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Jakopovich Neven, Jakopovich Ivan 
Dr Myko San –– Health from Mushrooms Co. 
Zagreb, Croatia
Introduction Colorectal Cancer Breast Cancer Conclusions 
1 
Index 
I. Introduction 
 Purpose 
 Methodology 
 Therapeutic use 
II. Colorectal cancer analysis 
III. Breast cancer analysis 
IV. Conclusions
Introduction Colorectal Cancer Breast Cancer Conclusions 
P 
2 
Purpose 
 A longer time span analysis of a 2007 work ““Effects of Using 
Medicinal Mushroom Preparations in Human Colorectal and 
Breast Cancer” 
 2008 Cancer Incidence and Deaths1 
Colorectal (3rd most common): 1.235.108 (609.051) 
Breast (2nd most common): 1.384.155 (458.503) 
 Effects of chemotherapy in these cancers: useless or 
improves survival only slightly (4% in colorectal, just 
1.5% in breast cancer)2,3 
 Use of medicinal mushroom preparations against cancer, 
is scientifically justified, but mostly unknown in the West 
1 Globocan 2008 (globocan.iarc.fr) 
2 http://www.coloncancerresource.com/colon−cancer−survival−statistics.html 
3 Morgan G, Ward R, Barton M (December 2004). "The contribution of cytotoxic chemotherapy 
to 5−year survival in adult malignancies".Clin Oncol (R Coll Radiol) 16 (8): 549– 
60. PMID 15630849
Introduction Colorectal Cancer Breast Cancer Conclusions 
M th d l 
3 
Methodology 
 demonstrational study looking at effects of using 
medicinal mushroom extracts (MT) in adjuvant and as 
primary therapy 
 Consecutive sample − general population of patients 
− starting treatment from January 2005 to January 2006 
− follow−up until end of December 2010 
 Data sources: official medical records, cancer registers 
 Sample models statistical properties of the general 
patient population well 
Official therapy procedure (ST) done independently of 
mycotherapy (MT)
Introduction Colorectal Cancer Breast Cancer Conclusions 
Th ti f 
4 
Therapeutic use of 
medicinal mushrooms 
 Mycotherapy used: liquid form extracts from a blend of 
medicinal mushrooms (Lentifom – 3 species, Agarikon – 
8 species, Agarikon Plus – 10 species) manufactured by 
Dr Myko San –– Health from Mushrooms 
 Lentifom is taken in quantities correlated with body 
weight 
 Mushroom polysaccharides taken daily amount to 
approx. 0.1g/kg bodyweight/day 
Forte dosages used at the start of MT 
(1 Forte dosage lasts 10 days) 
 All participants in both samples took at least 4 Forte 
dosage (40 days)
Introduction Colorectal Cancer Breast Cancer Conclusions 
5 
Index 
I. Introduction 
II. Colorectal cancer analysis 
 Sample and status on arrival 
 Short term regression rates 
 Metastases reduction effects 
 Long term survival and dosage−effect relationship 
III. Breast cancer analysis 
IV. Conclusions
Introduction Colorectal Cancer Breast Cancer Conclusions 
C l t l l 
6 
Colorectal cancer sample 
 Sample size: 52 
 Most fundamental division based on location: colon and 
rectal cancer 
While we have looked at colorectal cancer as a single 
entity, for completeness we show some data separately 
Colon cancer 
Sample size: 28 
Rectal cancer 
Sample size: 24 
Colorectal cancer 
Sample size: 52 
Male/female: 11−17 Male/female: 13−11 
Official general Male/female: 24−28 
population 
Male to female ratio: colon cancer more 
frequent in females, rectal in males
Introduction Colorectal Cancer Breast Cancer Conclusions 
S l t ti l i t t 
7 
Sample starting oncologic status 
 The main difference to the general population of patients 
(significant negative skew) 
 More ARM cases (advanced, recurrent,metastatic) in sample 
Chemotherapy was found to be more useful for small tumors, so 
this sample is less influenced by chemotherapy 
More complex cases may be the result of generally 
unknown and un−established method of using medicinal 
mushrooms in cancer treatment
Introduction Colorectal Cancer Breast Cancer Conclusions 
8 
S l t ti l i t t ( t’’d) 
Sample starting oncologic status cont’’The TNM distribution of the sample shows very difficult cases 
 68% of sample are Stage 4 (most difficult stage, distant 
metastases present); 5−Y survival rate for this group is 5−8% 
Average stage: 3.6 
TNM stage Total Colon Rectal 
I 1 0 1 
II A 1 0 1 
II B 1 0 1 
III A 1 0 1 
III B 5 4 1 
III C 7 3 4 
IV 34 19 15
Introduction Colorectal Cancer Breast Cancer Conclusions 
9 
S l Sample t ti starting l i oncologic t t status ( cont’’t’’d) 
Disproportionally large number of surgically unresected and 
metastatic cases 
Status Total Colon Rectal 
Resected 17 9 8 
Unresectable, 
residual 1 0 1 
Resected 
w/meta 4 4 0 
Unresected 
w/meta 301 15 15 
1 Patients with surgically inoperable, metastatic cancers have an especially bad prognosis
Introduction Colorectal Cancer Breast Cancer Conclusions 
10 
S l Sample t ti starting l i oncologic t t status ( cont’’t’’d) 
S l Sample di t ib ti distribution b by St 
Stage 
I 
II A 
2% 
II B 
2% III A 
2% 
2% 
III B 
10% 
III C 
14% 
IV 
68%
Introduction Colorectal Cancer Breast Cancer Conclusions 
11 
S l Sample t ti starting l i oncologic t t status ( cont’’t’’d) 
Sample distribution by surgery/metastatic status 
Resected 
33% 
Unresected w/meta 
58% 
Unresectable, residual 
2% 
Resected w/meta 
7%
Introduction Colorectal Cancer Breast Cancer Conclusions 
Sh t t ff t 
12 
Short term effects 
Status at end 
of MT Total Colon Rectal 
Progression 2 1 1 
No change 11 5 6 
Regression 13 6 7 Sample: 26/52 
These effects have been end of primary MT (official medical 
documents) 
 assessed at the 
Short term effects distribution 
Progression No change Regression 
13 
The use of MT is not coinciding with standard 
diagnostic procedure and timing, so less data 
11 
is available; 
We can however better distinguish the effects of 
2 
5 
6 6 
7 
MT and ST since they are related less strongly 1 1 
Total Colon Rectal
Introduction Colorectal Cancer Breast Cancer Conclusions 
Sh t t ff t ( t’’d) 
13 
Short term effects cont’’Official therapy procedure is independent of, so we can 
assess the effects of MT less related to ST 
 Patients took 4−27 10−day forte dosages – on average 
= 7 
 Though rate of progression of disease is expected to 
rise with increased time interval, the patients taking MT 
preparations for longer time have an increased 
probability of regression 
 Compared to regression rates of the patients on 
standard chemotherapy 11.7 SD away from the mean!, 
p<0.0005, sample size 26)
Introduction Colorectal Cancer Breast Cancer Conclusions 
Sh t t ff t ( t’’d) 
14 
Short term effects cont’’90 
Effects of dosage on regression and no−change rates 
80 
70 
D R i 60 
50 
ntage 
Dose−Regression % 
Dose−No change % 
4 90 7 43 
40 
30 
Percen 
y = 4,90x + 7,43 
R² = 0,995 
y 3 52x + 73 48 
20 
10 
= −3,52x 73,48 
0 R² = 0,973 
0 5 10 15 20 
Number of Forte Dosages 
The dosages were grouped so each subsample had more than 5 users. This enabled an 
excellent curve fit.
