We hope all our readers had an excellent
holiday-of-your-choice. We did, and
we’re back just in time for our favorite (and nearly last) post of the year,
our choices for the best prescription medical product liability decisions of
2012. This time, we have to admit,
there’s no obvious winner, since the year passed without a United States
Supreme Court decision from our area of interest to top our tree. But that’s happened before and we certainly
haven’t let that stop us. All that means
is that, who knows, maybe an intermediate state appellate decision might make this
list. Keep reading and you’ll find out.
Without further ado, let’s start the celebrations. Here are our ten favorite judicial decisions
(and some honorable mentions) involving drugs, medical devices, and vaccines in
2012.
1.
Centocor, Inc. v. Hamilton, 372 S.W.3d 140 (Tex.
2012). We had to think a bit on this one
– as we do any time we list a case in which any of us were involved. But only a little. Texas was by far the largest remaining state
where its supreme court had not adopted the learned intermediary rule. Not anymore.
In Hamilton, the court did that in unanimous fashion. And there’s lots more. The court all but did away with any semblance
of a direct-to-consumer exception to the rule (the recognition of which landed
the intermediate decision that Hamilton reversed in #-4 of our worst of
2010). If a DTC exception lurks out there
after Hamilton, it would only be in a case of intentional and deliberate
falsehood (which just isn’t in all those bland TV ads), that must go
beyond mere “fraud” – which the court held doesn’t vitiate the rule. Hamilton also held that the learned
intermediary rule wasn’t an affirmative defense. Thus the plaintiff retains all relevant
burdens of proof. The learned
intermediary rule requires warnings only to prescribing physicians – not to any
other health care provider with which the plaintiff may happen to come into
contact. Nor does information designed
for patient consumption in any way trump the learned intermediary rule. Finally, Hamilton applied the rule and
held as a matter of law that prior prescriber knowledge broke any possible
causal link. So the result went from a
multi-million plaintiff’s verdict to judgment n.o.v. It’s hard to win a more total victory than
that. We exulted in Hamilton here
.
2.
Walker v. Medtronic, Inc., 670 F.3d 569 (4th
Cir. 2012). Walker is our
favorite preemption case of 2012. In Walker
the court interpreted the “parallel claim” exception to preemption in a PMA
medical device case in a quite limited fashion.
The plaintiff claimed that a statistic in the FDA-approved package
insert wasn’t met by this particular device and thus could be a violation supporting a parallel
claim. The Fourth Circuit said “not so
fast.” Unless the FDA had promulgated a
formal “performance standard” by notice and comment rulemaking, no standard
existed to be violated. Instead, the
plaintiff was asserting a tort requirement “different from or in addition to”
the FDA’s oversight of the device. Short
of a formal performance standard, mere deviations from expected performance
could not support parallel claims. Thus,
an arguable device malfunction, by itself, did not defeat preemption under Riegel. If only every circuit took the skeptical view
of parallel claims adopted in Walker, we’d be pretty happy. We praised Walker here
.
3.
Lofton v. McNeil Consumer & Specialty
Pharmaceuticals, 672 F.3d 372 (5th Cir. 2012). This is another really good appellate
preemption case. It slips in under Walker
mostly because Lofton is not as unique.
Preemption is a bit of a hash in the Fifth Circuit right now, but Lofton
is on the good side of that morass. In Lofton,
the court held that the fraud on the FDA exception to the Texas FDA compliance
immunity statute was preempted by Buckman. In so doing, the court explicitly rejected
the Desiano approach (which we revile), for all the right reasons – chiefly because Buckman is more than a
mere pleading case and to follow Desiano would ignore the practical
consequences that drove the result in Buckman. Sooner or later the Supreme Court is going to
have to clear this up, but until now, we’ll hail decisions such as Lofton,
as we did here
.
4.
Rodriguez v. Stryker Co., 680 F.3d 568 (6th Cir.
2012). Pain pump litigation is hot
all over the country right now, and the state of the art defense is at the
heart of almost all of these cases. In
the first published appellate ruling on the issue, Rodriguez affirmed
summary judgment, holding that the hodgepodge of old, largely tangential
articles the plaintiff had collected did not establish inquiry notice of the causal connection in question
(that certain anesthetics could damage joint cartilage) as a matter of
law. These articles were “isolated instances”
relating to other substances. An
inference that anesthetics would have the same consequences was
unreasonable. The snippets that the
plaintiffs offered were “too conjectural and too many steps removed from the
problem that developed.” Nor did the
FDA’s rejection of a §510k (substantial equivalence) application establish
anything about safety. All that meant is
that there was no predicate device to compare the pain pump to. Lohr established that §510k did not
evaluate safety – and plaintiffs have to live with that decision just like
defendants do. Nor is there a duty to
test a product in the absence of any knowable risk. A defendant is not an insurer. Nor does off-label promotion create any kind
of claim, in the absence of any knowable risk.
Finally, the prescriber’s testimony failed to show that any warning
would have made changed the outcome, so Rodriguez is a win on warning
causation as well. We haven’t conducted
complete research, but we think that Rodriguez is probably the best Pain
pump decision to date. We urged other
courts to emulate Rodriguez here
.
