This is another defeat for Merck - and big pharma. The federal judge who oversees thousands of Vioxx lawsuits earlier today tossed aside the drugmaker’s argument that an FDA rule pre-empts the right to file a product liability lawsuit. Just last week,
the New Jersey state court judge who oversees thousands more Vioxx lawsuits made the same decision.
Merck had argued that two lawsuits in the multi-district litigation in Lousiana should be dismissed, based on preemption. But in his 21-page ruling, US District Court Judge Eldon Fallon wrote that FDA approval of warnings on a drug label doesn't clear Merck of claims that warnings are inadequate: "The Food, Drug & Cosmetic Act does not contain an express statement that Congress intended to displace state-law claims in the prescription drug context....Congress has never spoken on preemption with respect to prescription drugs...," he wrote.
"...Because there are no federal remedies for individuals harmed by prescription drugs, a finding of implied preemption in these cases would abolish state-law remedies and, in effect, render legally impotent those who sustain injuries from defective prescription drugs."
Preemption is a hot topic in pharma these days. Essentially, preemption gives companies some immunity against product liability claims, because the FDA has already deemed a product to be safe. An exception would occur when, say, a company knowingly hid or falsified info that would have led the FDA to make a different decision about approving a drug. Drugmakers have been pushing preemption nationally, arguing that juries shouldn't be allowed to overrule the FDA, and many lawyers expect the US Supreme Court to eventually take up the issue.
In a statement, Merck's outside counsel, Ted Mayer, said: "We believed that these two cases should have been dismissed because the FDA approved the product label that was included with the medicine, and that label reflected the cardiovascular risks known at the time these plaintiffs started taking Vioxx...
"...In fact, the two cases specifically involved patients who began using Vioxx after the FDA approved label was revised to include the cardiovascular data from the VIGOR study.
As we argued to the court, the FDA has explicitly determined that its labeling regulations preempt or supersede state law claims which, as in these two cases, challenge the adequacy of FDA-approved labels. The FDA has noted that this preemption principle is critical to its mission.
In addition, there is compelling precedent in support of our position that the claims at issue here are preempted by the FDA, which among other reasons is why we are considering potential avenues for appellate review. In fact, we have always believed that this would be an issue to be resolved by the appellate courts and ultimately the Supreme Court.
The evidence has shown that Merck acted responsibly by promptly providing the FDA with the data it had and requesting expedited consideration of proposed language for a new label to reflect what was known at the time from the new data. The label provided physicians with the relevant information available to help them determine whether to prescribe the medicine to a given patient.
If every state were able to impose its own warning requirements on prescription drugs, there would be mass confusion about the potential risks of drugs."





6 Comments
Didn't the Supreme Court already agree to hear details about Medtronic's case of an inflated balloon being improperly used in a catheter procedure, which would deal with the issue of preemption?
Hi EEJ,
Good question. I was referring to prescription drugs, specifically. From what I gather there's a preemption clause in the Medical Device Act, but no language like it in the Food and Drug act. Fallon refers to the FDA's regulatory "preamble."
Of course, the Supremes may well decide something in the Medtronic case that affects pharma, but who knows?
Thanks for taking the time to write in,
ed s pharmalot editor
Ed is right. The medical device precedents and history are different re: preemption than drugs. The Supremes have agreedd to hear the Medtronic case, probably late Fall or early Winter.
Re: Judge Fallon's opinion, Congress had a chance to speak on preemption as part of the FDARA legislation. There was such a clause in the House version. But it was removed after very heavy objections from preemption's defenders.
Sorry to repeat myself, but the "fraud exception" is, in practice, meaningless. The only way one would know if "a company knowingly hid or falsified info that would have led the FDA to make a different decision about approving a drug" would be if, once the info had been discovered, the drug was, in fact, withdrawn. There are many other possibilities - label change, fine plus some kind of remedial action required, and so on.
Further, "knowingly" hiding and falsifying info from the FDA is felony fraud, which would have to be proven in court. As the law now stands, only the FDA can bring action against a company for intentionally defrauding the agency. As written in an earlier comment, in the context of pharma, that has happened 0 (zero ) times in the past 25 years. FDA/Justice has brought misdemeanor charges instead, even in egregious and clear cases, rather than making the effort to prove intent.
We know this well in Michigan because we have lived under an FDA preemption statute, with such a "fraud exception," for eleven years.
I live in Michigan and Hank is correct. The people of Michigan who have suffered from prescription drugs have no recourse in the courts. We are treated like second class citizens, the Michigan House of Representatives have passed a number of bills to rectify this situation, but the Michigan Senate (Republican majority) have chosen not to.
if the fda has no express preemption language - then they will lose, the express language is looked at in cigarette act, pesticide act (fifra), and mda.
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