
India expands use of AstraZeneca's drug for advanced breast cancer cases
AstraZeneca Pharma India has received approval from India's drug regulator to expand the use of a breast cancer treatment that could bring new hope to many women with advanced disease.The medicine, Trastuzumab deruxtecan, was already available for some breast and stomach cancers.Now, it has been approved to treat more patients, specifically adults with HER2-low or HER2-ultralow metastatic breast cancer who have already tried hormone-based treatment.advertisement
This approval by the Central Drugs Standard Control Organisation (CDSCO) means more patients in India with hard-to-treat breast cancers can access the drug.WHAT IS HER2-LOW BREAST CANCER?HER2 is a protein found on the surface of some cancer cells. When levels of HER2 are high, certain targeted treatments can work. However, many patients have low or very low levels of this protein, these are known as HER2-low or HER2-ultralow cancers.Until recently, there were limited treatment options for these patients. But this drug offers a targeted approach even in those with lower HER2 levels.THE SCIENCE BEHIND THE APPROVALThe decision is based on results from a large international study called DESTINY-Breast06, which compared Trastuzumab deruxtecan with standard chemotherapy.The trial involved patients who had already received at least one hormone therapy but no chemotherapy for their metastatic cancer.advertisementThe results were promising:Patients who took Trastuzumab deruxtecan lived longer without the disease getting worse.For those with HER2-low breast cancer, the average time without disease progression was 13.2 months, compared to 8.1 months for those on chemotherapy.The risk of disease progression or death was reduced by nearly 40%.Dr. Sandeep Arora, Director of Medical Affairs at AstraZeneca India, said, "This approval marks a shift in how we treat advanced breast cancer in India. It highlights the importance of testing tumors for even minimal HER2 expression to identify patients who may benefit."WHY THIS MATTERS IN INDIABreast cancer is the most commonly diagnosed cancer worldwide, with over 2 million cases in 2020, according to the World Health Organisation. In India, the number of breast cancer cases has risen by 40% in the past 25 years.Dr. Sanjeev Panchal, Managing Director of AstraZeneca India, called it part of a broader effort to "follow the science" and deliver better, more personalised cancer care.The drug was first introduced in India in 2024 and is now approved for three types of breast and gastric cancers. Experts hope that with wider use, this medication could significantly improve survival rates for women with advanced breast cancer.advertisementDoctors say it will now be important to test tumors for HER2 expression, even at very low levels, to identify who could benefit from this treatment.While not a cure, Trastuzumab deruxtecan represents another important step in making breast cancer treatment more precise and more effective for Indian patients.
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Time of India
22 minutes ago
- Time of India
In New York, Khalistan backers heckle doctor who aided 2020-21 farm stir; Dr Swaiman says he is proud of Indian roots, Tricolour
Bathinda: Dr Swaiman Singh, who played a vital role during the 2020-21 farm stir on Delhi borders, was heckled by pro-Khalistan individuals at a gurdwara in New York on Sunday afternoon. The pro-Khalistan elements were angry because he displayed the Indian tricolour during the farmers' protest. The show of resentment came just days ahead of Sikhs across the world remembering those who were killed in Indian Army's Operation Bluestar at Golden Temple on June 6, 1984. Despite the opposition, Dr Swaiman stood his ground and delivered a speech for which he was invited by New York Sikh Cultural Society. A large congregation was held at the NY Sikh Cultural Society Gurdwara on Sunday afternoon (early hours of Monday in India). Dr Swaiman and former New York governor Andrew Mark Cuomo were invited by the society to deliver a lecture. Undeterred, Dr Swaiman delivered his response, challenging the group to open dialogue. Speaking to TOI over the phone from the US, Dr Swaiman said it was true that Sikhs living in various parts of the world were angry over the way their revered religious place was attacked by the govt in 1984, and how justice had not been delivered till now. "But, being an Indian, I have displayed the tricolour a number of times, and I am proud of it. Whatever happened in 1984 was an attack by a govt of a particular political party, it does not denote all of India. We may be angry with the govt or party, but not with India," he said. Dr Swaiman added he too had been branded a "Khalistani" in the past and this was not right. "ThzZ country should look into the grievances of Sikhs and deliver justice. But, just some people opposing me cannot undermine my commitment the people of my nation, where my team is regularly working," he added. The NY Sikh Cultural Society Gurdwara remains a vital community hub, fostering dialogue and cultural unity. "This incident highlights the need for constructive conversations to bridge divides within our communities," he said. Dr Swaiman's family belongs to Tarn Taran district in Punjab. During the farm struggle, his organisation, '5 Rivers Heart Association', held medical camps at the protest site to help the protesters.


