In Re: Merck & Co ( 2008 )


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  •                                                                                                                            Opinions of the United
    2008 Decisions                                                                                                             States Court of Appeals
    for the Third Circuit
    9-9-2008
    In Re: Merck & Co
    Precedential or Non-Precedential: Precedential
    Docket No. 07-2431
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    Recommended Citation
    "In Re: Merck & Co " (2008). 2008 Decisions. Paper 451.
    http://digitalcommons.law.villanova.edu/thirdcircuit_2008/451
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    PRECEDENTIAL
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    Nos. 07-2431, 07-2432
    IN RE: MERCK & CO., INC. SECURITIES,
    DERIVATIVE & “ERISA” LITIGATION
    (MDL No. 1658)
    CONSOLIDATED SECURITIES LITIGATION
    Richard Reynolds, Steven LeVan, Jerome Haber and
    The Public Employees’ Retirement System of Mississippi,
    the Court-Appointed Lead Plaintiffs and Plaintiffs Union
    Asset Management Holding AG, Loren Arnoff,
    Robert Edwin Burns, Jan Charles Finance S.A.,
    Martin Mason, Frank H. Saccone, Charlotte Savarese,
    Joe Savarese, Joseph Goldman, Sherrie B. Knuth,
    Joseph S. Fisher, M.D., Naomi Raphael,
    Rhoda Kanter, Park East, Inc. and Marc Nathanson, on behalf
    of themselves and the proposed class of purchasers of Merck
    securities during the period between
    May 21, 1999 and October 29, 2004,
    Appellants
    On Appeal from the United States District Court
    for the District of New Jersey
    (D.C. Nos. 05-cv-01151, 05-cv-02367)
    District Judge: Honorable Stanley R. Chesler
    Argued June 24, 2008
    Before: SLOVITER, BARRY, and, ROTH Circuit Judges
    (Filed September 9, 2008)
    ______
    John P. Coffey (Argued)
    Bernstein, Litowitz, Berger & Grossman
    New York, NY 10019-0000
    Bruce D. Bernstein
    New York, NY 10022-0000
    Paul B. Brickfield
    Brickfield & Donahue
    River Edge, NJ 07661-0000
    David A.P. Brower
    Brower Piven
    New York, NY 10022-0000
    James E. Cecchi
    Lindsey H. Taylor
    Carella, Byrne, Bain, Gilfillan, Cecchi,
    Stewart & Olstein
    Roseland, NJ 07068-0000
    Mark Levine
    Stull, Stull & Brody
    New York, NY 10017-0000
    Michael Miarmi
    New York, NY 10119-0165
    Lee A. Weiss
    New York, NY 10022-0000
    Richard H. Weiss
    New York, NY 10119-0165
    Robert T. Haefele
    Motley Rice
    Mount Pleasant, SC 29465-0000
    2
    Attorneys for Appellants
    Robert H. Baron
    Evan R. Chesler (Argued)
    Cravath, Swaine & Moore
    New York, NY 10019-0000
    Roberta Koss
    William R. Stein
    Hughes, Hubbard & Reed
    Washington, DC 20006-0000
    William H. Gussman
    Martin L. Perschetz
    Sung-Hee Suh
    Schulte, Roth & Zabel
    New York, NY 10022-0000
    Lawrence M. Rolnick
    Sheila A. Sadighi
    Lowenstein Sandler
    Roseland, NJ 07068-0000
    Attorneys for Appellees
    _____
    OPINION OF THE COURT
    SLOVITER, Circuit Judge.
    Appellants, purchasers of Merck & Co., Inc. stock, filed the
    first of several class action securities fraud complaints on
    November 6, 2003, alleging that the company and certain of its
    officers and directors (collectively, “Merck”) misrepresented the
    safety profile and commercial viability of Vioxx, a pain reliever
    that was withdrawn from the market in September 2004 due to
    safety concerns. The District Court granted Merck’s motion to
    dismiss the complaint under Rule 12(b)(6) of the Federal Rules of
    Civil Procedure, holding that Appellants were put on inquiry notice
    3
    of the alleged fraud more than two years before they filed suit, and
    thus their claims were barred by the statute of limitations.
    Appellants argue that the District Court erred in finding as a matter
    of law that there was sufficient public information prior to
    November 6, 2001 to trigger Appellants’ duty to investigate the
    alleged fraud. Because the District Court dismissed on the basis of
    the complaint, we must accept its allegations as true.1
    I.
    Factual Background
    In May 1999, the Food and Drug Administration (“FDA”)
    approved Vioxx, a new drug introduced by the pharmaceutical
    company Merck. Vioxx is the brand name of rofecoxib, a
    nonsteroidal anti-inflammatory drug (“NSAID”) used in the
    treatment of arthritis and other acute pain. Most NSAIDs, such as
    aspirin, ibuprofen, and naproxen, function by inhibiting two
    enzymes: cyclooxygenase-1 (“COX-1”), which is associated with
    the maintenance of gastrointestinal (“GI”) mucus and platelet
    aggregation, and cyclooxygenase-2 (“COX-2”), which is associated
    with the response to pain and inflammation. The inhibition of
    COX-1 leads to harmful GI side effects. Because Vioxx was
    designed to suppress COX-2 without affecting COX-1, Merck
    marketed Vioxx as possessing the beneficial effects of traditional
    NSAIDs but without the harmful GI side effects associated with
    those drugs. The market viewed Vioxx as a potential “blockbuster”
    drug for the company, App. at 469, and as its “savior,” App. at 494.
    1
    The District Court took judicial notice of the various
    public documents submitted to it in connection with the motion to
    dismiss. Appellants do not challenge this decision on appeal and
    we see no reason to disturb it. “The inquiry notice analysis is an
    objective one. Whether appellants read the [documents] or were
    aware of them is immaterial. They serve only to indicate what was
    in the public realm at the time, not whether the contents of those
    [documents] were in fact true.” Benak ex rel. Alliance Premier
    Growth Fund v. Alliance Capital Mgmt., L.P., 
    435 F.3d 396
    , 401
    n.15 (3d Cir. 2006).
    4
    Merck repeatedly touted the safety profile, sales, and commercial
    prospects of the drug in press releases, public statements, and
    Securities and Exchange Commission (“SEC”) filings throughout
    the class period.
    A. Pre-FDA Approval and the VIGOR Study (1996 -
    March 2000)
    Prior to the FDA’s approval of Vioxx, officials at Merck
    were concerned that Vioxx could cause harmful cardiovascular
    (“CV”) events, such as heart attacks. Internal emails from 1996
    and 1997 demonstrate that Merck employees were aware that there
    was “a substantial chance” and a “possibility” of CV events that
    could “kill [the] drug.” App. at 496. In 1998, an unpublished
    internal Merck clinical trial entitled Study 090 revealed that Vioxx
    caused a greater incidence of CV events than a placebo or a
    different arthritis drug.2
    In January 1999, Merck commenced the VIOXX
    Gastrointestinal Outcomes Research (“VIGOR”) study, which
    compared Vioxx to naproxen, the active ingredient in brand-name
    pain relievers such as Aleve and Naprosyn.3 Although the study
    showed that Vioxx had a GI safety profile superior to that of
    naproxen, it also showed that Vioxx users had a higher incidence
    of CV events than naproxen users. In a March 9, 2000 email,
    defendant Edward Scolnick, the President of Merck Research
    Laboratories, acknowledged the existence of CV events,
    2
    The sources upon which Appellants rely in making these
    allegations were first made public in November 2004,
    approximately a year after Appellants filed their initial complaint.
    See Anna Wilde Mathews & Barbara Martinez, Warning Signs:
    E-Mails Suggest Merck Knew Vioxx’s Dangers at Early Stage,
    Wall St. J., Nov. 1, 2004, at A1; 60 Minutes (CBS television
    broadcast Nov. 14, 2004) (transcript available on LexisNexis).
    3
    See ALEVE FAQs, http://www.aleve.com/faqs.html#g21
    (last visited July 25, 2008); Roche Pharmaceuticals in the U.S., Our
    Products, Naprosyn, http://www.rocheusa.com/products/naprosyn/
    (last visited July 25, 2008).
    5
    commenting, “it is a shame but it is a low incidence and it is
    mechanism based as we worried it was.” App. at 512.
    Merck did not attempt to conceal the results of the VIGOR
    study. It made them public in a press release on March 27, 2000,
    that emphasized Vioxx’s superior GI safety profile but also noted
    the incidence of CV events. Merck stated:
    [S]ignificantly fewer thromboembolic events were observed
    in patients taking naproxen in this GI outcomes study,
    which is consistent with naproxen’s ability to block platelet
    aggregation. This effect on these events had not been
    observed previously in any clinical studies for naproxen.
    Vioxx, like all COX-2 selective medicines, does not block
    platelet aggregation and therefore would not be expected to
    have similar effects.
    App. at 765. The press release also stated that “[a]n extensive
    review of safety data from all other completed and ongoing clinical
    trials, as well as the post-marketing experience with Vioxx, showed
    no indication of a difference in the incidence of thromboembolic
    events between Vioxx, placebo and comparator NSAIDs.” App. at
    766.
    The VIGOR study results were widely reported in the press,
    medical journals, and securities analyst reports. Market analysts
    and members of the press immediately understood that CV events
    could be a side effect of Vioxx. Nonetheless, many observers also
    took notice of Merck’s hypothesis that naproxen lowered CV
    events (the “naproxen hypothesis”). The naproxen hypothesis
    attributed the results of the VIGOR study to the beneficial effects
    of naproxen’s blocking of platelet aggregation rather than to the
    harmful effects of Vioxx in causing thromboembolic events. The
    issue whether naproxen lowered the heart attack risk or Vioxx
    caused it was thus presented. While many analysts noted that the
    naproxen hypothesis was unproven, some also concluded that it
    was the most likely explanation for the increased CV events
    observed in the VIGOR study.
    One representative article distributed by Reuters on April
    6
    27, 2000, quoted a Merck spokesman who acknowledged the
    “statistically significant” finding that patients of Vioxx had a
    higher rate of CV events, but suggested that this might be
    explained by a beneficial effect of naproxen. App. at 2287. In that
    same article, however, a spokesperson for the manufacturer of
    Naprosyn explained that the company had no knowledge that
    naproxen prevented heart attacks or strokes; similarly, an analyst
    for ABN Amro suggested that he was skeptical of Merck’s
    explanation.
    B. FDA AAC Hearing (February 8, 2001)
    On February 8, 2001, the FDA’s Arthritis Advisory
    Committee (“AAC”) held a public hearing to consider Merck’s
    request to include the positive GI results from the VIGOR study in
    its Vioxx labeling. Six days before that hearing, J.P. Morgan
    issued a research report summing up the state of knowledge about
    Vioxx after the VIGOR study. The report stated that the basic idea
    behind the naproxen hypothesis was “poorly proven,” and that
    there was “no way to retrospectively slice the data to prove the
    NSAID benefit vs. Vioxx risk argument,” although one existing
    theory “might support a ‘Vioxx risk’ hypothesis.” App. at 2547.
    J.P. Morgan warned, “[t]his is the type of clinical ‘signal’ that was
    ignored, and later haunted the FDA in recent drug recalls like
    Warner Lambert’s Rezulin and Glaxo’s Lotronex.” App. at 2547.
    During the AAC hearing, defendant Alise Reicin, Executive
    Director of Clinical Research at Merck Research Laboratories,
    explained to the panel, “when you review the results of VIGOR in
    isolation you don’t know whether the imbalance of cardiovascular
    events was caused by a decrease in events on a platelet-inhibiting
    NSAID, naproxen, or an increase in events on a COX-2 selective
    inhibitor,” i.e., Vioxx. App. at 995. She then suggested that
    naproxen was likely responsible for the difference in CV events
    observed in users of the two drugs. At the public portion of the
    hearing, the panel subsequently discussed whether to call for the
    inclusion of a warning in the Vioxx labeling stating that it was
    “uncertain” whether the CV events noticed in VIGOR were “due
    to beneficial cardioprotective effects of naproxen or prothrombotic
    effects of [Vioxx], and leave it at that, that basically we don’t know
    7
    the reason.” App. at 1143.
    Nonetheless, some press accounts reported that certain AAC
    panel members asserted that “[d]ifferences in cardiac risk between
    Vioxx and naproxen appeared to result from a beneficial effect of
    naproxen, not a danger from Vioxx,” App. at 2311, and that there
    was “some reassurance that what we see, in effect, is a protective
    effect of naproxen,” App. at 2306. In subsequent coverage, many
    securities analysts reported that the hearing had benefited Merck
    and they continued to project substantial future revenues for Vioxx.
    However, at least one investment firm issued a report stating, “our
    skepticism relating to naproxen having a cardioprotective effect is
    reinforced” by the AAC hearing. App. at 2703.
    C. First Vioxx Product Liability Lawsuit (May 2001)
    In May 2001, a product liability lawsuit was filed jointly
    against Merck and the makers of Celebrex, a rival COX-2 selective
    inhibitor.    The complaint alleged that the pharmaceutical
    companies “have consistently marketed Vioxx and Celebrex as
    highly effective pain relief drugs for patients suffering from
    osteoarthritis,” despite the fact that “Merck’s own research”
    demonstrated that “users of Vioxx were four times as likely to
    suffer heart attacks as compared to other less expensive
    medications, or combinations thereof.” App. at 1748. The
    plaintiffs sought “emergency notice to class members and revised
    patient warnings, in the form of additional medical labeling which
    is presently being considered by the FDA . . . .” App. at 1748.
    D. JAMA Article (August 22, 2001)
    On August 22, 2001, the Journal of the American Medical
    Association (“JAMA”) reported the results of a study of Vioxx and
    Celebrex clinical trials. The JAMA article asserted that available
    data raised a “cautionary flag” about the risk of CV events
    associated with COX-2 inhibitors. App. at 748. It also stated that
    “[c]urrent data would suggest that use of selective COX-2
    inhibitors might lead to increased cardiovascular events.” App. at
    752. The day before that article was published, Bloomberg News
    reported the statement of a Merck scientist that “[w]e already have
    8
    additional data beyond what they cite, and the findings are very,
    very reassuring. VIOXX does not result in any increase in
    cardiovascular events compared to placebo.” App. at 539. The
    JAMA article garnered extensive coverage. Some securities
    analysts responding to the article on the date of its publication
    referred to the basic content of the article as “not new news,” App.
    at 2749, and noted that the FDA “debated many of the same issues
    in February of this year,” at the AAC panel hearing. App. at 2751.
    The day after the JAMA article’s publication, Merck issued
    a press release stating that it “stands behind the overall and
    cardiovascular safety profile . . . of VIOXX.” App. at 540. Merck
    also sent “‘Dear Doctor’ letters to physicians throughout the
    country disparaging the article as ‘not based on any new clinical
    study’ and assuring the physicians that Merck ‘stands behind the
