Diet Drug Settlement Closer to Final Approval
. . . as more individual cases are filed

Court upholds fen-phen diet drug settlement

MADISON, N.J., Aug 16 (Reuters) - American Home Products Corp. on Thursday said the U.S. Court of Appeals affirmed the drug maker's settlement over the diet drugs Redux and Pondimin, best known as fen-phen.

"We are pleased that the Court of Appeals has rejected these challenges to our diet drug settlement," American Home Products President and Chief Executive Robert Essner said in a statement. "This is an important step in putting this matter behind us."

Barring any appeals to the United States Supreme Court, the settlement will by its terms become final by the end of the year. American Home Products had previously taken charges of $12.25 billion related to the settlement and will have paid out $11 billion of that by the end of 2001.

American Home Products recalled the diet drugs, which were used by 6 million Americans, in 1997 after their use was linked to damage to heart valves.
 

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Quote from the AHP earnings statement re settlement approal:

On August 16, 2001, the United States Court of Appeals for the Third Circuit dismissed the appeal of the last remaining appellant challenging the District Court's approval of the nationwide, class action settlement. Any petition to the United States Supreme Court to challenge the approval of the settlement must be filed by January 2002. In the absence of, or following a denial of, any such petition, the settlement would become final.


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Fleming Firm Denied Appeal 

 PHILADELPHIA — A Houston law firm seeking relief from the common fund fee for a group of cases it had settled in California was denied a request to take an immediate appeal (In Re: Diet Drugs  Phentermine/Fenfluramine/ Dexfenfluramine] Products Liability Litigation, MDL Docket No. 1203, E.D. Pa.; See June 2001, Page 15).
   U.S. Senior Judge Louis C. Bechtle of the Eastern District of Pennsylvania, in his final month on the bench presiding over the diet drug MDL, said his denial of relief for Fleming & Associates raised no
controlling question of law meriting immediate appeal. 
 (Motion Denial in Section I. Document #35-010719-109R.)
   "In Pretrial Order No. 1492," Judge Bechtle’s June 19 order states, "the court thoroughly analyzed the caselaw concerning common benefit assessments as well as the arguments asserted by certain of the Fleming Plaintiffs in support of their request for exemption from the assessment. The court has repeatedly described the manner in which the plaintiffs in this MDL . . . and the coordinated state litigation derive benefit from extensive work performed by the PMC and other common Benefit Attorneys, warranting an assessment for the Common Fund Fee and Expense Account from the funds earmarked for those plaintiffs’ local attorneys."
   The Fleming firm had argued that its ability to settle cases was based entirely on its own discovery and not on that of the MDL. The Plaintiffs’ Management Committee countered that it performed many services for federal litigants besides discovery for which its attorneys and staff  must be compensated.
 
 


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Deaths, Lawsuits on Rise as Fen-Phen Withdrawal Approaches 4-Year Anniversary
Cases Against Diet Drug Manufacturer Could Double, Says Leading Pharmaceutical Attorney Michael Hackard 

