Clinical Cancer Investigation Journal

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 7  |  Issue : 1  |  Page : 9--13

Retrospective comparative study between gemcitabine/cisplatin and gemcitabine/capecitabine in the treatment of metastatic carcinoma of gallbladder


Soumita Poddar, Santu Mondal, Amitabha Chakraborty, Bodhisattwa Dutta 
 Department of Radiotherapy, Murshidabad Medical College and Hospital, Berhampore, West Bengal, India

Correspondence Address:
Dr. Santu Mondal
Flat-5/C, Pabitra Apartment, 50/1, A.C.Road, Indraprastha, Murshidabad, Berhampore - 742 101, West Bengal
India

Introduction: Metastatic carcinoma of gallbladder is a disease with a dismal prognosis. Chemotherapy is mainstay of treatment. Gemcitabine/cisplatin is used as first-line chemotherapy. In some study, gemcitabine/capecitabine has been used with good result. A retrospective study has been performed to compare efficacy between these two chemotherapeutic regimens.Materials and Methods: The objective of this study was to compare tumor control rate, progression-free survival (PFS), overall survival (OS), and toxicity between these two chemotherapeutic regimens. In arm A, patients received gemcitabine (1000 mg/m2 on day 1 and on day 8) and cisplatin (75 mg/m2 on day 1). In arm B, patients received gemcitabine (1000 mg/m2 on day 1 and on day 8) and capecitabine (1000 mg/m2 BD from day 1 to day 14). Response evaluation has been done by response evaluation criteria in solid tumor criteria. Results: A total of 55 (25 in arm A and 30 in arm B) patients were included in the study. Tumor control rate was 88% in arm A and 86.7% in arm B. PFS in arm A was 7.2 months (95% confidence interval [CI]: 6.19–8.21 months) and 7.58 months (95% CI: 6.66–8.5 months) in arm B. OS in arm A was 10.8 months (95% CI: 9.51–12.09 months) and 11.57 months (95% CI, 10.3–12.84 months) in arm B. These differences between the two arms were not statistically significant. Conclusion: There is no statistically significant difference between gemcitabine/cisplatin and gemcitabine/capecitabine regarding disease control rate, PFS, and OS in the treatment of metastatic carcinoma of gallbladder. Hence, gemcitabine/capecitabine can also be used as first-line chemotherapy in metastatic carcinoma of gallbladder.


How to cite this article:
Poddar S, Mondal S, Chakraborty A, Dutta B. Retrospective comparative study between gemcitabine/cisplatin and gemcitabine/capecitabine in the treatment of metastatic carcinoma of gallbladder.Clin Cancer Investig J 2018;7:9-13


How to cite this URL:
Poddar S, Mondal S, Chakraborty A, Dutta B. Retrospective comparative study between gemcitabine/cisplatin and gemcitabine/capecitabine in the treatment of metastatic carcinoma of gallbladder. Clin Cancer Investig J [serial online] 2018 [cited 2020 Jun 5 ];7:9-13
Available from: http://www.ccij-online.org/article.asp?issn=2278-0513;year=2018;volume=7;issue=1;spage=9;epage=13;aulast=Poddar;type=0