Moncibaiz v. Pfizer Inc

CourtDistrict Court, S.D. Texas
DecidedMarch 31, 2021
Docket4:20-cv-01315
StatusUnknown

This text of Moncibaiz v. Pfizer Inc (Moncibaiz v. Pfizer Inc) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Moncibaiz v. Pfizer Inc, (S.D. Tex. 2021).

Opinion

MEaNrcTh E31R, 2E0D21 Nathan Ochsner, Clerk UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF TEXAS HOUSTON DIVISION PAULINE and RICK § CIVIL ACTION NO. MONCIBAIZ, § 4:20-cv-01315 Plaintiffs, § § § vs. § JUDGE CHARLES ESKRIDGE § § PFIZER INC, et al, § Defendants. § MEMORANDUM AND OPINION GRANTING MOTION TO DISMISS The motion by Defendants Pfizer, Inc, Wyeth LLC, and Wyeth Holdings, LLC to dismiss the claims brought by Plaintiffs Pauline and Rick Moncibaiz is granted. Dkt 12. 1. Background This action relates to the manufacture and use of Prempro, a drug available by prescription to treat symptoms of menopause and to prevent osteoporosis in menopausal women. Dkt 12 at 11–12. Clinical studies have shown that some women who take Prempro experience an increased risk of breast cancer. Dkt 6 at ¶¶ 11–14. A black-box warning appears with each prescription and explains this risk. That warning is approved for use by the United States Food and Drug Administration. See Dkt 12 at 10–13. It states in pertinent part: The estrogen-plus-progestin substudy of the Women’s Health Initiative (WHI) reported increased risks of myocardial infarction, stroke, invasive breast cancer, pulmonary emboli, and deep vein thrombosis (DVT) in post- menopausal women (50 to 79 years of age) during 5.6 years of treatment with conjugated estrogens (CE 0.625 mg) combined with medroxyprogesterone acetate (MPA 2.5 mg) per day relative to placebo. (See CLINICAL STUDIES and WARNINGS, Cardiovas- cular disorders and Malignant neo-plasms, Breast cancer.) Dkt 5-1 at 3 (emphasis in original). Other references to the risk of breast cancer appear in the Warnings section. Id at 24–28. The approved patient-information leaflet also contains a similar warning. Id at 41. Pauline Moncibaiz took Prempro from 2008 to 2018, when she was diagnosed with breast cancer. She alleges that Prempro was the cause. She also alleges that she was unaware of several studies that discuss the risks associated with using Prempro, including the heightened risk of breast cancer. And she alleges that Defendants failed to inform her of safer alternative medicines. For example, she says, so-called bioidentical hormones have been shown to provide the same benefits as Prempro without involving the same risks. Dkt 6 at ¶¶ 11–17. Together with her husband, Rick Moncibaiz, she filed suit against Pfizer and the Wyeth entities in the 189th Judicial District Court of Harris County in April 2020. Dkt 1-1. Defendants removed based on diversity jurisdiction. Dkt 1. Plaintiffs at that time asserted claims for strict liability based on allegation of design defect, breach of the implied warranty of merchantability, negligence, and gross negligence. This was done with reference to a failure-to-warn theory. See Dkt 1-1 at 1–2, 6. Defendants moved to dismiss, arguing (among other things) that the claims were all substantively based upon a failure to warn. Dkt 5. Plaintiffs sought and received leave to file an amended complaint to respond to those arguments. Dkts 7, 13. Plaintiffs filed an amended complaint, reasserting claims for design defect, negligence, and breach of the implied warranty of merchantability. Dkt 6. Defendants filed the subject motion to dismiss. Dkt 12. They again argue that Plaintiffs’ claims are in substance failure-to-warn claims—even though not formally pleaded as such—and thus subject to dismissal under Texas products-liability law. See Dkt 12 at 14–19. They argue further that Plaintiffs fail to state a claim even if their claims aren’t subject to dismissal as failure-to-warn claims. See id at 9–12. 