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Tort Cluster

GLP-1 Agonist Litigation Cluster

GLP-1 receptor agonists—Ozempic, Wegovy, Mounjaro, Zepbound, Rybelsus, and Trulicity—share a common mechanism of action that slows gastric emptying. Plaintiffs across this cluster allege manufacturers Novo Nordisk and Eli Lilly failed to warn about severe gastroparesis, intestinal pseudo-obstruction, gallbladder disease, and NAION vision loss. Cases are consolidated in MDL 3094 in the Eastern District of Pennsylvania. Bellwether selection is underway and case counts are accelerating as off-label weight-loss prescribing continues to expand the exposed population into the tens of millions.

Shared risk factors

  • Delayed gastric emptying mechanism shared across the entire drug class
  • Off-label weight-loss prescribing driving rapid population growth
  • FDA label updates in 2023-2026 acknowledging post-market adverse events
  • Tens of millions of U.S. users with limited long-term safety data