Indian Express
an hour ago
- Indian Express
Report flags tiger-human conflict risk as prey base shrinks in Jharkhand, Chhattisgarh and Odisha
Even as India celebrates a rise in its tiger population, a new national assessment has flagged an emerging conservation challenge: some of the prey species that sustain these big cats — chital (spotted deer), sambar (large deer), and the vulnerable gaur (Indian bison) — are declining across key tiger landscapes in east-central India, particularly in Odisha, Jharkhand and Chhattisgarh. These findings come from a first-of-its-kind assessment of ungulates (hoofed mammals) conducted by the Wildlife Institute of India (WII) and the National Tiger Conservation Authority (NTCA), using data from India's 2022 tiger census. Ungulates form the bulk of a tiger's diet and are also critical to the forest ecosystem. Yet, across tiger habitats in these regions, they are facing increasing pressure from loss of habitat due to deforestation, development, agricultural expansion, urbanisation, human-wildlife conflict, and subsistence hunting. The report points to the broader consequences, drawing a direct link between low prey numbers and human-wildlife conflict. 'High bushmeat consumption and civil unrest in the region negatively impact wildlife presence, leading to low ungulate densities,' the report notes on Odisha. 'Palamau (in Jharkhand), an important part of the Central Indian corridor, faces challenges such as Left Wing Extremism, which affects wildlife presence,' it says. To revive prey populations, the report recommends on-site breeding of chital and sambar in secure enclosures designed to keep out predators. However, even as eastern and central Indian states are seeing prey depletion, several other landscapes show healthier trends. The Shivalik Hills and Gangetic plains — from Uttarakhand and Uttar Pradesh to eastern Bihar — as well as tiger reserves in Madhya Pradesh and Maharashtra have a stable prey base. In the Western Ghats, chital, sambar, wild pigs, gaur and barking deer are widely distributed, while the hog deer and wild pigs dominate in the Northeast. The report Status of Ungulates in Tiger Habitats of India is based on field data from the 2022 tiger estimation, supplemented with data from the 2018 and 2014 cycles. While ungulates have been mapped in each cycle, this is the first time their data has been analysed and published separately. Unlike tigers, whose individual numbers are tracked, prey estimation focused on mapping the density of chital and sambar. For other ungulates, scientists estimated where these animals are found and how many there might be, based on direct and indirect evidence such as field surveys, dung trails, and camera trap images. India is home to over 3,600 wild tigers — about 70% of the global population — and their survival depends heavily on prey such as chital, sambar and gaur. Other species in their diet include nilgai, wild pigs, hog deer, barking deer and chinkara. Leopards, wild dogs, jackals and hyenas also rely on the same prey base. 'The quality of forests within 40 per cent of tiger reserves — and outside them — is low. These assessments (of ungulates) are crucial as we have to look beyond the numbers (of tigers). These are measurable biodiversity indicators and can guide us on how to address forest quality on a large scale,' said Qamar Qureshi, wildlife biologist and co-author of the report. According to the report, a density of 30 ungulates per square km can support four tigers in 100 square km. Tiger numbers may rise with prey density, but plateau at about 75 ungulates per sq km due to ecological constraints such as territoriality, competition and lack of habitat connectivity. Among the tiger reserves, Pench in Madhya Pradesh has one of the highest chital densities — nearly 54 per sq km. 'Maintaining quality habitat and reducing pressures on the prey base is crucial. We are working with WII to improve prey density,' said Gobind Sagar Bharadwaj, Additional Director General of Forests (Project Tiger) and NTCA Member Secretary. The report draws a link between low prey numbers and human-wildlife conflict. In areas like Tadoba (Maharashtra) and Ratapani (Madhya Pradesh), tigers are attacking livestock due to the lack of natural prey, sparking conflict with local communities. The report also identifies strongholds of prey abundance. Chital populations were found thriving across clusters like Rajaji-Corbett-Ramnagar-Pilibhit-Dudhwa (Uttarakhand and Uttar Pradesh), Kanha-Pench-Achanakmar (Madhya Pradesh, Maharashtra, and Chhattisgarh), Bandhavgarh-Sanjay Dubri-Veerangana Durgawati (Madhya