Addressing Conflicts of Interest in PHS-Funded Research
Addressing Conflicts of Interest in PHS-Funded Research
Addressing Conflicts of Interest in PHS-Funded Research
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Lynn Zentner, Director<br />
Jon Guden, Assistant Director<br />
Seth Beccard, Program Assistant<br />
Conflict <strong>of</strong> <strong>Interest</strong> Program, Office <strong>of</strong> Institutional Compliance<br />
Lorrie Awoy<strong>in</strong>ka, Sponsored Projects Adm<strong>in</strong>istration<br />
Gregg Pioske, College <strong>of</strong> Pharmacy<br />
02.12.2013
Agenda<br />
Individual <strong>Conflicts</strong> <strong>of</strong> <strong>Interest</strong> Policies<br />
Conflict <strong>of</strong> <strong>Interest</strong> (COI) Def<strong>in</strong>ed<br />
Report<strong>in</strong>g <strong>Interest</strong>s and COI Review Process<br />
The Public Health Service (<strong>PHS</strong>) F<strong>in</strong>ancial Conflict <strong>of</strong> <strong>Interest</strong><br />
Regulations<br />
What is Different about <strong>PHS</strong> <strong>Funded</strong> <strong>Research</strong>?<br />
Steps to Ensure Compliance<br />
Summary <strong>of</strong> <strong>PHS</strong> Requirements<br />
Agencies Us<strong>in</strong>g <strong>PHS</strong> FCOI Regulations<br />
COI Resources<br />
COI Program Staff
Individual <strong>Conflicts</strong> <strong>of</strong> <strong>Interest</strong>:<br />
Adm<strong>in</strong>istrative Policies
Conflict <strong>of</strong> <strong>Interest</strong> (COI) Def<strong>in</strong>ed<br />
• Exists when an <strong>in</strong>dividual’s* significant f<strong>in</strong>ancial<br />
<strong>in</strong>terests (SFI) and/or bus<strong>in</strong>ess <strong>in</strong>terests <strong>in</strong> a bus<strong>in</strong>ess<br />
entity overlap with one <strong>of</strong> more <strong>of</strong> their University<br />
responsibilities:<br />
– Teach<strong>in</strong>g<br />
– <strong>Research</strong><br />
– Cl<strong>in</strong>ical health care<br />
– Outreach activities<br />
– Adm<strong>in</strong>istrative functions<br />
*This <strong>in</strong>cludes the <strong>in</strong>dividual’s family members.
Report<strong>in</strong>g <strong>Interest</strong>s<br />
• Who? Faculty, P&A, those responsible for “design,<br />
conduct, or report<strong>in</strong>g <strong>of</strong> research”(<strong>in</strong>vestigators, key<br />
personnel)<br />
• What? F<strong>in</strong>ancial and Bus<strong>in</strong>ess <strong>Interest</strong>s<br />
• How? Report <strong>of</strong> External Pr<strong>of</strong>essional Activities (REPA)<br />
• When?<br />
– Annual report<strong>in</strong>g spans 2012 and 2013; started Feb 1<br />
– “Change <strong>in</strong> circumstances” with<strong>in</strong> 30 days <strong>of</strong>:<br />
• acquisition <strong>of</strong> a new significant f<strong>in</strong>ancial <strong>in</strong>terest<br />
(SFI) or bus<strong>in</strong>ess <strong>in</strong>terest; or<br />
• change <strong>in</strong> responsibilities (e.g., new research) that<br />
overlaps with exist<strong>in</strong>g SFI or bus<strong>in</strong>ess <strong>in</strong>terest
F<strong>in</strong>ancial <strong>Interest</strong> Disclosure<br />
Thresholds<br />
Category <strong>of</strong> Individual*<br />
Involved <strong>in</strong> Cl<strong>in</strong>ical Health<br />
Care<br />
Engaged <strong>in</strong> Public Health<br />
Service <strong>Research</strong> (e.g., NIH)<br />
F<strong>in</strong>ancial Threshold (royalties,<br />
<strong>in</strong>come, publicly traded<br />
equity)<br />
Any dollar amount<br />
($5000 is SFI threshold)<br />
More than $5,000 <strong>in</strong>come and<br />
equity comb<strong>in</strong>ed, or $5,000 <strong>in</strong><br />
royalties<br />
Equity <strong>Interest</strong><br />
(Non Publicly<br />
Traded)<br />
Any equity<br />
Any equity<br />
Everyone Else $10,000 or more 5% or more,<br />
regardless <strong>of</strong><br />
value<br />
*This <strong>in</strong>cludes the <strong>in</strong>dividual’s family members.<br />
NOTE: If the <strong>in</strong>dividual is <strong>in</strong>volved <strong>in</strong> more than one <strong>of</strong> these categories, he/she must<br />
disclose at the lowest threshold.
