Kendall v. Odonate Therapeutics, Inc. et al, No. 3:2020cv01828 - Document 36 (S.D. Cal. 2021)

Court Description: ORDER denying 25 Defendants' Motion to Dismiss. Signed by Judge Marilyn L. Huff on 8/04/2021. (jpp)

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Kendall v. Odonate Therapeutics, Inc. et al Doc. 36 Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.847 Page 1 of 17 1 2 3 4 5 6 7 8 9 10 UNITED STATES DISTRICT COURT 11 SOUTHERN DISTRICT OF CALIFORNIA 12 13 14 KEVIN KENDALL, individually and on behalf of all others similarly situated, v. 18 ODONATE THERAPEUTICS, INC., KEVIN C. TANG, MICHAEL HEARNE, and JOHN G. LEMKEY, 19 Defendants. 17 20 21 22 23 24 25 26 27 ORDER DENYING DEFENDANTS’ MOTION TO DISMISS Plaintiff, 15 16 Case No.: 3:20-cv-01828-H-LL [Doc. No. 25.] On April 13, 2021, Plaintiff Kevin Kendall filed his second amended complaint (“SAC”) alleging Defendants Odonate Therapeutics, Inc. (“Odonate”), Kevin C. Tang, Michael Hearne, and John G. Lemkey (“Defendants”) had violated federal securities laws. (Doc. No. 24, SAC.) On May 13, 2021, Defendants filed a motion to dismiss Plaintiff’s SAC for failure to state a claim. (Doc. No. 25.) Plaintiff filed his opposition on June 26, 2021. (Doc. No. 30.) Defendants filed their reply on July 26, 2021. (Doc. No. 32.) On August 4, 2021, the Court took the matter under submission. (Doc. No. 35.) For the reasons that follow, the Court denies Defendants’ motion to dismiss. 28 1 3:20-cv-01828-H-LL Dockets.Justia.com Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.848 Page 2 of 17 1 Background 2 The following allegations are taken from Plaintiff’s SAC. This is a securities class 3 action against Odonate Therapeutics, Inc. and three of its officers under Sections 10(b) and 4 20(a) of the Securities Exchange Act of 1934 (the “Exchange Act”) and Rule 10b-5 5 promulgated thereunder. (SAC ¶¶ 225–41.) The case is brought on behalf all persons and 6 entities who purchased or otherwise acquired the stock of Odonate between December 7, 7 2017 and March 19, 2021 (the “Class Period”). (Id. ¶ 217.) 8 Founded in 2013, Odonate is a pharmaceutical company formerly focused on the 9 development of therapeutics for the treatment of cancer. (Id. ¶¶ 2, 33.) Defendant Tang is 10 Odonate’s Chairman and Chief Executive Officer. (Id. ¶ 19.) Defendant Hearne has served 11 as Odonate’s Chief Financial Officer since November 2018. (Id. ¶ 20.) Defendant Lemkey 12 served as Odonate’s Chief Financial Officer until November 2018, when he was promoted 13 to Chief Operating Officer. (Id. ¶ 21.) Plaintiff alleges Odonate’s primary focus was 14 developing its sole drug candidate, tesetaxel – an orally administered chemotherapy agent 15 – to treat patients with locally advanced or metastatic breast cancer (“MBC”). (Id. ¶¶ 2, 16 34–35.) Odonate previously completed Phase 1 and Phase 2 clinical trials of tesetaxel in 17 patients with MBC. (Id. ¶ 35.) In December 2017, Odonate announced it was initiating 18 CONTESSA, a multinational, multicenter, randomized Phase 3 study of tesetaxel in 19 combination with capecitabine (an existing approved cancer drug) in approximately 600 20 patients with locally advanced or MBC. (Id. ¶¶ 36, 57–59.) On December 8, 2017, Odonate 21 filed for an Initial Public Offering (“IPO”) with the Securities and Exchange Commission 22 (“SEC”) for 6,250,000 shares of common stock at a price of $24.00 per share. (Id. ¶¶ 37, 23 188.) Plaintiff alleges the aggregate gross proceeds from the IPO were $160.6 million, and 24 net proceeds were $147.3 million. (Id.) Plaintiff alleges that Odonate’s value proposition 25 to investors was that tesetaxel, in combination with capecitabine or as a monotherapy, was 26 efficacious, convenient, and safe relative to existing treatment options. (Id. ¶ 36.) 27 Odonate’s Registration Statement, filed as part of its IPO, stated: “CONTESSA is designed 28 to evaluate whether tesetaxel plus a reduced dose of capecitabine results in improved 2 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.849 Page 3 of 17 1 [progression-free survival (“PFS”)] with manageable toxicity and favorable quality-of-life 2 compared to the approved dose of capecitabine alone.” (Id. ¶ 59.) The Registration 3 Statement explained that Odonate expected to begin enrolling patients in CONTESSA in 4 the fourth quarter of 2017, and to report top-line results from the study in 2020. (Id.) 5 Plaintiff alleges that significant safety concerns regarding tesetaxel arose during 6 CONTESSA, which Defendants were aware of but did not disclose to investors or the 7 public. (Id. ¶¶ 5, 40.) Plaintiff’s allegations regarding the issues that arose during 8 CONTESSA rely on statements from five confidential witnesses: (1) CW1, an Associate 9 Director, Clinical Site Relationship Management at Odonate from May 2018 to December 10 2018; (2) CW2, a Director of Clinical Operations at Odonate from June 2017 to September 11 2019; (3) CW3, an Executive Assistant at Odonate from September 2017 to April 2019; 12 (4) CW4, an Associate Director, Site