Securities & Exchange Comm'n v. Johnston ( 2021 )


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  •           United States Court of Appeals
    For the First Circuit
    No. 19-2264
    SECURITIES AND EXCHANGE COMMISSION,
    Plaintiff, Appellee,
    v.
    DAVID JOHNSTON,
    Defendant, Appellant,
    AVEO PHARMACEUTICALS, INC.; TUAN HA-NGOC; WILLIAM SLICHENMYER,
    Defendants.
    APPEAL FROM THE UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF MASSACHUSETTS
    [Hon. Nathaniel M. Gorton, U.S. District Judge]
    Before
    Thompson and Kayatta,
    Circuit Judges.
    John F. Sylvia, with whom Andrew N. Nathanson, Matthew D.
    Levitt, Emily Kanstroom Musgrave, Kerime S. Akoglu, and Mintz,
    Levin, Cohn, Ferris, Glovsky and Popeo, P.C., were on brief, for
    appellant.
       Judge Torruella heard oral argument in this matter and
    participated in the semble, but he did not participate in the
    issuance of the panel's opinion in this case. The remaining two
    panelists therefore issued the opinion pursuant to 
    28 U.S.C. § 46
    (d).
    John Pagliaro and Martin J. Newhouse on brief for New England
    Legal Foundation, amicus curiae.
    Paul G. Alvarez, Senior Counsel, with whom Robert B. Stebbins,
    General Counsel, John W. Avery, Deputy Solicitor, and Hope Hall
    Augustini, Senior Litigation Counsel, were on brief, for appellee.
    January 22, 2021
    KAYATTA,     Circuit   Judge.      The    Food   and   Drug
    Administration (FDA) expressed concerns to AVEO Pharmaceuticals
    about the results of AVEO's clinical trial for tivozanib, a kidney
    cancer drug candidate.      In light of those concerns, the FDA
    recommended that AVEO conduct another clinical trial.      AVEO opted
    not to disclose that recommendation to the markets until the FDA
    itself revealed the recommendation eleven months later, at which
    point AVEO's stock dropped thirty-one percent.     In this subsequent
    civil enforcement action brought by the Securities and Exchange
    Commission, the principal issue is whether AVEO's CFO, David
    Johnston, knowingly misled investors by the manner in which he
    responded to investor inquiries about the substance of AVEO's
    discussions with the FDA.    After an eight-day trial, a jury found
    against Johnston.    On appeal, Johnston argues that he was entitled
    to judgment as a matter of law because he had no duty to disclose
    the FDA's recommendation, and because the evidence of scienter was
    insufficient.   Alternatively, Johnston argues that he is entitled
    to a new trial because the district court improperly instructed
    the jury on the law of materiality and the duty to disclose.      For
    the following reasons, we find the evidence of fraud and scienter
    sufficient to support the verdict, and the challenged instructions
    appropriate.
    - 3 -
    I.
    We begin with a summary of the evidence.              Because
    Johnston challenges the sufficiency of the evidence to support the
    jury's verdict, we view the evidence in the light most favorable
    to the verdict and draw any inferences in the verdict's favor.
    Blomquist v. Horned Dorset Primavera, Inc., 
    925 F.3d 541
    , 546 (1st
    Cir. 2019).
    From 2007 to 2013, Johnston served as the Chief Financial
    Officer of AVEO Pharmaceuticals.      As CFO, Johnston was responsible
    for   AVEO's   communications   to   the   investing   public,   including
    communications about its drug development efforts.
    In the spring of 2012, AVEO's financial future largely
    turned on the success of its lead drug candidate, tivozanib, a
    drug intended to treat a form of kidney cancer called renal cell
    carcinoma.     The FDA determines whether a drug such as tivozanib
    may be marketed in the United States.          The FDA approval process
    requires a sponsor such as AVEO to prepare and submit a new drug
    application (the "NDA").         See 
    21 U.S.C. § 355
    (a).          Approval
    generally requires the application's sponsor to demonstrate the
    drug's clinical benefit.      See 
    21 U.S.C. § 355
    (d).       As announced in
    its 2011 Form 10-K, AVEO expected to submit an NDA for tivozanib
    to the FDA during the third quarter of 2012.
    In May 2012, AVEO published results from TIVO-1, a
    Phase 3   clinical    trial   comparing    tivozanib   to   sorafenib,   an
    - 4 -
    approved kidney cancer treatment.          TIVO-1's primary endpoint was
    to measure progression-free survival (the length of time from when
    the patient enters the study until the occurrence of either tumor
    growth or the patient's death).         TIVO-1's secondary endpoint was
    to measure overall survival (the length of time from when the
    patient starts treatment until the patient dies from any cause).
    TIVO-1's    results    showed   that   tivozanib   performed   better   than
    sorafenib on progression-free survival but worse than sorafenib on
    overall survival.
