Showing posts with label drugmaker. Show all posts
Showing posts with label drugmaker. Show all posts

Wednesday, June 19, 2013

U.S. high court weighs generic drugmaker liability

By Lawrence Hurley

WASHINGTON, March 19 (Reuters) - U.S. Supreme Court justices weighed on Tuesday whether makers of generic drugs already approved by the U.S. Food and Drug Administration can be held liable under state law for claims of design defects.

During a one-hour oral argument justices questioned whether federal law, in this case the requirement that generics have same design as the name-brand version, prevents plaintiffs from making such claims under state law.

Some justices signaled concern about juries making sweeping judgments about the effectiveness of drugs while others questioned how to differentiate the case from another case involving generics decided in 2011.

Mutual Pharmaceutical Co, a unit of URL Pharma, owned by Sun Pharmaceutical Industries , asked the nine-member court to overturn a $21 million jury award to Karen Bartlett, a New Hampshire woman who took Mutual's generic non-steroidal anti-inflammatory drug, sulindac, in 2004 after her doctor prescribed it for shoulder pain.

Bartlett, who attended Tuesday's argument, suffered a rare hypersensitivity reaction three weeks after she started taking it. Her skin began to peel off, leaving her with burn-like lesions over two-thirds of her body.

Mutual, backed by the Obama administration, says that federal law trumps state law claims likes those Bartlett made, pointing to the fact that the drug already had FDA approval.

Federal law requires generic drugs to have the same design as their brand-name equivalents, Mutual argues.

During the argument, the justices wrestled with the points of both the federal law in question, the Federal Food, Drug and Cosmetic Act, and the precise allegations made in the state lawsuit.

That was in part due to a 2011 Supreme Court precedent in a case called PLIVA v. Mensing, which limited consumers' ability to sue generic manufacturers over alleged injuries.

"UNREASONABLY DANGEROUS"

The court ruled then that generic drugmakers could not be sued for failing to warn about certain health risks because federal law requires brand-name and generic drugs to carry the same label.

Several justices sought to clarify whether the claims made by Bartlett were sufficiently different from those relating to labeling that are already limited.

Chief Justice John Roberts indicated that he saw some difference in Bartlett's claim due to the nature of the New Hampshire law, which imposes liability when a product is deemed "unreasonably dangerous."

The Supreme Court's cases, he said, have been "focused on the concern that the state is going to impose on the manufacturer a different duty than the federal government."

In contrast, the state law is, as Roberts put it, "if you do this, you're going to have to pay for the damage."

Several justices expressed concern, however, that the complicated decision-making process about the risk involved in taking a particular drug would be left to a jury.

Justice Antonin Scalia noted that the jury would have to weigh "what the cost-benefit analysis is for a very novel drug that unquestionably has some deleterious effects, but also can save some lives."

Roberts pointed out that any single jury is only dealing with the facts in the case before it.

The jury in Bartlett's case "didn't say that yes, you can market this drug, it benefits, you know, 99.9 percent of the people, but there is that 0.1 percent, and you're going to have to compensate that person," he said.

Instead, the jury decided, Roberts said, "the risks outweigh the benefits, period. So you should not market this at all."

The case is Mutual Pharmaceutical Company v. Bartlett, U.S. Supreme Court, No. 12-142.

For petitioner: Jay Lefkowitz of Kirkland & Ellis, argued.

For respondent: David Frederick of Kellogg, Huber, Hansen, Todd, Evans & Figel.

For the federal government, amicus in support of petitioner: Anthony Yang, Department of Justice.

(Reporting by Lawrence Hurley and Terry Baynes; Editing by Howard Goller and Jackie Frank)

((lawrence.hurley@thomsonreuters.com 202 898-8397)(Reuters Messaging: lawrence.hurley.thomsonreuters.com@reuters.net))

Keywords: USA COURT/GENERIC


View the original article here

Tuesday, June 11, 2013

Top court to hear arguments over generic drugmaker liability

* Generic drugmaker seeks to overturn $21 million jury award

* Woman suffered severe skin reaction after taking generic drug

* Drug company says suit barred by federal law By Terry Baynes

March 18 (Reuters) - The U.S. Supreme Court will hear arguments on Tuesday in a case that could decide whether generic drugmakers can be held liable for alleged flaws in the designs of their medications, even though federal law requires generic manufacturers to copy the brand drugmaker's design.

