Mebendazole, Fenbendazole and Albendazole in Cancer Research

Mebendazole, albendazole and fenbendazole are deworming medicines from one chemical family, the benzimidazoles. Laboratory and animal studies have tested them against cancer cells for more than twenty years, and mebendazole has now been given to people with brain tumours and bowel cancer in small clinical trials. This page sets one point from a 2026 integrative-oncology presentation beside that published research, with a closer look at mebendazole, at the claim that it reaches the brain while fenbendazole does not, and at what is known about liver safety for each drug.

Table of Contents

  1. What the Presentation Said
  2. One Family, Three Different Drugs
  3. How These Drugs Affect Cells
  4. Brain Tumour Studies in Mice
  5. Which Drugs Reach the Brain?
  6. Mebendazole Trials in People With Brain Tumours
  7. Mebendazole in Other Cancers
  8. Albendazole: One Dose-Finding Trial
  9. Fenbendazole in People: Case Reports
  10. Liver and Blood Safety Compared
  11. How the Claim Compares With the Research
  12. What Is Not Known
  13. Connections
  14. Key Research Papers
  15. Featured Videos

What the Presentation Said

Near the end of a section on antiparasitic medicines, the speaker showed a slide of several drugs and said the clinic's favourites were mebendazole and ivermectin, preferred even over fenbendazole. The speaker gave two reasons:

The speaker then described, in general terms, how several antiparasitic drugs show anticancer activity through more than one route: changing signalling inside tumour cells, disrupting microtubules (the speaker called them the architecture of the tumour cell, and said that disrupting them goes a long way towards destroying a cancer cell), and acting on the immune system and the tissue around a tumour. The speaker said this supports their use as repurposed drugs in cancer care, and mentioned research on ivermectin, on "the -azoles" such as fenbendazole, and on artemisinin and artesunate. The speaker also advised viewers to check with their own doctor about any protocol.

No study was named for the brain or liver comparison. Albendazole was not mentioned in the presentation; it is covered here because it belongs to the same family and has its own human cancer trial. A separate observational study of ivermectin with mebendazole that the speaker described next has its own page, The 2026 Ivermectin and Mebendazole Observational Study, and ivermectin is covered on Ivermectin in Cancer Research.

One Family, Three Different Drugs

The three drugs share a core chemical ring and a way of killing worms, but they sit in very different places in medicine.

Mebendazole

Mebendazole has been used in people since the early 1970s. The current US label for the 100 mg chewable tablet lists treatment of gut infections with pinworm, whipworm, roundworm (Ascaris) and the two common hookworms in patients aged two and older, at one tablet once for pinworm, or one tablet morning and evening for three days for the others. A 500 mg chewable tablet is labelled as a single dose for roundworm and whipworm from age one. The label explains that after a normal dose most of the drug stays inside the gut, where it acts on the worms: at 100 mg twice daily for three days, blood levels of mebendazole stay at or below 0.03 micrograms per millilitre. Absorbed drug is broken down mainly by the liver.

Albendazole

Albendazole is approved in the US for two tissue infections: brain cysts of the pork tapeworm (neurocysticercosis) and hydatid cysts of the dog tapeworm (Echinococcus) in the liver, lung and abdomen. Treating these infections means longer courses of a drug that must reach tissue, and albendazole's label carries detailed blood-count and liver-test monitoring rules (see Liver and Blood Safety Compared).

Fenbendazole

Fenbendazole is a veterinary dewormer. The US National Institutes of Health liver-injury reference (LiverTox) describes it as used mainly in cats and dogs, not approved for human use, and sold over the counter as an animal product, which is how people with cancer have come to take it (Hoofnagle, LiverTox, Fenbendazole). A 2024 review noted that because it is not approved by the US or European regulators, its absorption and safety in humans "have yet to be well-documented" (Nguyen and colleagues, 2024). The Fenbendazole page and its off-label cancer use page cover fenbendazole's laboratory studies and history in detail; this page does not repeat them.

How These Drugs Affect Cells

Every cell contains microtubules: hollow rods built from a protein called tubulin. They act as scaffolding and, during cell division, form the spindle that pulls the two copies of the chromosomes apart. Benzimidazoles kill worms by binding the worms' tubulin and stopping microtubules from forming. Several established cancer drugs, such as vincristine and paclitaxel, also act on microtubules, so researchers asked whether the deworming drugs would do the same to human cancer cells.

