JAMES D. WHITTEMORE, District Judge.
Plaintiffs, Barbara Metz and Donald Metz, filed this action against Wyeth LLC ("
As discussed below, the majority of Plaintiffs' claims are impliedly preempted under PLIVA, Inc. v. Mensing, ___ U.S. ___, 131 S.Ct. 2567, 180 L.Ed.2d 580 (2011). Moreover, to the extent that any of Plaintiffs' claims survive preemption under Mensing, such claims are barred by the learned intermediary doctrine under Florida law.
Plaintiffs' First Amended Complaint (the
One February 23, 2012, this Court entered an Order directing Plaintiffs to file a more definite statement (1) separately identifying those claims (i.e., legal theories) they contend are not preempted under Mensing, and (2) summarizing the alleged factual basis (including causation) for each such claim. See Dkt. 122. In response, Plaintiffs furnished a More Definite Statement. See Dkt. 125. While the Amended Complaint and More Definite Statement purport to assert a variety of claims based on differing legal and factual theories, Plaintiffs' counsel conceded during oral argument that each of the substantive claims are based, at least in part, on the failure of Actavis to effectively communicate to Plaintiffs treating physician the limitation on duration of use added to the label for metoclopramide in 2004.
Actavis moves to dismiss the Amended Complaint based on the recent decision of the United States Supreme Court in PLIVA, Inc. v. Mensing, ___ U.S. ___, 131 S.Ct. 2567, 180 L.Ed.2d 580 (2011), which held that failure to warn claims against generic drug manufacturers were impliedly preempted under the Federal Food, Drug and Cosmetic Act, 21 U.S.C. § 301, et seq. ("
Rule 8(a)(2) of the Federal Rules of Civil Procedure requires that a complaint provide "a short and plain statement of the claim showing that the pleader is entitled to relief," in order to "give the defendant fair notice of what the ... claim is and the grounds upon which it rests." Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007) (quoting Conley v. Gibson, 355 U.S. 41, 47, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957)).
Although a complaint need not include detailed factual allegations, it must contain sufficient factual allegations, which, when taken as true, "state a claim to relief that is plausible on its face." Ashcroft v. Iqbal, 556 U.S. 662, 129 S.Ct. 1937, 1949, 173 L.Ed.2d 868 (2009). "A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged." Id. "The plausibility standard is not akin to a `probability requirement,' but it asks for more than a sheer possibility that a defendant has acted unlawfully." Id. "[W]here the well-pleaded facts do not permit the court to infer more than the mere possibility of misconduct, the complaint as alleged-but
While the Court must accept all factual allegations as true in evaluating a motion to dismiss under Rule 12(b)(6), the tenet does not apply to legal conclusions. Ashcroft, 129 S.Ct. at 1949. Similarly, a court may dismiss a complaint on a dispositive issue of law. Marshall County Bd. of Educ. v. Marshall County Gas Dist., 992 F.2d 1171, 1174 (11th Cir.1993).
Actavis argues that under Mensing, it was required to use the same label as the branded drug and was not at liberty to communicate information inconsistent with that label. As a result, Actavis contends the Plaintiffs' claims are preempted by federal law because they all arise from Actavis' alleged knowledge of certain risks and its failure to communicate those risks to consumers, the government, and the medical community.
Plaintiffs respond that they have alleged causes of action that are not preempted by federal law. Specifically, Plaintiffs argue that their claims are not preempted because they do not seek to hold Actavis liable for failing to take actions that are prohibited by federal law. In addition, Plaintiffs argue that Mensing only involved the adequacy of a drug label, not the manner in which warnings relating to a drug were communicated. Thus, Plaintiffs argue their claims based on Actavis' failure to provide physicians with any warning relating to metoclopramide, "especially in light of changes made to the label for metoclopramide in 2004 prohibiting its long-term use," are not preempted.
