Tepezza Lawsuit: Hearing Loss Claims and MDL Status (2026)
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Litigation Active – Tepezza Cases Are Still Pending
Status: Active – pretrial phase, trial dates struck, no settlement announced
Docket: MDL No. 3079, In re: Tepezza Marketing, Sales Practices, and Products Liability Litigation
Court: Northern District of Illinois, Judge Thomas M. Durkin
Pending cases: 279 as of October 1, 2026
Next key date: No public trial date set
Article Summary
- Plaintiffs claim Horizon failed to warn that Tepezza could cause permanent hearing loss and tinnitus.
- People diagnosed with hearing loss or tinnitus after Tepezza infusions may qualify to file.
- A 2025 ruling kept the failure-to-warn claims alive, so the core case against Horizon moves forward.
Thyroid eye disease can leave people with bulging, painful eyes and double vision. For many patients, Tepezza looked like the answer – the first drug approved to treat the condition. But some people say the infusions came with a cost nobody warned them about: ringing ears, muffled sound, or hearing that never came back. Hundreds of them have now taken the drug's maker to federal court. Here is what they claim, how the judge has ruled, and where things stand today.
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Mentioned by
- Major Developments in the Lawsuit History
- Where the Tepezza Case Stands in 2026
- Why People Are Suing Over Tepezza
- What Research Shows About Tepezza and Hearing
- How the Court Has Ruled So Far
- How the Test Trials Were Supposed to Work
- Tepezza Settlements So Far
- Who May Qualify for a Claim
- Filing Deadlines for Tepezza Claims
- Talk to a Lawyer About a Tepezza Claim
Major Developments in the Lawsuit History
- October 1, 2025: The court struck all test-trial dates and set a January 8, 2026 status hearing.
- January 10, 2025: The court let the warning claims proceed but dismissed claims that Horizon designed the drug badly.
- October 28, 2024: The judge dismissed one test case under Michigan law and refused to let Horizon pick a replacement.
- July 17, 2023: The FDA approved a new Tepezza label warning that hearing loss may be permanent.
- June 2, 2023: A federal panel created MDL No. 3079, centralizing federal Tepezza cases before Judge Thomas M. Durkin in the Northern District of Illinois.
Following the case
33 updatesFull Tepezza Lawsuit Updates Timeline (2022–2025)
All Bellwether Trial Dates Struck
With both sides' agreement, Judge Weisman spoke privately, off the record, with plaintiffs' and defense counsel. After consulting with the district judge, he struck every date tied to the upcoming bellwether cases, which took the August 3, 2026, first trial and the later trial dates off the calendar. The court set a January 8, 2026, status hearing for case management.
Bellwether Trials Reset Again, First Moved to August 2026
Two days after Magistrate Judge M. David Weisman adopted the parties' joint scheduling extension, Judge Thomas M. Durkin moved all four bellwether trial dates. Trial one was reset to August 3, 2026. Trials two through four moved to September 28 and November 30 of 2026, then to February 1, 2027. Judge Weisman also set a status hearing for October 1, 2025.
45-Day Pause Pushes Expert and Summary Judgment Deadlines
Chief Magistrate Judge Weisman granted the parties' request for a 45-day extension of the Amended CMO 4 deadlines, running August 25 to October 9, 2025. No independent medical exams were allowed during the pause. Rule 702 motions moved from November 14, 2025, to January 9, 2026, and summary judgment motions in the four bellwether cases moved from February 6 to April 3, 2026.
Show 30 earlier updates
First Bellwether Trial Moves to June 2026
One day after Judge Weisman granted plaintiffs' unopposed request to extend CMO 4, Judge Durkin reset the bellwether trial calendar. Trial one moved to June 8, 2026. The second, third, and fourth trials were set for August 3, then September 28, then November 30 of that year. CMO 4 sets the deadlines for fact discovery, experts, summary judgment, and Rule 702 briefing (fights over whether expert testimony can be used).
Judge Lets Plaintiff Amend Complaint Instead of Facing Michigan-Law Dismissal
Horizon wanted Stacy Welch's case thrown out for the same Michigan-law reason that ended Cherl Merriweather's bellwether case. Judge Durkin denied that request and gave Welch until June 11, 2025, to amend. She moved from Michigan to Florida in October 2024 and is now treated there for hearing loss, facts that could affect which state's law governs her claims.
