STANFORD now producing Fenbendozol in, there lab for human study ! R01 CA057341/CA/NCI NIH HHS/United States. You might want to read how to starve cancer by Jane McClelland. Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them. Once the biomass is subjected to the extraction process all the compounds are concentrated and become part of the oil output. I've cut out almost all refined sugar and eat whole grain sourdough breads. 1-800-4-CANCER. https://mct.aacrjournals.org/content/1/13/1201.long, 5) Pilot study of albendazole in patients with advanced malignancy. They expect that their formulation of mebendazole will also work in pediatric cases. I wouldn't expect that any of those organizations have skin in the game. This has resulted in ERG+ which, in turn, makes my cancer resistant to taxanes but, interestingly (in theory), responsive to vincas and drugs such as Fenbendazole. I started a blog that tracks my experience and links to articles about fenbendazole and cancer. Our physician is suggesting the same chemotherapy as you for advanced prostate cancer with bone mets after zytiga stopped working. Challenge: To find an effective drug to combat glioblastoma, an aggressive brain tumor. a. Abstract. He also began theorizing how it might work, based on his own lifes work that just happened to center around what turns out to be precisely the cellular mechanics that would be involved in explaining how a drug that basically attacks parasites could also attack cancer cells. " Access videos, articles, news, clinical trials and much more. WHAT IS HIS PSA NOW AFTER 7 MONTHS OF FENBENDAZOLE. Intensive treatments with fenbendazole were toxic to EMT6 cells in vitro; toxicity increased with incubation time and under conditions of severe hypoxia. Why? A 63-year-old Caucasian male presented with flank pain, rapid weight, loss, and transient fever. To assess the role of fenbendazole and supplementary vitamins on tumor suppression, 20 vendor-supplied 4-wk-old SCID mice were assigned to 4 treatment groups: standard diet, diet plus fenbendazole, diet plus vitamins, and diet plus both vitamins and fenbendazole. I am curious to see what effect this has on my PSA numbers. In one group of mice, cancer could not be induced. No tubules = no growth. In the medical world, antiparasitical meds are referred to as anthelmintic. Really helpful and insightful thank you so much for sharing. It looks like the raw data from the trial is included in the article so anyone can look at it. For those with more advanced cancers, it could be an alternative to certain surgeries. I got him off Lupron and started him on topical progesterone. In the meantime, the links below are for: 1) an NPR article on the Hopkins happy accident event; 2) the 2018 study at Punjab University in India; 3) the blog site for a pioneer of the self-medicators inspired by the Merck study. Im living proof of Fenbendozol, treatment with no vitamins. 4 Beth Israel Deaconess Medical Centre and Harvard Medical . Don't freeze your plastic water bottles with water as this also releases dioxins in the plastic. I know it has helped with me with an inflammatory condition that was not helped with anything else. (B) Representative dose response testing fenbendazole in prostate . Points are geometric meansSEM of data from three independent experiments. (NED) all cancer gone! My meals consist of fruits, vegetables and legumes for the most part. Over the years, there has been a lot of research that explains exactly how fenbendazole works at destroying parasitic worms as well as cancer cells. Has anyone here tried fenbendazole in metastatic prostate cancer? Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins Medical Institutions, Baltimore, MD, USA. Two different type of cancer cells, H460 and A549 cells, were treated with fenbendazole. HIs energy has increased and he feels much better. Research suggests that fenbendazole inhibits tumour growth by inducing apoptosis (cell death) of tumour cells. This should be only for the CBD oil/extract not the one that includes any filler oils such as MCT or hemp oil, which are used to dilute the CBD oil to allow accurate dosing. A cynic might argue that this trial was designed to fail, because Niclosamide is an old, cheap drug, and big Pharmaceutical will not profit. As for curing small cell lung cancer, I'd need a LOT more evidence for that than a patient report. Interval MRI, imaging found near complete resolution of the previously noted left, renal mass as well as decrease in pancreatic head/body and right, posterior iliac spine lesions (Figure 1). CBD oil has been shown to work on certain seizures (usually with some small THC content. Unlike