5.
In re Pelvic Mesh/Gynecare Litigation, 43 A.3d
1211 (N.J. Super. App. Div. 2012). We’ve
been kvetching for years
about the ongoing erosion of defense rights to contact treating physicians
(supposedly guaranteed by the Stempler decision) in New Jersey mass tort
litigation. In Pelvic Mesh, an
appellate court finally did something about this. The Pelvic Mesh mass tort procedures
were very restrictive of defense access to treating physicians, so that defendants had a
hard time simply finding experts. A high percentage (over 1,000 in
number) of the relevant medical specialists had treated one or another of the
plaintiffs and thus were forbidden to serve as defense expert witnesses. On mandamus (a tough
standard) the court reaffirmed a simple principle – that plaintiffs waive any
physician/patient privilege as to relevant injuries when they bring lawsuits. Physicians have no duty of loyalty requiring
them to support their patients in litigation. We looked forward to the ultimate
demise of New Jersey limitations on the equal availability of critical
physician evidence to both sides here.
6.
In re Schering Plough Corp. Intron/Temodar Consumer
Class Action, 678 F.3d 235 (3d Cir. 2012).
We don’t like third-party payer class actions, whether formal class actions or brought
under some other purported method of aggregation. Unless somebody was actually harmed by a drug
or device, these suits are artificial contrivances by which TPPs attempt to get
out of what they have contracted to do – that is, to pay for prescribed
treatments that help patients. Intron
hits all the right notes – particularly that TPP plaintiffs can’t use RICO as
cover for improper attempts to enforce the FDCA with respect to off-label
promotion. In the absence of proof that
real people were exposed to products that were unsafe or ineffective (instead
of just improperly promoted), there is simply no injury, and thus no standing,
for any sort of claim by a TPP or other beneficiary for purely economic loss. We praised the demise (on the pleadings) of
this bogus class action, and hopefully others like it, here.
7.
United States v. Caronia, ___ F.3d ___, 2012 WL
5992141 (2d Cir. Dec. 3, 2012). It would
rank higher, maybe even #1, if the same ruling had occurred in a product
liability action. Still, Caronia’s
holding, even in the purely criminal context, that the First Amendment protects
truthful promotion of off-label uses, is significant enough to make our top
ten. Courts and the common law are part
of the government, and thus equally subject to First Amendment limits, as we
discussed here
. Thus, neither tort plaintiffs, nor
TPPs, nor FCA relators, nor state AGs, nor the federal government in its own FCA
actions, can base liability (assuming Caronia remains good law) on
truthful statements about the benefits and risks of off-label uses. We’ve been waiting for a ruling like Caronia
for a long time, ever since we began piecing together a First Amendment defense
in Bone Screw cases in the mid-1990s.
Maybe the millennium has finally arrived. We discussed Caronia here
and here (the latter making us first on the web with the decision).
8.
Pom Wonderful LLC, v. Coca-Cola Co., 679 F.3d
1170 (9th Cir. 2012). This is another case
that suffers a bit from being somewhat out of our target area. Pom Wonderful is a Lanham Act case
brought by a very litigious (search the name sometime) purveyor of pomegranate
juice against the defendant’s FDA-approved food labeling. For our purposes, Pom Wonderful is
important because it applies one of our favorite principles, that the is no
private right of action (direct or indirect) to enforce the FDCA, in order to
establish the principle of FDA primary jurisdiction as an alternative to
preemption. California notoriously
leads the country in bogus “consumer protection” litigation over the labeling
of many FDA-approved products, so to get an appellate decision telling
plaintiffs to lay off labeling that's within the FDA’s regulatory sphere is a major
win for the good guys. We savored Pom
Wonderful here
.
9.
Holmes v. Merck & Co., 697 F.3d 1080 (9th
Cir. 2012). Yes, the Supreme Court
really meant what it said in Bruesewitz (we’ve finally memorized how to
spell it). That’s essentially the
holding in Holmes, and with Holmes probably falls the last
serious post-Vaccine Act product liability litigation involving these
statutorily-protected products – which is precisely what Congress
intended. Even if the vaccine litigation
does not involve a covered claim (the plaintiff was a parent, rather than the
actually injured child, a common ruse to try avoiding the Act), the plaintiff
couldn’t escape the Act’s limits on liability.
Preemption under the Vaccine Act applies to all suits against vaccine
manufacturers. Thus, summary judgment
affirmed. It’s a home run for vaccine
manufacturers, but since there’s much less litigation nowadays over vaccines than
over drugs and devices, we had to move Holmes down a few notches. We lauded Holmes here
.
10.
Casey v. Merck & Co., 722 S.E.2d 842 (Va.
2012). We hate cross-jurisdictional
class action tolling. In Casey
the Virginia Supreme Court unanimously decided that it did too. The court held that a meritless and never
certified federal class action involving Fosamax did not have any effect on
that state’s statute of limitations. All
in all it was a good year on the cross-jurisdictional class action tolling front,
with other big wins in Louisiana (non-drug/device) and Massachusetts (A-Z). We cheered Casey on here
.