The case, closely watched by pharmaceutical companies, regulators and lawyers, could determine the extent to which individuals can hold generic drug manufacturers liable for injuries allegedly caused by their copycat products.

Mutual Pharmaceutical Co has asked the high court to overturn a $21 million jury award to Karen Bartlett, a New Hampshire woman who took Mutual's generic non-steroidal anti-inflammatory drug, sulindac, in 2004 after her doctor prescribed it for shoulder pain.

Mutual, based in Philadelphia, is a unit of URL Pharma, owned by Sun Pharmaceutical Industries , and manufactures dozens of generic drugs ranging from antibiotic doxycycline to the antifungal nystatin.

The trial judge upheld the jury's award, and a federal appeals court agreed, describing Bartlett's experience as "disastrous."

Doctors diagnosed a rare hypersensitivity reaction associated with the drug that developed three weeks after Bartlett started taking it. Her skin began to peel off, leaving her with burn-like lesions over two-thirds of her body. She spent close to two months in a hospital burn unit, some of that time in a medically induced coma, and has since undergone 13 eye surgeries.

The reaction, a severe form of Stevens-Johnson Syndrome, left Bartlett with permanent near-blindness, scarred lungs and a constricted esophagus that makes it difficult to swallow. She sued Mutual in 2008 for alleged design defects under New Hampshire law.

After a 14-day trial, a jury awarded Bartlett $21 million for her injuries.

Asking the Supreme Court to overturn the award, Mutual argues that federal law bars such claims because its drug had already been approved by the U.S. Food and Drug Administration and federal law requires generic drugs to have the same design as their brand-name equivalents.

The company cites a 2011 Supreme Court ruling, PLIVA v. Mensing, which dramatically constrained consumers' ability to sue generic manufacturers over alleged injuries. In that case, the court found that generic drugmakers could not be sued for failing to warn about certain health risks because federal law requires brand-name and generic drugs to carry the same label. That ruling has wiped out the bulk of personal injury cases against generic manufacturers.

PHARMACIST'S CHOICE

Bartlett's case skirted the Mensing ruling by claiming that the generic drug was inherently dangerous, based on the number of incident reports of the skin reaction submitted to the FDA. From that data, Bartlett concluded that sulindac's design was unreasonably dangerous and defective.

Mutual argues that the logic of Mensing should also apply to design defect claims because, as with their labels, generic drug companies have no control over their product's design, which has to mimic the brand-name counterpart.

But in May a unanimous three-judge panel of the 1st Circuit Court of Appeals in Boston refused to extend the ruling to design defect claims. The court ruled that Mutual could simply have decided to stop making sulindac, based on the brand name Clinoril, and take it off the shelves.

If the Supreme Court finds that the product defect claims under state law are barred by federal law, it would become virtually impossible to hold a generic drugmaker accountable for injuries caused by their products.

About 80 percent of all U.S. prescriptions are filled with generics, according to healthcare information provider IMS Health. When a doctor prescribes a brand-name drug, state laws allow pharmacists to automatically substitute the cheaper generic version in filling the prescription. Bartlett's doctor prescribed the brand-name Clinoril, and her pharmacist filled it with the generic sulindac.

Most people are unaware they're taking a generic instead of the brand-name drug, said Richard Schulte, a lawyer who represents plaintiffs in personal injury suits against generic drug companies.

"When they pick up their script, they have no idea they have no legal claim and they're not protected," Schulte said.

"HORRIFIC"

Bartlett's lawyer, Keith Jensen, said that even though the FDA is responsible for approving all drugs, the agency is too ill-equipped and underfunded to ensure that drugs are safe and effective. Lawsuits like Bartlett's are crucial for exposing safety problems with drugs, he said.

When Bartlett took the drug, sulindac's label included a warning that it was associated with the rare but potentially fatal skin reaction. In 2005, Mutual strengthened its warning after the FDA recommended that all manufacturers of non-steroidal anti-inflammatories, or NSAIDs, include a description of the early symptoms of the skin reaction in the label. That year the FDA also asked Pfizer to withdraw its drug Bextra after reports of the reaction, but it allowed other NSAIDs to remain on the market.

Mutual's lawyer, Jay Lefkowitz, declined to comment on the case. URL Pharma and Sun Pharmaceutical Industries did not immediately respond to requests for comment.

"There is no question that the results were horrific," Mutual said in its brief, noting that Bartlett can no longer eat normally, have sexual relations, read, drive or work.