In Mensing, consumers sued generic manufacturers of metoclopramide alleging that the generic manufacturers violated state tort law (specifically, that of Minnesota and Louisiana) by failing to provide adequate warnings to consumers, the federal government, and the medical community. The consumers alleged that "despite mounting evidence that long term metoclopramide use carries a risk of tardive dyskinesia far greater than that indicated on the label," none of the manufacturers had changed their labels to adequately warn of the danger. Mensing, 131 S.Ct. at 2573. Moreover, the consumers in Mensing alleged that the manufacturers ignored scientific and medical literature establishing a higher risk of developing tardive dyskinesia, failed to request that the FDA approve a revised label, and failed to report safety information directly to the medical community. See Demahy v. Actavis, Inc., 593 F.3d 428, 430 (5th Cir.2010); Mensing v. Wyeth, Inc., 562 F.Supp.2d 1056, 1058 (D.Minn.2008).
The manufacturers argued that because federal law required them to use the same safety and efficacy labeling as their brand-name counterparts, it was impossible to simultaneously comply with both federal law and a state tort-law duty that required them to use a different label. The Court agreed and held that federal law preempted the consumers' state law claims. Mensing, 131 S.Ct. at 2581. The Court based its conclusion on the fact that the manufacturers could not unilaterally strengthen their warning labels nor could they send additional (i.e., different) warnings to prescribing physicians and other healthcare professionals advising of new information and increased risks. Id. at 2575-76. The Court further held that complete preemption existed even assuming that the manufacturers had a duty to propose stronger warning labels to the FDA if they believed such warnings were needed. Id. at 2577.
Plaintiffs' claim that Actavis was negligent in failing to take additional steps to warn doctors and/or consumers of information already appearing in, or recently added to, the label for metoclopramide, including the prohibition on long-term use added in 2004,
Plaintiffs' claim that Actavis breached its duty to Plaintiffs because it failed to use due care in informing itself about the properties of metoclopramide is preempted by federal law to the extent Plaintiffs contend that Actavis should have used such information to provide different or additional information to consumers, the medical community, or the FDA. See Lyman, 2012 WL 368675, at *4 (dismissing state law tort claims based on generic drug manufacturer's failure to review all adverse drug information). To the extent that Plaintiffs contend that had Actavis remained informed about the properties of metoclopramide it would have known the importance of providing more effective notice to physicians, this allegation is related to, and subsumed within, Plaintiffs' overall negligence theory of liability.
Plaintiffs' strict liability claim is, in essence, a claim based on Actavis' failure to provide an adequate warning as to the risks associated with the long-term use of metoclopramide. That is, Plaintiffs do not contend that metoclopramide is unreasonably dangerous when used consistent with the FDA approved label (i.e., short term use), but rather contend that it was unreasonably dangerous because Actavis knew that it was being used for longer periods. In essence, Plaintiffs contend that Actavis should have either (1) redesigned the drug to alleviate the existing design defect,
A claim that Actavis should have redesigned metoclopramide to alleviate the risks associated with its long-term use would be preempted under Mensing. See Lyman, 2012 WL 368675, at *4 (dismissing design and manufacturing defect claims as preempted under Mensing because generic metoclopramide was required to be the bioequivalent to the reference listed drug Reglan); In re Fosamax (Alendronate Sodium) Products Liability Litigation (No. II), No. 08-008 (GEB-LHG), 2011 WL 5903623, at *6 (D.N.J. Nov. 21, 2011) (same). To the extent Plaintiffs contend that Actavis should have pulled the generic version of metoclopramide from the market, such claim is also preempted. See Fullington v. PLIVA, Inc., No. 4:10CV00236 JLH, 2011 WL 6153608, at *6 (E.D.Ark. Dec. 12, 2011) (noting that mere fact that manufacturers could pull generic drug from the market did not save claims from impossibility preemption under Mensing); Gross v. Pfizer, Inc., 825 F.Supp.2d 654, 660-61 (D.Md.2011) (dismissing negligence claim against generic drug manufacturer based on the continuing sale of metodopramide, concealment of important safety information, and failure to test and inspect product). As a result, the Amended Complaint fails to state a claim against Actavis based on a theory of strict liability, See Grinage v. Mylan Pharmaceuticals, Inc., 840 F.Supp.2d 874, 870-71, 2011 WL 6951962, at *6 (D.Md.2011) (dismissing design defect claim because consumer expectation test considered same factors as failure-to-warn analysis and plaintiff failed to allege design defect under risk-utility analysis); Fisher, 817 F.Supp.2d at 817-18 (granting summary judgment for generic drug manufacturer on design defect claim when plaintiff failed to demonstrate existence of an alternative feasible design).