Introduction Colorectal Cancer Breast Cancer Conclusions 
Eff t t t ( di t ) 
15 
Effects on metastases medium term) 
 The metastatic status was collected in August 2007 
(medium term) 
Most commonly metastases target the liver and are 
inoperable 
 Once metastases have developed rates of survival are greatly 
decreased; reduction of nonresectable metastases is a major 
goal of chemotherapy (with success rates of up to 16%)1, but it 
results in vascular changes (blue liver syndrome) and 
steatohepatitis2 
1 Bismuth H, Adam R. Reduction of nonresectable liver metastasis from colorectal cancer after 
oxaliplatin chemotherapy. Semin Oncol. 1998 Apr;25(2 Suppl 5):40−6, PMID: 9609107 
2 A. J. Bilchik, G. Poston, S. A. Curley, S. Strasberg, L. Saltz, R. Adam, B. Nordlinger, P. Rougier, L. S. 
Rosen Neoadjuvant Chemotherapy for Metastatic Colon Cancer: A Cautionary Note. Journal of Clinical 
Oncology , Vol 23, No 36 (December 20), 2005: pp. 9073−9078, DOI: 10.1200/JCO.2005.03.2334
Introduction Colorectal Cancer Breast Cancer Conclusions 
Eff t t t ( t’’d) 
16 
Effects on metastases cont’’ Meta sample size: 27 (10 alive at end of study) 
Metastatic reduction was found in 20.0±7.6% of sample 
with no hepatotoxicity 
Dosage−effect relationship 
 In metastatic disease (/w unresected tumor), increases in 
a number of dosages shows some effect of meta 
suppression (slope −0.81, R2=0.68) 
 This result is not statistically significant – sample size is 
too small to make confident statements of dose 
dependent results
Introduction Colorectal Cancer Breast Cancer Conclusions 
L t i l 
17 
Long term survival 
 All survival rates are given in absolutes, and not relative 
to age−adjusted general population 
Due to small sample sizes we are only able to analyze total 
survival and survival in stages 3 and 4 
 American general 5−year survival rates are much better 
than rates in Europe (62 vs.43%) 1 
 5−year survival (only US data available) 
Stage 3 (US data2, A−83%, B−64%, C−44%) 
Stage 4 (US data3,2, 5−8 %) 
 Median survival (all stages) with ST (standard therapy): 
29.24 months after 1st diagnosis 
1 European Journal of Cancer 
2 According to American Cancer Society; no 
data for Croatia 
3 Data from National Cancer Institute 
4 US data 2004−6, large jump from 19 
months in 2003
Introduction Colorectal Cancer Breast Cancer Conclusions 
L t i l t’’18 
Long term survival ( cont’’d) 
Survival is significantly increased in colorectal cancer patients 
using mycotherapy 
 Median survival in MT sample: 38 months, avg. 34.06 
(with 96.8% confidence that this result is independent of 
ST; outside of confidence interval) 
 Additionally, the MT sample has a significant skew to the 
more difficult cases and was calculated from the start of 
MT and not with first diagnosis!
Introduction Colorectal Cancer Breast Cancer Conclusions 
S i l b t 
19 
Survival by stage 
Cumulative deaths vs. time 
Time 
(mths) 0−12 12−24 24−36 36−48 48−60 60+ Sample 
size 
Total 15 22 26 33 33 33 511 
Colon 9 12 14 16 16 16 28 
Rectal 6 10 12 17 17 17 24 
Changes vs vs. time (dark red red=deaths) by TNM Stage 
Time 
(mths) 0−12 12−24 24−36 36−482 48−60 60+ Sample 
size 
1 − − − − 1 − 1 
2 −− −− −− −− −− 2 2 
3 2 2 2 1 2 4 13 
4 13 5 2 5 4 5 34 
1 Survivors: 18/51 (for 1 person in the sample survival could not be precisely established) 
2 1 death in 36−48 months interval is of unknown TNM Stage
Introduction Colorectal Cancer Breast Cancer Conclusions 
S i l 20 
Survival % 
per year 
5 Y S i l R 
100 
90 
Survival Rates (per year) Survival Rates: 
General (Stage avg. 
3.6) 
80 
MT 35.3% 
ST Expected 24% 
70 
60 
Rate % 
Stage 4 
MT 26.5% 
ST results 8% 
50 
40 
Survival R 
General Survival per Year 
30 
20 
Stage 4 Survival per Year 
10 
0 
0 1 2 3 4 5 6 7 
Official 5Y Survival Rate for Stage 4 
Official 5Y Survival Expectancy for 
S l 
Years 
Sample
Introduction Colorectal Cancer Breast Cancer Conclusions 
St 3 d S i l 
21 
Stage and Survival 
 From Stage 3, patients with stages B and C were evaluated (5, 
7 in sample, respectively) 
 Averaged weighted sum of USA data on survival for this group 
gives expected 5−Y survival of 52.3% 
 The survival in this group was 7/12 (58.3%), but the result is 
not sufficiently significant (p≈0.01) 
 This study also only measured time from start of MT, not from 
the first diagnosis! This will significantly increase the value of 
this result. 
