Ivermectin & Fenbendazole for Lung Cancer: 63 Cases Analyzed (2026)
Medically reviewed by Dr. Frank Yap, MD | Written by OneDayMD Editorial Team | First published October 1, 2026 | Updated October 17, 2026 (v3.0)
The primary case series lists 63 entries. After removing 7 non-analyzable entries and 4 duplicate patients, 52 unique lung-primary patients remain.
- Small cell lung cancer (SCLC): 8 patients (15.4%), Cases 1, 4, 23, 28, 30, 41, 46, 57.
- Biomarker-defined: 13 patients (25.0%). Four state a driver (EGFR ×3, ALK ×1); nine more imply one through a named targeted drug. None reports PD-L1, TMB or a sequencing panel.
- Immunotherapy: 9 patients (17.3%), plus 1 head-and-neck primary with lung metastases.
- Concurrent standard therapy disclosed: 29 of 52 (55.8%). Only 3 state that they had none.
These cases are hypothesis-generating and do not establish that fenbendazole, ivermectin, or mebendazole directly caused the reported tumor responses. Establishing causality requires well-designed clinical studies that account for other treatments, disease characteristics, and potential confounding factors.
Contents
- Abstract
- Methods and counting rules
- Results: SCLC, biomarkers, immunotherapy
- Case-level matrix (63 entries)
- Corrections to the previous version
- Interpretation and limitations
- FAQ
- Using this page with AI assistants
- Sources and disclosures
1. Abstract
- Background: Fenbendazole, ivermectin and mebendazole are antiparasitic drugs with preclinical anticancer activity in lung cancer.
- Objective: To classify a public archive of 63 lung cancer narratives by histology, biomarker status, immunotherapy exposure and concurrent standard treatment.
- Methods: Each entry in the primary case series (September 2026 update) was re-read and coded from its source text; duplicates were merged.
- Results: 52 unique patients were analyzable: 8 SCLC, 25 NSCLC, 3 other neuroendocrine, 1 rare biphasic tumor and 15 without stated histology. Thirteen had an explicit or implied driver alteration, 9 received immunotherapy, and 29 disclosed concurrent chemotherapy, radiotherapy, immunotherapy or targeted therapy.
- Conclusion: The archive is E0–E2 evidence (about CEBM Level 4–5). Attribution to the antiparasitic drugs is not possible; prospective, biomarker-annotated trials are needed.
Introduction
For patients with actionable mutations identified through molecular profiling, targeted therapies are the preferred treatment approach. In particular, for "PD-L1 High Non-Small Cell Lung Cancer", single-agent immunotherapy may be more effective and better tolerated than chemotherapy in selected patients.
The preference for targeted treatments reflects their demonstrated efficacy in improving outcomes in these molecularly defined subgroups, underscoring the importance of comprehensive genomic profiling in guiding personalized therapy decisions. However, targeted agents are only applicable to small patient subsets.
2. Methods and counting rules
- Histology is taken as written; “lung cancer” without a type is “unspecified”.
- Explicit biomarker (E): the mutation is named. Inferred (I): a biomarker-matched drug is named (osimertinib → EGFR, sotorasib → KRAS G12C, selpercatinib → RET). Inferred calls are not confirmed results.
- Immunotherapy: a checkpoint inhibitor, or “immunotherapy”, is stated in the source.
- Duplicates: same age, sex, location, doses and scan figures or quotes in two posts.
- Counts reflect what the posts say, not verified records. The image-only Cases 11 and 12 could not be read.
