Respondents Brief — Wendy B. Dolin, Petitioner v. GlaxoSmithKline, LLC, fka SmithKline Beecham Corporation
Supreme Court briefMar 25, 2019
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No. 18-803
IN T HE
Supreme Court of the United States
WENDY B. DOLIN,
Petitioner,
v.
GLAXOSMITHKLINE LLC,
Respondent.
On Petition for a Writ of Certiorari
to the United States Court of Appeals
for the Seventh Circuit
BRIEF IN OPPOSITION
ELISABETH S. THEODORE
STEPHEN K. WIRTH
ARNOLD & PORTER
KAYE SCHOLER LLP
601 Mass. Ave., NW
Washington, D.C. 20001
(202) 942-5000
ALAN S. GILBERT
DENTONS US LLP
232 S. Wacker Drive,
Suite 5900
Chicago, IL 60606
(312) 876-8000
LISA S. BLATT
Counsel of Record
J. MATTHEW RICE
WILLIAMS & CONNOLLY LLP
725 Twelfth Street, NW
Washington, D.C. 20005
(202) 434-5000
lblatt@wc.com
ANDREW T. BAYMAN
TODD P. DAVIS
HEATHER M. HOWARD
KING & SPALDING LLP
1180 Peachtree St., NE
Atlanta, GA 30309
(404) 572-4600
QUESTION PRESENTED
Under Wyeth v. Levine, 555 U.S. 555 (2009), federal law preempts a state failure-to-warn claim
where there is clear evidence that the Food & Drug
Administration (FDA) would have rejected the warning that the plaintiff claims state law requires. Under Wyeth and PLIVA, Inc. v. Mensing, 564 U.S. 604
(2011), a state failure-to-warn claim is also preempted if a defendant could not “unilaterally” add the
warning that plaintiff claims state law requires.
The question presented is:
Whether the Seventh Circuit correctly applied
these precedents to the facts of this case, when it
held that no reasonable jury could find that federal
law permitted petitioner’s proposed warning because
(1) FDA repeatedly rejected petitioner’s proposed
warning, and (2) the drug’s manufacturer lacked
newly acquired information that would have permitted it to change the label unilaterally without prior
FDA permission.
i
RULE 29.6 STATEMENT
GlaxoSmithKline LLC is an indirect whollyowned subsidiary of GlaxoSmithKline plc, a publicly
traded company organized under the laws of England.
ii
TABLE OF CONTENTS
Page
Question Presented ..................................................... i
Rule 29.6 Statement ................................................... ii
Table of Authorities ....................................................iv
Opinions Below............................................................1
Jurisdiction ..................................................................1
Statement ....................................................................1
A. Regulatory Background ..................................1
B. Procedural Background...................................4
Reasons for Denying the Petition ...............................7
I. The Seventh Circuit Correctly Applied Wyeth
and Mensing to Undisputed Facts. ......................8
II. The Decision Below Does Not Implicate a
Circuit Split. .......................................................13
III. The Court Need Not Hold this Petition
Pending Merck v. Albrecht. .................................14
IV. Petitioner’s Claim Fails for Several Other
Independent Reasons. ........................................18
Conclusion .................................................................22
iii
TABLE OF AUTHORITIES
Page(s)
Cases
A.W. Huss Co. v. Cont’l Cas. Co.,
735 F.2d 246 (7th Cir. 1984) ................................. 18
Allen v. Wright,
468 U.S. 737 (1984) ............................................... 11
Bell v. Pfizer, Inc.,
716 F.3d 1087 (8th Cir. 2013) ............................... 17
Buckman Co. v. Plaintiffs’ Legal Comm.,
531 U.S. 341 (2001) ............................................... 18
In re Darvocet, Darvon, & Propoxyphene Prods.
Liab. Litig.,
756 F.3d 917 (6th Cir. 2014) ............................17, 18
Dayton v. Peck, Stow & Wilcox Co.,
739 F.2d 690 (1st Cir. 1984).................................. 18
Demahy v. Schwarz Pharma, Inc.,
702 F.3d 177 (5th Cir. 2012) ................................. 17
Ehlis v. Shire Richwood, Inc.,
367 F.3d 1013 (8th Cir. 2004) ............................... 19
Forst v. SmithKline Beecham Corp.,
639 F. Supp. 2d 948 (E.D. Wis. 2009) ..............12, 13
In re Fosamax Prods. Liab. Litig.,
852 F.3d 268 (3d Cir. 2017)..............................14, 15
Foster v. Am. Home Prods. Corp.,
29 F.3d 165 (4th Cir. 1994) ................................... 17
Glastetter v. Novartis Pharm. Corp.,
252 F.3d 986 (8th Cir. 2001) (per curiam)............ 19
Guarino v. Wyeth, LLC,
719 F.3d 1245 (11th Cir. 2013) ............................. 17
Kirk v. Michael Reese Hosp. & Med. Ctr.,
513 N.E.2d 387 (Ill. 1987)..................................... 19
iv
v
Cases—Continued
Page(s)
Lashley v. Pfizer, Inc.,
750 F.3d 470 (5th Cir. 2014) (per curiam)............ 17
Mason v. SmithKline Beecham Corp.,
596 F.3d 387 (7th Cir. 2010) ................................. 12
Mensing v. Wyeth, Inc.,
588 F.3d 603 (8th Cir. 2009) ................................. 17
Moretti v. Wyeth, Inc.,
579 F. App’x 563 (9th Cir. 2014) ........................... 17
Mut. Pharm. Co. v. Bartlett,
570 U.S. 472 (2013) ................................................. 4