But the company said Congress created a regulatory framework that allows generic drugs to piggyback on the brand-name drugs in order to keep generic prices down. To gain FDA approval, generic drugmakers have to show only that their product matches the brand drug, without having to conduct expensive clinical studies.

"It is the special, and different, regulation of generic drugs that allowed the generic drug market to expand, bringing more drugs more quickly and cheaply to the public," the company said in its brief, quoting the Mensing decision.

In the Mensing case, the Supreme Court was divided 5-4, with Justice Clarence Thomas delivering the majority opinion. The case came down along predictable lines, with swing justice Anthony Kennedy joining the court's conservative camp to form a majority. A majority could again find that Bartlett's suit conflicts with federal law, said lawyers for pharmaceutical companies.

The Solicitor General, which filed an amicus brief and will argue on behalf of the FDA on Tuesday, says the agency conducts a rigorous scientific evaluation to determine whether a drug's benefits outweigh its risks. Juries should not be able to second-guess those decisions, the FDA maintains, and generic pharmaceutical companies agree.

"If jurors with no technical expertise can decide healthcare matters like what is medically safe for patients, the result will be an unpredictable flow of needed medicines, which is a major problem for patients," said the industry trade group, the Generic Pharmaceutical Association.

Bartlett said she is planning to attend Tuesday's oral arguments.

"I think generic drugs should be held accountable for the harm they do to people, just like brand-name drugs should be," she said.

The case is Mutual Pharmaceutical Company v. Bartlett, U.S. Supreme Court, No. 12-142.

(Reporting By Terry Baynes in New York; Editing by Eileen Daspin and Douglas Royalty)

((terry.baynes@thomsonreuters.com)(+1 646 223 8022)(Reuters Messaging: terry.baynes.reuters.com@thomsonreuters.net))

Keywords: USA COURT/GENERICS


View the original article here

Sunday, May 19, 2013

UPDATE 3-U.S. drugmaker admits misbranding AIDS appetite medicine

* $45 mln payout includes criminal, civil penalties

* Par accused of marketing drug for off-label use

* TPG Capital bought Par for $1.9 bln in September

(Adds interview with US Attorney in New Jersey)

By Linda Federico-O'Murchu and Jonathan Stempel

March 5 (Reuters) - Par Pharmaceutical Cos, a generic drugmaker, has pleaded guilty to improperly marketing a medication intended to address appetite loss in AIDS patients, and agreed to pay $45 million to resolve a federal criminal probe and related civil litigation.

The company pleaded guilty to a misdemeanor charge for misbranding the drug Megace ES for uses not approved by the U.S. Food and Drug Administration, at a hearing before U.S. Magistrate Judge Madeline Cox Arleo in Newark, New Jersey.

Private equity firm TPG Capital LP bought Par for $1.9 billion in September.

Federal prosecutors said Megace ES was meant to treat anorexia and other weight loss in AIDS patients, but that Par deliberately promoted it for off-label uses, such as for elderly nursing home residents who were losing weight.

"The conduct of this company was in some real measure flagrant," U.S. Attorney Paul Fishman in New Jersey said in an interview at his office. "The company was told on at least two occasions in 2005 that it did not have permission from the FDA to market this drug as appropriate for senior citizens, and it chose to ignore that. And it made the wrong choice."

Par and its lawyer did not immediately respond to several requests for comment.

WHISTLEBLOWERS

Tuesday's settlement includes an $18 million fine, a $4.5 million criminal forfeiture, and $22.5 million to resolve civil litigation against the Woodcliff Lake, New Jersey-based company.

It also resolves three whistleblower lawsuits brought under the federal False Claims Act, which lets private parties sue on behalf of the United States and share in the government's recoveries.

Par also agreed to enter a five-year "corporate integrity agreement" with the U.S. Department of Health and Human Services. This agreement requires the company to improve oversight, and permits it to take back bonuses from executives who engage in significant misconduct.

The U.S. Department of Justice announced the settlement and the guilty plea, which it said was entered by Par Chief Executive Paul Campanelli on the company's behalf.

At a press conference, Fishman said he was unaware of patients who may have been harmed by the improper off-label use of Megace ES, but that this did not excuse Par's marketing.

"A company looking out too much for profits can lose its perspective and its moral compass," Fishman said in the interview. "And that places the public at risk."

ROLEXES AND MEXICO TRIPS

Par pleaded guilty to a charge of introducing a misbranded drug into interstate commerce.

The alleged improper marketing took place between July 2005 and 2009, according to a court filing describing the government case over Megace ES, whose chemical name is megestrol acetate.