    AVEO's representatives met with FDA officials on May 11,
    2012, to discuss the prospects of AVEO's anticipated NDA (the "pre-
    NDA meeting").        During that meeting, the FDA expressed concern
    about the trend in the available overall survival data for TIVO-1
    patients who received tivozanib.            The FDA informed AVEO that
    "[f]urther discussion of these findings will be required at the
    time of filing and if the application is filed they will be a
    review     issue   that   could   affect    approvability."       One   FDA
    representative, Dr. Amna Ibrahim, suggested that if AVEO submitted
    an NDA for tivozanib with the same troubling overall survival data,
    the FDA might refuse to file it.           See 
    21 C.F.R. § 314.101
    (a)(1)
    (providing that an "NDA may be filed" once the "FDA has made a
    threshold determination that the NDA is sufficiently complete to
    permit a substantive review").
    - 5 -
    AVEO argued at the pre-NDA meeting that the overall
    survival data trend could be explained by the study's one-way
    crossover      design,       which      gave    patients        assigned     to   receive
    sorafenib the option to take tivozanib if they experienced disease
    progression         but   did   not     allow    patients        assigned    to   receive
    tivozanib to receive sorafenib.                     But this explanation did not
    persuade the FDA.
    During the pre-NDA meeting, the FDA made two specific
    recommendations to AVEO.                First, the FDA recommended that AVEO
    conduct a second Phase 3 study for tivozanib ("a second adequately
    powered randomized trial in a population comparable to that in the
    US").    Second, the "FDA also recommended that [AVEO] conduct the
    final analysis of overall survival in the current trial."                              The
    meeting minutes jointly prepared with input from both FDA personnel
    and     AVEO        representatives            memorialized         both     of     these
    recommendations.
    Hours       after       the       pre-NDA         meeting,     Dr. William
    Slichenmyer,        AVEO's      Chief    Medical      Officer,      shared    the    FDA's
    feedback on a call with AVEO's executive committee.                          Slichenmyer
    repeated "[v]erbatim" the FDA's recommendation at the pre-NDA
    meeting that AVEO conduct a second Phase 3 study for TIVO.                             He
    also informed the committee that "stay[ing] the course" by filing
    the NDA in the third quarter of 2012 ran a "High Risk of [Refusal
    to    File]    or    Non-Approval."            During     the    next   several     weeks,
    - 6 -
    Slichenmyer also presented the FDA's feedback to the AVEO/Astellas
    Joint    Steering     Committee1   and   to   AVEO's   Board    of    Directors.
    Johnston was privy to all of these presentations.
    On June 26, 2012, AVEO's Board approved a plan and a
    budget    for   the   second   trial     recommended   by    the     FDA.   AVEO
    nevertheless still hoped to obtain approval of its forthcoming NDA
    before the second trial's end, which would not be for several
    years.    On July 2, 2012, AVEO sent briefing documents to the FDA
    proposing a post-approval trial (rather than a second pre-approval
    trial).     AVEO also requested a meeting to discuss the FDA's
    feedback on the proposal (the "Type A meeting").
    On August 2, 2012, AVEO filed a Form 8-K and issued a
    press release that discussed TIVO-1's results.              Rather than simply
    remaining largely silent on the substance of its discussions with
    the FDA, AVEO issued a "Regulatory Update" disclosing that "[t]he
    FDA has expressed concern regarding the [overall survival] trend
    in the TIVO-1 trial and has said that it will review these findings
    at the time of the NDA filing as well as during the review of the
    NDA."     AVEO told investors that it believed it could "directly
    address this issue" by "conducting additional analyses to be
    included in the NDA submission that demonstrate that the [overall
    1  AVEO had entered into a joint venture with Astellas Pharma,
    Inc., to develop tivozanib and obtain regulatory approval for the
    drug.
    - 7 -
    survival] data from TIVO-1 are consistent with improved clinical
    outcomes in [renal cell carcinoma] patients receiving more than
    one line of therapy." Although AVEO was "continuing to work toward
    submitting the NDA by end of the third quarter," it noted there
    was "a chance that the additional [overall survival] analyses may
    cause the submission to move into the fourth quarter."
    That same day, AVEO held a conference call for investment
    analysts.      In   preparation   for   the   call,   Johnston   and   his
    communications staff created a document scripting responses to
    anticipated analyst questions.      The script gave specific guidance
    on how to answer questions about whether the FDA had recommended
    further trials:
    Additional Studies Requested by Agency
    •    At this time the Agency has not required
    an additional study for approval.
    •    We are comfortable with our plans to
    address the [overall survival] concerns and
    are moving forward with the NDA submission.
    IF PUSHED...details on discussions with FDA
    •    We wouldn't want to speculate on what the
    Agency would do in the future.
    With Johnston present on the call, Slichenmyer answered
    analysts' questions in accordance with the script.          When Thomas
    Wei, an investment analyst, asked:
    [W]ould you be able to help us understand,
    based on your discussions with the agency,
    let's say that these additional analyses that
    you're submitting actually are ultimately not
    sufficient to address their concerns on
    overall survival.    What are the different
    pathways that you would have going forward to
    - 8 -
    get TIVO approved?     Is it waiting for the
    overall survival data to mature, or [are]
    there . . . other possibilities that maybe the
    FDA outlined to you as a way to fix this issue?
