CIRM Application Shutdown: Text of Robert Klein's Comments

Here is the text of comments by Robert Klein, chairman of Americans for Cures, on the shutdown of applications at the California stem cell agency. Klein was responding to questions from the California Stem Cell Report.

"When Californians learn of the remarkable progress from the California funded stem cell and genetic therapies FDA approved human trials in restoring major function to paralyzed patients, to save the lives of children with severe immune diseases, to restoring sight to patients that are blind, the support for stem cell research and therapy development exceeds 70% in recent polls.

"California’s leadership in cellular and genetic therapies, through its state funded research and human trials, currently supports 51 human trials for a range of chronic disease and injuries, and 24 more human trials are in progress by biotech companies based upon California’s funded research.

"The life-changing and life-restoring work of California’s scientists and physicians will predictably earn the chance for renewed funding. Polls indicate that California voters want the opportunity to vote in 2020 on continuing this visionary California initiative, originally funded in 2004 through Proposition 71, the California Stem Cell Research and Cures Act. The gap in available state funding from the fall of 2019 through November 2020 will hold back additional critical human trials for new life saving and/or disease mitigating therapies; but, I have faith that Patient Advocates and California voters will back new funding at the polls in 2020 and continue California’s remarkable contribution to this medical revolution that effects every one of our lives.

"In advancing the research and therapies, the California research funding agency has also gained broad financial support for its portfolio of research and human trials based on the strength of more than 2850 peer reviewed published medical discoveries and the 75 human trials directly funded or separately funded supporting the California funded discoveries. The matching funds from donors, institutions, private companies and non-profit organizations have already exceeded $3,250,000,000, more than a 100% match on the $3,000,000,000 originally approved in state funding.

"This medical revolution holds the promise of restoring health and quality of life for many of California’s individuals and families suffering from chronic disease and injury. However, the last tactical mile to bring this broad spectrum of therapies to patients will require more funding and the thoughtful support of California’s public as the human trials and discoveries are refined and tested, overcome numerous obstacles or complications, and ultimately serve to improve the life and reduce the suffering of every one of us."

CIRM Application Shutdown: Text of Jeanne Loring's Comments

Here is the text of comments by Jeanne Loring on the application shutdown at the California stem cell agency. Loring was responding to questions by the California Stem Cell Report. She also filed a comment separately on the initial story. 

"CIRM has built an enormous resource of stem cell expertise in California over the last 14 years. They had a big impact on my lab; over the years I was awarded 10 grants on which I was PI or co-PI and several more as a co-investigator, we trained hundreds of researchers in pluripotent stem cell technology through CIRM’s Shared Labs and Training Center grants, I mentored 32 students through the Bridges program, and we published 71 scientific papers with CIRM support (so far). While I also obtained funding from the NIH and private donors, CIRM was by far the dominant supporter of my research.  When I obtained my first grant on human embryonic stem cells from the NIH in 2002, I could not have predicted that I would be able expand on that work so spectacularly. I was in the right place at the right time.

"While I am grateful for CIRM’’s support of my work, I have also been deeply troubled by some of  their decisions. This is not the time or place to dissect their judgments, but if they are rejuvenated by another bond measure, I hope they will call on some of us to share our experiences as they develop their strategy for the future of stem cell research and development in California."

California Application Shutdown: Text of Comments by Steve Peckman

Here is the full text of comments by Steve Peckman on the shutdown of applications by the California stem cell agency. Peckman was responding to questions from the California Stem Cell Report. 

"The inevitable announcement by CIRM serves to highlight the impressive success of Proposition 71 as a catalyst for scientific discovery and the clinical application of stem cell research and regenerative medicine.  Since 2005, CIRM’s trailblazing initiatives from science and ethics training to basic scientific research, biomedical tool development, infrastructure, pre-clinical testing, and clinical trials have made California an international leader in the field.  The pool of scientific knowledge is constantly growing because of the public’s trust and investment in the future.  The forward thinking of California voters through the passage of Proposition 71 has gifted the world with critical biomedical breakthroughs, such as a cure for ADA-SCID (developed by UCLA physician-scientist Dr. Donald Kohn and his team), whose broad impact will inform science and medicine for generations to come.