 A larger sample than followed in this study has to be used to 
find any statistical significance
Introduction Colorectal Cancer Breast Cancer Conclusions 
St 4 d S i l 
22 
Stage and Survival 
 In our sample, 34 patients were starting in Stage 4 
 Official 5−Y Survival from 1st diagnosis is 5−8% 
(which for this sample amounts to 1.7−2.7/34 survivors) 
 In our sample, 9/34 have survived >5 years (26.47%) 
 The result is statistically significant: 
(P(x̅=0.2647|H0true)=0.07%, p<0.001) 
 5−Y survival was measured from the start of MT, 
compared with the highest official data for 5−y survival from 
the 1st diagnosis (8%), 
98.4% confident that the survival in sample is increased by 
using MT in Stage 4 cases 
This shows that 5−−year survival is significantly increased in 
colorectal cancer patients using mycotherapy
Introduction Colorectal Cancer Breast Cancer Conclusions 
D S i l C l ti 
23 
Dosage-Survival Correlation 
Dosage−Effect 
Increased dosage, i.e. total number of forte dosages, is 
positively correlated with longer survival 
 This trend appears smaller because of the positive 
correlation between an dosage increase and more 
difficult cases 
4 
Avg. Stage and Dosage taken 
3,5 
ge Average 
dose−stage 
3 
Stag 
More difficult cases used significantly 
more forte dosages; this skews the 
0 10 20 
Total number of forte dosages 
results lowering the perceived benefit
Introduction Colorectal Cancer Breast Cancer Conclusions 
D S i l C l ti 
24 
Dosage-Survival Correlation 
Dosage−Effect 
Increased dosage, i.e. total number of forte dosages, is 
positively correlated with longer survival 
 This trend appears smaller because of the positive 
correlation between an dosage increase and more 
difficult cases 
survival 
When evaluated up to 10 forte dosages, the correlation is 
very strong (R2=0.98) 
45 
40 
35 
b f d h 
onths) 
Dosage effect on 30 
Above 10 forte dosages, there 
25 
seems to be a threshold or a 
20 
certain number of people 
i l d t b fit f nterval (mo 
dose−survival time simply do not benefit from 
15 
increased MT; unfortunately 
the sample is not big enough 
to establish it (8 patients took 
5 
10 
Survival i 
11−27 dosages, stages 3&4) 0 
0 10 20 
Total number of forte dosages
Introduction Colorectal Cancer Breast Cancer Conclusions 
D d i l i St 25 
Dosage and survival in Stage 4 
 In Stage 4, dosage and survival were additionally assessed 
(separately from other stages) 
Stage 4 Dosage−Survival Interval There is a very strong correlation of increased 
dosage leading to increased survival interval for up 
50 
45 
40 
s) 
to10fortedosages 
In our sample, more than 11+ dosages did not 
lead toimprovements 
35 
30 
25 
val (months 
p 
This sample size was just 7 so other possibilities 
h b f 
20 
15 
10 
urvival Inter 
dose−survival exist – theremay be a certain percentage of non− 
responders, irrelevantof thedose 
However, there was significant short term 
improvement in this particular group 
5 
0 
0 5 10 15 20 
Su 
A possible negative effect of increasing to 11+ 
dosages was evaluated with a student t−test, 
Total forte dosages 
g , 
but no statistically significant influence was 
found (p>0.2)
Introduction Colorectal Cancer Breast Cancer Conclusions 
26 
Index 
I. Introduction 
II. Colorectal cancer analysis 
III. Breast cancer analysis 
 Sample and status on arrival 
 Short term regression rates 
 Metastases reduction effects 
 Long term survival and dosage−effect 
relationship 
IV. Conclusions
Introduction Colorectal Cancer Breast Cancer Conclusions 
B t C 
27 
Breast Cancer 
 Breast cancer is the most common type of cancer in 
women 
 Effect of chemotherapy is even less powerful than in 
colorectal cancer (generally improves survival by just 
1.5%) 
 Primary treatment method is surgery, which may give a 
disease−free status and up to 98% 5−year survival rate 
in certain cases 
 Statistics for this cancer type are continually improving; 
however, the is mostly caused by stage at presentation (earlier 
diagnosis) 
Sample size: 89
Introduction Colorectal Cancer Breast Cancer Conclusions 
O l i l t t t th t t f MT 
28 
Oncological status at the start of  This sample contains a disproportional number of 
metastatic cancer, skewing the distribution to more 
difficult cases 
Treatment of metastatic breast cancer is primarily 
palliative, with extremely low rates of improvement 
(1.5%) 
Status Number in sample 
Resected 37 
Unresected 1 
Resected /w meta 45 
Unresected /w meta 5 
Unknown 1
Introduction Colorectal Cancer Breast Cancer Conclusions 
O l i l t t t th t t f MT 
29 
Oncological status at the start of (cont’’d) 
Sample distribution surgery/meta of status 
Unresected /w meta 
6% 
Unknown 
1% 
Resected 
42% 
Resected /w meta 
50% 
Unresected 
1%
Introduction Colorectal Cancer Breast Cancer Conclusions 
Sh t t ff t 
30 
Short term effects 
Short term effect Number in 
sample 
Short term effects distribution 
p 
Progression 5 
No change 16 
16 
15 
Regression 15 
5 Sample size:36/89 
 These effects have been assessed 
at the end of primary MT (official Progression No change Regression 
medical documents) 
The probability of such regression rates (41.67% of cases) not 
being caused by MT (when compared with ST rate of 1.5%) is 19 SD 
away fromthemean; literally of the charts, p<<0.0001; 
Null hypothesis of no effect on regression beyond ST must be 
rejected
Introduction Colorectal Cancer Breast Cancer Conclusions 
Sh t t ff t ( t’’d) 
31 
Short term effects cont’’Dosage−effect 
Analyzing the complete known sample, there is both some 
increase in regression as dosage is increased 
and a weaker, statistically non−significant increase in 
progression of disease 
 This reveals an important problem – the influence of 
various stages of the disease 
We tried looking more specifically: 
Resected (10) very small dosage variation , small dosages 
(avg. 4.5), 90% no change 
Unresected with meta (3), large dosages (avg. 10.67), more 
progression, very small sample
Introduction Colorectal Cancer Breast Cancer Conclusions 
Sh t t ff t ( t’’d) 
32 
Short term effects cont’’Resected with meta (22), good sample for further analysis 
Analysis of this subsample shows a stronger correlation: 
increase in dosage increases regression rates and 
lowers progression rates 
 however, neither of these are confident enough to be 
used to accurately predicting future outcomes, by this 
model 
The results are shown in the following graph…
Introduction Colorectal Cancer Breast Cancer Conclusions 
Sh t t lt 
33 
Short term results 
70 
Progression and regression rates vs. dosage 
60 
eta) 
50 
40 
cted /w me 
Progression of Disease 
30 
mple (resec 
g 
Regression of Disease 
y = −3,013x + 35,497 
R² = 0,4317 
20 
cent in sam 
, 
y = 1,3584x + 44,632 
R² = 0,6704 
10 
0 
Perc 
0 5 10 15 
Total forte dosages
Introduction Colorectal Cancer Breast Cancer Conclusions 
M t t ( di t ) ff t 
34 
Metastases medium term) effects 
 Assessed at August 2007 (medium term) 
Metastases most commonly target bones, lungs, liver, lymph 
nodes, and brain 
Statistics for this cancer type are continually improving; however, 
the most important predictor of mortality variation is caused 
by stage at presentation (earlier diagnosis)1 
 Metastatic breast cancer 5−Y Survival is low (14 %)2 
 Metastatic breast cancer is usually considered separately from 
other stages of breast cancer 
1 P. Tai, E. Yu, V. Vinh−Hung, G. Cserni, G. Vlastos. Survival of patients with metastatic breast 
cancer: twenty−year data from two SEER registries.; BMC Cancer, v4.; 2004, doi: 10.1186/1471− 
2407−4−60 
2 M.E. Lippman. Breast Cancer, Harrison’s Principles of Internal Medicine, p.516−523; D. L. Kasper 
et al., eds, 16th ed, 2005
Introduction Colorectal Cancer Breast Cancer Conclusions 
M t t ( di t ) ff t 
35 
Metastases medium term) effects 
Sample status: 50 (21 alive at end of study) 
Metastatic reduction was found in 20.0±5.7% of MT sample. 
 Metastatic breast cancer is treated with palliative chemotherapy – 
reduction effects on metastases (1−3%). 
