Drug Discovery and Development

  • Home Drug Discovery and Development
  • Drug Discovery
  • Women in Pharma and Biotech
  • Oncology
  • Neurological Disease
  • Infectious Disease
  • Resources
    • Video features
    • Podcast
    • Webinars
  • Pharma 50
    • 2025 Pharma 50
    • 2024 Pharma 50
    • 2023 Pharma 50
    • 2022 Pharma 50
    • 2021 Pharma 50
  • Advertise
  • SUBSCRIBE

High-profile drugs under the legal spotlight in 2023

By Brian Buntz | September 20, 2023

A first aid kit in a red box is on the table in the kitchen. Kit

[Adobe Stock]

In the wake of the COVID-19 pandemic, the U.S. has witnessed a surge in litigation. One factor driving the uptick in the pharmaceutical sector is the rise of copycat litigation. As mass tort activity amplifies, plaintiff lawyers are treating previously filed lawsuits as templates for new claims. Examples of the trend include steadily increasing nitrosamines litigation and allegations of laminal duct obstruction against the chemotherapeutic agent Taxotere (docetaxel), as Greenberg Traurig has noted. Additionally, plaintiff-affiliated labs are intensifying their efforts to test various products for potentially harmful chemicals.

Amidst this backdrop, the heartburn medication Zantac (ranitidine) has found itself at the center of a litigation storm. Data from X-Ante, a litigation analysis firm, reveals the drug is the most frequent drug target of mass tort TV advertising in 2023 based on estimated ad spending. Pain relievers, ranging from over-the-counter (OTC) options like acetaminophen to opioids, were also common lawsuit targets.

Here’s a breakdown of the top pharmaceutical drug targets based on estimated ad spending from January to August in 2023:

Zantac leads the charge: $3.2M spent on mass tort TV advertising

In 1983, ranitidine, more commonly known as Zantac, scored its first FDA approval. While the drug would eventually become one of the world’s best sellers, the discovery of high levels of N-nitrosodimethylamine (NDMA), a carcinogenic industrial by-product, in some Ranitidine products led the FDA to request the removal of all ranitidine products in 2020. Before that announcement, several prominent pharmacies announced they would remove the drugs from their shelves.

Ranitidine has since become a lawsuit magnet. From January to August 2023 alone, law firms across the U.S. spent $3.2 million on mass tort TV advertising targeting ranitidine. Despite the intense scrutiny, recent studies, including one recently published in JAMA Network Open, suggest that history of ranitidine use is not linked to an elevated cancer risk compared with use of other H2 receptor antagonists. The study, however, calls for further research on the subject.

In December 2022, a judge dismissed thousands of ranitidine lawsuits citing insufficient evidence. Plaintiffs plan to appeal.

Opioids: $3.1M

Opioids, the class of potent pain relievers that includes medications such as oxycodone and morphine, are a frequent cause of preventable deaths, as CDC has noted. The drug class continues to attract a variety of litigation types, including federal multidistrict litigations, state court cases, individual suits, allegations of deceptive marketing practices and insurance coverage disputes. In 2022, FDA allowed OTC use of the opioid overdose drug naloxone.

Acetaminophen/Tylenol: $1.2M

Following a 2019 revelation by the NIH about a potential connection between prenatal acetaminophen exposure and elevated rates of autism and ADHD, legal scrutiny has intensified around the popular pain reliever.  In late 2022, attorneys launched a new mass tort litigation alleging that major retailers, including Costco and Walmart, did not sufficiently warn consumers of the alleged link between the use of acetaminophen during pregnancy and conditions such as autism and ADHD in children. Consolidated in a Manhattan federal court, the Judicial Panel on Multidistrict Litigation combined 18 lawsuits and added another 48, all focused on similar claims.