"As you noted, talk of CIRM’s death is a bit premature as it will still be awarding pre-clinical and clinical research grants in the near term and overseeing research grants and clinical trials for at least four more years."

Stem Cell Video Flap: A Back Story on How the Affair Broke

A San Diego stem cell scientist today shared the back story on development of a stem cell video ruckus earlier this month that snared a dozen or more scientists, including the president of the $3 billion California stem cell agency.

Jeanne Loring, chief scientific officer of Aspen Neuroscience,

Jeanne Loring, San Diego UT photo

wrote about the affair on The Niche, a blog published by UC Davis researcher, Paul Knoepfler.

Her account told how she became aware of the video, Healthcare Revolution, on the morning of Thursday June 13 when she was notified that the video would be released a few days later and included her. Loring wrote,

"I was mystified about how this happened, so Thursday evening I sent an email with the subject 'Help! what do you know about this 'documentary' to the 9 people on the documentary’s website whose emails I had: Bruce Levine, Evan Snyder, Larry Goldstein, Arnie Caplan, Josh Hare, Paolo DeCoppi, Tony Atala, Julie Allickson, and Maria Millan. None of them seemed to know either."

The next day Loring asked the producers to remove her from the video, which they did. Loring's post today said,

"I was very, very relieved. I checked the website later that day, and my photo was gone. Over the next few days I heard from the colleagues I’d contacted earlier, and gradually they too asked to be removed. It was fascinating to watch the 'episode experts' disappear one by one from the website.

"I tried watching one of the newly edited episodes. I was sickened by it and couldn’t watch to the end. I’m so glad I’m not in it."

California Stem Cell Agency Pitches for Support; Los Angeles Event Scheduled Tuesday

Just one day before the California stem cell agency announced it was cutting off applications for more research funding, it made an ardent pitch to the public for increased support. 

The appeal concerned a public event that the agency, formally known as the California Institute for Regenerative Medicine (CIRM), is staging on Tuesday in Los Angeles. 

In an item on the agency's blog, The Stem Cellar, Kevin McCormack, senior director of communications, briefly recounted the $3 billion agency's work. And then he wrote,

 "We still have a lot to do. The problem is we are quickly running out of money. We expect to have enough money to fund new projects up to the end of this year....Some may get funding from other sources, but many won’t. We don’t want to let that happen."

Stem researchers, CIRM leaders and others will be there. McCormack said,

"It’s going to be an opportunity to learn about the real progress being made in stem cell research, thanks in no small part to CIRM’s funding."

On the web page for the event, there was also this:

"You'll hear from a woman whose infant daughter was cured of a fatal immune-system disorder, from the doctor who developed that treatment and from stem cell champions who are worried what will happen to the most promising research if CIRM no longer exists."

 The free, public event will be in the Los Angeles Convention Center, 1201 South Figueroa St., Petree Hall C. The event begins at 6 p.m. but McCormack said CIRM staffers will be there at 5 p.m. to answer questions.

Interested persons can RSVP here. But it is unlikely that anyone will be turned away.

Money Running Out: California's Stem Cell Agency Shutting Down Applications for Research Awards

The $3 billion California stem cell agency, which is running out of cash, today served notice that it would stop accepting applications for more research awards beginning next month.

The low key announcement is another step towards the looming demise of the 14-year-old agency, created by voters in November 2004. Its hopes for continued life are pinned on a proposed bond measure for the November 2020 ballot.

A memo to the governing board from leadership of the agency, formally known as the California Institute for Regenerative Medicine (CIRM), said that it currently has $88 million worth of requests for cash but only $33 million available for awards.  

The memo said, 

"Given the status of applications in the system and expected applications this month, we intend to close application submissions after this month. In the unlikely event that funds continue to be available after processing of all applications in the queue, we may temporarily re-open the submission window as needed."

The matter was taken up this morning at a meeting of the board that approved an $11 million clinical award for a rare disease. 

During a brief discussion, board member Os Steward of UC Irvine said that "shutting off the spigot could be highly disruptive." 

He indicated that he would prefer to call it a suspension of applications. 

Board member Jeff Sheehy said the move is "abrupt but that is kind of where we are."