    overall and cardiovascular safety profile’ of VIOXX.’” App. at
    540.
    E. FDA Warning Letter (September 21, 2001)
    On September 21, 2001, the FDA posted on its website a
    warning letter that its Division of Drug Marketing, Advertising,
    and Communications (“DDMAC”) had sent to Merck four days
    earlier regarding its marketing and promotion of Vioxx. In the
    letter, the DDMAC stated that Merck’s “promotional activities and
    materials” for the marketing of Vioxx were “false, lacking in fair
    balance, or otherwise misleading in violation of the Federal Food,
    Drug, and Cosmetic Act (the Act) and applicable regulations.”
    App. at 713. The letter explained:
    You have engaged in a promotional campaign for Vioxx
    that minimizes the potentially serious cardiovascular
    findings that were observed in the [VIGOR] study, and thus,
    misrepresents the safety profile for Vioxx. Specifically,
    your promotional campaign discounts the fact that in the
    VIGOR study, patients on Vioxx were observed to have a
    four to five fold increase in myocardial infarctions (MIs)
    compared to patients on the comparator non-steroidal anti-
    inflammatory drug (NSAID), Naprosyn (naproxen).
    9
    Although the exact reason for the increased rate of MIs
    observed in the Vioxx treatment group is unknown, your
    promotional campaign selectively presents the following
    hypothetical explanation for the observed increase in MIs.
    You assert that Vioxx does not increase the risk of MIs and
    that the VIGOR finding is consistent with naproxen’s ability
    to block platelet aggregation like aspirin. That is a possible
    explanation, but you fail to disclose that your explanation is
    hypothetical, has not been demonstrated by substantial
    evidence, and that there is another reasonable explanation,
    that Vioxx may have pro-thrombotic properties.
    App. at 713. The letter also directed Merck to issue “Dear
    Healthcare provider” letters “to correct false or misleading
    impressions and information.” App. at 719.
    The FDA warning letter received widespread coverage by
    the media and securities analysts. Although many media reports
    focused on the mere fact of the warning letter,4 securities analysts
    4
    A few representative examples follow: Reuters -- “U.S.
    regulators have charged . . . Merck . . . with misleading doctors
    about its blockbuster painkiller Vioxx with promotions that
    downplayed a possible risk of heart attacks.” App. at 2353.
    Associated Press -- “Merck has argued that [the VIGOR study
    results make] Vioxx falsely look[] risky because naproxen thins the
    blood . . . and thus protect[s] against heart attacks. . . . ‘In fact, the
    situation is not at all clear,’ [according to] the FDA . . . .” App. at
    2360. USA Today -- “Merck’s marketing efforts, aimed mainly at
    doctors, have minimized Vioxx’s known and potential
    cardiovascular risks, the FDA wrote in an eight-page ‘warning
    letter’ . . . . So far this year, the FDA has sent drug companies
    fewer than a dozen warning letters, which the agency reserves for
    activities that raise significant public health concerns.” App. at
    2355. Wall Street Journal -- “Federal regulators warned Merck &
    Co. for improper marketing of its blockbuster arthritis drug Vioxx,
    saying the company had misrepresented the drug’s safety profile
    and minimized its potential risks. . . . While the FDA sends out
    dozens of routine citations annually, it issues only a handful of
    10
    tended to emphasize the impact the warning letter would likely
    have on the prospective Vioxx labeling changes (which were not
    forthcoming until April 2002),5 Merck’s ongoing promotional
    efforts,6 and Merck’s position in the market.7 A report issued by
    UBS Warburg explained, “[t]he FDA pointed out that there is no
    definitive study proving or disproving either conclusion [regarding
    the higher incidence of CV events associated with Vioxx in the
    VIGOR study]. . . . The FDA’s position appears similar to our own,
    which is that the data available to date are simply not definitive.”
    App. at 2768. Nonetheless, securities analysts were of one voice
    in their projections for Merck and Vioxx; analysts from CIBC
    World Markets, Credit Suisse First Boston (“CSFB”), Dain
    Rauscher, Lehman Brothers, UBS Warburg, SG Cowen, and
    these more-serious warning letters each year.” App. at 2361.
    5
    For example, a report issued by Lehman Brothers stated:
    “We do not believe this letter will be predictive of the FDA’s
    actions on the pending Vioxx label change. . . . Warning letters of
    this nature are certainly not unusual and in fact almost a staple of
    the pharmaceutical industry today. . . . As pointed out in the FDA
    warning letter, DDMAC does not dispute Merck’s claims.” App.
    at 2765-66.
    6
    One report issued by Merrill Lynch stated: “The FDA
    issued a warning letter to Merck . . . [and] is looking for Merck to
    cease all violative promotional activities . . . . We do not see how
    this issue can be helpful to Merck in promoting Vioxx.” App. at
    2752.
    7
    A Dain Rauscher report focused on Vioxx’s position in the
    actual marketplace, i.e., the doctor’s office: “We believe th[e FDA
    warning letter] is unlikely to significantly alter physicians’
    prescribing practices [because it] is likely that these issues are
    already common knowledge in the medical community . . . .” App.
    at 2762. Meanwhile, a CIBC World Markets report considered
    how the warning letter might impact Merck’s stock price: “The
    FDA warning letter as well as a recent JAMA article raising
    concerns of cardiovascular risk will continue to pressure the stock,
    now trading close to its 52-week low.” App. at 2755.
    11
    Morgan Stanley all maintained their ratings for Merck stock at
    “buy” or “hold” and/or continued to project increased future
    revenues for Vioxx.
    In the five days between September 20, 2001 and September
    25, 2001, Merck’s stock price declined by $4.16, or 6.6%, closing
    at $59.11 on September 25. Reuters reported this drop on
    September 25, explaining that “[s]hares of Merck & Co. fell . . .
    after U.S. regulators accused the firm of making unsubstantiated
    claims about its hot-selling arthritis drug Vioxx and downplaying
    a possible risk of heart attack from taking the medicine.” App. at
    2357. By October 1, 2001, however, Merck’s stock price had
    rebounded to $64.66, $1.39 higher than its closing price before the
    warning letter was made public just over a week earlier.
    F. Additional Vioxx Lawsuits (September 27, 2001)
    A consumer fraud lawsuit was filed against Merck on behalf
    of Vioxx users on September 27, 2001. A second product liability
    lawsuit and a personal injury lawsuit followed shortly thereafter.
    In articulating their allegations of fraud and misrepresentations by
    Merck to consumers and Vioxx users, the consumer fraud and
    product liability suits relied in large part on the JAMA article, the
    FDA warning letter, and various media reports concerning Vioxx.
    G. New York Times Article (October 9, 2001)
    On October 9, 2001, the New York Times published an
    article about COX-2 inhibitors entitled “The Doctor’s World; For
    Pain Reliever, Questions of Risk Remain Unresolved.” App. at
    653. The article reported on “troubling questions about whether
    Vioxx may have an unexpected side effect -- a very slight increase
    in the risk of heart attack.” App. at 653. However, the article
    explained that “[t]he risk is hypothesized, not proved,” and that
    “leading arthritis specialists . . . say that they are not concerned and
    that they prescribe the drugs for patients who may have heart
    disease.” App. at 653. The article noted that “[a]t issue is the
    subtle question of what counts as evidence,” App. at 653,
    explaining that the risk that COX-2 inhibitors cause blood-clotting
    was originally posed as a theory a few years earlier by a scientist
    12
    from the University of Pennsylvania.
    The article addressed defendant Scolnick’s statements at
    length. According to the article, Scolnick said that Merck
    “look[ed] specifically for excess heart attacks and strokes in” the
    VIGOR study and found a higher incidence in the patients taking
    Vioxx. App. at 654. “‘There are two possible interpretations,’ Dr.
    Scolnick said. ‘Naproxen lowers the heart attack rate, or Vioxx
    raises it.’” App. at 654. The article went on, “while [Merck]
    announced the heart attack findings to doctors and the public, it
    looked back at its data from studies using different drugs or dummy
    pills in comparison to Vioxx. It found no evidence that Vioxx
    increased the risk of heart attacks, Dr. Scolnick said.” App. at 654.
    “He said that the company decided that ‘the likeliest interpretation
    of the data is that naproxen lowered . . . the thrombotic event rate’
    . . . . He added that without the theoretical question raised by [the
    University of Pennsylvania scientist], ‘no one would have a
    question remaining in their mind that their [sic] might be an
    additional interpretation.’” App. at 654. The article reported
    Scolnick as conceding that “none of the findings to date are enough
    to prove that the issue is fully resolved. That lack of proof is why
    the F.D.A. demanded that Merck explain both sides of the
    hypothesis, telling doctors and patients that it is not known whether
    naproxen protects against heart attacks or Vioxx makes them more
    likely.” App. at 654.
    There was no significant movement in Merck’s stock price
    following the publication of the New York Times article.
    H. Vioxx’s Labeling Modified to Include CV Risks
    (April 2002)
    Merck was not required to include the risk of CV events in
    its labeling until April 2002. The labeling ultimately incorporating
    that information explained the VIGOR study results and stated,
    “the risk of developing a serious cardiovascular thrombotic event
    was significantly higher in patients treated with VIOXX . . . as
    compared to patients treated with naproxen . . . . The significance
    of the cardiovascular findings . . . is unknown.” App. at 553. This
    language was incorporated into the “precautions” section of the
    13
    Vioxx labeling, rather than the “warnings” section. In a conference
    call discussing the labeling changes, a Merck spokesperson
    reiterated the company’s “belief that the effect seen in VIGOR
    were [sic] the results of the anti-platelet effect of naproxen. . . . So,
    I think that’s a position Merck has always had and now its [sic]
    quite clearly laid out in the labeling.” App. at 559.
    I. Falling Vioxx Sales and the Harvard Study (October
    2003)
    On October 22, 2003, Reuters published an article entitled
    “Merck to Cut 4,400 Jobs, posts Flat Earnings,” in which it
    reported that Merck was “hurt by falling sales of arthritis medicine
    VIOXX and a paucity of profitable new drugs. . . . The arthritis
    drug is suffering from clinical trial data suggesting it might slightly
    raise the risk of heart attacks . . . .” App. at 570. That day,
    Merck’s stock price dropped from $48.91 to $45.72, down 6.5%.
    On October 30, 2003, the Wall Street Journal published an
    article entitled “VIOXX Study Sees Heart-Attack Risk,” which
    addressed a recent study by the Harvard-affiliated Brigham and
    Women’s Hospital in Boston that found an increased risk of heart
    attack in patients taking Vioxx compared with patients taking
    Celebrex and placebo (the “Harvard study”). App. at 571.
    According to the article, “[i]n the first 30 days, the researchers
    found, VIOXX was linked to a 39% increased heart-attack risk
    compared with Celebrex. Between 30 and 90 days, that increased
    relative risk was 37%.” App. at 571. A researcher stated that this
    was “the best study to date” and that it “greatly substantiates our
    concerns about the cardiac side effects” of Vioxx. App. at 571.
    Merck’s stock price dropped below the S&P 500 Index
    during this time, and did not rise above that index during the
    remainder of the class period.
    J.   Merck Withdraws Vioxx From the Market
    (September 2004)
    On September 30, 2004, Merck announced that it was
    withdrawing Vioxx from the market based on a new study showing
    14
    an “increased risk of confirmed cardiovascular events beginning
    after 18 months of continuous therapy.” App. at 584. Merck’s
    stock price dropped more than $12 per share that day, to close at
    $33.00, down 27% from the previous day’s close. Securities
    analysts expressed their surprise at the suddenness of Merck’s
    action.
    On November 1, 2004, the Wall Street Journal reported,
    “internal Merck e-mails and marketing materials as well as
    interviews with outside scientists show that the company fought
    forcefully for years to keep safety concerns from destroying the
    drug’s commercial prospects.” App. at 589. Merck’s stock price
    dropped another 9.7% based on this news. The news, which was
    first published nearly a year after Appellants filed their complaint,
    prompted one securities analyst to remark, “new information
    indicates to us that the situation might not be as innocent as we
    thought. . . . We recommend that investors sell Merck shares.”
    App. at 594.
    II.
    Procedural History
    The first class action securities complaint initiating this
    lawsuit was filed on November 6, 2003, just weeks after the media
    reported the results of the Harvard study and declining Vioxx sales.
    After numerous nationwide class actions were consolidated,
    Appellants filed a fourth amended consolidated class action
    complaint. The complaint alleged that “Defendants’ statements
    and omissions during the Class Period materially misrepresented
    the safety and commercial viability of VIOXX,” App. at 489, in
    violation of sections 11, 12(a)(2), and 15 of the Securities Act of
    1933, sections 10(b), 20(a), and 20A of the Securities Exchange
    Act of 1934, and Rule 10b-5 promulgated thereunder.
    Merck moved to dismiss Appellants’ claims on the grounds
    that they were time-barred and that Appellants had failed to state
    a claim. The District Court granted that motion on the basis that
    the claims were time-barred. In re Merck & Co., Inc. Sec.,
    Derivative & “ERISA” Litig., 
    483 F. Supp. 2d 407
    , 425 (D.N.J.
    15
    2007).8 Appellants timely filed a notice of appeal.
    III.
    Jurisdiction and Standard of Review
    The District Court had jurisdiction over this action pursuant
    to section 22 of the Securities Act, 15 U.S.C. § 77v; section 27 of
    the Securities Exchange Act, 15 U.S.C. § 78aa; and 
    28 U.S.C. § 1331
    . We have jurisdiction pursuant to 
    28 U.S.C. § 1291
    . We
    exercise plenary review over the District Court’s dismissal of
    Appellants’ claims for failure to comply with the statute of
    limitations. DeBenedictis v. Merrill Lynch & Co., Inc., 
    492 F.3d 209
    , 215 (3d Cir. 2007). Because the District Court granted
    Merck’s motion to dismiss, “[w]e must ‘accept as true all
    allegations in the complaint and all reasonable inferences that can
    be drawn therefrom, and view them in the light most favorable to
    the non-moving party.’”         
    Id.
     (quoting Rocks v. City of
    Philadelphia, 
    868 F.2d 644
    , 645 (3d Cir. 1989)). The dismissal
    must be upheld only “‘if it appears to a certainty that no relief
    could be granted under any set of facts which could be proved.’”
    
