Seife v. Food and Drug Administration

CourtDistrict Court, S.D. New York
DecidedOctober 6, 2020
Docket1:17-cv-03960
StatusUnknown

This text of Seife v. Food and Drug Administration (Seife v. Food and Drug Administration) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Seife v. Food and Drug Administration, (S.D.N.Y. 2020).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK ---------------------------------------------------------------------- X : CHARLES SEIFE, : : Plaintiff, : : 17-CV-3960 (JMF) -v- : : OPINION AND ORDER FOOD AND DRUG ADMINISTRATION, et al., : : : Defendants. : : ---------------------------------------------------------------------- X

JESSE M. FURMAN, United States District Judge: Plaintiff Charles Seife, a science writer and journalism professor, sues the Food and Drug Administration (“FDA”) and Department of Health and Human Services (“HHS”) under the Freedom of Information Act (“FOIA”), 5 U.S.C. § 552, seeking documents and records regarding the testing and approval process for eteplirsen (which is sold under the trade name Exondys 51), a drug created by Sarepta Therapeutics, Inc. (“Sarepta”) for the treatment of Duchenne Muscular Dystrophy (“DMD”), a rare neuromuscular disease. See ECF No. 1 (“Compl.”). Pursuant to a stipulation between the parties, the FDA produced over 35,000 pages of documents to Seife, some of which were redacted pursuant to FOIA’s Exemption 4 (“Exemption 4”), which applies to documents containing “trade secrets and commercial or financial information obtained from a person and privileged or confidential.” 5 U.S.C. § 552(b)(4). Now pending are renewed cross-motions for summary judgment regarding the propriety of the FDA’s redactions. For the reasons that follow, the Court grants Defendants’ and Sarepta’s motions for summary judgment and denies Seife’s motion. BACKGROUND The relevant facts are drawn from the parties’ affidavits and are undisputed for purposes of this motion. DMD is a progressively debilitating and ultimately fatal neuromuscular disease that affects only about 9,000 to 12,000 young males in the United States. See ECF No. 72 (“Estepan Decl.”), ¶¶ 4-5. DMD is caused by genetic mutations that result in a lack of

dystrophin, a protein that plays a vital role in the structure of muscle cells and ultimately leads to the progressive loss of muscle tissue and function. Id. ¶ 6. While the mutations causing DMD vary, for more than half of patients DMD is caused by the deletion of one or more exons (a sequence within the gene that will be expressed once transcribed by RNA). Id. ¶ 8. “Exon skipping” is a molecular biological process used to treat genetic diseases such as DMD; in simplest terms, exon skipping instructs the body’s cellular machinery to “skip over” a segment of the gene sequence during the RNA translation process. Id. ¶ 9. Sarepta, a pharmaceutical company, began researching possible treatments for DMD patients in the early 2000s. After several years of research, Sarepta, in collaboration with others,

created eteplirsen, a compound designed to cause exon 51 to be skipped during processing in patients with mutations amenable to such skipping. Id. ¶ 12. Approximately thirteen percent of DMD patients have this mutation. Id. ¶ 13. Accordingly, in 2007, Sarepta initiated the pre-drug approval process with the FDA. First, it submitted an Investigational New Drug (“IND”) Application to the agency for the use of eteplirsen to treat DMD, which, after approval, allowed Sarepta to conduct clinical trials. Id. ¶ 14. The company conducted the clinical trials with strict confidentiality protocols, including nondisclosure agreements executed with any third-party providers. Id. ¶ 19. After Sarepta achieved preliminary success in proof-of-concept (that is, “Phase 1”) clinical studies, it initiated a twenty-eight-week double-blind, placebo-controlled “Phase 2” study in 2011 (“Study 201”). Id. ¶ 15. Twelve patients, each with DMD mutations amenable to exon 51 skipping, participated in the study. Id. ¶ 17. Sarepta transitioned Study 201 into a longer-term “Phase 2b” study in 2012 (“Study 202”). Id. ¶ 16. Throughout its studies, Sarepta followed certain timing and dosing procedures and adopted certain “endpoints” to measure the drugs’ efficacy. Id. ¶ 35. The endpoints consisted of