Management at Odonate from December 2017 to 13 March 2019; and (5) CW5, an Associate Director, Clinical Site Relationship Manager 14 (May 2018 – February 2019), Regional Medical Liaison (March 2019 – April 2019), and 15 Regional Director, Clinical Operations (May 2019 – mid-March 2021). (Id. ¶¶ 24–29.) The 16 first doses of tesetaxel in the CONTESSA trial were allegedly administered sometime in 17 early 2018. (Id. ¶ 41.) By at least August 2018, and potentially as early as May 2018, 18 Plaintiff alleges that CONTESSA trial sites were reporting to Odonate that they were 19 experiencing a higher-than-expected rate of neutropenia (abnormally low number of 20 neutrophils, a type of white blood cell, in the blood) 1 in patients. (Id. ¶ 42.) Plaintiff alleges 21 trial doctors expressed concerns to Odonate about the unexpectedly high rate of 22 neutropenia, and that many patients began withdrawing from the CONTESSA trial, either 23 voluntarily or through removal by their doctors, due to the rates of neutropenia and other 24 adverse events (“AEs”). (Id. ¶¶ 5, 42.) CONTESSA was not a double-blind trial, meaning 25 that Odonate knew which patients were given which dose, and had access to the raw trial 26 data and information throughout the trial. (Id. ¶ 43.) Plaintiff alleges Odonate’s company 27 28 1 Neutropenia, Cleveland Clinic, https://my.clevelandclinic.org/health/diseases/21058-neutropenia. 3 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.850 Page 4 of 17 1 leadership, including Defendant Tang and Defendant Lemkey, received expedited reports 2 of patients being hospitalized for neutropenia in the first few months of the CONTESSA 3 trial. (Id.) 4 In August 2018, Odonate’s Chief Medical Officer Joseph O’Connell (“CMO 5 O’Connell”) and Vice President of Site Management Jill Krause (“VP Krause”) allegedly 6 held a teleconference call with the clinical site management team about the higher-than- 7 expected neutropenia rates and related patient withdrawals. (Id. ¶ 44.) During the call, 8 CMO O’Connell and VP Krause allegedly stated that Odonate was initiating an urgent “all- 9 hands-on-deck” program to lower the rate of patient withdrawals from CONTESSA. (Id.) 10 Presentations would be given to clinical site investigators on how to identify early signs of 11 neutropenia (e.g., calling patients 3–4 days after receiving a dose to inquire about fever or 12 other neutropenia symptoms), and how to treat it in ways permitted by the trial. (Id.) The 13 presentation was allegedly intended to provide doctors with knowledge and options to 14 prevent patients from experiencing neutropenia within the trial, such as by lowering the 15 tesetaxel dose for a short time or adjusting the pacing of blood draws in order to identify 16 and treat patients more quickly. (Id. ¶¶ 44–45.) Within the following two weeks, all 100– 17 120 trial sites allegedly received the presentation on neutropenia. (Id. ¶ 44.) Subsequently, 18 some trial sites implemented the new recommended protocol, but approximately ten trial 19 sites, or roughly 10% of the total number of sites, allegedly dropped out of the CONTESSA 20 trial in the first few months. (Id. ¶ 47.) Plaintiff alleges this represented an unusually high 21 dropout rate for clinical trials, and that Odonate had to find new sites as replacements. (Id.) 22 Plaintiff alleges that the directive to initiate the presentation and change in protocol came 23 from Defendant Tang, Defendant Lemkey, and CMO O’Connell, (id. ¶ 46), and that 24 Odonate’s leadership regularly received communications about the CONTESSA trial, (id. 25 ¶¶ 49–50). 26 On June 27, 2019, Odonate held an underwritten public offering of 4,750,000 shares 27 of common stock at a price of $26.00 per share; Plaintiff alleges the aggregate gross 28 proceeds were $142 million and net proceeds were $135.1 million. (Id. ¶¶ 38, 188.) On 4 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.851 Page 5 of 17 1 October 21, 2019, Odonate announced completion of enrollment in the CONTESSA trial. 2 (Id. ¶ 103.) On August 24, 2020, Odonate issued a press release announcing top-line results 3 from the CONTESSA trial. (Id. ¶¶ 8, 165.) Odonate reported that the trial met its primary 4 endpoint – improving PFS – but that Grade 3 or higher neutropenia occurred in 71.2% of 5 patients receiving the combination treatment (tesetaxel and capecitabine) versus 8.3% of 6 patients treated with capecitabine alone. (Id. ¶ 165.) Additionally, febrile neutropenia 7 occurred in 12.8% of patients receiving the combination treatment versus 1.2% for 8 capecitabine alone. (Id.) The overall treatment discontinuation rate due to any AE was 9 23.1% of patients treated with the combination treatment versus 11.9% of patients treated 10 with capecitabine alone. (Id.) At this news, Odonate’s stock price fell $15.21 per share, or 11 45.35%, to close at $18.33 per share on August 24, 2020. (Id. ¶ 166.) 