Under Mensing, Plaintiffs' implied warranty claim is also preempted by the FDCA to the extent it stems from Actavis' failure to provide additional warnings relating to the risks associated with long-term metoclopramide use or Actavis' failure to stop manufacturing and marketing the generic version of metodopramide. See Schrock v. Pliva USA, Inc., No. CIV-08-453-M, 2011 WL 6130924, at *2 (W.D.Okla. Dec. 8, 2011); cf. In re Fosamax Prods. Liab. Litig., No. 08-008 (GEB-LHG), 2011 WL 5903623, at *8 (D.N.J. Nov. 21, 2011) (when breach of implied warranty claim necessarily alleged that generic manufacturers should have changed product design, such claim was preempted).
Unlike Plaintiffs' strict liability claim which must demonstrate that metoclopramide was unreasonably dangerous when used in a manner consistent with the
While styled as a claim for misrepresentation and fraudulent concealment, the essence of Plaintiffs' claim is that Actavis fraudulently concealed the labeling changes made in 2004 together with other adverse information relating to the long-term use of metoclopramide.
Plaintiffs' negligence per se claim is subject to dismissal because Florida law does not recognize a claim based upon a theory of negligence per se for an alleged violation of the FDCA. See Pantages v. Cardinal Health 200, Inc., No. 5:08-cv-116-Oc-10GRJ, 2009 WL 2244539, at *2 (M.D.Fla. July 27, 2009) (noting that violation of a federal statute was not negligence per se under Florida law unless the legislature intended a private right of action under the statute); Blinn v. Smith & Nephew Richards, Inc., 55 F.Supp.2d 1353, 1361 (M.D.Fla.1999) ("[a] [p]laintiff cannot use a negligence per se claim to create a private cause of action for [a] [d]efendant's alleged violations of the FDCA"); Stevens v. Danek Medical Inc., No. 95-14293-CIV-PAINE, 1999 WL 33217282, at *5-6 (S.D. Fla. Apr. 16, 1999) (granting motion for summary judgment in favor of defendants because Florida law does not recognize a negligence per se claim based on a violation of FDCA); see also Ellis v. C.R. Bard. Inc., 311 F.3d 1272, 1285 n. 9 (11th Cir.2002) (noting in dictate holding in Blinn that there is no negligence per se claim under Florida law for a violation of the FDCA); cf. Jupiter Inlet Corp. v. Brocard, 546 So.2d 1, 2-3 (Fla. 4th DCA 1988) (OSHA does not provide a basis for a private right of action and violations of it do not constitute negligence per se). But see Fisher, 817 F.Supp.2d at 832-35 (citing cases recognizing viability of negligence per se based on violations of FDA requirements).
While the majority of Plaintiffs' claims, however styled, are preempted under Mensing, it is arguable that claims based on Actavis' failure to more effectively communicate the warnings contained in the FDA approved label survive preemption under Mensing.