Sales representatives and management at Par "knew that they called on very few, if any, facilities with AIDS patients and very few practitioners that treated AIDS patients," the court filing said.

Par also held contests to spur Megace ES sales, awarding prizes such as Rolex watches and trips to Cabo San Lucas in Mexico to successful sales representatives, the filing said.

Last September, the company said it had set aside $45 million for a possible settlement over Megace ES.

The case is U.S. v. Par Pharmaceutical Cos, U.S. District Court, District of New Jersey.

(Reporting by Linda Federico-O'Murchu in Newark, New Jersey; and Terry Baynes and Jonathan Stempel in New York; Editing by Jeffrey Benkoe, John Wallace, Phil Berlowitz and Nick Zieminski)

((jon.stempel@thomsonreuters.com)(646-223-6317)(Reuters

Messaging: jon.stempel.reuters.com@thomsonreuters.net))

Keywords: PARPHARMACEUTICAL SETTLEMENT/


View the original article here

Wednesday, May 15, 2013

UPDATE 2-U.S. drugmaker admits misbranding AIDS appetite medicine

* $45 mln payout includes criminal, civil penalties

* Par accused of marketing drug for off-label use

* TPG Capital bought Par for $1.9 bln in September

(Adds comments, background, byline)

By Linda Federico O'Murchu and Jonathan Stempel

March 5 (Reuters) - Par Pharmaceutical Cos, a generic drugmaker, has pleaded guilty to improperly marketing a medication intended to address appetite loss in AIDS patients, and agreed to pay $45 million to resolve a federal criminal probe and related civil litigation.

The company pleaded guilty to a misdemeanor charge for misbranding the drug Megace ES for uses not approved by the U.S. Food and Drug Administration, at a hearing before U.S. Magistrate Judge Madeline Cox Arleo in Newark, New Jersey.

Private equity firm TPG Capital LP bought Par for $1.9 billion in September.

Prosecutors said Megace ES was meant to treat anorexia and other weight loss in AIDS patients, but that Par deliberately promoted it for off-label uses, such as for elderly nursing home residents who were losing weight.

Tuesday's settlement includes an $18 million fine, a $4.5 million criminal forfeiture, and $22.5 million to resolve civil litigation against the Woodcliff Lake, New Jersey-based company.

It also resolves three whistle-blower lawsuits brought under the federal False Claims Act, which lets private parties sue on behalf of the United States and share in the government's recoveries.

Par also agreed to enter a five-year "corporate integrity agreement" with the U.S. Department of Health and Human Services. This agreement requires the company to improve oversight, and permits it to take back bonuses from executives who engage in significant misconduct.

The U.S. Department of Justice announced the settlement and the guilty plea, which it said was entered by Par Chief Executive Paul Campanelli on the company's behalf.

Par and its lawyer did not immediately respond to requests for comment.

At a press conference, U.S. Attorney Paul Fishman in New Jersey said he was unaware of patients who may have been harmed by the improper off-label use of Megace ES, but that this did not excuse Par's marketing efforts.

"We depend on players to play by the rules. When companies take steps to get around that process, the American people lose faith," he said.

Par's improper marketing "made them a lot of money that they wouldn't have made otherwise," Fishman added.

ROLEXES AND MEXICO TRIPS

Par pleaded guilty to a charge of introducing a misbranded drug into interstate commerce.

The alleged improper marketing took place between July 2005 and 2009, according to a court filing describing the government case over Megace ES, whose chemical name is megestrol acetate.

Sales representatives and management at Par "knew that they called on very few, if any, facilities with AIDS patients and very few practitioners that treated AIDS patients," the court filing said.

Par also held contests to spur Megace ES sales, awarding prizes such as Rolex watches and trips to Cabo San Lucas in Mexico to successful sales representatives, the filing said.

Last September, the company said it had set aside $45 million for a possible settlement over Megace ES.

The case is U.S. v. Par Pharmaceutical Cos, U.S. District Court, District of New Jersey.

(Reporting by Linda Federico O'Murchu in Newark, New Jersey; and Terry Baynes and Jonathan Stempel in New York; Editing by Jeffrey Benkoe, John Wallace and Phil Berlowitz)

((jon.stempel@thomsonreuters.com)(646)(223-6317)(Reuters

Messaging: jon.stempel.reuters.com@thomsonreuters.net))

Keywords: PARPHARMACEUTICAL SETTLEMENT/


View the original article here