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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?


©2009 Regents <strong>of</strong> the University <strong>of</strong> M<strong>in</strong>nesota. All rights reserved. The University <strong>of</strong> M<strong>in</strong>nesota is an equal opportunity educator and employer.<br />

This presentation is available <strong>in</strong> alternative formats upon request. Direct requests to genox003@umn.edu or 612.624.5599.

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