Bus<strong>in</strong>ess <strong>Interest</strong>s<br />
• Hold<strong>in</strong>g an executive position (e.g., Chief Executive<br />
Officer, Chief Operat<strong>in</strong>g Officer, Chief Scientific or<br />
Technical Officer)<br />
• Compensated or uncompensated membership on a<br />
board (e.g., boards <strong>of</strong> trustees, scientific advisory<br />
boards, medical advisory boards, and boards <strong>of</strong><br />
pr<strong>of</strong>essional societies)
The COI Review Process<br />
Individual<br />
completes a<br />
REPA<br />
Dept/college<br />
reviews<br />
Were<br />
<strong>in</strong>terests<br />
disclosed?<br />
No<br />
REPA is approved<br />
Yes<br />
No<br />
COI program<br />
staff review<br />
Overlap with<br />
U Role?<br />
Yes<br />
Conflict<br />
Review Panel<br />
review<br />
Is there a<br />
COI?<br />
No<br />
Yes<br />
Management<br />
mechanisms<br />
determ<strong>in</strong>ed<br />
Management<br />
plan created<br />
and accepted.<br />
REPA<br />
approved.<br />
90-day<br />
compliance<br />
review<br />
Annual<br />
compliance<br />
review
The Public Health Service (<strong>PHS</strong>)<br />
F<strong>in</strong>ancial Conflict <strong>of</strong> <strong>Interest</strong> Regulations<br />
• Purpose: To promote “…objectivity <strong>in</strong> research by<br />
establish<strong>in</strong>g standards that provide a reasonable<br />
expectation that the design, conduct, and report<strong>in</strong>g<br />
<strong>of</strong> research funded under <strong>PHS</strong> grants or cooperative<br />
agreements will be free from bias result<strong>in</strong>g from<br />
<strong>in</strong>vestigator f<strong>in</strong>ancial conflicts <strong>of</strong> <strong>in</strong>terest.”<br />
• Provisions <strong>in</strong>corporated <strong>in</strong>to University Conflict <strong>of</strong><br />
<strong>Interest</strong> Policies and REPA <strong>in</strong> 2012
The Public Health Service (<strong>PHS</strong>)<br />
F<strong>in</strong>ancial Conflict <strong>of</strong> <strong>Interest</strong> Regulations<br />
• Apply to domestic, foreign, public and private (not Federal)<br />
entities that apply for or receive <strong>PHS</strong> fund<strong>in</strong>g<br />
• Apply to all <strong>in</strong>dividuals who meet the def<strong>in</strong>ition <strong>of</strong> “Investigator”.<br />
That is, any person, regardless <strong>of</strong> title or position, who is<br />
responsible for the design, conduct, or report<strong>in</strong>g <strong>of</strong> research<br />
funded by the <strong>PHS</strong> or proposed for such fund<strong>in</strong>g<br />
• Apply to subrecipients, subgrantees, collaborators and possibly<br />
consultants<br />
• FCOI tra<strong>in</strong><strong>in</strong>g required at least every 4 years
What is Different about <strong>PHS</strong> <strong>Funded</strong><br />
<strong>Research</strong>?<br />
• Can’t spend money until COI tra<strong>in</strong><strong>in</strong>g complete and conflicts are<br />
managed<br />
• Ongo<strong>in</strong>g research: Investigator must disclose new SFI with<strong>in</strong> 30<br />
days <strong>of</strong> acquir<strong>in</strong>g; University has 60 days to review and manage<br />
– Consequences <strong>of</strong> untimely report and management?<br />
• University must conduct a retrospective review<br />
