Roman Zak v. Chelsea Therapeutics International , 780 F.3d 597 ( 2015 )


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  •                                PUBLISHED
    UNITED STATES COURT OF APPEALS
    FOR THE FOURTH CIRCUIT
    No. 13-2370
    ROMAN ZAK, Individually       and   On   Behalf     of   All   Others
    Similarly Situated,
    Plaintiff - Appellant,
    and
    CAMERON MCINTYRE, Individually and On Behalf of All Others
    Similarly Situated
    Plaintiff,
    v.
    CHELSEA THERAPEUTICS INTERNATIONAL,         LTD.;    SIMON     PEDDER;
    WILLIAM D. SCHWIETERMAN,
    Defendants – Appellees,
    and
    L. ARTHUR HEWITT; J. NICK RIEHLE,
    Defendants.
    Appeal from the United States District Court for the Western
    District of North Carolina, at Charlotte. Max O. Cogburn, Jr.,
    District Judge. (3:12-cv-00213-MOC-DCK)
    Argued:   December 10, 2014                  Decided:      March 16, 2015
    Before TRAXLER, Chief Judge, and, KEENAN and THACKER, Circuit
    Judges.
    Vacated and remanded by published opinion.    Judge Keenan wrote
    the opinion, in which Chief Judge Traxler joined. Judge Thacker
    wrote a separate dissenting opinion.
    ARGUED: Richard William Gonnello, FARUQI & FARUQI, LLP, New
    York, New York, for Appellant. Barry M. Kaplan, WILSON SONSINI
    GOODRICH & ROSATI, Seattle, Washington, for Appellees.        ON
    BRIEF: Lee M. Whitman, Tobias S. Hampson, WYRICK ROBBINS YATES &
    PONTON LLP, Raleigh, North Carolina; Gregory L. Watts, Seattle,
    Washington, Ignacio E. Salceda, Cheryl W. Foung, WILSON SONSINI
    GOODRICH & ROASATI, Palo Alto, California, for Appellees Chelsea
    Therapeutics International, Ltd., Simon Pedder, and William D.
    Schwieterman.
    2
    BARBARA MILANO KEENAN, Circuit Judge:
    The plaintiffs in this case claim that Chelsea Therapeutics
    International,     LTD.   (Chelsea)    and    several     of    its     corporate
    officers 1 (collectively, the defendants) violated Section 10(b)
    of the Securities Exchange Act of 1934 (the Exchange Act), 15
    U.S.C.   § 78j(b). 2       Chelsea        stockholder     Roman        Zak,   both
    individually and as a class representative for other investors
    (the plaintiffs), alleged that the defendants made materially
    misleading statements and omissions about the development and
    likelihood   of    regulatory   approval     for   a    new    drug,    Northera.
    After considering the defendants’ motion to dismiss filed under
    Federal Rule of Civil Procedure 12(b)(6), the district court
    dismissed    the     complaint,      holding       that       the     plaintiffs’
    allegations were insufficient as a matter of law to establish
    that the defendants acted with the required scienter.
    On appeal, the plaintiffs contend that the district court
    committed two errors.      The asserted errors are: (1) the court’s
    1
    The complaint named as individual defendants Dr. Simon
    Pedder, President and Chief Executive Officer; Dr. William
    Schwieterman, Vice President and Chief Medical Officer; Dr.
    Arthur Hewitt, Vice President and Chief Scientific Officer; and
    Mr. Nick Riehle, Vice President and Chief Financial Officer.
    However, Dr. Hewitt and Mr. Riehle are not parties to this
    appeal.
    2
    In a derivative claim, the plaintiffs also alleged that
    the individual defendants violated Section 20(a) of the Exchange
    Act, 15 U.S.C. § 78t(a).
    3
    consideration of certain documents filed with the Securities and
    Exchange Commission (SEC) that were submitted as exhibits with
    the   defendants’      motion    to     dismiss;         and    (2)      the    court’s
    determination that the plaintiffs’ allegations of scienter were
    legally insufficient.
    Upon our review, we hold that the district court erred in
    taking judicial notice of the challenged documents filed with
    the SEC, because those documents did not relate to the contents
    of the complaint.        We further hold that this error was not
    harmless,    because     the     court        incorrectly         construed       these
    documents    as   supporting      its        holding     that     the     plaintiffs’
    allegations of scienter were legally insufficient.                        Finally, we
    hold that based on the defendants’ failure to disclose critical
    information about the weaknesses of the new drug application,
    the plaintiffs’ allegations were sufficient to support a strong
    inference of scienter.         We therefore vacate the district court’s
    judgment    dismissing   the    plaintiffs’           complaint    and    remand      the
    case for further proceedings.
    I.
    The   plaintiffs   alleged      in      their    pleadings      the      following
    facts, which we accept as true in our review of the district
    court’s dismissal of the complaint under Federal Rule of Civil
    Procedure    12(b)(6).          Matrix        Capital     Mgmt.       Fund,      LP   v.
    4
    BearingPoint, Inc., 
    576 F.3d 172
    , 176 (4th Cir. 2009) (citing
    Tellabs, Inc. v. Makor Issues & Rights, Ltd., 
    551 U.S. 308
    , 322
    (2007)).       In 2006, Chelsea began its effort to gain approval
    from the Food and Drug Administration (FDA) concerning the right
    to   market    the   drug   Northera 3   as    a   treatment    for   symptomatic
    neurogenic orthostatic hypotension (NOH).               NOH is a condition in
    which a dramatic drop in blood pressure occurs when a person
    stands.       This drop in blood pressure causes symptoms such as
    dizziness, impaired vision, fatigue, weakness, nausea, and an
    inability to think clearly.            NOH is associated with the presence
    of   various    disorders     including       Parkinson’s   disease,      multiple
    systems atrophy, and pure autonomic failure.
    After     considering     the    “significant      unmet    need”    for     a
    clinically     beneficial     treatment       of   symptomatic   NOH,     the    FDA
    assigned Northera “orphan drug status.”                 Such status provided
    Chelsea with seven years of marketing exclusivity, and reduced
    certain time and expense requirements related to clinical trials
    mandated for FDA approval of the drug.
    Before submitting its “new drug application” to the FDA,
    Chelsea     conducted       numerous     clinical      trials     with     certain
    “endpoints,” or goals, to demonstrate the drug’s efficacy and
    3
    The drug’s trade name is droxidopa.
    5
    safety.            As    relevant    to   this       appeal,    Chelsea      conducted   four
    efficacy trials, namely, Studies 301, 302, 303, and 306. 4
    Studies 301 and 302 began in 2008.                         Both those studies had
    the         same        general     efficacy         endpoint     of    demonstrating       a
    statistically              significant         effect      on      lightheadedness        and
    dizziness for individuals suffering from NOH.                           The endpoint for
    Study        301    was    set    forth   in     a    “special     protocol     assessment”
    (SPA), which was an agreement between Chelsea and the FDA that
    the study design, trial size, and clinical goals could support
    regulatory approval.                 The SPA involving Study 301 also stated
    that the FDA expected two successful efficacy studies before it
    would grant regulatory approval of the new drug.
    The first study to conclude, Study 302, failed to meet its
    primary endpoint.                 Later documents showed that the results of
    Study 302 “clearly . . . dr[e]w the efficacy of [the drug] into
    question,”          and     demonstrated       that     symptoms    worsened     for     those
    individuals taking the drug.
    After         Chelsea       announced      to     investors      the    disappointing
    results from Study 302, Chelsea petitioned the FDA to modify the
    SPA’s endpoint for Study 301, which was ongoing.                                In November
    2009, Chelsea representatives met with FDA officials, and later
    4
    Chelsea also conducted clinical trials to establish the
    drug’s safety, but the results of those trials are not directly
    relevant to our analysis in this appeal.
    6
    informed investors that the FDA had agreed to permit Chelsea to
    use a different assessment scale for Study 301 than was used in
    Study      302.       The      FDA    officials       also    had    recommended           at   the
    November       2009       meeting      that       Chelsea     submit       “a     confirmatory
    pivotal study to support” the new drug application, because of
    the    failed       results     in    Study       302.       Based    on    this     additional
    recommendation,            Chelsea      announced         plans      to    initiate        a     new
    clinical trial, Study 306, which would involve an eight-week
    treatment period.
    In September 2010, Chelsea announced that Study 301 had
    concluded,         and    successfully        had      met   its     revised      endpoint        by
    showing a statistically significant improvement in participants’
    symptoms.          However, Study 301, which employed a treatment period
    of    only    one    week,      was    the    sole       efficacy     study       conducted       by
    Chelsea      that        met   its    primary         endpoint.           Study     303,       which
    included significantly longer treatment periods than Studies 301
    and 302, did not meet its endpoint, and failed to demonstrate
    that the drug provided any “duration effect” on symptoms.                                      Study
    306,       which     also      included       a    significantly           longer     treatment
    period, was abandoned after an interim analysis indicated that
    the study would not meet its endpoint. 5
    5
    Study 306 was later continued with a revised endpoint,
    focusing on the prevention of falls in patients suffering from
    (Continued)
    7
    On December 10, 2010, Chelsea met with FDA officials to
    assess the viability of submitting a new drug application based
    on Study 301 (the December 2010 meeting).               During the December
    2010 meeting, FDA officials again warned Chelsea that a single
    successful    study    typically    was     not    sufficient    to   support
    approval of a new drug.        Nevertheless, Chelsea announced that
    the FDA had “agreed” that Chelsea’s new drug application for
