Wednesday, September 28, 2005

Stem Cell Science: Glue Your Ears to the Internet

The California stem cell agency's first-ever, international science conference can be monitored on the Internet this weekend.

The agency said the sessions will be webcast live on www.thesciencenetwork.org and at www.cirm.ca.gov. The full agenda for the conference can be found here.

This is the first webcast of an event involving CIRM, a move that is long overdue. Meetings of the working groups are generally available at remote locations that are set up for the benefit of Oversight Committee members. The public is welcome also. However, none of the Oversight Committee meetings have a similar arrangement and none have been broadcast.

Both the University of California and Zoomedia have the capability of doing webcasts, which are quite common on the Internet. Zoomedia is rebuilding the agency's website as part of San Francisco's bid to secure the headquarters of CIRM. It would behoove Zoomedia to also webcast CIRM meetings as well.

Tuesday, September 27, 2005

CIRM Stalls Again on Mystery Costs

Shortly after we posted the item below on the mystery budget for this weekend's stem cell science conference, the California stem cell agency reinforced its stalling tactics on the session's costs.

We received an email from CIRM, which claims the information is "preliminary" and thus is not public. The claim is part of the hoary bureaucratic stall technique discussed in our earlier item. The appropriate translation of the message from CIRM is, "Sue us. Our $500-an-hour attorney will take on any comers. We may not prevail, but the litigation will take months, if not years, so go for it."

Here is what CIRM said: "We have determined that the record you have requested is a preliminary draft, which will not be retained by CIRM in the ordinary course of business and is exempt from disclosure under Government Code section 6254(a).
 
"The budgeted amount for the Scientific Conference is $215,000. This figure is available on the CIRM website at http://www.cirm.ca.gov/meetings/pdf/2005/08/31/083105_item_3c.pdf.
 
"The figures for individual budget items have not yet been finalized, however we anticipate that our actual costs will fall below the budgeted $215,000 figure. We will be happy to provide you with the breakdown of the conference costs when those numbers are final."

Hundreds – if not thousands – of state government bureaucrats have argued over the years that much of what they do is "preliminary" and thus not fit for the public. CIRM, however, has published online scores of documents, equally as preliminary as the proposed spending plan for its science conference. Indeed, CIRM published preliminary versions of its own annual budget plans. Other government agencies do the same. The governor of California publishes incredibly detailed preliminary versions of his budget each year as does the President of the United States.

We should note that if the preliminary information is not retained, not even the CIRM staff will know whether the figures come in under budget – unless it subscribes to the oral tradition of bookkeeping.

The significance of CIRM's response has little to do with the conference itself. It has a great deal to do with whether it is a responsible public agency that takes its charge seriously and honestly. Based on this sad reaction to a request for routine information, it appears that empty rhetoric is likely to be the order of the day for the California stem cell agency.

Mystery Spending at CIRM's Scientific Conference

The California stem cell agency will stage its first-ever scientific conference this weekend in San Francisco with expenses that run to about $9,000 per featured participant.

The two-day event is budgeted at a total of $215,000 and is designed to help identify scientific priorities for the first phase of stem cell research by the agency. Internationally known researchers are flying in for the session in Baghdad-by-the-Bay.

Presumably CIRM is picking up their expenses, but the agency has refused to release the spending plan for the conference until some indefinite date in the future. On the surface, the conference seems to be a worthwhile endeavor. In business terms, it is good marketing move. It will help focus international attention on CIRM and help generate credibility for the agency as it hits up potential purchasers of the bond anticipation notes that it needs.

But $215,000 is a large sum for an agency that has been vocal about its need to conserve its financial resources given the court challenges it faces.

How is that money being spent? No one outside the agency knows. Is there something dubious going on? Probably not, but the agency's refusal to share – in a timely fashion --public information about its activities does raise questions.

CIRM says it will disclose the conference budget when it is "final," whatever that means. The conference begins in two days. One would think CIRM would have "finalized" its conference spending plans by now.

One version of the agenda shows 25 outside speakers (excluding CIRM officials), amounting to a per capita expense of nearly $9,000. We have been told only that there are no honoraria, but little else.

CIRM's response to the information follows a time-honored and dubious tradition in some bureaucracies that stall when they receive requests for information. Often, the techniques are used because the information contains something embarrassing. Stalling allows time to cover up the worst disclosures, impart a favorable spin or simply out wait the inquiring party. Other times, the stall amounts to a mindless reflex by an organism that simply wants to repel any intruder.

Often the stall works. Information – like fish – does not improve with age. Time passes, and the information becomes less relevant.

It is difficult to understand why the agency is refusing to release the information. It is certainly not in CIRM's best interest to raise unnecessary questions about how it conducts the public business.

The stem cell agency's actions in this case fall woefully short of the promises by stem cell chairman Robert Klein to meet the highest standards of openness and transparency.

Sunday, September 25, 2005

Too Much Inside-The-Box Thinking From CIRM

Every other day – at least during non-hurricane season – a stem cell news story seems to pop up with quite some regularity. Often enough that some might think that stem cell research is commonplace.

Just how uncommon it actually is was highlighted recently by The Economist magazine in a piece that makes clear the opportunities and challenges faced by the California stem cell agency.

The Economist article (Sept. 22 edition) cites a report by Michael Steiner and Nils Behnke, consultants with Bain & Company that forecasts only a $100 million market for stem cell therapies by 2010, rising to $2 billion by 2015. That contrasts with some reports that predict a $10 billion market by 2010.

The Economist says Bain's predictions are convincing.

"According to Bain's estimates, there are now roughly 140 stem-cell-related products in development, for various forms of cancer, liver disease and other conditions. But more than four-fifths of these projects are in early-stage development, where many a gleam in a scientist's eye dies, and still far from the clinical studies where promising new treatments can also still falter. In addition to these scientific hurdles, the field is fraught with ethical debate over some of its most promising areas, such as the use of stem cells from embryos and therapeutic cloning," the magazine wrote.

Steiner estimated that slightly more than "$1 billion was spent on stem-cell work last year, a mere 1% of global spending on health-care R&D. More than four-fifths of that investment came from governments. Venture capital, the traditional engine of biotechnology, is remarkably scarce in stem cells. Only $50 million was pumped into the field last year, as private investors look for safer bets in more developed products with larger markets, where regulation and patent protection is more clearly defined," the magazine said.

Given the $1 billion figure, that would make CIRM's probable $300 million a year pretty hefty. It would be a figure large enough to have a significant impact on stem cell research and its practices, including the possibility of changing them So far CIRM has been in a get-along, go-along mode, too timid to challenge the sacrosanct, closed-door, we-know-best attitude of the scientific community and its business allies. Yes, it is difficult and risky to make changes in the comfortable practices of old. But, as stem cell chairman Robert Klein likes to point out, 59 percent of California voters said emphatically that they are fed up with inside-the-box thinking when they approved Prop. 71.

