Court Restrains Medreich from Using Jubilant’s Losartan, Amlodipine, Citalopram Dossiers

Noida: In relief to Jubilant Generics Ltd, the Commercial Court No. II, Gautam Buddh Nagar, has granted a temporary injunction against Medreich Limited and three other defendants in a high-stakes intellectual property dispute concerning pharmaceutical product dossiers. The dispute centers around three key drugs, Losartan, Amlodipine, and Citalopram which Jubilant Generics alleges were unlawfully accessed and used for manufacturing in India in violation of its exclusive licensing agreements.

The order, delivered by Judge Kunal Vepa on February 25, 2025, restrains the defendants from using, reproducing, or sharing the copyright-protected product dossiers of Jubilant Generics and from manufacturing, distributing, or exporting the disputed pharmaceutical products.

The legal battle began when Jubilant Generics Ltd filed an original suit for permanent injunction on August 23, 2024, alleging that Medreich Limited and its co-defendants had illegally acquired and used confidential product dossiers belonging to the plaintiff. Jubilant argued that the unauthorized use of these dossiers amounted to copyright infringement, misappropriation of trade secrets, and breach of confidentiality agreements.

According to the plaintiff, the product dossiers in question pertained to three pharmaceutical formulations—Losartan, Amlodipine, and Citalopram—which had been developed by Jubilant Generics and licensed exclusively to Jamp Pharma Corporation, Canada, under a confidentiality and non-disclosure agreement (NDA) signed in 2010. The licensing agreement permitted Jamp Pharma to manufacture, distribute, and sell these drugs exclusively in Canada.

However, Jubilant alleged that Jamp Pharma unlawfully shared the product dossiers with Medreich Limited and three other Indian pharmaceutical companies, which then manufactured these drugs in India, in violation of the intellectual property rights of Jubilant Generics. The plaintiff contended that this constituted a breach of Section 51 of the Copyright Act, 1957.

After reviewing extensive arguments and documentation, the Commercial Court ruled in favor of Jubilant Generics, concluding that the plaintiff had established a prima facie case of copyright infringement. The court noted that Medreich Limited and the other defendants were not parties to the original licensing agreements and had no legal right to access or use Jubilant’s intellectual property. In its ruling, the court observed;

“Jamp Pharma was duty-bound to purchase the said products from the plaintiff for the Canadian market. However, the defendants, who were never privy to the original agreements, have unlawfully gained access to and used the product dossiers for manufacturing in India, which is a blatant infringement of the plaintiff’s copyright.”

Further emphasizing the importance of territorial restrictions, the court ruled;

“Jamp Pharma’s rights under the agreement were limited to Canada. The use of the plaintiff’s product dossiers by entities outside Canada for manufacturing, as admitted by defendant No. 4, is a clear breach of contract and intellectual property rights.”

Additionally, the court rejected the defendants’ claim that the agreements had expired and that Jamp Pharma had the right to share the product dossiers, stating;

“While the arbitration proceedings between Jubilant and Jamp Pharma are ongoing in Canada, the present suit concerns third-party defendants who were not part of the original agreements. Therefore, this matter is within the jurisdiction of this court.”

The court further noted that allowing the defendants to continue manufacturing the drugs in India would cause irreparable harm to Jubilant Generics, stating;

“The plaintiff’s right to protect their intellectual property shall prevail over the commercial interest of the defendants. The unauthorized use of the plaintiff’s product dossiers by the defendants has led to a loss of unique property, which cannot be compensated in monetary terms.”

Based on its findings, the Commercial Court issued a fresh temporary injunction, restraining the defendants from using, reproducing, or distributing the disputed product dossiers. It also barred them from manufacturing, distributing, or exporting the pharmaceutical products in question and sharing the confidential product dossiers with any third party. It held;

“In view of the above discussion, the answering defendants are hereby restrained from reproducing or using in any manner the copyrights protected product dossiers of the plaintiff in relation to the said products, and also for manufacturing, distributing and exporting the said products to any entity. The defendants are also restrained from sharing with any third party, or using directly or indirectly the plaintiff confidential information including the product dossiers in whole or in part for the said products.”

The court also ordered that the temporary injunction will remain in place until the final disposal of the case. The next hearing on related procedural matters is scheduled for April 9, 2025.

To view the original order, click on the link below:

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Music therapy shows promise in reducing depression for dementia patients

A new review has found evidence that music-based therapy may benefit people living with dementia, particularly by improving symptoms of depression. The work has been published in Cochrane Database of Systematic Reviews.

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Researchers find no evidence that substituting NHS doctors with physician associates is necessarily safe

Researchers say they can find no convincing evidence that physician associates add value in UK primary care or that anesthetic associates add value in anesthetics, and some evidence suggests that they do not.