Bid to Depose Patient Access Liaisons Rejected
Judge Weisman denied plaintiffs' motion to make Horizon present six PALs (patient access liaisons) plus another sales representative for depositions. Plaintiffs said the PALs had dealt with the bellwether trial plaintiffs and their doctors.
Amended Schedule Moves First Bellwether Trial to April 2026
Judge Weisman approved an unopposed change to the CMO 4 schedule. Corporate fact discovery would close May 9, 2025. Rule 702 motions were due September 15, 2025, and summary judgment motions in the four bellwether cases by December 5, 2025. The same day, Judge Durkin set new trial dates: the first on April 6, 2026, the last on September 21, 2026, and two more on June 1 and July 27.
Fraud Claim Preemption Fight Moved to Summary Judgment
In January, Judge Durkin had held back part of Horizon's challenge to the fraudulent misrepresentation claims for more briefing on preemption under the Supreme Court's Buckman decision. On January 28, both sides agreed to take up that issue at summary judgment instead. So the court denied that part of the motion without prejudice, meaning Horizon can raise it again later.
Four Initial Bellwether Trial Cases Chosen
After a January 28 bellwether-selection hearing, Judge Durkin picked the four Initial Bellwether Trial Cases under CMO 3: Peter Chryssos, Consuelo Egger, Sara Meilleur, and Gloria Pledger. By February 11, 2025, the parties had to agree on the order of trials or each explain the order it preferred.
Failure-to-Warn Claims Survive, Design Defect Claims Dismissed
Ruling on Horizon's Rule 12 motions in the bellwether discovery cases, Judge Durkin denied the bid to dismiss the failure-to-warn claims and granted the motion against the design defect claims. The fraudulent misrepresentation motion was split: partly granted, partly denied, and partly continued for more briefing. Plaintiff Geri Kanesta-Rychner's request to file a second amended complaint was denied.
Neither Side Gets Sanctions in Deposition Dispute
Horizon and the plaintiffs each asked the court to sanction the other over deposition problems. Judge Weisman refused to award sanctions to either party, finding both at fault. He said he did not want to push the lawyers toward sanction requests instead of working out disputes cooperatively and professionally.
Court Finds Horizon Counsel's Deposition Objections Obstructive
After an October 31 hearing, Judge Weisman issued an order finding that defense counsel's objections at the deposition of Nicole Potthast were obstructionist and not well-founded. The judge also warned plaintiffs' leadership to use deposition time productively and to schedule depositions together, and said he leaned toward having plaintiffs repay Horizon's conference room costs for depositions cancelled at the last minute.
Bellwether Case Dismissed Under Michigan Law
Judge Durkin dismissed Cherl Merriweather's complaint, one of the Initial Bellwether Discovery Cases. He held that Michigan law governed her claims, and the Michigan statute in force at the time barred product liability suits against makers of FDA-approved drugs. Michigan repealed that statute in February 2024. Horizon was not allowed to pick a replacement, so eleven discovery cases remained.
Parties Agree on Number of Horizon Employee Depositions
Judge Weisman cancelled an August 6 status hearing after a joint report showed the two sides had agreed on how many depositions of Horizon's current and former employees may be taken. The deal splits them into two windows: up to February 14, 2025, and from that date through April 10, 2025.
Horizon Files Four Motions to Dismiss Bellwether Claims
Horizon filed four Rule 12(b)(6) motions, which argue that claims fail as a matter of law even if the facts alleged are true. They targeted nine bellwether complaints, design defect claims in eleven complaints, fraudulent misrepresentation claims in five complaints, and every claim by Cherl Merriweather.
CMO 4 Sets Schedule, Quarterly Mediation, and Trial Dates
Judge Weisman entered Case Management Order No. 4, which sets deadlines for core and supplemental fact discovery, expert discovery, summary judgment, and Rule 702 briefing on expert testimony. The order also called for court-ordered mediation to begin around August 1, 2024, and repeat every 90 days, and set bellwether trials for March 9, May 4, June 29, and August 24, 2026. He also entered Case Management Order No. 5, which lays out the rules for taking depositions.
