Levi v. Atossa Genetics, Inc.

868 F.3d 784, 2017 WL 3568088, 2017 U.S. App. LEXIS 15658
CourtCourt of Appeals for the Ninth Circuit
DecidedAugust 18, 2017
Docket14-35933
StatusPublished
Cited by30 cases

This text of 868 F.3d 784 (Levi v. Atossa Genetics, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Levi v. Atossa Genetics, Inc., 868 F.3d 784, 2017 WL 3568088, 2017 U.S. App. LEXIS 15658 (9th Cir. 2017).

Opinion

OPINION

GOULD, Circuit Judge:

We consider how and the extent to which our securities laws protect the investing public. Miko Levi, Bandar Almosa, Gregory Harrison, and Nicholas Cook (“Plaintiffs”) appeal the district court’s dismissal of their amended securities fraud class action complaint. Plaintiffs allege that Atossa Genetics, Inc. (“Atossa”) and its Chairman and Chief Executive Officer, Steven Quay, made a series of public statements about Atossa’s breast cancer screening products that were materially false or misleading. The district court concluded that these statements were not false or misleading, or were not material. We hold *790 that Plaintiffs have properly alleged falsity and materiality as to some, but not all, of these statements. We affirm in part, reverse in part, vacate in part, and remand.

I

The following facts are alleged in Plaintiffs’ amended complaint or, are found in documents to which the allegations refer in the amended complaint. See In re Quality Sys., Inc. Sec. Lit., 865 F.3d 1130, 1139-41, No. 15-55173, 2017 WL 3203558, at *6 (9th Cir. July 28, 2017). For purposes of this appeal, we assume that these facts are true. See S. Ferry LP, No. 2 v. Killinger, 542 F.3d 776, 782 (9th Cir. 2008).

Atossa develops and markets products used to detect precancerous conditions that foreshadow the development of breast cancer. In 2009, Atossa acquired the patent rights to a product called the Mammary Aspirate Specimen Cytology Test System (“MASCT System”). The MASCT System is a pump designed to extract nipple aspirate fluid (“NAF”) from women’s breasts, after which the NAF can be used to detect or predict breast cancer..

Before Atossa purchased the patent rights to the MASCT system, the product had been cleared by the U.S. Food and Drug Administration (“FDA”) pursuant to a' procedure called “premarket notification,” or the “510,(k) process.” This procedure allows a manufacturer to introduce a device to market that is “substantially equivalent” to a device already legally marketed in the United States, so long as the, FDA provides “clearance” for the device in the form of a letter. See generally 21 C.F.R. §§ 807.81-807.100. The FDA cleared the MASCT System for use as a sample collection device with the provision that the NAF collected by the device could be used for the detection of cancerous and pre-cancerous cells. The FDA did not clear the MASCT System for the screening or diagnosis of breast cancer.

After first marketing the MASCT System as a standalone product, Atossa began to market it in combination with a diagnostic tool called the ForeCYTE Test. The combined products worked in two steps. First, health care professionals would use the MASCT System to collect NAF from patients. Second, Atossa would use the ForeCYTE Test in its Seattle laboratory to inspect the NAF samples for cancer indications. 1

But, and importantly here, Atossa never obtained FDA clearance for either the Fo-reCYTE Test or the combination of the MASCT System and the ForeCYTE Test.

In November of 2012, Atossa raised capital through an initial public offering (“IPO”). As part of the IPO, Atossa filed offering documents with the Securities and Exchange Commission (“SEC”), which described the MASCT System as cleared by the FDA. The documents did not state whether the ForeCYTE Test had been FDA-cleared. However, the documents said that “[t]o date, the FDA has decided, as a matter of enforcement discretion, not to exercise its authority with respect to most ‘home brew’ tests performed by high complexity laboratories certified under [federal standards], which is the type of laboratory that we have established.” Atos- *791 sa cautioned that “it [was] likely that the FDA w[ould] impose additional or new regulations affecting [laboratory-developed tests], including requiring premarket notification or approval for [such] tests.” In other words, at the time of the IPO, Atos-sa thought that it could market the Fore-CYTE Test without seeking FDA clearance, but also thought that the FDA was likely to require such clearance in the future. The offering documents also warned that if Atossa modified a device that had already received clearance for a specific use, any modification “may require the manufacturer to cease marketing and recall the modified device until 510(k) clearance or [other] approval is obtained.”

Following the IPO, Atossa and Quay made the public statements at issue in this appeal. First, on December 20, 2012, Atos-sa filed a Form 8-K report with the SEC, announcing Atossa’s financial results for the third quarter of 2012. That filing quotes Quay as saying that “[t]he proceeds from the IPO will enable us to accelerate the national roll-out of our first FDA-cleared and marketed product, the Fore-CYTE Breast Health Test for breast cancer risk assessment.” In the same filing, Atossa describes itself as “focused on preventing breast cancer through the commercialization of patented, FDA-cleared diagnostic medical devices and patented, laboratory developed tests (LDT) that can detect precursors to breast cancer up to eight years before mammography.”

On February 22, 2018, News-Medical.Net published an interview with Quay wherein he was asked about “the new test developed by Atossa Genetics.” In his response, Quay brought up the “ForeCYTE Breast Health test,” calling it “literally a Pap smear for breast cancer.” The interviewer then asked Quay, “[w]hat stage of development is this test currently at?” Quay answered, “[i]t has gone through all of the FDA clearance process, which is a multi-year, multi-million dollar process.”

Two days before the interview was published, on February 20, 2013, the FDA sent a warning letter to Atossa. The letter stated that during an inspection of Atossa’s laboratory, the FDA discovered that Atossa had modified the method by which the MASCT system collected NAF, without Atossa obtaining a new 510(k) clearance. According to the FDA, this meant that the MASCT System was mis-branded and adulterated in violation of the Federal Food, Drug, and Cosmetic Act. See 21 U.S.C. §§ 351, 352. The FDA explicitly advised that the modified MASCT System required submission of a new 510(k) premarket notification, and that the ForeCYTE Test required independent clearance before marketing. The FDA also explicitly advised that Atossa’s website and product labels were displaying false or misleading statements because they characterized the MASCT System as “FDA-approved” and the Fore-CYTE Test as “FDA Cleared.”

Five days later, on February 25, 2013, Atossa filed a Form 8-K report with the SEC giving notice that it had received the warning letter from the FDA. Atossa in that report explained that the FDA believed that modifications to the MASCT System required that Atossa receive a new 510(k) clearance. However, Atossa did not at all mention the FDA’s concerns regarding (a) the ForeCYTE Test’s lack of -FDA approval, or (b) Atossa’s false or mislead: ing marketing materials. Instead, Atossa stated the following:

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868 F.3d 784, 2017 WL 3568088, 2017 U.S. App. LEXIS 15658, Counsel Stack Legal Research, https://law.counselstack.com/opinion/levi-v-atossa-genetics-inc-ca9-2017.