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At-home brain speed tests bridge cognitive data gaps

Online tests of women’s reaction times offer insights into cognitive function and could help fill data gaps on early cognitive problems, potentially shedding light on dementia development later in life, finds a new study led by researchers at UCL and other universities.

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Customized smartphone app shows promise in preventing further cognitive decline among older adults

A growing body of research indicates that older adults in assisted living facilities can delay or even prevent cognitive decline through interventions that combine multiple activities, such as improving diet, solving puzzles and increasing social interactions.

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FDA approves TNKase for acute ischemic stroke

The U.S. Food and Drug Administration has approved TNKase (tenecteplase), a thrombolytic or clot-dissolving agent, for the treatment of acute ischemic stroke in adults.

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Dr Fazlul Qadir appointed as SKIMS Medical College Bemina Principal

Srinagar: Dr. Fazlul
Qadir Parray, a renowned senior surgeon, has been appointed as the new principal
of Sher-i-Kashmir Institute of Medical Sciences (SKIMS) Medical College and Hospital)
Bemina, Srinagar.    

An order was issued
by the Jammu and Kashmir Health & Medical Education Department in this
regard on March 5, 2025. Prior to this role, Dr. Parray served as a Professor in the Department of General Surgery at SKIMS Soura. 

“Sanction is hereby
accorded to the appointment of Dr. Fazlul Qadir Parray, Professor, Department
of General Surgery, SKIMS Soura, as Principal, SKIMS Medical College/Hospital,
Bemina, Srinagar in the Pay Level-14 (Rs. 144200-218200) on a tenure basis, for
a period of two (2) years on a full-time basis,” the order stated.

Dr. Fazlul Qadir Parray holds multiple prestigious qualifications, including an MS, FICS, and FMAS. He has also completed several fellowships, including the Fellow Colorectal Surgery Indian Section, Fellow International College of Surgeons, Fellow Minimal Access Surgery (SGRH Delhi), Fellow Advanced Laparoscopy (Galaxy Hospital Pune), and Fellow CRS Cleveland Clinic Florida, USA.

He is a member of several medical associations, including the Indian Medical Association,
Association of Surgeons of India, Association of Colorectal Surgeons of India,
International College of Surgeons, Society of Endoscopic and Laparoscopic
Surgeons of India, and Indian Hernia Society. He is also connected with a
number of ongoing research projects related to the impact of TME on sexual and
bladder function in Colorectal Cancer, Cyclin D1 Pleomorphism in Colorectal
Cancers, and Mechanical Bowel Preparation Versus No Preparation in Colorectal Surgery. With numerous publications in both national and international journals, his primary research focus areas are Colorectal Surgery and Minimal Invasive Surgery.

Sher-i-Kashmir Institute
of Medical Sciences, often abbreviated as SKIMS, is the largest medical
institute under State Legislature Act in Srinagar, in the Indian union
territory of Jammu and Kashmir.

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UP Doctors Demand Stipend Hike for MBBS Interns, FMGs

Lucknow: The doctors in Uttar Pradesh have urged the Deputy Chief Minister and Minister of Medical Education Brajesh Pathak to increase the stipend provided to the medical interns in the state.

Writing to the Deputy CM, the doctors under the CMJ Doctors Welfare Federation India pointed out that while the medical interns in the State get only Rs 12000 as a monthly stipend, similarly situated students in States like Madhya Pradesh, Rajasthan, and Delhi get an amount ranging between Rs 20,000 to Rs 30,000 per month.

In the letter, the doctors highlighted how the medical interns work tirelessly, provide crucial patient care, assist in surgeries, and manage emergency cases. 

They also pointed out that the interns face financial difficulties, especially considering the fact that the cost of medical education has increased significantly.

Commenting on the matter, the State President of CMJ Doctors Welfare Federation, Dr. Sudhanshu Pandey told Medical Dialogues, “We have written to the Deputy CM seeking an increase in the amount of stipend provided to the Indian and Foreign Medical Graduates who are undergoing internship in the State. The amount should be increased at least to Rs 25,000 to Rs 30,000 per month.”

“Currently, the stipend stands at 12000 per month, which is significantly lower than that of other states like Madhya Pradesh, Rajasthan, and Delhi, where medical interns receive 20,000,30,000 per month,” stated the letter.

“Medical interns work tirelessly in hospitals, providing crucial patient care, assisting in surgeries, managing emergency cases, and ensuring the smooth functioning of the healthcare system. Given the increasing workload, long working hours, and rising cost of living, the current stipend is insufficient to meet basic expenses such as accommodation, food, and transportation…Moreover, with the rising cost of medical education, many interns face financial difficulties, and a higher stipend would provide much-needed relief and motivation to continue serving the public with dedication,” it further mentioned.