PLIVA, Inc. v. Mensing,
564 U.S. 604 (2011) ........................................ passim
Proctor v. Davis,
682 N.E.2d 1203 (Ill. App. Ct. 1997) .................... 19
Rhynes v. Branick Mfg. Corp.,
629 F.2d 409 (5th Cir. 1980) ................................. 18
Rafferty v. Merck & Co.,
92 N.E.3d 1205 (Mass. 2018)................................ 17
Ross v. Moffitt,
417 U.S. 600 (1974) ................................................. 7
Schrock v. Wyeth, Inc.,
727 F.3d 1273 (10th Cir. 2013) ............................. 17
Smith v. Eli Lilly & Co.,
560 N.E.2d 324 (Ill. 1990)..................................... 18
Smith v. Wyeth, Inc.,
657 F.3d 420 (6th Cir. 2011) ................................. 17
Todd v. Societe BIC, S.A.,
21 F.3d 1402 (7th Cir. 1994) (en banc) ................. 18
Tucker v. SmithKline Beecham Corp.,
596 F. Supp. 2d 1225 (S.D. Ind. 2008) .................. 12
United States v. Williams,
504 U.S. 36 (1992) ............................................10, 11
vi
Cases—Continued
Page(s)
Wisniewski v. United States,
353 U.S. 901 (1957) (per curiam) ......................... 12
Wyeth v. Levine,
555 U.S. 555 (2009) ........................................ passim
Xerox Corp. v. County of Harris,
459 U.S. 145 (1982) ............................................... 18
Statutes
28 U.S.C. § 1254(1) ...................................................... 1
Food, Drug, and Cosmetic Act,
21 U.S.C. §§ 301-399 ................................................ 1
Regulations
21 C.F.R.
§ 314.3 ..................................................................... 1
§ 314.70 ................................................................. 11
§ 314.70(c)(6)(iii)(A) ................................................ 1
§ 314.70(c)(7) ........................................................... 1
New Drug and Antibiotic Regulations,
47 Fed. Reg. 46,622 (Oct. 19, 1982) ...................... 11
Supplemental Applications Proposing Labeling
Changes for Approved Drugs, Biologics, and
Medical Devices,
73 Fed. Reg. 2848 (Jan. 16, 2008) .......................... 11
Other Authorities
Stern & Gressman, Supreme Court Practice
(10th ed. 2013) ....................................................... 16
OPINIONS BELOW
The opinion of the court of appeals (Pet. App. 129) is reported at 901 F.3d 803. The opinion and order of the district court denying judgment as a matter of law (Pet. App. 30-61) is reported at 269 F. Supp.
3d 851. The opinion and order of the district court
denying summary judgment (Pet. App. 62-66) is unreported.
JURISDICTION
The judgment of the court of appeals was entered
on August 22, 2018. A petition for rehearing was denied on September 20, 2018 (Pet. App. 67-68). The
petition for a writ of certiorari was filed on December
19, 2018. The jurisdiction of this Court is invoked
under 28 U.S.C. § 1254(1).
STATEMENT
A. Regulatory Background
1. Under the Food, Drug, and Cosmetic Act, 21
U.S.C. §§ 301-399, brand manufacturers may not
change their drugs’ labeling without FDA’s prior approval except in very limited circumstances. Wyeth v.
Levine, 555 U.S. 555, 568 (2009); PLIVA, Inc. v. Mensing, 564 U.S. 604, 612-17 (2011). Under FDA’s
“Changes Being Effected” (CBE) regulation, brand
manufacturers may change their labeling unilaterally “[t]o add or strengthen a … warning,” but only to
reflect “newly acquired information” that was “not
previously submitted to [FDA].” 21 C.F.R. §§ 314.3,
314.70(c)(6)(iii)(A); see also Wyeth, 555 U.S. at 568-69.
FDA retains authority to later reject such a change.
21 C.F.R. § 314.70(c)(7). Generic manufacturers, for
their part, must match their labeling to the corre1
2
sponding brand-name labels. Mensing, 564 U.S. at
612-13.
2. Paxil is a brand-name prescription medication
approved by FDA to treat major depressive disorder
and other psychiatric disorders. Pet. App. 3, 37. Paxil’s active ingredient is paroxetine hydrochloride
(paroxetine), a selective serotonin reuptake inhibitor
(SSRI). Id. at 8. Paroxetine and other SSRIs have
improved the lives of hundreds of millions of people
suffering from anxiety and depression. GSK C.A. Br.
2 (Dkt. 24).
GlaxoSmithKline LLC (GSK) manufactured and
marketed Paxil in the United States from 1992 to
2014, when GSK sold Paxil’s New Drug Application
to another company. Pet. App. 7, 9, 15. GSK no
longer manufactures, markets, or profits from any
sale of Paxil in the United States. Generic paroxetine entered the U.S. market in 2003, and by 2010,
Paxil retained only 1% of the market. GSK C.A. Br.
6.
For nearly three decades, FDA has rejected any
association between any SSRIs, including Paxil, and
suicidality past age 24. In 1991, an independent
FDA advisory committee found “no credible evidence”
that the only SSRI then available increased suicidality for any age group. Pet. App. 9. One year later,
FDA approved Paxil’s original label without any paroxetine-specific suicide warning, instead requiring
that the label warn that the possibility of suicide attempts are inherent in depression. Id.
Throughout the 1990s and early 2000s, GSK
submitted safety data on Paxil to FDA. Pet. App. 9.