SACRAMENTO, Sept. 10, 2001 /PRNewswire/ -- Two wrongful death complaints filed today in California could signal a renewed wave of lawsuits against American Home Products  just as the pharmaceutical company coaxes investors back with predictions that its legal troubles over Fen-Phen/Redux are coming to an end. 
 The lawsuits were filed just days before the anniversary of Fen-Phen's removal from the U.S. market on Sept. 15, 1997. Since then, more than $11 billion has been distributed to victims of the drug or their families. That figure could easily double as more former users of Fen-Phen/Redux are diagnosed with either heart valve damage  or primary pulmonary hypertension, commonly called PPH, said attorney Michael Hackard of Sacramento, a leading attorney in Fen-Phen/Redux cases. 
"As much as American Home wants to sweep Fen-Phen/Redux under the carpet, the devastation caused by this drug is about to reach epidemic levels as the effects of heart and lung damage caused by Fen-Phen become apparent to hundreds of thousands of former patients," Hackard said. "This company must be held responsible
for marketing a drug they knew could hurt and even kill people." 
Hackard represents the surviving families of Donald Holmes of San Juan Bautista, who died last November at age 63, and Yolanda Gallegos of Downey, who died three weeks ago at age 55. Both died of PPH resulting from their ingestion of
   Fen-Phen/Redux to lose weight. The Holmes lawsuit was filed in San Benito County Superior Court, and the Gallegos case was filed in Los Angeles County Superior Court.
 In the United States, between 6 million and 7 million people took Fen-Phen/Redux. As the diet pills' popularity soared, doctors started connecting the use of the drug with heart valve damage and PPH, which shrinks and hardens blood vessels in the lungs. Those findings resulted in the U.S. Food and Drug Administration pressuring American Home to withdraw Fen- Phen/Redux from the market. 
A Boston University School of Medicine study charted the heart valve defect rate caused by Fen-Phen/Redux at 28 percent. That means almost 2 million former users have heart valve damage. So far, fewer than 500,000 users have received compensation from lawsuits. 
A recent surge in diagnosed cases of primary pulmonary hypertension would echoearlier findings by French doctors on a nearly identical diet drug called Aminorex used in Europe during the 1960s. That study outlined a roughly 4-to-6-year interval between Aminorex use and the onset of an epidemic in cases of PPH, which continued into the 1970s, years after the European authorities pulled Aminorex from the market.
  "Even though it's been four years since Fen-Phen/Redux was pulled from the market, many users are just now being diagnosed with valve problems or PPH," Hackard said. "We hope this information will help save lives as former users seek exams from their doctors." 
Before the advent of Fen-Phen/Redux and other appetite suppressants, PPH was  rare, with one or two cases reported among 1 million people in a year. That same number is now 23 to 46 new cases among 1 million people a year, according to medical journals. 
"Although this incidence is still relatively low, it represents a significant increase over the background incidence of a potentially lethal disease," stated an article in the medical journal Chest, published by the American College of Chest Physicians. American Home Products settled 375,000 cases through a $3.7 billion class-action  suit. But claims continued to mount, and the company agreed to settle 75,000 more cases.   Hackard added that American Home is throwing complicated legal delays into new  cases as a deliberate attempt to wait until patients die, because wrongful death suits are less expensive for the drug company to settle than cases pursued by living plaintiffs. 
"American Home Products' market capitalization is more than $75 billion. They've already set aside close to 16 percent of that market capitalization to pay for their wrongdoing. By the time this is over, they may have to add another 16 percent," Hackard said. "In the meantime, they're literally running the clock on people's lives. It takes corporate cynicism to new depths." 



AHP profits decline . . . 
continued from col. 3

BIGGEST STABLE OF NEW DRUGS

In the past two years, AHP has brought to market more new medicines than any other major U.S. drugmaker, including the pneumococcal vaccine Prevnar, ulcer drug Protonix, hemophilia treatment ReFacto, Rapamune to stop rejection of kidney transplants, and sleeping aid Sonata.

Company revenues in the third quarter edged up about 5 percent to $3.74 billion, boosted by Protonix, whose sales jumped 618 percent to $162 million, and antidepressant Effexor XR, which posted a 24 percent jump in sales to $403 million.

The company said its worldwide sales of pharmaceuticals rose 9 percent to $2.9 billion.

Its consumer health-care unit, which sells products such as Centrum vitamins and Advil painkiller, saw sales slide 3 percent to $626 million. The company's animal-health products business saw sales jump 12 percent in the period to $205 million.

AHP closed down $1.40 to $58.90, or 2.3 percent, on the New York Stock Exchange Tuesday, and is down 7 percent since the start of the year compared with a 12 percent decline in the American Stock Exchange Pharmaceutical Index (^DRG - news) of large drug firms over the same period. 

