Center for Responsible Science v. Gottlieb

District Court, District of Columbia·Decided October 22, 2018·No. Civil Action No. 2017-2198·Published

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

CENTER FOR RESPONSIBLE SCIENCE,

Plaintiff, v. Civil Action No. 17-2198 (JEB) SCOTT GOTTLIEB,

Defendant.

MEMORANDUM OPINION

Before a new pharmaceutical drug can come to market, testing must prove it to be both

safe and effective. Plaintiff Center for Responsible Science believes that the Food and Drug

Administration’s informed-consent regulation governing these initial human tests does not

sufficiently warn participants of the dangers they face. CRS thus proposed that the FDA amend

its regulation to add three additional disclosures, but the Agency demurred. Plaintiff then turned

to the courts. It filed a one-count Complaint under the Administrative Procedure Act against

Scott Gottlieb, the FDA’s current commissioner, asking the Court to require what CRS could not

convince the Agency to adopt. The threshold question — and the one that ultimately trips

Plaintiff up — is whether it can invoke this Court’s jurisdiction. Once before, this Court found

that CRS had failed to sufficiently demonstrate Article III standing, but sent it back to the

drawing board instead of dismissing the case. CRS now returns with added detail. Its Amended

Complaint, however, still falls short of establishing the organizational injury necessary for this

suit to continue. As round two thus yields the same result, the Court will grant Defendant’s

Motion to Dismiss.

1 I. Background

Only a brief rehearsal of the facts is necessary to tee up the sole jurisdictional issue at

play. For a deeper dive into the governing regulatory scheme and requested disclosures that

color this case, the Court directs interested readers to its first Opinion on this issue. See Ctr. for

Responsible Sci. v. Gottlieb, 311 F. Supp. 3d 5, 6–8 (D.D.C. 2018).

FDA regulations require that certain information “shall be provided to each subject” of a

clinical trial within the Agency’s jurisdiction. See 21 C.F.R. § 50.25. Simply put, CRS believes

that these disclosures are not enough. It contends that participants should be warned that testing

drugs on laboratory animals — which generally precedes clinical trials involving humans — can

be a poor predictor of safety and efficacy in human subjects. See ECF No. 17 (Pl. Opp.) at 3–6.

So CRS took action. Armed with its criticism, Plaintiff submitted a Citizen Petition to

the FDA in May of 2014 requesting that the Agency amend its disclosure requirements for

human subjects in clinical trials to provide three additional warnings. See ECF No. 14 (Am.

Compl.), ¶ 37. Paraphrased, these warnings would disclose that prior animal tests may not be

predictive of safety in humans and that, in the past, participants died during clinical trials as a

result of ingesting the tested drugs. Id., ¶ 40. The warning would also caution participants that

the drug may not be effective in treating their condition even if that efficacy was shown in

animal-based tests. Id.

Defendant denied the Petition. It reasoned that the requested modification was

overbroad, since the disclosures were relevant only to drug trials, but the regulations cover all

clinical trials. The FDA also decided that these additions would preclude needed flexibility in

informed-consent disclosures. Id., ¶¶ 152, 154.

2 Unhappy with this response, CRS filed suit under the Administrative Procedure Act. It

alleged that the Agency’s rejection of its Petition was arbitrary and capricious as well as beyond

the FDA’s statutory authority. In the first round of this litigation, the Court dismissed Plaintiff’s

Complaint without reaching the merits of its contention, finding that CRS had not cleared the

first hurdle of any suit in federal court: demonstrating Article III standing. Open to the

possibility that Plaintiff’s deficiency could lie in the inartfulness of its pleading rather than a lack

of interest in the case, the Court granted CRS a second bite at the apple and permitted leave to

amend. See Ctr. for Responsible Sci., 311 F. Supp. 3d at 10.

CRS now returns with a beefed-up Complaint. It provides the Court with additional

detail concerning both its mission and the actions it has taken relevant to the challenged conduct.

Established in 2012, Plaintiff is a “non-profit watchdog group” whose mission serves to

“promote advances in regulatory science.” Am. Compl., ¶ 1. Although its interests are broad

ranging, CRS realizes this mission in part by promoting “safer, more effective outcomes during

human trials.” Id., ¶ 191. To perform this function, it monitors clinical trials for deaths and other

serious adverse events and provides education to various stakeholders interested in human test

methods. Id., ¶¶ 4, 192. CRS’s staff consists of one full-time, salaried employee and one part-

time volunteer. Id., ¶ 202.

CRS also provides more detail on the actions that it alleges its employee took in response

to the FDA’s denial of the Citizen Petition. These actions fall, roughly, into three buckets. First,

this employee — Tamara Drake — has been compiling data of adverse events in clinical trials.

Id., ¶ 198. Plaintiff does not hide, however, that Drake has long performed this task, dating back

to before the denial of the Citizen Petition. See Pl. Opp. at 25–26.

3 Second, Drake began compiling a list of all clinical trials that were either in the process

of recruiting human participants or planned to begin recruiting shortly. See Am. Compl., ¶ 198.

Unlike the aggregation of adverse events, she did not begin this task until after the FDA’s denial

of CRS’s Citizen Petition. Id.; Pl. Opp. at 26. Starting in May 2018, approximately one year

after the denial of the Citizen Petition, but only two weeks after this Court first dismissed CRS’s

Complaint for lack of standing, Drake also began contacting the principal investigators of these

trials. See Am. Compl., ¶ 198; Pl. Opp. at 27. She urged each investigator to voluntarily adopt

the disclosures that the FDA had decided not to require. See Am. Compl., ¶ 198. Only a small

percentage of investigators have responded to CRS’s outreach efforts. See Pl. Opp. at 27.

Third, and finally, CRS points to public education. Through press releases and other

mechanisms (which it has not specified), CRS has notified the public and other stakeholders of

the FDA’s denial of the Citizen Petition and the “limitations of animal testing.” Am. Compl.,

¶ 204.

Once again, Defendant has filed a Motion to Dismiss under Rule 12(b)(1) because, the

Agency says, CRS’s Amended Complaint still does not establish that it has Article III standing.

So once more into the breach of organizational standing ventures the Court. This time, like King

Henry V’s final assault on Harfleur, proves the last. Despite its renewed efforts, CRS’s alleged

injury does not clear Article III’s bar, which precludes it from maintaining this challenge.

II. Legal Standard

In evaluating Defendant’s Motion to Dismiss, the Court must “treat the complaint's

factual allegations as true . . . and must grant plaintiff ‘the benefit of all inferences that can be

derived from the facts alleged.’” Sparrow v. United Air Lines, Inc., 216 F.3d 1111, 1113 (D.C.

Cir. 2000) (quoting Schuler v.

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