Friday, September 23, 2005

Where's The Money?

"People quote things out of context all the time, but we tried to make it clear what it was." -- Bruce Deal, managing partner of the Analysis Group, the Menlo Park firm that produced a report that touted the largess that Prop. 71 would provide for California.

Reporter Malcolm Maclachlan quoted Deal in a piece in Capitol Weekly headlined "Stem Cell's Shell Game. It was the first interview that we have seen with Deal, whose report has come under criticism, particularly in light of the California Council on Science and Technology's admonition that California should not expect big returns from the California stem cell agency any time soon.

One might suspect some of the critics of a bit of dissembling. Most of them are not so naïve as to expect that studies generated on behalf of political campaigns are paragons of balance and objectivity. It is, and was, hardly realistic to expect campaign supporters to put out a report on Prop. 71 that was less than approving.

The report in question was produced by Laurence Baker, an associate professor of the Stanford University School of Medicine, and Deal, managing partner of the Analysis Group.

Maclachan wrote, "The figures, Deal said, were based on payouts that some research universities have received for IP (intellectual property) rights. They were calculated on the assumption that, over time, Prop. 71 would pay for both basic research and later-term studies leading to commercially available therapies. 'The idea of the report was to give examples of what could be possible if therapies were successful and the state could secure intellectual property rights,' Deal said. 'People quote things out of context all the time, but we tried to make it clear what it was.' "

The Baker/Deal study is likely to be a subject of continuing interest because of the intellectual property issues involving the the stem cell agency. State Sen. Deborah Ortiz, chair of the Senate Health Committee, has already said she expects more benefits than what the CCST study says is reasonable. The stem cell agency itself scheduled and the cancelled one meeting this month on IP matters. And still out there is Ortiz' proposed constitutional amendment which could make a statewide ballot in nine short months. Her previous legislative efforts at openness within the agency forced it to tighten its rules. The constitutional change could serve as a hammer to convince CIRM to attempt to provide more benefits to the California from taxpayer-financed stem cell research.

Wednesday, September 21, 2005

Bustamante Names New Stem Cell Overseer

The newest member of the Oversight Committee of the California stem agency is Marcelina "Marcy" Andaya Feit, president and CEO of ValleyCare Health System, a non-profit healthcare system with hospitals in Livermore and Pleasanton in California.

Lt. Gov. Cruz Bustamante made the appointment, filling a vacancy left by the resignation of Phyllis Preciado, who took a job in Oregon.

Here is the full text of Bustamante's press release, which was not available on the Internet at the time of this writing.

"Lt. Governor Cruz Bustamante today announced the appointment of Marcelina "Marcy" Andaya Feit to the Independent Citizens Oversight Committee overseeing California’s stem-cell research initiative, which was created when voters approved Proposition 71 in 2004.

"Ms. Feit is the President and CEO of ValleyCare Health System, a non-profit healthcare system with hospitals in Livermore and Pleasanton. Valley Care Systems also operates a skilled-nursing facility, a geriatric-psychology program, and a health and wellness center.

"'Ms. Feit has spent her entire 32-year career in Central Valley health-care programs,' Bustamante said. 'She is a registered nurse who began her career as a surgical nurses’ aide and advanced through the ranks to become one of the few minority women to become a chief executive officer of a California health-care system.

"'She is a native of Stockton and the daughter of a farmer. She spent her youth in the Stockton area and was graduated from Manteca High School. She worked her way through nursing school and earned a Master of Science Degree in Nursing Administration.

"'She has a life-long commitment to improving health care for Central Valley residents, particularly those in rural areas. Her tenacity and her tireless efforts to overcome many obstacles in her career have provided her with the tools and the strength to greatly benefit the work of the Independent Citizens Oversight Committee.

"'Ms. Feit has made a formal commitment to seek policy guidance from medical providers and activist groups in Central Valley communities. Californians are very fortunate to have a person with her medical knowledge and management skills on the Independent Citizens Oversight Committee.'

"The Lieutenant Governor has five appointees on the committee. Ms. Feit fills the position for an appointee from a 'Type II Diabetes advocacy group.'

"Ms. Feit helped spearhead the Livermore Center of Excellence in Diabetes, which provides inpatient and outpatient care for individuals with Type I, Type II or gestational diabetes. The program also provides diabetes counseling, group support, nutritional advice and education services to the community. The American Diabetes Association has certified and recognized the Center of Excellence in Diabetes for its high quality of self-management education."

Reviewers Unaware of Funding Shortfall?

Some of the scientists who reviewed the training grants authorized by the California stem cell agency may not have known that no funds were available, according to The Scientist.

In an article on the grant program, writer Alison McCook said, "Stuart Orkin, Dana-Farber Cancer Institute researcher and cochair of the committee that reviewed the grant applications, told The Scientist that committee members did not consider where the money was coming from when awarding grants, and some likely didn't even know about the ongoing legal battles."

The reviewing scientists ranked the proposals on scientific merit as part of the process of making recommendations for funding to the stem cell Oversight Committee.

McCook also interviewed Dennis Clegg, chair of the department of molecular, cellular and developmental biology at the University of California, Santa Barbara, a grant recipient. He was quoted as saying, "We can't write checks yet."

That appears to be contrary to the expectations of California stem cell leaders, who had expressed hope earlier that grant recipients would proceed with the programs and seek reimbursement later. One suspects the response to that expectation would vary, depending on how flush a particular recipient is.

Stem Cell Discussions on Saturday

Coming up this Saturday afternoon – forget those college football games – is a stem cell conference in Los Angeles.

On tap is Sen. Deborah Ortiz, D-Sacramento, the chair of the state Senate Health Committee and the most influential legislator on stem cell issues. Ortiz has been critical of the performance of the California stem cell agency. Recently she has focused more on the possibility of generating revenue and benefits for the state from any stem cell research funded by the agency.

Also on the conference panel sponsored by the California Science Center are Lawrence S.B. Goldstein, professor of cellular and molecular medicine at the University of California, San Diego, School of Medicine, and a leader in stem cell research; Ted Peters, pastor and professor at Pacific Lutheran Theological Seminary, Berkeley, Ca., and ethicist on the stem cell citizen’s oversight committee. and Irving Weissman, immunologist, professor, and director of the Stem Cell Institute at Stanford University, School of Medicine.

For more information, check the California Science Center site.

Monday, September 19, 2005

CIRM System: Convoluted and Opaque?

"Grossly unfair," "completely unworkable," "doomed for failure" – several of the things The Sacramento Bee has to say about the grant-making process of the California stem cell agency.

"It is hard to imagine a system that is more convoluted and opaque," The Bee editorialized on Sunday.