    Id.
     (quoting D.P. Enters., Inc. v. Bucks County Cmty. Coll., 
    725 F.2d 943
    , 944 (3d Cir. 1984)).
    IV.
    Discussion
    The relevant statutes each contain their own statute of
    limitations. A complaint alleging “fraud, deceit, manipulation, or
    contrivance” under the Securities Exchange Act “may be brought
    not later than the earlier of . . . 2 years after the discovery of the
    facts constituting the violation; or . . . 5 years after such violation.”
    8
    The District Court did not address Merck’s argument that
    the allegations contained in the fourth amended consolidated class
    action complaint failed to satisfy the heightened standards of the
    Private Securities Litigation Reform Act of 1995 for pleading
    scienter, and we do not express any opinion on this issue.
    16
    
    28 U.S.C. § 1658
    (b). Claims under the Securities Act are subject
    to a shorter, one-year limitation period from the time of discovery,
    but in no event may be filed later than three years after the public
    offering or sale of the security. 15 U.S.C. § 77m. Thus, if
    Appellants knew of the basis for their claims prior to November 6,
    2001, two years before the first securities complaint was filed, all
    of their claims are barred by the statute of limitations. See
    DeBenedictis, 
    492 F.3d at 216
    .
    “Whether the plaintiffs, in the exercise of reasonable
    diligence, should have known of the basis for their claims depends
    on whether they had ‘sufficient information of possible
    wrongdoing to place them on ‘inquiry notice’ or to excite ‘storm
    warnings’ of culpable activity.’” Benak ex rel. Alliance Premier
    Growth Fund v. Alliance Capital Mgmt., L.P., 
    435 F.3d 396
    , 400
    (3d Cir. 2006) (quoting In re NAHC, Inc. Sec. Litig., 
    306 F.3d 1314
    , 1325 (3d Cir. 2002)). This is an objective question; thus, an
    investor is not on inquiry notice until a “‘reasonable investor of
    ordinary intelligence would have discovered the information and
    recognized it as a storm warning.’” In re NAHC, 
    306 F.3d at 1325
    (quoting Mathews v. Kidder, Peabody & Co., 
    260 F.3d 239
    , 252
    (3d Cir. 2001)).
    “If the existence of storm warnings is adequately established
    the burden shifts to the plaintiffs to show that they exercised
    reasonable due diligence and yet were unable to discover their
    injuries.” DeBenedictis, 
    492 F.3d at 216
     (citations, alterations, and
    internal quotation marks omitted). Here, the District Court held
    that Appellants were on inquiry notice of their claims no later than
    October 9, 2001, the date the New York Times published the article
    reporting that defendant Scolnick “acknowledged that Merck knew
    that the cardioprotective effect of naproxen was not proven and,
    further, that Merck admitted that VIOXX may raise the risk of
    heart attack or other thrombotic event.” In re Merck, 
    483 F. Supp. 2d at 419
    . The Court also noted what it characterized as the
    “overwhelming collection of information signaling deceit by Merck
    with respect to the safety of VIOXX [that] had accumulated in the
    public realm” by that date, in particular, the FDA warning letter.
    
    Id.
     In concluding that sufficient storm warnings of fraud existed
    more than two years prior to the filing of Appellants’ complaint,
    17
    the District Court observed that Appellants’ “position that their
    claims did not accrue until the existence of fraud was a probability,
    as opposed to a possibility . . . is simply not supported by Third
    Circuit law.” 
    Id. at 422
    . Finally, noting that Appellants had “not
    argued that they conducted a diligent investigation, and nothing in
    the Complaint demonstrates that they were unable to uncover
    pertinent information during the limitations period,” the Court
    concluded that Appellants’ claims were time-barred and granted
    Merck’s motion to dismiss. 
    Id. at 424
    .
    A. Principles of Inquiry Notice
    Before reviewing the District Court’s decision, we must
    address an ambiguity in our inquiry notice jurisprudence.
    Appellants contend that the statute of limitations does not begin to
    run until there is sufficient evidence of probable, rather than
    possible, wrongdoing by the defendants. Predictably, Merck
    supports the latter standard, arguing that inquiry notice may be
    triggered by evidence of possible wrongdoing. Both formulations
    find support in this court’s precedents. Compare DeBenedictis,
    
    492 F.3d at 216
     (Inquiry notice may be established by proof of
    “‘financial, legal, or other data that would alert a reasonable person
    to the probability that misleading statements or significant
    omissions had been made.’”) (quoting In re NAHC, 
    306 F.3d at
    1326-27 n.5) (emphasis added), with Benak, 
    435 F.3d at 400
    (“‘Whether the plaintiffs . . . should have known of the basis for
    their claims depends on whether they had “sufficient information
    of possible wrongdoing to place them on ‘inquiry notice’ . . . .”’”)
    (quoting In re NAHC, 
    306 F.3d at 1325
    ) (emphasis added). We
    therefore take this opportunity to clarify the standard for inquiry
    notice in this circuit.
    Our first comprehensive discussion of the appropriate
    standard for inquiry notice took place in the context of a claim filed
    pursuant to the Racketeer Influenced and Corrupt Organizations
    Act (“RICO”).9 See Mathews, 
    260 F.3d at 241
    . In Mathews,
    9
    Quoting extensively from Mathews, we recently reiterated
    the inquiry notice standard for RICO claims in Cetel v. Kirwan
    18
    investors in low-risk securities sued their broker after the securities
    had lost more than half their value, alleging that the broker misled
    them about the nature of the funds and charged excessive fees and
    commissions. We affirmed the district court’s grant of summary
    judgment for the broker because the complaint was time-barred.
    
