King v. Baldino

648 F. Supp. 2d 609, 2009 U.S. Dist. LEXIS 76132, 2009 WL 2750470
CourtDistrict Court, D. Delaware
DecidedAugust 26, 2009
DocketCivil Action 08-54-GMS-MPT
StatusPublished
Cited by13 cases

This text of 648 F. Supp. 2d 609 (King v. Baldino) is published on Counsel Stack Legal Research, covering District Court, D. Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
King v. Baldino, 648 F. Supp. 2d 609, 2009 U.S. Dist. LEXIS 76132, 2009 WL 2750470 (D. Del. 2009).

Opinion

MEMORANDUM ORDER

MARY PAT THYNGE, United States Magistrate Judge.

INTRODUCTION

This is a stockholder derivative suit. On January 25, 2008, Jerald King (“plaintiff’) brought this action on behalf of nominal defendant Cephalon, Inc. (“Cephalon” or “the Company”). Cephalon has an eight member board of directors (“the Cephalon Board” or “the Board”). Defendant Dr. Frank Baldino, Jr., (“Baldino”) is Cephalon’s CEO and Chairman of the Cephalon Board. 1 Defendants William P. Egan, Martyn D. Greenacre, Gail R. Wilensky, Vaughn M. Kailian, Charles A. Sanders, Dennis L. Winger, and Kevin E. Moley are all independent, outside directors of the Company. 2 The complaint alleges that defendants breached their fiduciary duties to the Company by failing to adequately oversee Cephalon’s sales and promotions practices with respect to certain of its *611 pharmaceutical products: Actiq, Provigil, and Gabitril. That oversight failure has allegedly resulted in large losses to the Company and the possibility of future losses.

Currently before the court is defendants’ motion for judgment on the pleadings. 3

BACKGROUND FACTS 4

Cephalon is an international biopharmaceutical company dedicated to the discovery, development, and marketing of innovative products to treat human diseases, focusing on four core therapeutic areas: central nervous system disorders, pain, oncology, and addiction. There are eight members of the Cephalon Board. Baldino is Cephalon’s CEO and Chairman of the Board of Directors. The other seven defendants comprise the remainder of the Cephalon Board and are each independent, outside directors of the Company. The Company’s most significant products are the drugs Provigil and Actiq, comprising approximately 48% and 23%, respectively, of the Company’s consolidated nets sales for the six months ended June 30, 2007.

Actiq is used to treat “breakthrough cancer pain,” one of the most challenging and debilitating components of cancer pain management. 5 The drug is in the form of a lollipop which delivers fentanyl citrate, an opioid analgesic, through the lining of the mouth thereby achieving rapid absorption of fentanyl into the bloodstream and providing pain relief that may begin within fifteen minutes. The United States Food and Drug Administration (“FDA”) approved Actiq in November 1998, and Anesta Corp. (“Anesta”) launched it in the United States in 1999. Cephalon acquired Anesta in October 2000 and relaunched Actiq in February 2001. 6 Actiq is sometimes prescribed by doctors for non-FDA approved, or “off-label,” uses such as headaches or back pain. Actiq is a powerful narcotic having a high potential for abuse that could prove fatal for those who do so.

Provigil was launched in the United States in February 1999 “to improve wakefulness in patients with excessive daytime sleepiness associated with narcolepsy.” 7 The active ingredient in Provigil, modafinil, “act[s] selectively in regions of the brain believed to regulate normal sleep *612 and wakefulness.” 8 In January 2004, the FDA approved expansion of the Provigil label to include improving wakefulness in patients with excessive sleepiness associated with obstructive sleep apnea/hypopnea syndrome (“OSA/HS”) and shift work sleep disorder (“SWSD”). 9 Provigil is sometimes used off-label by people without any illness who take the drug to stay awake.

Gabitril “is a selective GABA (gammaaminobutyric acid) reuptake inhibitor approved for use as adjunctive therapy in the treatment of partial seizures in epileptic patients.” 10 Gabitril is used off-label for anxiety, pain, and other conditions. Off-label use of Gabitril has caused seizures in some who did not have epilepsy. Working with the FDA, Cephalon updated its prescription information for Gabitril, in February 2005, “to include a bolded warning describing the risk of new onset seizures in non-induced patients without epilepsy,” and thereafter “actively communicated this risk to physicians and otherwise limited [the Company’s] sales and marking efforts” for that drug. 11

Drag companies are required to apply to the FDA for approval to sell a new drug. During the approval process, the manufacturer frequently seeks approval for several different purposes, but the FDA often approves the drag for narrower uses than sought. Many times, manufacturers lobby doctors to prescribe a drug for a non-approved, off-label use and sales of a drug for off-label use frequently exceed that for FDA-approved use. Because off-label uses are not approved by the FDA, there are strict regulations regarding promotions for off-label use. The Food and Drug Administration Modernization Act of 1997 (“FDAMA”), 21 U.S.C. § 360aaa, et seq., specifically authorizes a manufacturer to disseminate “‘written information concerning the safety, effectiveness, or benefit of a use not described in the approved labeling of a drug or device,’ ” if that information complies with specific requirements listed in the act, including the requirement that such manufacturers may only provide “authorized information” in the form of unabridged peer-reviewed articles or qualified reference publications.

In November 1998, the FDA approved Actiq for the treatment of breakthrough cancer pain, and limited marketing of the drug to oncologists and pain specialists knowledgeable of, and skilled in, the use of Schedule II opioids to treat cancer pain. 12 *613 When Cephalon acquired Actiq from Anesta in 2000, the drug had sales of $15 million. In late 2001, Cephalon issued a new standard operating procedure “for interpreting the FDA’s risk-management program” by “expanding] the definition of pain specialists ... to include anesthesiologists, physical medicine, rehabilitation medicine and palliative medicine.” This new procedure freed Cephalon from a requirement that it alert the FDA and take remedial action if any physician specialty other than oncologists or pain specialists accounted for more than 15% of Actiq prescriptions.

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Bluebook (online)
648 F. Supp. 2d 609, 2009 U.S. Dist. LEXIS 76132, 2009 WL 2750470, Counsel Stack Legal Research, https://law.counselstack.com/opinion/king-v-baldino-ded-2009.