Under the ballot initiative that created the agency, the only significant source of funding is bonds issued by the state of California. The authority for issuing the bonds is expiring. 

The agency has been trying for months to raise $200 million in private funding. No announcement of any progress, however, was made at today's session. 

The agency has on hand enough funds to handle administration of existing awards for a couple of years. 

Here is the full text of today's memo. 

"For 2019, the ICOC allocated $93 million for clinical program applications (CLIN1, CLIN2, CLIN3) and $30 million for the CIRM/NHLBI collaboration on sickle cell disease. As of June 2019, the available budget for non-sickle cell disease applications is $45 million.  

"Currently, we have one application recommended for funding by the GWG and pending approval this month for $12 million. There are two applications slated for GWG review later this month and three applications that have received a score of “2” by the GWG that are pending reassessment by the GWG next month. We have also received five applications that are undergoing eligibility review. The total request for all clinical applications currently in our system is about $88 million. We are expecting two to three additional application submissions for this month’s deadline, which falls on June 28, 2019. The budget request for these is still unknown. We expect that not all applications will achieve a funding recommendation, but there may be enough to deplete the annual allocation.

"Given the status of applications in the system and expected applications this month, we intend to close application submissions after this month. In the unlikely event that funds continue to be available after processing of all applications in the queue, we may temporarily re-open the submission window as needed. 

"We intend to inform all prospective applicants submitting an application this month that there is no guarantee of an availability of funds and that review of their application may be halted if funds are depleted prior to the completion of their review. We also intend to post notice that application submissions will close after the June deadline until further notice.Ap 

"This action does not affect application submissions for sickle cell disease that are accepted under the CIRM/NHLBI collaborative program."

Stem Cell Video Flap: A Look at the California Firm Backing the 'Docu-Series'

A California physician deeply enmeshed in the national ruckus over a controversial, stem cell video has -- according to his web site -- "achieved world-renown as a pioneer in the area of stem cell research."

He is Mark Berman, one of the co-founders of Cell Surgical Network (CSN), which partly financed the lengthy, online video, "Healthcare Revolution." At least 12 scientists, other experts and institutions reacted with shock last week when they became fully aware of its approach and financing. They asked that they be removed from the film.

Mark Berman,  photo from Berman web site

One researcher called the video an "infomercial." Another said she was placed with "charlatans and thieves."

Berman's firm has been sued by the Food and Drug Administration as part of an effort to curb untested and potentially dangerous stem cell treatments. The number of dubious stem cell clinics has grown sharply in recent years. Estimates are that 1,000 exist nationally, with the highest percentage in California.

On Sunday he emailed the irate scientists and asked them to reconsider their requests for removal. None apparently did. 

What follows is a brief look at Berman's history and that of his firm, which has offices in Beverly Hills and Rancho Mirage, Ca., and about 100 affiliates nationwide and more abroad. 

But first, the text of his response to questions from the California Stem Cell Report about the video and its financing. The "docu-series" was produced by Bobby and Sara Sheehan and their firm, Working Pictures.

"I met Bobby and Sara when they came to interview me at my office for another project they were working on a couple years ago. We were commenting on all the amazing work being done in the field of cell therapy and stem cell research, yet all the surrounding controversy. A lot of this was due to people putting random unmatched cells into patients for a whole host of conditions and not adequately tracking the follow up. We thought it would be really important to show some of the world’s greatest minds, who have devoted, in some cases, decades to advancing this field, and highlight all the great work that’s currently being done to advance healthcare.

"I’m not sure what the entire series cost. We were just a tiny part of this film. Bobby and Sara spent over a year flying around the world to get this project done. they worked completely independently from us. Neither I, nor anyone in CSN, paid anyone that was interviewed or promised them compensation. We have zero financial interest in Working Pictures, nor do they have any financial interest in CSN. 

"This whole project is about educating people on the work being done to advance healthcare and we think it’s important that the word gets out."

Berman's website says he has practiced cosmetic surgery since 1983 and started his stem cell practice in 2010.  He is co-founder of Cell Surgical Network and the California Stem Cell Treatment Center. 

