Abstract

Metastatic sporadic malignant peripheral nerve sheath tumor (sMPNST) is associated with only 17% five-year survival rate using standard chemotherapy and there are no 10-year survival reports with the exception of a case report wherein a patient with metastatic sMPNST is still alive with no active disease and on no further cancer therapy, >12 years from DeltaRex-G treatment initiation. In this case report, we describe an interim alternative treatment regimen designed and used by a patient with metastatic sMPNST, while awaiting the return, GMP bioproduction, and QC certification of DeltaRex-G as a potential treatment option. We report on the successful control of metastatic tumor growth over a one-year treatment period using the Hope Protocol consisting of artemisinin, curcumin, cannabis oil, disulfiram, fenbendazole, mebendazole, albendazole, atorvastatin, doxycycline, vitamin C, vitamin E, a plant-based diet, sans refined sugar, yoga, acupuncture, meditation, exercise and hot sauna, and we discuss their biochemical mechanisms of action.

Highlights

  • Malignant peripheral nerve sheath tumors (MPNSTs) are a rare, aggressive, and deadly subtype of soft tissue sarcomas (STS) wherein disease management upon surgical resection remains a challenge with poor prognosis due to a diversity of metastatic karyotypes, a multiplicity of signaling pathways, a dismal drug response rate, and a lack of durable clinical responses

  • Ten-year survival rates have not been reported for metastatic sporadic malignant peripheral nerve sheath tumor (sMPNST) with the exception of a case report wherein a patient with metastatic sMPNST is still alive with no active disease and on no further cancer therapy, >12 years from DeltaRex-G treatment initiation.[2]

  • The mechanisms of action of individual treatments and repurposed drugs used by this MPNST patient have been extensively studied, providing individual rationale for their use

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Summary

Introduction

Malignant peripheral nerve sheath tumors (MPNSTs) are a rare, aggressive, and deadly subtype of soft tissue sarcomas (STS) wherein disease management upon surgical resection remains a challenge with poor prognosis due to a diversity of metastatic karyotypes, a multiplicity of signaling pathways, a dismal drug response rate, and a lack of durable clinical responses.

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