 This result is statistically significant (p<0.001) 
Dosage−effect relationship 
 Increases in dose show seemingly random variations – there may 
be a problem with a lack of a more stable prognostic factor 
 No definite, statistically significant dose−−effectiveness 
relationship found
Introduction Colorectal Cancer Breast Cancer Conclusions 
N i ifi t t lt 
36 
Non-significant meta results 
35 
Effects of dosage on reduction of 
metastases 
30 
Dose–reduction of metastases 
effects cannot be established 
25 
20 
ntage 
with appropriate confidence 
N t ti ti ll i ifi t ff t 
15 
Effect percen 
Dose vs. Meta 
Reduction (sample) 
No statistically significant effects 
can be deduced (max. between 
6−8forte) 
10 
5 
E 
0 
0 5 10 15 
Dosage (no. of forte)
Introduction Colorectal Cancer Breast Cancer Conclusions 
L t i l 
37 
Long term survival 
All survival rates are given in absolutes, and not relative to 
age−adjusted general population 
 General 5−year survival rate during the study was at 
85%1; this is time from first diagnosis and with normal 
population distribution of disease stages (dependent on 
year and location) 
 5−−year survival rate for Stage 4 is 14%2 in population 
from 1st diagnosis 
 Croatian official results are not available and are likely 
worse than the US data quoted above 
1 “World Cancer Report”. International Agency for Research on Cancer. 2008 
2 Marc E. Lippman,Breast Cancer , HARRISON'S PRINCIPLES OF INTERNAL MEDICINE, 
p. 516−523 (D. L. Kasper et al., eds, 16th ed 2005)
Introduction Colorectal Cancer Breast Cancer Conclusions 
S i l lt i B C l 
38 
Survival results in BrCa sample 
Cumulative deaths in sample; total and metastatic 
Time 
(mths) 0−12 12−24 24−36 36−48 48−60 60+ Sample 
size 
Total 28 39 41 49 49 49 89 
Metastatic 24 34 35 40 40 40 50 
No meta 4 5 6 9 9 9 38 
Survivors: 40/89 In 1 case unknown if distant metastases are present 
In MT sample: general 5−Y survival was just 44.94% 
(sample more difficult than normally distributed in population, but 
due to insufficient staging data, we cannot compare it) 
Non−metastatic breast cancer 5−Y survival rate was 76.32% (unknown 
distribution of stages, not comparable) 
Metastatic breast cancer 5−Y survival was 20% (vs. 14 in population) 
We have insufficient data to compare the effect of MT use on long term 
survival in total and non−metastatic cancer
Introduction Colorectal Cancer Breast Cancer Conclusions 
S i l 39 
Survival % 
per year 
120 
Survival % per Year 
100 
Total Survival % per Year 
80 
al % 
Metastatic Survival % per Year 
Non−metastatic Survival per Year 
Official 5Y Metastatic Survival Rate 
60 
Surviva 
Metastatic survival looks 
40 increased, but the data is 
20 
not significant (p≈0.3). 
0 
It is probable that the time 
from the 1st diagnosis 
would make it statistically 
0 1 2 3 4 5 6 
Years 
significant
Introduction Colorectal Cancer Breast Cancer Conclusions 
D S i l R l ti hi 
40 
Dosage-Survival Relationship 
Increased dosage and increased survival are positively 
correlated 
The results are skewed because more serious cases took 
larger dosages 
Dosage−Survival Interval The dosage−survival interval 
correlation is strongest at the 
low end (4−6 dosages; 64 
45 
40 
Dosage Relationship 
4 35 
patients) of usage (R2=0.885) 
30 
This suggests a powerful effect 
25 
of starting MT tart of MT 
This skew, caused by increased 
dosages in more difficult cases 
(i 7+ d j t3/25 
20 
15 
ths since st 
Dosage vs. Total 
Survival 
Dosage vs. 
in dosages just 3/cases are 
non−metastatic), is a major cause 
of the dip in the graph from 6−8 
forte dosages 
10 
5 
Mont 
Metastatic Survival 
0 
0 5 10 15 
Total number of forte dosages
Introduction Colorectal Cancer Breast Cancer Conclusions 
D S i l R l ti hi t’’41 
Dosage-Survival Relationship ( cont’’d) 
Increased dosage and increased survival are positively 
correlated 
The because more serious cases took 
There is a large increase in the ratio of 
metastatic cancers between 6−8 dosages! 
results are skewed larger dosages 
6 100 
90 
80 
Meta % vs. Dosage 
70 
60 
50 
Adjusting for the skew (proportions of meta) 
we find a strong dose−dependent effect, and 
the function is monotonically increasing 
40 Meta % vs. 
30 
20 
10 
Dosage 
Meta 0 
0 5 10 15 
Forte dosages used 
Adjusted 
Total Survival vs. 
Dose 
0 5 10 15 
This graph shows % of metastatic breast 
cancer in sample vs. MT usage
Introduction Colorectal Cancer Breast Cancer Conclusions 
Th Bi Pi t O i f lt 
42 
The Big Picture: Overview of results 
 With larger dosages (=longer use) the rates of cancer regressions 
rise and rates of progression and no−change in status fall 
 The regression effects are dose−dependent, more strongly so in 
colorectal cancer 
 Metastases reduction is strong in breast cancer, while less intense 
in colorectal cancer 
 Dosage−effect relationship is stronger in colorectal cancer, and 
weaker in breast cancer 
 Survival prolongation is strong in colorectal cancer, likely in 
breast cancer (but cannot be confidently established) 
 Dosage−effect on survival is stronger in colorectal cancer, but 
probable in both 
 Starting MT yields fastest results (there is a point of diminishing 
returns; here established at above 100 days use in both cancers) 
 Larger dosage and longer use is safe (no decrease in survival and 
status)
Introduction Colorectal Cancer Breast Cancer Conclusions 
Th b tt li 
43 
The bottom line 
Did we cure cancer? Did we win? 
No. 
Mycotherapy results Standard therapy results 
Colorectal cancer 
Short term regression: 50% of cases 
M t d ti Colorectal cancer 
Short term regression: 4% of cases 
Meta reduction: 20% 
M t d ti id ff t 
Stage 4 5Y−survival: 26.5% 
Meta reduction: 16 % / w side effects 
Stage 4 5Y−survival: 8% 
Breast cancer 
Short term regression: 41.7% 
Meta reduction: 20% 
Breast cancer 
Short term regression: 1.5% 
Meta reduction: 1−3% 
Stage 4 5Y−survival: 20% Stage 4 5Y−survival: 14% 
But the results are greatly improved by introducing mushroom therapy.
Introduction Colorectal Cancer Breast Cancer Conclusions 
44 
Thank you for your attention! 
Correspondence: 
ivan.jakopovic@inet.hr 
neven.jakopovic@gmail.com 
mykosan.com
Introduction Colorectal Cancer Breast Cancer Conclusions 
45 
Lessons for the future 
For the researchers 
The lack of time from 1st diagnosis made a For the patients For the medical personnel 
lot of statistics less definite. While it made 
the actual probabilities more likely than 
calculated here, we lose some of the 
comparability value. 
Medicinal mushroom preparations 
are effective, to a certain degree. 
However there are significant 
The use of mycotherapy (use of 
medicinal mushroom preparations) in 
oncological diseases is not harmful, and 
may be beneficial if used in proper 
The breast cancer needs to be staged better 
(this was partly the fault of the non− 
affiliated MDs). 
However, individual variations, which we 
cannot, at our present state of 
knowledge, confidently predict. 
doses (in this study 0.1 g/kg BW per 
day) for40−100days or longer. 