12 On September 1, 2020, Odonate held a public offering of 6,456,000 shares at $14.25 13 per share; Plaintiff alleges the aggregate gross proceeds were $92 million and net proceeds 14 were $87.4 million. (Id. ¶¶ 38, 188.) On March 22, 2021, Odonate issued a press release 15 announcing it was discontinuing tesetaxel’s development following feedback from the U.S. 16 Food and Drug Administration (“FDA”) that the clinical data package for tesetaxel was 17 unlikely to support FDA approval. (Id. ¶ 168.) At this news, Odonate’s stock price fell 18 $15.07 per share, or 79%, to close at $3.96 per share on March 22, 2021. (Id. ¶ 169.) On 19 March 25, 2021, Odonate filed a Form 8-K with the SEC providing more details about 20 Odonate’s discontinuation of tesetaxel’s development, and the wind-down of Odonate’s 21 operations. (Id. ¶ 170.) At this news, Odonate’s stock price fell $0.52, or 14.4%, to close 22 at $3.09 per share on March 26, 2021. (Id. ¶ 171.) 23 On September 16, 2020, Plaintiff filed a class action complaint against Defendants. 24 (Doc. No. 1.) On May 13, 2021, Plaintiff filed the operative SAC against Defendants. (Doc. 25 No. 24.) Plaintiff alleges that during the Class Period, Defendants concealed material, 26 adverse facts from investors regarding the negative results and necessary changes to 27 protocol in the CONTESSA trial. (Id. ¶¶ 6–7.) Plaintiff alleges that throughout the Class 28 Period, Defendants made misleading statements containing misrepresentations and 5 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.852 Page 6 of 17 1 omissions regarding the CONTESSA trial, patient outcomes and experiences while using 2 tesetaxel, and the likelihood of tesetaxel’s approval by the FDA. (Id. ¶¶ 5–7.) The SAC 3 alleges that Defendants violated Sections 10(b) and 20(a) of the Exchange Act, 15 U.S.C. 4 §§ 78j(b) and 78t(a), and Rule 10b-5 promulgated thereunder, 17 C.F.R. § 240.10b-5. (Id. 5 ¶ 13.) By the present motion, Defendants move to dismiss Plaintiff’s SAC for failure to 6 state a claim upon which relief can be granted. (Doc. No. 25.)2 7 8 Discussion I. Legal Standards 9 “To survive a motion to dismiss, a complaint must contain sufficient factual matter, 10 accepted as true, to ‘state a claim to relief that is plausible on its face.’” In re Alphabet, Inc. 11 Sec. Litig., 1 F.4th 687, 698 (9th Cir. 2021) (quoting Ashcroft v. Iqbal, 556 U.S. 662, 678 12 (2009)). “A complaint is plausible on its face ‘when the plaintiff pleads factual content that 13 allows the court to draw the reasonable inference that the defendant is liable for the 14 misconduct alleged.’” Id. (quoting Iqbal, 556 U.S. at 678). “When there are well-pleaded 15 factual allegations, a court should assume their veracity and then determine whether they 16 plausibly give rise to an entitlement to relief.” Id. (quoting Iqbal, 556 U.S. at 679); see 17 Tellabs, Inc. v. Makor Issues & Rights, Ltd., 551 U.S. 308, 322 (2007). Dismissal is 18 inappropriate unless the plaintiff’s complaint fails to “state a claim to relief that is plausible 19 on its face.” Zucco Partners, LLC v. Digimarc Corp., 552 F.3d 981, 989 (9th Cir. 2009), as 20 amended (Feb. 10, 2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). 21 22 2 23 24 25 26 27 28 With their motion to dismiss, Defendants filed a request for judicial notice and for incorporation by reference of 22 exhibits. (Doc. No. 25-4.) On June 25, 2021, Plaintiff filed a partial opposition to Defendants’ request for judicial notice of Exhibits G, I, L, M, N, O, Q, and R. (Doc. No. 28.) On July 26, 2021, Defendants requested that the Court consider an additional exhibit. (Doc. No. 34.) The Court need not resolve Plaintiff’s objections, as it does not reference or rely upon any of Defendants’ exhibits in its Order. The Court also notes that Defendants’ request for judicial notice and for incorporation by reference, and argument relating to that request, was not made as part of their motion to dismiss or reply. (See Doc. Nos. 25-4 at 1–6; 34 at 1–3.) Additionally, Plaintiff made his objections to Defendants’ exhibits in a separate filing, not as part of his opposition. (See Doc. No. 28.) This is improper; to the extent parties have requests or objections regarding exhibits, they should be raised in the applicable briefing, not in separate filings that evade the page limits for briefing. 6 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.853 Page 7 of 17 1 A complaint stating claims under Section 10(b) and Rule 10b-5 must additionally 2 satisfy the dual heightened pleading requirements of Federal Rule of Civil Procedure 9(b) 3 and the Private Securities Litigation Reform Act of 1995 (“PSLRA”). Prodanova v. H.C. 4 Wainwright & Co., LLC, 993 F.3d 1097, 1106 (9th Cir. 2021) (citing Zucco Partners, 552 5 F.3d at 990). Federal Rule of Civil Procedure 9(b) requires a plaintiff to “state with 6 particularity the circumstances constituting fraud.” Fed. R. Civ. P. 9(b). In other words, 7 “[a]verments of fraud must be accompanied by the who, what, when, where, and how of 8 the misconduct charged.” Prodanova, 993 F.3d at 1106 (quoting Kearns v. Ford Motor Co., 9 567 F.3d 1120, 1124 (9th Cir. 2009)). While Rule 9(b) allows intent and “other conditions 10 of a person’s mind” to be averred generally, “[t]he PSLRA significantly altered pleading 11 requirements in private securities fraud litigation by requiring that a complaint ‘plead with 12 particularity both falsity and scienter.’” Gompper v. VISX, Inc., 298 F.3d 893, 895 (9th 13 Cir. 2002) (quoting Ronconi v. Larkin, 253 F.3d 423, 429 (9th Cir. 2001)). “PSLRA’s 14 heightened pleading requirements are meaningful ones, requiring courts carefully to 15 evaluate securities fraud complaints to ensure compliance with the statute’s elevated 16 pleading standards.” Nguyen v. Endologix, Inc., 962 F.3d 405, 413 (9th Cir. 2020). 