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Healthy Skepticism Library item: 17465

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: news

Schneider C
Feds investigate conflict charge over Emory prof
The Atlanta Journal-Constitution 2009 Feb 27
http://www.ajc.com/services/content/printedition/2009/02/27/emoryprof0227.html?cxntlid=inform_sr


Full text:

Federal officials are investigating Emory University and one of its prominent researchers to determine if either misled government agencies about the psychiatrist’s high-paying work with drug companies, officials said.

U.S. Sen. Charles Grassley, who pressed for the investigation, sent a letter Tuesday to the inspector general of the U.S. Department of Health and Human Services outlining his concerns. He said Dr. Charles Nemeroff, an internationally prominent psychiatrist, may have violated conflict-of-interest rules surrounding several grants that Emory received from the National Institutes of Health. Grassley’s letter also noted that Emory is required to report such conflicts to the NIH.

The investigation by the inspector general focuses on the concerns addressed in Grassley’s letter, said Jill Kozeny, spokeswoman for Grassley.

The probe also reflects concerns about the way Emory handled the reporting of Nemeroff’s earnings from drug companies and his potential conflicts of interest.

Nemeroff, an internationally known expert on depression and former chairman of Emory’s psychiatry department, was a prime target of Grassley’s congressional investigation into whether drug company payments to doctors and academics compromise medical research and scholarship.

Grassley, an Iowa Republican who is the ranking member of the Senate Finance Committee, released documents last fall indicating that Nemeroff reported little of the money he earned through speeches he delivered for drug companies. He also received payment from drug companies whose products he was evaluating, officials said.

“But I have learned from the NIH that it was generally not aware of Dr. Nemeroff’s conflicts until I made the issue public last fall,” Grassley said in his letter.

Grassley also requested that the probe focus on whether Emory misled the NIH about the nature of Nemeroff’s talks for the drug company GlaxoSmithKline, which produces the antidepressant drug Paxil. Grassley has asserted the talks were to promote the drug, while Emory has said they were for general education.

The NIH, an arm of the Department of Health and Human Services, requires universities to report potential conflicts of interest to ensure unbiased research.

Failure to report conflicts of interest can bring fines, a fund freeze and loss of future grants.

The NIH awarded Emory more than $251 million last year — 61 percent of its total research grants.

As a result of its own investigation, Emory stripped Nemeroff of his department chairmanship in December and placed severe restrictions on his activities.

Emory found that Nemeroff had violated the university’s policies by not reporting more than $800,000 in income from speeches for GlaxoSmithKline.

Nemeroff could not be reached for comment Thursday, but he has said, according to school officials, that he believed he was following school policy and was not required to report the speaking engagements.

Emory spokesman Ron Sauder said, “Emory has been fully cooperative with the National Institutes of Health and Sen. Grassley, and we will continue to be.”

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909