The use of higher doses for a longer 
The quantities of the preparation used was 
dependent on the patient’s status, their 
response to therapy and factors beyond the 
medicinal. For best results, dosages should 
The very first month or two of use 
may be crucial in improving short 
term survival, metastases reduction 
and total survival increase. Shorter 
d i i lik l d 
g g 
period is safe. There is a potential point 
of diminished return in MT lasting 
longer than 100days. 
Th f MT i l l d 
, g 
be independent of factors disconnected 
from the trial. 
The data collection was very dependent on 
’ d h 
duration is not likely to produce a 
significant effect. 
This could not be determined by 
the strength of the tests in this 
The use of in colorectal cancer and 
breast cancer improved regression rates 
and slowed progression of the disease. 
The response is highly dose− 
patient’s participation and the dependent 
thoroughness of their medical personnel. 
study and may not be factual, but 
MT of 100 days seems ideal. After 
The lack of information made it necessary 
this period, there is some statistical 
to create smaller subsamples While care 
indication that there is diminished 
dependent. 
The use of MT had a strong effect in 
reducing metastases. This result is 
subsamples. especially interesting in colorectal 
was taken that they remain representable of 
the population, this made certain statistics 
less confident. The initial sample, should, 
resources permitting, be even larger than 
return for the investment. (while 
not detrimental, there was no 
significant change in users taking 
more) 
p y g 
cancer, as the effect is without serious 
side effects often observed in 
chemotherapy treatments. 
U f MT i ifi l i 
p g, g 
used here, to circumvent this difficulty. 
Most of this would be resolved naturally in a 
full clinical trial. 
Use of proper significantly improves 
5Y survival rates for colorectal and 
breast cancer.

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Long Term Effects of Using Medicinal Mushroom Preparations in Human Colorectal and Breast Cancer

  • 1. Jakopovich Neven, Jakopovich Ivan Dr Myko San –– Health from Mushrooms Co. Zagreb, Croatia
  • 2. Introduction Colorectal Cancer Breast Cancer Conclusions 1 Index I. Introduction  Purpose  Methodology  Therapeutic use II. Colorectal cancer analysis III. Breast cancer analysis IV. Conclusions
  • 3. Introduction Colorectal Cancer Breast Cancer Conclusions P 2 Purpose  A longer time span analysis of a 2007 work ““Effects of Using Medicinal Mushroom Preparations in Human Colorectal and Breast Cancer”  2008 Cancer Incidence and Deaths1 Colorectal (3rd most common): 1.235.108 (609.051) Breast (2nd most common): 1.384.155 (458.503)  Effects of chemotherapy in these cancers: useless or improves survival only slightly (4% in colorectal, just 1.5% in breast cancer)2,3  Use of medicinal mushroom preparations against cancer, is scientifically justified, but mostly unknown in the West 1 Globocan 2008 (globocan.iarc.fr) 2 http://www.coloncancerresource.com/colon−cancer−survival−statistics.html 3 Morgan G, Ward R, Barton M (December 2004). "The contribution of cytotoxic chemotherapy to 5−year survival in adult malignancies".Clin Oncol (R Coll Radiol) 16 (8): 549– 60. PMID 15630849
  • 4. Introduction Colorectal Cancer Breast Cancer Conclusions M th d l 3 Methodology  demonstrational study looking at effects of using medicinal mushroom extracts (MT) in adjuvant and as primary therapy  Consecutive sample − general population of patients − starting treatment from January 2005 to January 2006 − follow−up until end of December 2010  Data sources: official medical records, cancer registers  Sample models statistical properties of the general patient population well Official therapy procedure (ST) done independently of mycotherapy (MT)
  • 5. Introduction Colorectal Cancer Breast Cancer Conclusions Th ti f 4 Therapeutic use of medicinal mushrooms  Mycotherapy used: liquid form extracts from a blend of medicinal mushrooms (Lentifom – 3 species, Agarikon – 8 species, Agarikon Plus – 10 species) manufactured by Dr Myko San –– Health from Mushrooms  Lentifom is taken in quantities correlated with body weight  Mushroom polysaccharides taken daily amount to approx. 0.1g/kg bodyweight/day Forte dosages used at the start of MT (1 Forte dosage lasts 10 days)  All participants in both samples took at least 4 Forte dosage (40 days)
  • 6. Introduction Colorectal Cancer Breast Cancer Conclusions 5 Index I. Introduction II. Colorectal cancer analysis  Sample and status on arrival  Short term regression rates  Metastases reduction effects  Long term survival and dosage−effect relationship III. Breast cancer analysis IV. Conclusions
  • 7. Introduction Colorectal Cancer Breast Cancer Conclusions C l t l l 6 Colorectal cancer sample  Sample size: 52  Most fundamental division based on location: colon and rectal cancer While we have looked at colorectal cancer as a single entity, for completeness we show some data separately Colon cancer Sample size: 28 Rectal cancer Sample size: 24 Colorectal cancer Sample size: 52 Male/female: 11−17 Male/female: 13−11 Official general Male/female: 24−28 population Male to female ratio: colon cancer more frequent in females, rectal in males
  • 8. Introduction Colorectal Cancer Breast Cancer Conclusions S l t ti l i t t 7 Sample starting oncologic status  The main difference to the general population of patients (significant negative skew)  More ARM cases (advanced, recurrent,metastatic) in sample Chemotherapy was found to be more useful for small tumors, so this sample is less influenced by chemotherapy More complex cases may be the result of generally unknown and un−established method of using medicinal mushrooms in cancer treatment
  • 9. Introduction Colorectal Cancer Breast Cancer Conclusions 8 S l t ti l i t t ( t’’d) Sample starting oncologic status cont’’The TNM distribution of the sample shows very difficult cases  68% of sample are Stage 4 (most difficult stage, distant metastases present); 5−Y survival rate for this group is 5−8% Average stage: 3.6 TNM stage Total Colon Rectal I 1 0 1 II A 1 0 1 II B 1 0 1 III A 1 0 1 III B 5 4 1 III C 7 3 4 IV 34 19 15
  • 10. Introduction Colorectal Cancer Breast Cancer Conclusions 9 S l Sample t ti starting l i oncologic t t status ( cont’’t’’d) Disproportionally large number of surgically unresected and metastatic cases Status Total Colon Rectal Resected 17 9 8 Unresectable, residual 1 0 1 Resected w/meta 4 4 0 Unresected w/meta 301 15 15 1 Patients with surgically inoperable, metastatic cancers have an especially bad prognosis
  • 11. Introduction Colorectal Cancer Breast Cancer Conclusions 10 S l Sample t ti starting l i oncologic t t status ( cont’’t’’d) S l Sample di t ib ti distribution b by St Stage I II A 2% II B 2% III A 2% 2% III B 10% III C 14% IV 68%
  • 12. Introduction Colorectal Cancer Breast Cancer Conclusions 11 S l Sample t ti starting l i oncologic t t status ( cont’’t’’d) Sample distribution by surgery/metastatic status Resected 33% Unresected w/meta 58% Unresectable, residual 2% Resected w/meta 7%
  • 13. Introduction Colorectal Cancer Breast Cancer Conclusions Sh t t ff t 12 Short term effects Status at end of MT Total Colon Rectal Progression 2 1 1 No change 11 5 6 Regression 13 6 7 Sample: 26/52 These effects have been end of primary MT (official medical documents)  assessed at the Short term effects distribution Progression No change Regression 13 The use of MT is not coinciding with standard diagnostic procedure and timing, so less data 11 is available; We can however better distinguish the effects of 2 5 6 6 7 MT and ST since they are related less strongly 1 1 Total Colon Rectal
  • 14. Introduction Colorectal Cancer Breast Cancer Conclusions Sh t t ff t ( t’’d) 13 Short term effects cont’’Official therapy procedure is independent of, so we can assess the effects of MT less related to ST  Patients took 4−27 10−day forte dosages – on average = 7  Though rate of progression of disease is expected to rise with increased time interval, the patients taking MT preparations for longer time have an increased probability of regression  Compared to regression rates of the patients on standard chemotherapy 11.7 SD away from the mean!, p<0.0005, sample size 26)
  • 15. Introduction Colorectal Cancer Breast Cancer Conclusions Sh t t ff t ( t’’d) 14 Short term effects cont’’90 Effects of dosage on regression and no−change rates 80 70 D R i 60 50 ntage Dose−Regression % Dose−No change % 4 90 7 43 40 30 Percen y = 4,90x + 7,43 R² = 0,995 y 3 52x + 73 48 20 10 = −3,52x 73,48 0 R² = 0,973 0 5 10 15 20 Number of Forte Dosages The dosages were grouped so each subsample had more than 5 users. This enabled an excellent curve fit.
