Doxorubicin (DOX) is a widely utilized chemotherapeutic agent recognized for its efficacy against a diverse range of cancers; however, its clinical application is considerably constrained by its hepatotoxic side effects. The liver damage induced by DOX is primarily attributed to oxidative stress and apoptosis. Despite extensive research efforts, there remains a paucity of effective pharmacological interventions to prevent or mitigate DOX-induced liver dysfunction. Sacubitril/Valsartan (VS), an angiotensin receptor neprilysin inhibitor, has exhibited cytoprotective, antioxidant, and anti-apoptotic effects in various organ injury models. Nevertheless, its potential efficacy in ameliorating DOX-induced hepatotoxicity has not been comprehensively explored. To our knowledge, this investigation represents the inaugural study to evaluate the hepatoprotective effects of VS in the context of DOX-induced liver injury. The primary objective of this research was to ascertain the protective efficacy of VS in a rat model of DOX-induced hepatotoxicity. This was achieved by analyzing liver function biomarkers, specifically alanine aminotransferase (ALT), albumin (ALB), and alkaline phosphatase (ALP). Furthermore, the study evaluated oxidative stress markers, including reactive oxygen species (ROS) and malondialdehyde (MDA), as well as key pro-apoptotic signaling pathways, such as caspase-3 and BAX.\nMethods: In this investigation, adult male Wistar rats were systematically divided into four distinct groups: control, VS-treated, DOX-treated, and DOX + VS co-treated. Hepatotoxicity was induced by intraperitoneal administration of DOX at 2.5 mg/kg twice weekly for 2 weeks, resulting in a total dose of 10 mg/kg. Simultaneously, VS was administered orally at a daily dose of 60 mg/kg for the same duration. Liver biochemical markers, including ROS, MDA, caspase-3, BAX, ALT, AST, ALP, and LDH, were measured by ELISA.\nResults: Doxorubicin treatment led to marked increases in ROS, MDA, caspase-3, BAX, ALT, AST, ALP, and LDH, indicating significant liver impairment. Concurrent administration of VS effectively restored normal liver function test results. Moreover, VS substantially reduced oxidative stress, apoptotic activity, and liver enzyme levels compared with doxorubicin treatment alone.