Initial Bellwether Discovery Pool Named
Judge Durkin signed an order identifying the Initial Bellwether Discovery Cases. Under CMO 3, the pool holds twelve cases: four chosen by plaintiffs, four by Horizon, and four at random. These cases go through Rule 12 motions and case-specific discovery before four are picked for trial.
First Bellwether Trial Date Set for March 9, 2026
After oral argument, Judge Durkin ruled that the first bellwether trial will begin on March 9, 2026. He gave the parties until May 10, 2024, to file an agreed proposed schedule, or a side-by-side comparison of their competing schedules if they could not agree.
Horizon Gets Extra Time to Select Bellwether Cases
Judge Durkin granted Horizon's motion to amend CMO 3 and pushed the deadline to select the Initial Bellwether Discovery Cases to May 30, 2024. He added that no more extensions of this deadline would be granted.
Court Refuses to Postpone Discovery Status Hearing
Horizon asked to delay the January 9, 2024, status hearing, and plaintiffs' leadership objected. Judge Weisman denied Horizon's request, explaining that status hearings are an important tool for managing discovery, especially in a case where discovery had been slow to gain traction.
ESI Custodians Capped at 65
At an in-person discovery conference, Judge Weisman capped any ESI protocol at 65 custodians. ESI means electronically stored information, and custodians are the people whose files get searched. Plaintiffs may later ask, with court approval, to add more. The judge also told plaintiffs' leadership to instruct all plaintiffs' lawyers that their clients must preserve their own ESI.
Pre-Approval Design Defect Claims Not Preempted
Using Cynthia Williams's case as a test, Judge Durkin held that preemption does not bar her design defect theory for the period before FDA approval. That lets her argue Horizon should have submitted a safer drug to the FDA. Her post-approval design defect claims were dismissed. The court took no position on whether design defect claims fail for other reasons.
CMO 3 Sets the Bellwether Selection Process
Judge Durkin entered Case Management Order No. 3. It sets up a twelve-case discovery pool (four plaintiff picks due in 60 days, four Horizon picks due in 90 days, and four random picks), later narrowed to four trial cases. It also requires each plaintiff to serve a Plaintiff Profile Form, signed authorizations, and medical records within 30 days.
Amgen Completes Acquisition of Tepezza Maker Horizon
Amgen announced that it closed its purchase of Horizon Therapeutics plc for $116.50 per share in cash, a deal with an equity value of about $27.8 billion. Tepezza was one of the Horizon medicines Amgen added to its portfolio.
Magistrate Judge Assigned to Discovery and Settlement
At a status hearing, Judge Durkin sent the MDL to Magistrate Judge M. David Weisman for discovery supervision, with full power to adjust the discovery deadline, and to handle settlement conferences. He also set oral argument on the design defect question in the Williams case for September 29, 2023.
FDA Approves Hearing Loss Warning for Tepezza
The FDA approved Horizon's label supplement, first submitted January 20, 2023, adding to the Warnings and Precautions, Adverse Reactions, and Patient Counseling sections. The updated label states Tepezza may cause severe hearing impairment, sometimes permanent, and tells doctors to assess hearing before treatment starts, while it is given, and after it ends.
First MDL Status Conference and Plaintiffs' Leadership Appointed
At the initial status hearing, Judge Durkin granted the unopposed motion to name plaintiffs' co-lead counsel, executive committee, and liaison counsel, and signed the order the next day. Horizon told the SEC the court also vacated earlier deadlines in individual cases and told the parties to confer on a single procedure for its preemption-based motions to dismiss.
Case Management Order No. 1 Issued
Judge Durkin's first case management order consolidated all transferred and future Tepezza cases for pretrial purposes under master case number 1:23-cv-03568. It does not mean the cases will be tried together. It also set a June 28, 2023, hearing where the court planned to discuss how to appoint lawyers to lead the plaintiffs' side.
JPML Centralizes Tepezza Cases as MDL No. 3079
Plaintiff Kimberly Exton had proposed a California venue, and Horizon opposed an MDL. The JPML instead moved the federal Tepezza cases to federal court in northern Illinois (N.D. Ill.), where Horizon is based, and assigned them to Judge Thomas M. Durkin. The panel counted 37 cases in eight districts and said one judge should resolve the shared preemption and Daubert (expert evidence) challenges.