So the speaker's description of microtubule disruption, signalling changes and immune effects matches what the laboratory literature reports. What the laboratory literature cannot show is whether these effects happen strongly enough, at doses people can take, to shrink human tumours. That question belongs to the clinical trials below.

Brain Tumour Studies in Mice

The brain tumour line of research began with fenbendazole, by accident. A Johns Hopkins team reported that when their animal facility added fenbendazole to the mice's food to clear a pinworm outbreak, one of their brain tumour models stopped forming tumours, although it had engrafted reliably before (Bai and colleagues, 2011).

The team then tested four benzimidazoles (fenbendazole, thiabendazole, mebendazole and albendazole) on glioblastoma cells. They chose mebendazole and albendazole for animal work, stating two reasons: better potency in the cell tests, and existing approval for human use. Fenbendazole was not taken forward. In mice with brain tumours, mebendazole extended mean survival by up to 63%, more than albendazole did (Bai and colleagues, 2011). This choice is one reason mebendazole, not fenbendazole, went into human brain tumour trials.

A 2015 follow-up found that mebendazole comes in three crystal forms, called polymorphs A, B and C, and that commercial tablets differ in which form they contain. In mice with brain tumours, forms B and C extended survival and form A did not; form B was more toxic. Forms B and C reached brain concentrations about 29 times higher than the level needed to slow the tumour cells in the dish (Bai and colleagues, 2015). A 2026 systematic review of 22 studies reported that mebendazole slowed tumours and lengthened survival across mouse models of glioblastoma, diffuse midline glioma, medulloblastoma and meningioma (Blum and colleagues, 2026).

Which Drugs Reach the Brain?

The blood-brain barrier is the tightly sealed lining of the brain's blood vessels, which keeps many drugs out of brain tissue. The presentation said mebendazole crosses it and fenbendazole does not. Here is what was found for each drug.

Mebendazole: yes, measured in mice

In the 2015 mouse study, polymorph C of mebendazole reached a brain-to-blood exposure ratio of 0.82 over 24 hours, meaning brain levels were close to blood levels (Bai and colleagues, 2015). Reviews of brain cancer research describe mebendazole as able to cross the blood-brain barrier (Meco and colleagues, 2023), and the 2026 systematic review lists its central nervous system penetration as a reason it is being studied, noting that formulation matters (Blum and colleagues, 2026). In people, the label shows that a normal deworming dose gives very low blood levels, because most of the drug stays in the gut; the brain tumour trials below used doses many times higher.

Albendazole: yes, measured in people

Albendazole's label reports that its active form, albendazole sulfoxide, has been measured in human cerebrospinal fluid (the fluid around the brain and spinal cord), at levels two to four times lower than in blood at the same moment. Its approval for brain cysts of the pork tapeworm depends on reaching the brain.

Fenbendazole: no human measurement was found

No study measuring fenbendazole in human brain tissue or cerebrospinal fluid was found, so the claim that it does not cross the barrier has no human data behind it either way. The animal evidence that exists does not support a flat "does not cross":

In short: mebendazole reaching the brain is supported in mice; fenbendazole not reaching it has not been shown in any study found.

Mebendazole Trials in People With Brain Tumours

Five published trials have given mebendazole to people with high-grade gliomas, the fast-growing brain tumours that include glioblastoma. All were small, and only one compared two groups, both of which received mebendazole.

The 2026 systematic review summed up the human evidence this way: mebendazole was generally tolerated at high doses in early trials, but "current clinical evidence does not demonstrate meaningful efficacy in brain tumour patients" (Blum and colleagues, 2026).

Mebendazole in Other Cancers

One small placebo-controlled trial in bowel cancer

The only placebo-controlled mebendazole cancer trial found was from Egypt. Forty people with metastatic colorectal cancer received six cycles of standard chemotherapy (FOLFOX4 with bevacizumab) plus either mebendazole 500 mg twice daily for 12 weeks or placebo tablets, in a double-blind design. After 12 weeks, 65% of the mebendazole group had a tumour response, against 10% of the placebo group, and median progression-free survival was 9.25 months against 3 months. Levels of the blood-vessel growth signal VEGF fell; the tumour marker CEA did not change significantly (Hegazy and colleagues, 2022).

