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Ozempic and GLP-1 drug lawsuit
Active MDL with 4,022 pending actions as of the JPML's September 1, 2026 report; no bellwether trial date set. Federal litigation over claims that GLP-1 drugs like Ozempic, Wegovy, and Mounjaro cause gastroparesis and other gastrointestinal injuries.
The docket record
- Actions pending
- 4,022+94(+2.4%)
- Total actions, historical
- 4,056
- Change, 3 months
- +259(+6.9%)
- Change, 12 months
- +1,346(+50.3%)
- Docket
- MDL No. 3094
- Court
- Eastern District of Pennsylvania
- Transferee judge
- Karen S. MarstonU.S. District Judge
- Last report
- September 1, 2026
Source: JPML “Pending MDL Dockets by Actions Pending,” report dated September 1, 2026 · first in our series Mar 2024
Month-by-month figures, Jan 2024 to Sep 2026
| Report date | Actions pending | Change | Total, historical | Report |
|---|---|---|---|---|
| September 1, 2026 | 4,022 | +94 | 4,056 | |
| August 3, 2026 | 3,928 | +80 | 3,962 | |
| July 1, 2026 | 3,848 | +85 | 3,882 | |
| June 1, 2026 | 3,763 | +127 | 3,797 | |
| May 1, 2026 | 3,636 | +90 | 3,670 | |
| April 1, 2026 | 3,546 | +183 | 3,580 | |
| March 2, 2026 | 3,363 | +172 | 3,397 | |
| February 2, 2026 | 3,191 | +128 | 3,225 | |
| January 5, 2026 | 3,063 | +116 | 3,097 | |
| December 2, 2025 | 2,947 | +33 | 2,981 | |
| November 3, 2025 | 2,914 | +105 | 2,948 | |
| October 1, 2025 | 2,809 | +133 | 2,843 | |
| September 2, 2025 | 2,676 | +486 | 2,710 | |
| August 1, 2025 | 2,190 | +193 | 2,193 | |
| July 1, 2025 | 1,997 | +115 | 2,000 | |
| June 2, 2025 | 1,882 | +73 | 1,885 | |
| May 1, 2025 | 1,809 | +124 | 1,812 | |
| April 1, 2025 | 1,685 | +164 | 1,688 | |
| March 3, 2025 | 1,521 | +78 | 1,524 | |
| February 3, 2025 | 1,443 | +112 | 1,446 | |
| January 2, 2025 | 1,331 | +31 | 1,334 | |
| December 2, 2024 | 1,300 | +210 | 1,302 | |
| October 1, 2024 | 1,090 | +221 | 1,092 | |
| September 3, 2024 | 869 | +523 | 871 | |
| August 1, 2024 | 346 | +241 | 346 | |
| July 1, 2024 | 105 | +4 | 105 | |
| June 3, 2024 | 101 | +14 | 101 | |
| May 1, 2024 | 87 | +13 | 87 | |
| April 1, 2024 | 74 | +16 | 74 | |
| March 1, 2024 | 58 | 58 | ||
| February 1, 2024 | not listed | |||
| January 2, 2024 | not listed |
Full docket title: IN RE: Glucagon-like Peptide-1 Receptor Agonists (GLP-1 RAs) Products Liability Litigation. Programmatic record page: MDL 3094.
Where it stands
MDL 3094 is in the pretrial motion phase. Judge Karen S. Marston is overseeing a Rule 702 (Daubert) hearing on expert testimony about warnings, preemption, and general causation held September 10 to 18, 2026, following Case Management Order No. 30 (January 14, 2026), which set up a streamlined docket for resolving those cross-cutting issues before any bellwether trials are scheduled. In August 2025, Judge Marston ruled that plaintiffs alleging gastroparesis must produce an objective gastric emptying study, breath test, or wireless motility capsule result showing delayed gastric emptying; symptom-only claims do not meet the diagnostic bar. Vision-loss (NAION) claims were carved out of this MDL and centralized separately as MDL 3163 in December 2025. No settlement has been reached and no claims process exists.
Sources: MDL No. 3094 Transfer Order · MDL 3094 In Re: Glucagon-like Peptide-1 Receptor Agonists… · Active MDLs list · Federal Court Creates New MDL for Ozempic and Other GLP-1…; full list at the end of this page.