| Step | Entries | Detail |
|---|---|---|
| Entries on primary page | 63 | Cases 1–63 (50–54 are five Leading Edge Clinic patients) |
| Excluded | −7 | 11, 12 (image-only); 3 (no drug or outcome in text); 19 (ivermectin + chlorine dioxide, hearsay); 20 (head-and-neck primary); 42, 56 (mesothelioma) |
| Analyzable lung-primary entries | 56 | |
| Duplicate patients merged | −4 | 9 = 14; 26 = 33; 32 = 45; 40 = 61 |
| Unique analyzable patients | 52 | Denominator for all percentages |
3. Results
3.1 Histology (n = 52)
| Group | n | % | Cases |
|---|---|---|---|
| SCLC | 8 | 15.4 | 1, 4, 23, 28, 30, 41, 46, 57 |
| NSCLC (adenocarcinoma 5, squamous 1, NOS 19) | 25 | 48.1 | 5, 6, 10, 14, 15, 16, 21, 22, 25, 26, 31, 32, 34–36, 40, 44, 47, 48, 50–53, 59, 63 |
| Other neuroendocrine (not SCLC) | 3 | 5.8 | 27 (NSCLC + LCNEC), 29, 43 (LCNEC) |
| Biphasic tumor | 1 | 1.9 | 54 |
| Histology unspecified | 15 | 28.8 | 2, 7, 8, 13, 17, 18, 24, 37, 38, 39, 49, 55, 58, 60, 62 |
3.2 Small cell lung cancer (8 patients)
| Case | Stage / sites | Conventional therapy in source | Reported outcome | Note |
|---|---|---|---|---|
| 1 | IV (Joe Tippens, 2017) | Not stated on page | “Complete scan response” | Independent fact-checks report concurrent enrolment in a pembrolizumab trial. The source page also calls his cancer NSCLC elsewhere. |
| 4 | IV; vertebrae, brain | Chemotherapy (failed), nivolumab | Brain disease resolved | Immunotherapy |
| 23 | III, 8 cm | Not stated | Near-complete regression, 2 mo | Standard care for limited-stage disease is chemoradiation; unreported use cannot be excluded |
| 28 | IV; brain, liver | Chemotherapy ×2; hyperbaric oxygen | Lung mass no longer visible | SCLC responds quickly to chemotherapy |
| 30 | IV; multiple brain | Not stated | Brain lesions −33 to −86% (volume) | Brain radiotherapy not mentioned |
| 41 | IV; brain, nodes | Chemotherapy, radiotherapy, immunotherapy | Lung 10.8 → 2.0 cm; brain resolved | Immunotherapy; albendazole + fenbendazole |
| 46 | IV; bone | Chemotherapy | “Almost cancer free” | No imaging data |
| 57 | IV; pleura | Selpercatinib (RET inhibitor) | “Cancer free”, 8 mo | RET alterations are very unusual in SCLC; histology should be verified |
Summary: 5 of 8 document conventional therapy on the page (chemotherapy ×4, selpercatinib ×1); 3 involve immunotherapy (Cases 1, 4, 41); only Cases 23 and 30 are silent. Case 43 (LCNEC) is neuroendocrine but not SCLC.
3.3 Biomarker-defined cases (13 patients, 25.0%)
| Biomarker | Basis | Patients (cases) | Matched drug |
|---|---|---|---|
| EGFR (explicit) | E | 3 (35, 51, 52) | Osimertinib in 52; chemotherapy only in 35; none in 51 |
| ALK (explicit) | E | 1 (50) | Alectinib |
| EGFR (inferred) | I | 6 (10, 14=9, 32=45, 36, 60, 61=40) | Osimertinib |
| KRAS G12C (inferred) | I | 1 (44) | Sotorasib + chemotherapy |
| RET (inferred) | I | 1 (57, SCLC) | Selpercatinib |
| Driver unknown | I | 1 (8) | “Targeted gene therapy drug”, unnamed |
- Totals: EGFR 9 patients (17.3%); 7 of them on osimertinib. Eleven of the 13 received a matched targeted drug, so their responses are expected from that drug.
- Possible but unconfirmed: Case 63 names amivantamab (an EGFR–MET antibody) in its commentary without stating mutation or treatment.
- Case 6 says mutation testing was done and was “not favorable” but gives no result. Case 43 reports Ki-67 90%; Cases 40/61 track CEA. Neither is a driver biomarker.
- Not reported anywhere: PD-L1, tumor mutational burden, next-generation sequencing panels, TP53/RB1 (SCLC), STK11/KEAP1. Thirty-nine patients (75%) have no driver information at all; Case 31 is a never-smoker with no biomarker or targeted drug disclosed.
3.4 Immunotherapy (9 lung-primary patients, 17.3%)
| Agent | n | Cases | Histology |
|---|---|---|---|
| Pembrolizumab (Keytruda) | 4 | 5 (+ chemotherapy), 16 (since Apr 2024), 47, 55 (+ proton RT) | NSCLC 3, unspecified 1 |
| Nivolumab (Opdivo) | 1 | 4 (+ failed chemotherapy) | SCLC |
| “Immunotherapy”, agent unnamed | 4 | 6 (+ chemotherapy), 34, 41 (+ chemoradiation), 49 | NSCLC 2, SCLC 1, unspecified 1 |
| Not counted | 2 | 20 (head-and-neck primary, pembrolizumab); 1 (Tippens, external reports) |
None of the nine reports PD-L1. Checkpoint inhibitors can cause delayed or durable responses, so regression after adding an antiparasitic drug (Case 16 had been on pembrolizumab nine months) cannot be assigned to it. Overall, 20 of 52 patients (38.5%) were on immunotherapy or a matched targeted drug; a further 9 had chemotherapy or radiotherapy only.