    Id. at 244
    . In analyzing whether plaintiffs’ suit was filed before
    RICO’s statute of limitations had run, we applied a two-pronged
    test derived from the inquiry notice standard other courts had
    applied in the context of securities fraud claims. 
    Id. at 251-52
    .
    First, we noted the requirement to make an objective inquiry
    into whether the defendant had met its burden “to show the
    existence of ‘storm warnings.’” 
    Id. at 252
    . We explained that
    storm warnings “may take numerous forms,” such as “‘any
    financial, legal or other data that would alert a reasonable person
    to the probability that misleading statements or significant
    omissions had been made.’” 
    Id.
     (quoting unpublished district court
    opinion).10 Second, we described an inquiry, “both subjective and
    objective,” into whether the plaintiffs had met their burden “to
    show that they exercised reasonable due diligence and yet were
    unable to discover their injuries.” 
    Id.
     We then noted our
    agreement with the Court of Appeals for the Seventh Circuit that
    courts should be “mindful of the dangers in adopting too broad an
    interpretation of inquiry notice.” 
    Id.
     at 253 (citing Law v. Medco
    Research, Inc. (“Medco II”), 
    113 F.3d 781
    , 786 (7th Cir. 1997);
    Fujisawa Pharm. Co. v. Kapoor, 
    115 F.3d 1332
    , 1335 (7th Cir.
    1997)).
    A year later, we applied this standard to claims pleaded
    Financial Group, Inc., 
    460 F.3d 494
    , 506-07 (3d Cir. 2006).
    10
    Immediately before using this language regarding a
    “probability” of fraud, we noted without criticism that the district
    court had also framed the first prong of the inquiry notice standard
    as “‘whether the plaintiffs knew or should have known of the
    possibility of fraud (“storm warnings”) . . . .’” Mathews, 
    260 F.3d at 251-52
     (quoting unpublished district court opinion). Thus, there
    is no basis to conclude that we rejected the notion of a possibility
    standard at that time.
    19
    under the federal securities laws. See In re NAHC, 
    306 F.3d at 1318
    . The shareholders’ claims in that case arose from a health
    care provider’s collapse after the federal government enacted
    regulations that negatively impacted the provider’s long-term care
    services business. 
    Id. at 1318-21
    . In formally adopting the inquiry
    notice standard for securities claims, we stated that “[w]hether the
    plaintiffs, in the exercise of reasonable diligence, should have
    known of the basis for their claims depends on whether they had
    ‘sufficient information of possible wrongdoing to place them on
    “inquiry notice” or to excite “storm warnings” of culpable
    activity.’” 11 
    Id. at 1325
     (quoting Gruber v. Price Waterhouse, 
    697 F. Supp. 859
    , 864 (E.D. Pa. 1988)). We explained that “[p]laintiffs
    need not know all of the details or ‘narrow aspects’ of the alleged
    fraud to trigger the limitations period; instead, the period begins to
    run from ‘the time at which plaintiff should have discovered the
    general fraudulent scheme.’” Id. at 1326 (quoting In re Prudential
    Ins. Co. Sales Practices Litig., 
    975 F. Supp. 584
    , 599 (D.N.J.
    1997)).
    In affirming the district court’s dismissal of the plaintiffs’
    claim arising from the impact of the federal regulations on the
    defendants’ long-term care services business, we held that a series
    of disclosures, which accompanied a drastic decline in the
    company’s stock price, id. at 1319, and culminated with the
    defendants’ announcement that they were writing off goodwill and
    selling their business for nominal consideration, put the plaintiffs
    on inquiry notice that previous valuations of goodwill had been
    inflated, id. at 1326-27. This holding was bolstered by the
    plaintiffs’ admission that the market had written off that business
    even before the defendants’ announcement. Id. at 1327.
    More recently, in 2006, we considered whether a suit filed
    11
    In a footnote of the same opinion, however, we stated that
    inquiry notice could be established on the basis of “‘data that
    would alert a reasonable person to the probability that misleading
    statements or significant omissions had been made.’” See In re
    NAHC, 
    306 F.3d at
    1325-26 n.5 (quoting Mathews, 
    260 F.3d at 252
    ).
    20
    by mutual fund investors against fund advisors who had invested
    heavily in Enron was barred by the statute of limitations. Benak,
    
    435 F.3d at 397
    . In our decision, we dispensed with the probability
    language altogether, instead holding that storm warnings could be
    triggered by “‘sufficient information of possible wrongdoing . . . .’”
    
    Id. at 400
     (quoting In re NAHC, 
    306 F.3d at 1325
    ). Applying our
    inquiry notice standard to the facts of that case, we distinguished
    mutual fund investors from direct investors on the ground that
    mutual fund investors rely on an intermediary to learn about the
    companies in which they have invested.              Id. at 401-02.
    Nonetheless, because the investors in Benak had access to media
    reports about their fund’s large holdings in Enron after that
    company went bankrupt, we concluded that the plaintiffs were on
    inquiry notice of the fraud by the time the media reported the
    bankruptcy. Id. at 402-03.
    Finally, in a case decided just last year, we considered
    investors’ claims that Merrill Lynch misled them by failing to
    disclose that a certain class of mutual fund shares was “never a
    rational choice of investment for them and that Merrill brokers
    received larger commissions on sales of such shares.”
    DeBenedictis, 
    492 F.3d at 210
    . Merrill argued that news articles,
    National Association of Securities Dealers (“NASD”) press
    releases, and the mutual funds’ registration statements put the class
    on inquiry notice more than two years before the complaint was
    filed and that it should therefore be dismissed as time-barred. 
    Id. at 214
    . After quoting the “probability” language first used by the
    district court in Mathews, we addressed each category of storm
    warnings alleged. We noted that Merrill’s registration statements
    disclosed the fee structure for the different classes of shares, which
    allowed investors to determine the relative costs and benefits of the
    different shares, and the different commissions applying to those
    shares. 
    Id. at 216-17
    . We further concluded that storm warnings
    existed because the news reports and press releases identified by
    the defendants revealed that many brokers had been disciplined by
    the NASD for recommending the very class of shares that
    undergirded the plaintiffs’ claims. 
    Id. at 217
    . Accordingly, we
    concluded that the plaintiffs’ claims were time-barred.
    As this review of our precedent makes clear, although we
    21
    have occasionally stated that inquiry notice may be triggered by
    evidence alerting an investor to the probability of wrongdoing, we
    have just as often emphasized that inquiry notice may be triggered
    by sufficient information of possible wrongdoing. This implies
    that a probability, in the sense of a nearly certain likelihood, of
    wrongdoing is not necessary to trigger storm warnings in this
    circuit. Therefore, we reaffirm that “whether the plaintiffs, in the
    exercise of reasonable diligence, should have known of the basis
    for their claims depends on whether they had sufficient information
    of possible wrongdoing to place them on inquiry notice or to excite
    storm warnings of culpable activity.” Benak, 
    435 F.3d at 400
    (citations, alteration, and internal quotation marks omitted). In so
    holding, we note that the majority of courts of appeals to have
    addressed the question employ a possibility standard when
    evaluating the likelihood of wrongdoing sufficient to constitute
    storm warnings. See, e.g., GO Computer, Inc. v. Microsoft Corp.,
    
    508 F.3d 170
    , 179 (4th Cir. 2007); Tello v. Dean Witter Reynolds,
    Inc., 
    494 F.3d 956
    , 970 (11th Cir. 2007); Wolinetz v. Berkshire
    Life Ins. Co., 
    361 F.3d 44
    , 48 (1st Cir. 2004); Ritchey v. Horner,
    
    244 F.3d 635
    , 639 (8th Cir. 2001); Berry v. Valence Tech., Inc.,
    
    175 F.3d 699
    , 705 (9th Cir. 1999); Sterlin v. Biomune Sys., 
    154 F.3d 1191
    , 1196 (10th Cir. 1998); LaSalle v. Medco Research, Inc.
    (“Medco I”), 
    54 F.3d 443
    , 444 (7th Cir. 1995); Jensen v. Snellings,
    