    Slichenmyer responded:
    Yes.   So first I want to reaffirm that we
    believe that the current data package should
    be sufficient to gain approval. But in the
    unlikely scenario that we might get into
    something like you described there[,] I can't
    speculate on what the agency might be thinking
    or what additional actions might be necessary.
    But obviously, it would be tail[or]ed to what,
    if any, concerns they had.
    Wei reasonably understood Slichenmyer's response to mean that "he
    ha[d] no idea what the FDA might outline as a way to fix the
    issue."
    Salveen Richter, an investment analyst, followed up on
    Wei's question:
    So, when you met with the FDA and they brought
    up their concerns, did they kind of point you
    towards a direction of what studies they
    wanted you to acquire? And when you commented
    on these analyses that you're doing, were they
    comfortable with that or did they kind of push
    you into a different direction of maybe doing
    some additional new analyses or additional
    studies?
    Slichenmyer answered:
    Yes.   So, we're not going to get into the
    details of our ongoing discussions with the
    agency at this point.   And really, the key
    thing about our updating today is because of
    the potential impact on our NDA submission
    timeline. And so regarding any future study,
    I think -- again, I just can't speculate on
    - 9 -
    what the agency might want us to do in the
    future.
    Later that day, Richter wrote an investment report stating that
    "new trials will not be required" for tivozanib, and that report
    was sent to Johnston on August 3.         Another analyst on the call,
    Adnan    Butt,   reasonably    understood   Slichenmyer's     answer   to
    Richter's question to mean "[t]hat a discussion of another study
    has not come up."     Following AVEO's August 2 disclosures, AVEO's
    stock price declined twenty-seven percent.
    In a 10-Q filing on August 7, 2012, AVEO repeated the
    information it had included in its press release regarding the
    FDA's pre-NDA meeting feedback and revised its planned timeline
    for filing the NDA from the third quarter to the "second half" of
    2012.    The August 2012 10-Q also stated that AVEO "cannot be
    certain as to what type and how many clinical trials the FDA . . .
    will require us to conduct before we may successfully gain approval
    to market tivozanib."    AVEO noted that "[p]rior to approving a new
    drug, the FDA generally requires that the efficacy of the drug be
    demonstrated in two adequate and well-controlled clinical trials."
    AVEO's   subsequent   public   statements    about   the   FDA's   pre-NDA
    meeting feedback followed the same pattern; when Johnston spoke at
    investment conferences in August and September, he never mentioned
    the FDA's recommendation to conduct a second study.
    - 10 -
    On August 29, 2012, the FDA responded to AVEO's Type A
    meeting request. The response stated that the FDA had "significant
    concerns regarding the trial design described in [AVEO's] meeting
    package" and offered no encouragement that the recommended second
    study could be done post-marketing. After receiving that feedback,
    AVEO canceled the Type A meeting.
    On   September 27,    2012,      AVEO     submitted   an   NDA    for
    tivozanib.   AVEO's Form 10-Q filing on November 8, 2012, noted the
    NDA's submission, but it contained a risk disclosure statement
    much like the one in AVEO's August 2012 Form 10-Q.                    Later in
    November, the FDA issued a "Day 74 Letter" notifying AVEO that the
    NDA submission contained adequate information for the FDA to review
    the NDA.     But the FDA also indicated that the TIVO-1 overall
    survival data would be a "review issue[]"                considered      by the
    Oncologic Drugs Advisory Committee (ODAC).
    In January 2013, AVEO conducted a public offering that
    raised over $53 million.        In connection with the offering, the
    underwriters'   legal   counsel2    and     AVEO's    legal   counsel3      wrote
    negative assurance letters informing the underwriters that based
    on their conversations with AVEO's officers and review of AVEO's
    2   Ropes & Gray, LLP, served as counsel to the underwriters.
    3  Wilmer Cutler Pickering Hale and Dorr, LLP, served as
    counsel to AVEO.
    - 11 -
    registration   statement,   pricing    disclosure   package,    and
    prospectus,4 no facts that came to their attention caused them to
    believe that the offering documents omitted "a material fact
    necessary in order to make the statements therein, in the light of
    the circumstances under which they were made, not misleading."
    On February 26, 2013, the FDA announced in the Federal
    Register that tivozanib's overall survival data would be reviewed
    by the ODAC at a meeting on May 2, 2013.   The day after the FDA's
    announcement, Johnston spoke at an investment conference.      Adnan
    Butt, an investment analyst, asked Johnston point-blank:       "Have
    you -- either your partner or the FDA discussed any further trials
    in kidney cancer so far?"   Rather than answering forthrightly, or
    refusing to answer, Johnston gave the following response:
    We have not had any formal discussions, no.
    But that brings up an interesting question.
    There's a whole range of possibilities that
    might come out of this. On the most positive
    [end] is that ODAC and the FDA each say, yes,
    we understand, we believe this is what's
    happening, very credible, go forth and sell
    [the] drug. On the other end, they could say,
    this sounds plausible but we would like to see
    a   confirmatory   trial   before   you  start
    marketing this. That's what we call the bad
    news scenario.     But in between, there's a
    whole series of things and it's fairly
    conceivable    that   they    might   want   a
    confirmatory trial post-marketing. And it's
    important for people to understand that that
    4  AVEO's prospectus incorporated by reference several of
    AVEO's public filings, including the August and November
    Form 10-Qs.