"You can't say the oversight board wasn't warned. Months ago, institute reformers told the oversight board that its closed-door policies would be self-defeating. 'You will be confined to considering what the working groups put on your plate, with little or no sense of how it got there, or what is missing or why,' wrote Terry Francke, counsel for the good-government group, Californians Aware.

"The institute overseers now have two choices:

"1) Become a true decision-making board and insist on all information about grant applications it is judging.
"2) Become more like the National Institutes of Health, and delegate the job of awarding grants to an outside panel of scientists. Such scientists, as decision makers, would need to disclose their potential conflicts.

"Without changes, the current experiment seems doomed for failure."

Wednesday, September 14, 2005

More Favorable PR Stems From Training Grants

California universities have begun patting themselves on the back for receiving the first-ever grants in the state's $3 billion stem cell research effort.

None that we saw mentioned that zero dollars were delivered with the awards, except for the press releases from the University of California, Santa Barbara, and Stanford University.

Nonetheless, the decisions on the grants and the follow-up press releases create an appearance of activity and momentum, which is exactly what CIRM officials sought.

Stanford received $3.7 million. Its press release quoted Michael Longaker, professor of medicine and chair of the advisory committee for Stanford’s Program in Regenerative Medicine, as saying, “It is particularly gratifying to be able to link the incredible depth and breadth of talent at Stanford. We want stem cell biology and regenerative medicine to be a catalyst for collaborations between faculty and trainees in all the schools. This exciting educational environment should help propel Stanford to a leadership role in regenerative medicine.”

USC, which received $3.2 million, noted that its application was described as "very thoughtful" by reviewers.

"This grant award bodes well for the program we are trying to develop here at the Keck School of Medicine - the USC Institute for Stem Cell and Regenerative Medicine - and speaks highly of the research being conducted here and at Childrens Hospital Los Angeles," said Brian E. Henderson, M.D., dean of the Keck School of Medicine and a member of the Oversight Committee that awarded the grants.

Childrens Hospital Los Angeles announced that it is "the only pediatric institution in California awarded a stand-alone CIRM training grant." It was approved for $2.4 million.

"The biomedical environment and strength of stem cell research at Childrens Hospital Los Angeles and the Keck School of Medicine combine to provide a rich milieu for training the next generation of physicians and scientists who will use stem cells as the basis for research and therapy," said Donald B. Kohn, director of the Gene, Immune and Stem Cell Therapy Program at Childrens Hospital Los Angeles. Childrens is affiliated with USC.

The University of California, San Francisco, combined the announcement that it had received a $3.6 million grant with a press release on creation of the Institute for Stem Cell and Tissue Biology.

It said its training program "will be led by Renee Reijo Pera, PhD, co-director of the UCSF Program in Developmental and Stem Cell Biology’s Human Embryonic Stem Cell Center and associate professor in the Department of Obstetrics, Gynecology and Reproductive Sciences, and Kevin Shannon, MD, professor in the Department of Pediatrics, who studies genes that normally regulate the growth of immature blood-forming cells that are mutated in leukemias."

The Gladstone Institutes at UC San Francisco received a $2.4 million grant. "Gladstone Institutes President Robert W. Mahley, MD, PhD, a professor of medicine and pathology at the University of California, San Francisco (UCSF), will serve as the director of the CIRM Scholars Training Program. Gladstone Institute of Cardiovascular Disease Associate Investigator Bruce Conklin, MD, a UCSF associate professor of medicine and cellular and molecular pharmacology, will serve as associate director," a press release said.

UCSB noted that funding of its $1.3 million grants awaits the sale of bond anticipation notes, since litigation has effectively halted the sale of other California state bonds.

The press release went on to say, "Martin Moskovits, UCSB's dean of the Division of Mathematical, Life and Physical Sciences, called the grant 'a strong statement that we are significant international players in the kind of biomedical research from which important new therapies for human disease will be developed." He explained further that, 'We have already established important partnerships with companies and medical schools with whom we intend to pursue a vigorous research program.'"

Freezing Out the Conflict

Ten of the California stem cell training grants awarded last week went to institutions that have representatives on the committee that approved the multimillion dollar programs.

However, the California stem cell agency went to excruciating lengths to avoid the appearance of a conflict of interest, barring committee members from discussing or voting when their institution's application was considered.

Oversight Committee members were given only bowdlerized summaries of the grant applications, which were solely identified by an alphanumeric code, along with funding recommendations from an agency working group. The summaries were identical to the material available on the Internet. Names of the institutions and individuals were blacked out.

Privately ahead of the meeting, individual committee members were notified that they could not participate in discussion when an application with a particular code came up. None of the committee members knew when another was barred from discussion, according to CIRM officials.

And when the actual vote was taken, the name of the committee member whose institution was seeking funds was not called during the roll call.

Monday, September 12, 2005

Serrano Sewell Demures on Stem Cell Report Item

Stem cell Oversight Committee member David Serrano Sewell has taken umbrage with language concerning him in our report on last Friday's meeting.

Here is what he had to say:

"As an ICOC member, I do enjoy this blog. However, on occasion you get things wrong. Recently the report stated:

"'David Serrano Sewell, a patient advocate committee member from the Amyotrophic Lateral Sclerosis Association, abruptly cut off attorney Charles Halpern of Berkeley, Ca., when he raised questions about the criteria for the training grants. Sewell heatedly declared that CIRM had been 'transparent in every respect.'

"First, I represent both the MS and ALS community. At our recent 9/9/05 meeting, Mr. Halpern did raise a series of issues regarding the ICOC training grants. ICOC staff forwarded his letter via email and a hard copy was provided for all the ICOC members at the meeting. At the meeting, Mr. Halpern's opportunity to speak well exceeded his three minutes. Charlie was getting close to seven minutes, and that's when I reminded (stem cell chairman) Bob (Klein) that members of the public are given three minutes to speak. So, yes I did 'cut off' Charlie, not because of the subject matter, but because the ICOC had other issues to address."

Sunday, September 11, 2005

Greenlining Enters Fray with Emphasis on Minorities

A relatively new and influential critic – the Greenlining Institute – is rejoining the public debate over the California stem cell agency.

"The health and well being of our families is on the line," the organization said in an e-mail to the California Stem Cell Report. "It is time for California’s minority communities to take ownership of their billion dollar investment by asking questions, demanding answers, speaking up, and being heard."

Greenlining, a self-described "multi-ethnic public policy think tank bridging together a coalition of more than 40 non-profits throughout the state," popped up last spring during a legislative hearing involving the stem cell agency but has been silent since.

In the wake of the grant announcement on Friday, Joe Tayag, health policy associate at Greenlining, said, . "We feel that it’s time for communities of color to participate in this dialogue and we’ll be starting our public advocacy campaign soon."