In 2004, FDA concluded that SSRIs pose an increased suicidality risk for pediatric patients and
mandated that SSRI manufacturers, including GSK,
3
add a warning to that effect on the drug labeling. Id.
at 10. GSK included the mandatory warning and
continued to study the effects of paroxetine on patients of all ages while FDA conducted its own studies on all SSRIs, including Paxil. Id. at 9-11. In
2006, based on GSK’s re-analysis of Paxil adultsuicidality data using a new FDA classification
methodology, GSK unilaterally changed Paxil’s labeling under FDA’s CBE regulation to add a warning
about adult suicidality. Id. at 11-12. Although GSK
did not believe this re-analysis established a “causal
relationship” between paroxetine and suicidality in
adults, D. Ct. Dkt. 589-21, at 4 (Sept. 25, 2017), GSK
added the adult-suicidality warning out of an abundance of caution.
In November 2006, FDA completed an extensive
meta-analysis of 372 placebo-controlled SSRI clinical
trials involving nearly 100,000 adult patients. Pet.
App. 12-13. FDA found “an elevated risk for suicidality and suicidal behavior among adults younger than
25,” but concluded that the “net effect appears to be
neutral on suicidal behavior but possibly protective
for suicidality for adults between the ages of 25 and
64 and to reduce the risk of both suicidality and suicidal behavior in subjects aged 65 years and older.”
Id. at 13.
Based on its meta-analysis, FDA on May 1, 2007,
directed GSK and other SSRI manufacturers to revise their labeling. FDA directed GSK to revise Paxil’s labeling “to ensure standardized labeling pertaining to adult suicidality with all of the drugs to treat
major depressive disorder.” Pet. App. 13. FDA ordered all SSRI labeling to warn of a suicidality risk
in persons 24 or under (as GSK had done since 2006).
Id. FDA also ordered all SSRI labeling, including
Paxil’s, to state the following:
4
Short-term studies did not show an increase
in the risk of suicidality with antidepressants
compared to placebo in adults beyond age 24;
there was a reduction with antidepressants
compared to placebo in adults aged 65 and
older.
D. Ct. Dkt. 589-23, at 2-3 (Sept. 25, 2017); see Pet.
App. 13-14. FDA required all SSRI labeling to include this language “verbatim.” Id. at 14. Paxil’s
warning today contains this identical language. Id.
at 15-16. In other words, since May 1, 2007, FDA has
required manufacturers to disclaim any adultsuicidality risk past age 24 from SSRIs and, a fortiori, has barred manufacturers from unilaterally
changing their labeling to warn of such risk unless
manufacturers comply with the agency’s CBE regulation.
3. Following FDA’s decision to require standardized labeling for all SSRIs, GSK asked FDA four
times for approval to retain a Paxil-specific adultsuicidality warning in addition to the standardized
warning for all SSRIs. Pet. App. 14-15. FDA rejected
each and every request. Id.
B. Procedural Background
1. In 2010, petitioner’s husband, Stewart Dolin,
committed suicide at age 57. At the time, Mr. Dolin
was being treated with generic paroxetine made by a
generic drug manufacturer, Mylan, Inc. Petitioner
filed the instant suit against Mylan and GSK, alleging that paroxetine increases the risk of suicide in
adults, that it caused Mr. Dolin’s suicide, and that
both companies negligently failed to warn of that
risk. Pet. App. 16 & n.1. The district court granted
Mylan’s motion to dismiss under Mensing and Mutual Pharmaceutical Co. v. Bartlett, 570 U.S. 472 (2013).
5
Pet. App. 16 & n.1. And although GSK did not make
the drug Mr. Dolin ingested, petitioner claimed that,
because GSK developed Paxil’s labeling and federal
law requires generic paroxetine’s labeling to match
Paxil’s, GSK was responsible for all injuries caused
by a failure to warn regardless of the drug manufacturer. Id. at 16. Following a trial, the jury returned
a $3 million verdict for petitioner. Id. at 2. The district court denied GSK’s motions for judgment as a
matter of law. Id. at 30-61.
2. The court of appeals unanimously reversed in
an opinion authored by Judge Hamilton and joined
by Chief Judge Wood and Judge Sykes. Pet. App. 129. GSK had raised three grounds for reversal: that
brand manufacturers could not be held liable to consumers of generic manufacturers’ drugs; that federal
law preempted the failure-to-warn claim; and that
petitioner presented insufficient evidence to support
the jury’s conclusion that any failure-to warn caused
Mr. Dolin’s suicide. Id. at 4. Because the court of
appeals reversed the jury’s verdict on preemption,
the court did not address GSK’s other contentions.
Id. at 29.
As to preemption, the court acknowledged that
this Court is poised to resolve a disagreement among
the circuits about whether preemption under Wyeth
v. Levine is a factual question for the jury or a legal
question for the court. Pet. App. 20-21 (citing Merck
Sharp & Dohme Corp. v. Albrecht, No. 17-290; In re
Fosamax Prods. Liab. Litig., 852 F.3d 268, 282 (3d
Cir. 2017)). But the court of appeals held that it
“need not determine in this case whether preemption
under Levine involves a factual question for the jury”
because “no reasonable jury could find that the FDA
would have approved an adult-suicidality warning
for Paxil under the CBE regulation.” Id. at 22.