    841 F.2d 600
    , 607 (5th Cir. 1988). But see Newman v. Warnaco
    Group, Inc., 
    335 F.3d 187
    , 193 (2d Cir. 2003) (“The [existence of]
    fraud must be probable, not merely possible.”).
    Nonetheless, simply repeating the word “possibility” or
    “probability” with ever-increasing frequency and intensity (as both
    parties did in their briefs and at oral argument) is hardly useful.
    Rather, we review the information set forth by the parties with an
    eye toward the practical effect of drawing the inquiry notice line at
    a particular date. In this vein, we have emphasized that
    “[u]ndergirding the inquiry notice analysis is the assumption that
    a plaintiff either was or should have been able, in the exercise of
    reasonable diligence, to file an adequately pled securities fraud
    complaint as of an earlier date.” Benak, 
    435 F.3d at 401
    .
    Similarly, the Court of Appeals for the Seventh Circuit, which has
    also applied a possibility standard, see Medco I, 
    54 F.3d at 444
    , has
    reasoned that “[t]he facts constituting [inquiry] notice must be
    22
    sufficiently probative of fraud–sufficiently advanced beyond the
    stage of a mere suspicion, sufficiently confirmed or
    substantiated–not only to incite the victim to investigate but also to
    enable him to tie up any loose ends and complete the investigation
    in time to file a timely suit,” Fujisawa, 
    115 F.3d at 1335
    . In other
    words, simply stating that a smattering of evidence hinted at the
    possibility of some type of fraud does not answer the question
    whether there was “sufficient information of possible wrongdoing
    . . . to excite storm warnings of culpable activity” under the
    securities laws. Benak, 
    435 F.3d at 400
     (citations and internal
    quotation marks omitted) (emphasis added).
    This concern is reenforced by the heightened pleading
    requirements of the Private Securities Litigation Reform Act of
    1995 (“PSLRA”), 15 U.S.C. § 78u-4(b).12 Surely, Congress did not
    envision a statute of limitations that would open the floodgates to
    a rush of premature securities litigation when its primary foray into
    this field in recent decades has been to deter poorly pleaded
    allegations of securities fraud. See DeBenedictis, 
    492 F.3d at
    217-
    18 (noting that “‘the level of particularity in pleading required by
    the PSLRA is such that inquiry notice can be established only
    where the triggering data “relates directly to the misrepresentations
    and omissions” alleged.’”) (quoting Lentell v. Merrill Lynch &
    Co., 
    396 F.3d 161
    , 171 (2d Cir. 2005)); cf. Mathews, 
    260 F.3d at 253
     (expressing concern about “a flood of untimely litigation” were
    we to “adopt[] too broad an interpretation of inquiry notice”).
    B. Basis of Appellants’ Claims
    Appellants argue that the District Court mischaracterized the
    gravamen of their fraud allegations, thereby undermining the
    Court’s conclusion that Appellants were on inquiry notice of the
    12
    The PSLRA requires plaintiffs pleading securities fraud
    to “specify each statement alleged to have been misleading, [and]
    the reason or reasons why the statement is misleading,” 15 U.S.C.
    § 78u-4(b)(1), and to “state with particularity facts giving rise to a
    strong inference that the defendant acted with the required state of
    mind,” i.e., scienter, id. § 78u-4(b)(2).
    23
    alleged wrongdoing.        We have repeatedly stated that the
    fundamental concern of our analysis is whether plaintiffs were “‘on
    inquiry notice of the basis for [their] claims’” prior to the relevant
    date triggering the statute of limitations. Benak, 
    435 F.3d at 400
    (quoting In re NAHC, 
    306 F.3d at 1325
    ). Therefore, we must
    carefully scrutinize the District Court’s characterization of the basis
    for Appellants’ claims and consider how this characterization
    affected the Court’s inquiry notice analysis.
    First, Appellants contend that the Court mischaracterized the
    basis for their claims by focusing on alleged misrepresentations
    about Vioxx’s safety profile. In concluding that sufficient storm
    warnings existed to put Appellants on inquiry notice, the District
    Court considered the “overwhelming collection of information
    signaling deceit by Merck with respect to the safety of VIOXX
    [that] had accumulated in the public realm” by October 9, 2001. In
    re Merck, 
    483 F. Supp. 2d at 419
    . Appellants argue that the true
    nature of their claims is that Vioxx “was so dangerous that it lacked
    any meaningful commercial prospects, or that [Merck’s]
    representations in this regard were materially false and misleading
    when made . . . .” Appellant’s Br. at 35. The difficulty with this
    contention is that Merck’s representations about Vioxx’s
    commercial viability are not unrelated to the company’s
    representations about the drug’s safety profile.           If public
    information undermined Merck’s representations about Vioxx’s
    safety, a reasonable investor would also likely see such information
    as undermining Merck’s representations about Vioxx’s commercial
    viability. Indeed, some professional investors connected concerns
    about the safety of COX-2 inhibitors to their commercial viability.
    Nonetheless, the fact that many securities analysts continued
    to maintain strong growth ratings for Vioxx at the same time that
    its safety was being questioned is certainly relevant to whether such
    questions constituted sufficient information of possible
    wrongdoing to trigger storm warnings. Even though there were
    analysts who connected Vioxx’s safety to its commercial viability,
    it appears that they were not so worried about Vioxx’s safety after
    the FDA warning letter was made public that they felt it necessary
    to retract their opinions about Vioxx’s future profitability or
    24
    Merck’s market position.13 In any event, Appellants argue that
    even if their claims are properly characterized as alleging
    misrepresentations about Vioxx’s safety, the District Court
    misinterpreted their claims in another respect.
    Appellants contend that their complaint challenges the
    veracity of Merck’s statements of opinion and belief regarding the
    naproxen hypothesis whereas the District Court analyzed whether
    Merck misrepresented the fact that the results of the VIGOR study
    could support multiple hypotheses (i.e., that naproxen lowers the
    risk of CV events or that Vioxx raises that risk). Thus, they argue
    that the District Court mischaracterized their claims by considering
    whether there were storm warnings that put them on notice of a
    fraud different from that which they have asserted in their
    complaint.
    We have explained that for “misrepresentations in an
    opinion” or belief to be actionable, plaintiffs must show that the
    statement was “‘issued without a genuine belief or reasonable
    basis’ . . . .” Herskowitz v. Nutri/System, Inc., 
    857 F.2d 179
    , 185
    (3d Cir. 1988) (quoting Eisenberg v. Gagnon, 
    766 F.2d 770
    , 776
    (3d Cir. 1985)); accord Va. Bankshares, Inc. v. Sandberg, 
    501 U.S. 1083
    , 1095 (1991) (“A statement of belief may be open to
    objection . . . as a misstatement of the psychological fact of the
    speaker’s belief in what he says.”). Thus, to trigger “storm
    warnings of culpable activity,” Benak, 
    435 F.3d at 400
     (citations
    and internal quotation marks omitted), in the context of a claim
    alleging falsely-held opinions or beliefs, investors must have
    13
    A September 25, 2001 report by a CSFB analyst illustrates
    the interrelatedness of the two propositions: “Recent prescription
    trends have indicated that adverse publicity and cardiovascular
    concerns have contributed to erosion in Vioxx (as well as
    Celebrex) market share within the collective COX-2/NSAID
    market.” App. at 2757. On the other hand, the same CSFB report
    also “project[ed] Vioxx revenues will increase 42% year over year
    to $3.06 billion for 2001, with growth moderating to the +14%
    level in 2002 to $3.49 billion. We maintain our Buy rating.” App.
    at 2757.
    25
    sufficient information to suspect that the defendants engaged in
    culpable activity, i.e., that they did not hold those opinions or
    beliefs in earnest. Appellants’ theory in the complaint is that
    Merck’s statements about the validity of the naproxen hypothesis
    were falsely-held statements of opinion or belief and that there was
    no information available to investors prior to November 6, 2001
    that would have led them to suspect that such statements were not
    held in earnest. The District Court rejected this argument,
    concluding that “[i]t is prepost[e]rous for Plaintiffs to argue that
    because they did not have a ‘smoking gun’ that demonstrated that
    Defendants’ misrepresentation was even more egregious than the
    [FDA] Warning Letter charged, they were not on inquiry notice of
    a general fraudulent scheme regarding the safety of VIOXX.” In
    re Merck, 
    483 F. Supp. 2d at 422-23
    . We disagree.
    It is true that “[p]laintiffs cannot avoid the time bar simply
    by claiming they lacked knowledge of the details or narrow aspects
    of the alleged fraud. Rather, the clock starts when they should
    have discovered the general fraudulent scheme.” Benak, 
    435 F.3d at 400
     (citations and internal quotation marks omitted). The
    “fraudulent scheme” referred to must be one “in connection with
    the purchase or sale of any security . . . .” 15 U.S.C. § 78j(b).
    Appellants have brought a securities fraud action, not a consumer
    fraud action, against Merck. See Gavin v. AT & T Corp., 
    464 F.3d 634
    , 640 (7th Cir. 2006) (recognizing that securities fraud suits and
    consumer fraud suits are not interchangeable); cf. Marine Bank v.
    Weaver, 
    455 U.S. 551
    , 556 (1982) (“Congress, in enacting the
    securities laws, did not intend to provide a broad federal remedy
    for all fraud.”). Thus, the fact that the FDA sent a letter to Merck
    about its possible misrepresentations in connection with its
    promotion of Vioxx to health care professionals would not have
    provided a storm warning unless it put Appellants on inquiry notice
    of actionable misrepresentations under the securities laws. See
    DeBenedictis, 
    492 F.3d at 218
     (finding storm warning where
    disclosure was “directly applicable to the representations or
    omissions” challenged by plaintiffs). The asserted basis of
    Appellants’ claims is that Merck defrauded investors by proposing
    and reasserting the naproxen hypothesis at the same time that it
    knew the hypothesis was false. We must analyze the existence of
    storm warnings relative to that allegation in order to determine
    26
    whether Appellants were on inquiry notice of the alleged fraud.
    C. Existence of Storm Warnings
    Because the District Court believed that “[t]he wrongdoing
    charged in the [FDA] Warning Letter is . . . the same alleged
    misconduct on which the securities fraud claims in this case are
    predicated,” the Court asserted that it “might arguably conclude
    that the FDA Warning Letter alone excited storm warnings
    sufficient to put Plaintiffs on inquiry notice of their claims against
    Merck,” but it decided that it “need not make that conclusion,
    because the FDA Warning Letter was not issued in a vacuum of
    information.” In re Merck, 
    483 F. Supp. 2d at 419
    . The Court then
    took notice of the JAMA article, the lawsuits filed against Merck
    in 2001, and various articles discussing competing explanations for
    the results of the VIGOR study. 
    Id. at 419-21
    . The Court reasoned
    that the New York Times article following the FDA warning letter
    was especially probative because Scolnick “admitted that Merck
    recognized the possibility that VIOXX may increase a user’s risk
    of heart attack. It therefore represents a significant departure from
    Merck’s company line as to the explanation for the VIGOR study
    results.” 
    Id. at 420
    . The Court then rejected Appellants’ argument
    that positive information issued by Merck during this period
    dissipated any storm warnings. 
    Id. at 421
    .
    Appellants argue that to the extent the disclosures identified
    by Merck might be seen as triggering storm warnings, such storm
    warnings were dissipated by Merck’s reassuring statements,14 and
    14
    We have recognized that “reassurances can dissipate
    apparent storm warnings if an investor of ordinary intelligence
    would reasonably rely on them to allay the investor’s concerns.”
    Benak, 
    435 F.3d at
    402 n.16 (citation, alteration, and internal
    quotation marks omitted). “‘Whether reassuring statements justify
    reasonable reliance that apparent storm warnings have dissipated
    will depend in large part on how significant the company’s
    disclosed problems are, how likely they are of a recurring nature,
    and how substantial are the “reassuring” steps announced to avoid
    their recurrence.’” DeBenedictis, 
    492 F.3d at 218
     (quoting LC
    27
    are undermined by the failure of the identified disclosures to have
    any significant impact on Merck’s stock price or the projections of
    securities analysts covering Merck. Merck argues that stock price
    movement is irrelevant to the inquiry notice analysis. We cannot
    agree. Our past inquiry notice decisions have taken into account
    the market reaction to disclosures that purportedly constitute storm
    warnings. See, e.g., In re NAHC, 
    306 F.3d at 1319
     (discussing
    drastic decline in stock price accompanying disclosures in period
    leading up to date of inquiry notice); cf. Benak, 
    435 F.3d at 403
    (noting that Enron’s collapse and subsequent bankruptcy triggered
    inquiry notice); Mathews, 
    260 F.3d at 254
     (explaining that 30%
    drop in funds’ net asset values and 60% decline in distributions
    triggered inquiry notice). In Mathews, we explained that “in most
    securities fraud actions, the plaintiffs’ [losses] are inextricably
    intertwined with the defendant’s misrepresentations. Discovery of
    one leads almost immediately to discovery of the other.” Mathews,
    