17 II. Analysis 18 “To plead a claim under § 10(b) and Rule 10b-5, a plaintiff must allege ‘(1) a 19 material misrepresentation or omission; (2) scienter; (3) a connection between the 20 misrepresentation or omission and the purchase or sale of a security; (4) reliance; 21 (5) economic loss; and (6) loss causation.’” Endologix, 962 F.3d at 413 (quoting Or. Pub. 22 Emps. Ret. Fund v. Apollo Grp. Inc., 774 F.3d 598, 603 (9th Cir. 2014)). Defendants 23 contend that Plaintiff has failed to allege the first two elements with sufficient particularity 24 to satisfy the PSLRA’s pleading standards. The Court addresses each in turn. 25 A. 26 Falsity is any “untrue statement of a material fact.” 15 U.S.C. § 78u–4(b)(1). It also 27 occurs when a defendant “omitted to state a material fact necessary in order to make the 28 statements made, in light of the circumstances in which they were made, not misleading.” Whether The SAC Sufficiently Pleads Falsity 7 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.854 Page 8 of 17 1 Id. To plead falsity under the PSLRA, a complaint must “specify each statement alleged to 2 have been misleading, the reason or reasons why the statement is misleading and, if an 3 allegation regarding the statement or omission is made on information and belief . . . state 4 with particularity all facts on which that belief is formed.” Id. A complaint must allege both 5 that the statement or omission is misleading and that it is material. In re Alphabet, 1 F.4th 6 at 699. Courts apply the “objective standard of a ‘reasonable investor’ to determine whether 7 a statement is misleading.” Id. (citing In re VeriFone Sec. Litig., 11 F.3d 865, 869 (9th Cir. 8 1993)). Section 10(b) and Rule 10b-5 “do not create an affirmative duty to disclose any 9 and all material information” and instead require disclosure “only when necessary ‘to make 10 . . . statements made, in light of the circumstances under which they were made, not 11 misleading.’” Matrixx Initiatives, Inc. v. Siracusano, 563 U.S. 27, 44 (2011) (quoting 17 12 C.F.R. § 240.10b-5(b)). To be misleading, a statement or omission “must affirmatively 13 create an impression of a state of affairs that differs in a material way from the one that 14 actually exists.” Brody v. Transitional Hosps. Corp., 280 F.3d 997, 1006 (9th Cir. 2002) 15 (citing McCormick v. The Fund American Cos., 26 F.3d 869, 880 (9th Cir. 1994)) 16 “The materiality of the misrepresentation or an omission depends upon whether 17 there is ‘a substantial likelihood that [it] would have been viewed by the reasonable 18 investor as having significantly altered the “total mix” of information made available’ for 19 the purpose of decisionmaking by stockholders concerning their investments.” Retail 20 Wholesale & Dep’t Store Union Loc. 338 Ret. Fund v. Hewlett-Packard Co., 845 F.3d 21 1268, 1274 (9th Cir. 2017) (quoting Basic Inc. v. Levinson, 485 U.S. 224, 231–32 (1988)). 22 The inquiry into materiality is “fact-specific,” Matrixx Initiatives, 563 U.S. at 43 (quoting 23 Basic, 485 U.S. at 236), and “requires delicate assessments of the inferences a ‘reasonable 24 shareholder’ would draw from a given set of facts and the significance of those inferences 25 to him,” Fecht v. Price Co., 70 F.3d 1078, 1080 (9th Cir. 1995) (quoting TSC Indus., Inc. 26 v. Northway, Inc., 426 U.S. 438, 450 (1976)). “[T]hese assessments are peculiarly ones for 27 the trier of fact.” Id. (quoting TSC Indus., 426 U.S. at 450). As a result, resolving whether 28 a statement or omission is misleading or material as a matter of law is generally appropriate 8 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.855 Page 9 of 17 1 “only if the adequacy of the disclosure or the materiality of the statement is ‘so obvious 2 that reasonable minds [could] not differ.’” Id. at 1081 (quoting Durning v. First Bos. Corp., 3 815 F.2d 1265, 1268 (9th Cir. 1987)); see In re Alphabet, 1 F.4th at 700. 