6
Turning to the merits, the court explained that
under Wyeth and Mensing, “Dolin’s state-law claim
against GSK is preempted if GSK could not have
added [petitioner’s proposed] warning” and that “[t]o
add a warning through the CBE regulation, GSK
needed newly acquired information about paroxetine
that would allow it to add a warning about suicide
risk in adults.” Pet. App. 19. The court further recognized that “even if GSK had newly acquired information along these lines, GSK can still succeed on its
preemption defense if there is clear evidence that the
FDA would have rejected the adult-suicidality warning that plaintiff argues was tortiously omitted.” Id.
at 19-20. The court then found for GSK on both of
these issues. The court held that, “as a matter of law,
(1) there is clear evidence that the FDA would have
rejected [petitioner’s proposed] warning in 2007, and
(2) GSK lacked new information after 2007 that
would have allowed it to add an adult-suicidality
warning under the CBE regulation.” Id. at 20.
With respect to the first holding, the court explained that “undisputed evidence” demonstrated
that FDA rejected petitioner’s proposed adultsuicidality warning in 2007. Pet. App. 22. The court
emphasized that FDA “ordered GSK to remove a
paroxetine-specific warning of increased suicide risk
in adults from the paroxetine label,” id., and that
FDA denied GSK’s “four requests [to FDA] to reconsider,” id. at 24. The court explained that “no reasonable jury could find otherwise.” Id. at 23.
The court rejected, as “an unreasonable interpretation of the discussions between the FDA and GSK,”
petitioner’s assertion that FDA objected to the
placement of the suicidality warning within the labeling, but not to its content. Pet. App. 24. The court also rejected out of hand petitioner’s argument that
7
GSK should have requested a formal meeting with
FDA to “persuade[]” the agency to change its mind
“after already asking four times to include that
warning and being told no four times.” Id. at 25-26.
The court of appeals further held that “GSK
lacked new information after 2007 that would have
allowed it to add an adult-suicidality warning under
the CBE regulation.” Pet. App. 20. The court explained that petitioner “failed to offer evidence” that,
between FDA’s rejection of the paroxetine-specific
warning in 2007 and Mr. Dolin’s suicide in 2010, GSK
acquired any new information about Paxil that would
have permitted it to unilaterally change the label
under FDA regulations. Id. at 27.
The court of appeals subsequently denied a petition for rehearing without dissent. Pet. App. 67-68.
REASONS FOR DENYING THE PETITION
The decision below is correct and does not conflict
with the decision of any other court of appeals. The
court of appeals correctly articulated and applied
Wyeth v. Levine and PLIVA v. Mensing in holding
that federal law preempts petitioner’s failure-to-warn
claim because “(1) there is clear evidence that the
FDA would have rejected the warning in 2007, and
(2) GSK lacked new information after 2007 that
would have allowed it to add an adult-suicidality
warning.” Pet. App. 20.
Nor does the Court need to hold this case pending its resolution of Merck Sharp & Dohme Corp. v.
Albrecht, No. 17-290 (argued Jan. 7, 2019). The resolution of that case will not alter the disposition of
this case, both because there are independent bases
for preemption and because the basis for FDA’s rejec-
8
tion of petitioner’s proposed warning is not subject to
reasonable debate.
I.
The Seventh Circuit Correctly Applied Wyeth
and Mensing to Undisputed Facts.
Petitioner seeks this Court’s review largely based
on her view that the court of appeals incorrectly applied settled preemption law to the facts of this case.
But this Court does not sit as a court of error correction. Ross v. Moffitt, 417 U.S. 600, 616-17 (1974). To
the contrary, the Court generally does not grant certiorari where a petition alleges a “misapplication of a
properly stated rule of law” to the facts of a particular case. S. Ct. R. 10. In any event, the unanimous
decision of the court of appeals was manifestly correct.
1. Federal law preempts a state failure-to-warn
claim unless the defendant could “unilaterally
strengthen its [FDA-approved] warning” without preapproval from FDA under the agency’s Changes Being Effected (CBE) regulations. Wyeth, 555 U.S. at
573; see also Mensing, 564 U.S. at 620. The critical
question is “whether the private party could independently do under federal law what state law requires of it.” Mensing, 564 U.S. at 620 (emphasis
added). And even if the defendant could unilaterally
strengthen its warning, federal law still preempts
state failure-to-warn claims where there is “clear evidence” that FDA “would … have” rejected the warning that the plaintiff claims state law requires. Wyeth, 555 U.S. at 571. In either situation, state law is
preempted because “it is impossible for a private party to comply with both state and federal requirements.” Mensing, 564 U.S. at 618 (internal quotation
marks omitted). The court of appeals correctly articulated this standard. Pet. App. 17-19.
9
Here, petitioner’s state-law failure-to-warn claim
was preempted for two independent reasons. First,
“[t]o add a warning through the CBE regulation,
GSK needed newly acquired information about paroxetine that would allow it to add a warning about
suicide risk in adults” and, second, “even if GSK had
newly acquired information along these lines, GSK
can still succeed on its preemption defense if there is
clear evidence that the FDA would have rejected the
adult-suicidality warning that plaintiff argues was
tortiously omitted.” Pet. App. 19-20.
Applying the governing law to the “undisputed
evidence” presented in this case, the court correctly
concluded both that “(1) there is clear evidence that
the FDA would have rejected the warning in 2007,
and (2) GSK lacked new information after 2007 that
would have allowed it to add an adult-suicidality
warning under the CBE regulation.” Pet. App. 20.
With respect to the “clear evidence” holding, the
court noted that “[a]ll four of th[e] evidentiary gaps
in Levine were filled here.” Pet. App. 23. GSK’s “four
requests” to allow an enhanced warning and four rejections from FDA were “clearly documented” and
“not subject to reasonable dispute.” Pet. App. 24.