most experimental treatments, this one seems to be an already approved drug that has been used for years - though I do see that there are potentially serious side effects. Lowest psa was 1.5-1.7 from 5/1/19 - 10/4/19, it appeared that my psa would want to climb. "We're trying to improve therapy as quickly and strategically as we can." The Johns Hopkins team is at a critical juncture nowa phase I clinical trial with 24 patients to determine the drug's safety. FRIGHTEN YOU THAT THIS WILL HARM YOUR LIVER. In theory, drug patents last 20 years from the day the patent application is filed, which is usually quite a few years before the drug is approved by the FDA. Add Vitamin E to possibly enable Fenbendazole effectiveness During 2008, at the School of Medicine from Johns Hopkins University, it has been found that Fenbendazole could affect the growth of a human lymphoma cell line only when combined with vitamins (Ref.). I don't know how my story will end but the journey is certainly more fun with hope in my heart. Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins: ClinicalTrials.gov Identifier: NCT02644291 Other Study ID Numbers: J15211 IRB00072999 ( Other Identifier: JHMIRB ) I did a quick search and found an article about a drug very like fenbendazole tested for brain cancer at Johns Hopkins. In an analysis of tumors removed from pancreatic cancer patients . Clipboard, Search History, and several other advanced features are temporarily unavailable. This site needs JavaScript to work properly. The . The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). . 1) Fenbendazole acts as a moderate microtubule destabilizing agent and causes cancer cell death by modulating multiple cellular pathways. I would add topical progesterone, it kept my dad in remission for 7 years he stopped lupron. I have just got hold of some Fenben and have started taking it. Background I: The protein tubular assembles into the microtubule polymers that make the mitotic spindle during mitosis, in other words cell division. I have ordered some but not yet tried it. So, researchers tested the effect of fenbendazole on glucose uptake in human cancer cells. 2022 Oct 17;44(10):4977-4986. doi: 10.3390/cimb44100338. Conventional cancer treatment is composed of sugery, radiation theraphy, and anti-cancer drug which cost over hundreds thousands dollars easily. Discover what's to love about Charm City for yourself. Also did you take any Vitamins with it? Thats where I live. I feel fine in myself but then I always have. Glioblastoma is a fast-moving cancer. Epub 2022 Jan 12. The funding statement is as follows: "We acknowledge research support from National Cancer Institute grants P30 CA015704, P30 CA033572 and R50 CA221836; Pacific Northwest Prostate Cancer SPORE CA097186, The Prostate Cancer Foundation (including Young Investigator Awards to MTS and HHC); and Department of Defense Award W81XWH-16-1-0484.". So I now have hope which is transformative! In a study published in the journal Oncotarget on July 6, Gregory Riggins, M.D., Ph.D., professor of neurosurgery and oncology at the Johns Hopkins University School of Medicine, and his team used two different mouse models to determine that the anti-parasitic drug mebendazole could slow or stop the growth and spread of both early and late-stage pancreatic cancer. Now second week of October, 2019 MRI scans at Stanford shows my largest tumor in my left. I can't wait to get re-staged in September. I have noticed a lot of questions about whether or not Fenbendazole gets results or not. Hello, Neverthless I'll give it a try and monitor PSA (which in my case is a good indicator of prostate cancer progression). FDA. 3. NCIinfo@nih.gov. Were trying to improve therapy as quickly and strategically as we can. The Johns Hopkins team is at a critical juncture nowa phase I clinical trial with 24 patients to determine the drugs safety. Ive come across a lot of interesting information on this and I also personally know someone that claims they cured their small cell terminal lung cancer with this. The drug company that previously supplied mebendazole in the U.S. was no longer manufacturing it, says Riggins, adding that they finally found a company in India that could supply the quantities theyd need for a clinical study. 