United States v. Baldev Raj Bhutani, Neelam Bhutani, and Alra Laboratories, Inc.

175 F.3d 572, 1999 U.S. App. LEXIS 8133, 1999 WL 250242
CourtCourt of Appeals for the Seventh Circuit
DecidedApril 28, 1999
Docket98-1154
StatusPublished
Cited by23 cases

This text of 175 F.3d 572 (United States v. Baldev Raj Bhutani, Neelam Bhutani, and Alra Laboratories, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. Baldev Raj Bhutani, Neelam Bhutani, and Alra Laboratories, Inc., 175 F.3d 572, 1999 U.S. App. LEXIS 8133, 1999 WL 250242 (7th Cir. 1999).

Opinion

BAUER, Circuit Judge.

On February 12, 1996, after a ten we’ek trial, a jury found the three defendants, Baldev Raj Bhutani, Neelam Bhutani, and ALRA Laboratories, Inc., guilty of a number of charges related to their manufacturing and distribution of mislabeled and/or adulterated generic pharmaceutical products. After various post-trial motions were denied, the defendants filed a motion for a new trial based on newly discovered evidence and/or the government’s violation of Brady v. Maryland, 373 U.S. 83, 83 S.Ct. 1194, 10 L.Ed.2d 215 (1963). The district court granted the defendants’ motion for a new trial on all counts of conviction based on the government’s violation of Brady. The government now appeals that ruling. For the reasons set forth below, we reverse.

I. BACKGROUND

Baldev and Neelam Bhutani are the husband and wife team that owns ALRA Laboratories, Inc., a pharmaceutical company that produces generic prescription drugs. The trial primarily focused on the manufacturing and distribution process of two drugs produced by ALRA — Lactulose and K+10. Lactulose is a drug used to combat advanced liver disease, and K+10 is a potassium supplement.

On January 26, 1994, a federal grand jury filed a superseding indictment charging all three defendants with violations of 21 U.S.C. §§ 331(a), 331(e), 3Sl(k), and 333(a)(2) and Baldev Raj Bhutani and ALRA with violations of 18 U.S.C. §§ 2, 371, 1001, and 1341. The indictment charged all three defendants with (1) adulterating and mislabeling their Lactulose products; (2) keeping improper records with respect to the Lactulose; (3) failing to meet the good manufacturing practice standards; and (4) introducing the adulterated Lactulose into interstate commerce— all with the intent to defraud and mislead. Additionally, all three defendants were charged with adulterating and faffing to keep proper records with respect to their K+10 drug. Lastly, Baldev Raj Bhutani and ALRA were charged with providing false statements to various divisions of the Food and Drug Administration (“FDA”) and obtaining money through fraudulent schemes. While the trial delved into all of the charges against the defendants, this appeal relates only to a claim of the discovery of new, and the suppression of, evidence regarding the stability of Lactulose and the effect, if any, this had on the rest of the trial.

Lactulose is a drug that comes in a syrup form, much like the consistency of honey, that is used to treat the liver disease portal systemic encephalopathy. When an individual has this condition, the liver is unable to remove excess ammonia before it enters the bloodstream. Lactu-lose’s function is to remove the ammonia from the colon and large intestine before it can enter the bloodstream. Lactulose is a disaccharide, meaning that it is a combination of two sugars. All drugs, including Lactulose, begin a degradation process af *575 ter they are manufactured, which is why they are given expiration dates. As Lac-tulose ages, it breaks down into its component parts. Should it eventually decompose fully, a process that may take several years, then it would no longer be Lactu-lose, as the two sugars will have separated, rendering the drug ineffective. Only when the two sugars are combined may they act to remove ammonia from the colon and large intestine; neither sugar on its own can remove the ammonia. Without Lactu-lose, a person with portal systemic encephalopathy could slip into a coma caused by excess ammonia in the bloodstream.

One way of testing the stability of Lac-tulose is to measure its pH level. The pH scale measures the acidity or baseness of a chemical on a scale of 0 to 14. A chemical with a pH below 7 is an acid, while one with a pH above 7 is a base. At the time of the trial, the accepted pH range in which Lactulose was considered most effective, as set forth by the U.S. Pharmacopeia (“U.S.P.”), also known as the “bible” of the pharmaceutical industry, was 3.0 to 7.0. The U.S.P. based this determination on stability data provided by various drug manufacturers to the FDA. As Lactulose ages and begins to degrade, it becomes more acidic, i.e. its pH drops. Thus, the older Lactulose gets, the lower its pH reading will become. If the pH level becomes too low, the drug will no longer be effective to fight the liver disease.

The main focus of that portion of the trial concerning ALRA’s production of Lactulose centered around two separate lots of the drug: lots 52-230 and 52-231. At trial, the government claimed, and the jury found, that employees at ALRA, at the direction of Baldev Raj Bhutani, adulterated these lots of Lactulose by “spiking” them with the foreign substance sodium hydroxide in order to conceal their age. Sodium hydroxide is a base, and, when combined with a more acidic substance, will raise its pH level. The government introduced evidence that ALRA employees opened individual bottles of Lactulose from lots 52-230 and 52-231, spiked them with sodium hydroxide, re-sealed the bottles, and repackaged them for distribution with an erroneous expiration date.

Lots 52-230 and 52-231 were manufactured in June of 1986. However, ALRA did not obtain approval from the FDA until July of 1988 to distribute the drug. When ALRA finally received approval to market its Lactulose, it aimed to distribute these two lots of Lactulose by September of 1988. The government presented evidence at trial that lot 52-231 had a pH level of 4.6 in February of 1988 and a pH level of 6.6 in August of 1988. This change represents a 100-fold increase in pH (a chemical with a pH of 4.6 is 100 times more acidic than a chemical with a pH of 6.6). In addition, the government showed that lot 52-230’s pH level increased from 4.7 to 5.1 over the same period of time. It was agreed at trial by both government and defense expert witnesses that there is no naturally occurring process which will increase the pH level of Lactulose over time.

Based on the evidence presented at trial, which consisted of expert testimony, testimony from employees of ALRA, and various data findings, on February 12, 1996, the jury found ALRA and Baldev Raj Bhu-tani guilty with respect to counts 3, 4, and 6 of the superseding indictment — charges relating to adulterating Lactulose, keeping inaccurate records, and sending the adulterated drug into interstate commerce. In total, the jury found ALRA guilty on 8 of 13 counts, Baldev Raj Bhutani on 7 of 13 counts, and Neelam Bhutani on 4 of 10 counts.

On July 5, 1996, after filing various motions for post-trial relief, the defendants filed a motion for a new trial based on newly discovered evidence and/or a Brady violation. They claimed that the government, at the time of the trial, had in its possession stability data from numerous drug manufacturing companies that showed that the effective range for Lactu- *576

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Bluebook (online)
175 F.3d 572, 1999 U.S. App. LEXIS 8133, 1999 WL 250242, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-baldev-raj-bhutani-neelam-bhutani-and-alra-laboratories-ca7-1999.