  • 16. Introduction Colorectal Cancer Breast Cancer Conclusions Eff t t t ( di t ) 15 Effects on metastases medium term)  The metastatic status was collected in August 2007 (medium term) Most commonly metastases target the liver and are inoperable  Once metastases have developed rates of survival are greatly decreased; reduction of nonresectable metastases is a major goal of chemotherapy (with success rates of up to 16%)1, but it results in vascular changes (blue liver syndrome) and steatohepatitis2 1 Bismuth H, Adam R. Reduction of nonresectable liver metastasis from colorectal cancer after oxaliplatin chemotherapy. Semin Oncol. 1998 Apr;25(2 Suppl 5):40−6, PMID: 9609107 2 A. J. Bilchik, G. Poston, S. A. Curley, S. Strasberg, L. Saltz, R. Adam, B. Nordlinger, P. Rougier, L. S. Rosen Neoadjuvant Chemotherapy for Metastatic Colon Cancer: A Cautionary Note. Journal of Clinical Oncology , Vol 23, No 36 (December 20), 2005: pp. 9073−9078, DOI: 10.1200/JCO.2005.03.2334
  • 17. Introduction Colorectal Cancer Breast Cancer Conclusions Eff t t t ( t’’d) 16 Effects on metastases cont’’ Meta sample size: 27 (10 alive at end of study) Metastatic reduction was found in 20.0±7.6% of sample with no hepatotoxicity Dosage−effect relationship  In metastatic disease (/w unresected tumor), increases in a number of dosages shows some effect of meta suppression (slope −0.81, R2=0.68)  This result is not statistically significant – sample size is too small to make confident statements of dose dependent results
  • 18. Introduction Colorectal Cancer Breast Cancer Conclusions L t i l 17 Long term survival  All survival rates are given in absolutes, and not relative to age−adjusted general population Due to small sample sizes we are only able to analyze total survival and survival in stages 3 and 4  American general 5−year survival rates are much better than rates in Europe (62 vs.43%) 1  5−year survival (only US data available) Stage 3 (US data2, A−83%, B−64%, C−44%) Stage 4 (US data3,2, 5−8 %)  Median survival (all stages) with ST (standard therapy): 29.24 months after 1st diagnosis 1 European Journal of Cancer 2 According to American Cancer Society; no data for Croatia 3 Data from National Cancer Institute 4 US data 2004−6, large jump from 19 months in 2003
  • 19. Introduction Colorectal Cancer Breast Cancer Conclusions L t i l t’’18 Long term survival ( cont’’d) Survival is significantly increased in colorectal cancer patients using mycotherapy  Median survival in MT sample: 38 months, avg. 34.06 (with 96.8% confidence that this result is independent of ST; outside of confidence interval)  Additionally, the MT sample has a significant skew to the more difficult cases and was calculated from the start of MT and not with first diagnosis!
  • 20. Introduction Colorectal Cancer Breast Cancer Conclusions S i l b t 19 Survival by stage Cumulative deaths vs. time Time (mths) 0−12 12−24 24−36 36−48 48−60 60+ Sample size Total 15 22 26 33 33 33 511 Colon 9 12 14 16 16 16 28 Rectal 6 10 12 17 17 17 24 Changes vs vs. time (dark red red=deaths) by TNM Stage Time (mths) 0−12 12−24 24−36 36−482 48−60 60+ Sample size 1 − − − − 1 − 1 2 −− −− −− −− −− 2 2 3 2 2 2 1 2 4 13 4 13 5 2 5 4 5 34 1 Survivors: 18/51 (for 1 person in the sample survival could not be precisely established) 2 1 death in 36−48 months interval is of unknown TNM Stage
  • 21. Introduction Colorectal Cancer Breast Cancer Conclusions S i l 20 Survival % per year 5 Y S i l R 100 90 Survival Rates (per year) Survival Rates: General (Stage avg. 3.6) 80 MT 35.3% ST Expected 24% 70 60 Rate % Stage 4 MT 26.5% ST results 8% 50 40 Survival R General Survival per Year 30 20 Stage 4 Survival per Year 10 0 0 1 2 3 4 5 6 7 Official 5Y Survival Rate for Stage 4 Official 5Y Survival Expectancy for S l Years Sample
  • 22. Introduction Colorectal Cancer Breast Cancer Conclusions St 3 d S i l 21 Stage and Survival  From Stage 3, patients with stages B and C were evaluated (5, 7 in sample, respectively)  Averaged weighted sum of USA data on survival for this group gives expected 5−Y survival of 52.3%  The survival in this group was 7/12 (58.3%), but the result is not sufficiently significant (p≈0.01)  This study also only measured time from start of MT, not from the first diagnosis! This will significantly increase the value of this result.  A larger sample than followed in this study has to be used to find any statistical significance
  • 23. Introduction Colorectal Cancer Breast Cancer Conclusions St 4 d S i l 22 Stage and Survival  In our sample, 34 patients were starting in Stage 4  Official 5−Y Survival from 1st diagnosis is 5−8% (which for this sample amounts to 1.7−2.7/34 survivors)  In our sample, 9/34 have survived >5 years (26.47%)  The result is statistically significant: (P(x̅=0.2647|H0true)=0.07%, p<0.001)  5−Y survival was measured from the start of MT, compared with the highest official data for 5−y survival from the 1st diagnosis (8%), 98.4% confident that the survival in sample is increased by using MT in Stage 4 cases This shows that 5−−year survival is significantly increased in colorectal cancer patients using mycotherapy
  • 24. Introduction Colorectal Cancer Breast Cancer Conclusions D S i l C l ti 23 Dosage-Survival Correlation Dosage−Effect Increased dosage, i.e. total number of forte dosages, is positively correlated with longer survival  This trend appears smaller because of the positive correlation between an dosage increase and more difficult cases 4 Avg. Stage and Dosage taken 3,5 ge Average dose−stage 3 Stag More difficult cases used significantly more forte dosages; this skews the 0 10 20 Total number of forte dosages results lowering the perceived benefit
  • 25. Introduction Colorectal Cancer Breast Cancer Conclusions D S i l C l ti 24 Dosage-Survival Correlation Dosage−Effect Increased dosage, i.e. total number of forte dosages, is positively correlated with longer survival  This trend appears smaller because of the positive correlation between an dosage increase and more difficult cases survival When evaluated up to 10 forte dosages, the correlation is very strong (R2=0.98) 45 40 35 b f d h onths) Dosage effect on 30 Above 10 forte dosages, there 25 seems to be a threshold or a 20 certain number of people i l d t b fit f nterval (mo dose−survival time simply do not benefit from 15 increased MT; unfortunately the sample is not big enough to establish it (8 patients took 5 10 Survival i 11−27 dosages, stages 3&4) 0 0 10 20 Total number of forte dosages
  • 26. Introduction Colorectal Cancer Breast Cancer Conclusions D d i l i St 25 Dosage and survival in Stage 4  In Stage 4, dosage and survival were additionally assessed (separately from other stages) Stage 4 Dosage−Survival Interval There is a very strong correlation of increased dosage leading to increased survival interval for up 50 45 40 s) to10fortedosages In our sample, more than 11+ dosages did not lead toimprovements 35 30 25 val (months p This sample size was just 7 so other possibilities h b f 20 15 10 urvival Inter dose−survival exist – theremay be a certain percentage of non− responders, irrelevantof thedose However, there was significant short term improvement in this particular group 5 0 0 5 10 15 20 Su A possible negative effect of increasing to 11+ dosages was evaluated with a student t−test, Total forte dosages g , but no statistically significant influence was found (p>0.2)
