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AstraZeneca to Seroquel Patient: You Have Diabetes Because You're Black

By Jim Edwards | May 28, 2009

AstraZeneca won a summary judgment in a case involving Seroquel, its antispsychotic, after arguing that the plaintiff may have had diabetes in part because she was black. Plaintiffs in more than 10,000 cases allege that AZ failed to warn them that the drug causes weight gain and diabetes. This is the third ruling AZ has won; none of the cases have gone to trial.

In a Delaware state court, plaintiff Nina Scaife’s case was dismissed after Judge Joseph Slights III excluded testimony from her expert witness, who was to have asserted that Seroquel caused Scaife’s diabetes.

In arguments prior to that ruling, AZ argued that Scaife’s race was part of the cause of her diabetes. The company also noted she was obese and had a diet consisting entirely of fast food. AZ opened its motion with this statement:

Plaintiff Nina Scaife is a REDACTED African-American woman … She testified that, until recently, her diet consisted of slurpies and donuts, fish and fries from McDonald’s and Burger King and “[a] lot of Chinese food.”

(The motion, obtained from an AZ spokesperson, is redacted to protect patient confidentiality. You can download it here.) AZ argued in three other places in its motion that Scaife’s race, not Seroquel, was a contributing factor to her health issues:

In addition REDACTED, Ms. Scaife had many other generally recognized risk factors for diabetes, including her African-American ethnicity …

Plaintiff has long had “a combination of many factors that are risk factors for diabetes,” including REDACTED, African-American ethnicity …

Dr. Peck made no attempt to exclude … ethnicity as more likely causes of her alleged diabetes.

Of course, it is well accepted that diabetes is more prevalent in black Americans. Blacks are 1.6 times more likely to have diabetes than whites, according to the American Diabetes Association.

It is unusual, however, to see a drug company arguing so overtly that a person’s race is a contributing cause of their health problems. The race angle was not the entirety of AZ’s argument — the rest of the motion argued that Scaife had never actually been diagnosed with diabetes, that she had many other risk factors for the disease including pre-existing obesity, and that doctors had failed to link her diabetes to her Seroquel dose.

Jim Edwards, a former managing editor of Adweek, has covered drug marketing at Brandweek for four years, and is a former Knight-Bagehot fellow at Columbia University's business and journalism schools. Follow him on Twitter or send him an email.

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  •  
    1

    Manabozho

    05/29/09 | Report as spam

    RE: AstraZeneca to Seroquel Patient: You Have Diabetes Because You're Black

    It's hard to think of a more inflammatory way to report this
    decision than to paraphrase it, put it into the mouth of a
    non-existent hypothetical spokesperson for A-Z, and say, as
    this headline does, "You have diabetes because you're
    black."

    How about "Plaintiff's diabetes has multiple origins, not
    caused by Seroquel?" It's even one word shorter than the
    headline you posted.

    I am a Type 1 diabetic. It is mundane science, established
    decades ago, that diabetes has a huge genetic component. I
    can say with high certainty, and without chagrin, "I'm
    diabetic in large part because my father was diabetic."

    Maybe Eric Holder, Obama's new Attorney General, was
    right. Maybe we are cowards when it comes to frank
    discussion about race. This headline certainly seems
    calculated to imply that race should not have been brought
    up in this case.

  •  
    2

    digiteye

    05/29/09 | Report as spam

    RE: AstraZeneca to Seroquel Patient: You Have Diabetes Because You're Black

    Hey, we are witnessing the birth of the 1st racist drug! Such thing was unprecedented before.
    If AZ argues on race in the case as the cause of her diabetes, the next logical step would be to add to their Seroquel label: "Warning: Seroquel is designed for whites only and not for blacks as they are more likely to get diabetes."

    Simply because they already added the increased risk of diabetes with Seroquel. So if they think there is a race which will more likely to develop diabetes without Seroquel, with Seroquel their risk will dramatically increase. It is not rocket science.

    Conclusion: patients should know about it and if they are black, they have to be warned.
    Otherwise the argument in the court makes no sense.

    AZ is good in discrimination anyways, they have recently removed a page from their international website, which was seeking graduates from the "ten best business schools worldwide" and offering these folks a fast track career within 3-5 years in top positions in a job rotation system, then eventually ending up in Country President or other high positions.
    Someone might have realized the tricky nature of this call, so the page has been removed without trace a few weeks later.

    Now at AZ the 1st racist drug was born. Nice. What next?

  •  
    3

    BNET's Jim Edwards

    05/29/09 | Report as spam

    RE: AstraZeneca to Seroquel Patient: You Have Diabetes Because You're Black

    @Manabozho: The headline is indeed sensational but I disagree that it's inflammatory. The very first words of AZ's brief mention Scaife's race, and the rest of the argument refers to it repeatedly as a causal factor.

    I made it clear (admittedly in the last paragraph) that this is not the entirety of AZ's argument, and I linked to the full brief for anyone to read themselves.

    It's not my job to make AZ's arguments for them, only to point out the interesting bits.

  •  
    4

    Manabozho

    05/29/09 | Report as spam

    RE: AstraZeneca to Seroquel Patient: You Have Diabetes Because You're Black

    I recognize it's harder to parse the righteous parts of a legal
    argument when it benefits an unsympathetic defendant--which
    A-Z really seems to be. Thanks for the clarification.

    In an era when medicine aspires to genotype tailoring, we're
    going to twist ourselves into pretzels if we try to discuss all
    this and somehow avoid ever, ever mentioning the effect of
    genotype on phenotype--ie, how does someone look?

  •  
    5

    walmartvitamins

    05/31/09 | Report as spam

    we need to take control of our calorie intake

    diabetes is in every race black, white hispanic........www.1wallmart.com

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