    260 F.3d at 251
    . Similarly, in the context of materiality, we have
    stated that in “an efficient market, ‘information important to
    reasonable investors . . . is immediately incorporated into the stock
    price.’” Oran v. Stafford, 
    226 F.3d 275
    , 282 (3d Cir. 2000)
    (quoting In re Burlington Coat Factory Sec. Litig., 
    114 F.3d 1410
    ,
    1425 (3d Cir. 1997)). “If the disclosure of certain information has
    no effect on stock prices, it follows that the information disclosed
    was immaterial as a matter of law.” In re NAHC, 
    306 F.3d at
    1330
    (citing In re Burlington Coat Factory, 
    114 F.3d at 1425
    ).
    Because information that is material to reasonable investors
    is immediately incorporated into the stock price, the effect of a
    purported storm warning on the market, while insufficient on its
    own to compel the conclusion that inquiry notice has not been
    triggered, is, contrary to Merck’s position, relevant to our inquiry.
    See Newman, 
    335 F.3d at 195
     (asserting that the court’s “holding
    is further supported by the fact that [defendant]’s stock price did
    not have any significant movement following” the identified
    disclosure); Berry, 
    175 F.3d at 705
     (concluding that the lack of
    significant stock movement “bolster[ed]” the conclusion that
    Capital Partners, LP v. Frontier Ins. Group, Inc., 
    318 F.3d 148
    , 155
    (2d Cir. 2003)).
    28
    inquiry notice had not been triggered).
    The District Court (and Merck on this appeal) emphasized
    five classes of information, each of which was disclosed on or
    before October 9, 2001, which purportedly triggered storm
    warnings: (1) articles and reports commenting on the hypothetical
    explanations for the results of the VIGOR study; (2) the JAMA
    article, which asserted that available data (i.e., VIGOR and a
    Celebrex study) raised a “cautionary flag” about the risk of CV
    events in COX-2 inhibitors, App. at 748; (3) the FDA warning
    letter, which charged Merck with “engag[ing] in a promotional
    campaign for Vioxx that minimizes the potentially serious
    cardiovascular findings that were observed in the [VIGOR] study,
    and thus, misrepresents the safety profile for Vioxx,” App. at 713;
    (4) the consumer fraud, product liability, and personal injury
    lawsuits filed against Merck throughout 2001; and (5) the New
    York Times article, in which Scolnick stated there were “two
    possible interpretations” for the VIGOR results, App. at 654.
    Because the disclosures in each of these categories ultimately arise
    from the results of the VIGOR study, we briefly recap the details
    of the study.
    VIGOR compared Vioxx to naproxen in the hopes of
    establishing that Vioxx had a better GI profile than traditional
    NSAIDs. Although those hopes were realized, Merck also learned,
    and subsequently notified the public, that “significantly fewer
    thromboembolic events were observed in patients taking naproxen”
    than patients taking Vioxx. App. at 765. Merck suggested that
    naproxen’s effect on platelet aggregation was responsible for this
    difference, but conceded that this hypothetical effect “had not been
    observed previously in any clinical studies . . . .” App. at 765.
    Merck also stated that all other Vioxx trials “showed no indication
    of a difference in the incidence of thromboembolic events between
    Vioxx, placebo and comparator NSAIDs.” App. at 766.
    Securities analysts and the press duly reported the results of
    VIGOR and the naproxen hypothesis. For instance, an article
    published in Bloomberg News a month after the VIGOR results
    were released reiterated Merck’s hypothesis about naproxen’s
    effect on platelet aggregation, but noted that “[n]aproxen doesn’t
    29
    have documented protective effects on the heart,” and quoted an
    analyst who stated, “that Vioxx increases cardiac risk . . . may be
    true, but it is far too soon to make that kind of judgment.” App. at
    2292. Similarly, a J.P. Morgan report from April 2000 noted the
    intuitive appeal of the theory that “the thromboembolic event issue
    is an ‘NSAID-issue,’” but explained that the “theoretical
    cardiovascular protective benefits of Naprosyn . . . have not been
    clinically proven . . . .” App. at 2376. In another article, a
    spokesperson for the makers of Naprosyn stated, “[t]o our
    knowledge, naproxen does not prevent heart attack or stroke . . . .”
    App. at 2288. In our view, this category of disclosures does not
    constitute storm warnings that Merck misrepresented Vioxx’s
    safety profile to investors in a manner that might give rise to a
    securities fraud claim. On the contrary, securities analysts and the
    press recognized the naproxen hypothesis for what it was, an
    unproven hypothesis, and recognized that there was an alternative
    hypothesis, “that Vioxx increases cardiac risk . . . .” App. at 2292.
    Shortly before the AAC hearing, during which the FDA
    considered how Vioxx’s labeling should be modified to incorporate
    the results of the VIGOR study, a J.P. Morgan research report
    described the effect of NSAIDs such as naproxen on CV events as
    “poorly proven” and explained that there was “no way to
    retrospectively slice the data to prove the NSAID benefit vs. Vioxx
    risk argument . . . .” App. at 2547. At that hearing, defendant
    Reicin, the Executive Director of Clinical Research at Merck
    Research Laboratories, who argued in support of the naproxen
    hypothesis, admitted at the outset that the explanation for the
    results of the VIGOR study was uncertain. The first Vioxx product
    liability lawsuit (which, incidentally, charged the makers of
    Celebrex with identical wrongdoing) followed shortly thereafter,
    seeking “additional medical labeling which is presently being
    considered by the FDA [in conjunction with the AAC hearing.]”
    App. at 1748. Of course, investors, unlike Vioxx patients, were
    presumed to be aware of the publicized outcomes of research
    studies, such as VIGOR, which underlay the allegations of that
    product liability lawsuit. See Benak, 
    435 F.3d at 401
     (explaining
    that “a direct investor . . . can be deemed to have consistent
    knowledge of his or her securities holdings”).
    30
    The JAMA article evaluated Vioxx and Celebrex, both
    COX-2 selective inhibitors, together; its findings were not limited
    to Vioxx. The article concluded, based in part on VIGOR, that
    “[c]urrent data would suggest that use of selective COX-2
    inhibitors might lead to increased cardiovascular events.” App. at
    752. Of course, this is simply the alternative to the naproxen
    hypothesis. The JAMA article did not present any data that would
    suggest that Merck did not have reason to propose that hypothesis.
    Accordingly, it is of little surprise that a Deutsche Banc securities
    analyst described the types of questions raised in the JAMA article
    as “not new news . . . .” App. at 2749. Moreover, Merck issued
    reassuring statements the day before and the day after the article
    was published. Again, we are of the view that the JAMA article,
    taken on its own, did not constitute sufficient information of
    possible wrongdoing under the securities laws so as to raise a storm
    warning of culpable activity under the securities laws.
    The FDA warning letter demands more scrutiny. In
    analyzing the effect of that letter through the prism of inquiry
    notice, we must not lose focus of the nature of the allegations in the
    letter and the scope of the FDA’s regulatory authority. The FDA
    targeted Merck’s “promotional campaign for Vioxx,” App. at 713,
    under its authority to regulate prescription drug advertisements, see
    
    21 U.S.C. § 352
    (n); see generally Pa. Employees Benefit Trust
    Fund v. Zeneca Inc., 
    499 F.3d 239
    , 248-49 (3d Cir. 2007)
    (discussing the FDA’s authority over prescription drug
    advertising). The letter focused on three distinct components of the
    promotional campaign that the FDA found of concern: (1) six
    promotional audio conferences, presumably aimed at health care
    professionals such as doctors and pharmacists; (2) a press release
    dated May 22, 2001 entitled “Merck Confirms Favorable
    Cardiovascular Safety Profile of Vioxx,” App. at 718; and (3) oral
    representations made by Merck sales representatives, again,
    presumably to health care professionals. The FDA chastised
    Merck’s promotional campaign for “discount[ing] the fact that in
    the VIGOR study, patients on Vioxx were observed to have a four
    to five fold increase in myocardial infarctions (MIs) compared to
    patients on” naproxen, and “selectively present[ing]” the naproxen
    hypothesis as the reason for the incidence of increased CV events.
    App. at 713. The FDA stated that Merck’s promotional campaign
    31
    “fail[ed] to disclose that [its] explanation is hypothetical, has not
    been demonstrated by substantial evidence, and that there is
    another reasonable explanation, that Vioxx may have pro-
    thrombotic properties.” App. at 713. For a number of reasons, we
    are hesitant to conclude that the FDA warning letter was sufficient
    to trigger inquiry notice.
    To begin with, the FDA was acting as a regulator of drug
    advertising, rather than as a regulator of the securities markets.
    Thus, contrary to Merck’s contention at oral argument, the FDA’s
    actions are hardly analogous to allegations of accounting fraud
    issued by the SEC, which regulates the securities markets. Indeed,
    the FDA’s drug advertising regulations and the securities laws
    provide wholly different standards with respect to what constitutes
    a misrepresentation. FDA regulations provide that advertisements
    must not be “lacking in fair balance,” 
    21 C.F.R. § 202.1
    (e)(6), and
    prohibit advertisements that “[c]ontain[] a representation or
    suggestion that a drug is safer than it has been demonstrated to be
    by substantial evidence or substantial clinical experience . . . or
    otherwise selects information from any source in a way that makes
    a drug appear to be safer than has been demonstrated,” 
    id.
     §
    202.1(e)(6)(iv). In contrast, under the securities laws, “a fact or
    omission is material only if ‘there is a substantial likelihood that it
    would have been viewed by the reasonable investor as having
    significantly altered the “total mix” of information’ available to the
    investor.” In re NAHC, 
    306 F.3d at 1330
     (quoting Basic Inc. v.
    Levinson, 
    485 U.S. 224
    , 231-32 (1988)).
    Second, the FDA’s description of the truth about the
    VIGOR study is quite similar to the evidence that Merck had long
    acknowledged and which the market had incorporated.
    Specifically, the FDA stated that the naproxen hypothesis “is
    hypothetical, has not been demonstrated by substantial evidence,
    and that there is another reasonable explanation, that Vioxx may
    have pro-thrombotic properties.” App. at 713. This information is
    implicit in Merck’s long-standing admission that the posited anti-
    coagulant effect of naproxen “on [CV] events had not been
    observed previously in any clinical studies for naproxen.” App. at
    765. On the basis of Merck’s public announcements, securities
    analysts discussed the existence of “a ‘Vioxx risk’ hypothesis” over
    32
    seven months before the FDA warning letter was issued. App. at
    2547. Indeed, the FDA did not charge that the naproxen hypothesis
    was wrong or that Merck did not believe in the validity of its
    hypothesis; rather, the agency simply directed Merck to be more
    clear about the widely known alternative hypothesis in its dealings
    with health care professionals and, presumably, consumers.
    Third, two of the three components of the promotional
    campaign subject to the FDA’s reprimand consisted of statements
    made to health care professionals in the course of targeted audio
    conferences and personal conversations. The third component of
    the promotional campaign targeted by the FDA was the press
    release, but that press release merely repeated the same information
    that was first contained in the VIGOR press release, i.e.,
    “significantly fewer heart attacks were observed in patients taking
    naproxen . . . compared to the group taking Vioxx,” “the VIGOR
    finding is consistent with naproxen’s ability to block platelet
    aggregation by inhibiting COX-1,” “[t]his is the first time this
    effect of naproxen on cardiovascular events has been observed in
    a clinical study,” and “[o]ther potential explanations” for the results
    were possible. Press Release, Merck & Co., Inc., Merck Confirms
    Favorable Cardiovascular Safety Profile of Vioxx(R) (May 22,
    2001) (available on PR Newswire and LexisNexis).
    Finally, we consider the effect the FDA warning letter had
    on the market. Merck’s stock price dipped slightly following the
    disclosure of the FDA warning letter before closing higher than it
    did before that disclosure just a week and a half later. Although the
    lack of significant movement in Merck’s stock price following the
    FDA warning letter is not conclusive, it supports a conclusion that
    the letter did not constitute a sufficient suggestion of securities
    fraud to trigger a storm warning of culpable activity under the
    securities laws. See, e.g., Berry, 
    175 F.3d at 705
     (asserting that the
    “negligible impact” of an alleged storm warning on defendant’s
    stock price bolstered conclusion that inquiry notice was not
    triggered). This conclusion is also supported by the fact that more
    than a half-dozen securities analysts continued to maintain their
    ratings for Merck stock and/or project increased future revenues for
    Vioxx after the warning letter was made public.
    33
    Merck also emphasizes the three additional lawsuits filed
    after the FDA warning letter. Of course, none of these lawsuits
    alleged securities fraud. Rather, they alleged consumer fraud,
    product liability, and personal injury claims. The claims in those
    lawsuits alleged that Merck failed to provide publicly available
    information to Vioxx consumers, rather than to Merck investors.
    Cf. In re Ames Dep’t Stores, Inc. Note Litig., 
    991 F.2d 968
    , 980
    (2d Cir. 1993) (stating that the different concerns of debt and
    equity holders may call for distinct inquiry notice dates for the two
    classes of investors).
    Finally, we question the District Court’s conclusion that the
    New York Times article constituted a storm warning. The District
    Court reasoned that defendant Scolnick’s statements in that article
    constituted “a significant departure from Merck’s company line as
    to the explanation for the VIGOR study results.” In re Merck, 
    483 F. Supp. 2d at 420
    . But Scolnick did not abandon the naproxen
    hypothesis; rather, he reiterated that Merck “found no evidence that
    Vioxx increased the risk of heart attacks” when it looked back at
    its data comparing Vioxx to other drugs and placebos and “that ‘the
    likeliest interpretation of the data is that naproxen lowered . . . the
    thrombotic event rate’ . . . .” App. at 654. 15 Even in the wake of
    the FDA warning letter, then, Merck continued to reassure the
    investing public that Merck stood behind the naproxen hypothesis,
    while acknowledging that another explanation (i.e., that Vioxx
    causes CV events) remained a possibility. See Benak, 
    435 F.3d at
    402 n.16 (“Reassurances can dissipate apparent storm warnings if
    an investor of ordinary intelligence would reasonably rely on them
    to allay the investor’s concerns.”) (citation and internal quotation
    marks omitted). It is also notable there was no “significant
    movement” of Merck’s stock price following the article’s
    publication. Newman, 
    335 F.3d at 195
    . Thus, we cannot conclude
    as a matter of law that this article constituted a storm warning.
    15
    The New York Times article also explained that “[t]he
    risk is hypothesized, not proved,” and that “leading arthritis
    specialists . . . say that they are not concerned and that they
    prescribe the drugs for patients who may have heart disease.” App.
    at 653.
    34
    In summary, we conclude that the District Court acted
    prematurely in finding as a matter of law that Appellants were on
    inquiry notice of the alleged fraud before October 9, 2001. As of
    that date, market analysts, scientists, the press, and even the FDA
    agreed that the naproxen hypothesis was plausible, at the very least.
    None suggested that Merck believed otherwise. Accordingly, in
    April 2002, the FDA approved a labeling change for Vioxx which
    stated that “[t]he significance of the cardiovascular findings [from
    the VIGOR study] is unknown.” App. at 553. Merck continued to
    reassure the investing public at this time, explaining that the
    naproxen hypothesis was “a position Merck has always had and
    now its [sic] quite clearly laid out in the labeling.” App. at 559.
    On the record before us, there is no reason to suspect that Merck
    did not believe the naproxen hypothesis until the Harvard study in
    2003 revealed an increased risk of heart attack in patients taking
    Vioxx compared with patients taking Celebrex and placebo. This
    study for the first time belied Merck’s repeated assurances that
    naproxen was responsible for the disparity in CV events in VIGOR
    and that Vioxx did not have a higher incidence of CVs compared
    to placebo or comparator NSAIDs, such as Celebrex.16
    16
    There are two statements in the dissent, although arguably
    going to minor issues, that call for a response. The dissent states
    that Scolnick’s statement quoted in the October 9, 2001 New York
    Times article was “the first time [the statement that the VIGOR
    results could be explained by either the effect of naproxen or
    Vioxx] had been made by the company.” Dissent Typescript op. at
    46-47. In fact, as noted above, Alise Reicin, the Executive
    Director of Clinical Research at Merck Research Laboratories, had
    testified as to that possibility at the FDA’s hearing before the AAC
    as early as February 8, 2000, more than eight months before the
    New York Times article. See supra p. 7.
    Second, to the extent that the dissent suggests that the
    majority holds that fluctuations in stock price and analysts’ ratings
    and projections are necessary to a finding of storm warnings,
    Dissent Typescript op. at 47, a rereading of the majority opinion
    will make clear that the majority agrees with the dissent that such
    factors are relevant to the storm warnings inquiry, but not required.
    35
    V.
    Conclusion 17
    For the reasons set forth, we will reverse the judgment of
    dismissal and remand to the District Court for further proceedings
    consistent with this opinion.
    See supra p. 28.
    It is ironic that the dissent, although noting what might be
    viewed as Merck’s misrepresentations, would apply the statute of
    limitations to deprive plaintiffs of the opportunity to prove a viable
    case against Merck for such misrepresentations.
    17
    Because we have concluded that the District Court erred
    in finding Appellants on inquiry notice of the alleged fraud at this
    stage of the litigation, we do not address Appellants’ remaining
    arguments regarding the claims of plaintiffs who purchased stock
    after October 9, 2001 and the viability of Appellants’ section 20A
    claims.
    36
    In re: Merck & Co., et al.
    Nos. 07-2431/2432
    ROTH, Circuit Judge, dissenting.
    I believe “storm warnings” alerting a reasonable investor
    of possible culpable activity on the part of Merck were evident
    more than two years prior to the filing of appellants’ complaint.
    In particular, I believe that the FDA’s September 17, 2001,
    warning letter, in and of itself, provided sufficient “storm
    warnings” to put the appellants on inquiry notice of their claims
    regardless of any significant change in stock price or analysts’
    stock ratings or projections at that time. I therefore respectfully
    dissent.
    Under the “inquiry notice” test, the statute of limitations
    for securities claims “begins to run when the plaintiffs
    ‘discovered or in the exercise of reasonable diligence should
    have discovered the basis for their claim’ against the defendant.”
    Benak v. Alliance Capital Management L.P., 
    435 F.3d 396
    , 400
    (3d Cir. 2006) (quoting In re NAHC, Inc. Securities Litigation,
    
