Securities & Exchange Comm'n v. Johnston

986 F.3d 63
Court of Appeals for the First Circuit·Decided January 22, 2021·No. 19-2264P·Published·Cited by 7 cases

Opinion

United States Court of Appeals For the First Circuit

No. 19-2264 SECURITIES AND EXCHANGE COMMISSION, Plaintiff, Appellee,

v.

DAVID JOHNSTON,

Defendant, Appellant,

AVEO PHARMACEUTICALS, INC.; TUAN HA-NGOC; WILLIAM SLICHENMYER, Defendants.

APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MASSACHUSETTS

[Hon. Nathaniel M. Gorton, U.S. District Judge]

Before

Thompson and Kayatta,

Circuit Judges.

John F. Sylvia, with whom Andrew N. Nathanson, Matthew D.

Levitt, Emily Kanstroom Musgrave, Kerime S. Akoglu, and Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C., were on brief, for appellant.

 Judge Torruella heard oral argument in this matter and participated in the semble, but he did not participate in the issuance of the panel's opinion in this case. The remaining two panelists therefore issued the opinion pursuant to 28 U.S.C. § 46(d).

John Pagliaro and Martin J. Newhouse on brief for New England Legal Foundation, amicus curiae.

Paul G. Alvarez, Senior Counsel, with whom Robert B. Stebbins, General Counsel, John W. Avery, Deputy Solicitor, and Hope Hall Augustini, Senior Litigation Counsel, were on brief, for appellee.

January 22, 2021

KAYATTA, Circuit Judge. The Food and Drug Administration (FDA) expressed concerns to AVEO Pharmaceuticals about the results of AVEO's clinical trial for tivozanib, a kidney cancer drug candidate. In light of those concerns, the FDA recommended that AVEO conduct another clinical trial. AVEO opted not to disclose that recommendation to the markets until the FDA itself revealed the recommendation eleven months later, at which point AVEO's stock dropped thirty-one percent. In this subsequent civil enforcement action brought by the Securities and Exchange Commission, the principal issue is whether AVEO's CFO, David Johnston, knowingly misled investors by the manner in which he responded to investor inquiries about the substance of AVEO's discussions with the FDA. After an eight-day trial, a jury found against Johnston. On appeal, Johnston argues that he was entitled to judgment as a matter of law because he had no duty to disclose the FDA's recommendation, and because the evidence of scienter was insufficient. Alternatively, Johnston argues that he is entitled to a new trial because the district court improperly instructed the jury on the law of materiality and the duty to disclose. For the following reasons, we find the evidence of fraud and scienter sufficient to support the verdict, and the challenged instructions appropriate.

I.

We begin with a summary of the evidence. Because Johnston challenges the sufficiency of the evidence to support the jury's verdict, we view the evidence in the light most favorable to the verdict and draw any inferences in the verdict's favor. Blomquist v. Horned Dorset Primavera, Inc., 925 F.3d 541, 546 (1st Cir. 2019).

From 2007 to 2013, Johnston served as the Chief Financial Officer of AVEO Pharmaceuticals. As CFO, Johnston was responsible for AVEO's communications to the investing public, including communications about its drug development efforts.

In the spring of 2012, AVEO's financial future largely turned on the success of its lead drug candidate, tivozanib, a drug intended to treat a form of kidney cancer called renal cell carcinoma. The FDA determines whether a drug such as tivozanib may be marketed in the United States. The FDA approval process requires a sponsor such as AVEO to prepare and submit a new drug application (the "NDA"). See 21 U.S.C. § 355(a). Approval generally requires the application's sponsor to demonstrate the drug's clinical benefit. See 21 U.S.C. § 355(d). As announced in its 2011 Form 10-K, AVEO expected to submit an NDA for tivozanib to the FDA during the third quarter of 2012.

In May 2012, AVEO published results from TIVO-1, a Phase 3 clinical trial comparing tivozanib to sorafenib, an

approved kidney cancer treatment. TIVO-1's primary endpoint was to measure progression-free survival (the length of time from when the patient enters the study until the occurrence of either tumor growth or the patient's death). TIVO-1's secondary endpoint was to measure overall survival (the length of time from when the patient starts treatment until the patient dies from any cause). TIVO-1's results showed that tivozanib performed better than sorafenib on progression-free survival but worse than sorafenib on overall survival.

AVEO's representatives met with FDA officials on May 11, 2012, to discuss the prospects of AVEO's anticipated NDA (the "pre- NDA meeting"). During that meeting, the FDA expressed concern about the trend in the available overall survival data for TIVO-1 patients who received tivozanib. The FDA informed AVEO that "[f]urther discussion of these findings will be required at the time of filing and if the application is filed they will be a review issue that could affect approvability." One FDA representative, Dr. Amna Ibrahim, suggested that if AVEO submitted an NDA for tivozanib with the same troubling overall survival data, the FDA might refuse to file it. See 21 C.F.R. § 314.101(a)(1) (providing that an "NDA may be filed" once the "FDA has made a threshold determination that the NDA is sufficiently complete to permit a substantive review").

AVEO argued at the pre-NDA meeting that the overall survival data trend could be explained by the study's one-way crossover design, which gave patients assigned to receive sorafenib the option to take tivozanib if they experienced disease progression but did not allow patients assigned to receive tivozanib to receive sorafenib. But this explanation did not persuade the FDA.

During the pre-NDA meeting, the FDA made two specific recommendations to AVEO. First, the FDA recommended that AVEO conduct a second Phase 3 study for tivozanib ("a second adequately powered randomized trial in a population comparable to that in the US"). Second, the "FDA also recommended that [AVEO] conduct the final analysis of overall survival in the current trial." The meeting minutes jointly prepared with input from both FDA personnel and AVEO representatives memorialized both of these recommendations.

Hours after the pre-NDA meeting, Dr. William Slichenmyer, AVEO's Chief Medical Officer, shared the FDA's feedback on a call with AVEO's executive committee. Slichenmyer repeated "[v]erbatim" the FDA's recommendation at the pre-NDA meeting that AVEO conduct a second Phase 3 study for TIVO. He also informed the committee that "stay[ing] the course" by filing the NDA in the third quarter of 2012 ran a "High Risk of [Refusal to File] or Non-Approval." During the next several weeks,

Slichenmyer also presented the FDA's feedback to the AVEO/Astellas Joint Steering Committee1 and to AVEO's Board of Directors. Johnston was privy to all of these presentations.

On June 26, 2012, AVEO's Board approved a plan and a budget for the second trial recommended by the FDA. AVEO nevertheless still hoped to obtain approval of its forthcoming NDA before the second trial's end, which would not be for several years. On July 2, 2012, AVEO sent briefing documents to the FDA proposing a post-approval trial (rather than a second pre-approval trial). AVEO also requested a meeting to discuss the FDA's feedback on the proposal (the "Type A meeting").

On August 2, 2012, AVEO filed a Form 8-K and issued a press release that discussed TIVO-1's results. Rather than simply remaining largely silent on the substance of its discussions with the FDA, AVEO issued a "Regulatory Update" disclosing that "[t]he FDA has expressed concern regarding the [overall survival] trend in the TIVO-1 trial and has said that it will review these findings at the time of the NDA filing as well as during the review of the NDA." AVEO told investors that it believed it could "directly address this issue" by "conducting additional analyses to be included in the NDA submission that demonstrate that the [overall

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Securities & Exchange Comm'n v. Johnston, 986 F.3d 63 (1st Cir. 2021).

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