Tayag also offered the following commentary, which he titled "The Color of Stem Cells: Why the benefits of stem cell research might not be for people like me."

Here are his remarks in full since they are not available elsewhere on the Internet:


"After losing half of one of my lungs to tuberculosis while volunteering in the Andes last year, I assumed that life would just never be the same again. By this I meant that the flight of stairs to my apartment would always seem twice as long and that I would have to give up things I enjoyed like taking long runs on Sunday mornings.

"However, the promise of therapeutic treatments derived from stem cell research gives individuals like me a hope for normalcy. Yet, as an immigrant from a low-income family, I can’t stop from cringing at the thought that the low-income and marginalized communities of the state still have no explicit guarantee of access to the promised 'cures' of Prop. 71—much less to adequate health care in general.

"Last Friday, the Independent Citizen’s Oversight Committee (ICOC) allocated a little over $39 million to prestigious research institutions like UCLA, UC Berkeley, Stanford, USC, and Cal Tech among others. Yet, it’s unclear from perusing through many of their grant proposals just how much focus these research institutions will give to communities of color and their health needs.

"The initiative passed last November with overwhelming minority support. Despite this, there has been no mention of issues crucial to communities of color especially with regard to the California Institute of Regenerative Medicine’s research and staffing diversity. After all without minorities represented at CIRM’s decision making bodies, who will listen to the needs of the African American communities who are more susceptible to heart disease? Or to the Latino communities who suffer from diabetes? Or to the Asian Pacific Islanders who are more prone to sickle cell anemia?

"Without a more diverse governing board, these questions will be left to dwindle in uncertainty as California drafts the first ever model of state-sponsored stem cell research arrangements that will be referred to by the rest of the nation. New Jersey and North Carolina are already following suit and unless California sets a proper example of diverse representation, we’re bound to see the ignorance of minorities’ needs ripple throughout the rest of the country.

"To prevent this, minority communities should be represented proportionate to their numbers in California in each of the following areas of Prop. 71’s implementation:

-- The institute’s governing board (also known as the Independent Citizen’s Oversight Committee). As it stands, only 3 members of the ICOC are minorities.

-- The recipients of the $39 million in grants going toward the training of lab technicians, medical students and social scientists.


-- The groups of people on whom the medical products are tested to ensure compatibility amongst all communities.

"Due to scarce resources, we currently have a kind of disease hierarchy with regard to research priorities. Diseases that disproportionately affect communities of color (such as diabetes, heart disease, HIV/AIDS and sickle cell anemia) should be considered and represented in any discussion of the allocation of grants and research goals—but who will uphold the needs of the underserved when communities of color are not being allowed at the decision-making table?

"The reverse is also true: just as the minority public deserves to be represented, the state-sponsored agency needs to report the proper information to the minority public. CIRM is notorious for releasing important information as late as hours before its public hearings and thus, does not allow enough time for people to digest their materials—much less understand them.

"The last September meeting of the Independent Citizen’s Oversight Committee is evidence of this. Although the ICOC meeting agenda contained some background material on several matters such as the proposed budget and guidelines for embryonic stem cell research, the items were not 'translated' to the public in terms that regular citizens could understand.

"Though the 'translation' from scientific jargon to understandable speech seems like a difficult task, the request does not seem even close to colossal considering that CIRM currently has an almost $30,000 a month public relations contract with the Edelman PR firm. With $30,000 a month going to public relations, why is it that communities of color still hide at the sound of the words, 'stem cell research?' I would argue that it is due to the lack of outreach and education in our communities that many people of color believe that the issue does not concern them."

In contrast, the $3 billion that minority communities pledged to give to stem cell research clearly means that it does concern them. The legislative fate of these tiny cells is calling for communities of color to ask questions such as: will the treatments derived from the research that I am helping to fund cure my ailing loved ones? And even if they will, will the treatments be affordable to my community?

"The health and well being of our families is on the line. It is time for California’s minority communities to take ownership of their billion dollar investment by asking questions, demanding answers, speaking up, and being heard."


,

Peddling the Name of the Stem Cell Scholar Program

California stem cell chairman Robert Klein is exploring the possibility of offering a major benefactor to the agency the right to have its name placed on the stem cell scholars program.

Klein discussed the plan with the Oversight Committee late in Friday's meeting in Sacramento. As a hypothetical example, he suggested an individual or foundation known as "Patent" who purchased $10 million in bond anticipation notes for the agency would be offered the right to have recipients of CIRM training grants identified as "Patent Scholars."

He said there is precedent for such a move, noting that universities and colleges have buildings and programs named after individuals.

No formal vote was taken on the suggestion, which had a mixed response from board members.

Gayle Wilson, wife of the former Gov. Pete Wilson, opposed the plan, saying she could not recall any other state agency that had such a program. Robert Price, a surrogate for Oversight Committee member Robert Birgeneau, chancellor of the University of California at Berkeley, said there could be "political problems" with some individuals or organizations that might be viewed askance.

Oversight Committee members Oswald Steward, chair and director of Reeve, Irvine Research Center University of California, Irvine, and Michael Goldberg, a general partner with Mohr, Davidow Ventures, said they supported the proposal but did not elaborate on their reasons.

Klein said he would exercise "care and sensitivity" in pursuing the matter.

California Stem Cell Calendar

There are no new entries for the stem cell calendar this week.

Coverage is Right Medicine for Stem Cell Agency

News coverage of the first grants from the California stem cell agency pretty much delivered the message sought by its leaders.

"Stem Cell Grants Begin," "Medical Schools Get Stem Cell Grants," "Stem Cell Funds Awarded," "Stem Cell Agency Awards $39 million" -- those were some of the headlines.

Subordinated was the reality that the agency does not yet have the money. Even more deeply subordinated were complaints about the grant process from critics.

Which is just what stem cell chairman Robert Klein and president Zach Hall like to see. Hall told reporters the agency wanted to counter its critics and their negative message with a positive move. The two leaders also indicated they wanted to have grants ready in place to aid in their fundraising pitch to philanthropies.

What most people saw or heard across the country was The Associated Press story by Paul Elias. That is the one that turns up most often in Internet searches and also the one that would used by thousands of newspapers, radio and televisions.

He wrote, "California's $3 billion stem-cell agency began awarding its first research grants yesterday despite legal challenges that put its future in doubt. 'This is really a historic and important occasion for us,' said Zach Hall, interim president of the California Institute for Regenerative Medicine."

In California, the most thorough story appeared in The Sacramento Bee. Reporter Edie Lau wrote, “Selecting the recipients was an arduous process that took the board the better part of the day, and revealed some of the weaknesses in a system that is still being invented.”

