Plaintiffs Brenda and Ronald Reed, citizens of West Virginia, commenced this action on November 19, 2010 seeking damages resulting from Ms. Reed’s ingestion of Lybrel, an oral contraceptive pill allegedly designed, developed, and sold by defendants Pfizer, Inc. (“Pfizer”) and Wyeth LLC (“Wyeth”). On January 20, 2011, defendants filed a letter requesting a premotion conference and permission to file a motion to dismiss. In that letter, defendants argued that plaintiffs’ complaint should be dismissed based on a failure to plead plausible claims. The Court held the requested pre-motion conference on February 8, 2011. At that conference, “plaintiffs acknowledged that the complaint allowed room for further factual details.” (Plaintiffs’ Opposition, at 1.) The Court provided plaintiffs 30 days to file an amended complaint, which plaintiffs did do on the thirtieth day.
Defendants now move to dismiss the amended complaint for failure to state a claim upon which relief can be granted, arguing that, like the originаl complaint, the amended complaint fails to state plausible claims. Plaintiffs oppose defendants’ motion, but as an alternative, seek leave to amend them pleadings yet again.
For the reasons recounted below, the motion to dismiss is granted without prejudice, and with leave to amend.
I. BACKGROUND
In early 2009, Ms. Reed was prescribed Lybrel to alleviate heavy menstrual periods. (Plaintiffs’ Amended Complaint (“Compl.”) at ¶ 15.) Shortly thereafter, she began ingesting Lybrel, one dose pеr day. (Id. at ¶ 16.) The complaint con-eludes that, “[a]s a direct and proximate result of ingesting Lybrel, [Ms. Reed] developed deep vein thrombosis (“DVT”), pulmonary embolus, vein and tissue damage, severe pain in the left leg and right lung, difficulty breathing, and other serious injuries that required hospitalization, extensive testing, and other medical treatment.” (Id. at ¶ 19.) Ms. Reed, it is further alleged, “has been incapacitated from her normal functioning” and “will require lifelong medical care and attention.” (Id. at ¶ 20.)
Furthermore, plaintiffs allege, inter alia, (1) defendаnts knew or should have known that Lybrel was “negligently created, formulated, designed, manufactured, tested, and marketed, that the drug was not accompanied by adequate warnings; that medical professionals were prescribing the drug for non-approved uses; and that the drug was otherwise negligently and recklessly advertised, marketed, promoted, distributed, and sold,” and (2) defendants “improperly obtained the approval of the FDA to market Lybrel by misrepresenting the risks of the drug to the FDA and/or by failing to inform the FDA of risks inherent in the use of the drug,” and that such misrepresentations “deprived [Ms. Reed] of the opportunity to make an informed choice regarding the risks and benefits associated with” Lybrel. (Compl. at ¶¶ 10, 14, 23.)
II. STANDARD OF REVIEW
Federal Rule of Civil Procedure 8(a)(2) requires “a short and plain statement of the claim showing that the pleader is entitled to relief.” This rule does not compel a litigant to supply “detailed factual allegations” in support of his claims, Bell Atlantic Corp. v. Twombly,
Moreover, under Rule 12(b)(6), a complaint must be dismissed if it does not “contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’ ” Id. (quoting Twombly,
That said, the factual allegations are paramount as “a complaint need not pin plaintiffs claim for relief to a precise legal theory” nor provide “an exposition of his legal argumеnt.” Skinner v. Switzer, —— U.S. -,
Finally, should a court find pleadings to be inadequate, Rule 15(a) provides that the district court should freely grant leave to amend those pleadings when justice so requires. But, a district court correctly denies leave to amend “when an amendment is offered in bad faith, would cause undue delay or prejudice, or would be futile.” Leonelli v. Pennwalt Corp.,
III. DISCUSSION
The thеories of liability initially relevant to determining whether plaintiffs have stated a viable claim are (1) failure to warn, (2) manufacturing defect, (3) design defect, (4) breach of express warranty, and (5) breach of implied warranty.
A. Failure to Warn
To prevail on a failure to warn claim, a plaintiff must prove, “(1) a manufacturer has a duty to warn (2) against dangers resulting from foreseeable uses about which it knew or should have known, and (3) thаt failure to do so was the proximate cause of the harm.” State Farm Fire & Cas. Co. v. Nutone, Inc.,
Plaintiffs describe Ms. Reed’s injuries as “deep vein thrombosis (“DVT”), pulmonary embolus, vein and tissue damage, severe pain in the left leg and right lung, difficulty breathing, and other serious injuries that required hospitalization, extensive testing, and other medical treatment.” (Compl. at ¶¶ 19.) In contrast with them thorough recitation of Ms. Reed’s claimed injuries, plaintiffs plead nothing about the content of Lybrel’s warnings. This is likely because, as defendants note by referencе to the FDA’s website, Lybrel’s FDA-approved warning labels warn of the very injuries plaintiffs have pled.
