Toole v. Richardson-Merrell Inc.

251 Cal. App. 2d 689, 60 Cal. Rptr. 398, 29 A.L.R. 3d 988, 1967 Cal. App. LEXIS 2025
CourtCalifornia Court of Appeal
DecidedJune 12, 1967
DocketCiv. 23181
StatusPublished
Cited by165 cases

This text of 251 Cal. App. 2d 689 (Toole v. Richardson-Merrell 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
Toole v. Richardson-Merrell Inc., 251 Cal. App. 2d 689, 60 Cal. Rptr. 398, 29 A.L.R. 3d 988, 1967 Cal. App. LEXIS 2025 (Cal. Ct. App. 1967).

Opinion

SALSMAN, J.

Appellant Riehardson-Merrell Inc. 1 appeals from a judgment on a jury's verdict awarding respondent Toole $175,000 general damages and $500,000 punitive damages for injuries suffered as a result of the use of a drug manufactured and marketed by appellant and prescribed for respondent’s use by his physician. The trial court granted *694 appellant’s motion for a new trial solely on the issue of punitive damages, unless respondent consented to remission of $250,000 of the punitive damage award. Respondent consented to the remission, and a new trial was denied. On appeal, appellant challenges both aspects of the judgment.

Respondent, 43 years of age, developed cataracts in both eyes as a result of taking the drug triparanol, manufactured and sold by appellant under the trade name of “MER/29”. Acting under his doctor’s direction, he began use of MER/29 in July 1960. He developed a condition known as ichthyosis, characterized by dry, flaky, red and inflamed skin. He also suffered hair loss over his entire body. He stopped use of the drug in December 1961. His skin returned to normal, most of his hair regrew, but cataracts developed, his eyes became opaque, and it was necessary to operate and remove the lenses of both eyes. His sight is now distorted, peripheral vision is reduced, his eyes have lost their ability to adjust for distances, are painfully sensitive to light, and he is required to wear corrective glasses. There was also evidence that lie is now more .apt to suffer detached retinas which could lead to blindness. He has an emotional overlay of fear that the drug may have some long-term ill effect that may manifest itself later in life.

MER/29 was supposed to aid in the treatment of arteriosclerosis, commonly described as a “hardening of the arteries.” This condition is thought by some physicians to be caused, in part at least, by the presence of too much cholesterol in the blood, and to be a contributing factor in cases of heart attack and stroke. The purpose of MER/29 was to inhibit cholesterol production in the body and thus aid in the prevention of illness and death from heart attacks and strokes. But there was also evidence that, where MER/29 did inhibit the production of cholesterol, it caused an unnatural accumulation of desmosterol, which formed deposits in the arteries just as cholesterol did. Because of this, MER/29 was not considered by some physicians as a rational approach to the treatment of arteriosclerosis.

Appellant’s Administrative Organisation

Before relating the evidence concerning the development and promotion of MER/29 and appellant’s knowledge of its toxic effects, it is important to understand appellant’s administrative organization and the responsibilities of its officers and agents in the development, testing and marketing of the drug.

*695 MBR/29 was developed by the Wm. S. Merrell Co., Inc.,' a division of appellant Richardson-Merrell Inc. Frank N: Get-man was president of the division; Robert Woodward was executive vice president (succeeded later by B. R. Beckwith, Jr.) ; Dr. Harold Werner was vice president and director of research; Phillip Ritter was vice president in charge of marketing, and Dr. Joseph Murray was liaison officer to the Food and Drug Administration, 2 working under Vice President Werner. Below this level of management were two divisions. One, the Medical Science Division, was headed by Dr. Pogge, assisted by Drs. Bunde and McMaster, the latter in charge of medical research on MER/29. The other division was the Biological Science Division, in charge of Dr. Van Maanen. This division had five departments, one of which was the Toxicology Department headed first by Knox Smith and later by William King. Mrs. Beulah Jordan also worked in the Toxicology Department, and under the direction of Mr. King and Dr. Van Maanen compiled some of the records hereafter mentioned.

The Evidence

Appellant’s Toxicology Department began animal testing of MER/29 in 1957. In the first six-week test, all female rats on a high dosage died. All were found to have suffered abnormal blood changes. There was evidence that unusual blood changes in animals tested with drugs are regarded as a major danger signal.

A second rat study was begun, using a reduced dosage of MER/29. This test also produced abnormal blood changes in the rats. Vice President Werner was informed of these results.

In 1958 William King was hired by appellant and put in charge of the Toxicology Department, replacing Knox Smith. He was assigned to review the blood findings reported in the rat tests conducted by Smith.

In March 1959 a test of MER/29 in monkeys was completed.. Again, abnormal blood changes were found. But Dr. Van Maanen ordered Mrs. Beulah Jordan, the laboratory technician, to falsify a chart of this test by recording false body weights for the monkeys, by extending their records beyond dates after which the monkeys had been killed, and by adding data for an imaginary monkey that had never been in the test group at all. Mrs. Jordan protested to King but was told: *696 “He (Van Maanen.) is higher up. You do as he tells you and be quiet.”

Knox Smith had prepared a brochure reflecting Merrell’s test results of MER/29 on rats. This literature was intended for use of medical doctors clinically testing the drug on human beings. King revised this brochure, and eliminated all reference in it to the abnormal blood findings previously recited. Dr. McMaster, of the Medical Science Division, who was in charge of medical research on MER/29, had knowledge of the deletions, and consented to them.

On July- 21, 1959 appellant filed a new drug application with the FDA seeking permission to place MEB/29 on the market. The application contained many false statements, among them these:

(1) It was reported that only four out of eight rats had died during a certain study, whereas in truth all had died.

(2) Wholly fictitious body and organ weights and also blood "tests were reported for dead rats as if they had continued to live and to take MER/29.

(3) None of the abnormal blood changes encountered in experiments was disclosed.

(4) False data was related for a monkey being tested with the drug, and also data was stated for a monkey that was never part of the test group.

. (5) The falsified chart, prepared by Mrs. Jordan under protest was included in the application.

■ At the time appellant filed its new drug application it knew that MER/29 would require long-term use, because when use was discontinued cholesterol levels rose, but appellant had no data on the long-term effects of MER/29 in humans. At the time of its new drug application only 116 persons had taken MER/29 on an experimental basis, and none had used the drug for more than six months. There was evidence that before a drug such as MER/29 is marketed initial studies should be 'made to establish its toxicity, followed by a three-year test in humans, to be followed by a final period of testing in humans before placing the drug on the market.

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Bluebook (online)
251 Cal. App. 2d 689, 60 Cal. Rptr. 398, 29 A.L.R. 3d 988, 1967 Cal. App. LEXIS 2025, Counsel Stack Legal Research, https://law.counselstack.com/opinion/toole-v-richardson-merrell-inc-calctapp-1967.