both “clinical” endpoints that considered direct effects on patients and “surrogate” endpoints that used lab measurements to track markers affiliated with a disease. Id. After much research and expense, Sarepta chose an increase in dystrophin (measured via muscle biopsies taken at designated points during the study) as a surrogate endpoint and patients’ ability to complete a six-minute walk test as a clinical endpoint. Id. ¶ 36. The results of Studies 201 and 202 were documented in clinical study reports (“CSRs”), which were submitted to the FDA as part of Sarepta’s New Drug Application (“NDA”) in June 2015, thus initiating the primary stage of the drug approval process. Each CSR consists of an approximately 100-page narrative document, accompanied by thousands of pages of attachments containing supporting data and background

information. Dissemination of CSRs, and study results in general, is carefully controlled, even within Sarepta. Disclosure is limited to certain members of Sarepta’s clinical development, regulatory, biostatistics, and data-management functions along with certain members of the executive committee. Id. ¶ 19. On September 19, 2016, the FDA granted eteplirsen accelerated approval to treat DMD patients. See Compl. ¶ 34. The decision, however, was not without controversy. Although accelerated approval is allowed for drugs that treat a “serious or life-threatening disease[]” and provide “meaningful therapeutic benefit to patients over existing treatments,” the manufacturer must either directly demonstrate that the drug provides a “clinical benefit” or indirectly do so by using a surrogate endpoint. 21 C.F.R. 314.500; see 21 U.S.C. § 356(c)(1)(A). The FDA’s advisory committee tasked with ascertaining whether Sarepta’s studies showed “substantial evidence” that eteplirsen would provide a clinical benefit ultimately concluded that the studies were deficient. See ECF No. 153-4. Nevertheless, Dr. Janet Woodcock, head of the Center for Drug Evaluation and Research, intervened and unilaterally granted accelerated approval for the

drug. See ECF No. 153-5. On December 5, 2016, Seife submitted a FOIA request to the FDA seeking records related to the accelerated approval of eteplirsen. See Compl. ¶¶ 1-3; see also ECF No. 76 (“Kotler Decl.”), ¶¶ 11, 13 & Ex. A. Seife requested, among other things, materials submitted by Sarepta to the FDA to support its approval application, as well as internal Government communications and deliberations regarding the approval. See Kotler Decl. Ex. A. On May 25, 2017, after the FDA denied his appeal for expedited processing, Seife initiated this lawsuit. Just over one month later, Seife filed a motion for partial summary judgment seeking expedited processing. See ECF No. 15. He and the Government then reached agreement on a schedule for

the production of documents responsive to the FOIA request (as refined during the course of the parties’ negotiations), which was so ordered by the Court on July 27, 2017. See ECF No. 39. On September 15, 2017, Sarepta moved to intervene as a Defendant. See ECF Nos. 43-44. Sarepta’s motion was granted on September 18, 2017. See ECF No. 47. Pursuant to 21 C.F.R. § 20.61, the FDA consulted with Sarepta regarding the confidentiality of Study 201 and Study 202, which were subject to Seife’s FOIA request. See ECF No. 77 (“Sager Decl.”), ¶¶ 25-26 & Exs. K-N.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Department of the Air Force v. Rose
425 U.S. 352 (Supreme Court, 1976)
Chrysler Corp. v. Brown
441 U.S. 281 (Supreme Court, 1979)
Larson v. Department of State
565 F.3d 857 (D.C. Circuit, 2009)
David Carney v. United States Department of Justice
19 F.3d 807 (Second Circuit, 1994)
Long v. Office of Personnel Management
692 F.3d 185 (Second Circuit, 2012)
Wilner v. National Security Agency
592 F.3d 60 (Second Circuit, 2009)
Public Citizen Health Research Group v. National Institutes of Health
209 F. Supp. 2d 37 (District of Columbia, 2002)
Parker v. Bureau of Land Management
141 F. Supp. 2d 71 (District of Columbia, 2001)

Cite This Page — Counsel Stack

Bluebook (online)
Seife v. Food and Drug Administration, Counsel Stack Legal Research, https://law.counselstack.com/opinion/seife-v-food-and-drug-administration-nysd-2020.