Highlighting how the State of Uttar Pradesh is making remarkable progress in healthcare, the doctors added in the letter, “..increasing the internship stipend would further strengthen the morale of young doctors and improve healthcare services in the state.”

Accordingly, they requested to reconsider and revise the stipend for the medical interns in Uttar Pradesh to be at par with or better than other states. “This will not only benefit the interns but also encourage more young doctors to serve in government hospitals, ultimately improving healthcare delivery across the state,” the doctors added in the letter.

Also Read: NMC to introduce SOPs to address grievances on stipend, faculty, work hours

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Fact Check: Can walking on Karela (Bitter Gourd) Cure Diabetes?

An Instagram post claims walking on Karela (Bitter Gourd) Water cures Diabetes. The claim by the user is FALSE.

Claim

In an Instagram post, it is claimed that walking on Karela (Bitter Gourd) Water cures Diabetes. The user ai.doctor_sahab in the reel says, “Do you know that 74 million people are struggling with sugar today? But you can completely eliminate your sugar with this remedy. Take some bitter gourds and grind them to make juice, then pour it into a plate. Now, cut some bitter gourds and walk on this juice until you feel bitterness in your mouth. If you do this continuously for 25 to 30 days, your sugar will be completely cured. This is a miraculous remedy to eliminate sugar.”

The reel has 186,099 likes and can be accessed here

Fact Check

The claim by the user is FALSE. While bitter gourd is known to have some blood sugar-lowering properties when consumed, simply walking in its water has no proven medical benefits for diabetes management. Further, diabetes is a chronic disease and cannot be cured. 

What is Diabetes?

Diabetes is a long-term condition that arises when the pancreas produces insufficient insulin or when the body cannot use the insulin it produces efficiently. Insulin is a hormone that helps regulate blood sugar levels. Hyperglycemia, or elevated blood sugar, is a common outcome of poorly managed diabetes and, over time, can result in significant damage to various body systems, particularly the nerves and blood vessels.

Can Diabetes be Cured?

Currently, there is no cure for diabetes, but it is possible for most people to achieve diabetes reversal. This involves effectively managing blood sugar levels to the extent that medication is no longer needed and maintaining that state through a consistent routine of healthy eating and regular exercise.

What are the Nutritional Benefits of Karela (Bitter Gourd)?

Karela (Bitter Gourd) is a nutrient-dense vegetable with significant health benefits. It is rich in essential vitamins and minerals, including vitamin C, vitamin A, folate, potassium, calcium, magnesium, and iron. Karela is also a good source of dietary fiber, which aids digestion and promotes gut health. Its low-calorie and low-carbohydrate content make it beneficial for weight management and diabetes control. The presence of bioactive compounds like flavonoids, polyphenols, and antioxidants helps reduce oxidative stress and inflammation. Additionally, bitter melon contains charantin and polypeptide-p, which have hypoglycemic effects, supporting blood sugar regulation.

Can walking in Karela water Cure Diabetes?

Karela (Bitter gourd) is often promoted for its potential to lower blood sugar levels. Studies suggest that consuming bitter gourd juice or extracts may help in lowering glucose levels. However,  these studies are related to consumption of bitter gourd (eating or drinking in some form) and not related to topical application. The claim that merely walking in bitter gourd-infused water can treat or cure diabetes lacks any scientific evidence or medical consensus.

Emerging research highlights the potential role of bitter guard in managing blood sugar levels. A recent study published in the Journal of Ethnopharmacology suggests that consumption of bitter gourd may help lower elevated fasting plasma glucose in individuals with prediabetes.

Similarly, a study published in the International Journal of Ayurveda and Pharma Research highlights the presence of a hypoglycemic or insulin-like compound in karela, also referred to as ‘plant-insulin,’ which has demonstrated significant efficacy in reducing blood and urine sugar levels. 

However all the studies talk about consumption of bitter gourd or Karela and not its topical application. There is no mention in scientific literature or medical consensus that topical application such as walking on bitter gourd solution will cure diabetes 

In a conversation with Dr Aman Rathore, DNB, Critical Care Medicine, Max Super Speciality Hospital explained, “There’s no truth to the claim that walking in karela (bitter gourd) water can cure diabetes. This does not even make any sense. As a doctor, I understand the appeal of natural remedies, but diabetes management requires a proven approach—healthy eating, regular exercise, and, if needed, medications. While bitter gourd is known for its potential blood sugar-lowering properties when consumed, simply walking in its water has no proven physiological benefits for diabetes management. It’s always best to rely on science-backed treatments and consult a doctor for proper diabetes care.”

