• People

    Advanced Search

  • Services
  • All Services

  • Key Takeaways

    • The central legal issue right now is “federal preemption.” Pfizer argues it cannot be sued for failing to warn patients because the FDA once rejected a proposed label change.
    • The litigation is advancing on two fronts: a consolidated federal multidistrict litigation (MDL) in Florida and a growing number of individual lawsuits in state courts, particularly in New York and Pennsylvania.
    • New medical research has strengthened the link between long-term Depo-Provera use and a significantly increased risk of developing meningioma brain tumors.
    • The court has established strict deadlines for plaintiffs to provide medical records that prove their use of Depo-Provera and their brain tumor diagnosis.
    • While some legal defenses were expected, the core claims that Pfizer failed to adequately warn American women of a known risk are moving forward.

    Women choose contraceptives like Depo-Provera trusting they are safe for long-term use. A subsequent diagnosis of a brain tumor shatters that trust, leaving families facing a difficult medical and emotional journey. 

    As the science linking this widely used contraceptive to meningiomas grows stronger, a nationwide legal effort is underway to hold the manufacturer accountable.

    SCHEDULE A FREE CONSULTATION

    The Core Legal Hurdle: Pfizer’s Preemption Defense

    The most significant event in the Depo-Provera MDL is a legal battle over a concept called federal preemption. Pfizer is attempting to dismiss the entire litigation by arguing that federal law prevents plaintiffs from bringing their claims.

    What is Federal Preemption?

    Pfizer claims it is shielded from liability because the FDA rejected a weak label change the company proposed in 2024. The manufacturer argues this rejection legally barred them from adding a stronger warning about brain tumors. If the court accepts this defense, it could end many of the cases before they begin.

    The Argument for Accountability

    Plaintiffs’ attorneys argue that Pfizer’s defense does not meet the high legal standard for preemption. The FDA’s rejection of a vague and scientifically weak proposal does not mean it prohibited a clear, specific, and accurate warning. 

    The law does not protect a company from liability when it offers a token gesture and then retreats from its duty to warn. The court will hear arguments on this critical motion on September 29, 2025.

    A Two-Front Legal Battle: Federal MDL and State Courts

    The fight for justice is not confined to one courtroom. While a federal court coordinates hundreds of cases, many plaintiffs also pursue claims in state courts, creating multiple avenues for accountability.

    The Federal Multidistrict Litigation (MDL)

    Over 550 lawsuits have been consolidated into an MDL in the Northern District of Florida. An MDL is not a class action; each plaintiff’s case remains individual. The process streamlines pretrial activities like evidence gathering to make the litigation more efficient for everyone involved.

    The Rise of State Court Lawsuits

    Many women are choosing to file their Depo-Provera lawsuits in state courts, particularly in New York, Delaware, and Pennsylvania. This strategy creates a parallel track of litigation that prevents Pfizer from focusing all of its resources on a single defense.

    The Science Behind the Lawsuits

    These lawsuits are built on a growing body of scientific evidence linking Depo-Provera’s active ingredient to an increased risk of meningioma brain tumors. Recent studies have made this connection even clearer.

    A New Study Confirms the Risk

    A 2025 study from the University of British Columbia provided powerful new evidence. Researchers found that women who used Depo-Provera for more than one year had a 3.55-fold increased risk of developing a meningioma compared to women using other contraceptives. This study corrected for limitations in earlier research, making its conclusions more robust.

    This new research provides a stronger scientific foundation for the claims against Pfizer. The study’s key contributions help build a more compelling case for manufacturer accountability.

    • It used a larger and more methodologically sound approach than previous studies.
    • It confirmed a statistically significant increase in brain tumor risk.
    • It reinforced the biological plausibility of the link between the drug and tumor growth.
    • It strengthened the argument that the FDA should have been provided with better data.

    This type of independent, peer-reviewed research is crucial in litigation. It provides the objective evidence needed to show a jury that the risks were real and should have been disclosed to patients.

    Questions about the high dosage

    Plaintiffs are also raising questions about the 150 mg dose of Depo-Provera. A lower-dose alternative, Depo-SubQ Provera 104, provides the same contraceptive effect with significantly less of the synthetic hormone. 

    Discovery will examine whether Pfizer knew this unnecessarily high dosage elevated the risk of brain tumors but chose not to promote the safer alternative.

    Navigating the MDL Legal Process

    The judge overseeing the federal MDL, M. Casey Rodgers, is known for moving cases along quickly. She has implemented several orders to keep the litigation on schedule and ensure all parties meet their obligations.

    Strict Deadlines for Proving Your Case

    All plaintiffs in the MDL must complete a detailed questionnaire and provide medical records proving their use of Depo-Provera and their subsequent meningioma diagnosis. 

    The court has set firm deadlines for these submissions, and failure to comply can put a person’s case at risk of dismissal.

    The Debate Over Unfiled Cases

    The judge has also questioned law firms about the number of potential cases they are investigating but have not yet filed. This reflects a tension in mass torts between protecting clients from a potentially negative early ruling and providing the court with a clear picture of the litigation’s true scope.