    Northera could be submitted based on data from Study 301, the
    only study to meet its primary endpoint, and data from Study
    302, which had not met its primary endpoint, without the need
    for any further efficacy studies.
    During a conference call held with Chelsea investors, Dr.
    Simon Pedder, Chelsea’s President and Chief Executive Officer,
    described the December 2010 meeting as a “successful outcome”
    that    “reflect[ed]   the   strength       of    the   data”   generated    by
    Chelsea’s drug development program, and “mark[ed] a significant
    step forward for Chelsea.”         Dr. Pedder also stated that the FDA
    officials had clarified “that additional efficacy studies were
    not required” for a new drug application filing.                 On the same
    conference    call,    Dr.   William       Schwieterman,    Chelsea’s       Vice
    President and Chief Medical Officer, represented that after the
    Parkinson’s disease, but the results of the study would not be
    available until 2012.
    8
    December 2010 meeting, Chelsea was “very pleased” with the FDA’s
    responses      to    Chelsea’s          questions    about      its     application    and
    supporting data.           After these statements concerning the December
    2010 meeting, Chelsea’s stock price rose about 28 percent.
    In September 2011, Chelsea announced that it had submitted
    to    the   FDA     its     new    drug     application         based    on    purportedly
    “robust” efficacy data from Studies 301 and 302.                              However, as
    later   observed       by    the    FDA,    these       studies    involved      treatment
    periods of only one week.
    In accordance with the FDA’s initial evaluation process for
    new drug applications, an FDA staff member prepared a briefing
    document in advance of the meeting of the FDA’s Cardiovascular
    and   Renal    Drugs      Advisory       Committee       (the    advisory      committee),
    which was held to review Chelsea’s application.                               The briefing
    document      included       the    staff     member’s       recommendation        against
    approval of Northera, which recommendation was based in part on
    Chelsea’s failure to demonstrate that the drug had a “durable
    effect (i.e., more than 4 weeks).”
    On February 13, 2012, eight days before the FDA briefing
    document    was     made     available      to    the    public,      Chelsea    issued   a
    press release.            In the release, Chelsea stated that it was in
    “receipt of [the] briefing document,” and that “several lines of
    inquiry . . . have emerged as significant components of the
    benefit-risk        analysis       of    Northera,”      including       that    Chelsea’s
    9
    drug development program “may not adequately establish a durable
    treatment   effect       as    a    result    of    the    short     duration         of”    the
    clinical trials.         Notably, however, Chelsea’s press release did
    not disclose that the FDA briefing document concluded with the
    recommendation        that    Northera       not   be     approved.        Also       in    that
    release, Chelsea stated that the advisory committee would review
    the   application       on    February      23,    2012.      Finally,          the    release
    included a website address where the FDA briefing document later
    would be made available.
    After the February 13, 2012 press release issued, Chelsea’s
    stock   price     dropped      about       37.5    percent.         When    the       briefing
    document became public eight days later on February 21, 2012,
    Chelsea’s stock price dropped an additional 21 percent.
    On February 23, 2012, however, the FDA advisory committee
    announced its non-binding recommendation in favor of approving
    Northera    as    a    new    drug.         Several       members    of     the       advisory
    committee      raised    the        same    concerns       outlined        in    the       staff
    briefing document.            Although the advisory committee chairperson
    voted in favor of approving the drug, he nevertheless stated,
    “virtually all [members of the advisory committee] agree that”
    the   failed     studies      “do    not    provide       confirmatory          evidence      of
    benefit.       And the primary study, [Study] 301[,] also did not
    provide evidence regarding the duration of effect in any direct
    way.”
    10
    On March 28, 2012, the FDA denied the new drug application.
    The FDA provided its decision in a “complete response letter,”
    stating, among other things, that the FDA required an additional
    successful study to support “durability of effect.”
    About     a     week    after   the        FDA’s     decision,     the    initial
    complaint in this case was filed.                    The plaintiffs later filed a
    consolidated class action complaint (the complaint), asserting
    violations of Section 10(b) of the Exchange Act and SEC Rule
    10b-5, 
    17 C.F.R. § 240
    .10b-5 (Rule 10b-5).                    In their complaint,
    the plaintiffs, who purchased Chelsea stock between November 3,
    2008 and March 28, 2012 (the class period), asserted numerous
    claims including that the defendants misled investors to believe
    that the FDA would approve Northera based on the results of only
    one successful efficacy study, even though the FDA repeatedly
    had warned Chelsea that two successful studies and evidence of
    “duration of effect” would be necessary for approval of the new
    drug.   In their complaint, the plaintiffs identified dozens of
    allegedly    misleading      statements         or    material    omissions      by   the
    defendants.
    In response, the defendants filed a motion to dismiss the
    complaint    under    Rule    12(b)(6),         contending    that     the    complaint
    failed to show that the defendants made any materially false
    statements     or    omissions,      and    that        any   such    statements      or
    omissions     were    not    made    with       the    required      scienter.        The
    11
    defendants attached to their motion several exhibits and asked
    the court to take judicial notice of them.
    The       exhibits       relevant          to    this     appeal    include      three
    documents that were filed with the SEC (collectively, the SEC
    documents).        Two of these documents are SEC “Form 4” reports,
    filed by Dr. Schwieterman as the “Reporting Person,” showing
    that while employed as a corporate officer he made two purchases
    of Chelsea stock during the class period.
    The       third     document         submitted          by    the   defendants,      a
    “Definitive Proxy Statement” that Chelsea filed with the SEC,
    listed the amount of Chelsea stock shares held by the company’s
    officers at the end of February 2012, near the end of the class
    period.         The Proxy Statement showed that Dr. Pedder owned 2.8
    percent of all shares of Chelsea stock, while other officers
    owned   lesser      amounts         of    Chelsea      stock.       However,     the   Proxy
    Statement did not reflect whether any of these stock holdings
    had been acquired or sold during the class period.
    At    a    hearing       on   the    motion      to     dismiss,    the    defendants
    represented       that     none      of    the    Chelsea      officers    had    sold   any
    shares of Chelsea stock during the class period.                          The defendants
    argued that the absence of such sales undermined any inference
    of   scienter      on    the    part      of     the   defendants.        The    plaintiffs
    objected    to     the    court’s         consideration        of   the   SEC    documents,
    asserting that the record did not show definitively “whether any
    12
    individual       purchased         stock       or     sold    stock     during       the     class
    period” because there had not been any discovery in the case.
    At the conclusion of the hearing, the district court took
    judicial       notice        of     the       SEC     documents,        and      granted         the
    defendants’ motion to dismiss.                       Applying the heightened pleading
    standards       of     the    Private          Securities          Litigation     Reform         Act
    (PSLRA),       15    U.S.C.       § 78u-4(b)(2),           the      court    held     that       the
    plaintiffs’          securities           fraud       claims        failed      because          the
    plaintiffs did not plead allegations sufficient to support a
    strong inference of scienter.
    The district court concluded that although the defendants’
    statements to investors during the class period “may have been
    overly optimistic about the [likelihood of the] FDA approving
    Northera,”          those    statements           did     not      demonstrate        a     strong
    inference      of     scienter          for    two      reasons.        First,       the     court
    observed that the defendants provided many warnings to investors
    regarding       the     sufficiency             of      the     new     drug     application.
    Second,     the      court        found       that    when      weighing       the    competing
    inferences regarding scienter, “the most glaring” inference was
    “the    fact    that    none       of    the    individual         defendants        sold    stock
    during the class period.”                     (Emphasis in original).                 The court
    concluded that the lack of stock sales “tip[ped] the scales in
    favor     of    defendant[s’]             motion”        to     dismiss,       rendering         the
    plaintiffs’         allegations         insufficient          as    a   matter       of    law    to
    13
    establish     the    required       inference      of    scienter.        After     the
    district    court    entered       its    order     dismissing      the    case    with
    prejudice, the plaintiffs filed this timely appeal.
    II.
    In addressing the plaintiffs’ arguments, we first state the
    applicable standard of review.              We consider de novo the district
    court’s    dismissal    of    the    plaintiffs’        complaint    under       Federal
    Rule of Civil Procedure 12(b)(6).                Wag More Dogs, LLC v. Cozart,
    
