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GLP-1 receptor agonists (Ozempic / Wegovy / Mounjaro)

Novo Nordisk; Eli Lilly (inventory-dependent)

Last checked Aug 21, 2026 · LawyerUnc editorial. Educational only, not legal advice.

Docket. MDL 3094 (E.D. Pa.)

Window LawyerUnc is tracking. 2018-01-01 → open

General causation

Plaintiffs allege failure to warn of gastroparesis, intestinal obstruction, and related gastric injuries. The drugs’ labels have evolved. General causation and adequacy of warning are actively litigated; a prescription is not a case.

Specific causation / screening

Typical screens look for a qualifying gastric diagnosis (not ordinary nausea), duration of use, and absence of a more likely alternative cause (uncontrolled diabetes, prior gastric surgery). Ileus and bowel obstruction are screened separately from garden-variety GI side effects.

Injuries currently screened

Timeline

  1. 2017–2021

    Approvals and uptake

    Ozempic (2017), Wegovy (2021), Mounjaro (2022) drive a surge in off-label and on-label use.

  2. 2023

    Label and safety communications

    FDA and label updates address ileus and GI events. Plaintiff firms begin inventories.

  3. 2024

    JPML centralization

    MDL 3094 assigned to the Eastern District of Pennsylvania.

  4. 2025–2026

    Discovery and science

    Warning history, pharmacovigilance, and gastroenterology general-causation fights proceed.

Sources

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