David Baltimore, a Nobel laureate and president of the California Institute of Technology, said the working group's recommendation to fund 60 percent of the applications was too generous,” Lau said.

“Citing the stringent standards of the National Institutes of Health, Baltimore said, 'Were we to go with 60 percent at NIH reviews, many of us scientists would be very uncomfortable with the quality.' "

Reporter Alex Raksin of the Los Angeles Times focused on grants to schools in the paper's circulation area. He did not mention until the fifth paragraph that no funds were available.

At the San Jose Mercury News, the first paragraph on reporter Steve Johnson's story said, "The board overseeing California's stem-cell research institute Friday awarded $12.5 million in training grants to 16 applicants around the state -- including five in the Bay Area -- despite not having the money yet to pay for them."

At the San Francisco Chronicle, David Perlman, the paper's science editor, wrote, "Leaders of California's $3 billion stem cell research agency announced their first multimillion-dollar grants Friday to train dozens of scientists in the field -- but where the money will come from remains uncertain."

The bulk of the material in all the stories dealt with the grants, how much, to whom and what they are for.

The coverage had some downsides, apart from the issue of funding. The story broke late on Friday on a day when other events continued to dominate the news. While it is unlikely that the grant announcement would have ever been front page news, one good way to bury a story is to run it out late for Saturday papers.

Also lost in the shuffle for the most part was the appointment of Hall as permanent president, which could have been peddled separately from the grants on another day as a good sign that the agency was moving forward. Repitition of a message is an important PR tool.

TV and radio coverage was largely missing, and is likely to continue to be missing unless the agency can generate events that play to the interests of those media.

Saturday, September 10, 2005

Coming Up

Later today and tomorrow, we will have much more on Friday's meeting of the Oversight Committee of the California Institute for Regenerative Medicine. Assessment of the media coverage of the meeting, more on the grant program, a look at a somewhat novel and new fundraising approach, a deeper look at what the critics have to say and more will be forthcoming. Don't miss a word.

CIRM Hands Out $39 Million (sort of), Picks Almost New President

The California stem cell agency took two large steps forward Friday, naming a permanent president and parceling out the first grants in what it expects will be a $3 billion program.

Both steps were aimed at delivering a message that the infant agency is determined to survive and thrive despite lawsuits aimed at snuffing it in its crib. The Oversight Committee also gave short shrift to critics who complained that its grants were, in fact, illegal.

Zach Hall, who was named interim president only last March, was chosen as the new permanent president of CIRM. The action removes questions about the direction of the leadership of the organization, which had hoped to name a permanent executive three months ago. Hall is highly regarded by many in the scientific community outside of the agency.

While Hall's appointment helps to solidify the management of CIRM, the training grant program remains a question because it is unfunded. During Friday's meeting of the Oversight Committee, Hall told reporters that it was important to make decisions on the grants in order to deliver a message that CIRM is alive and well, despite its much publicized travails.

CIRM chairman Robert Klein said he hopes to deliver the funding for the stem cell training grants by the beginning of November. He indicated that grant recipients should begin their programs with the expectation they will be reimbursed later. Klein hopes to sell bond anticipation notes to provide the $12.5 million that is needed for the first year funding. His target market is philanthropic institutions and individuals. The clinker in his plan is that holders of the notes would not be repaid if CIRM's legal critics are successful.

CIRM's $3 billion plan makes it the single largest source of stem cell research funding in the world. Hall said the nearly $39 million in training grants approved Friday would create the “broadest training (stem cell) training program in the country and, I assume, the world.”
There were few surprises in the training grant program awards, which, by law, are limited to California organizations. Eight University of California campuses received funding. Other winners included the Burnham Institute, the California Institute of Technology, Childrens Hospital in Los Angeles, the Scripps Research Institute, Stanford University, the J. Gladstone Institutes and the Salk Institute for Biological Studies.

The names of the losers were not announced, although we reported earlier that all of the UC campuses had sought funding. CIRM officials said they would not disclose the names in order to avoid embarassing the losing institutions.

The grants are expected to provide funding for 180 stem cell scholars -- “intellectual capital” as described by Klein. New stem cell researchers are needed because President Bush's anti-stem cell policies have discouraged many from entering the field. “We know the pipeline is pretty dry,” said Philip Pizzo, dean of the Stanford University School of Medicine.

A few members of the Oversight Committee, which is largely composed of high-powered executives and academicians, on Friday demonstrated they are not used to being criticized openly during the public comment portion of their meetings. Oswald Steward,
chair of the Reeve, Irvine Research Center University of California, Irvine, sharply objected to the length of comments by Susan Fogel, coordinator of the Pro-Choice Alliance for Responsible Research, and then muttered under his breath at her retort.

David Serrano Sewell, a patient advocate committee member from the Amyotrophic Lateral Sclerosis Association, abruptly cut off attorney Charles Halpern of Berkeley, Ca., when he raised questions about the criteria for the training grants. Sewell heatedly declared that CIRM had been “transparent in every respect.”

Halpern is a longtime member of the Institute of Medicine of the National Academy of Sciences, he has served as dean of the City University of New York Law School and the president of the Nathan Cummings Foundation. He said said Prop. 71 required adoption by the Oversight Committee (ICOC) of criteria for training grants prior to their consideration by the working group that reviewed them. The working group had a draft version of the criteria, but the Oversight Committee did not approve the criteria until Friday, only minutes before it began to consider the grant recommendations. All but one of the group's 26 funding recommendations were approved.

Halpern said, “The (working group) cannot apply its proposed criteria to pending applications until these criteria have been reviewed, amended, and approved by the ICOC—nor can the (working group) assume that the ICOC will simply rubberstamp its proposed criteria.”

Prior to the meeting, Marcy Darnovsky, associate executive director of the Center for Genetics and Society in Oakland, Ca., said, “It is irresponsible for (CIRM) leaders to promise grants that they may be unable to deliver.”

Jesse Reynolds, director of the program on biotechnology accountability at the Center, attended the Friday meeting. He told the board that approval of the grants continues “a pattern of doing things fast at the expense of doing things right. Good policy would be guided by the availability of resources, rather than a concern with a public relations campaign.”

The full text of Halpern's letter to CIRM, which is not available elsewhere on the Internet, follows this item.
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(Note: Normally our coverage of CIRM is prepared at sea in the far reaches of the Sea of Cortez in Mexico. Today's report, however, and those that will appear over the next day or so are based on our attendance at what turned out to be a nonstop session Friday of the Oversight Committee in Sacramento.)

Text of Halpern Letter

Here is the text of the letter sent to the California stem cell agency by Charles Halpern. It is not available elsewhere on the Web.

