1. Revised Conflict of Interest in Research Regulations Retrospective review, sponsored travel and disclosures, oh my! Kara Drolet, PhD, Chair, CoIR Committee, Associate Director, ORIO Mark Slifka, PhD, Co-Chair CoIR Committee, Senior Scientist, ONPRC

2. Agenda Revised CoIR Regulations: what you need to know Revised CoIR Regulations: from the PI perspective Sneak peek: eCoI Q & A 2

3. Revised CoIR Regulations: What You Need to Know Revised regulations go into effect August 24 th Overview What has Changed, including key definitions Grantee Institution Responsibilities Noncompliance NIH responsibilities 3

4. Revised CoIR Regulations, How to Respond? –Denial and avoidance –Blame others and complain –Figure out a way around it –Groan and grumble when that doesn’t work –Find pleasure in loathing regulation intensely Slide adopted from D. Raiford, Vanderbilt, Modified from Kübler-Ross 4

5. What is the Purpose of the Regulation? This regulation promotes objectivity in research by establishing standards that provide a reasonable expectation that the design, conduct, and reporting of research funded under Public Health Service (NIH, CDC, AHRQ) grants or cooperative agreements will be free from bias resulting from Investigator financial conflicts of interest. Slides adapted from the NIH 5

6. The NIH Perspective “We believe that strengthening the existing regulations on managing financial conflicts of interest is key to assuring the public that NIH and the institutions we support are taking a rigorous approach to managing the essential relationships between the government, federally-funded research institutions, and the private sector.” http://grants.nih.gov/grants/policy/coi/index.htm "The public trust in what we do is just essential, and we cannot afford to take any chances with the integrity of the research process.” -- Dr. Francis Collins 6

7. Who does it apply to? OHSU policy requires that all investigators submit CoIR disclosures (using same definition of a disclosable financial interest- SFI- as the federal regulation) Investigator means the project director or principal Investigator and any other person, regardless of title or position, who is responsible for the design, conduct, or reporting of research, which may include, for example, collaborators or consultants. 7

8. Changes and Key Definitions What must be disclosed A financial interest consisting of one or more of the following interests of the Investigator (and those of the Investigator’s spouse and dependent children—OHSU draft policy includes domestic partner) that reasonably appears to be related to the Investigator’s institutional responsibilities Dollar amounts must now be disclosed 8

9. Investigator’s Institutional Responsibilities Institutional responsibilities means an Investigator's professional responsibilities on behalf of OHSU, which may include for example: activities such as research, teaching, professional practice, institutional committee memberships, and service on panels such as Institutional Review Boards or Data and Safety Monitoring Boards. 9

10. Significant Financial Interest (SFI)-compensation With regard to any publicly traded entity, a significant financial interest exists if the value of any remuneration received from the entity in the twelve months preceding the disclosure and the value of any equity interest in the entity as of the date of disclosure, when aggregated, exceeds $5,000. For purposes of this definition, remuneration includes salary and any payment for services not otherwise identified as salary (e.g., consulting fees, honoraria, paid authorship); 10

11. SFI-equity Publicly traded and valued at greater than $5000 as of the date of disclosure--equity interest includes any stock, stock option, or other ownership interest, as determined through reference to public prices or other reasonable measures of fair market value; –The revised regulation does not require the disclosure of income from investment vehicles, such as mutual funds and retirement accounts, as long as the Investigator does not directly control the investment decisions made in these vehicles. With regard to any non-publicly traded entity, any equity interest (e.g., stock, stock option, or other ownership interest); 11

12. SFI-IP/royalties Intellectual property rights and interests (e.g., patents, copyrights) –Any licensed technology; or –upon receipt of >$5000 (annually) in royalty income related to such rights and interests (e.g., copyrights) 12

13. SFI- Travel Investigators also must disclose the occurrence of any reimbursed or sponsored travel (i.e., that which is directly paid on behalf of the Investigator by the sponsor), related to their institutional responsibilities with the following exceptions: –Travel paid or reimbursed by OHSU –Travel paid or reimbursed by a federal, state or local government agency –Travel paid or reimbursed by an Institution of higher education, an academic teaching hospital, or a research institute that is affiliated with an Institution of higher education –Spouse/dependent child travel 13