 


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Plaintiff Lawyers Say More Fen-Phen Cases Are On The Way
Law firms are girding for another wave of diet drug litigation, although they disagree on how big it will be.
Some attorneys believe the bulk of the cases will come with final approval of the national settlement, when intermediate opt outs have the option of filing cases. Other firms are advertising aggressively for new clients. Lawyers cite the numbers: of 6 million former diet drug users, as many as 2 million may have been injured, while fewer than 500,000 have been compensated in settlements with American Home Products.  Some of the new cases involve primary pulmonary hypertension (PPH), a fatal disease in which the blood vessels in the lungs narrow and raise the pulmonary blood pressure. PPH is not covered by the national settlement, and cases may be brought at any time. 
Holmes Case
Two such cases have been filed in California by attorney Michael A. Hackard of Hackard & Holt, including Donna Holmes, et al. v. American Home Products, et al.(J.C.C.P. No. 4032, No. 0127398, Calif. Super., San Benito Co.). The action was brought by survivors of Donald Holmes Sr., who died Nov. 29, 2000, of PPH, according to the complaint. 
 The complaint also names as defendants a physician, Wal-Mart, pharmacists and John Does and incorporates the master complaint filed in the Los Angeles County Superior Court.  Hackard opined on the PR Newswire that the next wave of diet drug litigation could equal the first round in its cost to AHP. Other attorneys are doubtful. PPH is so rare even among former diet drug users that one plaintiff attorney with several PPH cases doubted more than a few dozen would emerge in a given year.  Although AHP has settled with most of the initial opt outs, attorneys say a few are still awaiting trial or settlement. But several attorneys agree that the bulk of new cases will be the thousands of potential intermediate opt outs currently being signed up by law firms, former users who had an FDA-positive echocardiogram after                     September 1999.
‘Wild Guess’
 One attorney involved in diet drug litigation said a "wild guess" would place the number of former diet drug users eligible at around 10,000 but because those cases have given up the right to seek punitive damages, some attorneys think they’re a bad bet.
Other firms are actively pursuing new heart valve cases in which people with few or no symptoms put off being tested. Lawyers monitoring the television advertising of several Utah firms say the firms appear to have spent tens of thousands of dollars looking for new clients and claim in published articles that the public is responding. 



AHP profits decline as firm takes diet drug charge

By Ransdell Pierson and Edward Tobin 

NEW YORK, Oct 23 (Reuters) - U.S. drugmaker American Home Products Corp. (NYSE:AHP - news) on Tuesday said third-quarter earnings declined despite higher sales of key drugs as the firm took a $950 million charge for continuing liabilities to former users of its diet drugs.

AHP, maker of the Redux and Pondimin appetite suppressants that were withdrawn from the market in 1997, posted earnings of $252 million, or 19 cents per share, compared with $762 million, or 58 cents per share, a year earlier.

The firm has reached a national settlement with former users of the diet drugs, which the company hopes to become final next year unless the deal is appealed to the United States Supreme Court and ruled invalid.

Robert Essner, AHP's chief executive officer, said in a statement the quarterly results, which include the fen-phen charge, represent ``further efforts to put the diet drug litigation behind us.''

AHP had already taken $12.25 billion in charges in the past two years to compensate former users of its diet drugs once included in the ``fen-phen'' slimming cocktail. The prescription medicines were yanked from drugstores after being linked to heart valve damage and other health problems.

The company on Tuesday said it did not expect to take any more such fen-phen charges, a forecast it has made in the past and failed to live up to.

Deutsche Banc Alex. Brown analyst Barbara Ryan called the latest charges ``a disturbing and surprising turn of events.''

``We hope this is the end to this sad saga,'' she said, adding that fewer than 600 fen-phen cases remain to be settled by AHP from among 6 million past users of the diet drugs.

The company reported earnings before charges of $867 million, or 65 cents per share, up from $762 million, or 58 cents per share, a year earlier.

Analysts surveyed by research firm Thomson Financial/First Call had expected earnings of 62 cents to 64 cents a share, which was the forecast the company had given in July. The average estimate was 63 cents per share.

AHP told analysts in a conference call it expected 2001 earnings per share of $2.17 to $2.19, in line with the 15 percent First Call earnings growth forecast for this year.

It projected ``mid teens'' percentage earnings growth next year, of $2.55 to $2.65 per share, a forecast that incorporates a mandated change in accounting practices.

``We remain confident that we are on track to realize our short and longer term growth targets,'' Essner said.
continued in col. 2