4 Plaintiff alleges the failure to disclose that elevated rates of neutropenia in 5 CONTESSA led to unexpectedly high rates of patient withdrawal from the trial, resulting 6 in an emergency change to the trial protocol and presentations to all CONTESSA trial sites, 7 was a material omission rendering many of Defendants’ statements during the Class Period 8 false and misleading. (SAC ¶¶ 40–55.) Plaintiff contends that Defendants never disclosed 9 the August 2018 emergency program to prevent patients from experiencing neutropenia 10 and to reduce the rate of patient discontinuation. (Doc. No. 30 at 20.) Plaintiff identifies 11 over forty public press releases, reports, filings, presentations, and other announcements 12 by Defendants in which they allegedly made misstatements and omissions during the Class 13 Period. (SAC ¶¶ 57–138.) The Court need not address all of the statements pled in the SAC, 14 as it concludes Plaintiff has sufficiently pled actionable statements by Defendants to 15 survive a motion to dismiss. 16 Plaintiff alleges that Defendants stated that they were expecting “to complete 17 enrollment of CONTESSA in the second half of 2019” and “announced the completion of 18 enrollment in CONTESSA” in October 2019. (Id. ¶¶ 81, 86, 91–92, 97–98, 99–100, 101– 19 02, 103–04, 105–06, 107, 108–13, 114–15, 116–17.) Plaintiff argues these statements were 20 materially false and misleading because Defendants did not disclose that 10% of their trial 21 sites allegedly had dropped out in the first few months of CONTESSA, which affected 22 enrollment and necessitated finding and initiating replacement trial sites. (Id. ¶ 47.) 23 Plaintiff also alleges that Defendants continued to make statements about the hypothesis 24 behind CONTESSA: tesetaxel’s potential to “provide significant quality-of-life advantages 25 over other chemotherapy options,” to “lengthen PFS while being well-tolerated compared 26 to other options,” to be “generally well-tolerated” by patients, to have a “favorable benefit- 27 risk profile,” and to offer “several potential therapeutic advantages over currently available 28 taxanes.” (Id. ¶¶ 81–86, 87–88, 93–94, 95–96, 108–13.) Plaintiff alleges Defendants also 9 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.856 Page 10 of 17 1 continued to cite to an independent researcher’s quote in describing the rationale for the 2 CONTESSA study: “the trend toward improved efficacy with lower doses of capecitabine 3 may result from the significantly lower proportion of patients discontinuing study therapy 4 prematurely because of toxicity.” (Id. ¶¶ 82–86, 108–13.) These statements were made in 5 numerous forums after the alleged August 2018 emergency protocol change due to higher- 6 than-expected rates of neutropenia and subsequent patient withdrawals in CONTESSA, 7 including in the press releases and presentations leading up to Odonate’s June 2019 public 8 offering. (Id. ¶¶ 93–94, 95–96.) Plaintiff argues these statements were materially false and 9 misleading in light of Odonate’s value proposition to investors: that tesetaxel could be an 10 effective, safe, and well-tolerated therapy option in comparison to existing treatment 11 options. (Id. ¶¶ 36, 59.) Plaintiff alleges that after learning that patients were experiencing 12 elevated levels of neutropenia and other AEs – which resulted in their voluntary or doctor- 13 mandated withdrawals from the trial – and implementing an emergency protocol to manage 14 and limit those outcomes, Defendants failed to disclose these events, continued to make 15 positive statements about tesetaxel’s potential, and initiated a public offering in June 2019 16 that raised net proceeds of $135.1 million. (Id. ¶¶ 38, 87–88, 97–98.) Plaintiff alleges 17 Defendants’ statements created an impression that CONTESSA was proceeding as 18 expected, with no significant setbacks – especially none that would potentially undermine 19 the central rationale behind the trial – while the undisclosed reality was materially different. 20 (Doc. No. 30 at 16 (citing Brody, 280 F.3d at 1006).) 21 Additionally, Plaintiff alleges Defendants made numerous material and misleading 22 statements and omissions in their announcement and subsequent public discussion of the 23 CONTESSA top-line results in late 2020. In several forums, including in the filings and 24 statements related to Odonate’s September 2020 public offering, Defendants allegedly 25 characterized CONTESSA’s top-line results as “positive,” and stated that “[t]esetaxel plus 26 capecitabine was associated with what we believe are manageable side effects.” (SAC 27 ¶¶ 118–19, 120–21, 122–23, 124–25, 126–28, 129–30.) Defendants also allegedly spoke 28 at length about the rates of neutropenia and patient treatment discontinuation in 10 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.857 Page 11 of 17 1 CONTESSA during a December 2020 investor and analyst presentation, stating that “the 2 treatment discontinuation rate due to neutropenia was low,” and “[neutropenia] was 3 generally manageable.” (Id. ¶¶ 129–30.) Plaintiff argues these statements were materially 4 false and misleading because Defendants failed to disclose that the reported AEs, like 5 neutropenia, were managed by implementing an emergency revised trial protocol and 6 training presentation at all of the CONTESSA trial sites. (Doc. No. 30 at 19.) Plaintiff 7 alleges that reasonable investors would have considered the omitted information regarding 8 the August 2018 emergency program to have materially altered the total mix of information 9 available to them. (Id. at 20 (citing Berson v. Applied Signal Tech., Inc., 527 F.3d 982, 987 10 (9th Cir. 2008)).) 