1 / 17

Conflicts of Interest in Biomedical Research (A Brief History)

Conflicts of Interest in Biomedical Research (A Brief History). PRIM&R Conference Boston, MA May 3, 2004. Barbara Mishkin Hogan & Hartson, L.L.P. 555 Thirteenth Street, NW Washington, DC 20004 (202) 637-5680 BFMishkin@hhlaw.com. Mixed Messages from Congress.

umed
Download Presentation

Conflicts of Interest in Biomedical Research (A Brief History)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Conflicts of Interest in Biomedical Research(A Brief History) PRIM&R Conference Boston, MA May 3, 2004 Barbara Mishkin Hogan & Hartson, L.L.P. 555 Thirteenth Street, NW Washington, DC 20004 (202) 637-5680 BFMishkin@hhlaw.com

  2. Mixed Messages from Congress

  3. Laws Encouraging University/Industry Collaboration • Stevenson-Wydler Technology Transfer Act (1980) • Bayh-Dole Patent and Trademark Amendments (1980) • Federal Technology Transfer Act (1986)

  4. Are Conflicts of Interest Hazardous to Our Health? Hearings (Government Operations) 1988

  5. “Guidance” and Rulemaking

  6. Proposed Regulations1989 Would have prohibited any financial interests in sponsors of their clinical trials

  7. Vigorous Protests from Research Community

  8. AAMC and AAHC Issued Policy Guidance for Academic Health Centers (1990)

  9. Physicians Should Not Buy or Sell Company’s Stock until the Research Ends and the Results are Published(AMA, 1992)

  10. Congress Enacted Law Requiring PHS to Establish Conflict of Interest Standards for Its Grantees(1993)

  11. Proposed PHS Rules(1994)

  12. Final Regulations • 1995: NIH and NSF • 1998: FDA

  13. Unresolved Problems • No clear limits established • Universities may invoke waivers • Uneven reporting at universities • FDA reports are due after the fact • Public assumes conflicts of interest when problems occur (University of Pennsylvania, Fred Hutchinson Cancer Research Center)

  14. Back to the Drawing Board • NIH/FDA “forum” (August 2000) • New PHS/FDA “guidance” • More congressional hearings

  15. Best Practices • Simplify conflict of interest policies • Create user-friendly reporting forms • Require conflict of interest committees to notify IRBs when serious conflicts are associated with clinical research • Require IRB’s to determine which conflicts should be disclosed to potential research subjects

  16. Best Practices (2) • Prohibit finder’s fees, recruitment bonuses, and other enrollment incentives • Prohibit clinical trials sponsored by companies in which either the institution or the investigator(s) hold equity • Require additional training and supervision for faculty who want to be sponsor investigators • Caution faculty, students, and staff about insider trading

  17. THE END

More Related