Author(s):
Neeraj Kumar, Ashok Kumar Gupta
Email(s):
ashokg195@gmail.com
DOI:
10.52711/0974-360X.2025.00639
Address:
Neeraj Kumar1,2, Ashok Kumar Gupta3*
1National Institute of Pharmaceutical Education and Research (NIPER), Hajipur - 844102, India.
2Galgotias College of Pharmacy, Knowledge Park - 2, Greater Noida, U.P., 201310, India.
3School of Pharmacy, Sharda University, Knowledge Park - 3, Greater Noida, U.P., 201306, India.
*Corresponding Author
Published In:
Volume - 18,
Issue - 9,
Year - 2025
ABSTRACT:
Background: Gemcitabine-Cisplatin combination chemotherapy regimen is the standard treatment for advanced gallbladder cancer (GBC); however, the Paclitaxel-Cisplatin regimen is rarely preferred. Limited clinical studies have reported the hematological and nephrotoxic effects of Gemcitabine versus Paclitaxel based chemotherapy in combination with Cisplatin. Materials and Methods: A total of 55 patients with GBC participated in this prospective observational study. All patients had cytologically confirmed gallbladder cancer. The patients were divided into two study groups, i.e. Group A (n=32) patients received Gemcitabine-Cisplatin and in Group B (n=23) patients received Paclitaxel-Cisplatin based chemotherapy regimen. All the patients of both groups were examined for their hematological and renal parameters up to the fourth cycle of chemotherapy. Results: Significant changes observed in hematological, renal parameters as well as in malondialdehyde level (p < 0.05) from baseline, compared after fourth cycle of chemotherapy in both treatment groups. After comparison in between Group A and Group B, significant differences were observed in hematological (red blood cell, platelets and hemoglobin), renal (Urea and Creatinine) and malondialdehyde level after fourth cycle of chemotherapy (p < 0.05). Conclusion: These findings indicate that, after the fourth chemotherapy cycle, the Gemcitabine-Cisplatin regimen observed with less and comparatively manageable nephrological and hematological toxicity compared to the Paclitaxel-Cisplatin regimen.
Cite this article:
Neeraj Kumar, Ashok Kumar Gupta. Comparative Study of the Toxicity Profile in Gallbladder Cancer patients receiving Gemcitabine-Cisplatin versus Paclitaxel-Cisplatin Combination Chemotherapy. Research Journal of Pharmacy and Technology. 2025;18(9):4455-0. doi: 10.52711/0974-360X.2025.00639
Cite(Electronic):
Neeraj Kumar, Ashok Kumar Gupta. Comparative Study of the Toxicity Profile in Gallbladder Cancer patients receiving Gemcitabine-Cisplatin versus Paclitaxel-Cisplatin Combination Chemotherapy. Research Journal of Pharmacy and Technology. 2025;18(9):4455-0. doi: 10.52711/0974-360X.2025.00639 Available on: https://rjptonline.org/AbstractView.aspx?PID=2025-18-9-59
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