These are large differences from a small trial at one centre, and the trial's registration (NCT03925662) is noted in the paper as made retrospectively, that is, after the study had started. No larger trial confirming the result was found. A 2023 systematic review of randomised drug-repurposing trials in cancer included a mebendazole trial in colorectal cancer and noted small samples and mixed patient groups as the main limits of such studies (Ioakeim-Skoufa and colleagues, 2023).

Case reports

Single case reports describe what happened to one person; they cannot show how often a drug helps, and cases where nothing happened are rarely published.

Albendazole: One Dose-Finding Trial

Albendazole has one published phase 1 cancer trial. In Sydney, 36 patients with advanced solid tumours that had stopped responding to treatment took albendazole by mouth for 14 days of each 21-day cycle, starting at 400 mg twice daily. The highest dose tolerated was 1,200 mg twice daily (2,400 mg a day). Bone-marrow suppression (falling blood counts) was the main dose-limiting side effect, with fatigue and mild stomach upset also common. In 4 of 24 patients who could be assessed (16%), a tumour blood marker fell by at least half, and blood VEGF levels declined (Pourgholami and colleagues, 2010).

Laboratory work continues. A 2024 screen of 1,600 approved drugs against colon cancer cells picked out albendazole as the strongest; it slowed colon tumours in mice and made chemotherapy-resistant cells sensitive again to 5-fluorouracil and oxaliplatin (Fatima and colleagues, 2024). Those results are from cell culture, mouse tumours and tumour organoids (small tumour samples grown in the dish), not from patients. One 2017 albendazole paper on stomach cancer cells was retracted in 2024 and is not used here.

Fenbendazole in People: Case Reports

No clinical trial of fenbendazole in people with cancer was found. The published human reports describe people who took the veterinary product on their own, and they are mostly reports of liver injury:

LiverTox states that fenbendazole is commonly associated with mild, short-lived liver-enzyme rises and can cause clinically apparent acute liver injury (Hoofnagle, LiverTox, Fenbendazole). One 2025 case series of three self-treating patients has been retracted and is not used here. The Fenbendazole Dosing, Cycling, and Safety page covers further safety detail.

Liver and Blood Safety Compared

The presentation compared the drugs on liver safety. No study was found that compared mebendazole and fenbendazole head to head in people, so the comparison rests on separate sources of very different quality: decades of labelled human use for mebendazole and albendazole, and case reports for fenbendazole.

Mebendazole

Albendazole

Fenbendazole

Decisions about cancer treatment and antiparasitic medicines belong with a clinician; the Liver Function Tests page explains what alanine aminotransferase, aspartate aminotransferase and bilirubin measure.

