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Nanba and colleagues demonstrated D-fraction's anti-tumor activity in sarcoma 180-bearing mice (1987–1995), with tumor regression rates of 70–90% in some models. A Phase I/II trial at Memorial Sloan Kettering (Deng et al., 2009) in 34 postmenopausal breast cancer patients showed that D-fraction stimulated NK cell activity and enhanced immunological function without significant adverse effects. Kodama et al. (2003) published case series data suggesting clinical benefit in hepatocellular carcinoma and lung cancer patients receiving D-fraction adjunctively. No large-scale RCTs completed as of 2025.
Representative pattern: (C₆H₁₀O₅)ₙ
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