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Endo Wins Trial Over Testosterone Replacement Drug


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Judge banging gavel

Jurors in Chicago federal court have decided Endo International’s Auxilium unit was not to blame for a heart attack suffered by a man who was using the testosterone replacement therapy drug Testim.

The jury verdict, handed up on Nov. 16, 2017, was the first involving Endo’s Testim and the first win for a drug maker in a testosterone replacement therapy trial.

Jurors in Chicago previously ordered another manufacturer, AbbVie Inc., to pay $150 million and $140 million to two different men who alleged the company and its product AndroGel were responsible for their heart problems.

The Endo trial and those involving AbbVie are designated as bellwether trials. Bellwether cases are considered representative of other lawsuits with similar allegations and are selected to go to trial first to give the parties an idea of how the legal issues will play out. This is intended to inform potential settlement negotiations.

FDA’s Role in Cardiac Warnings Disputed

The Nov. 16 verdict in favor of Endo involved a plaintiff named Steve Holtsclaw of Hampton, Tenn. According to his lawsuit, Holtsclaw used Testim from around Dec. 20, 2013, to about July 3, 2014, the day he suffered a heart attack.

Reuters reported that Holtsclaw was taking the drug to treat chronic fatigue. Holtsclaw maintained that the drug maker’s sales force pushed his doctor to prescribe Testim for off-label uses such as chronic fatigue.

Auxilium argued in court pleadings that it had requested changes to the Testim label regarding cardiovascular risks, but those changes were rejected by the U.S. Food and Drug Administration, before, during and after Holtsclaw was using Testim.  Auxilium also maintained that Testim didn’t cause Holtsclaw’s heart attack.

Holtsclaw’s attorneys argued that the FDA requested more research and didn’t prevent Auxilium from warning about the cardiovascular injury suffered by the plaintiff.

Ultimately, jurors sided with the drug maker, however, and did not award any damages to Holtsclaw.

AndroGel Maker Hit for $290 Million

Two previous trials over testosterone replacement therapy ended in multi-million-dollar verdicts in favor of men who suffered heart attacks; one case ended in a mistrial.

The men argued that AbbVie aggressively marketed AndroGel for a made-up medical condition called “Low T” (for low testosterone), which was really just the natural effects of aging. AndroGel was approved only for an uncommon condition called hypogonadism, which involves severely diminished or no testosterone.

Jurors ordered AbbVie to pay $150 million to Jess Mitchell, an Oregon man who started using AndroGel at the age of 43 in 2008. That jury held in July that AbbVie’s negligence didn’t cause Mitchell’s heart attack. Nonetheless, jurors ordered the company to pay punitive damages for false marketing or fraudulent misrepresentation.

Jeffrey Konrad of Tennessee was the beneficiary of a jury verdict in October ordering AbbVie to pay $140 million, including $140,000 in compensatory damages.

Testosterone Bellwether Trials Continue into 2018

Bellwether trials in the more than 6,000 remaining lawsuits over testosterone replacement therapy drugs are scheduled to continue into 2018.

All federal testosterone heart attack lawsuits are consolidated in multidistrict litigation being managed in Chicago.

Multidistrict litigation is a means for federal courts to manage large numbers of lawsuits involving small numbers of defendants and the same issues. All pre-trial decisions are made by the same judge, who also presides over bellwether trials.

Elaine Silvestrini
Written By Elaine Silvestrini Writer

Elaine Silvestrini is an award-winning journalist with 30 years of experience covering state and federal court systems. She joined Drugwatch in 2017. Her coverage for Drugwatch has been cited in the CDC’s Public Health Law News and the USA Today Network. Some of her qualifications include:

  • Centers for Disease Control and Prevention certificates in Health Literacy
  • Experience as an assistant investigator for the Federal Public Defender
  • Loyola Law School Journalist Law School Fellowship
Edited By
Emily Miller
Emily Miller Managing Editor

5 Cited Research Articles writers follow rigorous sourcing guidelines and cite only trustworthy sources of information, including peer-reviewed journals, court records, academic organizations, highly regarded nonprofit organizations, government reports and interviews with qualified experts. Review our editorial policy to learn more about our process for producing accurate, current and balanced content.

  1. Bellon, T., (2017, November 16). Endo unit cleared of liability in first testosterone replacement trial. Retrieved from:
  2. In Re: Testosterone Replacement Therapy Products Liability Litigation. (2017, September 11). Case No., 1:14cv1748. United States District Court Northern District of Illinois. Defendant’s Motion and Memorandum of Law in Support of Motion for Summary Judgment on the Ground that Plaintiff’s State Law Failure to Warn and Design Defect Claims are Preempted by Federal Law. Retrieved from:
  3. In Re: Testosterone Replacement Therapy Products Liability Litigation. (2017, October 2). Case No., 1:14cv1748. United States District Court Northern District of Illinois. Plaintiff’s Memorandum of Law in Opposition to Motion of Auxilium Defendants for Summary Judgment on the Ground that Plaintiffs’ State Law Failure-to-Warn and Design Defect Claims are Preempted by Federal Law. Retrieved from:
  4. In Re: Testosterone Replacement Therapy Products Liability Litigation. (2017, November 16). Case No., 1:14cv1748. United States District Court Northern District of Illinois. Notification of Docket Entry. Retrieved from:
  5. In Re: Testosterone Replacement Therapy Products Liability Litigation. (2015, May 5 11). Case No., 1:14cv1748. United States District Court Northern District of Illinois. Master Short-Form Complaint for Individual Claims. Retrieved from:
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