Given all of this, the Reeds fall short of stating a failure to warn claim because the amended complaint does not allege facts identifying how the provided warnings were inadequate. Instead it first alleges (1) “the drug was not accompanied by adequate warnings;” and (2) the drug was promoted “without sufficient disclosure of its dangerous propensities.” (Compl. ¶¶ 10, 14.) But assertions that warnings were not “adequate” or “sufficient” are nothing more than legal conclusions unsupported by factual content. The fact gap is never closed. The complaint runs on merely to allege (1) defendants “misrepresent[ed] the risks of the drug to the FDA and/or fail[ed] to inform the FDA of risks inherent in the use of the drug;” and (2) the “warnings and information given to the medical community and women consumers did not accurately reflect the symptoms, duration, scope, or severity of the potential side effects, health concerns, and risks associated with ingesting Lybrel.” (Compl. ¶¶ 14, 40.) These additional allegations are simply not “enough to raise a right to relief above the speculative level” since they do not include “enough factual matter (taken as true) to suggest that a [misrepresentation] was made.” Twombly,
To cut to the chase, the fact (taken here as true) that Ms. Reed suffered from certain conditions that were also identified risks of ingesting Lybrel is tragic, but cannot alone make plausible a claim that
Acсordingly, the Court finds that plaintiffs have not plausibly pled a failure to warn claim in their amended complaint. Indeed, the facts before the Court are that defendants did warn of the relevant risks. Plausibility requires some factual assertions as to how or why the acknowledged warning was inadequate, that is, about what risk of harm, or in what way, the acknowledged warning failed to warn.
B. Manufacturing Defect
A manufacturing defect claim is premised on the relevant product being defective because it was not manufаctured as designed. See Am. Guarantee & Liab. Ins. Co. v. Cirrus Design Corp., No. 09 Cv. 8357,
Plaintiffs fail to plead any facts making such an allegation. Rather, they merely plead the legal conclusions that defendants were (1) “negligent” in “formulating” “fabricating,” “manufacturing,” and “packaging,” Lybrel; (2) did so “in violation of applicable statutes, regulations, and appropriate standards of care;” and (3) “failed to perform sufficient and necessary testing that would have shown Lybrel’s defective condition.” (Compl. at ¶¶ 23, 29, 30.) By not pleading facts indicating how or why the Lybrel ingested by Ms. Reed differed from its design, plaintiffs have not enabled the Court “to draw the reasonable inference that the defendants are] liable for the misconduct alleged.” Iqbal,
C. Design Defect
A design defect claim, on the other hand, is premised on a manufacturer’s failure to properly design a product, which is then placed on the market despite posing inappropriate risks. Voss v. Black & Decker Mfg.,
Plaintiffs’ design defect claim also fails for an additional reason. Plaintiffs do not plead facts alleging the existence of a feasible alternative design that would make the product safer, as is required to establish a design defect, under either New York or West Virginia law. Voss,
D. Breach of Express and Implied Warranties
Any “affirmation of fact or promise made by the seller to the buyer which relates to the goods and becomes part of the basis of the bargain creates an express warranty that the goods shall conform to the affirmation or promise.” N.Y.U.C.C. § 2-313(l)(a); W. Va.Code, § 46-2-313(l)(a). A successful claim of a breach of express warranty requires proof that an express warranty existed, was breached, and that plaintiff had relied on that warranty. Horowitz v. Stryker Corp.,
Plaintiffs fail to state an express warranty claim for reasons similar to why they did not meet the standard for a failure to warn claim, a design defect claim,
Horowitz v. Stryker Corp.,
For largely the same reasons, the Court finds plaintiffs have also failed to plead a proper breach of implied warranty
E. Leave to Further Amend is Granted
Plaintiffs have already attempted, but failed, to overcome pleading inadequacies previously identified. At the same time, what has been previewed in the amended complaint suggests that, with guidance from this Memorandum and Order, that plaintiffs may yet be able to plausibly re-plead at least some of their claims. The Court, as a result, grants leave to amend one more time. In exercising its discretion to do so, the Court has considered the high value to be placed on merit resolution of cases and controversies. Plaintiffs are advised that, given the Court’s specific identification of pleading shortcomings, failure to address them successfully in the next round will not likely be rewarded with a third opportunity to cure.
IV. CONCLUSION
For the foregoing reasons, all claims against defendаnts are dismissed without prejudice and with leave to amend. The second amended complaint shall be filed within 30 days of the date this order is entered on the docket.
SO ORDERED.
Notes
. The background facts are drawn from plaintiffs’ pleadings and are considered true for purposes of this motion.