• Depend<strong>in</strong>g on the severity and duration <strong>of</strong> the noncompliance, Sponsor<br />
could take other actions such as: impose special conditions on the award;<br />
wholly or partially suspend award; or term<strong>in</strong>ate the award (worst case<br />
scenario)<br />
• University may be responsible for subrecipient conflicts<br />
• Investigator reports sponsored/reimbursed travel >$5000<br />
(government agency and higher education exceptions)
Steps to Ensure Compliance<br />
At time <strong>of</strong> Proposal:<br />
• Communicate with your faculty<br />
• Ensure all UMN personnel identified as “key personnel”<br />
<strong>in</strong> the proposal have a current REPA on file<br />
• Confirm REPAs are up-to-date<br />
• For proposal that <strong>in</strong>clude subs:<br />
• Collect FCOI status for each site:<br />
• Check the FDP Clear<strong>in</strong>ghouse; or<br />
• Obta<strong>in</strong> completed Form 1 and, if necessary, Form 2
Steps to Ensure Compliance<br />
At time <strong>of</strong> Proposal (cont<strong>in</strong>ued):<br />
• Consultants can be <strong>in</strong>cluded <strong>in</strong> the Key/Senior Personnel<br />
section under two circumstances:<br />
• If consultant meets def<strong>in</strong>ition <strong>of</strong> Senior/Key Personnel (as<br />
def<strong>in</strong>ed by NIH Grants Policy) but does not meet the<br />
def<strong>in</strong>ition <strong>of</strong> Investigator (FCOI Policy), the PI should provide<br />
an explanation <strong>in</strong> writ<strong>in</strong>g (e.g. email)<br />
• If consultant meets def<strong>in</strong>ition <strong>of</strong> Senior/Key Personnel (as<br />
def<strong>in</strong>ed by NIH Grants Policy) and also meets the def<strong>in</strong>ition<br />
<strong>of</strong> Investigator, then the consultant must complete Form 2
Steps to Ensure Compliance<br />
At time <strong>of</strong> Award and Post-Award:<br />
• Anytime SPA generates a NOGA, the GA must verify<br />
the University PI and other University personnel<br />
identified as key have completed their FCOI tra<strong>in</strong><strong>in</strong>g<br />
• Department must provide FCOI verification<br />
<strong>in</strong>formation for all subrecipients prior to issuance <strong>of</strong><br />
the sub agreement<br />
• FCOI tra<strong>in</strong><strong>in</strong>g must also be verified for changes to<br />
exist<strong>in</strong>g awards (i.e. change <strong>in</strong> PI and no cost<br />
extensions)
Summary <strong>of</strong> <strong>PHS</strong> Requirements<br />
• At proposal time:<br />
• Current year REPA must have been completed by PIs, Co-Is<br />
and all others identified as key personnel on PRF before<br />
proposal can be submitted.<br />
• If <strong>in</strong>clud<strong>in</strong>g subs, SPA must be provided with documentation<br />
that each: 1) Subrecipient has its own FCOI policy <strong>in</strong> place<br />
(FDP Clear<strong>in</strong>ghouse or Form 1); or 2) Subrecipient will use<br />
UMN FCOI policy AND Forms 1 and 2.*<br />
• If Consultant <strong>in</strong>cluded <strong>in</strong> Senior/Key Personnel section,<br />
provide appropriate documentation<br />
*NOTE: If subrecipient documentation is not provided, all references to sub<br />
(personnel, budget and scientific) must be removed from the proposal.