2. Legal standard Rule 8(a)(2) of the Federal Rules of Civil Procedure requires a plaintiff’s complaint to provide “a short and plain statement of the claim showing that the pleader is entitled to relief.” Rule 12(b)(6) allows the defendant to seek dismissal if the plaintiff fails “to state a claim upon which relief can be granted.” Read together, the Supreme Court has held that Rule 8 “does not require ‘detailed factual allegations,’ but it demands more than an unadorned, the-defendant-unlawfully-harmed-me accusation.” Ashcroft v Iqbal, 556 US 662, 678 (2009), quoting Bell Atlantic Corp v Twombly, 550 US 544, 555 (2007). To survive a Rule 12(b)(6) motion to dismiss, the complaint “must provide the plaintiff’s grounds for entitlement to relief—including factual allegations that when assumed to be true ‘raise a right to relief above the speculative level.’” Cuvillier v Taylor, 503 F3d 397, 401 (5th Cir 2007), quoting Twombly, 550 US at 555. A complaint must therefore contain enough facts to state a claim to relief that is plausible on its face. Twombly, 550 US at 570. A claim has facial plausibility “when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Iqbal, 556 US at 678, citing Twombly, 550 US at 556. This standard on plausibility is “not akin to a ‘probability requirement,’ but it asks for more than a sheer possibility that a defendant has acted unlawfully.” Iqbal, 556 US at 678, quoting Twombly, 550 US at 556. Review on motion to dismiss under Rule 12(b)(6) is constrained. The reviewing court must accept all well-pleaded facts as true and view them in the light most favorable to the plaintiff. Walker, 938 F3d at 735 (citations omitted). It must also accept all inferences that plausibly follow from those specific allegations. Iqbal, 556 US at 678, citing Twombly, 550 US at 556. 3. Analysis It’s undisputed that the FDA has approved warnings with respect to the prescription and dispensation of Prempro. It’s also undisputed that these warnings came with the prescriptions for Prempro used by Pauline Moncibaiz. See Dkt 18 at 9 (referencing “the FDA-approved warnings”). These facts are important because, since September 2003, Texas law has imposed a high burden for pleading failure-to-warn claims where the FDA has approved such warnings. See Reform of Certain Procedures and Remedies in Civil Actions, 78th Texas Legislature, 2003 Reg Sess (Sept 1, 2003). Texas Civil Practice and Remedies Code § 82.007(a)(1) now provides, “In a products liability action alleging that an injury was caused by a failure to provide adequate warnings or information with regard to a pharmaceutical product, there is a rebuttable presumption that the defendant or defendants, including a health care provider, manufacturer, distributor, and prescriber, are not liable with respect to the allegations involving failure to provide adequate warnings or information” if the warnings on the drug given match those approved by the FDA. Texas law further provides only five ways to rebut this presumption. These are very specific. See Tex Civ Prac & Rem Code § 82.007(b)(1)–(5); see also Johnson v Novartis Pharmaceuticals Corp, --- F Appx ---, 2021 WL 406098, *3–4 (5th Cir) (citations omitted). The first is where the defendant withheld information from the FDA or made misrepresentations to it before premarket approval. The second is where the product used by the plaintiff was purchased after an order by the FDA requiring the defendant to remove the product from the market. The third is where the product was advertised for an indication not approved by the FDA, and the plaintiff’s injury was caused by the improper advertisement. The fourth is where the product was prescribed for an indication not approved by the FDA, and the plaintiff’s injury was caused by the improper prescription. The fifth is where the warnings approved by the FDA were approved in violation of 18 USC § 201, which prohibits bribery of public officials and witnesses. Plaintiffs don’t allege any of these statutory rebuttals. The pertinent question is solely whether the design-defect, negligence, and breach-of-warranty claims brought by Plaintiffs are in substance failure-to-warn claims.

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Moncibaiz v. Pfizer Inc, Counsel Stack Legal Research, https://law.counselstack.com/opinion/moncibaiz-v-pfizer-inc-txsd-2021.