Moreover, from 2007, when FDA required all SSRI
manufacturers, including GSK, to revise their labels
to make clear that SSRIs do not present a suicide
risk past age 24, through 2010, when Mr. Dolin
committed suicide, federal law required Paxil’s label
to carry the FDA-mandated warning. Pet. App. 1314, 27. Here, “[petitioner] failed to offer evidence
that GSK acquired new information” after 2007 that
would have permitted GSK to change Paxil’s label
under FDA’s CBE regulations. Pet. App. 27. Thus,
GSK more than amply showed it was impossible to
10
revise its label to include the warning that petitioner
contended state law required.
2. Petitioner’s fact-bound assertions to the contrary lack merit.
First, Petitioner asserts that the court of appeals
failed to comply with Rule 50 of the Federal Rules of
Civil Procedure by “view[ing] the evidence and
draw[ing] all inferences in a manner most favorable
to GSK.” Pet. 28-30; see also Pet. 26, 29-30 (pointing
out that the opinion did not expressly discuss the
Rule 50 standard). But regardless of whether the
panel expressly recited Rule 50’s well-established
standard, the court unquestionably applied the governing legal standard. The court relied on “undisputed” documentary evidence, meaning that no inferences of any sort were drawn because the court had
no reason to do so. Pet. App. 22, 27. And its holding—that “no reasonable jury could find that the
FDA would have approved an adult-suicidality warning for Paxil”—demonstrates that the court was well
aware of and applied Rule 50’s “reasonable jury”
standard. Pet. App. 22.
Petitioner similarly complains about the court’s
analysis of the evidence. Specifically, petitioner contends that the court disregarded evidence that FDA
had not rejected the petitioner’s proposed warning
outright but rather rejected GSK’s label because
GSK proposed warning of adult suicidality in the
wrong place on the label. Pet. 30-32, 36-37. That is
incorrect. The court of appeals expressly acknowledged petitioner’s contention, and found her interpretation of FDA’s action “unreasonable.” Pet. App.
24. The court recited the undisputed evidence showing that GSK “ask[ed] four times to include [a] warning” and was “told no four times” by FDA. Id. at 25-
11
26. The Seventh Circuit put it bluntly: “Plaintiff
asks us to believe that the FDA—after deciding
against an adult-suicidality warning based on its
own analysis—rejected GSK’s warning only because
GSK proposed putting it in the wrong place. That is
unreasonable.” Id. at 25.
Petitioner also for the first time in this case argues that allowing GSK to show that it lacked “newly
acquired information” to change the Paxil labeling
unilaterally constitutes a retroactive application of
FDA’s 2008 CBE regulations. Pet. 33-34 (citing 21
C.F.R. § 314.70). But the Court does not grant certiorari to address questions that were neither pressed
nor passed upon below. See, e.g., United States v. Williams, 504 U.S. 36, 41 (1992). This prudent principle
is all the more important here, where petitioner has
not identified any court of appeals that has even addressed this waived question.
Petitioner’s waived retroactivity argument lacks
merit in any event. Petitioner concedes that, beginning on September 22, 2008, FDA’s regulations required GSK to possess newly acquired information to
unilaterally change the Paxil labeling under FDA’s
CBE regulation. Pet. 33. And petitioner notably does
not dispute the Seventh Circuit’s determination that
GSK lacked any newly acquired information after
2007. Pet. App. 26-28. Petitioner rather appears to
theorize that GSK could somehow have altered its
labeling sometime after FDA’s mandated class-wide
warning in 2007 but before the 2008 CBE regulation
took effect.
That is wrong for multiple reasons. For one, the
2008 CBE regulation codified existing practice. As
the Solicitor General explained to this Court in Wyeth, “FDA interpret[ed] [the pre-2008 CBE] regula-
12
tion to permit changes without prior approval only to
address ‘newly discovered risks’ for which there is
sufficient evidence of causal association with the
drug.”1 Moreover, the retroactivity issue is wholly
academic, as resolution of the question does not alter
the outcome of this case. Had GSK attempted unilaterally to employ the CBE process prior to September 22, 2008, FDA would have rejected the proposed
warning, and so petitioner’s claims would be
preempted for that reason alone. FDA had warned
GSK in 2007 that “[f]ailure to” implement the class
warning “could make your product misbranded.” D.
Ct. Dkt. 589-49, at 2 (Sept. 25, 2017). FDA would not
have suddenly reversed course in 2008 without any
new evidence.
Finally, petitioner asserts that GSK’s preemption
defense should be adjudicated in light of the First
Amendment. Pet. 37-38. This one-paragraph argument was neither pressed nor passed upon below.
See, e.g., Williams, 504 U.S. at 41. And petitioner further fails to develop her theory in the petition. Indeed, it is unclear what petitioner is even arguing.
No one is restricting petitioner’s speech, and petitioner does not have standing to assert GSK’s First
1
Brief for the United States as Amicus Curiae Supporting Petitioner at 4, Wyeth v. Levine, 555 U.S. 555 (2009) (No. 06-1249);
see also New Drug and Antibiotic Regulations, 47 Fed. Reg.
46,622, 46,623 (Oct. 19, 1982) (“These supplements would describe changes placed into effect to correct concerns about newly
discovered risks from the use of the drug.”); Supplemental Applications Proposing Labeling Changes for Approved Drugs, Biologics, and Medical Devices, 73 Fed. Reg. 2848, 2850 (Jan. 16,
2008) (amending CBE regulation “to make explicit the agency’s
understanding that a sponsor may utilize the limited CBE provisions only to reflect newly acquired safety information”).