11 The SAC’s allegations are sufficient to state a claim under Section 10(b) and Rule 12 10b-5. Plaintiff has identified several allegedly material misstatements and omissions and 13 alleged the reasons why a reasonable investor would consider these statements and 14 omissions to be misleading with particularity. See 15 U.S.C. § 78u–4(b)(1). It is plausible 15 that a reasonable investor would have considered the omitted information regarding the 16 alleged August 2018 emergency program to be material, given that the unexpectedly high 17 rates of neutropenia and patient withdrawals were at odds with the value proposition and 18 hypothesis of CONTESSA. See Matrixx, 563 U.S. at 44. Defendants allegedly did not 19 disclose the adjustment to the trial protocol at any point during CONTESSA, nor during 20 the reporting and discussion of CONTESSA’s top-line results; it is plausible that a 21 reasonable investor would find the omission misleading. See Basic, 485 U.S. at 231–32. 22 The Court cannot determine at this time – as a matter of law – that the omitted information 23 did not make the statements made by Defendants during the Class Period misleading to a 24 reasonable investor. See In re Rigel Pharms., Inc. Sec. Litig., 697 F.3d 869, 880 n.8 (9th 25 Cir. 2012). 26 Defendants argue that there is no affirmative duty to disclose information under 27 securities laws, and contend In re Rigel Pharmaceuticals, Inc. Securities Litigation is 28 controlling. (Doc. No. 25-1 at 13.) Securities laws “do not create an affirmative duty to 11 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.858 Page 12 of 17 1 disclose any and all material information,” rather, “companies can control what they have 2 to disclose under these provisions by controlling what they say to the market.” Matrixx, 3 563 U.S. at 44–45. But once Defendants chose to speak on certain topics, such as about the 4 completion of enrollment in CONTESSA or the top-line results from CONTESSA, “they 5 were bound to do so in a manner that wouldn’t mislead investors.” Schueneman v. Arena 6 Pharms., Inc., 840 F.3d 698, 707 (9th Cir. 2016) (quoting Berson, 527 F.3d at 987). The 7 Court disagrees that Rigel is factually analogous at this stage of litigation. The plaintiff in 8 Rigel alleged that Defendants’ initial disclosure of results was incomplete, and that later- 9 reported information should have been included in the initial reporting. 697 F.3d at 881. 10 The Ninth Circuit concluded that “the subsequent release of more extensive 11 information . . . was not inconsistent with the results that originally were reported,” id., and 12 that “the omitted information did not contradict, or render misleading, the original reports 13 of the top-line results.” Id. at 881 n.10. Here, Plaintiff alleges that Defendants never 14 disclosed the August 2018 emergency change in protocol resulting from elevated rates of 15 neutropenia and patient withdrawals, but rather continued to make public statements 16 regarding CONTESSA’s enrollment, value proposition, and top-line results. Plaintiff has 17 sufficiently alleged that the omitted information about the August 2018 program may have 18 rendered Defendants’ public statements misleading. 19 Defendants also contend that each of the statements alleged in the SAC are either 20 true or an opinion and therefore are not actionable. (Doc. No. 25-1 at 2.) But “a statement 21 that is literally true can be misleading and thus actionable under the securities laws.” Brody, 22 280 F.3d at 1006. Thus, while Defendants’ statements that they were completing 23 enrollment in CONTESSA in late 2019 may have been true, it is plausible that a reasonable 24 investor would consider the omission that enrollment had been affected by 10% of sites 25 withdrawing from the trial to be material and misleading. “For an opinion to be misleading 26 by omission, (1) the “statement must omit material facts about the defendant’s inquiry into 27 or knowledge concerning a statement of opinion,” and (2) “those facts must conflict with 28 what a reasonable investor would take from the statement itself.” In re Atossa Genetics Inc 12 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.859 Page 13 of 17 1 Sec. Litig., 868 F.3d 784, 802 (9th Cir. 2017) (citing City of Dearborn Heights Act 345 2 Police & Fire Ret. Sys. v. Align Tech., Inc., 856 F.3d 605, 615 (9th Cir. 2017)). Defendants 3 argue that because they disclosed the exact percentages of CONTESSA patients that 4 experienced side effects in their top-line results, their opinion that the side effects were 5 “manageable” is not actionable. (Doc. Nos. 25-1 at 18; 32 at 6–7.) But Plaintiff has alleged 6 that Defendants never disclosed the August 2018 emergency change in protocol that was 7 specifically implemented to manage side effects and patient withdrawals. (Doc. No. 30 at 8 20.) Plaintiff has sufficiently alleged that Defendants’ “omission makes the opinion 9 statement at issue misleading to a reasonable person reading the statement fairly and in 10 context.” City of Dearborn Heights, 856 F.3d at 615–16 (quoting Omnicare, Inc. v. 11 Laborers Dist. Council Const. Indus. Pension Fund, 575 U.S. 175, 194 (2015)). 