    680 F.3d 359
    , 364 (4th Cir. 2012).
    A.
    The plaintiffs first argue that the district court erred by
    considering the SEC documents submitted by the defendants that
    were not integral to the complaint, and by concluding based on
    those   documents     that    none    of    the    individual    defendants        sold
    Chelsea    stock    during     the    class       period.     According       to    the
    plaintiffs,    the     district      court’s       improper   consideration         and
    incorrect interpretation of these documents contributed to the
    court’s erroneous conclusion that the defendants failed to plead
    sufficient facts supporting a strong inference of scienter.
    In response, the defendants contend that the district court
    properly    considered       the    SEC    documents      submitted       with    their
    motion to dismiss.       Arguing that courts “routinely examine” SEC
    filings at the pleading stage of securities fraud litigation,
    14
    the defendants assert that the district court did not err in
    taking    judicial         notice     of       the    contents     of    the     two    Form   4
    exhibits and the Proxy Statement exhibit.                          The defendants submit
    that   these    documents          supported          the    district    court’s       findings
    that the individual defendants failed to sell shares of Chelsea
    stock,    and    did       not    knowingly          or     recklessly    make    misleading
    statements.         We disagree with the defendants’ arguments.
    1.
    As an initial matter, we set forth general legal principles
    involving securities fraud claims that are pertinent to this
    appeal.        We    also        review       principles       addressing      the     scienter
    required for such claims.
    The Exchange Act and related regulations ensure that public
    companies    release         information          that      will   permit   “investors         to
    make informed investment decisions.”                           Yates v. Mun. Mortg. &
    Equity, LLC, 
    744 F.3d 874
    , 884 (4th Cir. 2014) (citing Taylor v.
    First Union Corp. of S.C., 
    857 F.2d 240
    , 246 (4th Cir. 1988)).
    Under Section 10(b) of the Act, companies are prohibited from
    using “any manipulative or deceptive device or contrivance” in
    connection      with       the    sale     of    a    security     in    violation      of   SEC
    rules.       See      15    U.S.C.        §     78j(b).        Pursuant     to    regulatory
    proscription in Rule 10b-5, the following conduct is unlawful in
    connection with the sale of a security:
    15
    To make any untrue statement of a material fact or to
    omit to state a material fact necessary in order to
    make the statements made, in the light of the
    circumstances   under  which  they  were   made,  not
    misleading . . . .
    
    17 C.F.R. § 240
    .10b-5(b).
    Generally,        a    plaintiff             asserting      a    claim      under   Section
    10(b)    must     establish:            “(1)       a     material      misrepresentation        or
    omission     by       the   defendant;             (2)     scienter;       (3)    a    connection
    between the misrepresentation or omission and the purchase or
    sale of a security; (4) reliance upon the misrepresentation or
    omission; (5) economic loss; and (6) loss causation.”                                      Yates,
    744 F.3d at 884 (citation omitted); see Matrixx Initiatives,
    Inc. v. Siracusano, 
    131 S. Ct. 1309
    , 1322 (2011).                                     Because the
    district court dismissed the plaintiffs’ complaint solely based
    on the sufficiency of the allegations of scienter, our review is
    limited to that one element of the plaintiffs’ claims.
    To demonstrate scienter, a plaintiff must show that the
    defendant       acted       with        “a       mental    state       embracing       intent   to
    deceive,    manipulate,            or    defraud.”             Tellabs,     
    551 U.S. at 319
    (citation omitted).            Allegations of reckless conduct can satisfy
    the level of scienter necessary to survive a motion to dismiss.
    See     Matrix    Capital,          
    576 F.3d at 181
    .       Reckless       conduct
    sufficient       to     establish            a    strong       inference    of     scienter     is
    described as “severe,” Ottman v. Hanger Orthopedic Grp., Inc.,
    
    353 F.3d 338
    , 344 (4th Cir. 2003), or conduct that is “so highly
    16
    unreasonable and such an extreme departure from the standard of
    ordinary care as to present a danger of misleading the plaintiff
    to the extent that the danger was either known to the defendant
    or so obvious that the defendant must have been aware of it.”
    Matrix Capital, 
    576 F.3d at 181
     (citation and internal quotation
    marks omitted).
    Claims   of     securities     fraud       are    subject      to   a   heightened
    pleading standard under the PSLRA.                      Yates, 744 F.3d at 885.
    Under this heightened pleading standard, the allegations of a
    securities     fraud    claim     must    “state        with   particularity       facts
    giving rise to a strong inference that the defendant acted with
    the   required      state    of    mind”        regarding      the    acts    allegedly
    violating     the   Exchange      Act.      15     U.S.C.      §   78u-4(b)(2).        To
    evaluate the strength of scienter inferences, courts engage in a
    comparative analysis.         Yates, 744 F.3d at 885; see Tellabs, 
    551 U.S. at 326-27
    .        “[A]n inference of scienter can only be strong
    . . . when it is weighed against the opposing inferences that
    may be drawn from the facts in their entirety.”                       Yates, 744 F.3d
    at 885 (quoting Cozzarelli v. Inspire Pharms. Inc., 
    549 F.3d 618
    , 624 (4th Cir. 2008)).
    After    comparing     the    “malicious          and    innocent       inferences
    cognizable     from    the   facts       pled,”     a    complaint        will   not   be
    dismissed so long as “the malicious inference is at least as
    compelling as any opposing innocent inference.”                           
    Id.
     (quoting
    17
    Zucco Partners, LLC v. Digimarc Corp., 
    552 F.3d 981
    , 991 (9th
    Cir. 2009)).          In evaluating these inferences, we consider the
    scienter allegations holistically and accord those allegations
    “the inferential weight warranted by context and common sense.”
    Matrix Capital, 
    576 F.3d at
    183 (citing Cozzarelli, 
    549 F.3d at 625-26
    ).
    2.
    In    view     of    these       principles,       we   turn      to   address     the
    plaintiffs’ claims that the district court erred in its scienter
    analysis      by     considering        the     SEC     documents     submitted     by   the
    defendants that were not integral to the complaint.                              Generally,
    when    a    defendant      moves        to    dismiss     a   complaint        under    Rule
    12(b)(6), courts are limited to considering the sufficiency of
    allegations         set    forth     in       the    complaint     and    the    “documents
    attached or incorporated into the complaint.”                             E.I. du Pont de
    Nemours & Co. v. Kolon Indus., Inc., 
    637 F.3d 435
    , 448 (4th Cir.
    2011); see Clatterbuck v. City of Charlottesville, 
    708 F.3d 549
    ,
    557 (4th Cir. 2013).           Consideration of extrinsic documents by a
    court       during    the    pleading           stage     of   litigation       improperly
    converts      the     motion       to    dismiss       into    a   motion     for   summary
    judgment.      E.I. du Pont de Nemours & Co., 
    637 F.3d at 448
    .                           This
    conversion is not appropriate when the parties have not had an
    opportunity to conduct reasonable discovery.                             Id.; see Fed. R.
    Civ. P. 12(b), 12(d), and 56.
    18
    Courts    therefore       should    focus     their    inquiry      on     the
    sufficiency of the facts relied upon by the plaintiffs in the
    complaint.      Am. Chiropractic Ass’n v. Trigon Healthcare, Inc.,
    