3.5 Duplicate patients
| Pair | What changed between posts |
|---|---|
| 40 and 61 | The later post adds osimertinib to chemotherapy; same CEA 719 and doses |
| 32 and 45 | Same 6.4 × 5.3 cm mass; osimertinib in both, tumor 3.5 vs 2.9 cm at 3 vs 8 months |
| 26 and 33 | The later post adds carboplatin/paclitaxel + radiation; identical radiologist quote |
| 9 and 14 | The later post adds osimertinib; same 6 → 3.6 cm adrenal lesion |
In three of four pairs the earlier post omitted standard treatment that a later post disclosed, so “none stated” should be read as “unknown”.
4. Case-level matrix (63 entries)
Key: E/I = explicit/inferred biomarker; osi = osimertinib; IO = immunotherapy; EXC = excluded; NOS = not otherwise specified; mo = months. “Calc” = percentage computed by a chatbot from reported dimensions. Evidence tier: all E0–E1 except Cases 50–54 (E2). Attribution: A0–A1.
↔ Swipe the table sideways to see all columns on mobile.
| # | Diagnosis / stage | Biomarker | Conventional therapy | Outcome as reported | Flag |
|---|---|---|---|---|---|
| 63 | NSCLC IV; brain, adrenal | EGFR/MET? unconfirmed | Not stated | Brain mets “cleared”, 8 mo | New |
| 62 | Lung mass 6 cm, NOS | — | Not stated | “Complete resolution”, 6 mo | |
| 61 | NSCLC IV; brain, bone | EGFR (I) | Chemo + osi | CEA 719 → 9.1 | = 40 |
| 60 | Recurrent lung ca, NOS | EGFR (I) | Osi | “NED”, 5 mo | |
| 59 | NSCLC IV | — | Chemo | Tumor smaller, 3 mo | |
| 58 | Lung ca IV; bone, brain | — | Not stated | Survived “almost three years” (past tense) | |
| 57 | SCLC IV; pleura | RET (I) | Selpercatinib | “Cancer free”, 8 mo | SCLC |
| 56 | Pleural mesothelioma + salivary ca | — | Not stated | PET “no cancer” | EXC |
| 55 | Lung ca, NOS (85F) | — | Pembrolizumab + proton RT | “Cancer free”, 6 mo | IO |
| 54 | Biphasic tumor, recurrent | — | Carbo/etoposide + RT | Irradiated nodules shrank; others grew | |
| 53 | Squamous IV; liver | — | Liver RT; prior SBRT | Stable, 7 mo | |
| 52 | Adenocarcinoma IV | EGFR (E) | Osi | Tumor and nodes smaller, 16 mo | |
| 51 | Adenocarcinoma IIIC | EGFR (E) | None (stated) | Stable, 6 mo | |
| 50 | Adenocarcinoma IV | ALK (E) | Alectinib | Complete remission | |
| 49 | Lung ca IV; bone, NOS | — | IO (agent unnamed) | Bone lesions smaller, 4 mo | IO |
| 48 | NSCLC IV | — | Not stated; later keyhole surgery | “Cancer free”, 12 mo | |
| 47 | NSCLC IV; liver | — | Pembrolizumab | Liver mets smaller or resolved | IO |
| 46 | SCLC IV; bone | — | Chemo | “Almost cancer free” | SCLC |
| 45 | NSCLC IV; soft tissue | EGFR (I) | Osi | −93% volume (calc) | = 32 |
| 44 | NSCLC IV; bone | KRAS G12C (I) | Chemo + sotorasib | >50% regression after drug added | |
| 43 | LCNEC, Ki-67 90% | Ki-67 only | Not stated | “Cancer free”, 5 mo | Not SCLC |
| 42 | Pleural mesothelioma IV | — | Chemo | Nodules smaller | EXC |
| 41 | SCLC IV; brain, nodes | — | Chemo + RT + IO | Lung 10.8 → 2.0 cm | SCLC, IO |
| 40 | NSCLC IV; brain, bone | CEA only | Chemo | CEA 719 → 18 | = 61 |
| 39 | “Early-stage” lung ca | — | None (stated) | −30% volume (calc) | |
| 38 | Multifocal lung ca | — | Not stated | −83% volume (calc) | |
