The Insider Who Knew the Drug Would Fail
A Boston businessman used secret FDA rejection data, leaked by a Sage Therapeutics insider, to dump his stock before the company’s share price collapsed by 53%.
Brian Suthoff, a 56-year-old Boston businessman, obtained confidential FDA information from a senior Sage Therapeutics employee and used it to sell all his company shares before a devastating public announcement. The FDA had secretly rejected Sage’s depression drug Zuranolone for its most lucrative indication, major depressive disorder, which represented 93% of the projected market. Suthoff dumped shares he had held for over two years, avoiding $19,680 in losses. Two months later, Sage’s stock fell 53% when the news went public. The SEC filed a civil complaint against Suthoff in January 2026, seeking disgorgement, civil penalties, and a five-year bar from serving as an officer or director of any public company.
Read the full complaint to understand exactly how the tip was passed and what Suthoff knew.
The Allegations: A Breakdown
| 01 | Suthoff obtained material non-public information (MNPI) from a senior Sage Therapeutics employee between June 2 and June 7, 2023, specifically that the FDA had struck all references to major depressive disorder from Zuranolone’s proposed drug label. | high |
| 02 | On June 8, 2023, Suthoff placed a sell order to liquidate every Sage share he owned. It was the only securities trade in his brokerage account that entire month. | high |
| 03 | Suthoff sold shares he had held for more than two years, at an average price of $56.11 per share, just before the stock crashed to $16.75 after the public announcement on August 4, 2023. | high |
| 04 | The SEC alleges Suthoff violated Section 10(b) of the Securities Exchange Act and Rule 10b-5 by misappropriating confidential information and trading on it in breach of a duty of trust and confidence owed to the insider source. | high |
| 05 | Suthoff knew, or recklessly disregarded, that the FDA’s decision was both material and non-public. The complaint cites his immediate sale after receiving the tip as evidence of knowing the information’s value. | medium |
| 01 | The Insider was subject to Sage’s written insider trading policy and its “Special Trading Procedures for Insiders,” both of which they acknowledged in writing. Despite this, the Insider shared MNPI with Suthoff. | high |
| 02 | Sage’s own corporate counsel sent two separate emails on June 6, 2023: one to all employees closing the trading window early, and a second specifically to the 50 employees involved in FDA interactions, warning them not even to give a “directional indication” about the FDA discussions. | high |
| 03 | The June 3 internal email to Committee members, including the Insider, was titled “CONFIDENTIAL: HIGHLY SENSITIVE AND MATERIAL” and explicitly called the information “extremely restricted.” The leak happened anyway. | high |
| 04 | Sage’s own insider trading policy specifically listed “information related to decisions by regulatory authorities regarding the Company’s product candidates” as an example of potentially material information requiring careful handling. | medium |
| 01 | Suthoff walked away with $19,680 more than he would have received had he sold after the public announcement, a gain made entirely at the expense of investors who bought his shares without access to the same information. | high |
| 02 | The buyers of Suthoff’s shares on June 8, 2023, had no way of knowing the FDA had already rejected the drug’s primary indication. They paid a price reflecting hope for a $150 million milestone payment that would never arrive. | high |
| 03 | The information asymmetry was extreme: Suthoff knew the FDA had called Sage’s clinical trial data deficient across every trial submitted for the MDD indication, while the public believed approval was still possible. | medium |
| 01 | Sage’s stock dropped from $36.10 to $16.75 in a single trading day after the August 4, 2023 announcement: a loss of more than half the company’s market value wiped out in hours. | high |
| 02 | The FDA denial killed a $150 million milestone payment from Company A (Biogen) to Sage, which had reported just $7.69 million in total product revenue for all of 2022. The denial was an existential financial blow. | high |
| 03 | MDD constituted at least 93% of the projected market for Zuranolone. Approval for postpartum depression alone, which the FDA did grant, represented just 7% of the commercial opportunity Sage and its investors had been anticipating. | medium |
| 01 | The SEC seeks disgorgement of $19,680 plus civil penalties that could reach three times the profit avoided under Section 21A of the Exchange Act, potentially totaling nearly $80,000. For a businessman with the profile described, this is a limited deterrent. | medium |
| 02 | The SEC also seeks a five-year bar on Suthoff serving as an officer or director of a public company. This limits future damage but does not address the Insider, who is not named as a defendant in this complaint. | medium |
| 03 | The complaint identifies the tipper only as “the Insider” throughout, leaving open the question of whether the person who leaked the information will face separate legal consequences. | medium |
Timeline of Events
Direct Quotes from the Legal Record
“our assessment is that substantial evidence of effectiveness has not been demonstrated for the use of Zuranolone in the treatment of MDD”
💡 This is the exact language the FDA used in its June 2, 2023 communication to Sage. It left no ambiguity about the denial. Suthoff’s source had access to this message.
“CONFIDENTIAL: HIGHLY SENSITIVE AND MATERIAL”
💡 This was the subject line of the internal Sage email sent to Committee members on June 3, 2023. The Insider received it and then, allegedly, disclosed the contents to Suthoff.
“the [MDD] indication has been struck” and “the FDA comments are surprising and disappointing”
💡 This is the internal email’s own language summarizing the FDA’s position. Recipients were told this information was “extremely restricted” and not to discuss it with anyone outside the working group.
“there did not appear to be other options for securing approval for MDD absent additional data”
💡 This is what the FDA told Sage and Company A at the June 5 meeting. Neither company submitted the additional data needed. Suthoff sold his shares three days later.
“Given the stage of the FDA’s review of Zuranolone NDA, we have decided to close the trading window today instead of next week”
💡 Sage’s corporate counsel sent this to all employees on June 6, 2023. By this point, the Insider had already shared the information with Suthoff. The blackout came two days after the alleged tip.
“you must keep confidential and not disclose anything about these interactions with the FDA, or even give a directional indication of the nature of these discussions (even a thumbs up or thumbs down)”
💡 This second email from Sage’s corporate counsel, sent to the 50 employees in the FDA working group, was unusually explicit. It shows Sage knew the information was extraordinarily sensitive and took steps to prevent exactly what the complaint says happened.
“approximately 21 million adults in the U.S. reported at least one major depressive episode in 2021”
💡 Sage’s own SEC filings cited this figure to explain why MDD was such a massive commercial opportunity. By contrast, the postpartum depression market it did receive approval for covers an estimated 500,000 women annually.
“Suthoff avoided losses of approximately $19,680 by illegally dumping his Sage shares in advance of the Announcement”
💡 The complaint quantifies the harm precisely. Suthoff’s gain came directly at the expense of investors who purchased his shares without knowing the FDA had already effectively rejected the drug.
Frequently Asked Questions
There is a press release about this scandal that you can find by visiting this following page: https://www.sec.gov/enforcement-litigation/litigation-releases/lr-26466
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