    367 F.3d 212
    , 234 (4th Cir. 2004).               Consideration of a document
    attached to a motion to dismiss ordinarily is permitted only
    when the document is “integral to and explicitly relied on in
    the complaint,” and when “the plaintiffs do not challenge [the
    document’s] authenticity.”             
    Id.
     (quoting Phillips v. LCI Int’l
    Inc., 
    190 F.3d 609
    , 618 (4th Cir. 1999)); see Cozzarelli, 
    549 F.3d at 625
     (considering investment analyst reports attached to
    the defendants’ motion to dismiss because the complaint quoted
    from   those    reports    and   the    plaintiffs    did    not   challenge      the
    reports’ authenticity).
    We have recognized a narrow exception to this standard,
    under which courts are permitted to consider facts and documents
    subject   to    judicial    notice     without     converting      the   motion    to
    dismiss into one for summary judgment.               Clatterbuck, 708 F.3d at
    557.    Under Federal Rule of Evidence 201, courts at any stage of
    a proceeding may “judicially notice a fact that is not subject
    to reasonable dispute,” provided that the fact is “generally
    known within the court’s territorial jurisdiction” or “can be
    accurately and readily determined from sources whose accuracy
    cannot reasonably be questioned.”                Nevertheless, when a court
    considers relevant facts from the public record at the pleading
    19
    stage, the court must construe such facts in the light most
    favorable to the plaintiffs.                    Id.     Moreover, the determination
    whether      a    fact       properly     is    considered       under    this     exception
    depends on the manner in which a court uses this information.
    Id.   (holding          that     the    district       court     improperly       considered
    contents     of     a    public        record    as    an     established    fact       and    as
    evidence contradicting the complaint).                         With these principles in
    mind,   we       turn    to     consider       the    district    court’s        use    of    the
    challenged SEC documents.
    The plaintiffs’ complaint stated in general terms that, in
    investigating           the    case,    plaintiffs’         counsel   had    reviewed         the
    public filings submitted to the SEC.                        However, the complaint did
    not otherwise refer to any SEC filings, or the contents of such
    filings, to support the plaintiffs’ allegations.                             In fact, the
    complaint did not contain any allegation suggesting that the
    individual defendants made any sales or purchases of Chelsea
    stock during the class period.
    Although          plaintiffs        asserting         securities      fraud        claims
    frequently bolster allegations regarding scienter by asserting
    unusual    sales        of     stock    by     individuals      accused     of    committing
    securities fraud, the plaintiffs in the present case did not
    include this type of allegation in their complaint.                                    And such
    allegations        of         unusual    stock        sales     are   not    required         to
    demonstrate a strong inference of scienter in a securities fraud
    20
    case.   See Mizzaro v. Home Depot, Inc., 
    544 F.3d 1230
    , 1253 n.3
    (11th Cir. 2008) (“[S]uspicious stock sales are not necessary to
    create a strong inference of scienter.”) (citing Tellabs, 
    551 U.S. at 325
    ).         Therefore, because the SEC documents were not
    explicitly     referenced      in,    or      an   integral       part    of,    the
    plaintiffs’     complaint,     the    district      court     should      not    have
    considered those documents in reviewing the sufficiency of the
    plaintiffs’ allegations.
    Our conclusion is not altered by the defendants’ contention
    that the district court was entitled to take judicial notice of
    the contents of the SEC documents because the accuracy of those
    documents    cannot    reasonably     be     questioned.      Even   if    the   SEC
    documents     and   their    contents      could    have    been     reviewed     in
    accordance with Rule 201, the district court in the present case
    incorrectly     construed    the     information     contained       in    the   SEC
    documents.
    Instead of considering the information in the light most
    favorable to the plaintiffs, the court found that the documents
    established the “fact that none of the individual defendants”
    sold Chelsea stock during the class period.                   Notably, however,
    the referenced SEC documents fail to establish any such fact.
    The Form 4 documents merely indicate that a single Chelsea
    corporate     officer,   Dr.    Schwieterman,       made    two    purchases      of
    Chelsea stock during the class period, while the Proxy Statement
    21
    shows that each corporate officer held some shares of Chelsea
    stock at a certain point near the end of the class period.                        The
    record does not reflect for comparative purposes how many shares
    of stock the individual defendants held at the beginning of the
    class period, or provide any other basis for determining whether
    corporate officers other than Dr. Schwieterman purchased or sold
    any of their Chelsea stock during that period.
    Instead, the Form 4 documents list only Dr. Schwieterman as
    the “Reporting Person,” and do not contain any reference to any
    other corporate officer.              And the Proxy statement provides only
    a   “snapshot    in     time”    of    stock   shares   owned      by   the   various
    Chelsea officers as of February 29, 2012.                  Therefore, regardless
    whether the information contained in the SEC documents could be
    considered under the judicial notice provisions of Rule 201,
    such information did not provide a factual basis for the court’s
    conclusion      that    no     individual      defendant    sold    Chelsea     stock
    during the class period.          See Clatterbuck, 708 F.3d at 557-58.
    We also disagree with the defendants’ argument that even if
    the   district         court    erred     in     this   regard,         the   court’s
    consideration of the SEC documents did not affect the outcome of
    the court’s decision concerning the adequacy of the plaintiffs’
    allegations.      In weighing the competing inferences, the district
    court concluded that the defendants’ purported failure to sell
    Chelsea stock during the class period “tip[ped] the scales” of
    22
    the competing inferences of scienter.                         In fact, the district
    court cited only one other competing inference when considering
    the element of scienter, namely, that the defendants informed
    investors      regarding      certain       weaknesses          of     Chelsea’s        drug
    development program.          Therefore, the district court’s comparison
    of inferences undoubtedly was affected by its error relating to
    the content of the SEC documents.                 Accordingly, we conclude that
    the court’s consideration of the challenged SEC documents was
    not harmless.
    B.
    The   plaintiffs      argue    that       in    addition      to    the   district
    court’s error in relying on the challenged SEC documents, the
    court   further      erred   in   concluding           that    their      allegations     of
    scienter were insufficient as a matter of law.                              In asserting
    that    they    pleaded      facts    permitting         a     strong      inference     of
    scienter,      the   plaintiffs      rely    on       their    allegations       that   the
    defendants intentionally or recklessly failed to disclose that
    the    FDA   expected     Chelsea     to    produce       two    successful       studies
    showing evidence of durability of effect.                       The plaintiffs place
    particular      emphasis     on   their     allegation          that    the   defendants
    intentionally misled investors in the February 13, 2012 press
    release, by failing to disclose that the FDA briefing document
    included a recommendation against approval of Northera.                                 The
    plaintiffs assert that because the defendants were aware of this
    23
    adverse recommendation but withheld it, such conduct supports a
    strong inference of wrongful intent.
    In response, the defendants maintain that the plaintiffs
    failed to allege sufficient facts to support a strong inference
    of scienter.       The defendants submit that because they disclosed
    to investors various weaknesses of their new drug application,
    the defendants’ omission of other information does not support a
    strong inference of scienter.                With respect to the February 13,
    2012 press release, the defendants argue that their omission of
    the   adverse      FDA       staff    recommendation        does    not   demonstrate
    wrongful intent, because the press release included a website
    address where investors eight days later could locate the full
    FDA   briefing     document.            We    disagree      with    the   defendants’
    position.
    As   the    Supreme      Court    emphasized     in     Matrixx     Initiatives,
    “companies       can     control      what    they    have     to    disclose   under
    [Section 10(b) and Rule 10b-5(b)] by controlling what they say
    to the market.”          
    131 S. Ct. at 1322
    .               Thus, while Chelsea and
    its   corporate         officers       may    have     lacked       an    independent,
    affirmative       duty        to      disclose       the     adverse      FDA    staff
    recommendation         and    the    shortcomings     of    Chelsea’s     evidence   of
    efficacy, the defendants’ failure to do so must be viewed under
    Section 10(b) and Rule 10b-5(b) in the context of the statements
    that they affirmatively elected to make.                   See 
    id.
    24
    Based    on    our        de    novo        review,       we     conclude          that    the
    plaintiffs’      complaint,            when    viewed       in     its    entirety,         contains
    sufficient       allegations           giving       rise     to    a    strong     inference        of
    scienter.        This       strong      inference          of     intentional         or    reckless
    conduct     is    supported            by     the     plaintiffs’          allegations            that
    material, non-public information known to the defendants about
    the status of the new drug application and required efficacy
    studies    conflicted         with      the     defendants’            public    statements         on
    those subjects.
    According        to    the       plaintiffs’           allegations,         although         the
    defendants knew that the FDA expected two successful efficacy
    studies demonstrating durability of effect to support regulatory
    approval    of    Northera,            none    of     the    defendants’         statements         to
    investors       addressed         this        critical       expectation.              After       the
    defendants met with FDA officials in December 2010 to discuss
    submission of the new drug application based only on Study 301,
    the   defendants        instead         informed       investors          that     the      FDA    had
    “agreed” that Chelsea could submit its new drug application for
    Northera “without the need for any further efficacy studies.”
    However,        even        assuming          that      this           statement       truthfully
    represented       an     FDA       communication             that       Chelsea’s          new    drug
    application      could       be    submitted,          the      statement       was    misleading
    given     the    FDA’s       continuing         expectation            that     two    successful
    efficacy studies would be required for approval of Northera.
    25
    The defendants also were aware by December 2010 that the
    lone successful efficacy trial, Study 301, involved a treatment
    period of only one week, in contrast to the failed Study 303 and
    the     abandoned     Study        306,    which       both    involved     much   longer
    treatment periods.           Nonetheless, the defendants described their
    December 2010 meeting with the FDA as a “successful outcome”
    reflecting      the    “strength          of   the     data”    gathered     during   the
    clinical trials.
    The issue of durability of effect is a core component of
    the plaintiffs’ allegations, along with the FDA’s expectation of
    two successful studies.              Critically, the plaintiffs alleged that
    Chelsea knew that the FDA expected evidence of durability of
    effect, not just evidence of efficacy, and that “Chelsea was
    aware     of    Study        301     and       Study     302’s       durational-benefit
    shortcomings.”        JA 65 ¶ 106.
    Although the FDA can approve a new drug based on results of
    only one successful study, the study must be “adequate” and the
    data must present “substantial evidence that the drug will have
    the effect it purports.”              See 
    21 U.S.C. § 355
    (d).               Additionally,
    the plaintiffs did not allege that Chelsea unreasonably sought
    review by the FDA on the basis of one successful study.                               The
    plaintiffs instead alleged that the defendants misled investors
    regarding      the    risk    of     submitting         the    new   drug    application
    26
    supported     only      by   a    single,         one-week         study     providing     scant
    evidence of durability of effect.
    The     plaintiffs          also        made          a     significant       allegation
    concerning the defendants’ failure to disclose in the February
    13, 2012 press release that the FDA briefing document contained
    a recommendation against approval of Northera.                                  In its press
    release, Chelsea instead stated that Chelsea had received the
    briefing document and disclosed that “several lines of inquiry”
    had   emerged,       including         that       the       efficacy       trials   “may     not
    adequately establish a durable treatment effect.” 6                                  Chelsea’s
    omission    of    the    information             regarding        the   adverse     FDA    staff
    recommendation, when viewed in the context of the known problems
    of the efficacy studies and Chelsea’s earlier remarks regarding
    those studies, supports the inference that Chelsea intentionally
    or recklessly misled investors.
    These      allegations          are     significantly             stronger    than     the
    allegations we considered in Cozzarelli, a case on which the
    defendants       rely.           In    Cozzarelli,              which    also     involved      a
    pharmaceutical       company’s         attempt         to       gain   FDA   approval     for   a
    drug, the plaintiffs’ primary allegation of scienter focused on
    a   corporate     officer’s       use       of    an    imprecise        medical    term    when
    6
    Contrary to the dissent’s assertion, the change in Chelsea
    stock prices after Chelsea’s statements is relevant to the
    element of materiality, and does not impact our consideration of
    the allegations of scienter.
    27
    describing the endpoint of a clinical study, allegedly with the
    intent to mislead investors to think that the study was likely
    to succeed.      
    549 F.3d at 624-26
    .      We concluded that not only was
    the general term used by the corporate officer “more or less
    interchangeable” with the precise term not referenced, but that
    the pharmaceutical company also informed investors that it would
    not disclose the details of the study for “competitive reasons.”
    
