In Re: Ocular Therapeutix Inc v. ( 2020 )


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  •           United States Court of Appeals
    For the First Circuit
    No. 19-1557
    KAVITA MEHTA; WILLIAM L. STEPHENS;
    KHALED RAMADAN; OLEG TKALYCH,
    Plaintiffs-Appellants,
    THOMAS GALLAGHER, individually and on behalf of all others
    similarly situated; DYLAN CARAKER, individually and on behalf of
    all others similarly situated; SHAWNA KIM, individually and on
    behalf of all others similarly situated,
    Plaintiffs,
    v.
    OCULAR THERAPEUTIX, INC.; AMARPREET SAWHNEY;
    ANDREW HURLEY; GEORGE MIGAUSKY; ERIC ANKERUD,
    Defendants-Appellants.
    APPEAL FROM THE UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF MASSACHUSETTS
    [Hon. George A. O'Toole, Jr., U.S. District Judge]
    Before
    Thompson, Stahl, and Barron,
    Circuit Judges.
    Jeremy A. Lieberman, with whom Austin P. Van, Pomerantz LLP,
    Robert V. Prongay, Kara M. Wolke, Glancy Prongay & Murray LLP,
    Glen DeValerio, Daryl Andrews, and Andrews DeValerio LLP were on
    brief, for plaintiffs-appellants.
    Michael G. Bongiorno, with whom Peter J. Kolovos and Wilmer
    Cutler Pickering Hale and Dorr LLP were on brief, for defendants-
    appellants.
    April 9, 2020
    STAHL,     Circuit    Judge.         In     September    2015,    Ocular
    Therapeutix,        Inc.     ("Ocular"     or    the     "company"),     a    public,
    Massachusetts-based biopharmaceutical company, submitted a New
    Drug Application ("NDA") to the United States Food and Drug
    Administration ("FDA") for approval of its drug product, Dextenza,1
    for treatment of ocular pain following ophthalmic surgery.                       After
    publication in July 2017 of the FDA's inspectional observations of
    issues at Ocular's manufacturing facility and a resultant drop in
    the company's stock price, several shareholders ("plaintiffs")
    initiated this securities fraud action against Ocular, its Chief
    Executive        Officer,    Amarpreet    Sawhney,     and     its   Executive    Vice
    President of Regulatory, Quality, and Compliance, Eric Ankerud
    (collectively        "defendants"),       on    behalf    of    themselves     and   a
    putative     class    of    all   other    investors      who   had   purchased      or
    otherwise acquired the company's stock between March 10, 2016 and
    July   11,   2017     (the    "class     period"). 2       Plaintiffs'       two-count
    1
    This opinion refers to the drug product at issue as
    "Dextenza" except where the name appears in cited materials as
    "DEXTENZA."
    2
    The district court consolidated four related actions
    and appointed Kavita Mehta, William L. Stephens, Khaled Ramadan,
    and Oleg Tkalych as lead plaintiffs. Plaintiffs initially named
    Ocular's Chief Financial Officer, George Migausky, and its Chief
    Commercial Officer, Andrew Hurley, as additional defendants.
    However, plaintiffs subsequently did not contest defendants'
    assertion that the claims against Migausky and Hurley should be
    dismissed, and the district court dismissed all claims against
    them. Plaintiffs do not challenge the dismissal of those claims
    on appeal.
    - 3 -
    complaint alleged: first, that all defendants had on multiple
    occasions    intentionally          or   recklessly    misled       investors     about
    Ocular's manufacturing problems in violation of Section 10(b) of
    the Securities Exchange Act of 1934 ("Exchange Act"), 15 U.S.C.
    § 78j(b),     and    Rule    10b-5       promulgated    thereunder,        
    17 C.F.R. § 240
    .10b–5; and second, that Sawhney and Ankerud, as control
    persons for Ocular, were liable under Section 20(a) of the Exchange
    Act, 15 U.S.C. § 78t(a).
    Defendants moved to dismiss the complaint for failure to
    state a claim pursuant to Federal Rules of Civil Procedure 12(b)(6)
    and 9(b), the Exchange Act, and the Private Securities Litigation
    Reform Act ("PSLRA"), 15 U.S.C. §§ 78u-4, 78u-5.                       The district
    court   granted      the     motion      and   dismissed      the   complaint      with
    prejudice.     Plaintiffs timely appealed.              We affirm, holding, on
    de novo review, that plaintiffs have not alleged facts giving rise
    to a strong inference of scienter as required by the PSLRA.
    I. Background
    A. Factual History
    "We    recite    the     facts    as   alleged    in    the   complaint,
    supplemented by certain 'materials [the] defendants filed in the
    district court in support of their motion to dismiss.'"                         Brennan
    v. Zafgen, Inc., 
    853 F.3d 606
    , 609-10 (1st Cir. 2017) (alteration
    in original) (quoting Fire & Police Pension Ass'n of Colo. v.
    Abiomed, Inc., 
    778 F.3d 228
    , 232 (1st Cir. 2015)).                     We also draw
    - 4 -
    from "documents the authenticity of which are not disputed by the
    parties," as well as "official public records; . . . documents
    central to plaintiffs' claim[s]; [and] documents sufficiently
    referred    to      in   the    complaint."             
    Id. at 610
        (alterations   in
    original) (quoting Watterson v. Page, 
    987 F.2d 1
    , 3 (1st Cir.
    1993)).
    Ocular, whose stock trades on the NASDAQ stock exchange,
    was   founded       in   2006.            At    its   headquarters        and   multiproduct
    manufacturing facility in Bedford, Massachusetts, the company
    develops and commercializes therapies for diseases and conditions
    of    the     eye    using          its        proprietary     bioresorbable        hydrogel
    technology.3        Dextenza is a drug-eluting medical implant, or plug,
    designed to be inserted into the tear duct of the eye, the
    canaliculus, through a natural opening, the punctum, located in
    the   inner       portion      of    the       eyelid   near    the   nose.        Following
    insertion, Dextenza uses Ocular's proprietary hydrogel to provide
    sustained delivery of FDA-approved corticosteroid dexamethasone as
    an active pharmaceutical ingredient to the surface of the eye and
    to act as an ocular tissue sealant.                      The production of Dextenza,
    like the other drug products manufactured at Ocular's multiproduct
    facility in Bedford,4 is subject to, inter alia, the current Good
    3   Ocular is incorporated in Delaware.
    4
    Ocular manufactured several drug products at its
    multiproduct facility in Bedford during the class period. Among
    - 5 -
    Manufacturing Practice ("cGMP") regulations regarding finished
    pharmaceuticals found in Part 211 of Title 21 of the Code of
    Federal Regulations.   See generally 21 C.F.R. Part 211.