Summary judgment is proper if following discovery, the pleadings, depositions, answers to interrogatories, affidavits and admissions on file show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law. Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986); Fed.R.Civ.P. 56. "An issue of fact is `material' if, under the applicable substantive law, it might affect the outcome of the case." Hickson Corp. v. N. Crossarm Co., 357 F.3d 1256, 1259-60 (11th Cir.2004) (internal citations omitted). "An issue of fact is `genuine' if the record taken as a whole could lead a rational trier of fact to find for the nonmoving party." Id. at 1260. All the evidence and factual inferences reasonably drawn from the evidence must be viewed in the light most favorable to the nonmoving party. Adickes v. S.H. Kress & Co., 398 U.S. 144, 157, 90 S.Ct. 1598, 26 L.Ed.2d 142 (1970); Jackson v. BellSouth Telecomms., 372 F.3d 1250, 1280 (11th Cir.2004).
The Court will not weigh the evidence or make findings of fact. Anderson v. Liberty Lobby, 477 U.S. 242, 249, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986); Morrison v. Amway Corp., 323 F.3d 920, 924 (11th Cir. 2003). Rather, the Court's role is limited to deciding whether there is sufficient evidence upon which a reasonable juror could find for the non-moving party. Id.
The duty of a manufacturer to warn of the risk associated with a prescription drug or medical device runs to a physician, the so-called "learned intermediary," rather than the patient. See Christopher v. Cutter Laboratories, 53 F.3d 1184, 1192 (11th Cir.1995) (stating that "a manufacturer of prescription drugs or products discharges its duty to warn by providing the physician with information about risks associated with those products"); Felix v. Hoffmann-LaRoche, Inc., 540 So.2d 102 (Fla.1989); Beale v. Biomet, Inc., 492 F.Supp.2d 1360, 1365 (S.D.Fla.2007). "[T]he causal link between a patient's injury and the alleged failure to warn is broken when the prescribing physician had `substantially the same' knowledge as an adequate warning from the manufacturer should have communicated to him." Christopher, 53 F.3d at 1192. "Whether the physician in fact reads the warning, or passes its contents along to the recipient of the drug is irrelevant." E.R. Squibb and Sons, Inc. v. Farnes, 697 So.2d 825, 827 (Fla.1997); Felix, 540 So.2d at 102-05. The adequacy of a warning, i.e., the existence of a "learned intermediary," is an issue of law if the warning is accurate, clear, and unambiguous. Felix, 540 So.2d at 105; Beale, 492 F.Supp.2d at 1368-69; Buckner v. Allergan Pharm., Inc., 400 So.2d 820 (Fla. 5th DCA 1981).
Plaintiffs do not argue that Actavis failed to update its label for generic metoclopramide to incorporate the 2004 label revision. As such, the product label furnished by Actavis contained the accurate, clear, and unambiguous warning that "[t]herapy should not exceed 12 weeks in duration ...."
The majority of Plaintiffs' claims are preempted by federal law under Mensing or otherwise fail to state a claim upon which relief may be granted under Florida law. See, e.g., Guarino v. Wyeth, LLC, 823 F.Supp.2d 1289 (M.D.Fla.2011) (dismissing claims that generic manufacturer's label was "inaccurate, misleading, materially incomplete, false and otherwise inadequate" and that manufacturer failed to send Dear Doctor letters to prescribing physicians under Mensing); Metz v. Wyeth, Inc., 8:10-cv-2658, 2011 WL 5024448 (M.D.Fla. Oct. 20, 2011) (dismissing plaintiff's claims against generic drug manufacturer for negligence, strict liability, breach of warranties, misrepresentation, fraud, and negligence per se). To the extent Plaintiffs' claims based on an alleged failure to effectively communicate the warning contained in the 2004 label survive preemption, such claims are barred by the learned intermediary doctrine under Florida law.
Accordingly, it is
(1) Defendant Actavis Elizabeth LLC's Motion to Dismiss Plaintiffs' First Amended Complaint (Dkt. 91) is
(2) The Motion for Summary Judgment of Defendant's Actavis Elizabeth, LLC (Dkt. 109) is
(3) All pending motions are