    FAQ 

    Why is the statute of limitations not a major issue for most women filing now?

    Most states have a “discovery rule,” which means the clock for filing a lawsuit does not start until a person knows, or reasonably should have known, that their injury was connected to the defendant’s product. Since the link between Depo-Provera and meningiomas only became widely known through recent studies, most women are still within their time limit to file.

    What kind of evidence do I need to provide for my case?

    You will need to provide records that confirm you were administered Depo-Provera and records that confirm your meningioma diagnosis. This can include pharmacy records, clinic notes, doctor’s reports, and surgical or pathology reports. Brain injury attorneys can help you gather this documentation.

    Why are some lawsuits being filed in states like Pennsylvania or Delaware?

    Lawsuits are often filed where a defendant company is incorporated or has a major place of business. Since Pfizer and its related entities have corporate ties to these states, plaintiffs from anywhere in the country can legally file their claims there, often in courts known for efficiently managing complex litigation.

    What is a “Bellwether trial” and why is it important?

    In an MDL, the judge and attorneys may select a small number of representative cases to go to trial first. These are called bellwether trials. The outcomes of these initial trials help both sides understand the strengths and weaknesses of their arguments and often influence settlement negotiations for all remaining cases.

    Take the Next Step to Protect Your Rights

    If you or a loved one used Depo-Provera for at least one year and were later diagnosed with a meningioma brain tumor, you may be able to seek justice. The personal injury attorneys at Stark & Stark are reviewing these cases and fighting to hold pharmaceutical companies accountable. 

    Contact us at 800.535.3425 for a free, no-obligation consultation to discuss your case.

    SCHEDULE A FREE CONSULTATION

    Speak with an Experienced Attorney Today

    Key Contacts

    Martin P. Schrama
    609.895.7261
    Personal Injury Law Blog
    June 17, 2025
    What is a meningioma and what types of injuries qualify? Depo-Provera has many known side effects. However, the current Depo-Provera litigation...

    Firm Highlights

    Stark & Stark Joins Growing Coalition of Law Firms in Defense of Constitutional Principles and the Independence of the Legal Profession

    Stark & Stark has joined hundreds of fellow law firms across the country in filing an amicus brief supporting Perkins Coie, WilmerHale, Jenner...

    Stark & Stark Attorneys Recognized as New Jersey “Super Lawyers” and “Rising Stars” in 2026

    Stark & Stark is pleased to announce that 15 of its attorneys have been selected for inclusion in the list of 2026 New Jersey Super Lawyers,...

    Bruce Stern, Esq. Secures $1,000,000 Settlement in Motor Vehicle Collision Case

    Bruce Stern, Esq. recently secured a $1,000,000 settlement in a motor vehicle collision case.* “This case highlights how quickly things can go...

    Deborah Dunn, Esq. Elected to Board of Directors for Angel Flight East

    Stark & Stark is pleased to announce that Deborah Dunn, Esq., Shareholder and Civil Trial Attorney, has been elected to the Board of Directors...

    Michael Jordan, Esq. Joins the Board of the Lawrence Township Community Foundation

    It is our pleasure to announce that Michael Jordan, Esq. has joined the board of the Lawrence Township Community Foundation, an organization...

    Stark & Stark Opens Newtown, Pennsylvania Location

    Stark & Stark announced the relocation of its Yardley, Pennsylvania office to a new location in Newtown, PA. The new office is now open and...

    Joseph Lemkin, Esq. Named to ROI-NJ Influencers: Power List 2026 – Law

    Stark & Stark is proud to share that Joseph Lemkin, Esq., Shareholder, has been named to the 2026 Influencers: Power List in the Law category...

    Jeffrey A. Krawitz, Esq. and Michael C. Ksiazek, Esq. Secure $1,000,000 Settlement in Medical Malpractice Wrongful Death Case

    Jeffrey A. Krawitz, Esq. and Michael C. Ksiazek, Esq. recently secured a $1,000,000 settlement in a medical malpractice wrongful death...

    Joseph Cullen, Esq. and Nicole Durso, Esq. Secure $2,000,000 Settlement in Personal Injury Matter

    Joseph Cullen, Esq. and Nicole Durso, Esq. recently secured a $2,000,000 settlement in a personal injury matter involving a pedestrian who was struck...

    Stark & Stark Welcomes Susan L. Swatski, Esq. to the Firm

    Continuing in its mission to provide its clients innovative legal solutions to meet their needs, Stark & Stark PC, announced today that Susan L....

    Tim Duggan Wins Eminent Domain Challenge – Case Dismissed

    We are pleased to share that Tim Duggan of our Condemnation, Redevelopment, and Eminent Domain Group was successful in protecting the owner of a...

    James Creegan, Esq. Appointed to Board of The 200 Club of Mercer County

    It is our pleasure to announce that James Creegan, Esq. has been appointed to the Board of Directors of The 200 Club of Mercer County, an...