    Id. at 626
    .        Therefore, we concluded in Cozzarelli that the
    corporate officer’s chosen language did not support a strong
    inference of scienter. 7      
    Id. at 627-28
    .
    In contrast, the present case involves numerous allegedly
    misleading statements and omissions by the defendants that were
    not caused by the use of imprecise language or the execution of
    a   legitimate     business   decision.       Instead,     the   plaintiffs’
    allegations,     when   considered   in    the   context    of   the   entire
    complaint, permit a strong inference that the defendants either
    7
    After concluding that the plaintiffs’ allegations in
    Cozzarelli failed to show scienter based on the allegedly
    intentional false statement by a corporate officer, we proceeded
    to consider the plaintiffs’ other allegations of scienter, which
    involved the company’s financial motivations and the sales of
    stock by corporate officers.     
    549 F.3d at 628
    .   We concluded
    that   even  considering   these   additional  allegations,  the
    plaintiffs’ complaint failed to demonstrate a strong inference
    of scienter.    
    Id.
       Here, however, because the nature of the
    alleged misstatements and omissions themselves give rise to a
    strong inference of scienter, we need not consider the
    plaintiffs’ additional allegations regarding the defendants’
    financial motivations.
    28
    knowingly or recklessly misled investors by failing to disclose
    critical information received from the FDA during the new drug
    application process, while releasing less damaging information
    that they knew was incomplete. 8
    We emphasize that our conclusion does not stand for the
    proposition that a strong inference of scienter can arise merely
    based       on   a   defendant’s    failure    to   disclose   information.
    Rather, the scienter inquiry necessarily involves consideration
    of the facts and of the nature of the alleged omissions or
    misleading statements within the context of the statements that
    a defendant affirmatively made. 9          See Matrixx Initiatives, 
    131 S. Ct. at 1322
     (stating that “companies can control what they have
    8
    The dissenting opinion states that Dr. Pedder acknowledged
    one of the obstacles to drug approval by stating, after the
    December 2010 meeting, that the FDA was interested “in seeing
    ‘two additional studies.’”   However, Dr. Pedder’s statement did
    not acknowledge that the FDA expected to see two successful
    studies showing durability of effect. Rather, Dr. Pedder stated
    that the FDA “was clear that additional efficacy studies were
    not required for an NDA filing,” but that the FDA was interested
    in two specific types of studies unrelated to durability of
    effect.    Additionally, the dissent appears to rely on the
    defendants’ statements made on March 28, 2012, after the FDA
    denied the new drug application. The defendants’ statements at
    that point, however, are not relevant to the plaintiffs’
    allegations of scienter.
    9
    As observed in the           dissenting opinion, this Court many
    times has concluded that a          plaintiff asserting securities fraud
    claims failed to plead             allegations demonstrating a strong
    inference   of  scienter.             Such   conclusions,  however,  are
    necessarily fact-dependent          and do not compel a result in the
    present case.
    29
    to     disclose       under     [Section 10(b)           and     Rule     10b-5(b)]         by
    controlling what they say to the market”).
    The inference of scienter here is at least as compelling as
    the opposing inference that Chelsea officials had signaled to
    investors     that     there    were    some      weaknesses      in    their       new   drug
    application regarding efficacy studies for Northera, and simply
    failed to provide further details regarding information received
    from    the   FDA.      See     Yates,   
    552 F.3d at 891
    .        We   therefore
    conclude      that    the     plaintiffs’      allegations        are     sufficient       to
    support the required inference of scienter.                             Our conclusion,
    however,      is     limited     to    the     sufficiency        of      the     complaint
    regarding     the     element    of    scienter,      and      does    not    address      the
    sufficiency of the allegations with respect to the remaining
    elements of the plaintiffs’ securities fraud claims, which will
    be considered by the district court in the first instance on
    remand. 10
    III.
    For these reasons, we hold that the district court erred in
    dismissing      the    plaintiffs’       complaint        on    the     basis     that     the
    allegations        supporting    an    inference      of       scienter      were    legally
    10
    We do not address the plaintiffs’ derivative                                 Section
    20(a) claims, which also should be considered on remand.
    30
    insufficient.    Accordingly,   we   vacate   the   district   court’s
    judgment and remand the case for further proceedings.
    VACATED AND REMANDED
    31
    THACKER, Circuit Judge, dissenting:
    Since the enactment of the PSLRA, we have published
    eight decisions reviewing the dismissal of a securities fraud
    suit for failure to plead facts supporting a strong inference of
    scienter; in all of them, we concluded that the inference was
    lacking.     See Yates v. Mun. Mortg. & Equity, LLC, 
    744 F.3d 874
    ,
    894   (4th    Cir.   2014);    Matrix      Capital     Mgmt.   Fund,    LP     v.
    BearingPoint,    Inc.,   
    576 F.3d 172
    ,   176     (4th   Cir.   2009);    Pub.
    Emps.’ Ret. Ass’n of Colo. v. Deloitte & Touche LLP, 
    551 F.3d 305
    , 306 (4th Cir. 2009); Cozzarelli v. Inspire Pharm. Inc., 
    549 F.3d 618
    , 628 (4th Cir. 2008); Teachers’ Ret. Sys. of La. v.
    Hunter, 
    477 F.3d 162
    , 184 (4th Cir. 2007); In re PEC Solutions,
    Inc. Sec. Litig., 
    418 F.3d 379
    , 388-90 (4th Cir. 2005); Ottmann
    v. Hanger Orthopedic Grp., Inc., 
    353 F.3d 338
    , 352-53 (4th Cir.
    2003); Phillips v. LCI Int’l, Inc., 
    190 F.3d 609
    , 620 (4th Cir.
    1999).   In my view, the inference is lacking in this case, too.
    The PSLRA requires a plaintiff in a securities fraud
    suit to “state with particularity facts giving rise to a strong
    inference that the defendant acted with the required state of
    mind.”     15 U.S.C. § 78u-4(b)(2)(A).          To establish this strong
    inference, a plaintiff must persuade the court that it is as
    likely as not that the defendant acted with fraudulent intent
    or, at the very least, with “such severe recklessness that the
    danger of misleading investors was either known to the defendant
    32
    or so obvious that the defendant must have been aware of it.”
    Cozzarelli v. Inspire Pharm. Inc., 
    549 F.3d 618
    , 623 (4th Cir.
    2008) (internal quotation marks omitted).                        Here, the allegations
    do    not     strongly     imply         either      fraudulent       intent       or    severe
    recklessness.          Instead, the allegations suggest that Chelsea --
    while        acknowledging         the     various         challenges        and        setbacks
    encumbering its bid for FDA approval -- submitted the Northera
    application       with     justifiable         confidence        in    its     chances         for
    success.       I therefore respectfully dissent. 1
    I.
    A.
    Scienter,      as    defined         by    the   Supreme      Court,       is    “a
    mental       state     embracing         intent      to     deceive,       manipulate,         or