12 In sum, Plaintiff has sufficiently pled that Defendants made public statements and 13 omissions during the Class Period that reasonable jurors could find to be material and 14 misleading. See In re Alphabet, 1 F.4th at 699. Given the fact-intensive nature of these 15 inquiries, Defendants’ arguments regarding the falsity of the alleged statements are better 16 suited to a motion for summary judgment or opposition to class certification when the 17 record is more fully developed. See Fecht, 70 F.3d at 1080–81. 18 B. 19 To adequately plead scienter under the PSLRA, the complaint must “state with 20 particularity facts giving rise to a strong inference that the defendant acted with the required 21 state of mind.” 15 U.S.C. § 78u–4(b)(2). To allege the requisite scienter, a complaint must 22 “allege that the defendants made false or misleading statements either intentionally or with 23 deliberate recklessness.” Endologix, 962 F.3d at 414 (quoting Zucco Partners, 552 F.3d at 24 991). “[D]eliberate recklessness” is more than “mere recklessness or a motive to commit 25 fraud.” Schueneman, 840 F.3d at 705 (quoting Zucco Partners, 552 F.3d at 991). It exists 26 when a statement represents “an extreme departure from the standards of ordinary care,” 27 which “presents a danger of misleading buyers or sellers that is either known to the 28 defendant or is so obvious that the actor must have been aware of it.” Id. (quoting Zucco Whether The SAC Sufficiently Pleads Scienter 13 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.860 Page 14 of 17 1 Partners, 552 F.3d at 991). Plaintiffs alleging deliberate recklessness need not prove that a 2 defendant “actually knew” their statements were false or misleading, just that they 3 “recklessly turn[ed] a blind eye” to the falsity. In re VeriFone Holdings, Inc. Secs. Litig., 4 704 F.3d 694, 708 (9th Cir. 2012). When “determining whether the pleaded facts give rise 5 to a ‘strong’ inference of scienter, the court must take into account plausible opposing 6 inferences.” Zucco Partners, 552 F.3d at 991 (quoting Tellabs, 551 U.S. at 323). A strong 7 inference of scienter exists “only if a reasonable person would deem the inference of 8 scienter cogent and at least as compelling as any opposing inference one could draw from 9 the facts alleged.” Tellabs, 551 U.S. at 324. The inference “need not be irrefutable, i.e., of 10 the ‘smoking-gun’ genre, or even the ‘most plausible of competing inferences.’” Id. For a 11 motion to dismiss, “if two possible inferences—one fraudulent and the other 12 nonfraudulent—are equally compelling, a plaintiff has demonstrated a strong inference of 13 scienter.” ESG Cap. Partners, LP v. Stratos, 828 F.3d 1023, 1033 (9th Cir. 2016). 14 As an initial matter, Defendants contend that the Court should disregard Plaintiff’s 15 allegations relying on the statements of five confidential witnesses. (Doc. No. 25-1 at 19– 16 21.) “[A] complaint relying on statements from confidential witnesses must pass two 17 hurdles to satisfy the PSLRA pleading requirements.” Zucco Partners, 552 F.3d at 995. 18 “First, the confidential witnesses whose statements are introduced to establish scienter 19 must be described with sufficient particularity to establish their reliability and personal 20 knowledge.” Id. “Second, those statements which are reported by confidential witnesses 21 with sufficient reliability and personal knowledge must themselves be indicative of 22 scienter.” Id. In assessing allegations based on confidential witness statements, courts look 23 to “the level of detail provided by the confidential sources, the corroborative nature of the 24 other facts alleged (including from other sources), the coherence and plausibility of the 25 allegations, the number of sources, the reliability of the sources, and similar indicia.” Id. 26 (quoting In re Daou Sys., Inc., 411 F.3d 1006, 1015 (9th Cir. 2005)). The SAC identifies 27 the job title, tenure, supervisors, and responsibilities for each of the five confidential 28 witnesses. (SAC ¶¶ 24–29.) The confidential witnesses are described with sufficient 14 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.861 Page 15 of 17 1 particularity to support the probability that someone in a position occupied by the sources 2 would possess the information alleged, see Daou, 411 F.3d at 1015, their statements are 3 cross-corroborating, and they were employed at Odonate during relevant time periods. 4 Defendants’ arguments as to why the accounts of the confidential witnesses should be 5 disregarded are unpersuasive. The Court concludes the allegations regarding the five 6 confidential witnesses are sufficient to satisfy the PSLRA pleading requirements and will 7 credit them in its analysis of Defendants’ scienter. 