Thomas Borody
Professor Thomas J Borody FRSN is a prominent Australian gastroenterologist, well known for developing 'Triple Therapy' for Helicobacter pylori and pioneering the novel therapy called fecal microbiota transplantation (FMT). Based in Sydney, he is recognized for his innovative clinical work and research into complex gastrointestinal disorders and infective disorders.
Life
Thomas Borody was born in Krakow, Poland and migrated to Australia with his family in 1960. He completed both his BSc(Med) and later MB BS degrees at the University of New South Wales, graduating in 1974. He studied Tropical Medicine at Sydney University and later gained practical experience in the Solomon Islands in 1978 in general parasitology and the treatment of malaria, tuberculosis and leprosy before working at St Vincent's Hospital. He undertook postgraduate research at Sydney's Garvan Institute of Medical Research, culminating in his MD, then at the renowned Mayo Clinic in Rochester, Minnesota. After further research on return to Sydney, he was awarded his PhD and then Doctorate in Science.
In 1984, Professor Borody founded the Centre for Digestive Diseases (CDD) in Five Dock, NSW, a private day procedure hospital specialising in the diagnosis and treatment of diseases and disorders of the digestive system, with a focus on infective diseases and novel and innovative treatment solutions.
Borody was elected a Fellow of the Royal Society of New South Wales in 2018.[1]
Triple therapy for H. pylori infection
Although the Centre is a leader in the research of various gastrointestinal disorders, Borody is perhaps most recognised for his ground-breaking Triple Therapy cure for peptic ulcers in 1987. At that time, the consensus among the medical establishment for decades had been that no bacteria could survive in the acid milieu of the stomach. But in 1979, two Australians, Robin Warren and Barry Marshall, described then cultured spiral bacteria from the stomach of patients with gastritis, or duodenal or gastric ulcers, and proposed that the bacterium H. pylori was the cause of stomach ulcers. Marshall then deliberately ingested the bacterium, cultured from an infected patient, as part of a successful and widely reported experiment to prove Koch's postulates for gastritis. He subsequently developed gastritis and related symptoms, unequivocally proving H. pylori as the causative agent. In 2005, they were awarded the Nobel Prize in Physiology or Medicine for their discovery of the bacterium H. pylori and its role in gastritis and peptic ulcer disease.
However, there was still no effective cure for ulcers, which were responsible for substantial morbidity and mortality in the community. Given that infection caused stomach ulcers, Borody reasoned that a treatment could be developed to cure the infection. After trialling approximately 36 different combinations, he and his colleagues developed a triple "cocktail" of drugs - bismuth, tetracycline, and metronidazole - to treat and eliminate stomach ulcers in 1984. In a recent publication, the impact that triple therapy had on peptic ulcer disease in Australia was reported to have prevented over 18,000 premature deaths and the invention was estimated to have saved the Australian healthcare system in excess of $10 billion dollars in medical care and surgical costs.[2]
Fecal microbiota transplantation
Prof Borody is a world-renowned leader in the therapeutic manipulation of the microbiota, having performed his first FMT in 1988. Since then, Borody has overseen over 30,000 FMT procedures, and has garnered a wealth of proprietary clinical data and insights. However, it was only during the epidemic of Clostridioides difficile infection that occurred in North America and Europe in the early 2000s that FMT rose to prominence as a therapy, quickly gaining recognition as a highly effective means of eradicating CDI curing the infection. In this particularly difficult-to-treat patient population, FMT was associated with a cumulative success rate of ~90% in randomized clinical trials.[3] Following the global success of FMT in CDI, its use has expanded to include other indications in which the gastrointestinal microbiome has been implicated, including Inflammatory Bowel Disease, constipation, irritable bowel syndrome, Alzheimer's disease, multiple sclerosis, autism, and Parkinson's disease, with promising preliminary results observed. In May 1988, Prof Borody treated the first patient with ulcerative colitis using FMT, which resulted in durable clinical and histological cure over 23 years later.[4]
Inflammatory disease and infection
In addition to FMT, Dr. Borody has developed a number of novel therapies in the field of gastroenterology, with more than 180 patent applications in areas such as treatment of H. pylori, Crohn's disease, bowel lavage, parasite infestation, IBS and FMT, asthma and Coronavirus therapy.