How the Claim Compares With the Research

Supported

Supported only in part

Not supported by any study found

What the research does not show

What Is Not Known

Connections

Key Research Papers

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  2. Bai RY, Staedtke V, Aprhys CM, Gallia GL, Riggins GJ. Antiparasitic mebendazole shows survival benefit in 2 preclinical models of glioblastoma multiforme. Neuro Oncol. 2011;13(9):974-82. PubMed PMID: 21764822
  3. Bai RY, Staedtke V, Wanjiku T, Rudek MA, Joshi A, Gallia GL, Riggins GJ. Brain Penetration and Efficacy of Different Mebendazole Polymorphs in a Mouse Brain Tumor Model. Clin Cancer Res. 2015;21(15):3462-3470. PubMed PMID: 25862759
  4. Guerini AE, Triggiani L, Maddalo M, Bonù ML, Frassine F, Baiguini A, Alghisi A, Tomasini D, Borghetti P, Pasinetti N, Bresciani R, Magrini SM, Buglione M. Mebendazole as a Candidate for Drug Repurposing in Oncology: An Extensive Review of Current Literature. Cancers (Basel). 2019;11(9):1284. PubMed PMID: 31480477
  5. Meco D, Attinà G, Mastrangelo S, Navarra P, Ruggiero A. Emerging Perspectives on the Antiparasitic Mebendazole as a Repurposed Drug for the Treatment of Brain Cancers. Int J Mol Sci. 2023;24(2):1334. PubMed PMID: 36674870
  6. Blum CB, McMenamin M, Khoo T, Edwin JM, Jose P, O'Callaghan LA. From anthelmintic to neuro-oncology: A systematic review of mebendazole repurposing for brain tumour therapy. Br J Clin Pharmacol. 2026 (online ahead of print). PubMed PMID: 42120351
  7. Gallia GL, Holdhoff M, Brem H, Joshi AD, Hann CL, Bai RY, Staedtke V, Blakeley JO, Sengupta S, Jarrell TC, Wollett J, Szajna K, Helie N, Mattox AK, Ye X, Rudek MA, Riggins GJ. Mebendazole and temozolomide in patients with newly diagnosed high-grade gliomas: results of a phase 1 clinical trial. Neurooncol Adv. 2021;3(1):vdaa154. PubMed PMID: 33506200
  8. Patil VM, Bhelekar A, Menon N, Bhattacharjee A, Simha V, Abhinav R, Abhyankar A, Sridhar E, Mahajan A, Puranik AD, Purandare N, Janu A, Ahuja A, Krishnatry R, Gupta T, Jalali R. Reverse swing-M, phase 1 study of repurposing mebendazole in recurrent high-grade glioma. Cancer Med. 2020;9(13):4676-4685. PubMed PMID: 32400117
  9. Patil VM, Menon N, Chatterjee A, Tonse R, Choudhari A, Mahajan A, Puranik AD, Epari S, Jadhav M, Pathak S, Peelay Z, Walavalkar R, Muthuluri HK, Ravi Krishna M, Chandrasekharan A, Pande N, Gupta T, Banavali S, Jalali R. Mebendazole plus lomustine or temozolomide in patients with recurrent glioblastoma: A randomised open-label phase II trial. EClinicalMedicine. 2022;49:101449. PubMed PMID: 35747192
  10. Phan P, Stapleton SL, Riggins GJ, Koldobskiy MA, Raabe E, Cohen KJ. Phase 1 study of mebendazole therapy for refractory/progressive or recurrent pediatric brain tumors. Neurooncol Pract. 2025;12(6):1092-1098. PubMed PMID: 41458919
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  13. Ioakeim-Skoufa I, Tobajas-Ramos N, Menditto E, Aza-Pascual-Salcedo M, Gimeno-Miguel A, Orlando V, González-Rubio F, Fanlo-Villacampa A, Lasala-Aza C, Ostasz E, Vicente-Romero J. Drug Repurposing in Oncology: A Systematic Review of Randomized Controlled Clinical Trials. Cancers (Basel). 2023;15(11):2972. PubMed PMID: 37296934
  14. Dobrosotskaya IY, Hammer GD, Schteingart DE, Maturen KE, Worden FP. Mebendazole monotherapy and long-term disease control in metastatic adrenocortical carcinoma. Endocr Pract. 2011;17(3):e59-62. PubMed PMID: 21454232
  15. Nygren P, Larsson R. Drug repositioning from bench to bedside: tumour remission by the antihelmintic drug mebendazole in refractory metastatic colon cancer. Acta Oncol. 2014;53(3):427-8. PubMed PMID: 24160353
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  21. Thakurdesai A, Rivera-Matos L, Nagra N, Busch B, Mais DD, Cave MC. Severe Drug-Induced Liver Injury Due to Self-administration of the Veterinary Anthelmintic Medication, Fenbendazole. ACG Case Rep J. 2024;11(5):e01354. PubMed PMID: 38706451
  22. Powderly GE, Hassevoort K, Loy M, Balonier J, Sievers C. Drug-Induced Liver Injury Following Co-ingestion of Veterinary Fenbendazole and Ivermectin for Prostate Cancer: A Case Report. Cureus. 2026;18(5):e108896. PubMed PMID: 42299164
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PubMed Topic Searches

  1. Mebendazole and glioma: clinical trials
  2. Mebendazole repurposing in cancer
  3. Albendazole and cancer
  4. Fenbendazole and liver injury

Other Sources

  1. DailyMed (US National Library of Medicine): mebendazole 100 mg chewable tablet, US prescribing information
  2. DailyMed: mebendazole 500 mg chewable tablet, US prescribing information
  3. DailyMed: albendazole tablets, US prescribing information