| 37 | Lung ca IV; brain (dx 2019) | — | None since start; prior therapy unknown | Brain and chest stable or smaller | |
| 36 | NSCLC IV; bone | EGFR (I) | Osi | Regression; bone healing | |
| 35 | NSCLC IV | EGFR (E) | Chemo | SUV 11.2 → 3.0; effusion resolved | |
| 34 | NSCLC IV | — | IO (agent unnamed) | Shrinkage, 12 mo | IO |
| 33 | NSCLC III, bulky | — | Carbo/paclitaxel + RT | SUV 12.1 → 1.4 | = 26 |
| 32 | NSCLC IV | EGFR (I) | Osi + RT | −84% volume | = 45 |
| 31 | NSCLC IV; brain, bone, nodes | — | Not stated | Lung and brain clear; bone residual | |
| 30 | SCLC IV; brain (India) | — | Not stated | Brain lesions −33 to −86% volume | SCLC |
| 29 | Multifocal neuroendocrine | — | Not stated | 2.2 → 0.8 cm | Not SCLC |
| 28 | SCLC IV; brain, liver | — | Chemo ×2 | Lung mass not visible | SCLC |
| 27 | NSCLC + LCNEC | — | Not stated | ~2 cm smaller, 3 mo | |
| 26 | NSCLC III | — | Not stated here | −89% volume | = 33 |
| 25 | NSCLC IV; bone | — | Not stated | FDG falls; active nodule remains | |
| 24 | Lung ca, new | — | Not stated | 4.5 → 1.7 cm | |
| 23 | SCLC III, 8 cm | — | Not stated | Near-complete regression, 2 mo | SCLC |
| 22 | NSCLC IV | — | Chemo | −76% volume (calc) | |
| 21 | NSCLC IV; brain, adrenal | — | Not stated | “Resolving”, 5 mo | |
| 20 | Head-and-neck primary; lung mets | — | Pembrolizumab + RT | Stable / no recurrence | EXC, IO |
| 19 | Lung ca (hearsay) | — | Surgery | “No cancer found” | EXC |
| 18 | Lung ca IV (video) | — | Not stated | Regression claimed | |
| 17 | Lung ca IV; multi-site | — | Chemo | All lesions smaller | |
| 16 | NSCLC IV; nodes, adrenal | — | Pembrolizumab (since 2024) | Near-complete nodal resolution | IO |
| 15 | NSCLC IV; 20+ brain | — | Not stated | Brain lesions smaller, 2 mo | |
| 14 | NSCLC IV; nodes, liver, adrenal | EGFR (I) | Osi | ~75% burden reduction | = 9 |
| 13 | Lung ca IV; brain, liver, bone | — | Not stated | Liver and bone metabolic resolution | Overlap with 17? |
| 12 | Image only | ? | ? | ? | EXC |
| 11 | Image only | ? | ? | ? | EXC |
| 10 | NSCLC IV | EGFR (I) | Osi | 3 → 2 cm; effusion resolved | |
| 9 | NSCLC IV | — | Not stated | Adrenal 6 → 3.6 cm | = 14 |
| 8 | Lung ca IV | Unknown (I) | Unnamed targeted drug | 6.4 → 2.6 cm | |
| 7 | Lung ca IV; liver | — | Not stated | Liver mets smaller | |
| 6 | Adenocarcinoma II → IV | Tested, no result | Chemo ×2 + IO; ADT for prostate ca | Pleural disease resolved | IO |
| 5 | Adenocarcinoma IV | — | Chemo + pembrolizumab | Nodules resolved | IO |
| 4 | SCLC IV | — | Chemo + nivolumab | Brain disease resolved | SCLC, IO |
| 3 | Lung ca IV | — | Chemo + RT | Source text ends; no outcome | EXC |
| 2 | Lung ca, metastatic | — | Not stated | 5 nodules → 2 | |
| 1 | SCLC IV (Tippens) | — | Not stated on page | “Complete scan response” | SCLC |
5. Corrections to the previous version
- Counts: the title said 63 cases, the body said 62, and the matrix omitted Case 63 (September 2026). All 63 are now listed.
- Table layout: rows 50 and 5–1 had shifted columns; rebuilt.
- Case 40: chemotherapy was disclosed in the source (previously “not clearly specified”); it is the same patient as Case 61.