14. SFI Exclusions Payments to the institution, or via the institution to the individual, that are directly related to reasonable costs incurred in the conduct of research as specified in the research agreement(s) between the sponsor and the institution Income from seminars, lectures, or teaching engagements sponsored by a federal, state or local government agency, an Institution of higher education as defined at 20 U.S.C. 1001(a), an academic teaching hospital, a medical center, or a research institute that is affiliated with an Institution of higher education; or Income from service on advisory committees or review panels for a federal, state or local government agency, Institution of higher education as defied at 20 U.S.C. 1001(a), an academic teaching hospital, a medical center, or a research institute that is affiliated with an Institution of higher education. 14

15. (DRAFT) Two CoI Definitions Conflict of Interest in Research (CoIR): An SFI that might affect, or reasonably appear to affect, the design, conduct, or reporting of research. Such situations may require management, but may not be found to constitute a FCoI as defined below. Financial Conflict of Interest (FCoI): An SFI that could directly and significantly affect the design, conduct, or reporting of PHS-funded research. 15

16. Investigator Disclosure 1995 REGULATION: Only SFIs related to research as determined by the Investigator 2011 REVISED REGULATION: SFIs include financial interests that are related to an Investigator’s institutional responsibilities Institutions are responsible for determining whether SFI relates to research and if it is an FCoI Slides adapted from the NIH 16

17. Institutional Responsibilities: Investigator Disclosure of SFIs At time of Application: Require that each Investigator, including subrecipient Investigators, if applicable, disclose to the institution at time of application. Annually: Require each Investigator, including subrecipient Investigator, if applicable, to submit an updated disclosure of SFI at least annually, during the period of the award. Within 30 days: Require each Investigator, including subrecipient Investigator, if applicable, who is participating in the NIH-funded research to submit an updated disclosure of SFI within thirty days of discovering or acquiring (e.g., through purchase, marriage, or inheritance) a new SFI. 17

18. Subrecipients 1995 REGULATION: Institutions must take reasonable steps to ensure that Investigators working for subrecipients comply with the regulation 2011 REVISED REGULATION: Clarifies by requiring the Institution to incorporate language as part of a written agreement with the subrecipient terms that establish whether the FCoI policy of the awardee Institution or that of the subrecipient will apply to the subrecipient’s Investigators and include a time period to meet disclosure requirements, if applicable, and FCoI reporting requirements to the awardee Institution. 18

19. Institutional Responsibilities: Subrecipient Requirements Incorporate as part of a written agreement terms that establish whether the FCoI policy of the awardee Institution or that of the subrecipient will apply to subrecipient Investigators and include time periods to meet SFI disclosure, if applicable, and FCoI reporting requirements. Subrecipient Institutions who rely on their FCoI policy must report identified FCoIs to the awardee Institution in sufficient time to allow the awardee Institution to report the FCoI to the PHS/NIH Awarding Component (i.e., to NIH through the eRA Commons FCoI Module) to meet FCoI reporting obligations. 19

20. Investigator Training 1995 REGULATION: No requirement 2011 REVISED REGULATION: FCoI training required. Each Investigator must complete training prior to engaging in research related to any PHS-funded grant and at least every four years, and immediately under the designated circumstances: Institutional FCoI policies change in a manner that affects Investigator requirements An Investigator is new to an Institution An Institution finds an Investigator noncompliant with Institution’s FCoI policy or management plan. –OHSU will provide this training in the Integrity Booster 20

21. Management of FCoI 1995 REGULATION: Manner of compliance with regulation not specified (manage, reduce or eliminate are indicated as options) 2011 REVISED REGULATION: For all identified FCoIs, Institutions must develop and implement a management plan (may include reduction or elimination of the SFI) OHSU will continue to review and implement management plans for non-PHS funded research 21

22. Institutional Responsibilities: Management of FCoIs Take necessary actions to manage FCoIs of its Investigators, including those of subrecipient Investigators Develop a management plan(s) and monitor compliance If an Institution identifies an SFI that was not disclosed or reviewed in a timely manner, the designated official(s) shall within sixty (60) days review the SFI, determine if an FCoI exists and implement an interim management plan, if needed. In cases of non compliance, complete a retrospective review and submit a Mitigation Report if bias is found. 22