Weight Loss Drugs (Ozempic, Wegovy): $871K

The popular weight loss and diabetes drugs Ozempic and Wegovy face lawsuits alleging that manufacturers did not adequately communicate the potential risks and adverse effects associated with the medications. Such claims of adverse events include severe injuries and gastrointestinal problems such as gastroparesis, a gastrointestinal motility disorder.

Tepezza: $690K

Horizon Therapeutics’ medication Tepezza (teprotumumab-trbw) is facing significant legal challenges from patients claiming permanent hearing loss or tinnitus. As of August 2023, there were 46 Tepezza cases pending in multidistrict litigation (MDL). A small 2021 study published by the Endocrine Society suggested that up to 65% of Tepezza users could face hearing problems, a statistic that is sharply higher than the 10% reported in initial clinical trials. Horizon updated Tepezza’s label in July 2023 to include a warning about potential severe hearing problems.

Other notable drugs targeted in mass tort TV advertising from January to August 2023:

  • Excedrin: $518K
  • Nyquil: $518K
  • Gardasil: $517K
  • Gilead HIV TDF medications (e.g. Truvada, Viread, Atripla): $517K
  • Dayquil: $436K

Note: The ad spending on Excedrin, Nyquil, and Dayquil are included in the acetaminophen/Tylenol advertising as additional drugs mentioned in those ads.


Filed Under: Regulatory affairs
Tagged With: acetaminophen, litigation, mass tort, opioids, Tepezza, weight loss drugs, Zantac
 

About The Author

Brian Buntz

As the pharma and biotech editor at WTWH Media, Brian has almost two decades of experience in B2B media, with a focus on healthcare and technology. While he has long maintained a keen interest in AI, more recently Brian has made making data analysis a central focus, and is exploring tools ranging from NLP and clustering to predictive analytics.

Throughout his 18-year tenure, Brian has covered an array of life science topics, including clinical trials, medical devices, and drug discovery and development. Prior to WTWH, he held the title of content director at Informa, where he focused on topics such as connected devices, cybersecurity, AI and Industry 4.0. A dedicated decade at UBM saw Brian providing in-depth coverage of the medical device sector. Engage with Brian on LinkedIn or drop him an email at bbuntz@wtwhmedia.com.

Related Articles Read More >

Trump slams ‘global free ride’ on drug pricing in executive order, orders match to lowest global prices
FDA’s genAI push could save CDER hundreds of thousands of review hours annually
White House
Trump’s drug‑pricing order could extend small‑molecule runway 4 years
Washington DC, USA - July 3, 2017: Sign for Department of Health and Human Services in downtown
What RFK Jr.’s plans to cut 20,000 HHS job could mean for the pharma sector
“ddd
EXPAND YOUR KNOWLEDGE AND STAY CONNECTED
Get the latest news and trends happening now in the drug discovery and development industry.

MEDTECH 100 INDEX

Medtech 100 logo
Market Summary > Current Price
The MedTech 100 is a financial index calculated using the BIG100 companies covered in Medical Design and Outsourcing.
Drug Discovery and Development
  • MassDevice
  • DeviceTalks
  • Medtech100 Index
  • Medical Design Sourcing
  • Medical Design & Outsourcing
  • Medical Tubing + Extrusion
  • Subscribe to our E-Newsletter
  • Contact Us
  • About Us
  • R&D World
  • Drug Delivery Business News
  • Pharmaceutical Processing World

Copyright © 2025 WTWH Media LLC. All Rights Reserved. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of WTWH Media
Privacy Policy | Advertising | About Us

Search Drug Discovery & Development

  • Home Drug Discovery and Development
  • Drug Discovery
  • Women in Pharma and Biotech
  • Oncology
  • Neurological Disease
  • Infectious Disease
  • Resources
    • Video features
    • Podcast
    • Webinars
  • Pharma 50
    • 2025 Pharma 50
    • 2024 Pharma 50
    • 2023 Pharma 50
    • 2022 Pharma 50
    • 2021 Pharma 50
  • Advertise
  • SUBSCRIBE