    defraud.”       Ernst & Ernst v. Hochfelder, 
    425 U.S. 185
    , 193 n.12
    (1976).       The federal circuit courts agree that reckless behavior
    may     be    enough     to    satisfy         the       scienter     requirement         in     a
    securities       fraud    suit, 2        but   they       “differ     on   the     degree       of
    1
    I do not object to the majority’s determination that the
    district court misused the challenged SEC documents.    However,
    in my view, the court’s reliance on those documents is of no
    consequence.      The  plaintiffs’   complaint   ought to   fail
    regardless.
    2
    For its part, the Supreme Court has never stated whether
    recklessness is enough to satisfy the section 10(b) scienter
    requirement.   See Matrixx Initiatives, Inc. v. Siracusano, 
    131 S. Ct. 1309
    , 1323 (2011) (noting that the Court has “not decided
    whether   recklessness   suffices   to   fulfill   the  scienter
    (Continued)
    recklessness required.”         Tellabs, Inc. v. Makor Issues & Rights,
    Ltd., 
    551 U.S. 308
    , 319 n.3 (2007).                The distinctions among the
    circuits     include     variations          in   terminology,       with     courts
    “referring       to     the    recklessness         standard       variously      as
    ‘deliberate’ or ‘conscious recklessness,’ ‘severe recklessness,’
    and ‘a high degree of recklessness.’”                    Ann Morales Olazábal,
    Defining    Recklessness:      A     Doctrinal    Approach    to    Deterrence    of
    Secondary Market Securities Fraud, 
    2010 Wis. L. Rev. 1415
    , 1424
    (footnotes omitted) (collecting cases).
    In   this    circuit,      we    recognize    that     allegations   of
    recklessness can satisfy the scienter requirement, see Matrix
    Capital Mgmt. Fund, LP v. BearingPoint, Inc., 
    576 F.3d 172
    , 181
    (4th Cir. 2009); see also Ottmann v. Hanger Orthopedic Grp.,
    Inc., 
    353 F.3d 338
    , 344 (4th Cir. 2003) (recognizing for the
    first time in this circuit that “a securities fraud plaintiff
    may allege scienter by pleading not only intentional misconduct,
    but also recklessness”), but we insist that the recklessness
    must   be   “severe”    --    that    is,    “a   slightly    lesser   species    of
    intentional misconduct.”             Ottmann, 
    353 F.3d at 344
     (internal
    quotation marks omitted); see also Cozzarelli, 
    549 F.3d at 623
    ;
    Teachers’ Ret. Sys. of La. v. Hunter, 
    477 F.3d 162
    , 184 (4th
    requirement” and finding it unnecessary                  to   settle    the    issue
    under the circumstances of the case).
    34
    Cir. 2007).        This definition of recklessness, we have stated,
    “comports with the observation of the Supreme Court that ‘[t]he
    words    “manipulative          or     deceptive”       used     in     conjunction           with
    “device     or    contrivance”            strongly      suggest        that     § 10(b)        was
    intended     to    proscribe           knowing     or    intentional           misconduct.’”
    Ottmann, 
    353 F.3d at 344
     (alteration in original) (quoting Ernst
    & Ernst, 
    425 U.S. at 197
    ).
    Our decision in Cozzarelli v. Inspire Pharmaceuticals,
    Inc. makes clear that pleading scienter -- whether in the form
    of    fraudulent     intent          or   severe     recklessness         --       requires      a
    showing of “wrongful intent.”                 
    549 F.3d at 621
    .            There, a group
    of shareholders alleged that a drugmaker seeking FDA approval of
    an    experimental     eye-disease           treatment         misled     investors           into
    believing     that    an        important        clinical      trial      was       likely      to
    succeed.     See 
    id. at 624-25
    .               The drugmaker allegedly nurtured
    this false impression by withholding details about the trial’s
    endpoint while simultaneously representing that the trial was
    “very   similar”     to     a    previous        successful      trial.            
    Id. at 625
    (internal    quotation          marks      omitted).        We    concluded          that      the
    allegations       supported       an      inference     that     the    drugmaker        sought
    only to protect its competitive advantage in the marketplace;
    this inference, we stated, “is more powerful and compelling than
    the   inference      that       [the      drugmaker]     acted     with       an    intent     to
    deceive.”    
    Id. at 626
     (emphasis supplied).
    35
    In        the     years      since      Cozzarelli,       our    court       has
    occasionally neglected to note that the recklessness necessary
    to support a finding of scienter must be “severe.”                                   Compare
    Yates v. Mun. Mortg. & Equity, LLC, 
    744 F.3d 874
    , 884 (4th Cir.
    2014) (“At the pleading stage, alleging either intentional or
    severely reckless conduct is sufficient.” (emphasis supplied)),
    with Matrix Capital, 
    576 F.3d at 181
     (“Pleading recklessness is
    sufficient         to     satisfy       the      scienter       requirement.”).            The
    standard,      though,          remains     unchanged.          We   have     consistently
    stated   that       an        allegedly     reckless      act    must    be    “so    highly
    unreasonable and such an extreme departure from the standard of
    ordinary care as to present a danger of misleading the plaintiff
    to the extent that the danger was either known to the defendant
    or so obvious that the defendant must have been aware of it.”
    Matrix   Capital,             
    576 F.3d at 181
       (internal      quotation      marks
    omitted); see also Pub. Emps.’ Ret. Ass’n of Colo. v. Deloitte &
    Touche LLP, 
    551 F.3d 305
    , 314 (4th Cir. 2009) (“In order to
    establish a strong inference of scienter, plaintiffs must do
    more than merely demonstrate that defendants should or could
    have done more.               They must demonstrate that [defendants] were
    either knowingly complicit in the fraud, or so reckless in their
    duties   as    to        be    oblivious      to      malfeasance    that     was    readily
    apparent.”).             This       understanding        of     scienter      --    that    it
    necessarily entails a “culpable state of mind,” Ottmann, 353
    36
    F.3d   at    348     --   preserves    section      10(b)       as   a     prohibition     on
    securities      fraud.        It    ensures    that    corporations              and     their
    officers cannot escape liability through willful blindness --
    that   is,     purposeful      ignorance       of    the        truth      of    their     own
    representations -- while, at the same time, it prevents section
    10(b) from devolving into a penalty for business decisions that,
    in hindsight, appear questionable.
    B.
    Here, under the PSLRA’s heightened pleading standard,
    the plaintiffs were required to allege facts giving rise to a
    strong inference of fraudulent intent or severe recklessness.
    See 15 U.S.C. § 78u-4(b)(2)(A); Cozzarelli, 
    549 F.3d at 623
    .
    This is “no small burden.”             Cozzarelli, 
    549 F.3d at 624
    .                    Though
    the inference of scienter “need not be irrefutable,” it “must be
    more than merely ‘reasonable’ or ‘permissible.’”                             Tellabs, 
    551 U.S. at 324
    .        Unless   a   “reasonable      person           would    deem    the
    inference      of     scienter . . . at        least       as     compelling       as      any
    opposing inference” of nonfraudulent intent, the pleading fails.
    
