O'NEILL v. Novartis Consumer Health, Inc.

55 Cal. Rptr. 3d 551, 147 Cal. App. 4th 1388, 2007 Daily Journal DAR 2713, 2007 Cal. Daily Op. Serv. 2098, 2007 Cal. App. LEXIS 266
CourtCalifornia Court of Appeal
DecidedFebruary 27, 2007
DocketB174512
StatusPublished
Cited by19 cases

This text of 55 Cal. Rptr. 3d 551 (O'NEILL v. Novartis Consumer Health, Inc.) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
O'NEILL v. Novartis Consumer Health, Inc., 55 Cal. Rptr. 3d 551, 147 Cal. App. 4th 1388, 2007 Daily Journal DAR 2713, 2007 Cal. Daily Op. Serv. 2098, 2007 Cal. App. LEXIS 266 (Cal. Ct. App. 2007).

Opinion

Opinion

EPSTEIN, P. J.

This is an appeal from a defense verdict in two cases tried concurrently in coordinated litigation against Novartis Consumer Health, *1391 Inc., 1 the manufacturer of pharmaceutical products containing phenylpropanolamine (PPA). Appellants claim the court erred in refusing to instruct the jury that compliance with government standards cannot be considered as a basis for assessing the safety of a product in a design defect claim. They claim the court erroneously allowed respondent to present evidence which did not meet the admissibility standards established in People v. Kelly (1976) 17 Cal.3d 24 [130 Cal.Rptr. 144, 549 P.2d 1240] to challenge the findings of an epidemiological study on the safety of PPA. They assert the court erred in allowing Novartis to present evidence implying that the Food and Drug Administration (FDA) affirmatively approved the marketing of Novartis’s PPA products while precluding appellants from utilizing contradicting evidence in their opening statement or their case in chief. They also claim error in other evidentiary rulings. We find no error and affirm the judgment.

FACTUAL AND PROCEDURAL SUMMARY

We begin with background on PPA, the pharmaceutical ingredient which is at the center of this action. Novartis used PPA as the active ingredient for nasal decongestion in two cough and cold products, Triaminicin and Tavist-D. 2 Because the ingredient was in commercial use prior to 1972, it was “grandfathered” into FDA approval, subject to a three-phase monograph process for determining whether it was safe and effective. Under the relevant federal law, monographed drugs could be legally marketed pending the FDA’s final determination on their safety and efficacy. (21 C.F.R. § 330.10 (2006).)

In 1976, the FDA began the first stage in the monograph process for cough and cold products, including PPA. In January 1985, the FDA issued its first formal position on PPA as part of the second phase of its process, the tentative final monograph for over-the-counter nasal decongestant products. The FDA did not categorize PPA as safe and effective, due to concerns that it elevated blood pressure. At the same time, the FDA tentatively approved another decongestant, pseudoephedrine, as safe and effective. Because of FDA concerns about the safety of PPA, in 1992 a pharmaceutical industry trade association proposed to the FDA that an epidemiological study be conducted. Association members funded the study, which came to be known as the “Yale Study,” or “Hemorrhagic Stroke Project.”

In August 1994, the FDA published its final rule for over-the-counter nasal decongestant products, the third phase of its monograph process. The FDA *1392 issued final approval of pseudoephedrine as safe and effective, but deferred categorization of PPA, explaining: “[Bjecause of still unresolved safety issues concerning phenylpropanolamine preparations, the agency is deferring action on this drug. . . . Therefore, phenylpropanolamine preparations will not be categorized or further discussed in this document.”

The Yale Study results were submitted to the FDA on May 10, 2000. On October 19, 2000, members of the nonprescription drugs advisory committee for the FDA’s Center for Drug Evaluation and Research conducted a hearing on the safety of PPA in light of the Yale Study findings. The panel concluded that PPA was unsafe and recommended to the FDA that PPA be removed from the market.

On November 3, 2000, the FDA advised PPA manufacturers that it intended “to initiate rulemaking to classify phenylpropanolamine as non-monograph (not generally recognized as safe and effective) for [over-the-counter] use” and that “as an interim measure to protect the public health, you should voluntarily discontinue marketing any drug products containing phenylpropanolamine.” PPA manufacturers, including Novartis, immediately removed all products containing PPA from the market. On August 14, 2001, the FDA published in the Federal Register its proposal to withdraw approval, in which it declared its intention to withdraw approval of all products containing PPA because of “the association [of] phenylpropanolamine [with] increased risk of hemorrhagic stroke.”

Appellants are two women who suffered strokes which they attribute to their use of Novartis products containing PPA. Linda Lutz was 48 years old when she suffered an intracerebral hemorrhage in May 1996. She had used Triaminicin, a Novartis product which contained PPA. Ms. Lutz is confined to a wheelchair due to paralysis of the left side of her body. Pearl O’Neill suffered an intracerebral hemorrhage in March 1995, following her first use of Tavist-D, a Novartis product containing PPA. She was 35 years old at the time.

Ms. O’Neill and Ms. Lutz each filed suit against Novartis. Their actions were consolidated with all other statewide PPA cases. After consolidation, a master complaint and master answer were drafted and adopted. The O’Neill and Lutz cases were selected for a consolidated trial. The cases went to the jury on three causes of action: strict liability design defect, 3 strict liability failure to warn, and fraud by concealment. After a lengthy trial, the jury returned defense verdicts on all causes of action. This is a timely appeal from the judgment in favor of Novartis.

*1393 DISCUSSION

I

Appellants assert prejudicial error resulted from the court’s admission of FDA evidence and its failure to limit the jury’s use of that evidence with respect to the design defect claim. We begin with the claim of instructional error.

Appellants assert the court erred in refusing to instruct the jury that compliance with government standards cannot be considered as a basis for assessing the safety of a product in a design defect claim. At different points during the trial, appellants submitted special instructions which explained that compliance with FDA rules does not preclude liability for design defect. They asked that the court instruct: “FDA standards and regulations are only minimal in nature and do not establish the standard of care for a reasonable manufacturing company under the circumstances of this case. It is not a defense to a claim that a product is defective that the manufacturer built the product in accordance with government standards or specifications.” Appellants also requested that the court give the following instruction: “Even if a manufacturer of over the counter products literally complies with FDA regulations, it is not immune from liability under the laws of the State of California for injuries caused by its products.”

The court refused these instructions, and instead instructed: “FDA action or inaction, though not dispositive, may be considered to show whether a product is safe or not safe.” Appellants claim this instruction failed to inform the jury that government standards were not relevant to the design defect claim. This is not an accurate statement of the law.

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55 Cal. Rptr. 3d 551, 147 Cal. App. 4th 1388, 2007 Daily Journal DAR 2713, 2007 Cal. Daily Op. Serv. 2098, 2007 Cal. App. LEXIS 266, Counsel Stack Legal Research, https://law.counselstack.com/opinion/oneill-v-novartis-consumer-health-inc-calctapp-2007.