Huey v. Anavex Life Sciences Corporation

Court of Appeals for the Second Circuit·Decided June 26, 2026·No. 25-1752·Published

Opinion

25-1752 Huey v. Anavex Life Sciences Corporation

In the

United States Court of Appeals For the Second Circuit

August Term, 2025

No. 25-1752

QUINTESSA HUEY,

Plaintiff-Appellant,

JONATHAN BLUM,

individually and on behalf of all others similarly situated, Plaintiff,

v.

ANAVEX LIFE SCIENCES CORPORATION, CHRISTOPHER U. MISSLING, Defendants-Appellees.

On Appeal from a Judgment of the United States District Court for the Southern District of New York.

ARGUED: FEBRUARY 12, 2026 DECIDED: JUNE 26, 2026

Before: JACOBS, CALABRESI, and NATHAN, Circuit Judges.

Plaintiff-Appellant Quintessa Huey appeals from a judgment of the United States District Court for the Southern District of New York (McMahon, J.) dismissing her complaint and denying her request to replead. Huey held shares in Anavex Life Sciences Corporation (“Anavex”), a publicly traded biopharmaceutical company. Huey filed a putative class action against Anavex and its then-CEO, Christopher U. Missling, alleging securities fraud on the basis of an alleged misrepresentation. On the day that Defendants made a disclosure correcting the alleged misrepresentation, Anavex’s share price increased. The share price did not decline until the next two days, when it moved in tandem with the entire market. The district court held that Huey failed sufficiently to plead loss causation given the initial increase and delayed decline in Anavex’s share price. Because we agree that in light of these circumstances Huey failed plausibly to allege loss causation, we AFFIRM the judgment of the district court.

ADAM M. APTON, Levi & Korsinsky, LLP, New York, NY, for Plaintiff-Appellant.

STEPHEN G. TOPETZES (Theodore L. Kornobis, on the brief), K&L Gates LLP, Washington, DC, for Defendants-Appellees.

CALABRESI, Circuit Judge:

This case concerns what pleadings are necessary for a plaintiff sufficiently to allege loss causation in a securities-fraud action under Section 10(b) of the Securities Exchange Act.

Plaintiff-Appellant Quintessa Huey held shares in Anavex Life Sciences Corporation (“Anavex”), a publicly traded biopharmaceutical company. Huey filed a putative class action against Anavex and its then-CEO, Christopher U. Missling, alleging that they misled investors by, among other things, implying in various disclosures that the FDA had approved their methodology for measuring a drug candidate’s efficacy in clinical trials. On the day Missling announced that the company would abandon the purportedly FDA-approved methodology, Anavex’s share price increased. The share price did not decline until the following two days; at that time, it moved in tandem with the entire market.

The United States District Court for the Southern District of New York (McMahon, J.) dismissed Huey’s complaint for failure to state a claim and denied her request to replead. The district court held that Huey failed sufficiently to plead loss causation given the initial increase then delayed decline in Anavex’s share price, and the surrounding market context. Because we agree that Huey failed plausibly to allege loss causation, we AFFIRM the judgment of the district court.

I. Background A. Anavex Tests Proposed Treatment for Rett Syndrome Anavex is a public biopharmaceutical company that specializes in early-

stage therapies for central nervous system diseases. In 2016, Anavex announced that one of its drug candidates, ANAVEX 2-73, displayed “positive preclinical data” for the treatment of Rett syndrome, a rare genetic neurological disease. P.A. App’x at 16.

To obtain FDA approval to sell and market ANAVEX 2-73 for Rett syndrome, Anavex conducted several clinical trials, including: a Phase 2 trial beginning in June 2019 (the AVATAR trial) and a Phase 2/3 trial beginning in September 2019 (the EXCELLENCE trial). As with all clinical trials, these studies used standardized metrics known as “endpoints” to measure the efficacy of the tested drug. One such endpoint is a patient’s improvement on the Rett Syndrome Behavioral Questionnaire (“RSBQ”): a survey administered to a Rett syndrome patient by her caregiver that assesses symptoms the patient is experiencing. Another endpoint is a patient’s improvement on the Clinical Global Impression- Improvement (CGI-I) scale: an assessment similar to RSBQ that is completed by a patient’s clinician, rather than the patient herself. To improve accuracy, these two

metrics can be “anchored” to one another to ensure that a patient’s self-reported improvements are tied to improvements also observed by a clinical professional.

Anavex was not the only company working on a Rett syndrome treatment.

A competitor pharmaceutical company, Neuren, developed a Rett syndrome drug candidate called DAYBUE that had reached the end of its Phase 2 trials by 2017. For DAYBUE’s final Phase 3 clinical trial, the FDA approved Neuren’s use of an anchored RSBQ/CGI-I endpoint to measure the drug’s efficacy. Neuren used the typical approach for measuring efficacy in clinical trials. This approach compared the final, end-of-treatment RSBQ/CGI-I score with the baseline, pre-treatment score to determine the patient’s net improvement (“RSBQ/CGI-I endpoint”). The trial concluded in 2021 with positive results, and DAYBUE received marketing approval from the FDA in March 2023.

Anavex took a different approach in its clinical trials of ANAVEX 2-73.

Rather than compare the baseline and end-of-treatment RSBQ/CGI-I scores for each patient, Anavex decided to account also for scores reported during the trial (i.e., mid-treatment RSBQ/CGI-I scores). Anavex called this approach RSBQ-AUC (Area Under the Curve). By including mid-treatment scores in the measurement, the RSBQ-AUC metric might reflect positive results although the end-of-treatment

score showed no improvement from the baseline. Indeed, the RSBQ-AUC result could show a positive result even if the end-of-treatment score was lower than the baseline (i.e., where a patient’s Rett syndrome symptoms were worse at the conclusion of the study compared to when it began). Anavex thus could report positive treatment effects for ANAVEX 2-73 using RSBQ-AUC although the RSBQ/CGI-I endpoint used in the DAYBUE trial and approved by the FDA would yield a neutral, or even a negative, effect.

B. Anavex’s Class Period Disclosures During the Rett syndrome trials for ANAVEX 2-73, Defendants made several public statements about the endpoints used and results obtained.

1. February 1, 2022, Statement On February 1, 2022, Anavex hosted a special conference call to discuss the AVATAR trial results. During the call, a research analyst asked Missling whether the upcoming EXCELLENCE trial would use the same RSBQ-AUC endpoint as the AVATAR trial. Missling replied, “So that’s right, the EXCELLENCE study will use the same endpoint . . . because it’s just described, it is just the preference of the FDA.” P.A. App’x at 37 (¶ 75) (emphasis added). He also said that the trial results

could potentially be used “to seek approval for Rett syndrome for adult patients.” Id. at 40 (¶ 78).

2. February 2022 through January 2023 Statements Over the course of the next year, Anavex and Missling made several statements reiterating the company’s intention to use the same RSBQ-AUC endpoint in its clinical trials and how the trials could provide a viable path to FDA approval.

For example, on February 9, 2022, an equity analyst asked Missling what the FDA would think about Anavex submitting results under the RSBQ-AUC endpoint even though a different company had recently submitted results using a different endpoint. Id. at 43 (¶ 83). Referencing “really specific” “FDA guidance,” Missling explained that the RSBQ and CGI-I scores must be anchored to one another, but he did not address whether the RSBQ-AUC endpoint would be acceptable to the FDA. Id. at 35-36 (¶ 83).

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