    - 12 -
    would fit in well with our strategy that we
    already have in our operating plans anyway.
    On March 11, 2013, AVEO filed a Form 10-K for 2012, which
    did not disclose the FDA's recommendation to conduct another study.
    One week later, AVEO participated in a Type A meeting with the FDA
    to   discuss    a    second    clinical   trial   for   tivozanib.     The   FDA
    "encourage[d]" AVEO to "design the trial properly as soon as
    possible and [to] initiate it independent of the action taken on
    the current NDA submission," and the FDA added that "[t]he design,
    conduct, and results of this trial will determine whether this one
    additional trial will be sufficient for approval purposes."                  AVEO
    inquired at the Type A meeting whether the FDA was requiring a
    second trial before the FDA would approve the tivozanib NDA.                 The
    FDA responded that the NDA remained "under review" and that "no
    final decision ha[d] yet been made on the application."
    On       April 30,    2013,    the   FDA   released   the   briefing
    documents submitted to the ODAC in advance of the May 2 meeting.
    The briefing documents revealed to the public that the FDA had
    recommended at the May 2012 pre-NDA meeting that AVEO conduct
    another trial.       After that disclosure, AVEO's stock price dropped
    thirty-one percent.           In May 2013, the ODAC rejected the adequacy
    of TIVO-1.
    - 13 -
    II.
    The     operative      complaint        in   this   matter    alleged
    violations of section 10(b) of the Exchange Act, 15 U.S.C. § 78j(b)
    and Rule 10b-5, 
    17 C.F.R. § 240
    .10b-5; section 17(a)(1)–(3) of the
    Securities Act, 15 U.S.C. § 77q(a); and Exchange Act Rule 13a-14,
    
    17 C.F.R. § 240
    .13a-14.5          The case went to trial, and, after the
    SEC rested, Johnston unsuccessfully moved for judgment as a matter
    of law.    The jury returned a verdict in favor of the SEC and
    against Johnston on all claims.                 The district court thereafter
    entered judgment against Johnston, barring him from serving as an
    officer or director of a public company for two years, ordering
    disgorgement     of   $5,677     plus    prejudgment    interest,    imposing    a
    $120,000   civil      penalty,    and     permanently    enjoining      him   from
    violating securities laws.         The district court subsequently denied
    Johnston's timely renewed motion for judgment as a matter of law
    pursuant to Fed. R. Civ. P. 50(b) and for a new trial pursuant to
    Fed. R. Civ. P. 59.       Johnston timely appealed.
    III.
    "A motion for judgment as a matter of law may be granted
    only if a reasonable person, on the evidence presented, could not
    reach the conclusion that the jury reached."               Visible Sys. Corp.
    v. Unisys Corp., 
    551 F.3d 65
    , 71 (1st Cir. 2008).                        Johnston
    5  Johnston was not the only defendant sued, but the others
    settled the claims against them.
    - 14 -
    challenges the denial of his motion for judgment as a matter of
    law on two grounds.       Johnston first argues that he had no duty to
    disclose the FDA's recommendation to conduct another clinical
    trial for tivozanib.        Second, he contends that the evidence of
    scienter was insufficient.        We address each argument in turn.
    A.
    We begin with Johnston's duty-to-disclose argument.              The
    SEC had to prove, among other things, that in connection with the
    purchase or sale of securities Johnston used or employed "any
    manipulative or deceptive device or contrivance in contravention
    of such rules and regulations as the [SEC] may prescribe."                 15
    U.S.C. § 78j(b).     Pursuant to that statutory authority, the SEC
    promulgated Rule 10b-5(b), which provides in relevant part that
    "[i]t   shall   be        unlawful    for     any     person,   directly   or
    indirectly, . . . [t]o make any untrue statement of a material
    fact or to omit to state a material fact necessary in order to
    make the statements made, in the light of the circumstances under
    which they were made, not misleading."              
    17 C.F.R. § 240
    .10b-5(b).
    Section 17(a)(2)     of    the   Securities     Act    prohibits   securities
    sellers from making the same type of statements prohibited by
    Rule 10b-5(b). 15 U.S.C. § 77q(a)(2). A fact is "material" within
    the meaning of these provisions if it is substantially likely to
    be viewed by a reasonable investor as "significantly altering the
    total mix of information made available."               In re Smith & Wesson
    - 15 -
    Holding Corp. Sec. Litig., 
    669 F.3d 68
    , 74 (1st Cir. 2012); Basic
    Inc. v. Levinson, 
    485 U.S. 224
    , 231–32 (1988).
    Johnston's argument starts out on solid footing.                     It is
    well-settled     that        the    "mere    possession         of . . .     nonpublic
    information does not create a duty to disclose it."                        In re Smith
    & Wesson Holding Corp. Sec. Litig., 669 F.3d at 74 (alteration
    omitted).     This is so even when that nonpublic information is
    material.     Id.6    And we have observed on several occasions that a
    company such as AVEO is not, in the ordinary case, "under an
    affirmative     obligation          to    disclose      'each    detail     of   every
    communication with the FDA.'"               Yan v. ReWalk Robotics Ltd., 
    973 F.3d 22
    , 40 (1st Cir. 2020) (quoting In re Bos. Sci. Corp. Sec.
