In re Vioxx Products Liability Litigation

235 F.R.D. 334, 2006 WL 784878
District Court, E.D. Louisiana·Decided March 15, 2006·No. No. MDL 1657·Published·Cited by 3 cases

Opinion

[335]*335 ORDER & REASONS

FALLON, District Judge.

Before the Court is a Motion to Quash the Deposition of David Graham, M.D. filed by the United States of America by and on behalf of the United States Food and Drug Administration and FDA Employee David Graham, M.D.’s (Ree.Doc. 2885) and the Plaintiffs’ Steering Committee’s Opposition to the United States Government’s Motion to Quash and Cross-Motion to Compel the Deposition of David Graham, M.D. (Rec.Doc. 3075). For the following reasons, the Court DENIES the United State’s Motion to Quash and GRANTS the Plaintiffs’ Steering Committee’s Cross-Motion to Compel.

I. BACKGROUND

Vioxx (known generically as rofecoxib) belongs to a general class of pain relievers known as non-steroidal anti-inflammatory drugs (“NSAIDs”). This class of drugs contains well-known medications sold either over the counter—such as Advil (ibuprofen) and Aleve (naproxen)—or by prescription—such as Daypro (oxaprozin) and Voltaren (diclofe-nac). NSAIDs work by inhibiting cycloox-ygenase (COX), an enzyme that stimulates synthesis of prostaglandins, which are chemicals produced in the body that promote certain effects.

Traditional NSAIDs have been a longstanding treatment option for patients needing relief from chronic or acute inflammation and pain associated with osteoarthritis, rheumatoid arthritis, and other musculoskeletal conditions. This relief, however, comes with significant adverse side effects. Specifically, traditional NSAIDs greatly increase the risk of gastrointestinal perforations, ulcers, and bleeds (“PUBs”). This risk is increased when high doses are ingested, which is often necessary to remedy chronic or acute inflammation and pain. Scientists estimated that traditional NSAID-induced PUBs caused a significant number of deaths and hospitalizations each year in the United States.

In the early 1990s, scientists discovered that the COX enzyme had two forms—COX-1 and COX-2—each of which appeared to have several distinct functions. Scientists believed that COX-1 affected the synthesis or production of prostaglandins responsible for protection of the stomach lining, whereas COX-2 mediated the synthesis or production of prostaglandins responsible for pain and inflammation. This belief led scientists to [336]*336hypothesize that “selective” NSAIDs designed to inhibit COX-2, but not COX-1, could offer the same pain relief as traditional NSAIDs with the reduced risk of fatal or debilitating PUBs. In addition, scientists believed that such drugs might be able to prove beneficial for the prevention or treatment of other conditions, such as Alzheimer’s disease and certain cancers, where evidence suggested that inflammation may play a causative role.

In light of these scientific developments, Merck & Co., Inc. (“Merck”) and several other pharmaceutical companies began the development of such drugs, which became known as “COX-2 inhibitors” or “coxibs.” Vioxx is a COX-2 inhibitor.

On May 20, 1999, the Food and Drug Administration (“FDA”) approved Vioxx for sale in the United States. From its initial approval, Vioxx gained widespread acceptance among physicians treating patients with arthritis and other conditions causing chronic or acute pain.

Before and after its initial approval, Vioxx was subjected to a number of studies and tests, including, but not limited to, VIGOR, APPROVe, ViP, VICTOR, ADVANTAGE, the Azheimer’s studies, Professor Kronmal’s reanalysis of Merck’s clinical data, the Solomon study, the Juni study, the Ray study, the Graham study, the Kimmel study, the Levesque study, the Mamdani study, the In-genix study, the Johnsen study, the Nussmeier study, and the Fitzgerald hypothesis. In addition, a large amount of scientific literature was written on the effects of Vioxx and other COX-2 inhibitors.

On September 30, 2004, Merck withdrew Vioxx from the market when interim unblind-ed data from a long-term, blinded, randomized placebo-controlled clinical trial, known as APPROVe, seeking to assess whether Vioxx could help prevent the recurrence of precancerous colon polyps, indicated that the use of Vioxx increased the risk of cardiovascular thrombotic events such as myocardial infarctions and ischemic stroke.

Thousands of lawsuits followed in both state and federal court. On February 16, 2005, as a result of the sheer mass of these lawsuits and the potential for many more, the Judicial Panel on Multidistrict Litigation ordered that the Vioxx litigation be centralized, designated as an MDL, and assigned to this Court.

As a part of this MDL, the Plaintiffs’ Steering Committee has sought to obtain discovery from the FDA. In a letter dated December 19, 2005, from Christopher V. Tisi, a member of the PSC, to Carmelina Allis, an official in the FDA’s Office of Chief Counsel (“the request letter”), the PSC requested permission from the FDA to depose Dr. David Graham (“Dr.Graham”). Dr. Graham is currently the Associate Director for Science and Medicine, Office of Drug Safety, Center for Drug Evaluation and Research, U.S. Department of Health and Human Services, FDA and has spent over twenty years in the field of drug safety.

On November 18, 2004, Dr. Graham testified at the United States Senate Finance Committee’s Hearing on the FDA, Merck, and Vioxx: Putting Patient Safety First?1 At this hearing, Dr. Graham criticized the FDA and its handling of Vioxx. As an example, Dr. Graham stated his position as such: “The problem you are facing today is immense in scope. Vioxx is a terrible tragedy and a profound regulatory failure. I would argue that the FDA, as currently configured, is incapable of protecting America against another Vioxx. We are virtually defenseless.” 2

After testifying before the Senate Finance Committee, Dr. Graham went on to appear on the following television shows: (1) ABC’s “World News Tonight” with Peter Jennings on November 18, 2004; (2) ABC’s “Good Morning America” with Diane Sawyer on November 19, 2004; (3)ABC’s “Nightline” with Ted Koppel on December 3, 2004; (4) [337]*337ABC’s “Good Morning America” on December 19, 2004; (5) CNN’s “Newsnight with Aaron Brown” on December 16, 2004; (6) ABC’s “This Week” with George Stephano-poulous on December 19, 2004; (7) MSNBC’s “Countdown with Keith Olbermann” on December 22, 2004; (8) PBS’s “NOW” with David Brancasccio on January 7, 2005; (9) CBS’s “Evening News” on September 3, 2005; (10) NBC’s “Today Show” with Katie Couric on December 21, 2005. In addition, he gave numerous interviews that have appeared in the following print and on-line publications: (1) Forbes Magazine; (2) MSNBC; (3) Multinational Monitor; (4) Newsweek Magazine; (5) Mother Jones Magazine; (6) USA Today; (7) Crusader; (8) New Target.com; (9) the Wall Street Journal; (10) the Washington Post; (11) the Detroit Free Press; and (12) the Atlanta Journal constitution. Additionally, Dr. Graham has appeared on other television shows, has been quoted in other print and on-line publications, and has spoken at professional meetings. In all these interviews and appearances, Dr. Graham reiterated his position regarding the FDA and Vioxx.

On December 29, 2005, without hearing back from the FDA, Mr. Tisi requested in another letter to Mrs. Allis that the FDA review the PSC’s previous letter and respond as soon as possible. Despite numerous other attempts to communicate with the FDA, the PSC failed to receive a response.

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In re Vioxx Products Liability Litigation, 235 F.R.D. 334, 2006 WL 784878 (E.D. La. 2006).

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