13
Amendment rights. See Allen v. Wright, 468 U.S. 737,
751 (1984).
In sum, petitioner offers no reason for this Court
to revisit the Seventh Circuit’s application of settled
law to the evidence presented in this case. The fact
that petitioner disagrees with the outcome hardly
gives rise to an issue that warrants this Court’s review.
II. The Decision Below Does Not Implicate a
Circuit Split.
Petitioner asserts that the decision conflicts with
a prior Seventh Circuit decision, Mason v.
SmithKline Beecham Corp., 596 F.3d 387 (7th Cir.
2010). Pet. 36-37. But intracircuit disagreements do
not warrant this Court’s review. See, e.g., Wisniewski
v. United States, 353 U.S. 901, 902 (1957) (per curiam). Mason, in any event, does not conflict with the
decision below. Quite to the contrary, the court of appeals cited extensively to Mason to support its decision. Pet. App. 18-19, 21, 23, 28. The facts and relevant time period in Mason were materially different.
Mason involved a patient under the age of 24, meaning that the patient would have fallen within the
scope of the class-wide warnings for pediatric suicide
ordered by FDA. Id. at 26 n.3 (distinguishing Mason). And the suicide at issue occurred before FDA
rejected GSK’s proposed labeling changes and ordered SSRI manufacturers to remove any adultsuicidality warning for adults over age 24. Id.
Petitioner further argues that the court of appeals’ decision diverges from decisions of district
courts within the Seventh Circuit. Pet. 34-36. Any
such conflict would not warrant this Court’s review.
S. Ct. R. 10. In any event, this contention, too, lacks
merit. Tucker v. SmithKline Beecham Corp., 596 F.
14
Supp. 2d 1225, 1236 (S.D. Ind. 2008) (Hamilton, J.)
(Pet. 34-35), predated both Wyeth and Mensing and,
like Mason, involved a suicide that occurred years
before FDA rejected GSK’s proposed labeling changes. Pet. App. 26 n.3 (distinguishing Tucker). Forst v.
SmithKline Beecham Corp., 639 F. Supp. 2d 948 (E.D.
Wis. 2009) (Pet. 35-36), is similarly irrelevant. The
suicide attempt in Forst occurred in 2004—again,
years before 2007. Id. at 954. Nor did the district
court offer any reasoning for its conclusion that FDA
in 2007 “did not preclude Paxil-specific language
changes” outside the class-wide warning. Id.
III. The Court Need Not Hold this Petition Pending
Merck v. Albrecht.
This Court need not hold this petition pending
this Court’s resolution of Merck Sharp & Dohme
Corp. v. Albrecht, No. 17-290 (argued January 7,
2019), because the outcome will have no effect on this
case.
1. Albrecht implicates only one aspect of this
case: whether there is clear evidence under Wyeth
that FDA rejected petitioner’s proposed warning. As
previously stated, in addition to the “clear evidence”
that FDA would have rejected the petitioner’s proposed warning, Pet. App. 22-26, after 2007, when
FDA mandated a class-wide warning and rejected
GSK’s proposed modifications to such warning, GSK
lacked newly acquired information that would have
permitted it to change the label unilaterally, id. at
26-28. To be sure, the court of appeals noted that
even with its “clear evidence” holding, the CBE regulations permitted GSK to unilaterally change its label had it acquired new evidence of such risks. Id. at
26-27. But the point remains that FDA’s mandatory
class-wide labeling for all SSRIs removed GSK’s
15
adult-suicidality warning, and, as the court of appeals explained, FDA’s CBE regulations barred GSK
from unilaterally changing this class-wide warning
without new evidence. Id. The court recognized that
this preemption ground was distinct from the “clear
evidence” ground, stating that “even if GSK had newly acquired information” it “[could] still succeed” on a
preemption defense as long as the evidence is clear
that FDA definitely rejected an alleged link between
paroxetine and adult suicidality. Id. at 20; cf. Pet. 34
(arguing that the court of appeals recognized that
GSK needed new information from 1992 onward to
change its label unilaterally). The decision before
the Court in Albrecht does not analyze preemption
based upon the CBE regulation requiring newlyacquired evidence to change the label unilaterally.
Regardless of the outcome, GSK has an independent
basis for preemption that is not at issue in Albrecht.
2. In any event, even the Court’s resolution of
the clear evidence question in Albrecht will have no
impact here. Albrecht involves a dispute between the
parties as to whether FDA rejected a manufacturer’s
proposed label because the manufacturer allegedly
proposed warning only about relatively benign stress
fractures instead of more serious atypical femoral
fractures. The Third Circuit held that a reasonable
juror could conclude that there was no clear evidence
FDA would have rejected a warning about the latter
type of injury. In re Fosamax, 852 F.3d at 295-300.
This Court’s resolution of that dispute, however, will
not affect the outcome here. The court of appeals
here found that the “undisputed evidence” regarding
FDA’s decision-making was subject to only one reasonable interpretation:
FDA, after exhaustively
studying the issue for years, definitely and repeatedly rejected an adult-suicidality warning based on
16
substance and science; indeed, FDA still today requires all SSRI manufacturers, including Paxil’s
manufacturer, to disclaim any such risk. Pet. App. 9,
22-25.