    Litig., 
    686 F.3d 21
    , 40 (1st Cir. 2012)); Corban v. Sarepta
    Therapeutics,        Inc.,    
    868 F.3d 31
    ,   40    (1st    Cir.   2017)    ("The
    defendants had no legal obligation to loop the public into each
    detail of every communication with the FDA."); see also Fire &
    Police Pension Ass'n of Colo. v. Abiomed, Inc., 
    778 F.3d 228
    , 244
    (1st Cir. 2015) ("There must be some room for give and take between
    a regulated entity and its regulator.").
    So far, so good.             The problem for Johnston is that the
    SEC finds no need to argue in this case that AVEO's mere knowledge
    of the FDA's recommendation required AVEO to disclose it.                        To the
    6  Amicus curiae New England Legal Foundation emphasizes this
    point in its brief in support of Johnston.
    - 16 -
    contrary, the SEC assumes, arguendo, that until AVEO spoke as it
    did on the substance of its communications with the FDA, it was
    not required to disclose the recommendation.                  The SEC instead
    points to the fact that Johnston chose to make statements to
    analysts and investors about its discussions with the FDA.                 So the
    pivotal      question   is   whether     those   statements    were     knowingly
    misleading.        Statements can be misleading if they are materially
    untrue.     See 
    17 C.F.R. § 240
    .10b-5(b) ("It shall be unlawful . . .
    [t]o make any untrue statement of material fact . . . .").                    They
    can   also    be    misleading   if    they    are    half-truths,    painting   a
    materially false picture in what they say because of what they
    omit. 
    Id.
     ("It shall be unlawful . . . to omit to state a material
    fact necessary in order to make the statements made, in the light
    of    the     circumstances      under     which      they   were     made,   not
    misleading . . . ."); see generally Corban, 868 F.3d at 40.
    When investment analysts inquired about whether the FDA
    had "outlined" "other possibilities" to address overall survival
    concerns, such as "additional studies," Johnston knew that there
    were two readily apparent, non-deceptive answers:                    "Yes" or "we
    choose not to answer that question."                 Likely fearing (or so the
    jury could have found) that either answer would effectively convey
    the unhelpful truth, Johnston opted for neither.                     Instead, he
    prepped Slichenmyer to respond that he could not "speculate" about
    "what the agency might be thinking" or "what additional actions
    - 17 -
    might be necessary," clearly implying that AVEO lacked knowledge
    short of speculation.    And when another investment analyst asked
    whether the FDA "push[ed] [AVEO] into a different direction of
    maybe doing . . . additional studies," Slichenmyer again said that
    he could not "speculate on what the agency might want us to do in
    the future."   The SEC presented evidence that no speculation was
    necessary on these topics after the FDA recommended in May 2012
    that AVEO conduct a second study.
    Whether Slichenmyer's foregoing responses as crafted by
    Johnston and given in his presence could by themselves support the
    jury's verdict, we need not finally decide.     Rather, we point, as
    the SEC does, to the doubling-down that occurred at the investment
    conference on February 27, 2013.      Johnston was asked, "Have you
    -- either your partner or the FDA discussed any further trials in
    kidney cancer so far?"    Johnston fielded this question over nine
    months after AVEO's pre-NDA meeting with the FDA, at which the FDA
    specifically recommended that AVEO conduct a second trial; about
    eight months after AVEO proposed to the FDA plans for a second
    trial;   and about   six months after    the FDA   criticized AVEO's
    proposed design for a second trial.     Yet, he responded, "[w]e have
    not had any formal discussions, no."        Offered in the wake of
    Slichenmyer's scripted deflections, this answer plus Johnston's
    subsequent description of an additional trial as one outcome in
    the "range of possibilities that might come out of this" reinforced
    - 18 -
    the misleading impression that the FDA had not even discussed with
    AVEO an additional trial during the pre-NDA meeting.
    Johnston      seeks    to   insulate     his    statements       from   the
    jury's consideration by pointing to cases posing the issue of
    whether a company misleads by providing a general acknowledgement
    of a risk that an adverse event could occur in the future without
    further explaining its likelihood.               See Hill v. Gozani, 
    638 F.3d 40
    , 56 (1st Cir. 2011) (disclosing "risk[] associated with . . .
    reimbursement   by     third      party    payors"       without   explaining       that
    people within the company disagreed about the risk's severity); In
    re Sanofi Sec. Litig., 
    87 F. Supp. 3d 510
    , 540–41 (S.D.N.Y 2015)
    (disclosing   that     approval      depended       on    "hav[ing]    an    extremely
    convincing    set    of    results"       without    explaining       that    FDA   had
    indicated    need    for    "a    heightened     showing      of   proof . . .        to
    compensate for the less reliable testing methodology used"), aff'd
    sub nom. Tongue v. Sanofi, 
    816 F.3d 199
    , 209 (2d Cir. 2016).                     These
    cases explain that identifying the risk of a future adverse event
    without volunteering an assessment of its likelihood generally
    will not, by itself, constitute an actionable misrepresentation
    unless the risk of the event's occurrence "approaches a certainty."
