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what is gemcitabine and nab-paclitaxel?

Patients & families

In short

Gemcitabine and nab-paclitaxel are two medicines used together to treat advanced or metastatic pancreatic cancer [2]. This combination helps patients live longer and keeps the cancer from growing for a longer time compared to using gemcitabine alone [2].

The details

  • Gemcitabine is a chemotherapy drug that stops cancer cells from growing [1]. Nab-paclitaxel is another medicine that also helps stop cancer growth [2].
  • When used together, they are given on days 1, 8, and 15 every four weeks [2].
  • In patients with metastatic pancreatic cancer (cancer that has spread to other parts of the body), this combination improved survival [2]. The median overall survival was 8.5 months for those taking both drugs, compared to 6.7 months for those taking only gemcitabine [2].
  • It also helped keep the disease from getting worse for longer (median progression-free survival of 5.5 months vs. 3.7 months) and helped shrink tumors more often (response rate of 23% vs. 7%) [2].
  • What to know

    Patients taking this combination may experience side effects like low white blood cell counts (neutropenia), tiredness, and nerve damage (neuropathy) [2]. These side effects can be serious, with grade 3 or higher rates being higher than with gemcitabine alone [2]. Recent research suggests that other treatments, such as NALIRIFOX, may work better than gemcitabine and nab-paclitaxel for some patients with metastatic disease [1]. You should talk to your doctor about which treatment is right for you.

    โš•๏ธ This is for learning, not treatment decisions. Always talk with your oncology team โ€” they know your full situation. The information here comes from published research and is meant to help you have better conversations with your doctors.
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