8 Plaintiff alleges that Defendants knew that their public misrepresentations and 9 omissions would mislead investors, and/or were deliberately reckless as to the danger of 10 misleading investors. (SAC ¶¶ 174–81.) Defendants allegedly were informed of the 11 elevated rates of neutropenia and patient withdrawals as early as May 2018, and as late as 12 August 2018. (Id. ¶¶ 176–77.) Plaintiff alleges Defendants held an urgent teleconference 13 in August 2018 regarding the AEs in the CONTESSA trial, and initiated an emergency 14 program to decrease the number of patient discontinuations due to neutropenia. (Id.) 15 Members of Odonate’s leadership allegedly gave the directive to initiate the emergency 16 protocol change, received the presentation that was given to all of the CONTESSA trial 17 sites, and received regular updates on AEs, including expedited reports if patients were 18 hospitalized for neutropenia. (Id. ¶¶ 43–44, 46, 49–40, 176–79.) Plaintiff alleges that 19 Defendants held a secondary public offering in June 2019 – after the emergency change in 20 protocol and presentations to all of the CONTESSA trial sites – in which they raised gross 21 proceeds of $142 million and net proceeds of $135.1 million. (Id. ¶ 188.) After the top-line 22 results from CONTESSA were released – allegedly without mention of the change in 23 protocol – Defendants held an additional public offering in September 2020, in which they 24 raised gross proceeds of $92 million and net proceeds of $87.4 million. (Id.) 25 These allegations are sufficient to plead a strong inference that Defendants made 26 materially misleading statements intentionally or with deliberate recklessness. It is 27 plausible that the omitted information presented a danger of misleading buyers or sellers 28 that was either known to Defendants or was so obvious that they must have been aware of 15 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.862 Page 16 of 17 1 it. See Schueneman, 840 F.3d at 705. Plaintiff has adequately pled “a narrative of fraud— 2 facts which, if true, substantiate an explanation at least as plausible as a nonfraudulent 3 alternative.” ESG Capital Partners, 828 F.3d at 1035. Defendants contend that a more 4 compelling opposing inference is that by initiating the change in study protocol, Odonate 5 was working to protect the health of patients in CONTESSA by ensuring study sites could 6 respond effectively to observe neutropenia. (Doc. No. 25-1 at 22). The Court does not 7 consider this to be an opposing inference to Plaintiff’s alleged theory of fraud. See Zucco 8 Partners, 552 F.3d at 991. It is plausible that Defendants were ensuring the health of their 9 CONTESSA trial patients while simultaneously misleading their investors by failing to 10 disclose that material information. As Plaintiff notes, that the CONTESSA trial patients 11 experienced elevated rates of neutropenia is not the sole basis for his allegations of scienter; 12 rather, it is that Defendants allegedly significantly altered the CONTESSA trial protocol to 13 address the neutropenia and patient withdrawals, without ever disclosing that fact to 14 investors. (Doc. No. 30 at 26.) In sum, after considering all of these allegations, the Court 15 concludes that Plaintiff has met his burden in creating a “cogent inference” that Defendants 16 acted at least deliberately recklessly. See Tellabs, Inc., 551 U.S. at 314. Accordingly, it 17 denies Defendants’ motion to dismiss Plaintiff’s Section 10(b) claim.3 18 C. 19 Finally, Defendants contend that Plaintiff’s SAC fails to meet federal pleading 20 standards. (Doc. No. 25-1 at 9–12.) The Court disagrees. Defendants’ arguments are better 21 suited to a motion for summary judgment or opposition to class certification when the 22 record is more fully developed. Whether The SAC Satisfies Federal Pleading Requirements 23 24 25 26 27 28 3 Defendants also seek to dismiss Plaintiff’s Section 20(a) claim on the sole ground that Plaintiff failed to plead a primary violation of Section 10(b). (Doc. No. 25-1 at 25.) Because the Court concludes Plaintiff has sufficiently pled a violation of Section 10(b), the Court denies Defendants’ motion to dismiss Plaintiff’s Section 20(a) claim. See In re Vical Inc. Sec. Litig., No. 13-CV-2628 BAS RBB, 2015 WL 1013827, at *6 (S.D. Cal. Mar. 9, 2015) (“In order to succeed on a section 20(a) claim, a plaintiff must properly plead an underlying section 10(b) violation.”). 16 3:20-cv-01828-H-LL Case 3:20-cv-01828-H-LL Document 36 Filed 08/04/21 PageID.863 Page 17 of 17 1 Conclusion 2 For the reasons above, the Court denies Defendants’ motion to dismiss Plaintiff’s 3 SAC in its entirety. Defendants must file an answer to the SAC within thirty (30) days of 4 the date of this Order. 5 6 7 8 IT IS SO ORDERED. DATED: August 4, 2021 MARILYN L. HUFF, District Judge UNITED STATES DISTRICT COURT 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 17 3:20-cv-01828-H-LL

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