23. Noncompliance 1995 REGULATION: No requirement 2011 REVISED REGULATION: Whenever an FCoI is not identified or managed in a timely manner, including failure by the Investigator to disclose an SFI, failure by the Institution to review or manage an FCoI, or failure to comply with the management plan, the institution shall within 120 days of the determination of noncompliance, complete a retrospective review of the Investigator’s activities and the project to determine bias in the design, conduct or reporting of such research. Notify NIH promptly and submit a Mitigation Report when bias is found. 23

24. Institutional Responsibilities: Retrospective Review Documentation of the key elements of a retrospective review: Project number; Project title; PD/PI or contact PD/PI if a multiple PD/PI model is used; Name of the Investigator with the FCoI; Name of the entity with which the Investigator has an FCoI; Reason(s) for the retrospective review; Detailed methodology used for the retrospective review (e.g., methodology of the review process, composition of the review panel, documents reviewed); Findings and conclusions of the review. If results of the retrospective review warrant, update previously submitted FCoI report 24

25. Institutional Responsibilities: Mitigation Report If bias is found through retrospective review, notify the NIH Awarding Component promptly (through the eRA Commons) and submit a Mitigation Report. Mitigation Report Key elements documented in retrospective review Description of the impact of the bias on the research project Plan of action(s) to eliminate or mitigate the effect of the bias Thereafter, submit FCoI reports annually. 25

26. OHSU Plans Initial screening form determines whether any potential for bias, given activities of investigator during non-compliance period If potential for bias determined by chair & co-chair, CoIR committee reviews to make final determination of retrospective review necessity If full retrospective review needed: –Ad hoc committee based on expertise? –Dept charge? 26

27. FCoI Reporting 1995 REGULATION: Prior to the Institution's expenditure of any funds under the award Within 60 days for any interest that the Institution identifies as conflicting subsequent to the Institution’s initial report under the award 2011 REVISED REGULATION: Current requirements, plus annual updates on any previously-identified FCoI for the duration of the research project (including during an extension with or without funds) 27

28. Investigator SFI Disclosure and Institutional FCoI Reporting Requirements Investigator Discloses known SFI(s) to the Institution I nstitution Reports identified FCoI(s) to the NIH (D esignated official(s) review the disclosures to make determinations of FCoIs and report any FCoIs to NIH. ) At time of ApplicationPrior to the Expenditure of Funds Within 30 days of acquiring or discovering SFI Within 60 days of identification Annually at the time period prescribed by the Institution during the award period Annually: At the same time as when the grantee submits the annual progress report or the extension of project. Annual FCoI report is submitted through eRA Commons FCoI Module. 28

29. Institutional Responsibilities: Elements of an FCoI Report  Grant number;  PD/PI or contact PD/PI;  Name of Investigator with the FCoI;  Name of the entity with which the Investigator has an FCoI;  Nature of FCoI (e.g., equity, consulting fees, travel reimbursement, honoraria);  Value of the financial interest $0-4,999; $5K-9,999; $10K-19,999; amts between $20K-100K by increments of $20K; amts above $100K by increments of $50K or a statement that a value cannot be readily determined;  A description how the financial interest relates to NIH-funded research and the basis for the Institution’s determination that the financial interest conflicts with such research; and  Key elements of the Institution’s management plan..29

30. FCoI Reporting Key Elements of a Management Plan include: Role and principal duties of the conflicted Investigator in the research project; Conditions of the management plan; How the management plan is designed to safeguard objectivity in the research project; Confirmation of the Investigator’s agreement to the management plan; How the management plan will be monitored to ensure Investigator compliance; and Other information as needed. 30

31. Public Accessibility 1995 REGULATION: No requirement 2011 REVISED REGULATION: Prior to the expenditure of funds, make certain information concerning FCoIs held by senior/key personnel publicly accessible, via a publicly accessible Web site or by a written response to any requestor within five business days of a request, and update such information as specified in the regulation. Senior/key personnel does not include students/post docs 31