So that’s our top ten, but as we have in the past,
we just couldn’t limit ourselves to ten.
2012 was good to defendants, and Santa Judge left us a lot more presents
under the tree. So here are our Honorable Mentions: (11) Sandoz, Inc. v. State, 100 So.3d
514 (Ala. 2012) – Would rank higher, except it’s largely a reprise of an
excellent 2009 (2009 #1) decision. Reverses
a $70+ million verdict in an AG suit over purported fraud on state health care
reimbursement programs. We reviewed it
here. (12) In re Abbott Laboratories,
Inc., 698 F.3d 568 (7th Cir. 2012) – Nice CAFA decision that plaintiffs
can’t consolidate separate cases for trial without triggering the statute’s mass
action provisions. We discussed it here
. (13) Zimmerman v. Novartis
Pharmaceuticals Corp., ___ F. Supp.2d ___, 2012 WL 3848545 (D. Md. Sept. 5,
2012) – We saw a lot of Aredia/Zometa decisions in 2012; but
liked this one the best. It’s good on
fraud on the FDA/Buckman, and even better on FDA prosecutorial
discretion, so it’s our highest-ranked district court case. See our posts here and here
. (14) Weston v. Kim’s Dollar Store,
731 S.E.2d 864 (S.C. 2012) − Nice PMA preemption result, and from a state high
court, but the reasoning was thin and hard to follow; we’ll take it, but not on
the big list. We discussed it here. (15) Metz v. Wyeth, Inc., 872 F. Supp.2d
1335 (M.D. Fla. 2012) – It was close, but we think it’s the best of a raft of generic
preemption trial-level cases. That it
was early, and thus more of a trailblazer, helped us choose. See our post here. (16) In re Darvocet, Darvon &
Propoxyphene Products Liability Litigation, 2012 WL 3610237 (E.D. Ky. Sept.
5, 2012) – MDLs do ensure that issues get thoroughly briefed. In Darvocet it produced an excellent
decision on generic preemption, rejecting Conte, and affirming Erie
conservatism. We discussed it here
. (17) In re Chantix (Varenicline)
Products Liability Litigation, ___ F. Supp.2d ___, 2012 WL 3030097 (N.D.
Ala. July 23, 2012) – Yes, MDLs are indeed thoroughly briefed, and here the
defendant’s black box warning was held adequate as a matter of law. Because it’s to be published, Chantix beats out a
similar Accutane ruling from about the same time. We discussed it here
. (18) Ali v. Allergan USA, Inc., 2012 WL 3692396
(E.D. Va. Aug. 23, 2012) – Maybe the best pure TwIqbal decision of the
year, occurring in the context of PMA preemption. Demolishes Hofts. We covered it here. (19) Marsh v. Genentech, Inc., 693
F.3d 546 (6th Cir. 2012) – Given a chance to back down, the Sixth Circuit
didn’t, and reaffirms that its broad application of Buckman in Garcia. We cheered here
. (20) United States ex rel. Ge v.
Takeda Pharmaceutical Co. Ltd., 2012 WL 5398564 (D. Mass. Nov. 1, 2012) –
We don’t like fraud on the FDA claims. Ge
killed such a claim in the False Claims Act context where preemption doesn’t
apply. Not even in D. Mass. We discussed it here
.
Looking back, all of our top ten from 2011 remain
intact. We did lose one of our honorable
mentions, however, when the Degelman case (2011 #14) was settled while
on en banc review, and thus
vacated. The Dobbs SSRI
preemption decision (2011 #8) is currently before the Tenth Circuit. On the other side of the ledger, as we
pointed out in our discussion of Hamilton, the Murthy case (2011 #-8) is no longer a proper prediction of Texas law. Appeals are pending in both Daniel
(2011 #-7), and in the E.D. Pa. “nerve center” (2011 #-10) cases, so maybe
we’ll have good news to report on those fronts in 2013. The Lance case (2010 #-6) remains
pending in the Pennsylvania Supreme Court, some two years after oral argument. Another holdover, the Kiobel Alien Torts Statute case we mentioned last year, was pushed back to the pending term by the Supreme Court, which broadened the questions to be considered.
Looking ahead, we have Bartlett (our worst case of 2012) now pending in the Supreme Court.
We are cautiously optimistic that the Court, having decided Mensing,
will not reverse course in Bartlett, and we hope the result will rank
highly on our top ten of 2013. The awful
Caldwell case (2012 #-2) from Louisiana is also being appealed, but as
so far the writ hasn’t been acted upon by the Louisiana Supreme Court.
That’s another excellent candidate for reversal. In Weeks, the Alabama Supreme Court
will become the first state high court to rule on Conte branded
liability where only generic drugs were consumed. In Stengel, the Ninth Circuit en banc
will address what can and can’t constitute a “parallel claim” under Riegel
and Buckman. Finally, we’re aware
of an interesting Vioxx class action/All Writs Act case, Plubell,
currently on appeal in the Fifth Circuit.
Of course, numerous other preemption-related decisions involving generic
drugs and medical devices under Mensing and Riegel are in the
appellate process in federal and state appellate courts.
So now it’s on to 2013. Happy New Year to all our readers.