  • 27. Introduction Colorectal Cancer Breast Cancer Conclusions 26 Index I. Introduction II. Colorectal cancer analysis III. Breast cancer analysis  Sample and status on arrival  Short term regression rates  Metastases reduction effects  Long term survival and dosage−effect relationship IV. Conclusions
  • 28. Introduction Colorectal Cancer Breast Cancer Conclusions B t C 27 Breast Cancer  Breast cancer is the most common type of cancer in women  Effect of chemotherapy is even less powerful than in colorectal cancer (generally improves survival by just 1.5%)  Primary treatment method is surgery, which may give a disease−free status and up to 98% 5−year survival rate in certain cases  Statistics for this cancer type are continually improving; however, the is mostly caused by stage at presentation (earlier diagnosis) Sample size: 89
  • 29. Introduction Colorectal Cancer Breast Cancer Conclusions O l i l t t t th t t f MT 28 Oncological status at the start of  This sample contains a disproportional number of metastatic cancer, skewing the distribution to more difficult cases Treatment of metastatic breast cancer is primarily palliative, with extremely low rates of improvement (1.5%) Status Number in sample Resected 37 Unresected 1 Resected /w meta 45 Unresected /w meta 5 Unknown 1
  • 30. Introduction Colorectal Cancer Breast Cancer Conclusions O l i l t t t th t t f MT 29 Oncological status at the start of (cont’’d) Sample distribution surgery/meta of status Unresected /w meta 6% Unknown 1% Resected 42% Resected /w meta 50% Unresected 1%
  • 31. Introduction Colorectal Cancer Breast Cancer Conclusions Sh t t ff t 30 Short term effects Short term effect Number in sample Short term effects distribution p Progression 5 No change 16 16 15 Regression 15 5 Sample size:36/89  These effects have been assessed at the end of primary MT (official Progression No change Regression medical documents) The probability of such regression rates (41.67% of cases) not being caused by MT (when compared with ST rate of 1.5%) is 19 SD away fromthemean; literally of the charts, p<<0.0001; Null hypothesis of no effect on regression beyond ST must be rejected
  • 32. Introduction Colorectal Cancer Breast Cancer Conclusions Sh t t ff t ( t’’d) 31 Short term effects cont’’Dosage−effect Analyzing the complete known sample, there is both some increase in regression as dosage is increased and a weaker, statistically non−significant increase in progression of disease  This reveals an important problem – the influence of various stages of the disease We tried looking more specifically: Resected (10) very small dosage variation , small dosages (avg. 4.5), 90% no change Unresected with meta (3), large dosages (avg. 10.67), more progression, very small sample
  • 33. Introduction Colorectal Cancer Breast Cancer Conclusions Sh t t ff t ( t’’d) 32 Short term effects cont’’Resected with meta (22), good sample for further analysis Analysis of this subsample shows a stronger correlation: increase in dosage increases regression rates and lowers progression rates  however, neither of these are confident enough to be used to accurately predicting future outcomes, by this model The results are shown in the following graph…
  • 34. Introduction Colorectal Cancer Breast Cancer Conclusions Sh t t lt 33 Short term results 70 Progression and regression rates vs. dosage 60 eta) 50 40 cted /w me Progression of Disease 30 mple (resec g Regression of Disease y = −3,013x + 35,497 R² = 0,4317 20 cent in sam , y = 1,3584x + 44,632 R² = 0,6704 10 0 Perc 0 5 10 15 Total forte dosages
  • 35. Introduction Colorectal Cancer Breast Cancer Conclusions M t t ( di t ) ff t 34 Metastases medium term) effects  Assessed at August 2007 (medium term) Metastases most commonly target bones, lungs, liver, lymph nodes, and brain Statistics for this cancer type are continually improving; however, the most important predictor of mortality variation is caused by stage at presentation (earlier diagnosis)1  Metastatic breast cancer 5−Y Survival is low (14 %)2  Metastatic breast cancer is usually considered separately from other stages of breast cancer 1 P. Tai, E. Yu, V. Vinh−Hung, G. Cserni, G. Vlastos. Survival of patients with metastatic breast cancer: twenty−year data from two SEER registries.; BMC Cancer, v4.; 2004, doi: 10.1186/1471− 2407−4−60 2 M.E. Lippman. Breast Cancer, Harrison’s Principles of Internal Medicine, p.516−523; D. L. Kasper et al., eds, 16th ed, 2005
  • 36. Introduction Colorectal Cancer Breast Cancer Conclusions M t t ( di t ) ff t 35 Metastases medium term) effects Sample status: 50 (21 alive at end of study) Metastatic reduction was found in 20.0±5.7% of MT sample.  Metastatic breast cancer is treated with palliative chemotherapy – reduction effects on metastases (1−3%).  This result is statistically significant (p<0.001) Dosage−effect relationship  Increases in dose show seemingly random variations – there may be a problem with a lack of a more stable prognostic factor  No definite, statistically significant dose−−effectiveness relationship found
  • 37. Introduction Colorectal Cancer Breast Cancer Conclusions N i ifi t t lt 36 Non-significant meta results 35 Effects of dosage on reduction of metastases 30 Dose–reduction of metastases effects cannot be established 25 20 ntage with appropriate confidence N t ti ti ll i ifi t ff t 15 Effect percen Dose vs. Meta Reduction (sample) No statistically significant effects can be deduced (max. between 6−8forte) 10 5 E 0 0 5 10 15 Dosage (no. of forte)
  • 38. Introduction Colorectal Cancer Breast Cancer Conclusions L t i l 37 Long term survival All survival rates are given in absolutes, and not relative to age−adjusted general population  General 5−year survival rate during the study was at 85%1; this is time from first diagnosis and with normal population distribution of disease stages (dependent on year and location)  5−−year survival rate for Stage 4 is 14%2 in population from 1st diagnosis  Croatian official results are not available and are likely worse than the US data quoted above 1 “World Cancer Report”. International Agency for Research on Cancer. 2008 2 Marc E. Lippman,Breast Cancer , HARRISON'S PRINCIPLES OF INTERNAL MEDICINE, p. 516−523 (D. L. Kasper et al., eds, 16th ed 2005)
