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New ethics rules at NIH

The Scientist

March 4, 2004

New ethics rules at NIH

Top scientists now required to reveal financial ties to companies

dealing with agency | By Ted Agres

Senior officials at the National Institutes of Health (NIH) must

now file public financial disclosure forms revealing their incomes

as well as any stock, fees, and payments from pharmaceutical and

biotechnology companies that have dealings with the agency. The

policy change was announced Monday (March 1) at the first meeting

of NIH's Blue Ribbon Panel on Conflict of Interest Policies.

Previously, NIH officials had been required to disclose this

information, but the reports remained confidential.

Edgar M. Swindell, associate general counsel for ethics at the

Department of Health and Human Services, told the panel that all

NIH directors, deputy directors, scientific directors, and clinical

directors are now required to file public disclosure forms, known as

SF 278s, rather than the confidential OGE 450s. The change, which was

requested by NIH director Elias A. Zerhouni and issued February 6,

affects 66 senior officials. " An evaluation is underway to identify

other positions with equivalent authority and responsibilities who may

meet the statutory test " for public filing, Swindell said. " The

assistance of the panel in that endeavor will be welcome. "

Zerhouni instructed the 10-member conflict of interest panel to review

the NIH's rules and procedures regarding financial conflicts of interest

and to make recommendations within 60 days. While telling the panel to

" leave no stone unturned, " Zerhouni also cautioned against making

" one-size-fits-all " or " blanket " suggestions. The panel is co-chaired by

Bruce Alberts, president of the National Academy of Sciences, and Norman R.

Augustine, chairman of the executive committee of Lockheed . NIH has

created a <http://www.nih.gov/about/ethics_COI.htm>Web site where it will

post conflict of interest resources and

information.

An examination of the NIH's policies was triggered after the Los Angeles

Times

<http://www.latimes.com/news/nationworld/nation/la-na-nih7dec07.story>report

ed in December 2003 that several high-level NIH scientists and

officials have received more than $2.5 million in consulting fees and stock

options from drug companies, including some doing business with the agency.

In January, Zerhouni restructured NIH's system for implementing ethics

regulations, suspended approval of all new consulting deals, and appointed

the ethics task force. The consulting deals have become the topic of a

<http://www.biomedcentral.com/news/20040123/05/>Senate hearing and

<http://www.biomedcentral.com/news/20040219/04/>other inquiries on Capitol

Hill. Zerhouni and other senior

NIH officials have denied any impropriety.

Swindell invited the ethics panel to also consider the broader issues

involved.

" I would ask the panel to evaluate whether NIH employees should hold 'drug

or

biotech' stocks or be allowed to consult with companies in these

industries, "

he said. A related issue is whether NIH employees should be allowed to

accept

<http://www.biomedcentral.com/news/20030630/06/>awards and lecture fees from

universities or institutes that receive research

grants or do business with the NIH, he said.

" Keep in mind that a strict resolution of the question likely would preclude

the NIH director from receiving the Nobel Prize in physiology or medicine

because the awarding entity, the Karolinska Institute, collaborates in

research

matters with the NIH, " Swindell added. But practically speaking, if the

consulting process were stopped, " what effect would such a prohibition have

on

recruitment and retention of eminent scientists? If not a total ban for all

employees, should senior employees, at least, be subject to such a ban? " he

asked.

Officials and representatives of professional research societies have

argued that NIH needs to be competitive if it is to recruit talented

people. " We have to be cautious not to diminish NIH's ability to attract

and retain the best scientific leaders in medical research, " NIH spokesman

Burklow told The Scientist. " NIH must do what it can to enable top

scientists to consult, " said D. Wells, president of the Federation

of American Societies for Experimental Biology. " But, of course, it must

be done with the appropriate guidelines and rules and regulations. "

Two House Democrats last week (February 26) asked 10 major pharmaceutical

companies to reveal how much they have paid in stock options, consulting

fees,

and other financial arrangements to NIH scientists since 1995. The

<http://www.house.gov/reform/min/pdfs_108_2/pdfs_inves/pdf_admin_nih_gao_pha

rm_manufacturers_feb_26_let.pdf>letters

were sent by Rep. Henry A. Waxman (D-Calif.), ranking minority member of the

House Committee on Government Reform, and Sherrod Brown (D-Ohio), ranking

minority member of the Energy and Commerce Subcommittee on Health.

The companies, including Allergan, Bristol-Myers Squibb, and Merck, were

also asked to name the NIH employees and describe " the exact nature of the

financial arrangement, the duties performed by the scientists, [and] the

duration and time frame of the financial arrangement. " The companies were

asked to respond by March 11.

Waxman and Brown have also asked the General Accounting Office, the

investigative arm of Congress, to look into the consulting arrangements.

The Department of Health and Human Services inspector general also has

opened

an inquiry into NIH's conflict of interest policies.

Rep. Greenwood (R-Penn.), chairman of the House Energy and Commerce

Subcommittee on Oversight and Investigations, has

<http://energycommerce.house.gov/108/letters/02042004_1206.htm>questioned

NIH's use of

consulting fees to pay senior scientists and institute directors more than

they otherwise would be entitled to earn. Greenwood's subcommittee plans to

hold public hearings on this and the consulting contracts later this year.

Links for this article

National Institutes of Health Conflict of Interest Information and Resources

<http://www.nih.gov/about/ethics_COI.htm>http://www.nih.gov/about/ethics_COI

..htm

D. Willman, " Stealth merger: Drug companies and government medical

research, "

Los Angeles Times, December 7, 2003.

<http://www.latimes.com/news/nationworld/nation/la-na-nih7dec07.story>http:/

/www.latimes.com/news/nationworld/nation/la-na-nih7dec07. story

T. Agres, " NIH defends consulting deals, " The Scientist, January 23, 2004.

<http://www.biomedcentral.com/news/20040123/05/>http://www.biomedcentral.com

/news/20040123/05/

T. Agres, " NIH probe expands, " The Scientist, February 19, 2004.

<http://www.biomedcentral.com/news/20040219/04/>http://www.biomedcentral.com

/news/20040219/04/

T. Agres, " NIH ethics investigation, " The Scientist, June 30, 2003.

<http://www.biomedcentral.com/news/20030630/06/>http://www.biomedcentral.com

/news/20030630/06/

Letter to V. Gilmartin, Chairman, President, and Chief Executive

Officer, Merck, from Henry A. Waxman and Sherrod Brown, February 26, 2004.

<http://www.house.gov/reform/min/pdfs_108_2/pdfs_inves/pdf_admin_nih_gao_pha

rm_manufacturers_feb_26_let.pdf>http://www.house.gov/reform/min/pdfs_108_2/p

dfs_inves/pdf_admin _nih_gao_pharm_manufacturers_feb_26_let.pdf

" Greenwood expands investigation into questionable NIH practices, " Letter to

Tommy , February 4, 2004.

<http://energycommerce.house.gov/108/letters/02042004_1206.htm>http://energy

commerce.house.gov/108/letters/02042004_1206.htm

©2004, The Scientist Inc. in association with BioMed Central.

------ End of Forwarded Message

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