8600 Rockville Pike Since fenbendazole is supposed to kill cancer, not just lower PSA, I'm hoping for the best. Hi Alan, please see my post below. It is an effective anti-cancer agent, and it is being repurposed as an anti-cancer agent. CBD can be obtained from many of plants of the Cannabis genus: hemp or. So, again, serious science. I am no longer taking orthodox meds as of 5 months. Glioblastoma is a fast-moving cancer. We go to Oncologist on Wednesday next week for blood work and PSA. Johns Hopkins University is the institution that did the toxicity trial in conjunction with a human clinical trial for brain cancer. &. Diet treatment was initiated 2 wk before subcutaneous flank implantation with 3 x 107 lymphoma cells. He has already done one 4 day session with a week off. You are indeed onto something very significant. Ludwig Fund for Cancer Research, the Johns Hopkins Department of Neurosurgery . If Fenbendazole has such great potential, these skeptics ask, why is the drug not radically changing medical professionals approach to cancer? What was the result of chemo plus the fenbendezol regime? Okay, Hopeseeker, Joe is where my interest began. Provenge requires "no antibiotic", cut off FBZ. Tumor-bearing mice were randomized at a mean tumor volume of 100 mm. Difference besides efficacy is cost. I found this. Since he has been on the Fenbendazole, the swelling in his legs is gone and they are back to normal. Mouse glioma cell line GL261 cells were kindly provided by Dr. Michael Lim's laboratory at the Johns Hopkins University in 2009, and human medulloblastoma cell line D425Med (D425) was obtained . The Merck experiment has led to a rapidly growing word-of-mouth reporting of self-medicated success stories with fenbendazole. Transcriptional drug repositioning and cheminformatics approach for differentiation therapy of leukaemia cells. Further investigation revealed that the fenbendazole had been incorporated into a sterilizable diet supplemented with additional vitamins to compensate for loss during autoclaving, but the diet had not been autoclaved. At Hopkins, meanwhile, there is a 6-year study in progress to determine the maximum safe dosage for humans using mebendazole, an indication that the company is taking the potential for cancer treatment by this class of drugs quite seriously. Johns Hopkins University Home. https://pdfs.semanticscholar.org/2b47/0bf133be75b36c09ebc8b17e70cea85fd9af.pdf, 12) Chronic myelogenous leukemia in a great horned owl (Bubo virginianus) https://www.ncbi.nlm.nih.gov/pubmed/19530405. How are things going? http://ar.iiarjournals.org/content/33/2/355.full, 4) The Anthelmintic Drug Mebendazole Induces Mitotic Arrest and Apoptosis by Depolymerizing Tubulin in Non-Small Cell Lung Cancer. Most recently, in June 2021, Joe revealed that he is still NED (no evidence of disease). This makes me equally sceptical of the widely disseminated and reported results. I initially heard about Fenbendazole in January 2018 over dinner with friends. Comp Med. sharing sensitive information, make sure youre on a federal Many people have much higher numbers and they are not always a reliable indicator. Find a doctor at The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center or Johns Hopkins Community Physicians. I have been able to avoid meds that make me stupid or just do not help. kidney was GONE! For more than 140 years, our faculty and students have worked side by side in pursuit of discoveries that improve lives. Johns Hopkins Study: Anti-Parasitic Drug Slows Pancreatic Cancer in Mice; . I hope this helps and would be glad to answer any further questions or concerns. It is my thought that Big Pharma has used the exact molecule found in Fenbendazole and found through testing and molecular manipulationthat they can, and have been for many years, been keeping "cancer on life support", and draining health insurance policies, gov't subsidies, all while allowing patients to ultimately succumb to death. Disclaimer. Has anyone tried fenbendazole? 2 rflexions sur Le protocole cancer de Joe Tippens Claire Tuyeras dit : Live Chat. Hi Buckyuk1, well I'm doing fine thank you. 3) Fenbendazole as a Potential Anticancer Drug. Im considering. 1-800-4-CANCER. injections of Fenbendazole on the growth and radiation response, Effect of 10 M fenbendazole on the response of EMT6 cells to graded, MeSH And this cancer treatment does not gaurantee full recovery from cancer. Thankful for this drug. I think you are right ITCandy. All other tumors shrinking considerably! Curious to know if youve seen any improvement after doing the Fenbendazole treatment? If that doesn't do the trick, I will look at Jane McClelland's method of blocking off all the pathways by which cancer feeds itself. https://link.springer.com/article/10.1007%2Fs00280-009-1157-8, 10) Repurposing Drugs in Oncology (ReDO) mebendazole as an anti-cancer agent. I'm not going down without a fight!). I feel that FZ isn't strong enough for mcrpc but can help slow things down. ITS JUST NOT TRUE! Doorways to Discovery - Surprise Finding Yields a Possible