NOT PRECEDENTIAL

                       UNITED STATES COURT OF APPEALS
                            FOR THE THIRD CIRCUIT
                                _______________

                                      No. 15-2145
                                    _______________

             IN RE: AVANDIA MARKETING SALES PRACTICES AND
                      PRODUCTS LIABILITY LITIGATION

                                           Staci Laurino,
                                                 Appellant
                                    _______________

                    On Appeal from the United States District Court
                        for the Eastern District of Pennsylvania
                  (D.C. Civil Nos. 2-12-cv-03683 and 2-07-md-01871)
                         District Judge: Hon. Cynthia M. Rufe
                                   _______________

                    Submitted Pursuant to Third Circuit LAR 34.1(a)
                                   January 20, 2016

            BEFORE: FISHER, CHAGARES AND COWEN, Circuit Judges

                           (Opinion Filed: February 12, 2016)
                                   ______________

                                       OPINION*
                                     _____________

COWEN, Circuit Judge.

       Plaintiff Staci Laurino appeals from the order of the United States District Court

for the Eastern District of Pennsylvania granting the motion to dismiss filed by Defendant


*
 This disposition is not an opinion of the full Court and, pursuant to I.O.P. 5.7, does not
constitute binding precedent.
GlaxoSmithKline LLC (“GSK”). We will affirm.

                                              I.

       Laurino is a former user of Avandia, a prescription diabetes drug manufactured by

GSK. The drug works by lowering blood sugar levels. On behalf of a putative class of

similarly situated individuals, she alleged that GSK violated the Missouri Merchandising

Practices Act (“MMPA”). According to her amended complaint, GSK, even though it

had notice of the “dangerous propensities” associated with Avandia, “engaged in

misrepresentations, and failed to adequately advise consumers and medical providers of

the risks of Avandia, including but not limited to the increased risk of heart attacks and

deaths.” (JA71.) Laurino further alleged that Avandia is not more efficacious than other

treatments for Type II diabetes and that the drug significantly increases the risk of heart-

related diseases. “The actual value of Avandia was/is significantly less than the value of

Avandia as represented by GSK, and thus, Plaintiff and other consumers suffered

ascertainable loss when they purchased Avandia.” (JA72.) She sought damages equal to

the difference between the drug’s actual value and the value of the drug had it been as

represented by GSK.

       The initial complaint was filed in the United States District Court for the Eastern

District of Missouri. The matter was transferred to the Avandia MDL proceeding

pending in the Eastern District of Pennsylvania. After Laurino filed an amended

complaint, GSK moved to dismiss for lack of standing pursuant to Federal Rule of Civil

Procedure 12(b)(1) and for failure to state a claim upon which relief can be granted under


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Federal Rule of Civil Procedure 12(b)(6). Relying on a non-precedential opinion

considering a similar claim arising out of this MDL proceeding, see In re Avandia Mktg.,

Sales Practices & Prods. Liab. Litig., 564 F. App’x 672 (3d Cir. 2014), the District Court

indicated that Laurino had standing. Nevertheless, the District Court then determined

that Laurino received all of the benefits of taking Avandia without suffering any harm

and thereby sustained no ascertainable loss. Because she failed to state a claim under the

MMPA (and because the District Court believed that any further amendment would be

inequitable and likely futile), it dismissed the amended complaint with prejudice.

                                             II.

       Under the MMPA, “[t]he act, use or employment by any person of any deception,

fraud, false pretense, false promise, misrepresentation, unfair practice or the concealment,

suppression, or omission of any material fact in connection with the sale or advertisement

of any merchandise in trade or commerce . . . , in or from the state of Missouri, is

declared to be an unlawful practice.”1 Mo. Stat. Ann. § 407.020.1. “Any person who


       1
         The District Court had subject matter jurisdiction over this action pursuant to 28
U.S.C. § 1332. We have appellate jurisdiction pursuant to 28 U.S.C. § 1291. GSK
argues that Laurino failed to allege the injury in fact and causation required for standing
under Article III of the Constitution for the same reasons that she had failed to state a
claim under the MMPA. As the District Court observed, this Court held in another
Avandia appeal that it “was ‘satisfied that [the plaintiff’s] allegations are sufficient to
establish Article III standing even though, as set forth herein, they are legally insufficient
to provide a basis for relief.’” Laurino v. SmithKline Beecham Corp. (In re Avandia
Mktg., Sales Practices & Prods. Liab. Litig.), 

, 444 (E.D. Pa. 2015)
(quoting Avandia, 564 F. App’x at 673 n.4). We see no reason to reach a different
conclusion in this appeal.

       We exercise de novo review over a district court’s order granting a motion to
                                              3
purchases or leases merchandise primarily for personal, family or household purposes

and thereby suffers an ascertainable loss of money or property, real or personal, as a

result of” an unlawful practice may bring a civil action. Mo. Stat. Ann. § 407.025.1.

