Lofton v. McNeil Consumer & Specialty PharmaceuticalsLofton v. McNeil Consumer & Specialty Pharmaceuticals
Christоpher M. Lofton tragically died from a rare disease called Toxic Epidermal Necrolysis (“TEN”) after taking Motrin. Lofton’s wife and children brought suit against the Appellees asserting that Motrin caused the disease and the Appellees had failed to warn consumers about the risk of these severe autoimmune allergic reactions. The district court entered summary judgment for the Appellees. The only issue on appeal is whether the district court corrеctly found that federal law preempts a Texas tort reform law that requires plaintiffs to assert, in failure to warn cases, that a drug manufacturer withheld or misrepresented material information to the FDA.
See
BACKGROUND
Christopher M. Lofton took over-the-counter Motrin between May 20 and May 22, 2000 to combat a fever. On May 24, after noticing a rash on his skin, Lofton went to the Plano Medical Center emergency room, where he reported both the fever and the rash. After his relеase, he resumed taking Motrin for pain. When his skin condition worsened, Lofton saw a dermatologist on May 26. The dermatologist diagnosed him with Stevens-Johnson Syndrome (“SJS”), a less advanced form of TEN. The following day, Lofton returned to the emergency room and was soon admitted to the burn unit of Parkland Hospital for treatment of TEN. He died on June 3.
SJS and TEN are extremely rare maladies, occurring in only several people per million each year. One known causе of the diseases is an autoimmune reaction to medication. Whether ibuprofen is among the medications that can cause TEN is a contested issue. In a similar case, the Seventh Circuit noted that “[tjhere is unquestionably an
association
between SJS/ TEN and ibuprofen,” but such association might arise only from patients’ use of ibuprofen to combat the headaches and fevers associated with SJS/TEN.
Robinson v. McNeil Consumer Healthcare,
The FDA is aware of the connection between ibuprofen and SJS/TEN and, starting in Fеbruary of 2005, required that ibuprofen labels carry a warning about the symptoms of SJS/TEN. The warning list
Against this background, Lofton’s family filed suit asserting cоmmon law negligence and strict products liability claims. Appellees moved for summary judgment on all claims, asserting in particular that the failure to warn claims, which are subject to a “fraud-on-the-FDA” proof requirement under Texas law, are preempted by
Buckman Co. v. Plaintiffs’ Legal Comm.,
Only one issue survives on appeal. Under Texas law, a drug manufacturer enjoys a rebuttable presumption that it is not liable for failure to warn if the FDA has approved “the warnings or information” accompanying the product allegеd to have harmed the plaintiff. Tex. Crv. Prac.
&
Rem.Code
by establishing that ... the defendant ... withheld from or misrepresented to the United States Food and Drug Administration required information that was material and relevant to the performance of the product and was causally related to the claimant’s injury.
STANDARD OF REVIEW
This court reviews a district court’s grant of summary judgment
de novo
applying the same standard as the district court.
Onoh v. Northwest Airlines, Inc.,
DISCUSSION
Provisions similar to
Following
Buckman,
the Supreme Court held that state common law failure to warn claims are not preempted by FDA approval of drug labels.
Wyeth,
1. Buckman or Levine
Buckman
held that federal law preempts state-law causes of action claiming that a medical dеvice manufacturer made fraudulent representations to the FDA.
In
Levine,
the plaintiff brought a traditional failure to warn claim under state common law for injuries accruing from the administration of Phenergan. The defendant responded that because the FDA approved the drug labels, state law claims were preempted.
At first glance, the case at bar bears some resemblance to both
Levine
and
Buckman.
Texas adopted
Buckman’s
fraud-on-the-FDA analysis is more factually and legally apposite to the interpretation of
2. Competing Interpretations of Buck-man
As noted above, the courts of appeals split on whether
Buckman
requires preemption of a Michigan provision similar to
8. Buckman applied to Texas Civ. Pbag. & Rem.Code
a. Presumption Against Preemption
The Supreme Court has occasionally stated that a preemption inquiry “start[s] with the assumption that the historic police powers of the States were not to be superseded by the Federal Act unless that was the clear and manifest purpose of Congress.”