    306 F.3d 1314
    , 1325 (3d Cir. 2002) (citations omitted)). In
    order to establish that plaintiffs were on inquiry notice, a
    defendant must demonstrate that, as of a particular date, there
    existed “storm warnings” sufficient to alert “a reasonable
    investor of ordinary intelligence” to “possible wrongdoing” on
    the part of defendants. 
    Id.
     (quoting In re NAHC, 
    306 F.3d at 1325
    ) (explaining that the question is whether plaintiffs had
    37
    “sufficient information of possible wrongdoing to place them on
    ‘inquiry notice’ or to excite ‘storm warnings’ of culpable
    activity”) (emphasis added).
    Furthermore, it is well established that “[t]he existence of
    storm warnings is a totally objective inquiry[,]” that is based on
    whether a “reasonable investor of ordinary intelligence would
    have discovered the information and recognized it as a storm
    warning[,]” Mathews v. Kidder Peabody & Co., Inc., 
    260 F.3d 239
    , 252 (3d Cir. 2001) (emphasis added); see also In re NAHC,
    
    306 F.3d at 1325
    . We do not require that plaintiffs “know all of
    the details or ‘narrow aspects’ of the alleged fraud to trigger the
    limitations period[,]” but rather “the period begins to run from
    the time at which plaintiff should have discovered the general
    fraudulent scheme.” In re NAHC, 
    306 F.3d at 1326
     (internal
    quotations and citations omitted). Most importantly, we
    recognize that triggering data for “storm warnings” may include
    any information that would alert a reasonable investor to the
    possibility that the defendants engaged in the “general
    fraudulent scheme” alleged in the complaint. 
    Id.
     (emphasis
    added). Finally, such triggering data must “relate[] directly to
    the misrepresentations and omissions alleged.” DeBenedictis,
    