Erin Allday of the San Francisco Chronicle reported last year: 

"For more than three decades, Berman’s focus was breast augmentations and face-lifts. He invented a pocket-like device that can be implanted into the breast to produce better-looking, safer results from augmentation procedures. He calls it his “Sistine Chapel.”

With his business partner, Rancho Mirage (Riverside County) urologist Elliot Lander, Berman has built the largest chain of stem cell clinics in the country. Their Cell Surgical Network has more than a hundred affiliates in 33 states — including 38 clinics in California alone — selling treatments they claim will fix everything from knee pain to symptoms of multiple sclerosis.But over the past eight years, Berman has reached far past his specialty into a realm of highly sophisticated, still-nascent medicine. He’s become one of the country’s most outspoken and notorious providers of so-called consumer stem cell therapies: using human stem cells to treat a wide variety of ailments despite little or no scientific proof that they work.

“As a cosmetic surgeon, it’s kind of a joke that I’m at the center of this universe,” Berman said in an interview last fall (2017). “But I’m kind of ground zero.”

"Seven months later, his words became darkly prophetic: In May, Berman and his partner were targeted by the U.S. Food and Drug Administration. The FDA requested an injunction that, if approved by a federal judge, would stop them from selling stem cell therapies. 

"The FDA issued a similar request against a separate operation in Florida, U.S. Stem Cell Clinic.

"Their clinics, though, are just some among several hundred that have popped up across the country in recent years. They are renegade outposts operating with little legitimacy and oversight at the frontier of what is otherwise a highly promising field of medicine."

Here is a short list of other sources of information involving Berman, his treatments and  enterprises: 

• Stem cell scientist Paul Knoepfler of UC Davis has written extensively about Berman and Cell Surgical Network, going back to 2013 when Knoepfler published this Q&A.
• Vox recently carried an overview of unregulated stem cell treatments, including Berman's firm. 
• A Washington Post story about the 2018 FDA filing against Cell Surgical Network.

Stem Cell Video Flap: A Look at the Firm that Produced the "Docu-Series"

Bobby Sheehan discusses his personal and professional background in this YouTube clip.

Who are Bobby and Sara Sheehan, not to mention Working Pictures? 

It is a question that arises from their controversial "docu-series" that raised a ruckus this week in the small world of stem cell science.

Their online video, "Healthcare Revolution," was an unpleasant surprise for at least 12 scientists and other experts who learned only a few days ago they were appearing in the production. All of them asked to be removed.

They believed that they had been misled about how interviews that they had given many months ago were going to be used. 

They objected to sharing an electronic platform with dubious enterprises that are current targets of the federal government's actions to shut down dangerous and unproven stem cell treatments. 

Executives of those firms also appeared in the video in a manner that was considered a case of "false equivalency."

Earllier this week, the California Stem Cell Report queried Sara Sheehan about the video and their links to a California stem cell firm, Cell Surgical Network, with 100 national affiliates that the Food and Drug Administration is suing. 

The full text of her response runs below. But first a little background drawn from the Internet.

Sara Sheehan is executive producer for Working Pictures, according to its web site.  Her husband, Bobby, is producer, director, writer and cameraman. Their web site says Bobby had a "nomadic and slightly feral" upbringing. It also said, 

Sara Sheehan
 Working Pictures photo

"Collectively, they have produced well over a hundred hours of content in the form of online and conventional TV series, documentaries, and narrative films. Bobby has directed and lensed over 300 commercials…and they have produced three talented children."

The Sheehans are also associated with another enterprise called "Mortal," which deals with death and spiritual awareness. 

The California Stem Cell Report asked Sara Sheehan about the cost of the stem cell docu-series, which was partly financed by Cell Surgical Network, and any other financial ties with that firm.  Here is the verbatim text of her reply.

"I appreciate your asking us to provide additional information and I have answered your questions below: 

"We set out to produce a documentary series about the very complex regenerative medicine landscape. There is a lot of information out there and consumers are faced with a daunting amount of opposing opinions and concerns. We felt that by showing the entire landscape - including advances in research that will be providing hope to patients years down the line, the fact that many consumers are going overseas for treatments, the legislation that has been enacted in this country, patients who have gotten treatments in this country and other countries and their outcomes, and the lawsuits- we would educate the consumers who would see this and allow them to make the best decisions for themselves and their loved ones. 

