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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Conflict of Interest and Medical Innovation: Ensuring Integrity While Facilitating Innovation in Medical Research: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18723.
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Page 53
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Conflict of Interest and Medical Innovation: Ensuring Integrity While Facilitating Innovation in Medical Research: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18723.
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Page 54
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Conflict of Interest and Medical Innovation: Ensuring Integrity While Facilitating Innovation in Medical Research: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18723.
×
Page 55
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Conflict of Interest and Medical Innovation: Ensuring Integrity While Facilitating Innovation in Medical Research: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18723.
×
Page 56
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Conflict of Interest and Medical Innovation: Ensuring Integrity While Facilitating Innovation in Medical Research: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18723.
×
Page 57
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine. 2014. Conflict of Interest and Medical Innovation: Ensuring Integrity While Facilitating Innovation in Medical Research: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18723.
×
Page 58

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A Workshop Agenda Conflict of Interest and Medical Innovation: Ensuring Integrity While Facilitating Innovation in Medical Research: A Workshop June 5, 2013 National Academy of Sciences Building 2101 Constitution Avenue, NW Washington, DC 20418 Workshop Objectives: • To articulate and clarify current conflict of interest policies. • To examine and discuss the scope and goals of conflict of interest policies. • To examine the effect of current conflict of interest policies on medical innovation. • To identify best practices and potential solutions for facilitating innovation under current conflict of interest policy implementation while still ensuring scientific integrity and public trust. 53

54 COI AND MEDICAL INNOVATION 8:30–8:45 A.M. Welcoming Remarks and Charge to Workshop Speakers and Participants Sharon F. Terry, Roundtable Co-Chair and Workshop Chair President and Chief Executive Officer Genetic Alliance 8:45–10:45 SESSION I: CURRENT LANDSCAPE FOR MEDICAL INNOVATION Moderator: Allen S. Lichter Chief Executive Officer American Society of Clinical Oncology 8:45–9:15 Conflict of Interest and Medical Innovation Bernard Lo President Greenwall Foundation 9:15–9:45 Enhancing the Development of Novel Medical Products and Clinical Applications Neal H. Cohen Vice Dean, School of Medicine Professor of Anesthesia and Perioperative Care and Medicine Director, International Medical Services University of California, San Francisco 9:45–10:15 Developing Policies for Conflict of Interest Sally J. Rockey Deputy Director for Extramural Research National Institutes of Health 10:15–10:45 Discussion with Speaker and Attendees

APPENDIX A 55 10:45–11:00 BREAK 11:00 A.M.– SESSION II: IMPACT OF CONFLICT OF 12:25 P.M. INTEREST POLICIES ON INNOVATION Moderator: Bernard Lo President, Greenwall Foundation 11:00–11:15 Industry Perspectives Gabriela Lavezzari Assistant Vice President, Scientific Affairs PhRMA 11:15–11:30 Academic Perspective Heather H. Pierce Senior Director, Science Policy and Regulatory Counsel AAMC 11:30–11:45 Government Perspective Krishna Balakrishnan Senior Technology Manager, Office of Strategic Alliances National Center for Advancing Translational Sciences 11:45 A.M.– Discussion with Speakers and Attendees 12:25 P.M. 12:25–1:10 WORKING LUNCH 1:10–2:10 SESSION III: PUBLIC PERCEPTIONS OF CONFLICT OF INTEREST Moderator: Jill Hartzler Warner Acting Associate Commissioner for Special Medical Programs Food and Drug Administration

56 COI AND MEDICAL INNOVATION 1:10–1:30 Serving Public Interest and Facilitating Innovation: Portrayals of Conflict of Interest Charles Ornstein Senior Reporter ProPublica 1:30–1:50 Innovation in the Interest of Society Mary R. Grealy President Healthcare Leadership Council 1:50–2:10 Discussion with Speakers and Attendees 2:10–3:50 SESSION IV: BEST PRACTICES TO FACILITATE INNOVATION Moderator: Dorit Zuk Science Policy Advisor to the Deputy Director for Extramural Research National Institutes of Health 2:10–2:15 FDA Michelle T. McMurry-Heath Associate Director for Science Center for Devices and Radiological Health Food and Drug Administration 2:15–2:20 Tech Transfer Todd Sherer Associate Vice President for Research Executive Director, Office of Technology Transfer Emory University 2:20–2:25 Industry Paul Billings Chief Medical Officer Life Technologies Corporation

APPENDIX A 57 2:25–2:30 Academia Guy M. Chisolm III Director, Innovation Management and Conflict of Interest Program Cleveland Clinic 2:30–2:35 Public/Consumer/Advocate Margaret Anderson Executive Director FasterCures 2:35–2:40 Providers Henry Brem Harvey Cushing Professor Chairman, Department of Neurosurgery Professor of Neurosurgery, Ophthalmology, Oncology and Biomedical Engineering Johns Hopkins University School of Medicine 2:40–2:45 Medical Professional Society Allen S. Lichter Chief Executive Officer American Society of Clinical Oncology 2:45–3:50 Roundtable Discussion with Speakers and Attendees 3:50–4:05 BREAK 4:05–5:00 SESSION V: CONVERGENCE ON CONFLICT OF INTEREST Moderator: Sharon Terry President and Chief Executive Officer Genetic Alliance

58 COI AND MEDICAL INNOVATION 4:05–4:50 Panel Discussion Panelists: Margaret Anderson Executive Director FasterCures Gabriela Lavezzari Assistant Vice President, Scientific Affairs PhRMA Allen S. Lichter Chief Executive Officer American Society of Clinical Oncology Bernard Lo President Greenwall Foundation Michelle T. McMurry-Heath Associate Director for Science Center for Devices and Radiological Health Food and Drug Administration Heather Pierce Senior Director, Science Policy and Regulatory Counsel Association of American Medical Colleges 4:50–5:00 SESSION VI: CONCLUSION 4:50–5:00 CONCLUDING REMARKS Sharon F. Terry, Roundtable Co-Chair and Workshop Chair President and Chief Executive Officer Genetic Alliance 5:00 ADJOURN

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Scientific advances such as the sequencing of the human genome have created great promise for improving human health by providing a greater understanding of disease biology and enabling the development of new drugs, diagnostics, and preventive services. However, the translation of research advances into clinical applications has so far been slower than anticipated. This is due in part to the complexity of the underlying biology as well as the cost and time it takes to develop a product. Pharmaceutical companies are adapting their business models to this new reality for product development by placing increasing emphasis on leveraging alliances, joint development efforts, early-phase research partnerships, and public-private partnerships. These collaborative efforts make it possible to identify new drug targets, enhance the understanding of the underlying basis of disease, discover novel indications for the use of already approved products, and develop biomarkers for disease outcomes or directed drug use. While the potential benefits of collaboration are significant, the fact that the relationships among development partners are often financial means that it is vital to ensure trust by identifying, disclosing, and managing any potential sources of conflict that could create bias in the research being performed together.

Conflict of Interest and Medical Innovation is the summary of a workshop convened by the Institute of Medicine Roundtable on Translating Genomic-Based Research for Health in June 2013 to explore the appropriate balance between identifying and managing conflicts of interest and advancing medical innovation. A wide range of stakeholders, including government officials, pharmaceutical company representatives, academic administrators and researchers, health care providers, medical ethicists, patient advocates, and consumers, were invited to present their perspectives and participate in discussions during the workshop. This report focuses on current conflict of interest policies and their effect on medical innovation in an effort to identify best practices and potential solutions for facilitating innovation while still ensuring scientific integrity and public trust.

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