    492 F.3d at 217-18
     (quoting Lentell v. Merrill Lynch & Co.,
    Inc., 
    396 F.3d 161
    , 171 (2d Cir. 2005)).
    In applying the above inquiry notice standard to the
    instant case, I am reminded of a classic fairytale: The
    Emperor’s New Clothes, by Danish author and poet, Hans
    38
    Christian Anderson.18 As the child in The Emperor’s New
    Clothes saw – that the Emperor walked naked down the street –
    any reasonable investor reading the FDA’s September 17, 2001,
    warning letter could see the problem with Vioxx – the
    misrepresentation of its safety profile and the “possibility” that
    Merck had fraudulently misrepresented the cardiovascular safety
    of its “blockbuster” product. The warning letter to Merck,
    which was published on the FDA’s public website, stated in
    pertinent part:
    You have engaged in a promotional campaign for
    18
    In the story, two swindlers approached the Emperor,
    falsely claiming the ability to make beautiful clothes from cloth
    that could be seen only by those individuals fit for their positions
    or who were not imbecils. The Emperor immediately hired them.
    Word spread throughout the city about the unique quality of the
    cloth and the personal characteristics that an individual must
    possess to see clothes made of such material. After the swindlers
    finished weaving the Emperor’s new clothes and presented them to
    him, neither the Emperor nor his most trusted servants would admit
    that they could not see the clothes for fear of appearing unfit or
    stupid. Instead, each exclaimed that the clothes were beautiful.
    Donning his new clothes, the Emperor walked in a procession
    through the city’s streets. The townspeople also feared looking
    stupid in their neighbors’ eyes. Like the Emperor and his servants,
    they proclaimed that the clothes were the most beautiful they had
    ever seen. It wasn’t until a child exclaimed, “But, Daddy, he has
    nothing on!” that the crowd realized that the child spoke the truth.
    39
    Vioxx that minimizes the potentially serious
    cardiovascular findings that were observed in the
    [VIGOR] study, and thus, misrepresents the safety
    profile for Vioxx. Specifically, your promotional
    campaign discounts the fact that in the VIGOR
    study, patients on Vioxx were observed to have a
    four to five fold increase in myocardial infarctions
    (MIs) compared to patients on the comparator
    [NSAID], Naprosyn (naproxen).
    Although the exact reason for the increased rate
    of MIs observed in the Vioxx treatment group is
    unknown, your promotional campaign selectively
    presents the following hypothetical explanation
    for the observed increase in MIs. You assert that
    Vioxx does not increase the risk of MIs and that
    the VIGOR finding is consistent with naproxen’s
    ability to block platelet aggregation like aspirin.
    That is a possible explanation, but you fail to
    disclose that your explanation is hypothetical, has
    not been demonstrated by substantial evidence,
    and that there is another reasonable explanation,
    that Vioxx may have pro-thrombotic properties.
    ...
    Your minimizing these potential risks and
    misrepresenting the safety profile for Vioxx raise
    significant health and safety concerns. Your
    misrepresentation of the safety profile for Vioxx
    is particularly troublesome because we have
    previously, in an untitled letter, objected to
    40
    promotional materials for Vioxx that also
    misrepresented Vioxx’s safety profile.
    ...
    We have idenitified a Merck press release entitled,
    “Merck Confirms Favorable Cardiovascular Safety
    Profile of VIOXX,” dated May 22, 2001, that is also
    false or misleading for similar reasons stated above.
    Additionally, your claim in the press release that VIOXX
    has a “favorable cardiovascular safety profile,” is
    simply incomprehensible, given the rate of MI and
    serious cardiovascular events compared to naproxen.
    The implication that Vioxx’s cardiovascular profile is
    superior to other NSAIDs is misleading; in fact, serious
    cardiovascular events were twice as frequent in the
    VIOXX treatment group (101 events, 2.5%) as in the
    naproxen treatment group (46 events, 1.1%) in the
    VIGOR Study.
    App. at 713-14, 718 (emphasis added).19
    19
    Also in the warning letter, the FDA identified specific
    statements made by Merck in promotional audio conferences and
    by Merck’s sales force demonstrating Merck’s minimization and
    misrepresentation of the increased heart attack rates of Vioxx-
    taking participants in the VIGOR study and several unsubstantiated
    superiority claims made by Merck about Vioxx. App. at 715-16,
    718-19. Finally, the warning letter concluded with a corrective
    action plan which required Merck to issue a “‘Dear Healthcare
    provider’ letter to correct false or misleading impressions and
    41
    The warning letter clearly and explicitly reprimanded
    Merck for its (1) deceptive and misleading conduct in publicly
    endorsing the naproxen hypothesis as the sole explanation for
    the higher rate of cardiovascular events in VIGOR study
    participants taking Vioxx, despite knowing that any purported
    cardiovascular protective effect of naproxen was unproven, and
    (2) downplaying of potential safety problems in failing to
    disclose the possibility that Vioxx increases the risk of heart
    attack. As the letter explained, this was not the first time the
    FDA had charged Merck with misrepresenting Vioxx’s safety
    profile. The language used in the letter was particularly strong
    and indicated the FDA’s significant concern for the public’s
    health. Also, the warning letter cannot be said to have
    constituted mere speculation, but was rather a formal report of
    “objective wrongdoing.”       See Benak, 
    435 F.3d at 402
    (explaining that, in determining whether a plaintiff has inquiry
    notice, “[s]peculation should not be given the same weight as
    reports of objective wrongdoing”). Furthermore, the warning
    letter was published on the FDA’s website where it would have
    been discovered by a reasonable Merck investor. See In re
    NAHC, 
    306 F.3d at 1325
    .
    Moreover, the charges in the warning letter relate directly
    to the misrepresentations and omissions alleged in the appellants’
    complaint: that the company and certain of its officers and
    directors intentionally misrepresented the cardiovascular safety
    of Vioxx and, consequently, the impact that Vioxx would have
    on Merck’s financial health. See DeBenedictis, 
    492 F.3d at
    217-
    information.” App. at 719.
    42
    18; see e.g., Amended Complaint, App. at 468 (stating that
    “Defendants made... materially false and misleading statements
    and omissions concerning... the safety profile of... VIOXX”);
    App. at 470 (stating that “Defendants misrepresented the safety
    profile of VIOXX, including concealing and minimizing the
    significantly increased risk of heart attacks in patients taking the
    drug”); App. at 482 (describing a “wrongful scheme... which
    included the dissemination of materially false and misleading
    statements and concealment of material adverse facts”); App. at
    497 (stating that “Defendants falsely conditioned the market to
    believe VIOXX was safe”). Accordingly, I believe that the
    FDA’s warning letter to Merck sufficiently alerted a reasonable
    investor to the possibility that Merck fraudulently misrepresented
    the cardiovascular safety of Vioxx – its “blockbuster” product.20
    20
    It is important to note that Merck’s reliance on its
    naproxen hypothesis was proved to be unfounded from the
    beginning. Even before the FDA’s warning letter was issued, an
    April 27, 2000, Reuters article reported that (1) a spokesperson for
    leading naproxen manufacturer, Roche Holding Ltd., explained that
    “[t]o [their] knowledge, naproxen does not prevent heart attack or
    stroke” and (2) an ABN Amro analyst indicated that “[m]edical
    authorities [he had] spoken to don’t see any special reduction of
    such cardiovascular events in people taking naproxen.” App. at
    2288. Additionally, an August 21, 2001, Bloomberg News Article,
    reported a Merck representative’s comment that “[Merck] already
    ha[s] additional data beyond what [the JAMA article] cite[s], and
    the findings are very, very reassuring. VIOXX does not result in
    any increase in cardiovascular events compared to placebo.” App.
    at 539. Even if this “additional data” included evidence that could
    43
    Even assuming that the FDA’s warning letter alone did
    not sufficiently excite “storm warnings,” the total mix of
    information in the public realm which followed the warning
    provided more than adequate “storm warnings” to put appellants
    on inquiry notice.
    In response to the FDA’s warning letter, there was
    widespread media and financial analyst coverage commenting on
    the FDA’s charges against Merck, with some reports noting that
    such warnings are reserved for the more serious offenders. See
    e.g., App. at 2353 (Reuters, September 24, 2001) (reporting that
    “U.S. Regulators have charged... Merck... with misleading
    doctors about its blockbuster painkiller Vioxx with promotions
    that downplayed a possible risk of heart attacks”); App. at 2752
    (Merrill Lynch, September 24, 2001) (stating that “[t]he FDA
    issued a warning letter to Merck... [and] is looking for Merck to
    cease all violative promotional activities... . We do not see how
    this... can be helpful to Merck in promoting Vioxx”); App. at
    2355 (USA Today, September 25, 2001) (reporting that “Merck’s
    marketing efforts... have minimized Vioxx’s known and potential
    cardiovascular risks, the FDA wrote in an eight-page ‘warning
    letter’... . So far this year, the FDA has sent drug companies
    fewer than a dozen warning letters, which the agency reserves for
    activities that raise significant public health concerns”); App. at
    2768 (UBS Warburg, September 25, 2001) (stating that the “FDA
    [has] issue[d] [a] warning to Merck for marketing only one side
    of the Vioxx safety argument... . Merck was cited several times
    support Merck’s naproxen hypothesis, Merck never revealed the
    details of its purported “additional data.”
    44
    for promoting the story that the outcome of the VIGOR study
    was due to Naproxen being cardioprotective and that there is no
    unusual cardiovascular safety risk with Vioxx.”); App. at 2360
    (Associated Press, September 25, 2001) (reporting that “Merck
    has argued that [the VIGOR study results make] Vioxx falsely
    look[] risky because naproxen thins the blood... and thus
    protect[s] against heart attacks... . ‘In fact, the situation is not all
    that clear,’ [according to] the FDA”); App. at 2757 (Credit Suisse
    First Boston, September 25, 2001) (stating that “the FDA [has]
    issued a warning letter citing Merck with making misleading
    statements in the promotion of... Vioxx”); App. at 2361 (The
    Wall Street Journal, September 25, 2001) (reporting that
    “Federal regulators warned Merck & Co. for improper marketing
    of its blockbuster arthritis drug Vioxx, saying the company had
    misrepresented the drug’s safety profile and minimized its
    potential risks[,]” and “[w]hile the FDA sends out dozens of
    routine citations annually, it issues only a handful of these more-
    serious warning letters each year”); App. at 2363 (The New York
    Times, September 26, 2001) (stating that “[t]he [FDA] has
    ordered Merck & Company to cease promotions intended to
    persuade doctors to prescribe its arthritis painkiller Vioxx, saying
    the promotions minimize potential risks”). Even appellants
    themselves recognized in their complaint that “FDA Warning
    Letters are sent only to address serious circumstances.” App. at
    1280.
    Furthermore, in addition to the first lawsuit filed before
    the FDA’s warning letter, three product liability and consumer
    fraud actions had been filed in September and October 2001, all
    alleging that Merck had misrepresented the cardiovascular safety
    of Vioxx. See App. at 1748 (May 29, 2001, product liability
    45
    class action alleging that “Merck’s own research [demonstrated
    that] users of Vioxx were four times as likely to suffer heart
    attacks as compared to other less expensive medications..., [but
    that] Merck... [took] no affirmative steps to communicate this
    critical information to class members”); App. at 1557 (September
    27, 2001, consumer fraud class action alleging that “Merck [had]
    omitted, suppressed, or concealed material facts concerning the
    dangers and risks associated with the use of Vioxx, including...
    cardiovascular problems... [and] purposely downplayed and/or
    understated the serious nature of the risks associated with
    Vioxx”); App. at 1574 (September 28, 2001, product liability and
    consumer fraud action alleging that Merck had “misrepresented
    that Vioxx was... safe and effective..., when in fact the drug
    causes serious medical problems such as an increased risk of
    cardiovascular events, including strokes, heart attacks and
    death”); App. at 1611 (October 1, 2001, product liability action
    alleging that Merck failed to “[]disclose[]” that “Vioxx causes
    heart attacks”). While these law suits did not allege securities
    fraud, the general allegations contained within these complaints
    relating to Merck’s intentional misrepresentation with regard to
    Vioxx’s safety similarly formed the basis of appellants’
    complaint.
    Moreover, The New York Times article, dated October 9,
    2001, quoted defendant Scolnick as explicitly stating that
    “[n]aproxen lowers the heart attack rate, or Vioxx raises it.”
    App. at 2367 (emphasis added). Based on my review of the
    record, this express acknowledgment by a Merck representative
    of the possibility that Vioxx actually raises the risk of heart attack
    appears to be not only the first time such statement had been
    made by the company, but also in stark contrast to Merck’s prior
    46
    representations. Therefore, because of what I perceive to be
    significant media and financial analyst attention directed at the
    explicit and serious nature of the FDA’s warning letter, the
    allegations in the multiple lawsuits which followed, and Merck’s
    change of tone in the October 9, 2001, article, I cannot see how
    a reasonable investor could not be aware of the possibility that
    Merck had been fraudulently misrepresenting the cardiovascular
    safety of Vioxx.
    Because the objective evidence indicated the possibility of
    culpable activity on the part of Merck, a lack of significant stock
    movement and decreases in analysts’ stock ratings and
    projections do not negate a finding of “storm warnings” under
    our inquiry notice standard. Appellants argue that “storm
    warnings” could not have existed prior to the 2003 Harvard
    Study because the total mix of public information did not have a
    negative effect on the price of Merck stock or cause analysts to
    drop their ratings for Merck or lower their projections for Vioxx
    sales. It is true, as the majority points out, that our past inquiry
    notice decisions have taken into consideration the market’s
    response to disclosures alleged to constitute “storm warnings.”
    However, I do not believe the law requires that, in order to make
    a determination that “storm warnings” in fact exist, the total mix
    of public information (purported to constitute “storm warnings”)
    must have a negative effect on stock prices or cause analysts to
    drop their ratings or lower their projections. See Benack, 
    435 F.3d at 400
     (“information [need only suggest] possible
    wrongdoing... to excite ‘storm warnings’”) (quoting In re NAHC,
    
    306 F.3d at 1325
    ) (emphasis added). As we recognized in In re
    NAHC:
    47
    [S]torm warnings may take numerous forms, and
    we will not attempt to provide an exhaustive list.
    They may include, however, substantial conflicts
    between oral representations of the brokers and the
    text of the prospectus, ... the accumulation of
    information over a period of time that conflicts
    with representations that were made when the
    securities were originally purchased, or any
    financial, legal or other data that would alert a
    reasonable person to the probability that
    misleading statements or significant omissions had
    been made.
    
    306 F.3d at
    1326 n.5 (quoting Mathews, 
    260 F.3d at 252
     (internal
    citations and quotations omitted)) (emphasis added). In my
    view, fluctuations in stock price and analysts’ ratings and
    projections, although relevant, are not a required consideration
    in this circuit’s objective “storm warnings” analysis. Here, the
    lack of a significant response from the market to the FDA’s
    warning letter does not mean that the Emperor was not walking
    down the street with no clothes on. It merely means that the
    analysts saw the emperor’s new clothes as Merck described them
    – not as reality presented.21
    21
    Regardless, Merck’s stock price did decline sharply in the
    months leading up to October 9, 2001, as the public controversy
    about Vioxx raged. From January 1, 2001, to October 9, 2001,
    Merck’s stock price declined by $24.32 or 27.4% App. at 1770-73.
    As appellants themselves alleged, “Merck’s stock price began its
    slide in approximately January of 2001, and continued and
    48
    Based on the foregoing, I submit there were sufficient
    “storm warnings” more than two years prior to the filing of
    appellants’ complaint. At a minimum, I believe the FDA’s
    September 17, 2001, warning letter constituted more than
    sufficient “storm warnings” to put appellants on inquiry notice of
    their claims, particularly since appellants fail to demonstrate
    either that they conducted a diligent investigation within two
    years of the accrual of such “storm warnings” or that they were
    unable to uncover pertinent information during that time period.
    Accordingly, because appellants waited over two years to bring
    suit, I conclude that their claims were filed out of time and were
    properly dismissed by the District Court.
    worsened after August of 2001 when the VIGOR cardiovascular
    data was presented more fully in the [JAMA article].” App. at
    1225 (emphasis added).
    49
    

Document Info

Docket Number: 07-2431

Filed Date: 9/9/2008

Precedential Status: Precedential

Modified Date: 10/13/2015

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