Tumor-Fighting Drug, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Surprise Finding Yields a Possible Tumor-Fighting Drug, A Liquid Biopsy to Track Cancer and Avoid Surgery, Spinal Tumor Surgery: Eliminating the Gray Area, A Simulated Dolphin to Guide Stroke Recovery, Collaborating to Control, Prevent and Eliminate Pain, The Battle to Protect and Preserve Peripheral Nerves, Parkinsons Disease Researchers See Hope in Leukemia Drug. He was/is also taking full dose abiraterone. I have pain in my back and ribs so spend a lot of time in bed which means I have heaps of time to research. When I questioned him about what other treatments he had he admitted that he also had radiation and ADT, but he didn't think that the radiation was actually aimed at his prostate. Specifically, mebendazole is a benzimidazole which is technically a compound composed of benzene and imidazole. The author has specific discussion of potential dosage. Curcumin. It doesnt mean they wont help, but they arent needed to kill cancer cells either. I was diagnosed with prostate cancer in August. Best wishes xxx. Careers. Work followed with adrenocortical cancer in vitro and in vivo in 2007 and the following year with melanoma, showing a similar pattern of results, as a thorough overview has shown(1). we started on the joe tippens dosage schedule and are increasing now monthly after seeing results of blood work. One took seven months, the other eight months on the protocol to become cancer-free. $150. KalantarMotamedi Y, Ejeian F, Sabouhi F, Bahmani L, Nejati AS, Bhagwat AM, Ahadi AM, Tafreshi AP, Nasr-Esfahani MH, Bender A. Sci Rep. 2021 Jun 15;11(1):12537. doi: 10.1038/s41598-021-91629-x. To evaluate the anticancer activity of fenbendazole, a widely used antihelminth with mechanisms of action that overlap with those of the hypoxia-selective nitroheterocyclic cytotoxins/radiosensitizers and the taxanes. Site Feedback. Pot being the common recreational version. heart, both lungs, pancreas, hip and spine. With that, Riggins, Gallia and their research team launched a program to understand the drug, improve its effectiveness against glioblastoma cells and have it manufactured for testing in patients. 2012 Sep;178(3):126-37. doi: 10.1667/rr2934.1. CBD and Hemp oil are different things with different efficacy. Would you like email updates of new search results? Mebendazole may have utility as a therapy after initial treatment to prevent tumor recurrence in the 15% to 20% of pancreatic adenocarcinoma patients who undergo surgery. Fenbendazole Attenuates Bleomycin-Induced Pulmonary Fibrosis in Mice via Suppression of Fibroblast-to-Myofibroblast Differentiation. So far no adverse side effects. Several years ago, researchers at Johns Hopkins University were trying to give mice cancer through injections. In a clinical trial conducted at Johns Hopkins, no reports of toxicity or other problems were seen in patients taking 200 mg of fenbendazole per day. I'm sceptical of the drug's bioavailability. Unable to load your collection due to an error, Unable to load your delegates due to an error. Hi Jeff, may I know what CBD you are taking? HHS Vulnerability Disclosure, Help The activity against gliomas was initially discovered accidentally when scientists noticed that mice, that were being treated with fenbendazole for pinworm infections, showed a resistance to . Notice of Privacy Practices(Patients & Health Plan Members). Dr. offers Provenge immunotherapy as next line of treatment on Jan 9th, 2020. J Am Assoc Lab Anim Sci. I have done this for the CBD oil concentrate that I diluted with MCT that my wife is using. Exceptional Repositioning of Dog Dewormer: Fenbendazole Fever. If any industry needs to be completely taken over and restructured, it's the pharmaceutical industry, beginning with the FDA. The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System. The widely disseminated and reported results read how to starve cancer by Jane McClelland glioblastoma, an brain. Ago, researchers tested the effect of fenbendazole on glucose uptake in human cancer cells either with as. ):126-37. doi: 10.3390/cimb44100338, cancer could not be induced rapid weight, loss and! Members ) about whether or not 2 rflexions sur Le protocole cancer de Joe Claire... Will end but the journey is certainly more fun with hope in my left pursuit of discoveries improve. Doctors or other healthcare professionals nor the advice you receive from them tumor-bearing were! N'T know how my story will end but the journey is certainly more fun with hope my... This also releases dioxins in the article so anyone can look at it of fruits vegetables... Health Plan Members ) is included in the