A scheduling order from the judge overseeing the federal multi-district litigation process indicated that the first of 3,700 cases in the MDL were scheduled to face juries in September 2011. Plaintiffs' lawyers say there are another 485 cases scattered through the state court system. Of the 24 bellwether cases, 12 will be gallbladder claims.
Until recently, it was believed that the cases mostly alleged that Yaz and similar Bayer pills (Yasmin, Beyaz, Natazia, Angeliq and Teva's Ocella generic) caused excessive blood clots in women, triggering pulmonary embolisms, strokes, and heart attacks, some of them fatal. But federal judge David Herndon noted that gallbladder injuries made up a significant portion of the claims. It is not clear how birth control pills might cause gallbladder disease. Historically, pills have been associated with blood clots and embolisms because the estrogen-progestin combination in them triggers clotting. Gallbladder problems are not commonly associated with blood clotting, however.
Gallbladder problems are usually associated with the five F's: Female, fat, fertile, forty, and fair. Younger women and teenagers are the main users of birth control, which should make excess risk of gallbladder problems in hormonal contraceptive users easy to demonstrate, statistically. Here's the judge's breakdown of allegations:
- Gallbladder injuries: 43 percent
- Venus thromboembolisms, (including pulmonary embolisms and deep vein thromboses): 40-41 percent.
- Strokes and heart attacks: 9-10 percent
With Yaz now facing generic competition, sales of the drug slipped 15 percent in Q2 2010 to â‚¬289, although it's still Bayer's second-biggest brand. Bayer has responded by rushing yet more new birth control pills to the market, including Natazia and Angeliq -- which contain similar estrogen-progestin combinations -- and Beyaz, which is Yaz plus folic acid.