Summary <strong>of</strong> <strong>PHS</strong> Requirements<br />
• At Award time and Post Award:<br />
• Current year REPA must be on file for PIs, Co-Is and all others<br />
identified as key personnel on PRF and each must have<br />
completed their FCOI tra<strong>in</strong><strong>in</strong>g.<br />
• NOTE: Any person with a positive disclosure must have completed review by the COI<br />
Program, have management plan <strong>in</strong> place (if needed), and <strong>PHS</strong> notified<br />
• Before a sub can be issued, GA must receive documentation that:<br />
1) Subrecipient has its own FCOI policy <strong>in</strong> place; or 2) if us<strong>in</strong>g<br />
UMN FCOI policy. When us<strong>in</strong>g UMN Policy:<br />
• Form 1 and Form 2 and onl<strong>in</strong>e FCOI tra<strong>in</strong><strong>in</strong>g must have been<br />
completed.<br />
• NOTE: If positive disclosure on Form 2, COI Program must have completed its<br />
review, a management plan must be <strong>in</strong> place (if needed) and <strong>PHS</strong> notified
Agencies Us<strong>in</strong>g these Regulations<br />
Public Health Service (<strong>PHS</strong>) Agencies<br />
• Office <strong>of</strong> Global Affairs (OG)<br />
• Office <strong>of</strong> the Assistant Secretary for Health (OASH)<br />
• Office <strong>of</strong> the Assistant Secretary for Preparedness and Response (ASPR)<br />
• Agency for Health Care <strong>Research</strong> & Quality (AHRQ)<br />
• Agency for Toxic Substances and Disease Registry (ATSDR)<br />
• Centers for Disease Control and Prevention (CDC)<br />
• Food and Drug Adm<strong>in</strong>istration (FDA)<br />
• Health Resources and Services Adm<strong>in</strong>istration (HRSA)<br />
• Indian Health Service (IHS)<br />
• National Institutes <strong>of</strong> Health (NIH)<br />
• Substance Abuse and Mental Health Services Adm<strong>in</strong>istration (SAMHSA)
Additional Agencies Identified as<br />
Us<strong>in</strong>g These Regulations<br />
Non-<strong>PHS</strong> Agencies*<br />
• Adm<strong>in</strong>istration for Children and Families (ACF)<br />
• Alliance for Lupus <strong>Research</strong> (ALR)<br />
• American Cancer Society (ACS)<br />
• American Heart Association (AHA)<br />
• American Lung Association (ALA)<br />
• Arthritis Foundation (AF)<br />
• California Breast Cancer <strong>Research</strong> Program (CBCRP)<br />
• California HIV/AIDS <strong>Research</strong> Program (CHRP)<br />
• Juvenile Diabetes <strong>Research</strong> Foundation (JDRF)<br />
• Lupus Foundation <strong>of</strong> America (LFA)<br />
• Susan G. Komen for the Cure<br />
*It is anticipated that SPA will treat proposal submissions and awards under these agencies<br />
the same as those under <strong>PHS</strong>
COI Resources<br />
• COI Program Webpage (access to COI policies, COI tra<strong>in</strong><strong>in</strong>g<br />
module, and REPA):<br />
http://www.compliance.umn.edu/conflictHome.htm<br />
• NIH FCOI Frequently Asked Questions:<br />
http://grants.nih.gov/grants/policy/coi/coi_faqs.htm<br />
• Public Health Service (<strong>PHS</strong>) Agencies:<br />
http://www.policy.umn.edu/Policies/Operations/Compliance/CONFLICTINTEREST_APPI.html<br />
• FDP Clear<strong>in</strong>ghouse:<br />
http://sites.nationalacademies.org/PGA/fdp/PGA_070596<br />
• SPA Subrecipient FCOI Resource page:<br />
http://www.ospa.umn.edu/<strong>PHS</strong>FCOIT.html
COI Program Staff<br />
• Lynn Zentner, Director, Office <strong>of</strong> Institutional<br />
Compliance, 612/626-7852, lzentner@umn.edu.<br />
• Jon Guden, Assistant Director, Conflict <strong>of</strong> <strong>Interest</strong><br />
Program, 612/626-4727, jguden@umn.edu.<br />
• Seth Beccard, Program Assistant, Conflict <strong>of</strong><br />
<strong>Interest</strong> Program, 612/625-2210<br />
becca002@umn.edu<br />
• Teja Kelley, Coord<strong>in</strong>ator, tjcrane@umn.edu<br />
• repamail@umn.edu; Helpl<strong>in</strong>e 626-1462
QUESTIONS?
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