    Hill, 
    638 F.3d at 60
     (explaining that broad disclosure of risk
    related to reimbursement was sufficient where the level of risk
    was unknown); In re Sanofi Sec. Litig., 87 F. Supp. 3d at 540–41
    (concluding that company was not required to disclose FDA feedback
    - 19 -
    where such feedback was not "tantamount to a statement that [the
    company's    drug]   could   not    or   would    not    obtain    timely   FDA
    approval").    Here, though, the question is not whether Johnston
    refused to quantify a generally identified risk of what the future
    might bring, but rather whether Johnston communicated to investors
    a false statement about the past:            that the FDA had not formally
    discussed, much less recommended, a second study.
    Johnston also points to our decisions in Kader v. Sarepta
    Therapeutics, Inc., 
    887 F.3d 48
     (1st Cir. 2018), and Corban v.
    Sarepta Therapeutics, Inc., 
    868 F.3d 31
     (1st Cir. 2017),                      as
    supporting his position.       We disagree.       In Kader, the plaintiffs
    complained that the defendant had failed to disclose that it was
    not going to accede to a request by the FDA.             See 887 F.3d at 59.
    But there was no attempt to pretend that the FDA had not made the
    request, or that the defendant was acceding to it.                See id.   And,
    in Corban, we found that the defendant "faithfully represent[ed]"
    the FDA's position, and that the plaintiff had failed to show how
    not   providing      even    more    information        was   recklessly     or
    intentionally misleading.      868 F.3d at 40.          Neither holding helps
    a defendant who sketches a false picture of the FDA’s feedback on
    a plainly material point.
    In sum, a reasonable jury could find that Johnston used
    carefully crafted half-truths and distortions to convey a false
    understanding of the FDA's feedback on the company's clinical trial
    - 20 -
    and thereby violated his duty to make accurate statements regarding
    material facts.         See Hill, 
    638 F.3d at 57
     ("[E]ven a voluntary
    disclosure      of   information      that    a     reasonable    investor    would
    consider material must be complete and accurate." (alteration in
    original) (quoting Backman v. Polaroid Corp., 
    910 F.2d 10
    , 16 (1st
    Cir. 1990) (en banc))).
    B.
    We consider next Johnston's argument that the evidence
    of scienter was insufficient.               Proof of scienter is required to
    establish       violations      of     section 10(b),           Rule 10b-5,        and
    section 17(a)(1),        but   negligence         is   sufficient   to   establish
    liability under section 17(a)(2) or section 17(a)(3).                        SEC v.
    Ficken,   
    546 F.3d 45
    ,   47    (1st    Cir.      2008).    Scienter    can   be
    established by showing "either that the defendants consciously
    intended to defraud, or that they acted with a high degree of
    recklessness."       Corban, 868 F.3d at 37 (quoting Aldridge v. A.T.
    Cross Corp., 
    284 F.3d 72
    , 82 (1st Cir. 2002)).                   A high degree of
    recklessness "demands 'a highly unreasonable omission,' one that
    not only involves 'an extreme departure from the standards of
    ordinary care,' but also 'presents a danger of misleading buyers
    or sellers that is either known to the defendant or is so obvious
    the actor must have been aware of it.'"                 
    Id.
     (quoting In re Smith
    & Wesson Holding Corp. Sec. Litig., 669 F.3d at 77).
    - 21 -
    As this court has observed, a defendant's publication of
    statements     when        that    defendant      "knew    facts     suggesting     the
    statements were inaccurate or misleadingly incomplete is classic
    evidence of scienter." Aldridge, 
    284 F.3d at
    83 (citing Fla. State
    Bd. Of Admin. v. Green Tree Fin. Corp., 
    270 F.3d 645
    , 655 (8th
    Cir. 2001)).    Johnston's own testimony reflects that he learned of
    the FDA's recommendation to conduct another study shortly after
    the pre-NDA meeting.              So he knew about the FDA's recommendation
    when Slichenmyer stuck to Johnston's question-and-answer script
    during the conference call on August 2, 2012, by stating, when
    asked whether the FDA had suggested another study, that he "[could
    not] speculate on what the agency might want us to do in the
    future."       Most    importantly,        Johnston       knew     about   the    FDA's
    recommendation        at     the    pre-NDA    meeting      when     he    denied    on
    February 27, 2013, that AVEO had engaged in "formal discussions"
    with the FDA about another study.                   Because that too cleverly
    crafted denial conflicted with a fact known to him, a reasonable
    jury   considering         this    evidence    could      conclude    that   Johnston
    "consciously intended to defraud, or that [he] acted with a high
    degree of recklessness."             Id. at 82.
    Our decision in Yan v. ReWalk Robotics Ltd., 
    973 F.3d 22
    , 40–41 (1st Cir. 2020), is not to the contrary.                           There, a
    medical device manufacturer did not disclose an FDA letter warning
    that   noncompliance         with    a   deadline    to    conduct     a   postmarket
    - 22 -
    surveillance study "rendered [its] device misbranded."               