    1. Ocular's 2015 NDA
    In September 2015, Ocular submitted an NDA to the FDA
    seeking approval for the sale and marketing of Dextenza for
    treatment of ocular pain following ophthalmic surgery.5    The FDA
    accepted the NDA for filing and established July 24, 2016 as the
    target date for action on the application under the Prescription
    Drug User Fee Act ("PDUFA"), 
    21 U.S.C. § 355
    .
    In February 2016, as part of its reviewal of the NDA for
    Dextenza, the FDA inspected Ocular's manufacturing facility in
    Bedford for cGMP compliance.    On February 11, the FDA delivered
    them were its drug product candidate OTX-TP, another hydrogel-
    based drug-eluting intracanalicular plug but with FDA-approved
    prostaglandin analogue travoprost as an active ingredient,
    developed as a treatment for glaucoma and ocular hypertension, and
    ReSure Sealant, a hydrogel-based post-surgical ophthalmic wound
    sealant approved by the FDA for commercial sale in 2014.
    5 According to the FDA, "[t]he NDA application [sic] is
    the vehicle through which drug sponsors formally propose that the
    FDA approve a new pharmaceutical for sale and marketing in the
    U.S.   The data gathered during the animal studies and human
    clinical trials of an Investigational New Drug (IND) become part
    of   the    NDA."       FDA,    New   Drug    Application    (NDA),
    https://www.fda.gov/drugs/types-applications/new-drug-
    application-nda (last updated June 10, 2019). During the class
    period, Dextenza was in a Phase III clinical trial for the
    treatment of post-surgical ocular pain and inflammation, in a Phase
    III clinical trial for the treatment of allergic conjunctivitis,
    and in a Phase II clinical trial for the treatment of inflammatory
    dry eye disease.
    - 6 -
    its   inspectional      observations     to   Ocular's   management   on   the
    agency's Form 483 ("February 2016 Form 483").6            The February 2016
    Form 483 provided ten observations detailing issues with Ocular's
    manufacturing       facility,   noting    that   they    were   "inspectional
    observations [that] do not represent a final agency determination
    regarding [Ocular's] compliance."             The relevant portions of the
    FDA's observations were as follows:
    Observation 1 stated that "[l]aboratory records do not
    include a complete record of all data secured in the course of
    each test, including all spectra from laboratory instrumentation,
    properly identified to show the lot tested and drug product
    tested."7       See 
    21 C.F.R. §§ 211.180
    , 211.194(a).
    6
    FDA investigators issue a Form 483 to a company's
    management at the conclusion of an inspection when they have
    "observed any conditions that in their judgment may constitute
    violations of the Food Drug and Cosmetic Act (FD&C) and related
    Acts."     FDA, FDA Form 483 Frequently Asked Questions,
    https://www.fda.gov/inspections-compliance-enforcement-and-
    criminal-investigations/inspection-references/fda-form-483-
    frequently-asked-questions (last updated Jan. 9, 2020).
    7
    Observation 1.A specified that "[r]eview of [Ocular's]
    source documentation for analytical data submitted in [the] NDA
    . . . found that printed [high-performance liquid chromatography]
    chromatograms and integration results for dose content uniformity
    and purity were discarded . . . and only the reprocessed data was
    printed and retained."     Review of that reprocessed data, per
    Observation 1.B.1, "revealed a failure to include the area of a
    typical peak of unknown impurity" at a given retention time "in
    the total area and content of unknown impurities." Observation
    1.D noted that Ocular lacked "written procedures to clearly specify
    how manual integration of chromatograms is performed."
    - 7 -
    Observation        2      stated    that    "[s]amples        taken    of    drug
    products         for     determination            of     conformance           to    written
    specifications          are    not       representative,"           and    that     Ocular's
    "sampling plan supporting product release and stability testing
    . . . is not designed to assure that samples are representative of
    the   entire      subject      lot       or    unit    to     be    tested."        See    
    id.
    § 211.160(b)(1).
    Observation 3 stated that "[c]ontrol procedures are not
    established which monitor the output and validate the performance
    of those manufacturing processes that may be responsible for
    causing variability in the characteristics of in-process material
    and the drug product."8                See id. § 211.100.
    Observation           4     stated        that    "[a]ctual        yield      and
    percentages       of    theoretical           yield    are    not    determined      at   the
    conclusion of each appropriate phase of manufacturing of the drug
    product."         See    id.   §       211.103.         Observation        5   stated     that
    "[w]ritten       production        and    control       procedures        include   batches
    formulated with the intent to provide [a certain] percent of the
    labeled or established amount of active ingredient."                                See id.
    § 211.101(a).          Observation 6 stated that "[l]aboratory controls
    do not include the establishment of scientifically sound and
    8
    As specified in Observation 3.D, Ocular "d[id] not
    characterize and trend rejects produced during inspection of drug
    product." See 
    21 C.F.R. § 211.180
    (e).
    - 8 -
    appropriate test procedures designed to assure that drug products
    conform to appropriate standards of identity, strength, quality
    and purity."       See 
    id.
     §§ 211.160(b), 211.165.
    Observation 7 stated that "[e]quipment for adequate
    control     over        air   pressure,     micro-organisms,     humidity,    and
    temperature is not provided when appropriate for the manufacture,
    processing, packing or holding of a drug product."                       See id.
    § 211.46.       Observation 8 stated that "[t]ime limits are not
    established when appropriate for the completion of each production
    phase to assure the quality of the drug product."                        See id.
    § 211.111.      Observation 9 stated that "[u]nauthorized personnel
    have   access      to    enter    areas   of   the   buildings   and   facilities
    designated as limited access areas," see id. § 211.28(c), while
    Observation 10 stated that "[b]uildings used in the manufacturing
    of a drug product are not maintained in a good state of repair,"
    see id. § 211.58.
    On March 10, 2016 -- the first day of the class period
    -- Ocular filed its Annual Report on Form 10-K ("2016 Form 10-K")
    for the year 2015 with the Securities and Exchange Commission
    ("SEC").    The company stated therein that it "fabricate[s] devices
    and drug depot products for use in our clinical trials, research
    and development and commercial efforts for all of our therapeutic
    product     candidates           using    current     [G]ood     [M]anufacturing
    [P]ractices, or cGMP, at our multi-product facility located in
    - 9 -
    Bedford,    Massachusetts."      Ocular   additionally       disclosed     its
    receipt of the February 2016 Form 483:
    [I]n February 2016, as part of the ongoing review of our
    NDA for DEXTENZA, the FDA conducted a pre-NDA approval
    inspection of our manufacturing operations. As a result
    of this inspection, we received an FDA Form 483
    containing inspectional observations focused on process
    controls, analytical testing and physical security
    procedures related to manufacture of our drug product
    for stability and commercial production purposes.     We
    addressed some observations before the inspection was
    closed and have responded to the FDA with a corrective
    action plan to complete the inspection process. . . .
    Any failure to comply with applicable regulations may
    result in fines and civil penalties, suspension of
    production, product seizure or recall, imposition of a
    consent decree, or withdrawal of product approval, and
    would limit the availability of [our product] and our
    product candidates that we manufacture. The failure to
    resolve the Form 483 inspectional observations from the
    February 2016 inspection could result in a delay in the
    PDUFA date and potential approval for the NDA we have
    filed for DEXTENZA for the treatment of post-surgical
    ocular pain.
    In July 2016, the FDA sent Ocular a Complete Response
    Letter ("CRL") rejecting the NDA for Dextenza.9           On July 25, Ocular
    issued a press release disclosing its receipt of the CRL and
    stating    that   "[t]he   concerns   raised   by   the    FDA   pertain   to
    deficiencies in manufacturing process and controls identified
    9The "FDA will send the applicant a [C]omplete
    [R]esponse [L]etter if the agency determines that [it] will not
    approve the application or abbreviated application in its present
    form for one or more of the reasons given in [21 C.F.R.] § 314.125
    or § 314.127," which provide bases upon which the agency may refuse
    to approve an NDA. 
    21 C.F.R. § 314.110
    . The CRL rejecting the
    NDA for Dextenza was neither publicly released nor entered into
    the record of this proceeding.
    - 10 -
    during a pre-NDA approval inspection of the Ocular Therapeutix
    manufacturing facility."    That day, Ocular's share price fell
    $0.75, or 14.51%, closing at $4.42.
    On November 9, 2016, Ocular held an earnings conference
    call with investors, during which defendant Sawhney stated in part:
    I am pleased to report that we have had productive
    discussions with the FDA over the past several months.
    We believe we have taken the appropriate steps to address
    the manufacturing related items raised by the FDA,
    although the FDA will make its determination after we
    resubmit our NDA. As a reminder, in July we received a
    CRL, or complete response letter, relating to certain
    manufacturing processes on control deficiencies, and
    subsequently received a letter from the New England
    district office providing additional details as to the
    outstanding deficiencies related to their pre-NDA
    approval   inspection    of   the    Ocular    Therapeutix
    manufacturing facility. Among these was an observation
    related to the proposed process for identifying identity
    testing of an incoming inert gas component used in the
    Dextenza manufacturing process.      The district office
    letter also requested that we submit a formal report
    providing   evidence   that    migration    to   automatic
    integration of analytical testing has been completed.
    Sawhney also stated:
    [W]hether or not re-inspection is required, is a
    determination that [the FDA] will make. And they just
    said that we'll get back to you in 30 days after your
    resubmission to inform you.     That's so -- we really
    can't get more guidance or can't give more guidance on
    that. I think it's important to realize that this is a
    matter of when not if type of a thing, we've adequately
    we think addressed the issues that they've raised. And
    communicated our plans to them and they seem in broad
    agreement with the plans that we have communicated. But
    until they kind of review the resubmission, they will
    not be in a position of giving any further guidance.
    So, when we do that, let's say that that were by the end
    of the year December we submit. In January they would
    - 11 -
    let us know whether it's one more month left or five
    more months left.
    2. Ocular's 2017 NDA
    On    January       23,   2017,    Ocular    announced   that    it   had
    resubmitted its NDA for Dextenza for the treatment of post-surgical
    ocular pain.       On February 22, 2017, the company disclosed that the
    FDA had accepted the resubmitted NDA for filing and had designated
    July 19, 2017 as the target date for action on the application
    under the PDUFA.
    On March 10, 2017, Ocular filed its Annual Report on
    Form 10-K ("2017 Form 10-K") for the year 2016 with the SEC.                       The
    2017 Form 10-K essentially repeated the statement included in the
    2016 Form 10-K that Ocular "fabricate[s] devices and drug insert
    and depot products for use in our clinical trials, research and
    development and commercial efforts for all of our therapeutic
    product candidates using current Good Manufacturing Practices, or
    cGMP,   at    our     multi-product            facility    located    in     Bedford,
    Massachusetts."       The 2017 Form 10-K also noted that in the CRL
    Ocular had received in July 2016, "the concerns raised by the FDA
    pertain to deficiencies in manufacturing process and controls
    identified        during     a     pre-NDA      approval     inspection      of    our
    manufacturing facility . . . in February 2016 that were documented
    on FDA Form 483."
    - 12 -
    The FDA reinspected Ocular's manufacturing facility from
    April 24 to May 4, 2017 as part of its reviewal of the resubmitted
    NDA for Dextenza.           Following the reinspection, on May 4, the FDA
    issued to Ocular's management another Form 483 that identified six
    inspectional observations ("May 2017 Form 483").10                           In relevant
    part, the May 2017 Form 483 identified the following issues:
    Observation 1 stated that "[w]ritten records are not
    always made of investigations into unexplained discrepancies," and
    specifically, that Ocular had "failed to investigate the nature of
    particulate        matter    that   has       been    found    in    manufactured      drug
    product."         See 
    21 C.F.R. § 211.22
    (a).                Further, "[p]articulate
    matter has been noted in 10/23 lots . . . manufactured from
    [February 2016] to [May 4, 2017]."                   As plaintiffs alleged, Ocular
    had    determined      sometime     prior        to    April     28,    2017    that    the
    particulate        matter    in   the    lots    appeared       to     be   inclusive    of
    aluminum, which is toxic to humans if absorbed or consumed.
    Observation 2 stated that "[w]ritten production and
    process control procedures are not followed in the execution of
    production and process control functions and documented at the
    time    of   performance."              See    
    id.
         §§     211.22(d),       211.100(b).
    Specifically, Ocular had "not set critical parameters for defect
    10
    Like its predecessor, the May 2017 Form 483 stated
    that it contained "inspectional observations [that] do not
    represent a final Agency determination regarding [Ocular's]
    compliance."
    - 13 -
    action limits, including but not limited to defects such as
    particulate matter, found within the drug product."11
    Observation       3     stated    that    "[t]here      are   no    written
    procedures for production and process controls designed to assure
    that the drug products have the identity, strength, quality, and
    purity they purport or are represented to possess."                              See id.
    § 211.100(a).        Observation 4 stated that "[t]he responsibilities
    and procedures applicable to the quality control unit are not in
    writing."     See id. §§ 211.22, 211.188.               Observation 5 stated that
    "[l]aboratory        controls      do    not    include       the   establishment       of
    scientifically        sound    and      appropriate     specifications          and   test
    procedures        designed    to   assure      that    drug    products     conform     to
    appropriate standards of identity, strength, quality and purity."
    See   id.   §§     211.160(b),       211.165.         Observation     6    stated     that
    "[e]mployees engaged in the manufacture, processing, packing and
    holding of a drug product lack the training required to perform
    their assigned functions."              See id. § 211.25(a).
    On the following day, May 5, 2017, Ocular released its
    financial results for the first quarter of 2017 in its Quarterly
    Report on Form 10-Q to the SEC.                That morning, Ocular conducted a
    11
    The FDA noted that three Dextenza batches -- from
    which 224 plugs, 45 plugs, and 37 plugs, respectively, had been
    rejected due to unknown particulate matter -- "were released for
    intended commercial use on [January 12, 2017] without critical
    defect limits established."
    - 14 -
    conference call with investors to discuss its disclosures and
    operations.12     At the outset, Ocular's Chief Financial Officer,
    George Migausky, stated that "during today's call, we will be
    making certain forward-looking statements," and that "[a]ctual
    results   may    differ   materially   from   those      indicated    by   these
    forward-looking     statements   as    a   result   of    various     important
    factors."    Migausky also said that "any forward-looking statements
    represent our views only as of today and should not be relied upon
    as representing our views as of any subsequent date."                During the
    call, defendant Sawhney disclosed that Ocular "received the Form
    483 containing inspectional observations focusing on procedures
    for manufacturing processes and analytical testing related to
    manufacture of drug product for commercial production."                 Sawhney
    related the company's "plan to evaluate these observations and
    respond to the FDA in 15 days with corrective action plans to
    complete the inspection process," and noted that "[a] timely
    resolution of the 483 observations is a prerequisite to keep the
    PDUFA date on track."      Subsequently, defendant Ankerud stated:
    FDA completed the re-inspection of our facility as part
    of the NDA review late yesterday afternoon.     As Amar
    [Sawhney] mentioned, 483 was issued. We were pleased
    during the re-inspection that the FDA investigator was
    able to confirm our corrective action plan from prior
    observations, and indicated that there was no further
    12
    Beyond plaintiffs' allegations, we draw quotations
    from the full transcript of the May 5, 2017 conference call that
    defendants provided as an exhibit to their motion to dismiss the
    complaint. See Brennan, 853 F.3d at 609-10.
    - 15 -
    follow-up necessary to close out those issues. This was
    a new investigator not the same investigator from prior
    inspections, and their primary focus in the 483 relates
    to a particula[te] matter issue as part of our
    manufacturing process. The issue relates primarily to
    completion of an investigation that we have underway in
    regard   to   the   particula[te]   matter   solidifying
    specifications for in process, 100% visual inspection of
    our inserts, as well as enhancing our operator training.
    We feel quite comfortable that we have the situation
    under control and we are preparing responses to the 483
    as of this morning in anticipation of responding within
    15 calendar days to the agency. In addition to the
    particula[te] matter issue, FDA raised a couple of
    observations in regard to analytical method, testing to
    be completed, as well as some other issue related to
    quality oversight of batch records. So in summary, we
    believe that each of the observations raised by FDA
    during this continuous improvement review of our fully
    developed manufacturing process are handled well and
    will be resolved in our response to FDA.
    Ankerud also stated:
    I think there is two important issues to recognize. The
    first is that from the prior preapproval inspection, FDA
    issued a 483.    We resolve those issues, close those
    issues with the district office and during this re-
    inspection the new investigator is responsible for
    confirming that we have implemented what was said in our
    responses. And the investigator went through each of
    our responses and confirm [sic] that we had properly and
    appropriately implemented those actions.     So I think
    that's a strong sign that the manufacturing process has
    moved forward significantly, and is in a fully developed
    mode.
    Further, in response to an analyst's question of whether there was
    "anything in [the FDA's] observations that you think could delay
    the action date specifically," Sawhney replied:
    Nothing that we can currently see. I think these -- as
    you know, probably 90% plus inspections have 483. The
    question, what are the nature of the issues in the 483?
    We think these are resolvable issues, and we have
    - 16 -
    responses.   Some are already prepared and some being
    prepared to address them in a timely fashion.
    Also on May 5, 2017, Ocular issued a press release that
    disclosed: "Following a re-inspection of manufacturing operations
    by the FDA . . . Ocular Therapeutix received an FDA Form 483
    containing inspectional observations focused on procedures for
    manufacturing    processes   and    analytical   testing,   related   to
    manufacture of drug product for commercial production."       Following
    the press release, the company's share price fell $1.47, or 16.15%,
    closing that day at $7.63.
    On July 6, 2017, the website Seeking Alpha published an
    article titled "Ocular: A Poke in the Eye," which included links
    to the February 2016 and May 2017 Forms 483, making them public
    for the first time.13    On the same day, STAT, a healthcare media
    outlet, published an article about Ocular suggesting that the FDA
    might reject the resubmitted NDA for Dextenza due to product
    13   The article described the content of the Forms 483
    and opined:
    Even a layperson reading [the May 2017 Form 483] can
    tell that the company is having serious manufacturing
    issues, and their whole approach to manufacturing and
    patient safety is highly questionable.    What's more
    troubling is that either management doesn't fully
    understand the letter, or they have been misleading
    investors. Both are bad.
    The article further stated that observations in the February 2016
    Form 483 were repeated in the May 2017 Form 483 and that
    observations in the second were worse than those in the first.
    - 17 -
    contamination,        including   aluminum,       found     during   an   agency
    inspection of the company's manufacturing facility.                   After the
    publication of the articles, Ocular's share price fell $3.06, or
    30.06%, over the next two trading days, closing at $7.12 on July
    7, 2017.
    On July 12, 2017, Ocular received another CRL from the
    FDA rejecting the resubmitted NDA for Dextenza.               That day, Ocular
    announced its receipt of the CRL in a press release, which stated
    that   the        FDA's   rejection     was    based   on    "deficiencies     in
    manufacturing        processes    and    analytical       testing    related   to
    manufacture of drug product for commercial production identified
    during a pre-NDA approval inspection of the Ocular Therapeutix
    manufacturing facility that was completed in May 2017."                Following
    this press release, Ocular's share price fell $0.93, or 12.24%,
    closing at $6.67 on July 12.14
    14
    Plaintiffs alleged that the class period ended on July
    11, 2017, one day before the loss that plaintiffs alleged was
    caused by Ocular's July 12, 2017 press release.         Plaintiffs
    further alleged that on December 22, 2017 -- well after the class
    period ended -- Ocular issued a press release stating that it had
    received an SEC subpoena requesting "documents and information
    concerning DEXTENZATM (dexamethasone insert) 0.4mg, including
    related communications with the FDA, investors and others."
    Further, plaintiffs alleged that Ocular had stated its intention
    to resubmit the NDA for Dextenza in the first half of 2018, and
    that the NDA had not been approved as of the date of the amended
    complaint, May 7, 2018. Counsel for defendants later represented
    that the FDA ultimately approved the NDA in late 2018.
    - 18 -
    B. Procedural Background
    In   July    and       August    2017,    several     plaintiffs       filed
    putative class action lawsuits against defendants in the United
    States District Court for the District of New Jersey.                         Defendants
    successfully moved to transfer those actions to the District of
    Massachusetts.       The district court consolidated the actions and
    appointed lead plaintiffs in March 2018.                   Plaintiffs filed their
    consolidated amended class action complaint on May 7, 2018.                           The
    complaint alleged two counts: first, that during the class period
    all   defendants     had       on    multiple        occasions     intentionally       or
    recklessly    misled      investors          by   making   false       statements     and
    omitting material facts about Ocular's manufacturing problems and
    the impact those problems were likely to have on the FDA's approval
    of Dextenza in violation of Section 10(b) of the Exchange Act, 15
    U.S.C. § 78j(b), and Rule 10b-5 promulgated thereunder by the SEC,
    
    17 C.F.R. § 240
    .10b–5; and second, that Sawhney and Ankerud, as
    control    persons       for    Ocular,       were    liable     for    the    company's
    violations pursuant to Section 20(a) of the Exchange Act, 15 U.S.C.
    § 78t(a).
    On   July    6,    2018,     defendants       moved       to   dismiss   the
    complaint pursuant to Federal Rules of Civil Procedure 9(b) and
    12(b)(6), the Exchange Act, and the PSLRA.                  On April 30, 2019, the
    district    court    granted        defendants'       motion     and    dismissed     the
    complaint with prejudice.             See In re Ocular Therapeutix, Inc. Sec.
    - 19 -
    Litig., No. 17-12146, 
    2019 WL 1950399
     (D. Mass. Apr. 30, 2019)
    ("Ocular I").          The district court determined that plaintiffs
    failed to allege an actionable misstatement or omission under
    Section 10(b) and Rule 10b-5 and that plaintiffs' allegations did
    not give rise to a strong inference of scienter in satisfaction of
    the PSLRA, 15 U.S.C. § 78u-4(b)(2)(A).                 Id. at *6-10.      The
    district court also determined that plaintiffs' derivative Section
    20(a) claim failed in the absence of an underlying securities
    violation.     Id. at *10.    Plaintiffs timely appealed the dismissal
    of both counts.
    II. Discussion
    On   appeal,    plaintiffs      more    narrowly   argue    that
    defendants' affirmative statements in the 2016 and 2017 Forms 10-K
    that    Ocular       manufactured     Dextenza       "using   current     Good
    Manufacturing Practices," and defendant Ankerud's two affirmative
    statements during the May 5, 2017 conference call that Ocular's
    manufacturing was "fully developed," were materially false and
    misleading.        Plaintiffs further contend that a strong inference
    of scienter can be drawn from those alleged misstatements because
    defendants made them despite having received the February 2016 and
    May    2017    Forms    483   that   apprised    defendants      of   Ocular's
    manufacturing problems.
    - 20 -
    A. Standard of Review
    We review de novo the district court's dismissal of a
    securities fraud complaint for failure to state a claim under Rule
    12(b)(6).    Kader v. Sarepta Therapeutics, Inc., 
    887 F.3d 48
    , 56
    (1st Cir. 2018).      "To survive a motion to dismiss, a complaint
    must contain sufficient factual matter, accepted as true, to 'state
    a claim to relief that is plausible on its face.'"      Aschroft v.
    Iqbal, 
    556 U.S. 662
    , 678 (2009) (quoting Bell Atl. Corp. v.
    Twombly, 
    550 U.S. 544
    , 570 (2007)).     In determining whether the
    complaint has done so, "we accept well-pleaded factual allegations
    in the complaint as true and view all reasonable inferences in the
    plaintiffs' favor."    Kader, 887 F.3d at 56 (quoting ACA Fin. Guar.
    Corp. v. Advest, Inc., 
    512 F.3d 46
    , 58 (1st Cir. 2008)).     We may
    affirm the district court's dismissal of the complaint on any
    grounds supported by the record.   Abiomed, 778 F.3d at 241 (citing
    Aldridge v. A.T. Cross Corp., 
    284 F.3d 72
    , 84 (1st Cir. 2002)).
    B. Plaintiffs' Section 10(b) and Rule 10b-5 Claim Against All
    Defendants
    Section 10(b) of the Exchange Act renders unlawful the
    "use or employ, in connection with the purchase or sale of any
    security registered . . . [of] any manipulative or deceptive
    device."    15 U.S.C. § 78j(b).     Pursuant to the statute, Rule
    10b-5 forbids any person "[t]o make any untrue statement of a
    material fact or to omit to state a material fact necessary in
    - 21 -
    order    to    make   the   statements    made,   in    the     light     of    the
    circumstances under which they were made, not misleading . . . in
    connection with the purchase or sale of any security."                  
    17 C.F.R. § 240
    .10b-5.      Therefore, to state a claim for securities fraud
    under Section 10(b) and Rule 10b-5, plaintiffs must allege: 1) a
    material      misrepresentation   or     omission;     2)     scienter;    3)     a
    connection with the purchase or sale of a security; 4) reliance;
    5) economic loss; and 6) loss causation.               Brennan, 853 F.3d at
    613.    The first and second elements are at issue in this appeal.
    The heightened pleading standard of the PSLRA requires
    that complaints alleging securities fraud "specify each statement
    alleged to have been misleading" and "the reason or reasons why
    the statement is misleading."          15 U.S.C. § 78u-4(b)(1); see also
    ACA Fin., 
    512 F.3d at
    58 n.7 ("The PSLRA is consistent with this
    circuit's prior application of Federal Rule of Civil Procedure
    9(b) to securities fraud actions, a standard which is 'notably
    strict and rigorous.'" (quoting Greebel v. FTP Software, Inc., 
    194 F.3d 185
    , 193 (1st Cir. 1999))).
    As for scienter, which is "a mental state embracing
    intent to deceive, manipulate, or defraud," Tellabs, Inc. v. Makor
    Issues & Rights, Ltd., 
    551 U.S. 308
    , 319 (2007) (quoting Ernst &
    Ernst v. Hochfelder, 
    425 U.S. 185
    , 193-94 & n.12 (1976)), the PSLRA
    requires that complaints "state with particularity facts giving
    rise to a strong inference that the defendant acted with the
    - 22 -
    required state of mind," 15 U.S.C. § 78u–4(b)(2)(A).                     Here,
    plaintiffs    must    "show   either   that   the   defendants   consciously
    intended to defraud, or that they acted with a high degree of
    recklessness."       Kader, 887 F.3d at 57 (quoting Aldridge, 
    284 F.3d at 82
    ).   Recklessness involves "a highly unreasonable omission"
    constituting "not merely simple, or even inexcusable, negligence,
    but an extreme departure from the standards of ordinary care, and
    which presents a danger of misleading buyers and sellers that is
    either known to the defendant or is so obvious that the actor must
    have been aware of it."       Brennan, 853 F.3d at 613 (quoting Greebel,
    
    194 F.3d at 198
    ).
    "To qualify as 'strong'" within the meaning of the PSLRA,
    "an inference of scienter must be more than merely plausible or
    reasonable—it must be cogent and at least as compelling as any
    opposing inference of nonfraudulent intent.”              Tellabs, 
    551 U.S. at 314
    .   This Court "must consider the complaint in its entirety"
    and ask "whether all of the facts alleged, taken collectively,
    give rise to a strong inference of scienter, not whether any
    individual     allegation,    scrutinized     in    isolation,   meets   that
    standard."     
    Id. at 322-23
    .    We have found this demanding standard
    met where a complaint "contains clear allegations of admissions,
    internal records or witnessed discussions suggesting that at the
    time they made the statements claimed to be misleading, the
    defendant[s]     were    aware   that    they      were   withholding    vital
    - 23 -
    information or at least were warned by others that this was so."
    Brennan, 853 F.3d at 614 (alteration in original) (quoting In re
    Bos. Sci. Corp. Sec. Litig., 
    686 F.3d 21
    , 31 (1st Cir. 2012)).
    Further, in undertaking this analysis, this Court "must
    consider, not only inferences urged by the plaintiff[s], . . . but
    also   competing    inferences    rationally    drawn   from   the   facts
    alleged."     Tellabs, 
    551 U.S. at 314
    .        "When there are equally
    strong inferences for and against scienter, the draw is awarded to
    the plaintiff."    Abiomed, 778 F.3d at 241 (quoting City of Dearborn
    Heights Act 345 Pol. & Fire Ret. Sys. v. Waters Corp., 
    632 F.3d 751
    , 757 (1st Cir. 2011)).
    We need not determine whether the allegedly misleading
    statements     identified    by    plaintiffs     constitute     material
    misrepresentations because we find that the complaint, viewed
    holistically, failed to allege facts giving rise to a strong
    inference of scienter with respect to those alleged misstatements.
    See In re Ariad Pharm., Inc. Sec. Litig., 
    842 F.3d 744
    , 750 (1st
    Cir. 2016).
    1. Ocular's 2016 and 2017 Forms 10-K
    We first assess plaintiffs' allegations that defendants
    intentionally or recklessly misstated in Ocular's 2016 and 2017
    Forms 10-K that they "fabricate devices and drug . . . products
    for use in our clinical trials, research and development and
    commercial efforts for all of our therapeutic product candidates
    - 24 -
    using current Good Manufacturing Practices, or cGMP" despite the
    receipt of the February 2016 Form 483.15             Read in the context of
    the complaint as a whole, these allegations do not give rise to a
    strong   inference   that    defendants     intentionally      or    recklessly
    misled investors.
    As an initial matter, and as all parties acknowledge,
    the February 2016 Form 483 is not a final agency determination,
    and its inspectional observations did not affirmatively establish
    that Ocular was incapable of complying with cGMP regulations.
    Plaintiffs nevertheless contend that the February 2016 Form 483
    placed    defendants    on     notice       of     Ocular's        manufacturing
    difficulties,   compelling     a   strong    inference       that    defendants
    intentionally   or   recklessly     misled       investors    by   subsequently
    stating in the Forms 10-K that they were "using current Good
    Manufacturing Practices" at their manufacturing facility.                  This
    argument is unpersuasive.          In the two Forms 10-K, defendants
    disclosed receipt of the February 2016 Form 483, described its
    relevance to Ocular's manufacturing capabilities, and warned of
    15
    Ocular's Forms 10-K were submitted in March 2016 and
    March 2017, after the company received the February 2016 Form 483
    and before it received the May 2017 Form 483. Thus, plaintiffs'
    argument implicates only the February 2016 Form 483.      See ACA
    Fin., 
    512 F.3d at 62
     ("A plaintiff may not plead 'fraud by
    hindsight'; i.e., a complaint 'may not simply contrast a
    defendant's past optimism with less favorable actual results' in
    support of a claim of securities fraud." (quoting Shaw v. Dig.
    Equip. Corp., 
    82 F.3d 1194
    , 1223 (1st Cir. 1996))).
    - 25 -
    its implications.        Defendants stated in both Forms 10-K, under
    Item 1A, "Risk Factors," and the subheading "Risks Related to
    Manufacturing,"     that    the   February      2016     Form     483    contained
    "inspectional observations focused on process controls, analytical
    testing and physical security procedures related to manufacture of
    our    drug    product    for   stability      and     commercial        production
    purposes."      (Emphasis added).      Defendants also stated that they
    "addressed some observations before the inspection was closed and
    [had] responded to the FDA with a corrective action plan to
    complete the inspection process."           (Emphasis added).           Among these
    statements, defendants cautioned that "[a]ny failure to comply
    with   applicable    regulations      may     result    in    fines      and   civil
    penalties, suspension of production, product seizure or recall,
    imposition of a consent decree, or withdrawal of product approval,
    and would limit the availability of . . . our product candidates
    that we manufacture."
    More specifically, in the 2016 Form 10-K, defendants
    clarified that "[t]he failure to resolve the Form 483 inspectional
    observations from the February 2016 inspection could result in a
    delay in the PDUFA date and potential approval for the NDA we have
    filed for DEXTENZA for the treatment of post-surgical ocular pain."
    (Emphasis added).        In the 2017 Form 10-K, submitted months after
    the    FDA    rejected    Ocular's    September        2015     NDA,     defendants
    specifically noted that "the concerns raised by the FDA" in the
    - 26 -
    CRL rejecting the NDA "pertain to deficiencies in manufacturing
    process     and     controls     identified        during   a   pre-NDA     approval
    inspection of our manufacturing facility . . . in February 2016
    that   were    documented        on   FDA   Form    483."       (Emphasis   added).
    Defendants further stated that "[a]dequate resolution of Form 483
    manufacturing deficiencies with the [FDA] is a prerequisite to the
    approval of the NDA for DEXTENZA."              (Emphasis added).
    These      informative    disclosures     about     the    nature    and
    consequences of the February 2016 Form 483 undercut any inference
    that defendants intentionally or recklessly misled investors by
    stating, in the same Forms 10-K containing those disclosures, that
    they were "using current Good Manufacturing Practices" at their
    manufacturing facility.           See Abiomed, 778 F.3d at 243-44 (holding
    that scienter argument was undercut by a company's disclosure to
    investors      of        correspondences    with      the   FDA    and    potential
    consequences        of    the   agency's    negative    determination);       In   re
    Genzyme Corp. Sec. Litig., 
    754 F.3d 31
    , 42-43 (1st Cir. 2014)
    (holding that company's informative disclosures, including of a
    Form 483 and other FDA communications, "undercut any inference of
    fraudulent intent on the part of defendants"); Waters Corp., 
    632 F.3d at 760
     ("[A]ttempts to provide investors with warnings of
    risks generally weaken the inference of scienter." (alteration in
    original) (quoting Ezra Charitable Trust v. Tyco Intern., Ltd.,
    
    466 F.3d 1
    , 8 (1st Cir. 2006))).
    - 27 -
    Assuming arguendo that any inference of scienter could
    be drawn from the complaint's allegations regarding defendants'
    statements in the Forms 10-K, that inference is not "at least as
    compelling as any opposing inference of nonfraudulent intent" such
    that it is sufficiently "strong" under the PSLRA.                   Tellabs, 
    551 U.S. at 314
    .     Here, given defendants' statements in the two Forms
    10-K   that    they   produce    multiple     products     at     their    Bedford
    manufacturing      facility     "using"    cGMP,   and     in     light    of     the
    informative disclosures regarding the February 2016 Form 483, the
    more   reasonable     inference     of    nonfraudulent         intent    is     that
    defendants     were   stating   their     intention   to   comply        with    cGMP
    regulations as the governing standards for their drug product
    manufacturing operations.         See Abiomed, 778 F.3d at 240 (holding
    that materiality and scienter inquiries are linked and that a fact
    is material where there is a "substantial likelihood" that a
    reasonable investor would view it as "significantly alter[ing] the
    total mix of information made available" (alteration in original)
    (quoting Waters Corp., 
    632 F.3d at 756
    )); see also Singh v. Cigna
    Corp., 
    918 F.3d 57
    , 60-64 (2d Cir. 2019) (holding that a reasonable
    investor would not rely on statements in two Forms 10-K that a
    company "expect[s] to continue to allocate significant resources"
    to various compliance efforts as representations of satisfactory
    compliance without more detail (alteration in original)).                       Thus,
    - 28 -
    reading    the     complaint      as    a     whole,    we       determine    that   these
    allegations do not give rise to a strong inference of scienter.16
    2. The May 5, 2017 Conference Call
    We     turn    to    plaintiffs'          allegations      that       defendant
    Ankerud intentionally or recklessly misled investors during the
    May   5,   2017    conference         call    by   twice     stating       that   Ocular's
    manufacturing process was "fully developed" despite the receipt of
    the May 2017 Form 483 one day before and the earlier receipt of
    the February 2016 Form 483 showing that Ocular had manufacturing
    problems.        Read in the context of the entire complaint, these
    allegations       also    do    not    give    rise    to    a    strong     inference   of
    scienter.
    16
    Plaintiffs alleged that a confidential witness had a
    direct conversation with Ankerud in late 2016 or early 2017, prior
    to Ocular's NDA resubmission, in which "Ankerud expressly
    acknowledged that he and the Company knew Ocular would be including
    batch records in the NDA resubmission that would not meet FDA
    standards." Plaintiffs also alleged that the witness's statements
    "make clear that Ocular and the Individual Defendants were aware
    of the severity of the problems Ocular faced in manufacturing
    DEXTENZA using cGMP."     Before the district court, plaintiffs
    specified that these allegations concerned only their contention
    regarding the 2017 Form 10-K.      Plaintiffs now reference those
    allegations in support of their scienter argument.             This
    contention is unpersuasive. Plaintiffs do not now challenge the
    district court's finding that the complaint "failed to allege a
    sufficient link between Ankerud's purported isolated admission
    about unspecified 'batch records' months before the challenged
    cGMP statement on the 2017 Form 10-K to render the cGMP statement
    false."   Ocular I, 
    2019 WL 1950399
     at *7 n.9.         Thus, these
    confidential witness allegations do not disrupt our determination
    that the complaint, read as a whole, does not allege facts giving
    rise to a strong inference of scienter.
    - 29 -
    On      the   conference    call,    after     defendant     Sawhney's
    disclosure that Ocular had "received the [May 2017] Form 483
    containing inspectional observations focusing on procedures for
    manufacturing processes . . . of drug product for commercial
    production," Ankerud spoke about the Form 483's contents and
    implications as well as the company's need to pursue remediation.
    (Emphasis added).         Ankerud specified that the FDA's "primary focus
    in the 483 relates to a particula[te] matter issue as part of our
    manufacturing process" and that it also contained observations
    regarding "analytical method, testing to be completed, as well as
    some other issue related to quality oversight of batch records."
    (Emphasis added).         Following this disclosure, Ankerud stated that
    defendants "believe that each of the observations raised by the
    FDA   during     this     continuous   improvement        review   of   our    fully
    developed manufacturing process are handled well and will be
    resolved in our response to FDA. . . . and we're marching toward
    that PDUFA date and expect that we can resolve the 483 issues in
    a timely manner."         (Emphasis added).      Ankerud subsequently stated
    that "the 483 is something that we have to respond to . . . . [W]e
    understand where [the FDA is] coming from and what needs to be
    done to address their concern."             Afterwards, in response to an
    analyst's request for "something you can tell us or say to us in
    terms of how things have evolved at the company overall and
    oversight      of     manufacturing,"           Ankerud     stated      that    "the
    - 30 -
    manufacturing process has moved forward significantly, and is in
    a fully developed mode," and that "the new investigator was
    experienced in the pharmaceutical industry and we had good dialog
    and good discussion and that's why we felt confident that we can
    address these 483 issues in a timely manner."               (Emphasis added).
    Ankerud's disclosures regarding the May 2017 Form 483
    made pellucid that Ocular's manufacturing process was considered
    deficient by the FDA and thus undercut any inference that he
    intentionally    or    recklessly   misled      investors    by    stating      that
    Ocular's   manufacturing     process      was    "fully     developed."          See
    Abiomed, 778 F.3d at 243-44; Genzyme Corp., 754 F.3d at 42-43;
    Waters Corp., 
    632 F.3d at 760
    .17         Defendants submit that according
    to the FDA, a "fully developed" process is one that has surpassed
    the   concept   or    piloting   stage   but    must   still      be   tested    and
    validated to determine whether the process works as intended and
    meets the necessary standards.           See FDA, Guide to Inspections of
    Medical Device Manufacturers at § 7 (2014) ("The process must be
    developed before it can be validated. . . . It is impossible to
    17We reject plaintiffs' argument that defendants'
    disclosures of the February 2016 and May 2017 Forms 483 in the
    Forms 10-K and the May 5, 2017 conference call did not sufficiently
    inform investors that the Forms 483 documented "major" rather than
    "minor"   problems    in    Ocular's   manufacturing    operations.
    Plaintiffs provide no legal support for their speculative
    assertion that the issues observed by the FDA and recorded in the
    Forms 483 were so major that they rendered nugatory defendants'
    disclosures and ultimately compel a strong inference of scienter.
    - 31 -
    validate a process (i.e. show that it consistently operates within
    established parameters and produces results or products that meet
    specifications) until the process is fully developed."), available
    at     https://www.fda.gov/inspections-compliance-enforcement-and-
    criminal-investigations/inspection-guides/page-9.                  We      may
    consider that fact.     See Brennan, 853 F.3d at 609-10; Tellabs, 
    551 U.S. at 322
     ("[C]ourts must consider the complaint in its entirety,
    as well as other sources courts ordinarily examine when ruling on
    Rule 12(b)(6) motions to dismiss, in particular . . . matters of
    which a court may take judicial notice.").         In light of that term
    of art and Ankerud's disclosures during the conference call that
    contravene plaintiffs' characterization of his statements, the
    more   reasonable     and     compelling    inference    drawn    from     the
    complaint's allegations is that Ankerud spoke with nonfraudulent
    intent in describing Ocular's manufacturing process as "fully
    developed."      See Tellabs, 
    551 U.S. at 314
    .
    Overall, reading the complaint as a whole, we determine
    that plaintiffs have not alleged facts giving rise to a strong
    inference     of   scienter   as   required   by   the   PSLRA.   18     Thus,
    18
    The district court correctly determined that defendant
    Sawhney's purchase of Ocular shares during the class period
    somewhat "[f]uther negat[es] an inference of scienter," at least
    as to Sawhney and Ocular. Ocular I, 
    2019 WL 1950399
     at *10 n.12;
    see Abiomed, 778 F.3d at 246 (holding that an individual
    defendant's purchase of company stock during the class period
    "negates any inference that he had a motive to artificially inflate
    [the company's] stock during that period"); cf. Tellabs, 551 U.S.
    - 32 -
    plaintiffs' securities fraud claim brought under Section 10(b) and
    Rule 10b-5 fails.
    C. Plaintiffs' Section 20(a) Claim Against Individual Defendants
    Section 20(a) of the Exchange Act imposes joint and
    several liability on persons in control of entities that are liable
    for     violations     of   securities   laws   "unless   the   controlling
    person[s] acted in good faith and did not directly or indirectly
    induce the act or acts constituting the violation."              15 U.S.C.
    § 78t(a).    A claim brought under Section 20(a) is thus derivative
    of a claim alleging an underlying securities law violation.            See
    Abiomed, 778 F.3d at 246.        Accordingly, because the complaint does
    not state a securities fraud claim under Section 10(b) and Rule
    10b-5, plaintiffs' derivative claim under Section 20(a) too must
    fail.    See id.
    III. Conclusion
    The      district   court    properly   dismissed   plaintiffs'
    primary Section 10(b) and Rule 10b-5 claim and derivative Section
    20(a) claim.       We therefore AFFIRM the judgment of the district
    court.
    at 325 ("While it is true that motive can be a relevant
    consideration, and personal financial gain may weigh heavily in
    favor of a scienter inference, . . . the absence of a motive
    allegation is not fatal."). Viewed in the context of the complaint
    as a whole, this fact is consistent with our conclusion that
    plaintiffs have not alleged facts giving rise to a strong inference
    of scienter.
    - 33 -