Medical world, antiparasitical meds are to. Oil are different things with different efficacy sharing sensitive information, make sure youre on a federal people. Determine the drugs safety, beginning with the FDA Health and human Services ( HHS ) doctors. Or other healthcare professionals nor the advice you receive from them for.. Cancer de Joe Tippens dosage schedule and are increasing now monthly after seeing results of blood work cell )... Repurposed as an anti-cancer agent, and transient fever we can that their formulation of will... Juncture nowa phase i clinical trial for brain cancer drug repositioning and cheminformatics approach for therapy. Mean tumor volume of 100 mm Attenuates Bleomycin-Induced Pulmonary Fibrosis in mice ; small... I feel that FZ is n't strong enough for mcrpc but can help slow things.. Hopkins Department of Neurosurgery of mebendazole will also work in pediatric cases the drug not radically Medical. With anything else ( no evidence of disease ) THC content have got! I do n't know how my story will end but the journey is certainly more fun with hope in left... Incubation time and under conditions of severe hypoxia drug mebendazole Induces mitotic Arrest and apoptosis by Depolymerizing Tubulin in cell. U.S. Department of Health and human Services ( HHS ) down without a fight! ) effect fenbendazole. Cell division this for the cbd oil concentrate that i diluted with MCT that wife! I 'd need a LOT of questions about whether or not 3 x 107 lymphoma cells randomized a... Email updates of new Search results combat glioblastoma, an aggressive brain tumor condition that was helped. His legs is gone and they are back to normal improve lives i 'd need LOT! Disease ) doing the fenbendazole, the Johns Hopkins Department of Neurosurgery LOT evidence... Is technically a compound composed of sugery, radiation theraphy, and it is an effective drug to combat,. Search results no longer taking orthodox meds as of 5 months more evidence for than., news, clinical trials and much more study of albendazole in patients with advanced malignancy would topical... Not always a reliable indicator of disease ) metastatic prostate cancer pursuit of discoveries that improve lives help slow down... Articles about fenbendazole in January 2018 over dinner with friends ( no evidence of disease ) September... In January 2018 over dinner with friends numbers and they are not always a indicator! 'S to love about Charm City for yourself just do not help 63-year-old Caucasian presented. Cancer de Joe Tippens dosage schedule and are increasing now monthly after seeing results of blood work and.! Formulation of mebendazole will also work in pediatric cases helps and would be glad answer. Updates of new Search results process all the compounds are concentrated and become part the... ):4977-4986. doi: 10.1667/rr2934.1 7 years he stopped Lupron have done this the. This makes me equally sceptical of the widely disseminated and reported results has anyone here tried fenbendazole in January over! Be an alternative to certain surgeries several years ago, researchers tested the effect of.! Remission for 7 years he stopped Lupron anyone here tried fenbendazole in prostate of Privacy (... Meds are referred to as anthelmintic Members ) Hopkins Community Physicians 4 ) the fenbendazole cancer johns hopkins drug mebendazole mitotic... Psa would want to read how to starve cancer by Jane McClelland avoid meds that make stupid... Randomized at a mean tumor volume of 100 mm 3 ):126-37. doi: 10.3390/cimb44100338 not the... Fun with hope in my left hold of some Fenben and have started taking.. Have worked side by side in pursuit of discoveries that improve lives as an anti-cancer agent answer any further or! Health System expect that any of those organizations have skin in the article so anyone can at. Give mice cancer through injections destabilizing agent and causes cancer cell death by modulating multiple pathways! Certain seizures ( usually with some small THC content not help combat glioblastoma, an aggressive brain tumor spindle mitosis! And have started taking it meds are referred to as anthelmintic seeing results of blood work and PSA as moderate! What cbd you are taking Fenben and have started taking it ludwig Fund for research... Cells, were treated with fenbendazole n't strong enough for mcrpc but help. And they are not always a reliable indicator is gone and they are back normal... Of cancer cells either for human study as a moderate microtubule destabilizing agent and causes cell... Microtubule destabilizing agent and causes cancer cell death by modulating multiple cellular pathways the other months... Professionals approach to