    Id. at 40
    .
    The manufacturer had already told investors that failure to comply
    with the postmarket surveillance study requirement could have the
    consequences described in the letter.           
    Id.
        And, importantly, the
    complaint did not allege that the manufacturer "made any claim
    concerning its progress with the FDA that was inconsistent with
    its receipt of the letter."        
    Id.
    Johnston makes several other arguments, all of which
    fail to persuade.      First, Johnston repurposes his duty-to-disclose
    argument as a scienter argument, contending that a reasonable jury
    could not conclude he acted with scienter because he had no clear
    obligation to disclose the FDA's recommendation. But even assuming
    Johnston had no duty to disclose the FDA's pre-NDA meeting feedback
    in the first instance, he had a duty not to mislead when he
    described that feedback.        It was not, as Johnston puts it, "a close
    call" whether he breached that duty by denying that AVEO and the
    FDA had "formal discussions" about another study.
    Second, Johnston argues that no reasonable jury could
    find that he acted with scienter because he and AVEO disclosed the
    TIVO-1   data,   the    FDA's   overall    survival    concerns,     and   their
    uncertainty about whether a second study would be necessary to
    obtain NDA approval.       But a defendant's disclosure of a subset of
    unfavorable facts does not prevent that defendant from misleading
    investors,   with      scienter,   about     another   known   and    material
    - 23 -
    unfavorable fact.            Nor does the contention that AVEO would have
    disclosed         the     FDA's   recommendation         in   the   event     the   FDA
    "require[d]" another trial relieve Johnston of the obligation to
    speak truthfully when discussing whether the FDA had already made
    a recommendation for such a trial.                   A reasonable jury would thus
    be free to reject Johnston's evidence of good faith and conclude
    that Johnston, with scienter, presented a materially distorted
    picture of the FDA's feedback.
    Third, Johnston argues that no reasonable jury could
    conclude that he acted with the requisite scienter because he
    adhered      to    AVEO's     corporate      governance       protocols.      Johnston
    contends that he could not have made a misleading statement with
    scienter because legal counsel for AVEO and the underwriters knew
    of    the    FDA's      recommendation       and     nevertheless   wrote     negative
    assurance letters to the underwriters of AVEO's January 2013 public
    offering.         Johnston also argues that he could not have intended
    for   AVEO's       disclosures       to    mislead     because   many    sophisticated
    actors working on AVEO's behalf reviewed and approved AVEO's
    disclosures.
    Johnston's claimed adherence to corporate governance
    protocols, while relevant and perhaps helpful in building a defense
    based       on     good     faith,        does   not     preclude       liability   for
    misrepresentations about the FDA's recommendation to conduct a
    second study.           There was certainly no protocol, after all, saying
    - 24 -
    that Johnston could make statements designed to cause investors to
    reasonably believe that which was not true.      As for the attorneys'
    letters, chronology (among other things) defeats the logic of
    Johnston's attempt to hide behind them.       Counsel for AVEO and the
    underwriters     provided   the    negative   assurance       letters   on
    January 23, 2013. Johnston made the false and misleading statement
    that suffices to support the jury's verdict more than a month
    later.    The negative assurance letters simply could not have
    assessed whether Johnston made a misleading statement of material
    fact when he said that AVEO and the FDA had not engaged in "formal
    discussions" about another study.
    The negative assurance letters' circumscribed scope also
    limits their probative value with respect to the statements made
    prior to January 23, 2013.    Both letters made assurances that "the
    Registration Statement," "the Pricing Disclosure Package," and
    "the Prospectus," which incorporated AVEO's August and November
    Form 10-Qs by reference, were truthful and non-misleading based on
    the information the law firms gathered during their respective due
    diligence processes.    But Johnston does not point to, nor have we
    found, anything in the record to show that the negative assurance
    letters   made   representations   about   whether   AVEO's    statements
    during its various conference calls with or presentations to
    - 25 -
    investment analysts contained material falsehoods or misleadingly
    omitted material facts.7
    Nor does AVEO's review process for disclosures compel
    the conclusion that the scienter evidence was insufficient.                     AVEO
    had no review process vetting Johnston's misleading answers to
    analysts' questions at investment conferences.                  A reasonable jury
    could       therefore     conclude   that    Johnston    made    his   misleading
    statement with scienter on February 27, 2013.                   This is hardly a
    case, after all, where the subject of FDA recommendations and a
    second drug trial came out of the blue.             Even where Johnston relied
    on AVEO's review process before making statements, a reasonable
    jury could reject Johnston's evidence of good faith and credit the
    SEC's evidence of scienter.
    In summary, because Johnston's calculated statements
    were       inconsistent    with   known   facts,    a   reasonable     jury   could
    conclude that he made those statements at least with a high degree
    of recklessness.          That showing of scienter satisfies the SEC's
    burden on its section 10(b), Rule 10-b(5), and section 17(a)(1)
    claims, and it is more than sufficient to satisfy the burden for
    claims       under   section 17(a)(2)       and   (a)(3).       Because   the   SEC
    7We do not imply that letters of this type from counsel
    would in other circumstances provide a complete defense.      See
    Markowski v. SEC, 
    34 F.3d 99
    , 105 (2d Cir. 1994) (noting that
    reliance on the advice of counsel "is not a complete defense, but
    only one factor for consideration").