Pradesh), and the Nagarhole-Bandipur-BRT-Wayanad-Mudumalai-Sathyamangalam landscape (Karnataka, Kerala and Tamil Nadu). These clusters span diverse forest types — from the Terai-Duar savannas to the moist deciduous forests of Central and Southern India. An award-winning journalist with 14 years of experience, Nikhil Ghanekar is an Assistant Editor with the National Bureau [Government] of The Indian Express in New Delhi. He primarily covers environmental policy matters which involve tracking key decisions and inner workings of the Ministry of Environment, Forest and Climate Change. He also covers the functioning of the National Green Tribunal and writes on the impact of environmental policies on wildlife conservation, forestry issues and climate change. Nikhil joined The Indian Express in 2024. Originally from Mumbai, he has worked in publications such as Tehelka, Hindustan Times, DNA Newspaper, News18 and Indiaspend. In the past 14 years, he has written on a range of subjects such as sports, current affairs, civic issues, city centric environment news, central government policies and politics. ... 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News18
an hour ago
- News18
Vibhu Raghave Dies At 37: Saumya Tandon, Aneri Vajani Lead Tributes
Last Updated: The actor, whose real name was Vaibhav Kumar Singh Raghave, breathed his last in Mumbai. Television actor Vibhu Raghave, known for his role in Nisha Aur Uske Cousins, has passed away after a long fight with stage four colon cancer. The actor, whose real name was Vaibhav Kumar Singh Raghave, breathed his last in Mumbai. He was in his late 30s as per the reports. Vibhu was a familiar face in the Indian television world. Apart from Nisha Aur Uske Cousins, he was also seen in shows like Savdhaan India and Suvreen Guggal – Topper of the Year among others. Diagnosed with colon cancer in 2022, Vibhu chose to share his health journey with his followers on Instagram. Even during his toughest moments, he kept his spirits high and spread hope through his words and smile. Following the news of his passing, tributes poured in from friends and co-stars who remembered Vibhu not just as a talented actor but also as a kind and courageous human being. She also posted a heartfelt note with a picture of them together, writing, 'Rest in peace, my dearest Vibhu! Yes, I know you loved me more." The post was followed with more pictures from their time on set which reflected their deep bond. Actress Saumya Tandon, known for Bhabhi Ji Ghar Par Hain, shared a moving tribute on Instagram: 'My beautiful friend Vibhu Raghave… is with angels now. Left us last night. Vibhu, you were beautiful. Inside and out. You taught me how to smile even when everything was falling apart. How to hold on to light when the world felt dark. You were a fighter till the very end — a real warrior. Even when people gave up hope, you kept going. You never stopped." 'We had plans, Vibhu. We wanted to make videos… to talk about everything you were feeling. We thought we had time. We didn't. And now all I'm left with is your voice in my head, your smile, and all the love you gave me. I'll miss you forever. I really will. Life is so damn short. I'm going to try to live it like you did — fully, fiercely, with heart. To be the best version of myself, every single day. Thank you for being my friend. Thank you for the light, the love, the laughter. And thank you — truly — to every single person who contributed, prayed, and gave Vibhu a fighting chance. I'm forever grateful to you all," she added. View this post on Instagram A post shared by Saumya Tandon (@saumyas_world_) Sharing a picture of Vibhu on her Instagram Stories, actress Simple Kaul also mourned his loss, writing, 'You will be missed my dear friend Vibhu Raghave. Love light and happiness to you." Karan Veer Mehra also paid his tribute, writing, 'Rest in peace brother. Too soon." Actress Addite Malik remembered him as, 'The purest soul, a beacon of strength & positivity. His smile could light up any room. He faced life with unmatched grace and will be deeply missed." View this post on Instagram A post shared by Addite Shirwakar (@additemalik) She also shared an image of Vibhu on her Instagram Stories and wrote, 'He walks now in a world beyond ours, free from pain, embraced by light." Sanaya Irani posted a brief but heartfelt message: 'RIP Friend. I'm sure you are spreading positivity, love and warmth wherever you are. Gone too soon. RIP friend. You will be missed." Vibhu Raghave's Antim Darshan was held at Prakash Nagar, Jogeshwari West, Mumbai, earlier today, followed by the last rites. First Published: