A University Clams Up Over A Conflict Of Interest

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shhh.jpgThe officials at the University of Cincinnati are remarkably quiet this week. Over the past two days, they have received an inordinate amount of attention because a psychiatry professor, Melissa DelBello, has again been singled out by Chuck Grassley, the Iowa Republican on the US Senate Finance Committee, for receiving grants from the NIH and large fees from AstraZeneca while also working on a key study of its Seroquel antipsychotic.

At issue is whether the NIH and the university are monitoring such conflicts. The NIH has stonewalled, simply because Norka Ruiz Bravo, the NIH deputy director for extramural research, believes it “would be not only inappropriate but pretty much impossible.” But what about the university? Richard Puff, a spokesman, has not gotten back to us promised. What does this public institution have to fear? Maybe the Senate Finance Committee.

Last summer, it turns out, DelBello and Puff were chatting up a storm after Grassley first made an example of her. She e-mailed Insider Higher Ed that The New York Times, which wrote about her AstraZeneca fees a year ago, quoted her incorrectly. And Puff argued in his own e-mail that Grassley was off base, although his choice of language wasn’t particularly prudent, given that he was talking about a US Senator interested in an investigation.

richard-puff.jpg“The implication of what Sen. Grassley said was that she was disingenuous in what she was paid. She has been completely open in disclosing her payments. She’s made complete disclosures to the university and its IRB (institutional review board). Furthermore, she’s made full disclosure to the Senate Finance Committee…. Additionally, Dr. DelBello has disclosed her funding at all speaking engagements and she’s disclosed in the patient consents of her studies,” he wrote.

And when a faculty member discloses a conflict, “our IRB will follow up with them to gather more information and an explanation about the conflict, and the IRB often requires that this is disclosed to study participants,” Puff wrote. “Additionally, we’ve recently completed a multiyear project in which we’ve tightened our controls. There’s a strengthened conflict of interest reporting policy for researchers. There are tighter regulations on human subject research in which we ask our faculty to explain in more details potential conflict of interest.”

But when asked about Grassley’s contention that the university didn’t do enough to verify what researchers report, Puff began to sputter. “We don’t ask for tax returns…We do trust our faculty when they make these disclosures,” he wrote. “We’re talking about highly principled researchers and clinicians.” Such remarks may only pique the interest of the committee. Maybe that’s why Puff isn’t huffing and puffing this week.

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  1. Is it true?

    Their PR person is called Puff!

    Puffery at its finest!

  2. Yeah…Ideally, he would have kept frolicking in the autumn mists of a land called Hanna-lee….

  3. LOL to Ed, Insider and Justice :-)

    (And to Puff for describing persons with conflicts of interest as “highly principled researchers and clinicians”)

  4. Puff gives us a piece of truth here (Peter, Paul and Mary claimed the same thing…) They do not verify what the clinicians state as their disclosures.

    I was appalled last summer when I was at a major conference and saw that the speaker had nothing to disclose, and of course he was a paid consultant for one of my clients…

    One can only ask - Will green scales fall like rain?

    All joking aside, if someone says they have no disclosures then they should be ready to hand in a current list of their current published works and any recent speaking engagements of any kind. It should be mandatory anyway.

    Likewise, I think it is not enough to provide disclosure, the same current list should always be provided. It should make someone stop and think a bit, and may even help “jog” the memory…

  5. FME reminds me of the poignancy of the PPM song which is not entirely irrelevant. It is about growing up. Giving up fantasies. Engaging reality. A loss of magic; a gain in power (_real_ power) that goes with seasoned integrity.

    When we pretend that COIs have no impact, that disclosure is irrelevant, that science can be divorced from power - we are, indeed, still insisting we live in Honah Lee (which I apologize to PPM for spelling incorrectly).

    That said, may pirate ships lower their flags!

  6. Justice - Well stated AMEN!

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