    Id.
         The    plaintiffs’         complaint    here    does         not    satisfy      this
    standard.
    1.
    Reviewing the complaint in its entirety, it is clear
    that Chelsea had plenty of reason to believe the FDA would be
    37
    receptive     to     its       application.             More    importantly,          the   facts
    strongly suggest that Chelsea acted on just such a belief.
    To    merit      FDA     approval,         an    application       must      present
    “substantial        evidence         that    the       drug    will    have     the   effect     it
    purports or is represented to have under the conditions of use
    prescribed, recommended, or suggested in the proposed labeling.”
    
    21 U.S.C. § 355
    (d).              Though       here       the    plaintiffs’      complaint
    states that the FDA generally “requires at least two adequate
    and well-controlled studies,” J.A. 59, 3 federal law expressly
    authorizes the FDA to make the requisite finding of “substantial
    evidence”     based       solely      on     “data      from    one        adequate   and      well-
    controlled         clinical         investigation         and        confirmatory        evidence
    (obtained     prior       to    or    after       such    investigation),”            
    21 U.S.C. § 355
    (d).          Likewise,          as    the    complaint          recognizes,        the    FDA
    Guidelines         note        that        the     agency           “may     acknowledge        the
    persuasiveness         of       a     single,       internally             consistent,      strong
    multicenter study.”             J.A. 60.
    Chelsea based its FDA application on two sets of data.
    First and foremost, there was the data from Study 301, which
    successfully        demonstrated            the    drug’s      efficacy.         In   addition,
    Chelsea offered supplemental data from Study 302, which, though
    failing to meet its primary endpoint, showed what Chelsea later
    3
    Citations to the “J.A.” refer to the Joint Appendix filed
    by the parties in this appeal.
    38
    determined          to     be     a     “nominally       statistically        significant
    improvement” in the score used to measure the drug’s clinical
    efficacy.          J.A. 42.           These were the data that the advisory
    committee reviewed in February 2012, and the committee voted,
    seven       to     four,     to       recommend    approving      the     drug.       The
    chairperson, who was among those voting in favor of approval,
    explained that there was “no question in [his] mind that this
    drug       is    efficacious,         particularly   in    a   subset    of    patients.”
    J.A. 203. 4        Other members echoed those remarks.                  One said he saw
    “substantial evidence of substantial benefit for some patients.”
    
