Oncology (adjunctive) 2012

Trametes versicolor (turkey tail) in women with breast cancer: a phase I trial (dose escalation 3/6/9 g/day, n=11)

Phase I by Torkelson et al. (USA, 2012): 11 women with stage I–III breast cancer who had completed radiotherapy took T. versicolor mycelium at 3, 6 or 9 g/day for 6 weeks (extendable to 12). Safety was established up to 9 g/day; improvements in immune markers (CD3+, CD4+, NK cells) and quality of life were recorded. The first formal clinical trial of turkey tail in breast cancer.

Torkelson C.J., Sweet E., Martzen M.R., Sasagawa M., Wenner C.A., Gay J., Putiri A., Standish L.J. Phase 1 Clinical Trial of Trametes versicolor in Women with Breast Cancer. ISRN Oncology. 2012;2012:251632.

Rationale

Radiotherapy suppresses lymphocyte counts and NK-cell activity for months; turkey tail preparations are used adjunctively in Japan for exactly this recovery window. This phase I study asked the foundational questions: is it safe, does immune recovery differ by dose.

Methods

A two-center open-label phase I dose-escalation trial: 11 women with stage I–III breast cancer, post-radiotherapy, took T. versicolor mycelium (TV-M) at 3, 6 or 9 g/day for 6 weeks (some extended to 12). Immune subsets (CD3+, CD4+, NK cells), hematology and quality-of-life measures were tracked.

Results

Tolerability was confirmed up to 9 g/day — no dose-limiting toxicity. Immune markers (CD3+, CD4+ lymphocytes, NK-cell activity) recovered, with larger improvements at higher doses; quality-of-life measures improved.

Conclusions

Turkey tail mycelium was safe and well tolerated at up to 9 g/day, with dose-related immune-recovery trends — justifying the randomized phase II work that followed.

Worth noting

Phase I means small (n=11) and unblinded for efficacy — the real output is the safety ceiling and the dose-response hint. This study opened the formal clinical line for turkey tail in breast cancer; the PSK/PSP oncology dossier remains the strongest of any mushroom.