84 F.4th 1
1st Cir.2023Background
- Biogen developed aducanumab for Alzheimer’s and ran two Phase III trials, ENGAGE and EMERGE, with identical designs but staggered starts and three dose arms (placebo, low, high).
- Protocol amendments (PV3, PV4) increased titration and raised high-dose for APOE4 carriers, producing subgroup differences (carriers vs. noncarriers) in exposure and interruptions.
- A futility analysis (cutoff Dec. 28, 2018) prompted trial termination in March 2019; subsequent internal post‑hoc review showed EMERGE high‑dose met endpoints while ENGAGE did not.
- In Oct.–Nov. 2019–2020 Biogen executives publicly stated the data showed a sharp dose‑response and that "all data" were consistent with needing the high dose; Biogen withheld certain subgroup analyses pending regulatory review.
- Plaintiffs sued under §10(b) and §20(a), alleging Biogen concealed subgroup data that undermined dose‑response and plaque‑outcome claims; the district court dismissed for failure to plead a misleading statement/omission, scienter, and loss causation.
- The First Circuit affirmed dismissal except it reversed as to one statement — Sandrock’s "all data" remark — holding plaintiffs adequately pled a misleading omission, scienter, and loss causation for that statement and remanded.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Material misrepresentation/omission | Sandrock’s "all data" statement was misleading because subgroup data showed inconsistent dose‑response (noncarriers didn’t benefit; carriers’ results varied) and was omitted. | Statements were opinions or truthful topline disclosures; subgroup data were properly withheld for regulatory reasons and did not render statements false. | Reversed as to Sandrock’s "all data" statement: omission of subgroup data plausibly made the statement misleading and was material. Other efficacy statements: dismissal affirmed (no adequate pleading of material falsity). |
| Scienter (state of mind) | Defendants knew of subgroup analyses, selectively withheld inconsistent data, and manipulated analyses to support approval — supporting intent or recklessness. | Close attention to data, post‑hoc analyses, and withheld subgroup detail do not establish intent to deceive; FDA engagement and disclosures undercut inference of fraud. | Plaintiffs adequately alleged scienter for Sandrock’s "all data" statement (knew of contradictory subgroup data and consciously withheld it). Scienter not adequately pled for other efficacy statements. |
| Loss causation | Massie’s statistical critique (published Nov. 4, 2020) was a corrective disclosure revealing the omitted truth; the stock drop after Nov. 4–9 shows causation. | Any corrective information was public before plaintiffs purchased shares, so price decline was not caused by defendants’ alleged fraud. | Rejected the district court’s per se rule requiring immediate price drop; plaintiffs plausibly alleged a delayed market reaction to Massie’s report, so loss causation survives for the "all data" claim. |
| §20(a) control‑person claim | Derivative of §10(b) claim; if §10(b) survives as to "all data," §20(a) should too. | §20(a) fails if underlying §10(b) fails. | Vacated district court’s §20(a) dismissal insofar as it depends on the reinstated §10(b) claim for the "all data" statement; otherwise affirmed. |
Key Cases Cited
- Tellabs, Inc. v. Makor Issues & Rts., 551 U.S. 308 (2007) (standard for evaluating competing inferences on scienter under the PSLRA)
- Omnicare, Inc. v. Laborers Dist. Council Constr. Indus. Pension Fund, 575 U.S. 175 (2015) (opinion‑statement liability; reasonable investor may infer facts about the speaker’s basis)
- Basic Inc. v. Levinson, 485 U.S. 224 (1988) (materiality as alteration of the total mix of information)
- Dura Pharm., Inc. v. Broudo, 544 U.S. 336 (2005) (loss causation requirement)
- Mass. Ret. Sys. v. CVS Caremark Corp., 716 F.3d 229 (1st Cir. 2013) (loss causation and corrective disclosure framework)
- Constr. Indus. & Laborers Joint Pension Tr. v. Carbonite, Inc., 22 F.4th 1 (1st Cir. 2021) (PSLRA pleading specificity and treatment of opinion statements)
- Mehta v. Ocular Therapeutix, Inc., 955 F.3d 194 (1st Cir. 2020) (pleading standards for securities claims)
- In re Ariad Pharms., Inc. Sec. Litig., 842 F.3d 744 (1st Cir. 2016) (scienter pleading requirements)
- Loc. No. 8 IBEW Ret. Plan & Tr. v. Vertex Pharms., Inc., 838 F.3d 76 (1st Cir. 2016) (scienter and attention to clinical data does not alone prove recklessness)
- Alaska Elec. Pension Fund v. Pharmacia Corp., 554 F.3d 342 (3d Cir. 2009) (selective presentation of clinical data can support scienter)
