankita AhujaDepartment of Radiology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Rahul KrishnatryDepartment of Radiation Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.ORCID 0000-0003-4511-7782
Tejpal GuptaDepartment of Radiation Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Rakesh JalaliDepartment of Radiation Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRelapsed high-grade glioma has dismal outcomes. Mebendazole has shown promising activity against glioma in in-vitro and in-vivo studies. Hence, we undertook a phase 1 study to repurpose mebendazole in the treatment of glioblastoma.

methodsWe conducted a phase 1 study (accelerated titrated design 4) of mebendazole in patients with recurrent glioblastoma (GBM). Patients eligible for re-irradiation were enrolled in arm A1 (radiation with concurrent temozolomide 75 mg/m

findings11 patients were enrolled in the whole study. MTD of mebendazole was not reached in arm A1 and C1 and hence the recommended dose for phase 2 was 1600 mg TDS (4800 mg) per day. The MTD of mebendazole in combination with CCNU was 1600 mg TDS (4800 mg) per day and the dose recommended for phase 2 was 800 mg TDS (2400 mg) per day. The three most common adverse events seen in the study were anemia (n = 9, 81.8%), nausea (n = 7, 63.6%), and fatigue (n = 6, 55.5%).

interpretationThe recommended phase 2 dose of mebendazole is 1600 mg TDS with temozolomide and temozolomide-radiation combination while the dose of 800 mg TDS needs to be used with single-agent CCNU.

Indexed as

Drug RepositioningAdultAgedAntiemeticsAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBrain NeoplasmsFemaleGlioblastomaHumansLomustineMaleMaximum Tolerated DoseMebendazoleMedication AdherenceMiddle AgedAntiemeticsAntineoplastic AgentsLomustineMebendazoleOndansetronTemozolomideCheckpointGlioblastomaHigh-grade GliomaMebendazoleRecurrenceRepurposingSalvage

Identifiers

PMID32400117
PMCPMC7333848

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Registered trials

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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.