What the lawsuits are about
GLP-1 receptor agonists are prescribed for type 2 diabetes and, at higher doses, for chronic weight management. They work by slowing gastric emptying and increasing insulin release. Plaintiffs allege that Novo Nordisk (maker of Ozempic, Wegovy, and Rybelsus) and Eli Lilly (maker of Mounjaro, Zepbound, and Trulicity) knew or should have known these drugs could cause gastroparesis (stomach paralysis), ileus, and intestinal obstruction, and that the companies did not adequately warn patients and prescribers of that risk.
the U.S. Judicial Panel on Multidistrict Litigation centralized the gastrointestinal-injury cases into MDL No. 3094, In re: Glucagon-Like Peptide-1 Receptor Agonists (GLP-1 RAs) Products Liability Litigation, on February 2, 2024, transferring actions to the Eastern District of Pennsylvania before Judge Karen S. Marston. The transfer order covered claims involving Ozempic, Wegovy, Rybelsus, Trulicity, and Mounjaro; Victoza and Saxenda were later added as tag-along products. Plaintiffs filed a consolidated master complaint on November 13, 2024, asserting claims including failure to warn, design defect, fraud and misrepresentation, breach of warranty, negligence, and wrongful death.
As of September 2026 the litigation has not reached a trial or settlement. The court is resolving general-causation and warning-adequacy issues through expert (Daubert) challenges before any bellwether trials are picked, with the Rule 702 hearing held in mid-September 2026. Separately, claims alleging NAION (a form of sudden vision loss) were split out of MDL 3094 and centralized as a new MDL 3163 in the same court in December 2025, growing from 86 cases in May 2026 to roughly 200 by mid-2026.
Injuries named in the filings
- Gastroparesis (stomach paralysis / severely delayed gastric emptying)
- Ileus (paralysis of the small or large intestine)
- Intestinal obstruction or pseudo-obstruction
- Other serious gastrointestinal injury requiring hospitalization
Principal defendants: Novo Nordisk Inc.; Novo Nordisk A/S; Eli Lilly and Company.
Sources: MDL No. 3094 Transfer Order · MDL 3094 In Re: Glucagon-like Peptide-1 Receptor Agonists… · Active MDLs list · Federal Court Creates New MDL for Ozempic and Other GLP-1…; full list at the end of this page.
Who the filings say qualifies

Criteria drawn from the JPML transfer order defining the MDL's scope and Judge Marston's August 15, 2025 order on gastroparesis diagnostic evidence.
- Used Ozempic, Wegovy, Rybelsus, Trulicity, Mounjaro, Victoza, or Saxenda
- Diagnosed with gastroparesis, ileus, intestinal obstruction/pseudo-obstruction, or another serious gastrointestinal injury after use
- For gastroparesis claims specifically: diagnosis supported by an objective test showing delayed gastric emptying (a gastric emptying study/scintigraphy, breath test, or wireless motility capsule study) rather than symptoms alone
- Claims alleging NAION (sudden vision loss) fall under the separate MDL 3163, not this litigation
Source: JPML Transfer Order, MDL No. 3094 (Feb. 2, 2024).
These are the criteria in the public record, not a promise about any individual case. A law firm evaluates each case on its own facts, and limitations periods vary by state.
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Key dates
- JPML transfers and centralizes GLP-1 gastrointestinal-injury cases into MDL 3094 in the Eastern District of Pennsylvania. source
- Case Management Order No. 12 sets the Plaintiff Fact Sheet protocol. source
- Plaintiffs file the consolidated master complaint. source
- CMO 22 sets the briefing schedule for defendants' motion to dismiss the master complaint. source
- Judge Marston orders that gastroparesis claims must be supported by an objective gastric emptying study, breath test, or wireless motility capsule result, not symptoms alone. source
- JPML creates a separate MDL 3163 for NAION (vision-loss) claims, also assigned to Judge Marston in the Eastern District of Pennsylvania. source
- CMO 30 establishes a streamlined docket directing the case toward expert disclosures and Daubert briefing ahead of bellwether selection. source
- JPML pending-matters report lists 4,022 actions pending in MDL 3094, up 94 from the prior month. source
Questions people ask
Is the Ozempic lawsuit still active?