I reviewed the agenda for the September 9 ICOC meeting with interest and concern. My comments are addressed to Agenda Item 8, to the criteria for grants and for the procedure by which they have been processed. At this meeting, the ICOC should devote its time to genuine deliberation on the criteria for awarding grants—both training grants and research grants. The fact that these are Interim Criteria should not obscure the fact that the early rounds of grants will shape the Prop. 71 stem cell initiative for years to come. The criteria recommended by the Scientific and Medical Research Funding Working Group (WG), while a good starting point, are woefully incomplete. The ICOC should also reconfigure the process by which grant recommendations are presented to the ICOC in a manner which permits true deliberation on grant awards by the ICOC. In particular, the ICOC should assure that none of the work in California laboratories and none of the training it funds will benefit those who are working on reproductive cloning outside the state. (See the second numbered paragraph below.) The ICOC can take this opportunity to reassure Californians that all steps are being taken to make sure that no scientist trained with our tax dollars will take his/her skills out of state to help to clone human beings.The ICIC should refuse to ratify the recommendations for training grants which have been improperly presented to the ICOC before it has approved Interim Criteria, in violation of statute. The ICOC should carefully review the criteria for training grants recommended by the WG and make appropriate substantive additions, including the critically important matters discussed below. Finally, it should return the amended Interim Criteria to the WG to be applied to the applicant pool. This procedure is required by Prop. 71 and sound scientific practice. It will not lead to significant delay in developing training programs or research grants since it appears that there is no money available at this time for distribution to designated grantees. There is time to do the job right. Agenda # 8 Statutory Process for Adoption of Grant Criteria The starting point is the text of the Prop. 71, specifically, Sec. 125290.60(b) which states: “The Working Group shall perform the following functions: (1) “Recommend to the ICOC interim and final criteria, standards and requirements for considering funding applications and for awarding research grants and loans.” It is hard to imagine clearer language. This section delineates the first order of business for the Scientific and Medical Research Funding Working Group The WG deliberates on the critically important matter of criteria and makes recommendations to the ICOC. The ICOC, in turn, considers the WG recommendations and adopts criteria which it transmits to the WG to be applied. Of course, the WG cannot apply its proposed criteria to pending applications until these criteria have been reviewed, amended, and approved by the ICOC—nor can the WG assume that the ICOC will simply rubberstamp its proposed criteria.The WG proceeded with its review process for training grants in early August as if their recommended criteria had been approved by the ICOC. In doing so, the WG violated the procedures established by Prop. 71. The ICOC should remand the applications to the WG for consideration in light of the Interim Criteria adopted after due consideration by the ICOC at this meeting. Supplemental Interim Criteria for Training Grants Concerning the substantive content of the Interim Criteria, the sketchy criteria proposed by the WG are a good start but they are seriously deficient. Issues that were simply not dealt with by the WG go to the heart of the stem cell program under Prop. 71. They must be addressed by the ICOC. The following additional Interim Criteria would fill many of the gaps: First, training grants should be awarded only to institutions that agree (a) to conform to the Revised Interim NAS Guidelines for Stem Cell Research, which will be considered at this meeting of the ICOC, and (b) in due course, to adopt the Final Guidelines that will be approved by the ICOC after going through a formal APA public comment process. This undertaking should be a primary criterion in evaluating applications. Obviously, the institutions cannot be fully in compliance at this time, because even the Interim Guidelines have not yet been adopted. The process of establishing ESCROs, for example, with their procedures and policies, will take some time to be completed at most institutions. In fact, the WG didn’t know how far the applicant institutions have progressed, since the application did not even raise the question. The WG should consider how well the past practices in stem cell research of each institution have conformed to the general norms set forth in the NAS Guidelines. If institutions have diverged from the NAS norms or been casual about informed consent, about protecting egg donors, about permitting chimeric research, about embryo banking practices, they are unsuitable to be training the next generation of researchers. If they have been particularly scrupulous in addressing these issues, they should be rewarded for their past practice. An evaluation of past performance, as compared to the NAS norms, should be added into the Scientific Score for each applicant. Second, institutions should be funded as training sites only if they agree to follow best practices—i.e., to apply the Interim and Final Guidelines for Stem Cell Research to all of the stem cell research that takes place within the institution and in cooperating academic and corporate laboratories, not just to research that is funded by CIRM grants. Third, the WG should only consider grants to institutions that have taken effective action to assure that none of the work in its labs and none of the training it provides will benefit those, outside the state, who are working on reproductive cloning. This requires at least two commitments: (a) Each institution should train only applicants who will commit not to work on reproductive cloning for five years after the end of the training period. (b) Each institution should commit to enter into partnerships or agreements to share information, techniques, or personnel only with institution that have committed to do no work on reproductive cloning. Each applicant should explain how it will police these commitments, and in particular, how it will work to assure that people trained in CIRM-funded programs will not take their knowledge into reproductive cloning research. Californians have expressed the strongest opposition to reproductive cloning. The ICOC must take all possible steps to assure that California resources and personnel trained with our dollars do not help to further this awful practice. Needless to say the technical problems being addressed in our state’s laboratories to make research cloning a feasible methodology can be used to further the ends of those who do not share our state’s commitment to prevent the cloning of human beings. Fourth, each applicant should be seriously evaluated on the basis of its training program’s benefit to the state of California. For some reason, the WG summaries have treated this issue cavalierly, putting in identical empty boilerplate language in each summary making it impossible to make discriminating distinctions. Institutions might have said, for example, that they will try to place their graduating fellows in positions within the state; or they might have gone further and required their fellows to make “best efforts” to find positions in the state after the end of their training period. The institutions might have stressed that their CIRM-funded training program would enhance their institutional commitment to serving the health needs of the poor in the state. Many people were distressed by the recent report suggesting that the State should not expect any royalty or license revenues from CIRM-funded research, when the promoters of the Prop. 71 and their economists had painted a rosy picture of the money flowing to the state. The ICOC must make it clear that it takes the “benefit to the state” issue seriously, not like the applicants and WG which apparently chose to disregard it. The WG should resubmit this question to applicants, and responses should bereflected in their overall scores. In addition, the ICOC should find out how it happened that this issue was not taken seriously, inform the public, and take remedial action. Supplemental Interim Criteria for Research Grants The same supplemental criteria listed above should be inserted into the Interim Criteria for research grants. The WG recommendations are good so far as they go—but they are incomplete. The WG draft does not assure that all funded research will be carried out in complete conformity with the Revised Interim NAS Guidelines for Stem Cell Research as they are issued by the ICOC. They do not assure that all the research in the funded institutions conforms to the high scientific and ethical standards demanded for research funded by CIRM. They do not take the vigorous steps needed to assure that research funded by the California taxpayers never goes to advance reproductive cloning. They do not make benefit to the state a criterion to be evaluated in making awards. All of these omissions should be addressed by the ICOC at this meeting. When money becomes available for research grants, a framework will be in place. In the meantime the state’s institutions can prepare to become viable candidates for grants with a clearer sense of the criteria they will have to address. The Process for Reviewing Grants The information being provided to the ICOC members and to the public is woefully inadequate. It is insufficient to permit ICOC members to make informed judgments, and it undermines the commitment to the state’s voters that the ICOC will exercise careful stewardship of the grants made with the public’s money. Moreover, the ICOC members are put in an impossible conflict of interest dilemma. They cannot know if they are being asked to vote to fund a training program that is headed by a close relative or by a person with whom they have an advantageous financial relationship. So they cannot know when to recuse themselves; and, of course, the public has no way to assess whether there has been inappropriate influence. A voting system that permits intelligent participation by the ICOC in the grants selection process and informs the public must be developed before any grants are awarded. The system presented in this Agenda does not measure up.
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These are not issues of mere procedural nicety. They set the terms of the relationship between the vitally important WG and the ICOC. Will the Working Group be treated properly as an advisory group as promised to the voters by Prop. 71 or will it effectively exercise full decision-making authority with the ICOC simply rubberstamping its actions? If the WG is functionally a decision–making body and not an advisory body, that would, of course, raise significant legal issues about CIRM and about the application of the state’s conflict of interest rules to WG members.