Dr Anil Kumar Sharma, MD (Medicine) Senior Consultant Physician, Ashlok Hospital, MASSH HOSPITAL further added, “First of all there is no cure for diabetes in medical therapy. Consumption of bitter guard and its juice might help in reducing blood sugar levels to some extent but walking on bitter gourd water or mashed bitter guard doesn’t help any way in treatment or management of bitter guard.”

Medical Dialogues Final Take

The claim that walking in Karela (bitter gourd) water can cure diabetes is false. While bitter gourd may have some benefits when consumed as part of a balanced diet, external application has no scientific basis. Managing diabetes effectively requires a holistic approach, including proper medical care, a healthy diet, regular exercise, and blood sugar monitoring.

Hence, the claim by the user is FALSE.

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Automated Insulin Delivery Improves Glycemic Control in Diverse Adults with Type 2 Diabetes, Study Finds

USA: A recent nonrandomized clinical trial has shown promising results for automated insulin delivery (AID) systems in managing type 2 diabetes (T2D). The study, published in JAMA Network Open, highlighted the effectiveness of AID in enhancing glycemic control in adults with type 2 diabetes.

“After 13 weeks, participants saw a notable reduction in HbA1c levels, dropping from 8.2% to 7.4%, while their time spent within the target glucose range rose from 45% to 66%. With minimal hypoglycemia, AID has shown potential as a promising solution for individuals with insulin-treated type 2 diabetes,” the researchers reported.

There is a growing need for additional treatment options for individuals with type 2 diabetes who are being treated with insulin. Given the limited data on using automated insulin delivery systems in this population, studies that assess their safety and efficacy are crucial. Therefore, Francisco J. Pasquel, Emory University School of Medicine, Atlanta, Georgia, and colleagues to evaluate the association between AID and hemoglobin A1c (HbA1c) levels in a diverse group of adults with type 2 diabetes.

For this purpose, the researchers conducted a single-arm prospective trial at 21 clinical centers in the United States, involving individuals aged 18 to 75 years with type 2 diabetes who had been using insulin for at least 3 months before screening. Participants who were already using an AID system were excluded. The study began with a 14-day standard therapy phase, followed by 13 weeks of treatment with the investigational Omnipod 5 AID System. The first participant was enrolled on April 11, 2023, and the last follow-up visit was on February 29, 2024.

The trial’s primary outcome was the change in HbA1c levels at 13 weeks, which was tested for noninferiority (with a 0.3% margin) and superiority compared to baseline.

The key findings of the study were as follows:

  • A total of 305 participants were enrolled in the trial, with a mean age of 57 years; 57% were female. Two-hundred eighty-nine participants (95%) completed the trial.
  • At baseline, 73% of participants were using multiple daily injections, 21% were on basal insulin without bolus, 6% were using an insulin pump, 62% were using continuous glucose monitoring, 55% were using glucagon-like peptide-1 receptor agonists (GLP-1RAs), and 44% were using sodium-glucose transport protein 2 inhibitors (SGLT-2is).
  • After 13 weeks of AID use, HbA1c levels decreased from a mean of 8.2% to 7.4% (mean difference, −0.8 percentage points).
  • The improvement in HbA1c was consistent across various subgroups, including age, sex, race, ethnicity, insurance status, and regardless of GLP-1RA or SGLT-2i use or pretrial mealtime insulin regimen.
  • Time spent in the target glucose range (70-180 mg/dL) increased from 45% to 66% (mean difference, 20 percentage points).
  • The percentage of time in hypoglycemic ranges (less than 54 mg/dL and less than 70 mg/dL) was noninferior compared to standard therapy.
  • There was one episode of severe hypoglycemia, with no cases of diabetic ketoacidosis or hyperosmolar hyperglycemic syndrome.

In a single-arm nonrandomized trial involving adults with type 2 diabetes, the use of automated insulin delivery over 13 weeks resulted in improved glycemic control without an increase in hypoglycemia. HbA1c levels showed significant improvement in participants using multiple daily injections and those on basal insulin only at baseline.

“These benefits were observed across diverse racial, ethnic, and socioeconomic backgrounds, as well as among individuals using non-insulin glucose-lowering medications, including GLP-1 receptor agonists and SGLT-2 inhibitors,” the researchers concluded.

Reference:

Pasquel FJ, Davis GM, Huffman DM, et al. Automated Insulin Delivery in Adults With Type 2 Diabetes: A Nonrandomized Clinical Trial. JAMA Netw Open. 2025;8(2):e2459348. doi:10.1001/jamanetworkopen.2024.59348

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