32. Institutional Responsibilities: Public Accessibility of FCoIs  OHSU does not plan to use the web site option If the Institution responds to written requests, the Institution will note in its written response that the information provided is current as of the date of the correspondence and is subject to updates, on at least an annual basis and within 60 days of the Institution’s identification of a new Financial Conflict of Interest, which should be requested subsequently by the requestor. 32

33. Institutional Responsibilities: Public Accessibility of FCoIs Information to be made publicly available includes the following: Investigator’s name; Investigator’s title and role with respect to the research project; Name of the entity in which the SFI is held; Nature of the SFI; and Approximate dollar value of the SFI (dollar ranges are permissible: $0-$4,999; $5,000-$9,999; $10,000-$19,999; amounts between $20,000-$100,000 by increments of $20,000; amounts above $100,000 by increments of $50,000), or a statement that the interest is one whose value cannot be readily determined through references to public prices or other reasonable measures of fair market value. 33

34. NIH Responsibilities If the failure of an Investigator to comply with the Institution’s FCoI policy or FCoI management plan appears to have biased the design, conduct, or reporting of the NIH-funded research, the Institution shall promptly notify the NIH of the corrective action taken or to be taken. NIH may determine that corrective action is needed and may include directions to the Institution on how to maintain appropriate objectivity in NIH-funded research. NIH may require Institutions employing such an Investigator to enforce any applicable corrective actions prior to award or when the transfer of a grant involves such an Investigator. 34

35. NIH Responsibilities  NIH may inquire at any time before, during or after award into any Investigator disclosure of financial interests and the Institution’s review (including any retrospective review) of, and response to, such disclosure, regardless of whether the disclosure resulted in the Institution’s determination of a FCoI.  Institutions are required to submit, or permit on site review of, all records pertinent to compliance with the regulation.  NIH will maintain confidentiality of all records of financial interest.  If NIH decides that a particular FCoI will bias the objectivity of research, NIH may impose special award conditions, suspend funding or impose other enforcement mechanisms until the matter is resolved. 35

36. PI Perspective- New CoIR regs and how to stay in compliance To keep disclosures up to date Keeping track of money and new financial interests –When to think about updating your CoI disclosure –How can the CoI office or eCoI help? (30 day emails?) Travel: how to deal with this How can my dept help 36

37. PI Perspective- New CoIR regs and how to stay in compliance When there is a conflict management plan Keeping track of grants –when to update the CoI office Complying with management plan –Tracking publications, presentations How can my dept help 37

38. NEW electronic disclosure system information Meet eCoI 38

39. 39

40. -Will be able to add projects from InfoEd, eIRB (future: TTBD) 40

41. 41 Includes # of days funded by the sponsor

42. 42

43. How to make Travel Disclosures easier Pre-disclosure option Separate disclosure with trackable log Working with CTO to initiate a system where investigator meetings could be auto-logged and/or prompted Departmental review (tracking absences) could prompt travel disclosures when needed 43

44. 30 day disclosure compliance—disclose your outside activities 44

45. Take-aways Researchers will need to: – Complete the Integrity Booster after it is released this summer by the time of the next grant award after 8/24/12 –Update their CoIR disclosure in the new system, either at their next annual due date, or by the time of the next grant award after 8/24/12 –Submit Travel disclosures. Open to submit as soon as system released. Required by the time of the next grant award after 8/24/12 The new system will walk you through what needs to be disclosed, but REMEMBER TO UPDATE DISCLOSURES WITH NEW INTERESTS 45

46. Information/Resources Contacts for inquiries coir@ohsu.edu ORIO: 503-494-7887 (option 1) Kara Drolet, PhD (CoIR committee chair): manningk@ohsu.edu or 4-6727 manningk@ohsu.edu Hilde Wette, PhD (senior CoIR analyst): wetteh@ohsu.edu or 4-4649 wetteh@ohsu.edu CoIR Web Site http://www.ohsu.edu/xd/research/about/integrity/coi/coi r-regulation-changes.cfm NIH Web Site http://grants.nih.gov/grants/policy/coi/ 46