"We looked for financing for the series, which took a year to make. We had investors, Drs. Berman and Landers (of Cell Surgical Network) were part of that team. Never did they ask to see edits, to control the content or interfere with the story in any way. That was the deal. The rest of the costs we bootstrapped ourselves: our investors did not pay us for our time and we covered many costs ourselves. We are not connected in any other way to Cell Surgical Network or any other regenerative medicine provider, nor do we stand to benefit financially from any procedures or products being marketed. We have no family members connected to Cell Surgical Network or any other regenerative medicine providers. The bottom line is that we are filmmakers who attempted to outline what is clearly a heated and emotionally charged environment. Ironically, Cell Surgical Network is featured most prominently in an episode entitled The Lawsuits, outlining the cases against US Stem Cell and Cell Surgical Network. We had updated that episode to reflect the decision against US Stem Cell. 

"We never paid anyone to be interviewed. In fact I have NEVER paid anyone to be interviewed for this project or any other project.

"After a year of interviewing and editing as many and as varied voices as possible, the resulting series is 12 episodes long. We organized the information by subject and feel we had a comprehensive product that provided a good, basic overview of the field that included many opposing points of view. There is a tremendous amount of information contained in the series that we felt showed as much of the landscape as we were allowed to capture.

"Unfortunately, a number of people expressed concern about being included in the project and we immediately responded that we would honor their wishes to be removed."

LA Times on Stem Cell Video Flap: 'Infomercial,' Hype and How the Hooha All Began

The Los Angeles Times this afternoon reported on the uproar over a stem cell video has left some researchers across the nation incensed and calling the film an "infomercial" that ballyhooed unproven therapies.

Twelve scientists and other experts have asked to be removed from the video that was partly financed by a California firm that is being sued federal regulators to halt the potentially dangerous treatments.

The Times piece was authored by Pulitzer Prize-winning columnist Michael Hiltzik who has written previously about the unregulated stem cell industry. He said,

"If there’s anything that drives legitimate stem cell scientists up a wall, it’s their being lumped in with clinics offering unwary customers supposedly effective disease treatments through stem cell injections."

The firm that helped fund the "Healthcare Revolution" is Cell Surgical Network, which is based in Southern California but has 100 affiliates across the country and more overseas. The Food and Drug Administration has sued the firm to halt the use of what it calls unproven and potentially dangerous treatments. 

The film was produced by Bobby and Sara Sheehan over the period of about a year. Hiltzik wrote,

“'It’s a package that’s very misleading and not balanced,' says Evan Snyder of Sanford Burnham Prebys Medical Discovery Institute. 'It was pitched like it would be a ‘Nova,’' he said, referring to the scientific series produced for the Public Broadcasting System, 'but it came out like an infomercial.' 

"Lawrence S.B. Goldstein of UC San Diego says he was led to believe the producers were making a 'balanced, sober documentary.' The trailer for the series posted on its website, however, was infused with hype—'It sounded like miracle cures from stem cells are here today—‘Give us your money and we’ll fix you up,’ giving false hope to people suffering from terrible diseases.'”

The Times piece laid out how the flap erupted just days before the video was to begin today. Hiltzik wrote,

"It was only last week that the true nature of the project emerged. That’s when Cell Surgical Network sent customers and former customers an email announcing the documentary’s upcoming premiere. The email landed in the in-box of Doris Tyler, a Florida resident who is suing Cell Surgical Network and affiliates for allegedly leaving her blind via a stem cell treatment for an eye condition.

"Tyler alerted her attorney, Andrew Yaffa, who passed the alarm on to Loring at Scripps. Loring scanned the documentary’s website and noticed that she and numerous academic colleagues were featured along with purveyors of unproven treatments. On June 13, she says, “I sent messages to everyone I knew” on the roster of participants.

"Subsequently, Sheehan disclosed that Cell Surgical Network had partially funded the series, deepening the alarm and prompting most, if not all, the academic participants to withdraw. 

“That was the kiss of death for me,” Loring told me. “I do not want to be associated with those guys at all.'”

Loring said in a letter to the Sheehans,

 "You have placed my interview among those of people who are charlatans and thieves...."