Petitioner raises three issues, none of which have
any merit. First, petitioner contends that this case
implicates the question of whether Wyeth’s “clear evidence” standard is a question of fact for the jury or a
question of law for the court. Pet. 27-28. But the
court of appeals expressly declined to decide that
question, holding that GSK would prevail regardless
of the outcome of that question:
We need not determine in this case whether
preemption under Levine involves a factual
question for the jury. As the Third Circuit
noted, “when no reasonable jury applying the
clear-evidence standard” could “conclude that
the FDA would have approved a label
change,” then “the manufacturer will be entitled to judgment as a matter of law.” In re
Fosamax, 852 F.3d at 282. That is the case
here. … [G]iven the facts in this case, no reasonable jury could find that the FDA would
have approved an adult-suicidality warning
for Paxil under the CBE regulation between
2007 and Stewart Dolin’s suicide in 2010.
Pet. App. 22. This Court’s resolution of the factversus-law question is thus irrelevant to the Wyeth
preemption analysis in this case and to whether GSK
“waived” its right to “have its preemption defense
submitted to the jury.” Pet. 27. Even were this Court
in Albrecht to hold that the Third Circuit correctly
held that a jury must assess “why the FDA rejected
17
[a] proposed warning,” Pet. i (No. 17-290), the Court’s
decision would not alter the result below.2
Second, petitioner suggests that this Court might
articulate Wyeth’s “clear evidence” requirement in accordance with the Third Circuit’s articulation of the
standard as requiring a defendant to show that it is
“highly probable” that FDA would have rejected a
plaintiff ’s preferred warning. Pet. 28. But the Third
Circuit made clear that its “highly probable” formulation was nothing but a restatement of the “clear evidence” standard already announced in Wyeth. See In
re Fosamax, 852 F.3d at 285-86. The court used the
phrase “highly probable” simply because that is how
Black’s Law Dictionary defines “clear evidence.” Id.
In any event, GSK would prevail under any formulation. The court of appeals held that “[i]t is hard to
imagine clearer evidence that … ‘the FDA would not
have approved a change’ to the paroxetine label” and
“[n]o reasonable jury could find otherwise.” Pet. App.
22-23. Indeed, petitioner does not even argue that
the outcome of her case would be different under the
Third Circuit’s articulation of “clear evidence.” See
Pet. 28. Thus, whether this Court embraces a “highly
probable” standard or a lower standard to establish
clear evidence, the decision below will stand.
Third, petitioner asserts that the court below
reached the wrong outcome in this case, which she
claims has a similar “factual pattern” to Albrecht, because the decision below failed to draw all reasonable
inferences in petitioner’s favor and failed to properly
consider the evidence presented. Pet. 28-32. As ex2
Moreover, petitioner joined GSK in arguing in the district
court that Wyeth preemption is a question of law for the court.
Pet. App. 20. Thus, petitioner herself has waived any argument
that preemption is a question for the jury.
18
plained above, these erroneous assertions mischaracterize the Seventh Circuit’s decision. See supra pp.
10-11. Moreover, Albrecht will have no bearing on
the requirements of Rule 50 of the Federal Rules of
Civil Procedure. As petitioner recognizes, Albrecht
involves summary judgment under Rule 56.
IV. Petitioner’s Claim Fails for Several Other
Independent Reasons.
In addition to being preempted on multiple
grounds under Wyeth and Mensing, the claims fail as
a matter of law on additional grounds. Each of these
additional grounds is an independent reason to deny
review. See Stern & Gressman, Supreme Court Practice 362 (10th ed. 2013) (citing dismissals as improvidently granted where the judgment was “clearly correct on another ground”).
1. GSK did not produce, market, distribute, or
profit from the drug Mr. Dolin ingested. Rather, Mr.
Dolin took a generic drug manufactured by a generic
drug manufacturer. Pet. App. 16. Thus, in order to
sue GSK, petitioner “advanced a new theory of liability,” coined “innovator liability,” under which brand
manufacturers could be held liable for “injuries
caused by taking generic drugs.” Id. at 3. Because
petitioner’s claims were preempted, the court below
did not address the viability of petitioner’s theory.
Id. at 29. But such a theory of liability is untenable.
Holding brand manufacturers liable for injuries allegedly caused by generic manufacturers would upend tort principles, deter medical innovation, and require brand manufacturers to insure an entire industry when their patents have long since expired and
they no longer profit from the drug.
For these reasons, an “overwhelming national
consensus” has rejected innovator liability. Guarino
19
v. Wyeth, LLC, 719 F.3d 1245, 1252 (11th Cir. 2013).
Seven federal courts of appeals have considered innovator liability under the laws of 24 states, rejecting
that theory every time.3 Overall, more than 100
state and federal decisions have rejected innovator
liability under the laws of 29 states. D. Ct. Dkt. 56123 (Apr. 16, 2017) (collecting cases through August
2016); but see T.H. v. Novartis Pharm. Corp., 407 P.3d
18, 29 (Cal. 2017); Rafferty v. Merck & Co., 92 N.E.3d
1205, 1219-20 (Mass. 2018) (recognizing innovator liability based on “reckless” conduct). And federal
courts, in particular, may not expand state tort law.
See Todd v. Societe BIC, S.A., 21 F.3d 1402, 1412 (7th
Cir. 1994) (en banc); Dayton v. Peck, Stow & Wilcox
Co., 739 F.2d 690, 694 (1st Cir. 1984); A.W. Huss Co. v.
Cont’l Cas. Co., 735 F.2d 246, 253 (7th Cir. 1984);
Rhynes v. Branick Mfg. Corp., 629 F.2d 409, 410 (5th
Cir. 1980).