- Case 19: the regimen was ivermectin plus ingested chlorine dioxide, relayed second-hand, not an antiparasitic-only protocol. It is excluded; the FDA has warned against ingesting chlorine dioxide products.
- Case 57: “targeted therapy” is selpercatinib (RET), unusual in SCLC. Case 58: the past-tense survival wording implies the patient has died. Case 3: the source text contains no drug or outcome.
- Cases 11–12: the source is a January 2025 anonymous Substack compilation of subscriber comments by a seller of ivermectin and fenbendazole products; the images could not be read or confirmed as lung cancer.
- Percentages: volume figures computed by a chatbot overstate change relative to diameter. In Case 29, 2.2 → 0.8 cm is a 64% diameter reduction, reported as 95% volume.
- Language: removed statements that mechanisms “align well with observed tumor responses”, that cases suggest chemo- or radiosensitizing effects, and the “tip of the iceberg” conclusion. The Juárez et al. 2020 premise that a 2 mg/kg/day dose approximates the 5 µM used in vitro is now flagged as contested; ASCO cautions that concentrations needed to reproduce laboratory effects may exceed safe human doses.
6. Interpretation and limitations
The dominant pattern is multimodal treatment. Among the 29 patients with disclosed therapy, 9 received immunotherapy, 11 a matched targeted drug (osimertinib, alectinib, sotorasib, selpercatinib) and 9 chemotherapy or radiotherapy only. These treatments produce objective responses on their own, so regression in these patients cannot be credited to the antiparasitic agents. Of the 23 patients with no therapy stated, only three (Cases 37, 39, 51) explicitly report none, and each lacks a verified baseline, chronology or independent imaging review. Case 37 was diagnosed in 2019 and her earlier treatment is not described.
Limitations: self-selected successes, one source for 76% of entries, no denominators for non-responders, unverified imaging, chatbot-calculated volumes, inconsistent follow-up (weeks to years), and unreported toxicity. Recording biomarkers, PD-L1 and treatment dates at entry would make any future registry interpretable.
What would settle the question
A planned University of Florida trial of ivermectin in cancer (ICONIC, NCT07487805) was listed as not yet recruiting at last review. The only larger observational dataset, Hulscher et al. (197 enrolled), carries a June 2026 Anticancer Research Expression of Concern and a disclosed Wellness Company conflict of interest. Related reading: Lung cancer in 2026: precision oncology, biomarker map, case registry.
7. FAQ
How many SCLC cases are in the archive?
Eight of 52 unique patients (15.4%): Cases 1, 4, 23, 28, 30, 41, 46 and 57. Five document chemotherapy, immunotherapy or a targeted drug on the page.
How many cases report biomarkers such as EGFR?
Four state a driver (EGFR ×3, ALK ×1) and nine more imply one through a named targeted drug: 13 of 52 (25.0%). No case reports PD-L1.
How many cases were on immunotherapy?
Nine lung-primary patients (17.3%): pembrolizumab ×4, nivolumab ×1, unnamed immunotherapy ×4.
Do these cases show the drugs work against lung cancer?
No. More than half disclose concurrent standard therapy, and none has verified imaging or follow-up.
What does ASCO recommend?
ASCO’s May 2026 notice advises against ivermectin and fenbendazole for cancer outside clinical trials.
8. Using this page with AI assistants
- Claude: “Using the matrix, list the SCLC cases that had no chemotherapy or immunotherapy stated.”
- ChatGPT: “Summarize the biomarker table and explain why osimertinib confounds Cases 10, 14, 32, 36 and 60.”
- Gemini: “Compare these counts with typical real-world SCLC and EGFR proportions in lung cancer.”
- Perplexity: “Find current trials of ivermectin or mebendazole in lung cancer and their status.”
9. Sources and disclosures
- Primary case series: OneDayMD, September 2026 update.
- Leading Edge Clinic cases: Kory blog.
- Malak et al. 2025 (mouse NSCLC model, preclinical): PubMed 40174264. Juárez et al. 2020: summary.
- ASCO clinical notice, May 2026: coverage.
- Tippens trial context: PolitiFact.
Affiliate disclosure. OneDayMD participates in The Wellness Company (code ONEDAYMD) and Amazon Associates programs. This page contains no affiliate links.
Disclaimer: Educational content only, not medical advice. Ivermectin, fenbendazole and mebendazole are not approved for cancer. Discuss any treatment decision with your oncologist.
Comments
Post a Comment