    Id. at 205
    .          Another said he “could not in a clear conscience
    vote no and deprive those patients from the benefits they can
    derive at this point from this medication.”                     
    Id. at 67
    .
    Nonetheless, the plaintiffs assert that Chelsea knew
    the FDA expected two successful studies.                       This claim rests, in
    large part, on a discussion that took place at the advisory
    committee         meeting.        There,    one    FDA    administrator,       Dr.   Steve
    Graham (“Graham”), recalled that the “very first thing we said”
    in the special protocol assessment for Study 301 was “that the
    study in and of itself wouldn’t be sufficient, that we wanted
    4
    The complaint quotes selectively from the advisory
    committee meeting transcript.       Accordingly, although this
    comment does not appear in the complaint, we may consider it
    here because it is incorporated into the complaint by reference.
    See Cozzarelli, 
    549 F.3d at 625
    .
    39
    two studies.”         J.A. 61.          According to Graham, the FDA also “said
    that we wanted durability,” a statement the agency “repeated on
    at least two subsequent occasions on information letters to the
    company.”           
    Id.
         However,      at     that      very    same     meeting,   Graham
    himself conceded that Study 301 alone, if successful, may be
    sufficient to support the application.                        If, he said, that single
    study presented “an overwhelming effect[,] . . . you’d be a fool
    not to approve it.”           Id. at 62.
    In    its    December          20,    2010     press       release,     Chelsea
    announced       that       the     FDA     had       “agreed”        that     the    proposed
    application “could be submitted” based on Studies 301 and 302
    “without the need for any further efficacy studies.”                                J.A. 233.
    The plaintiffs’ complaint does not dispute the literal truth of
    this    announcement.             Nor    is    there       any    reason     to   doubt     that
    Chelsea interpreted the FDA’s feedback as highly encouraging.
    The company’s actions are proof positive that it did.                                  Rather
    than    wait    to    complete      Study       306,       Chelsea    pressed       ahead    and
    submitted its application exactly as it said it would, with only
    Study 301 and supplemental support from Study 302 to its credit.
    Against this backdrop, the most compelling inference is not that
    Chelsea acted with wrongful intent, but that it believed its
    prospects      were       good.     See       Kuyat     v.    BioMimetic      Therapeutics,
    Inc.,   
    747 F.3d 435
    ,    441    (6th       Cir.     2014)   (concluding       that    a
    medical-device manufacturer “could legitimately believe that the
    40
    statistically         significant      results”         of    its     study     “would        be
    sufficient     to     obtain    approval         by    the    FDA,”     despite          private
    communications in which the FDA indicated that it expected a
    more expansive study than the one provided).
    2.
    The plaintiffs’ claim that Chelsea’s public statements
    were    intentionally        fraudulent      or       severely      reckless     runs       into
    another      problem,       which    is   that        those    statements           were    not
    unreservedly        optimistic.             On    the        contrary,        the        company
    consistently acknowledged the obstacles in its path.
    In   a    December      2010     conference         call,    Chelsea’s         CEO
    acknowledged that the FDA had expressed an interest in seeing
    “two additional studies.”            J.A. 81.          Later, in its September 30,
    2011 quarterly report to the SEC -- from which the plaintiffs’
    complaint quotes -- the company listed numerous reasons why the
    FDA “may not accept or approve” the Northera application.                                    
    Id. at 141
    .      When     the    FDA    staff       issued      its    briefing        document
    opposing     Chelsea’s        application,        the     company       issued       a     press
    release noting its receipt of the document and explaining that
    “several     lines     of     inquiry . . . have             emerged     as    significant
    components of the benefit-risk analysis of Northera.”                                    
    Id. at 248
     (internal quotation marks omitted).                       These issues, according
    to the February 2012 press release, included “the short duration
    of     our   clinical       studies,      the     limited        size    of     our        study
    41
    population given the orphan indication and the challenges in
    quantifying symptomatic and clinical benefit.”                              
    Id.
     (internal
    quotation         marks    omitted).          Similarly,       when   the    FDA   rejected
    Chelsea’s application in March 2012, the company explained in a
    press release that it had received the FDA’s complete response
    letter, and that this letter requested data from an “additional
    positive study to support efficacy.” 5                     
    Id. at 68
    .         The company
    continued to say that it planned to “request a meeting with the
    FDA        to     review         the   Agency’s        comments,        clinical      trial
    recommendations            and    to   help   determine    appropriate         next   steps
    toward securing approval of Northera.”                    
    Id. at 69
    .
    The market responded to these statements accordingly.
    As    the       majority    notes,     Chelsea’s       stock    dropped     37.5   percent
    following the February 2012 press release discussing the FDA
    briefing         document.         Likewise,     the    stock    fell    28   percent    in
    response to the March 2012 press release discussing the FDA’s
    rejection         of   droxidopa.        These      reactions     call      into   question
    whether Chelsea’s press releases were misleading at all -- let
    5
    The company issued this press release on March 28, 2012.
    This date is significant both because it is the same day that
    Chelsea received the FDA’s complete response letter and because
    it marks the final day of the class period.          Despite the
    majority’s claim to the contrary, see ante at 29 n.8, the
    company’s statements on this date are indeed relevant to the
    scienter   inquiry  because   they   undermine  the    plaintiffs’
    assertion that Chelsea intentionally or recklessly failed to
    disclose critical information during the class period.
    42
    alone whether the danger of misleading people was “so obvious”
    that making those statements must have been severely reckless.
    Cozzarelli, 
    549 F.3d at 623
     (internal quotation marks omitted).
    II.
    As we stated in Cozzarelli, we do not infer scienter
    “from every bullish statement by a pharmaceutical company that
    was trying to raise funds.”           
    549 F.3d 618
    , 627 (4th Cir. 2008).
    If we did, “we would choke off the lifeblood of innovation in
    medicine      by   fueling   frivolous      litigation.”     
    Id.
          Today’s
    decision clears the way for more litigation, heightening the
    risk   that    shareholders    will   exploit    the   judicial    process   to
    extract settlements from corporations they chose to fund.                This
    is exactly what Congress sought to prevent when it enacted the
    PSLRA.     See Tellabs, Inc. v. Makor Issues & Rights, Ltd., 
    551 U.S. 308
    , 320 (2007).         Accordingly, I would affirm the judgment
    of the district court.
    43
    

Document Info

Docket Number: 13-2370

Citation Numbers: 780 F.3d 597, 2015 U.S. App. LEXIS 4096, 2015 WL 1137142

Judges: Traxler, Keenan, Thacker

Filed Date: 3/16/2015

Precedential Status: Precedential

Modified Date: 11/5/2024

Authorities (14)

lionel-phillips-on-behalf-of-himself-and-all-others-similarly-situated-v , 190 F.3d 609 ( 1999 )

Tellabs, Inc. v. Makor Issues & Rights, Ltd. , 127 S. Ct. 2499 ( 2007 )

Norman Ottmann v. Hanger Orthopedic Group, Incorporated ... , 353 F.3d 338 ( 2003 )

Cozzarelli v. Inspire Pharmaceuticals Inc. , 549 F.3d 618 ( 2008 )

Zucco Partners, LLC v. Digimarc Corp. , 552 F.3d 981 ( 2009 )

Matrixx Initiatives, Inc. v. Siracusano , 131 S. Ct. 1309 ( 2011 )

Mizzaro v. Home Depot, Inc. , 544 F.3d 1230 ( 2008 )

american-chiropractic-association-incorporated-a-nonprofit-corporation , 367 F.3d 212 ( 2004 )

Matrix Capital Management Fund v. BearingPoint, Inc. , 576 F.3d 172 ( 2009 )

E.I. Du Pont De Nemours & Co. v. Kolon Industries, Inc. , 637 F.3d 435 ( 2011 )

Wag More Dogs, Ltd. Liability Corp. v. Cozart , 680 F.3d 359 ( 2012 )

teachers-retirement-system-of-louisiana-and-barry-schoenfeld , 477 F.3d 162 ( 2007 )

in-re-pec-solutions-incorporated-securities-litigation-matthew-j-ganey , 125 Fed. Appx. 490 ( 2005 )

Public Employees' Retirement Ass'n v. Deloitte & Touche LLP , 551 F.3d 305 ( 2009 )

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