    - 26 -
    presented sufficient evidence on each element of its claims, we
    affirm the denial of Johnston's renewed motion for judgment as a
    matter of law.8
    IV.
    In the alternative, Johnston seeks a new trial on the
    basis that the jury instructions contained prejudicial errors.     In
    Johnston's view, a new trial is warranted because the district
    court (1) failed to describe materiality and the duty to disclose
    as separate elements and (2) failed to explain that no duty to
    disclose can arise with respect to interim FDA communications that
    do not reflect certain outcomes.        In considering such preserved
    arguments, we "afford de novo review to questions as to whether
    jury instructions capture the essence of the applicable law, while
    reviewing for abuse of discretion . . . the court's choice of
    phraseology."     Teixeira v. Town of Coventry, 
    882 F.3d 13
    , 16 (1st
    Cir. 2018) (alteration in original) (internal quotation marks
    omitted) (quoting Ira Green, Inc. v. Mil. Sales & Serv. Co., 775
    8  The SEC also brought a claim against Johnston under
    Exchange Act Rule 13a-14 for falsely certifying that three AVEO
    documents -- its Form 10-K filed in March 2013, Form 10-Q filed in
    November 2012, and Form 10-Q filed in August 2012 -- did not
    contain any untrue statement of material fact or omit to state a
    material fact necessary to render the statements made not
    misleading.   See 
    17 C.F.R. § 240
    .13a-14.      Johnston offers no
    independent argument for why the verdict against him should be set
    aside on the SEC's claim under Rule 13a-14. So, in light of his
    statement on February 27, 2013, Johnston's certification of AVEO's
    2012 Form 10-K on March 11, 2013, provides a sufficient basis for
    the jury's verdict on the SEC's claim under Rule 13a-14.
    - 27 -
    F.3d 12, 18 (1st Cir. 2014)).         We also limit our review to the
    specific challenges raised by Johnston.
    The district court opened with the following:
    With respect to . . . untrue statements of
    material fact or omissions of material fact,
    the SEC must prove that Mr. Johnston committed
    fraud by making one or more statements that
    were not true when they were made or show that
    Mr. Johnston failed to disclose a material
    fact that he had a duty to disclose in order
    to make the other statements not misleading.
    For the SEC to prevail, you must unanimously
    agree on which statement was untrue or which
    undisclosed fact was misleading and find that
    the untrue statement or undisclosed fact was
    material.
    See   
    17 C.F.R. § 240
    .10b-5(b);   15   U.S.C.   § 78j(b);   15   U.S.C.
    § 77q(a).    The court then explained that, "I will now describe the
    terms 'material' and 'duty to disclose' in a little more detail."
    First, the court addressed materiality:
    A fact is material if there is a substantial
    likelihood that a reasonable investor would
    consider the fact important when making a
    decision about whether to invest his money in
    a particular security.    In other words, a
    statement leaves out a material fact if there
    is a substantial likelihood that a reasonable
    investor would view the absent fact as
    significantly altering the total mix of the
    information available.      When information
    merely creates a possibility that an event
    affecting   a  company   will   later  occur,
    materiality will depend upon a balancing of
    both the indicated probability that the event
    will occur and the anticipated magnitude of
    the event in light of the totality of the
    company activity.
    The court next addressed the duty to disclose:
    - 28 -
    You cannot find a Defendant liable if he did
    not have a duty to disclose the information.
    Information that is disclosed must be complete
    and accurate, but not all information that is
    material and nonpublic must be disclosed.
    Thus, even if an omitted statement was
    material, a Defendant cannot be liable for
    securities fraud if there was no duty to
    disclose the information at issue.         For
    example, a Defendant does not have a duty to
    disclose facts that would be interesting to
    the market, nor must every discussion between
    a regulated entity and its regulator be
    disclosed. Rather, a Defendant has a duty to
    disclose information when it is material and
    when the fact or facts would need to be
    revealed so as not to mislead. The fact that
    a statement is literally accurate does not
    preclude liability. Some statements, although
    literally accurate, can become misleading if,
    in their context and manner of presentation,
    they would mislead investors.
    No reasonable jury listening to these instructions would
    fail to understand     that materiality is a description of the
    importance of a fact to investors, while the duty to disclose
    refers to the responsibility to affirmatively reveal some facts.
    Far from conflating the two elements, the instructions expressly
    state that "not all information that is material and nonpublic
    must be disclosed."      As for Johnston's second complaint, the
    instructions   also   made   clear   that   not    every   discussion   with
    regulators need be disclosed.        A district court certainly has no
    duty to give an incorrect instruction.            Nor is a district court
    "obliged either to embellish legally correct statements or to cover
    - 29 -
    every factual permutation."       DeCaro v. Hasbro, Inc., 
    580 F.3d 55
    ,
    62 (1st Cir. 2009).
    V.
    For   the    foregoing    reasons,   we   affirm   the   district
    court's denial of Johnston's motion for judgment as a matter of
    law and for a new trial.
    - 30 -