Thursday, September 08, 2005

Telling Drama Promised at Big Tomato Meeting

Can The Sacramento Bee drive public attendance at tomorrow's meeting of the California stem cell agency?

The Bee editorialized this morning about the meeting, suggesting readers might like to attend. The session will contain “drama” and might be “extremely telling,” the newspaper said.

Rivalries could be exposed that “sit beneath the surface of the institute's oversight board, which includes hypercompetitive university officials, biotech industrialists and advocates for various patient groups,” The Bee said. “Those rivalries got a bit ugly in May, when the institute held a beauty contest to decide its headquarters. San Francisco became the queen - and a lovely one, to be sure - but some said the contest was rigged.

“There are also some side dramas to watch. Months ago, institute chairman Robert Klein II prepared an organizational chart that gave him his own exclusive staff, including the institute's general counsel. Board members objected; the chart was shelved. Now, interim president Zach Hall is preparing to unveil a new organizational chart that gives the president more control over his employees.”

As far as we can recall, this is the first time that a newspaper has urged the public to attend a meeting of the California Institute for Regenerative Medicine. But despite the comic opera of Arnold Vs. The Legislative Ants, life is generally slow in the Big Tomato.

Bowdlerization and Sleazy Speculation

The grant-making exercise this week of the California stem cell agency exposes something of its faux secrecy as well as one weakness of its conflict of interest standards.

The agency has released a bowdlerized version of its funding recommendations. Names are blacked out in the documents but enough details remain, in at least some cases, that the institutions could be identified by stem cell insiders. Only the shareholders in the agency – the California public – are left out.

All to avoid what one newspaper calls the “public humiliation” of some being identified as losers.

Susan Fogel, coordinator of the Pro-Choice Alliance for Responsible Research, said the absence of applicants' names prevents Oversight Committee members from making good decisions.
"How can they vote on whether this applicant is an appropriate one who is capable of delivering if they don't know who the applicant is? I have never seen a foundation give out a grant to 'anonymous,' " she told reporter Laura Mecoy of The Sacramento Bee.

As for potential embarrassment, Fogel said, “I think they have to be big boys and girls here."

Mecoy's article noted that “at Friday's meeting in Sacramento, savvy observers also can glean some information by watching which committee members leave the room for which votes. This is part of the 'recusal' process required by conflict-of-interest laws.

“Several members of the committee represent universities and nonprofit institutions that have applied, so their absence could signal their employer is being considered.”

We assume that Oversight Committee members will see the grant applications with the names included, as opposed to Fogel's speculation. Otherwise how would they know when there might be a conflict of interest. However, committee members may be simply be told by staff not to vote. It is impossible to know, however, what the agency's procedures are in this case because it has not made them public.

Given the limited amount of money theoretically available, another more subtle conflict arises. That involves negative voting or changes in the size of grants. For instance, if one grant is denied or decreased, that makes more money available for another grant. An Oversight Committee member could vote to slice funding on one application with the intent of making it available for another grant. Then that member abstains from the vote on the other grant. Is she or he involved in a conflict of interest?

Obviously, carried to an extreme, this kind of reasoning or possible regulation could paralyze the agency. But it does illustrate the weakness of the agency's existing rules. In the absence of maximum disclosure of all economic interests and the names of institutions seeking training grants, such speculation about hidden conflicts is bound to occur. And it is not in CIRM's best interests to feed gossip – well-founded or otherwise – about possible sleazy dealings within its grant-making process.

Coming Up

Later today we will have a more on objections to the stem cell agency's grant process and also a look at secrecy issues at CIRM.

Dressing Up The Dog

Leaders of the California stem cell agency are attempting to put the “best face” on their decision to award $45 million in training grants without the money to pay for them, The Sacramento Bee reported today.

Reporter Laura Mecoy quoted CIRM interim president Zach Hall as saying, “We are going to come out of (tomorrow's) meeting and say we have a fabulous training program here, and that we are going to provide a work force for the country. We're going to play that up."

She also wrote, “The committee's chairman, Robert Klein II, said the agency needs to show it's creating the 'finest training program in the history of the country' to help attract money to pay for the grants.

“With that attention, he said, he's "very positive" he'll be able to raise the money to pay for the first year of the three-year grants.

“Klein won't name the potential investors and contributors. But he said he could have the money in hand as early as October.”

The agency's plan to move ahead with the grant process has met with criticism and is expected to meet with more.

Mecoy said one critic recommended delaying the grant awards so it can work on other matters.

"What purpose is served by announcing winners before you have the money?" asked Jesse Reynolds, Center for Genetics and Society program director. "I can't think of anything beyond public relations."

Mecoy also talked to Susan Fogel, Pro-Choice Alliance for Responsible Research coordinator, who said the “committee is creating 'a mistaken impression' that science is moving forward by awarding grants without money to fund them.

“She said she was 'disappointed' by the stem cell panel's 'focus on spin and public relations that doesn't have anything to do with the science.'"

Mecoy additionally reported that UC Davis officials confirmed their application was among the finalists. She said, however, that the recommended funding supported 12 trainees, rather than the 16 requested, and provided $2.68 million instead of the $3.43 million UC Davis sought.

Wednesday, September 07, 2005

No Money for Training Grants

The proposed budget for the California stem cell agency has been posted online, and it shows no funds for training grants until at least January 2006.

The spending plan appears to be identical to the one presented last month to the governance subcommittee, which recommended a conservative approach with no grant funding.

