AstraZeneca's Enhertu Shows Promise for Broader Breast Cancer Use

Test tubes are seen in front of a displayed AstraZeneca logo in this illustration taken, May 21, 2021. (Reuters)
Test tubes are seen in front of a displayed AstraZeneca logo in this illustration taken, May 21, 2021. (Reuters)
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AstraZeneca's Enhertu Shows Promise for Broader Breast Cancer Use

Test tubes are seen in front of a displayed AstraZeneca logo in this illustration taken, May 21, 2021. (Reuters)
Test tubes are seen in front of a displayed AstraZeneca logo in this illustration taken, May 21, 2021. (Reuters)

AstraZeneca said its Enhertu cancer drug has been shown to significantly help women suffering from a type of breast cancer that leaves them with poor treatment options, opening the door to a much larger potential patient group.

AstraZeneca, which is working on the drug with Japan's Daiichi Sankyo, said on Monday that Enhertu prolonged survival and slowed the progression of metastatic breast cancer with low levels of a protein known as HER2.

The improvement was "clinically meaningful" when compared with standard chemotherapy, it said, adding that detailed trial results would be presented at an as-yet undisclosed medical conference.

While the study was limited to low-HER2 patients whose tumors had spread to other parts of the body, analysts have said a positive trial read-out could portend future use at an earlier stage of the disease with potentially hundreds of thousands of new eligible patients per year.

AstraZeneca has predicted a decline in sales of its widely used COVID-19 vaccine this year.

However, brisk revenue growth from new cancer drugs has prompted analysts to rank the Anglo-Swedish company as one of the world's fastest growing major pharma groups.

Enhertu belongs to a promising class of therapies called antibody drug conjugates (ADC), which are engineered antibodies that bind to tumors cells and then release cell-killing chemicals.

AstraZeneca secured rights to the Daiichi Sankyo compound three years ago in a deal worth up to $6.9 billion, challenging the world's biggest cancer drug maker, Roche.

Enhertu has since been shown to help women with breast cancer characterized by high levels of HER2, a cell receptor that leads to uncontrolled tissue growth, when compared to Roche's ADC drug Kadcyla. This led to initial market approvals in late 2019.

Astra's drug is also being tested against gastric, lung and colorectal cancers.



Droughts in Iraq Endanger Buffalo, and Farmers' Livelihoods

A man provides fresh drinking water for his buffaloes, in the Chebayesh marshes of Dhi Qar province, Iraq, April 18, 2025. REUTERS/Alaa Al-Marjani
A man provides fresh drinking water for his buffaloes, in the Chebayesh marshes of Dhi Qar province, Iraq, April 18, 2025. REUTERS/Alaa Al-Marjani
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Droughts in Iraq Endanger Buffalo, and Farmers' Livelihoods

A man provides fresh drinking water for his buffaloes, in the Chebayesh marshes of Dhi Qar province, Iraq, April 18, 2025. REUTERS/Alaa Al-Marjani
A man provides fresh drinking water for his buffaloes, in the Chebayesh marshes of Dhi Qar province, Iraq, April 18, 2025. REUTERS/Alaa Al-Marjani

Iraq’s buffalo population has more than halved in a decade as the country's two main rivers, the Tigris and Euphrates, suffer severe droughts that endanger the livelihood of many farmers and breeders.
"People have left ... We are a small number of houses remaining," said farmer Sabah Ismail, 38, who rears buffalo in the southern province of Dhi Qar.
"The situation is difficult ... I had 120 to 130 buffalo; now I only have 50 to 60. Some died, and we sold some because of the drought," said Ismail while tending his herd.
Buffalo have been farmed for centuries in Iraq for their milk, and are mentioned in ancient Sumerian inscriptions from the region.
According to Iraqi marshland experts, the root causes of the water crisis driving farmers out of the countryside are climate change, upstream damming in Türkiye and Iran, outdated domestic irrigation techniques and a lack of long-term management plans.
The country has also endured decades of warfare.
Located within the cultivable lands known as the Fertile Crescent that have been farmed for millennia, the Iraqi landscape has suffered from upstream damming of the Tigris and Euphrates and lower rainfall, threatening the lifestyle of farmers like Ismail and leading many to move to the cities.
Iraqi marshland expert Jassim al-Assadi told Reuters that the number of buffalo in Iraq had fallen since 2015 from 150,000 to fewer than 65,000.
The decline is "mostly due to natural reasons: the lack of needed green pastures, pollution, illness ... and also farmers refraining from farming buffalos due to scarcity of income," al-Assadi said.
A drastic decline in crop production and a rise in fodder prices have also left farmers struggling to feed their animals.
The difficulty of maintaining a livelihood in Iraq's drought-stricken rural areas has contributed to growing migration towards the country's already-choked urban centers.
"This coming summer, God only knows, the mortality rate may reach half," said Abdul Hussain Sbaih, 39, an Iraqi buffalo breeder.