Hillsborough Cnty., Fla. v. Automated Med. Labs., Inc.,
What we can conclude with confidence, though, is that the primacy of the state’s police powers is not universal: “the relationship between a federal agency and the entity it regulates is inherently federal in character because the relationship originates from, is governed by, and terminates according to federal law.”
Buckman,
Writing prior to
Levine’s
or
PLIVA’s
discussion, or omission, of the “presumption against preemption,” both
Garcia
and
Desiano
cited the presumption, but then diverged in their analyses.
Garcia
characterized the Michigan Statute as preserving claims against drug manufacturers for “circumstances involving,
inter alia,
fraud on the FDA.”
Even with the benefit of
Levine
and
PLLVA,
this court is unable to assess the current scope or existence of the presumption against preemption. We take refuge in the conclusion that because
b.
The Second Circuit attached significance to its characterization of the underlying claims in
Desiano
as traditional tort claims not based on a duty between a federal agency and drug manufacturer. Likewise, the Loftons’ attempt to distinguish their claim from
Buckman
аs a traditional failure to warn tort claim. Parenthetically, the principal question briefed here is not whether a traditional failure to warn claim is preempted, but whether
Also unpersuasive is the idea that it makes a difference for preemption purposes whether fraud-on-the-FDA has become an “element” of traditional tort claims because of the state statutes, or an item of rebuttal to a defendant’s affirmative defense. We reject the Loftons’ specific argument that
We also disagree with the Second Circuit that statutes like
While
Desiano
strains to evoke distinctions between the claim in
Buckman
and the Michigan statute, the Sixth Circuit’s approach is more faithful to
Buck-man.
In cases like this, where the FDA has not found fraud, the threat of imposing state liability on a drug manufacturer for defrauding the FDA intrudes on the competency of the FDA and its relationship with regulated entities. Under such circumstances
Buckman
found a violation of the Supremacy Clause. Thus,
A Severability
Appellants argue for the first time on appeal that
CONCLUSION
Because we conclude that
Notes
. Unredacted, this section states:
(a) In a products liability action alleging that an injury was caused by a failure to provide adequate warnings or information with regard to a pharmaceutical product, there is a rebuttable presumption that the defendant or defendants, including a health care provider, manufacturer, distributor, and prescriber, are not liable with respect to the allegations involving failure to provide adequate warnings or information if: (1) the warnings or information that accompanied the product in its distribution were those approved by the United States Food and Drug Administration for a product approved under the Federal Food, Drug, and Cosmetic Act (21 U.S.C. Section 301 et seq. ), as amended, or Section 351, Public Health Service Act (42 U.S.C. Section 262 ), as amended; or (2) the warnings provided were those stated in monographs developed by the United States Food and Drug Administration for pharmaceutical products that may be distributed without an approved new drug application.
. The FDA has authority to investigate fraud,
. Although neither party mentions it, the presumption accorded defendants under the Michigan law is broader than that in Texas law. The Michigan presumption covers several products liability claims if a defendant’s product complies with FDA regulations, while the Texas presumption only applies to failure to warn claims. The statute reads, in relevant part:
(5) In a product liability action against a manufacturer or a seller, a product that is a drug is not defеctive or unreasonably dangerous, and the manufacturer or seller is not liable, if the drug was approved for safety and efficacy by the United States food and drug administration, and the drug and its labeling were in compliance with the United States food and drug administration’s approval at the time the drug left the control of the manufacturer or seller .... This subsection does not apply if the defendant at any time before the event that allegedly caused the injury dоes any of the following:
(a) Intentionally withholds from or misrepresents to the United States food and drug administration information concerning the drug that is required to be submitted under the federal food, drug, and cosmetic act ... and the drug would have not been approved, or the United States food and drug administration would, have withdrawn approval for the drug if the information were accurately submitted.
. Having decided that