NIH Ethics Problems More Widespread Than Previously Thought, Committee FindsProbe indicates dozens of scientists violated NIH rules on outside research
WASHINGTON – An internal National Institutes of Health (NIH) review
shows that dozens of scientists employed by the government have done work for
pharmaceutical companies in violation of ethics requirements, indicating the
scope of the agency’s ethical woes is greater than previously known.
The findings come in response to a bipartisan letter the full committee
chairman and ranking member - U.S. Reps. Joe Barton, R-Texas, and John Dingell,
D-Mich., respectively - sent on March 10th to NIH Director Elias Zerhouni,
concerning the status of NIH's internal review of possible unreported and
undisclosed outside consulting agreements by NIH scientists. Committee leaders
released the data today due to the compelling public interest.
Last year the Committee staff identified a sample of 81 individual scientists
hired by drug companies between 1999 and 2004 whose consulting agreements were
not listed in NIH information provided to the committee. For example, the
agreements reported by drug maker Pfizer, Inc., ranged from a minimum of $500 to
a maximum of $517,000 over the five year period, and typically involved several
thousand dollars per scientist. Once notified of the discrepancies between NIH
and drug company records, the NIH launched an internal review of the 81
individual scientists.
In a July 8th letter to the Committee, the NIH reported that of those 81
scientists, 37 were “cleared” and 44 were found to have violated one or more
of three existing NIH rules: reporting the income on financial disclosure forms
(where necessary), taking personal leave to do private work; and seeking prior
approval for the arrangements. Thirty-six of the scientists are still employed
at NIH and have been referred for possible disciplinary action. Nine of those
thirty-six have also been referred to the HHS Office of Inspector General for
investigation of possible criminal violations.
Barton and Dingell commended Dr. Zerhouni for his ongoing efforts to adopt a
more stringent ethics policy and they renewed calls for Congress to approve the
first NIH reauthorization bill since 1993.
“The NIH is home to many of the best and brightest scientific minds the
world has to offer,” Barton said. “Congress has advanced their work to fight
disease and save lives by doubling their budget in recent years.
“But, along with financial backing, the NIH must have the support of the
American people. These findings indicate that the ethical problems are more
systemic and severe than previously known. They also demonstrate the need for
NIH to issue the final ethics rule as soon as possible. I wholeheartedly support
the work of Dr. Zerhouni to root out any conflicts of interest – real or
apparent – while ensuring that scientists can collaborate with the private
sector to advance public health. Dr. Zerhouni is to be commended for handling a
difficult matter with great skill,” Barton said.
“Dr. Zerhouni has provided extraordinary leadership at the NIH during an
ethical crisis that was not of his making,” said Dingell. “He analyzed the
mounting evidence of misconduct among a minority of NIH employees, determined
the systemic basis of the problem, moved carefully to identify those involved,
and revised the rules to uphold proper ethical standards.”
Barton also underscored the need for Congress to reauthorize the NIH this
year. “The Director should have the authority to direct and the flexibility to
move dollars among institutes and centers to encourage promising research. We
must recognize that expanding biomedical research in the 21st century requires
the NIH to function efficiently,” he said.
Since the Oversight and Investigations subcommittee launched its review in
2003, its actions include the following:
- The O&I subcommittee held three hearings in May and June of 2004 on
NIH ethics concerns. The focus of these hearings was the unnoticed and often
unregulated practice of NIH scientists engaging in paid, private consulting
with drug and biotechnology companies.
- At the last hearing in June 2004, the subcommittee learned that a
substantial number of NIH scientists engaged in drug company consulting
without notice or approval by the NIH. One NIH scientist was reported to
have received more than $517,000 in the last five years to advise a drug
company on his area of expertise. NIH reported that the scientist failed to
seek approval for these activities and did not report them on his financial
disclosure reports.
- The subcommittee's investigation also featured the case of two government
scientists who were working on a diagnostic test for cancer in official
partnership with a private company. Hearings showed that they also had
engaged in an outside consulting arrangement with yet another company, a
competitor of the first. While these two scientists consulted with the
second company, progress on the official partnership slowed to a standstill.
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