FDA Broadens Tepezza's Approved Use
The FDA approved a label supplement that revised the Indications and Usage section of Tepezza's prescribing information. The new label says the drug treats thyroid eye disease regardless of how active the disease is or how long a patient has had it. Horizon submitted the request on March 23, 2023.
Plaintiffs Ask to Put Illinois Tepezza Cases Before One Judge
Daniel Weibel asked the court to relate the Tepezza cases pending in Illinois federal court (N.D. Ill.) and reassign them to a single judge, citing Local Rule 40.4 and Internal Operating Procedure 13(e). The JPML later described this as a request for a docket that would resemble an intra-district MDL. Horizon filed its opposition on January 13, 2023.
Horizon Moves to Dismiss Weibel Lawsuit
Horizon asked the court to dismiss Daniel Weibel's complaint. After Weibel amended his complaint on November 28, the court let Horizon withdraw that motion, and Horizon filed a new motion to dismiss the amended complaint on January 9, 2023.
Weibel Sues Horizon in Federal Court in Illinois
Daniel Weibel filed a complaint against Horizon in Illinois federal court (N.D. Ill.). Horizon later told the SEC that starting in the third quarter of 2022, it was served with several complaints from people who said they took Tepezza, suffered hearing impairment, and were not properly informed of that risk.
Where the Tepezza Case Stands in 2026
The litigation is still active. As of October 1, 2026, the Judicial Panel on Multidistrict Litigation (JPML) listed 279 pending cases in the multidistrict litigation (MDL) before Judge Durkin. Only 10 of the 289 cases filed over the life of the MDL are no longer pending.
The biggest recent change came on October 1, 2025. Chief Magistrate Judge M. David Weisman spoke off the record with lawyers for both sides and, after consulting the district judge, removed every date tied to the upcoming test trials. He set a status hearing for January 8, 2026, to discuss case management.
We have not found a public court order setting new trial dates since then. That leaves the schedule uncertain – it does not mean the cases are over. Hundreds of claims remain open, and the court still controls how they move forward.
Why People Are Suing Over Tepezza
Each Tepezza lawsuit makes a similar claim: the drug caused severe or permanent hearing loss and tinnitus (ringing in the ears). Plaintiffs also say Horizon did not test it well enough or clearly warn doctors and patients about the hearing risk. When the JPML grouped the cases, it pointed to these shared questions about Horizon's testing and the strength of the label's hearing warnings.
Tepezza (teprotumumab-trbw) is a drug given by IV infusion for thyroid eye disease, an autoimmune condition that inflames the muscles and fat behind the eyes. Patients receive eight infusions, one every three weeks, according to the FDA-approved prescribing information. The drug first gained U.S. approval in 2020.
These cases are not a class action. In a multidistrict litigation, or MDL, one judge handles shared pretrial work like evidence exchange and expert challenges. Each person still keeps their own case, and any payout depends on their own injuries.
Who Is Being Sued
The main defendant is Horizon Therapeutics USA, Inc., which made and sold Tepezza. Some cases also name related Horizon companies. Amgen completed its purchase of Horizon on October 6, 2023, in a deal worth about $27.8 billion, so Tepezza is now an Amgen product.
What Research Shows About Tepezza and Hearing
Several peer-reviewed studies support the hearing concerns. A 2022 study in the American Journal of Ophthalmology followed 27 patients on Tepezza. Of those, 81.5% developed new ear symptoms, on average after 3.8 infusions. Ringing and ear fullness usually faded, but only 45.5% of the patients who noticed hearing loss saw it clear up.
A 2024 study of hearing tests in Ophthalmology checked 22 patients before and after treatment. In 17 of 44 ears (38.6%), the drop in hearing met the medical standard for drug-related hearing damage. Older patients were hit harder.
The largest comparison came in 2026. A national study of 947 Tepezza patients matched them with 947 similar thyroid eye disease patients who never took the drug. Sensorineural hearing loss – damage to the inner ear or hearing nerve – showed up in 10.0% of Tepezza users versus 3.7% of the comparison group. Tinnitus appeared in 5.6% versus 1.8%.
Researchers now recommend hearing tests before treatment and repeat testing if new symptoms appear. Since July 2023, the label itself tells doctors to assess patients' hearing before, during, and after Tepezza treatment.