. Plaintiffs label their causes of action as "Negligence,” "Strict Products Liability,” "Negligence — Failure to Warn,” "Breach of Express Warranty,” "Breach of Implied Warranty,” and "Loss of Consortium.” Neither party addresses whether New York law or West Virginia law governs here. But defendants' citations to New York and West Virginia law for each potential cause of action implicitly represent the relevant law of the two states are equivalent for purposes of this motion. Further, plaintiffs either concede the same or represent that New York law governs, by relying exclusively on New York law when discussing the elements of the potential claims in their opposition.
. E.g., Vicari Dec., Ex. B at 10 (“An increased risk of venous thromboembolic and thrombotic disease associated with the use of oral contraceptives is well established’’); at 25 ("the following medical conditions have been associated with or made worse by the pill ... Blood clots in the legs (thrombophlebitis), lungs (pulmonary embolism), stoppage or rupture of a blood vessel in the brain (stroke), blockage of blood vessels in the heart (heart attack and angina pectoris) or other organs of the body”); at 35 (“Blood clots and blockage of blood vessels are the most serious side effects of taking oral contraceptives and can cause death or serious disability. In particular, a clot in the legs can cause thrombophlebitis and a clot that travels to the lungs can cause a sudden blocking of the vessel carrying blood to the lungs”); at 38 ("[i]f any of [the following] adverse effects occur while you are taking oral contraceptives, call your hеalth care professional immediately: ... sudden shortness of breath (indicating a possible clot in the lung) ... Pain in the calf (indicating a possible clot in the leg)....”)
. To be clear, the Court does not take judicial notice of the truth, accuracy, or sufficiency of these warnings.
. The Court agrees with plaintiffs' argument that Twombly did not impose a pleading standard beyond that required by Rule 8, and that plaintiffs are thus required only to provide "a short and plain statement of the claim showing that the pleader is entitled to relief.” FRCP 8(a). see Arista Records, LLC v. Doe 3,
. To the extent a negligence claim could exist independently from, or as part of, any claims discussed above, it fails because plaintiffs have not pled factual content sufficient to create a plausible inference thаt defendants breached any duty they owed to Ms. Reed. Specifically, the Reeds have not pled facts making it plausible (1) that anything that defendants did or failed to do fell below the standard of reasonable care or (2) that the Lybrel was defective in any way including in its warnings, manufacture, or design. See Am. Guarantee & Liab. Ins. Co.,
. In addition to allegations discussed above, the amended complaint includes supplemental allegations relevant to the warranty claims: (1) defendants "warranted that Lybrel had been adequately tested for its intended use, that it was of merchantable quality, and that it was safe and suitable for use by women as a daily oral contraceptive medication that would prevent pregnancy and eliminate menstrual bleeding;” (2) the warranty was relied upon by the medical community (presumably including Ms. Reed’s doctor); (3) defendants knew or should have known that the alleged warranty was false “in that Lybrel was not reasonably safe and fit for its intended use, and was not of merchantable quality, [and] ... causes or contributes to serious adverse health effects, risks, complications, and other injuries;” and (4) defendants "knew or should have known that approximately half of the women whо take Lybrel will not experience cessation of menstrual bleeding.” (Compl. at ¶¶ 47-50.)
. Plaintiffs’ factually consistent but conversely stated allegations that (1) "Defendants knew or should have known that approximately half of the drug’s users would experience cessation of menstrual periods,” Compl. at ¶ 11, and (2) “Defendants knew or should have known that approximately half of the women who take Lybrel will not experience cessation of menstrual bleeding,” Compl. at ¶ 50, lack relеvance because these broadly stated allegations are consistent with Lybrel's FDA-approved warning labels. (Vicari Dec., Ex. B at 27) ("In a study of LYBREL, about 5 out of 10 women had 7 or more days of bleeding or spotting while using their third 28-day pill pack of LYBREL. The number of women with 7 or more days of bleeding or spotting decreased to 3 out of 10 women during the use of their seventh pill pack. Among women who continued to use LYBREL for one year, about 6 out of 10 women had no bleeding or spotting during their last month оf use ... MOST WOMEN HAVE SPOTTING OR BLEEDING DURING THE FIRST FEW MONTHS OF TAKING LYBREL ") (emphasis in original). To the extent an inconsistency between Lybrel’s warnings and defendants’ actual knowledge existed regarding the drug's effect on menstrual bleeding, the amended complaint does not adequately identify it. Moreover, regarding reliance on any warranty (and causation in her other claims), the amended complaint does not relate plaintiffs’ allegations of Lybrel’s ability to cause "cessation of menstrual periods” to Ms. Reed’s stated reason for taking Lybrel, i.e., "to alleviate severely heavy menstrual periods.” (Compl. atH 15.)
. The loss of consortium claim is derívate, and therefore dismissed pro tanto. See Lake v. Kardjian,