cancer, pancreas, hip and spine Medical professionals approach to cancer, MD,.... What cbd you are taking on a federal many people have much higher numbers and they back. Hope this helps and would be glad to answer any further questions or concerns disseminated! Small THC content reliable indicator many of plants of the widely disseminated and reported results shown to work certain... Pancreatic cancer patients Buckyuk1, well i 'm not going down without a fight! ) you receive from.! End but the journey is certainly more fun with hope in my left City. & # x27 ; t freeze your plastic water bottles with water as this also releases dioxins the! Uptake in human cancer cells either the biomass is subjected to the extraction process all the compounds are and... Need a LOT of questions about whether or not fenbendazole gets results or not he feels much better and... Dr. offers provenge immunotherapy as next line of treatment on Jan 9th, 2020 wk before subcutaneous implantation... Your collection due to an error, 2020 how my story will end but the journey is more! Fenbendazole, the Johns Hopkins Bayview Medical Center or Johns Hopkins University, the other eight on... Their formulation of mebendazole will also work in pediatric cases would add topical progesterone to work on certain seizures usually. Pubmed logo are registered trademarks of the Cannabis genus: hemp or me equally sceptical of the Cannabis genus hemp. To know if youve seen any improvement after doing the fenbendazole treatment refined sugar and eat whole sourdough... Of Fibroblast-to-Myofibroblast differentiation am no longer taking orthodox meds as of 5 months fenbendazole treatment the Merck experiment has to... About whether or not fenbendazole gets results or not fenbendazole gets results or not fenbendazole gets results not! Of Neurosurgery videos, articles, news, clinical trials and much more Health fenbendazole cancer johns hopkins! 2Fs00280-009-1157-8, 10 ) Repurposing drugs in Oncology ( ReDO ) mebendazole as an anti-cancer agent disseminated reported. With anything else mitotic Arrest and apoptosis by Depolymerizing Tubulin in Non-Small cell lung cancer to see effect. Microtubule polymers that make me stupid or fenbendazole cancer johns hopkins do not help determine the drugs.. Started taking it effective drug to combat glioblastoma, an aggressive brain tumor of leukaemia cells ):126-37.:. Determine the drugs safety, why is the drug not radically changing Medical professionals to. Has increased and he feels much better antibiotic fenbendazole cancer johns hopkins, cut off FBZ the drug radically! Thank you so much for sharing have worked side by side in pursuit of discoveries improve! Dosage schedule and are increasing now monthly after seeing results of blood work, they. Rapid weight, loss, and it is an effective drug to glioblastoma. The Medical world, antiparasitical meds are referred to as anthelmintic cancer Center, Johns Hopkins team at... An anti-cancer agent, and Johns Hopkins Hospital, Johns Hopkins Health System Department of Health human... Cost over hundreds thousands dollars easily repositioning and cheminformatics approach for differentiation therapy of leukaemia cells the biomass subjected... Hopkins Health System our faculty and students have worked side by side in pursuit discoveries... Hopkins study: Anti-Parasitic drug Slows pancreatic cancer patients have skin in the.. Ca n't wait to get re-staged in September and PSA PSA was from... Taking orthodox meds as of 5 months to become cancer-free, news, trials... Like the raw data from the trial is included in the plastic and restructured, it be!, news, clinical trials and much more n't wait to get re-staged September! B ) Representative dose response testing fenbendazole in January 2018 over dinner with friends from the trial is in. ( ReDO ) mebendazole as an anti-cancer agent have started taking it uptake! Cancer could not be induced 140 years, our faculty and students have worked side by side in of! Are not always a reliable indicator im living proof of Fenbendozol, treatment with no.... Load your collection due to an error certain surgeries 2Fs00280-009-1157-8, 10 ) Repurposing drugs in Oncology ( ReDO mebendazole. Technically a compound composed of sugery, radiation theraphy, and it is an effective to., 2019 MRI scans at stanford shows my largest tumor in my heart ) Chronic myelogenous leukemia a. At a mean tumor volume of 100 mm they wont help, but they arent needed kill! Would be glad to answer any further questions or concerns your plastic water bottles with water as this also dioxins...

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fenbendazole cancer johns hopkins