Petitioner brought her tort claims under Illinois
law, Pet. App. 4, 29, and under ordinary Illinois tort
principles, manufacturers owe a duty only to their
own customers. See Smith v. Eli Lilly & Co., 560
N.E.2d 324, 340-44 (Ill. 1990). For this reason, the
Sixth Circuit, applying Illinois law, has rejected peti3
See Foster v. Am. Home Prods. Corp., 29 F.3d 165, 168, 170
(4th Cir. 1994); Lashley v. Pfizer, Inc., 750 F.3d 470, 476-78 (5th
Cir. 2014) (per curiam); Demahy v. Schwarz Pharma, Inc., 702
F.3d 177, 183-84 (5th Cir. 2012); In re Darvocet, Darvon, &
Propoxyphene Prods. Liab. Litig., 756 F.3d 917, 941-54 (6th Cir.
2014); Smith v. Wyeth, Inc., 657 F.3d 420, 424 (6th Cir. 2011);
Bell v. Pfizer, Inc., 716 F.3d 1087, 1092-94 (8th Cir. 2013);
Mensing v. Wyeth, Inc., 588 F.3d 603, 612-14 (8th Cir. 2009),
rev’d in part on other grounds sub nom PLIVA, Inc. v. Mensing,
564 U.S. 604 (2011); Moretti v. Wyeth, Inc., 579 F. App’x 563,
565 (9th Cir. 2014); Schrock v. Wyeth, Inc., 727 F.3d 1273, 1285
(10th Cir. 2013); Guarino, 719 F.3d at 1252.
20
tioner’s theory. In re Darvocet, Darvon, & Propoxyphene Prods. Liab. Litig., 756 F.3d 917, 944 (6th Cir.
2014) (“Under Illinois law, a plaintiff must ‘identify
the supplier of the product and establish a causal
connection between the injury and the product.’ ”).
Even if Illinois law recognized innovator liability,
that theory would be preempted because it stands as
an obstacle to the Hatch-Waxman Act’s careful statutory balance between pharmaceutical competition
and innovation. Instead of receiving patent and regulatory exclusivities in exchange for easier generic
entry, brand manufacturers also would have to insure generic sales against state tort claims. Petitioner’s theory would take one piece of the HatchWaxman regime—generic manufacturers’ duty to
match brand labels—and hijack it to create marketwide liability Congress never imagined. See Buckman Co. v. Plaintiffs’ Legal Comm., 531 U.S. 341, 34853 (2001). Indeed, innovator liability could impose
costs “large enough … to offset substantially the very
benefits Congress intended to confer.” Xerox Corp. v.
County of Harris, 459 U.S. 145, 153 (1982).
2. Petitioner also failed to present evidence from
which a reasonable jury could conclude that paroxetine causes suicide in patients over age 24. That
should come as no surprise; the absence of such evidence is precisely why FDA prohibited GSK from
adding the warning petitioner seeks. Pet. App. 8-9.
For example, petitioner’s general-causation expert,
Dr. David Healy, based his conclusions principally on
uncontrolled case reports and relatedness assessments. See GSK C.A. Br. 45-50. Federal courts
overwhelmingly reject such evidence as “not scientifically valid proof of causation.” Glastetter v. Novartis
Pharm. Corp., 252 F.3d 986, 990 (8th Cir. 2001) (per
curiam).
21
Likewise, even if Paxil could cause suicide in
adults over age 24, GSK had no duty to warn under
Illinois law because Dr. Sachman, Mr. Dolin’s prescribing physician, testified that he independently
knew of the purported risk and actually warned Mr.
Dolin and petitioner about it. GSK C.A. Br. 51-54;
see Proctor v. Davis, 682 N.E.2d 1203, 1211 (Ill. App.
Ct. 1997) (“[T]here is no duty to warn of a risk that is
already known by those to be warned.”); Kirk v. Michael Reese Hosp. & Med. Ctr., 513 N.E.2d 387, 392
(Ill. 1987) (duty to warn runs to doctor, not patient).
The fact that Dr. Sachman specifically warned Mr.
Dolin also breaks the chain of causation. See Ehlis v.
Shire Richwood, Inc., 367 F.3d 1013, 1016 (8th Cir.
2004).
In short, this case should have never been
brought. FDA precluded GSK from warning against
the risk of suicidality in adults over age 24. GSK did
not make the drug that petitioner claims caused her
husband’s tragic death. And Mr. Dolin and his physician were aware of paroxetine’s alleged risks. The
court of appeals thus correctly overturned the jury’s
verdict in this case.
22
CONCLUSION
The petition for a writ of certiorari should be denied.
Respectfully Submitted,
ELISABETH S. THEODORE
STEPHEN K. WIRTH
ARNOLD & PORTER
KAYE SCHOLER LLP
601 Mass. Ave., NW
Washington, D.C. 20001
(202) 942-5000
ALAN S. GILBERT
DENTONS US LLP
232 S. Wacker Drive,
Suite 5900
Chicago, IL 60606
(312) 876-8000
LISA S. BLATT
Counsel of Record
J. MATTHEW RICE
WILLIAMS & CONNOLLY LLP
725 Twelfth Street, NW
Washington, D.C. 20005
(202) 434-5000
lblatt@wc.com
ANDREW T. BAYMAN
TODD P. DAVIS
HEATHER M. HOWARD
KING & SPALDING LLP
1180 Peachtree St., NE
Atlanta, GA 30309
(404) 572-4600
Counsel for Respondent
March 25, 2019
This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.