COVID-19 treatment
Since 2020, Dr Borody "has recommended that GPs prescribe a triple therapy protocol using ivermectin, doxycycline and zinc" for treatment of COVID-19.[5] Dr Borody has been quoted as stating; "international trials report almost 100% cure rate with symptom improvement within 4-6 days."[6] This potential treatment has been widely promoted by Australian conservative and right-wing sources such as Sky News Australia[7][8][9] and Miranda Devine,[10] however numerous government agencies, health advisory panels and research bodies have urged caution and state that further evidence is required to support the use of Ivermectin as a viable treatment for COVID-19.[11][12][13][14][15] Others state that the concentrations of Ivermectin required to kill COVID-19 in a test tube ("in-vitro") could be toxic in humans.[16][17] Sky News was forced to remove several videos from YouTube regarding possible COVID-19 misinformation and unproven treatments, including at least one relating to Dr Borody and Ivermectin.[18][19] Numerous agencies have also called for an end of the use of Ivermectin in treating COVID-19 after numerous individuals have presented with poisoning symptoms after taking it.[20][21][22][23]
Controversies
In 2021 Dr Borody was publicly accused of not adequately disclosing relevant patent applications in his name when promoting therapies publicly and in medical journals.[24] The University of Sydney's Health Ethics Centre described his behaviour as "blatantly unethical".[25] Dr Borody, via lawyers, denied wrongdoing. A company of which Dr Borody is both secretary and director then attempted to raise $25 million on the basis of the purported therapy.[26]
Publications
He has authored over 300 publications and regularly presents at gastroenterology conferences. He is a reviewer for a number of medical journals, including:
- Journal of Clinical Gastroenterology
- World Journal of Gastrointestinal Pharmacology and Therapeutics (Editorial Board)
- American Journal of Gastroenterology
- Digestive Diseases and Sciences Endoscopy
- Journal of Gastroenterology and Hepatology
- Medical Journal of Australia
- Digestive and Liver Diseases
References
- "Fellows of the Royal Society of NSW (B)". Royal Society of New South Wales. Archived from the original on 30 June 2021. Retrieved 2 July 2021.
- Eslick, Guy D.; Tilden, Dominic (2020). "Clinical and economic impact of "triple therapy" for Helicobacter pylori eradication on peptic ulcer disease in Australia". Helicobacter. 25 (6): e12751.
- van Nood, Els; Vrieze, Anne (2013). "Duodenal Infusion of Donor Feces for Recurrent Clostridium difficile". N Engl J Med. 368: 407–415.
- Borody, Thomas; Campbell, Jordana (2011). "Fecal microbiota transplantation: current status and future directions". Expert Rev Gastroenterol Hepatol. 6: 653–655.
- "Ivermectin and COVID-19". NPS MedicineWise. Retrieved 6 September 2021.
- "Australia shares low-dose ivermectin therapy protocol for COVID-19". www.biospectrumasia.com. Retrieved 6 September 2021.
- "https://twitter.com/skynewsaust/status/1301104750163759104". Twitter. Retrieved 6 September 2021. External link in
|title=(help) - December 13; 2020 - 13:38pm (13 December 2020). "Aussie scientist 'mocked' by left bureaucrats after discovering COVID treatment". skynews. Retrieved 6 September 2021.
- August 08; 2020 - 01:33am (7 August 2020). "Ivermectin triple therapy flagged as a 'wonder drug' against COVID-19". skynews. Retrieved 6 September 2021.
- Devine, Miranda (12 August 2020). "Why won't they listen?" (PDF). The Daily Telegraph. Retrieved 6 September 2021.
- Lewin, Evelyn (15 September 2020). "Insufficient evidence to support ivermectin as COVID-19 treatment". Royal Australian College of General Practitioners. Retrieved 6 September 2021.
- "Ivermectin and COVID-19". NPS MedicineWise. Retrieved 6 September 2021.
- "Ivermectin for preventing and treating COVID-19". Cochrane Library. 21 July 2021. Retrieved 6 September 2021.
- "Unproven Covid 'cure' gets big dose of coverage". RNZ. 3 September 2020. Retrieved 6 September 2021.
- "Caution about Laboratory COVID-19 Report". Ministry of Health NZ. Retrieved 6 September 2021.
- McLachlan, Andrew. "Ivermectin is still not a miracle cure for COVID-19, despite what you may have read". The Conversation. Retrieved 6 September 2021.
- "Caution about Laboratory COVID-19 Report". Ministry of Health NZ. Retrieved 6 September 2021.
- "Sky News Australia purges several videos from YouTube after ban over Covid misinformation". the Guardian. 3 August 2021. Retrieved 6 September 2021.
- "Sky News Australia deletes dozens of videos promoting unproven Covid treatments". the Guardian. 9 August 2021. Retrieved 6 September 2021.
- "AMA Calls for End to Ivermectin Use for COVID Amid Spike in Use". Medscape. Retrieved 6 September 2021.
- "Australia warns against ivermectin as imports of drug surge tenfold". South China Morning Post. 5 September 2021. Retrieved 6 September 2021.
- McLachlan, Andrew; Wheate, Nial; Matthews, Slade. "Thinking of trying ivermectin for COVID? Here's what can happen with this controversial drug". The Conversation. Retrieved 6 September 2021.
- Commissioner, Office of the (3 September 2021). "Why You Should Not Use Ivermectin to Treat or Prevent COVID-19". FDA.
- "Doctor who advocated Covid-19 therapy including ivermectin applied for patent on same unproven treatment". the Guardian. 18 October 2021. Retrieved 18 October 2021.
- "Doctor who advocated Covid-19 therapy including ivermectin applied for patent on same unproven treatment". the Guardian. 18 October 2021. Retrieved 18 October 2021.
- "Topelia Australia launches US$25M Series A call for COVID-19 ATT Ziverdox". BioSpace. Retrieved 18 October 2021.
External links
- Scientific papers authored by Thomas Borody, listed by the United States National Library of Medicine
- Scientific papers authored by Thomas Borody, listed by ResearchGate
- Interview with Stephen Dubner
- ABC Catalyst - Human Probiotic Transfusion 14 July 2011
- Doctor Tom Borody claims faecal transplants curing incurable diseases like Crohn's 19 March 2014