Yes. As of the JPML's September 1, 2026 report, 4,022 cases are pending in MDL 3094 before Judge Karen S. Marston in the Eastern District of Pennsylvania. No trial has occurred and there is no settlement or claims process.
Which drugs are covered by this litigation?
The MDL covers claims tied to Ozempic, Wegovy, and Rybelsus (Novo Nordisk, semaglutide), and Mounjaro, Zepbound, and Trulicity (Eli Lilly, tirzepatide/dulaglutide), plus Victoza and Saxenda. Claims about sudden vision loss (NAION) linked to these same drugs are handled in a separate case, MDL 3163.
What injuries qualify for the Ozempic MDL?
The master complaint covers gastroparesis, ileus, and intestinal obstruction or pseudo-obstruction. Since August 2025, gastroparesis claims specifically require an objective test, such as a gastric emptying study, showing delayed gastric emptying; a diagnosis based on symptoms alone does not meet the court's evidentiary bar.
Has anyone won or settled an Ozempic gastroparesis case?
No. As of September 2026 no bellwether trial has been held and no global settlement has been announced in MDL 3094. The court is still resolving expert-evidence and general-causation challenges.
Is vision loss from Ozempic part of this lawsuit?
No. NAION (a form of sudden, often permanent vision loss) claims were centralized separately as MDL 3163 in December 2025, before the same judge but as a distinct docket with its own case count and schedule.
When will Ozempic bellwether trials happen?
No bellwether trial date has been set as of September 2026. The court entered CMO 30 in January 2026 to resolve warning-label, preemption, and general-causation issues through expert challenges first; a Rule 702 hearing on those issues was held September 10 to 18, 2026. Bellwether case selection is expected to follow those rulings.
Sources: MDL No. 3094 Transfer Order · MDL 3094 In Re: Glucagon-like Peptide-1 Receptor Agonists… · Active MDLs list · Federal Court Creates New MDL for Ozempic and Other GLP-1…; full list at the end of this page.
Track this docket
We re-read the JPML report on the first business day of each month. Get an email when this record changes: case count, status, or a settlement development.
Sources
- U.S. Judicial Panel on Multidistrict Litigation, “Pending MDL Dockets by Actions Pending,” monthly reports March 1, 2024 to September 1, 2026. Transferee court: Eastern District of Pennsylvania, Karen S. Marston.
- MDL No. 3094 Transfer Order, U.S. Judicial Panel on Multidistrict Litigation. Accessed September 3, 2026.
- MDL 3094 In Re: Glucagon-like Peptide-1 Receptor Agonists (GLP-1 RAs) Products Liability Litigation (GI Injuries), U.S. District Court, Eastern District of Pennsylvania. Accessed September 3, 2026.
- Active MDLs list, U.S. District Court, Eastern District of Pennsylvania. Accessed September 3, 2026.
- Federal Court Creates New MDL for Ozempic and Other GLP-1 Drugs Linked to Vision Loss (NAION), GlobeNewswire (Levin Papantonio press release). Accessed September 3, 2026.
- Ozempic & Wegovy Lawsuit: Gastroparesis Claims | MDL-3094 [August 2026], MDL Update (as summarized by plaintiff-side sources). Accessed September 3, 2026.
- Ozempic Vision Loss Lawsuit | MDL-3163 | August 2026, MDL Update (as summarized by plaintiff-side sources). Accessed September 3, 2026.
- GLP-1 Multidistrict Litigation (MDL 3094): What Injured Patients Need to Know in 2026, Wagstaff & Cartmell (as summarized by plaintiff-side sources). Accessed September 3, 2026.
- Ozempic Lawsuit MDL 3094 Case Management Orders (CMOs), Nigh Goldenberg Raso & Vaughn (as summarized by plaintiff-side sources). Accessed September 3, 2026.
- GLP-1 MDL 3094 Update: Ozempic & Mounjaro Lawsuits Hit 3,848 Cases, Open Class Actions (as summarized by plaintiff-side sources). Accessed September 3, 2026.
- Gastric Emptying Proof for Ozempic Gastroparesis Lawsuits, LeadingJustice.net (as summarized by plaintiff-side sources). Accessed September 3, 2026.
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