Industry is deeply involved in funding US research
Janice Hopkins Tanne, New York
Industry supported 62% of biomedical research in the United States in
2000, almost double the proportion in 1980, while governmentsupport
declined. About a quarter of academic investigators haveaffiliations
to industry that could influence research and publication,says a
review article in JAMA (2003;289:454-65)[Medline].
The authors, from Yale University School of Medicine, reviewed 37 studies
with original data on financial relationships amongindustry,
investigators, and academic institutions. Partnershipsbetween
industry and academia have grown since the 1980 Bayh-Doleact
encouraged them. In 1996, 92% of life science companies supported
academic research. Quoting a 1999 study, the authors say 68% ofUS
and Canadian institutions held equity in companies that sponsored
research done at their institutions. This was an important sourceofrevenue.
The study found that 23% to 28% of academic researchers received funding from
industry, 43% received gifts such as biomaterialsand discretionary
funds, and a third had personal financial tieswith industry
sponsors. The financial ties included paid speakingengagements,
consulting arrangements, positions on advisory boards,and equity in
the sponsoringcompany.
Industry sponsored research is likely to reach conclusions favourable to
industry. In 61 industry sponsored trials of non-steroidal
anti-inflammatory drugs, not a single trial found the comparisondrug
superior to the sponsor'sdrug.
Lead author Dr Cary Gross, an assistant professor of medicine, said that
industry sponsored trials might achieve favourableresults in three
ways: by comparing the sponsor's drug with notreatment or placebo,
by using a higher dosage of the sponsor'sdrug than the comparison
drug, or by comparing the sponsor's wellabsorbed drug to a poorly
absorbed drug. Positive results arepublished more often than
negative ones. Industry sponsorshipalso tends to shift research from
basic science to clinicalapplications.
Of industry supported researchers, 58% were required to keep results
confidential for more than six months (often while thesponsor filed
for patent); some authors may delay publicationwhile they market
their results. Other investigators were deniedaccess to all data
from thestudy.
Few academic institutions had policies regarding investigators having shares
in the sponsoring company, doing consulting workfor the sponsor, or
holding a position in the sponsoringcompany.
Fewer than half of journals had policies on competing interests, the authorssay.
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