How the Court Has Ruled So Far
Judge Durkin has narrowed the cases, but the core claim survives. In January 2025, he let the test plaintiffs' claims about Horizon's failure to warn move forward but dismissed their claims that Horizon defectively designed Tepezza. Fraud-based claims got a mixed result – the judge dismissed some, kept others, and held some for later. In March 2025, the court moved the remaining fraud question to summary judgment, a later stage where the judge can decide claims before trial.
Earlier, in November 2023, the court looked at whether federal drug law blocks design claims against Horizon. Lawyers call this defense preemption. In plaintiff Cynthia Williams's case, the judge ruled that federal law did not block her claim about the drug's design before FDA approval. He dismissed her claims about changes Horizon could have made after approval and did not decide whether the pre-approval claim was valid on other grounds.
Not every ruling favored plaintiffs. In October 2024, the court dismissed Cherl Merriweather's case because Michigan law applied, and at the time Michigan barred product liability suits against makers of FDA-approved drugs. Michigan repealed that law on February 13, 2024, but the older version still governed her claims.
How the Test Trials Were Supposed to Work
Bellwether trials are early test cases. Their verdicts show both sides how juries may react to the evidence, and they often shape later settlement talks.
Under Case Management Order No. 3, the court set up a process to choose 12 cases for in-depth evidence gathering and then narrow them to four for trial. Every plaintiff must also serve a Plaintiff Profile Form and signed forms that release their medical records.
After the Merriweather dismissal, 11 of the 12 cases remained, and Horizon could not swap in a new one. On February 4, 2025, the court picked the four trial cases: Peter Chryssos, Consuelo Egger, Sara Meilleur, and Gloria Pledger. Their trials were later reset to run from August 2026 through February 2027, but the court struck those dates in October 2025, before the first trial began.
Tepezza Settlements So Far
Based on the court records we reviewed, no one had announced a global Tepezza settlement – a single deal covering all the cases – as of October 2026. No jury has reached a verdict either. No court or company has released official payout figures for hearing loss claims. A July 2024 court order did call for mediation every 90 days, starting around August 1, 2024, but neither side has announced a deal.
What comes next is hard to predict. In many drug MDLs, settlement values take shape after test trials or after key rulings on expert evidence. With the trial dates off the calendar, we would treat any online estimate of Tepezza payouts with caution.
Who May Qualify for a Claim
Generally speaking, people who may qualify received Tepezza infusions and later developed hearing loss, tinnitus, or other lasting hearing problems confirmed by a doctor. A lawyer will usually also review your hearing history from before treatment.
Useful records often include infusion dates, hearing test (audiogram) results from before and after treatment, visits to an ear, nose, and throat specialist, and receipts for hearing aids or cochlear implants. Notes on how the hearing loss affects your job and daily life can help too. It might be a good idea to request these records early, since gathering them can take time.
Filing Deadlines for Tepezza Claims
Every state sets a deadline to file an injury claim, called a statute of limitations. The time limit varies by state and claim type, and in some cases the clock starts when you discovered the injury, or reasonably should have, rather than the day it happened. Because hearing loss can build slowly, the start date may be less clear than it seems. Speaking with a lawyer soon may help protect your right to file.
Talk to a Lawyer About a Tepezza Claim
If you developed hearing loss or tinnitus after Tepezza infusions, you may want to learn how to file a Tepezza claim before a deadline passes. ConsumerShield offers a free case review and matches you directly with experienced lawyers who specialize in cases like yours.
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Frequently Asked Questions
No. Federal Tepezza cases sit together in MDL No. 3079 in the Northern District of Illinois. One judge manages shared pretrial steps, but each person keeps their own case, and any payout depends on their own injuries.
The FDA-approved label says it may. Since July 2023, the label has warned of severe hearing impairment, including hearing loss that may be permanent. Studies have also found higher rates of inner-ear hearing loss and tinnitus in patients who took it.
That is unclear. The court scheduled four test trials for August 2026 through February 2027 but struck all of those dates in October 2025. We have not found a public order setting new dates, and the cases are still pending.
To take part in the litigation, start with a free evaluation from an attorney who handles dangerous drug claims. ConsumerShield matches you with experienced lawyers who will examine your treatment records, confirm whether your hearing loss or tinnitus qualifies, and guide you through each stage of your claim.
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