       The District Court concluded that Laurino failed to satisfy this “ascertainable loss”

requirement. Laurino vigorously contests the District Court’s conclusion. According to

her, the District Court erroneously relied on the lack of physical injury and “misapplied

Missouri law providing that ascertainable loss can be established through the benefit-of-

the-bargain rule, ‘which compares the actual value of the item to the value of the item if it

had been as represented at the time of the transaction.’” (Appellant’s Brief at 9 (quoting

Plubell v. Merck & Co., Inc., 

, 715 (Mo. Ct. App. 2009)).) Laurino

argues that the District Court rejected the state’s benefit-of-the-bargain rule,

impermissibly opined on her ability to prove damages, disregarded Missouri case law

(especially the opinion rendered by the Missouri Court of Appeals in Plubell) in violation

of well-established principles governing how federal courts must apply state law, and

improperly relied on unrepresentative federal decisions that are inconsistent with other

federal court decisions applying Missouri law. We nevertheless agree with the District

Court and GSK that “Plaintiff received all the benefits of taking Avandia without any

harm, and therefore suffered no [ascertainable] loss.” 

.



dismiss pursuant to Rule 12(b)(6). See, e.g., Foglia v. Renal Ventures Mgmt., LLC, 

, 154 n.1 (3d Cir. 2014). The plaintiff must allege in the complaint “enough
facts to state a claim for relief that is plausible on its face.” Bell Atl. Corp. v. Twombly,

, 570 (2007). The Court reviews a district court’s refusal to grant leave to
amend for abuse of discretion. See, e.g., Gen. Refractories Co. v. Fireman’s Fund Ins.
                                              4
       Initially, the District Court properly applied the general standards governing

motions to dismiss for failure to state a claim as well as the principles guiding the federal

courts in their application of state law. As the District Court recognized, a federal court,

in the absence of a state supreme court ruling on point, looks to the pronouncements of

the lower state courts as well as federal cases interpreting state law. See, e.g., State Farm

Mut. Auto. Ins. Co. v. Coviello, 

, 713 (3d Cir. 2000). Accordingly, the

District Court thoroughly considered the Plubell opinion, pointing, inter alia, to the state

intermediate appellate court’s holding that, “because the plaintiffs alleged the drug was

worth less than the product as represented, ‘they stated an objectively ascertainable loss

under the MMPA using the benefit-of-the-bargain rule,’ and therefore did not need to

show the cost of alternative therapy.” 

(quoting 

). However, the Missouri Court of Appeals explained “that it was

ruling in the context of class certification under Missouri law, at which stage of the

proceedings ‘whether a plaintiff is able to prove a theory is irrelevant because the sole

issue is whether the certification requirements were met.’” 

289

S.W.3d at 715). According to the Plubell court, it did not “inquire whether the plaintiffs

will prevail on the merits or even whether the plaintiffs have stated a cause of action.”

(citing Craft v. Philip Morris Cos., 

, 377 (Mo.

Ct. App. 2005)). In contrast, we (like the District Court) must decide whether the

plaintiff “fail[ed] to state a claim upon which relief can be granted” pursuant to Rule



Co., 

, 303 n.1 (3d Cir. 2003).
                                              5
12(b)(6). See Saavedra v. Eli Lilly & Co., No. 2:12-cv-9366-SVW (MANx), 

, at *5 (C.D. Cal. Dec. 18, 2014) (“Moreover, Plubell made this statement while

considering class certification under a state procedural rule that did not allow courts to

conduct even a preliminary inquiry into the merits of plaintiffs’ claims.” (citing 

)); Mikhlin v. Johnson & Johnson, No. 4:14-CV-881 RLW, 

, at *3 (E.D. Mo. Nov. 13, 2014) (distinguishing Craft, Plubell, and Hope v.

Nissan North America, Inc., 

(Mo. Ct. App. 2011), as class certification

cases).

          Laurino received the drug she was prescribed, the drug did the job it was meant to

do (i.e., controlled her blood sugar levels), and it caused no apparent physical injuries.

Under such circumstances, there could be no ascertainable loss. “[S]he ‘received all the

benefits [she] desired and [was] unaffected by Defendants’ alleged concealment.’”

(quoting In re Bisphenol-A (BPA) Polycarbonate Plastic

Prods. Liab. Litig., 

, 912 (W.D. Mo. 2009)). In short, Laurino

received the benefit of the bargain and accordingly sustained no ascertainable damages

under the MMPA. See, e.g., Mikhlin, 

, at *3 (“The Court, however,

agrees with the reasoning of In re BPA I in holding that Plaintiffs have suffered no

injury. Plaintiffs allege that they used Johnson’s® Baby Powder, but do not allege that

they have suffered any medical consequences. . . . The Court believes Plaintiffs’

proposed liability theory, which requires no demonstrable loss of any benefit, would lead

to absurd results and holds that Plaintiffs fail to state a claim as a matter of law.”


                                               6
(footnotes omitted)); 

(“The second category of

Plaintiffs consists of those who disposed of or used the products before learning about

BPA. . . . While they may contend they would not have purchased the goods had they

known about BPA, these Plaintiffs received 100% use (and benefit) from the products

and have no quantifiable damages.”).

       According to Laurino, the District Court committed reversible error by dismissing

her amended complaint with prejudice. While continuing to insist that the District Court

misinterpreted Missouri law, she asserts that, if we disagree, “amendment should be

allowed to address issues on which the district court ruled for the first time below.”

(Appellant’s Reply Brief at 25.) However, she does not provide any indication that the

fundamental “ascertainable loss” deficiency identified by the District Court could be

corrected in a second amended complaint. Accordingly, the District Court did not abuse

its discretion by concluding that “to allow any further amendment would be inequitable

and likely futile.” 

(footnote omitted).

                                            III.

       For the foregoing reasons, we will affirm the order of the District Court granting

Avandia’s motion to dismiss.




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