  • 39. Introduction Colorectal Cancer Breast Cancer Conclusions S i l lt i B C l 38 Survival results in BrCa sample Cumulative deaths in sample; total and metastatic Time (mths) 0−12 12−24 24−36 36−48 48−60 60+ Sample size Total 28 39 41 49 49 49 89 Metastatic 24 34 35 40 40 40 50 No meta 4 5 6 9 9 9 38 Survivors: 40/89 In 1 case unknown if distant metastases are present In MT sample: general 5−Y survival was just 44.94% (sample more difficult than normally distributed in population, but due to insufficient staging data, we cannot compare it) Non−metastatic breast cancer 5−Y survival rate was 76.32% (unknown distribution of stages, not comparable) Metastatic breast cancer 5−Y survival was 20% (vs. 14 in population) We have insufficient data to compare the effect of MT use on long term survival in total and non−metastatic cancer
  • 40. Introduction Colorectal Cancer Breast Cancer Conclusions S i l 39 Survival % per year 120 Survival % per Year 100 Total Survival % per Year 80 al % Metastatic Survival % per Year Non−metastatic Survival per Year Official 5Y Metastatic Survival Rate 60 Surviva Metastatic survival looks 40 increased, but the data is 20 not significant (p≈0.3). 0 It is probable that the time from the 1st diagnosis would make it statistically 0 1 2 3 4 5 6 Years significant
  • 41. Introduction Colorectal Cancer Breast Cancer Conclusions D S i l R l ti hi 40 Dosage-Survival Relationship Increased dosage and increased survival are positively correlated The results are skewed because more serious cases took larger dosages Dosage−Survival Interval The dosage−survival interval correlation is strongest at the low end (4−6 dosages; 64 45 40 Dosage Relationship 4 35 patients) of usage (R2=0.885) 30 This suggests a powerful effect 25 of starting MT tart of MT This skew, caused by increased dosages in more difficult cases (i 7+ d j t3/25 20 15 ths since st Dosage vs. Total Survival Dosage vs. in dosages just 3/cases are non−metastatic), is a major cause of the dip in the graph from 6−8 forte dosages 10 5 Mont Metastatic Survival 0 0 5 10 15 Total number of forte dosages
  • 42. Introduction Colorectal Cancer Breast Cancer Conclusions D S i l R l ti hi t’’41 Dosage-Survival Relationship ( cont’’d) Increased dosage and increased survival are positively correlated The because more serious cases took There is a large increase in the ratio of metastatic cancers between 6−8 dosages! results are skewed larger dosages 6 100 90 80 Meta % vs. Dosage 70 60 50 Adjusting for the skew (proportions of meta) we find a strong dose−dependent effect, and the function is monotonically increasing 40 Meta % vs. 30 20 10 Dosage Meta 0 0 5 10 15 Forte dosages used Adjusted Total Survival vs. Dose 0 5 10 15 This graph shows % of metastatic breast cancer in sample vs. MT usage
  • 43. Introduction Colorectal Cancer Breast Cancer Conclusions Th Bi Pi t O i f lt 42 The Big Picture: Overview of results  With larger dosages (=longer use) the rates of cancer regressions rise and rates of progression and no−change in status fall  The regression effects are dose−dependent, more strongly so in colorectal cancer  Metastases reduction is strong in breast cancer, while less intense in colorectal cancer  Dosage−effect relationship is stronger in colorectal cancer, and weaker in breast cancer  Survival prolongation is strong in colorectal cancer, likely in breast cancer (but cannot be confidently established)  Dosage−effect on survival is stronger in colorectal cancer, but probable in both  Starting MT yields fastest results (there is a point of diminishing returns; here established at above 100 days use in both cancers)  Larger dosage and longer use is safe (no decrease in survival and status)
  • 44. Introduction Colorectal Cancer Breast Cancer Conclusions Th b tt li 43 The bottom line Did we cure cancer? Did we win? No. Mycotherapy results Standard therapy results Colorectal cancer Short term regression: 50% of cases M t d ti Colorectal cancer Short term regression: 4% of cases Meta reduction: 20% M t d ti id ff t Stage 4 5Y−survival: 26.5% Meta reduction: 16 % / w side effects Stage 4 5Y−survival: 8% Breast cancer Short term regression: 41.7% Meta reduction: 20% Breast cancer Short term regression: 1.5% Meta reduction: 1−3% Stage 4 5Y−survival: 20% Stage 4 5Y−survival: 14% But the results are greatly improved by introducing mushroom therapy.
  • 45. Introduction Colorectal Cancer Breast Cancer Conclusions 44 Thank you for your attention! Correspondence: ivan.jakopovic@inet.hr neven.jakopovic@gmail.com mykosan.com
  • 46. Introduction Colorectal Cancer Breast Cancer Conclusions 45 Lessons for the future For the researchers The lack of time from 1st diagnosis made a For the patients For the medical personnel lot of statistics less definite. While it made the actual probabilities more likely than calculated here, we lose some of the comparability value. Medicinal mushroom preparations are effective, to a certain degree. However there are significant The use of mycotherapy (use of medicinal mushroom preparations) in oncological diseases is not harmful, and may be beneficial if used in proper The breast cancer needs to be staged better (this was partly the fault of the non− affiliated MDs). However, individual variations, which we cannot, at our present state of knowledge, confidently predict. doses (in this study 0.1 g/kg BW per day) for40−100days or longer. The use of higher doses for a longer The quantities of the preparation used was dependent on the patient’s status, their response to therapy and factors beyond the medicinal. For best results, dosages should The very first month or two of use may be crucial in improving short term survival, metastases reduction and total survival increase. Shorter d i i lik l d g g period is safe. There is a potential point of diminished return in MT lasting longer than 100days. Th f MT i l l d , g be independent of factors disconnected from the trial. The data collection was very dependent on ’ d h duration is not likely to produce a significant effect. This could not be determined by the strength of the tests in this The use of in colorectal cancer and breast cancer improved regression rates and slowed progression of the disease. The response is highly dose− patient’s participation and the dependent thoroughness of their medical personnel. study and may not be factual, but MT of 100 days seems ideal. After The lack of information made it necessary this period, there is some statistical to create smaller subsamples While care indication that there is diminished dependent. The use of MT had a strong effect in reducing metastases. This result is subsamples. especially interesting in colorectal was taken that they remain representable of the population, this made certain statistics less confident. The initial sample, should, resources permitting, be even larger than return for the investment. (while not detrimental, there was no significant change in users taking more) p y g cancer, as the effect is without serious side effects often observed in chemotherapy treatments. U f MT i ifi l i p g, g used here, to circumvent this difficulty. Most of this would be resolved naturally in a full clinical trial. Use of proper significantly improves 5Y survival rates for colorectal and breast cancer.