Presumably that means that the Oversight Committee will take some sort of action on the grants Friday and delay funding until sometime in the future.
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Tuesday, September 06, 2005

Time for a Little More Explanation

The California stem cell agency meets this Friday to vote on its first grants, but what is missing from its proposed agenda appears to be public discussion of how the agency intends to pay for them.

The agency's budget was up for review at an agency subcommittee meeting in late August, but oddly the financial plan is not on the agenda of the full Oversight Committee.

The staff report presented in August recommended adoption by the Oversight Committee of a conservative spending plan that would not provide any grants during 2005-2006. No such spending recommendation appears to be up for specific consideration at the Sacramento meeting, although the budget might be cloaked in item 13. (For more on the budget, see "Inside Spending Plans" item Aug. 31.)

The Oversight Committee agenda also contains some background material on several other matters, particularly on the important subject of guidelines for embryonic stem cell research. The proposed rules are available for download by the public. What is missing, however, is a “translation” and summary of the issues at hand – along the lines of the analysis provided by the California Legislative Analyst on bills before state lawmakers.

Admittedly that is not an easy task, but without a translation from scientific jargon, the important policy questions are only open to the scientific stem cell community – not the public. Providing such an analysis would seem to be an excellent task that could be performed by the Edelman PR firm, which is being paid nearly $30,000 a month for public information services for the agency.

Friday, September 02, 2005

Identifying (sort of) Winners and Losers in the First Stem Cell Grants

The California stem cell agency is slowly, slowly opening the envelope that will reveal the winners of the first grants to be given by the agency.

Twenty-six applicants are discussed as part of an online background document for the Sept. 9 Oversight Committee meeting. But their names are blacked out. We suspect, however, that persons involved in stem cell research could identify the institutions based on the descriptions in the documents.

The information gives a summary of the proposed program, a scientific score and something of a critique of the program and suggestions for improvements, at least in some cases. Also included are recommendations on whether to fund the application. The amount requested is reported along with the recommendations for grant amounts, which are in some cases less than requested.

Here is an example of the summary assessment of strengths and weaknesses of one proposed program, which was not recommended for funding.

“This application presents strengths in its proposal to develop a textbook in stem cell biology, to serve disadvantaged and minority students, and fill a needed gap in the mathematical approaches to stem cell biology. As a focus for the new institution, it will have considerable institutional commitment and attention. However, the limited number of faculty available and the lack of depth and accomplishment in stem cell biology weigh against these positive attributes.”

One quick guess is that application came from the University of California, Merced, based on the references to its newness and limited faculty, but we could be wrong. We do know that all the UC campuses reportedly made applications.

Given the likelihood that stem cell insiders will be able to identify the grant applicants, the only folks who won't know are members of the public, the shareholders who are paying for this stuff.

Unexplained by CIRM is what is exactly to be done with these applications. Based on its budget, the agency does not have money to fund the proposed programs. What may occur is a vote on the applications with funding deferred until money becomes available.

Thursday, September 01, 2005

Columnist says CCST Royalty Position OK

Los Angeles Times business columnist Michael Hiltzik chastized Prop. 71 backers once again this morning, but said efforts to generate bigger bags of swag from California stem cell research are unrealistic.

Hiltzik was reacting to the recent report by the California Council on Science and Technology that recommended following federal models for royalties for research funded by the California stem cell agency.
He said criticism that the council was biased were not justified.

"The council's study group comprised 17 members, of whom seven represent (arguably) private industry. An additional seven came from academia, including four from the University of California or its constituent campuses; two from federally funded research institutions (Lawrence Livermore National Laboratory and NASA's Ames Research Center); and one from state government," Hiltzik wrote.

"What these people have in common, says Susan Hackwood, executive director of the nonpartisan and nonprofit science and technology council, is their experience in handling intellectual property.

"They're also knowledgeable about what's required to move basic research into the commercial world: patience and lots more money, most of which will have to come from industry."

Hiltzik noted that the CCST report blamed the unrealistic revenue expectations "partially on an economic impact analysis, paid for by the Prop. 71 promoters, that had all but advised voters to start counting the money now."

One lesson to be learned from Prop. 71, Hiltzik said, is "that initiative campaigns, with their wild promises and unverifiable assertions, have become poor tools for making policy. We voters would be wise to remember that, as more lies and misrepresentations fill our TVs in the run-up to the November election."

Wednesday, August 31, 2005

Inside the Stem Cell Agency's Spending Plans

The public is finally getting a good look at the budget of California’s $6 billion stem cell agency, about nine months after it began work.

The information, however, was posted online only a few days ago for a CIRM meeting that begins at 3 p.m. today in downtown Los Angeles. That makes it virtually impossible for the thousands of patient advocates, scientists, legislators, biotech firms, research organizations and other interested parties to make an informed comment on the agency’s spending plans for today’s hearing.

We assume that is not the intent of the agency. Its chairman, Robert Klein, has repeatedly promised the highest standards of openness and transparency, even touting them as recently as last week in The Sacramento Bee. What the agency has actually done is far different, which creates concerns about reality gaps in the agency’s other affairs.

But to the matter at hand – the budget of the California Institute for Regenerative Medicine, which is scheduled to hand out $3 billion in stem cell research grants (financed by another $3 billion in interest on state bonds) over the next 10 years.

CIRM is in a bit of a pickle because lawsuits have effectively blocked the issuance of its bonds, meaning it has no major source of revenue to pay its 17 employees or to pay for its Internet access, among other things. Instead the California state agency is relying largely on a $5 million grant from the Dolby Foundation and a $3 million loan from the state. In other words, CIRM may be the first California governmental agency on the dole.

The agency’s spending plan for the fiscal year that began July 1 has three scenarios. The budget totals range from about $6 million to about $8 million. CIRM reported it spent $2.6 million during 2004-2005, although it did not effectively begin operations until about January.

The staff report on the budget recommended that CIRM directors approve the most conservative scenario, which assumes no issuance of bonds and no additional funds beyond the state loan and the Dolby money. Under that plan, no stem cell grants would be made during 2005-2006. If no additional money becomes available, the staff report said “CIRM will take action” to continue operations. No explanation was given for what that means.

The second budget alternative assumes sale of nearly $22 million in bond anticipation notes and would provide for $15.6 million in training grants. The third alternative assumes $100 million in bond proceeds and major grant dispersal.

The barebones budget projects 20 employees by Oct. 1 but no more. It provides $215,000 for CIRM’s two-day international stem cell conference in San Francisco. Working groups would be funded with $331,000. The biggest single contract -- $480,000 -- is for legal advice from the Remcho, Johansen & Purcell law firm of San Leandro, Ca. It is followed by the Edelman PR firm’s $283,000. The amounts are for the current fiscal year. Their total contracts are for $520,000 and $378,000 respectively, which includes both the past and current fiscal years.

The other two budget scenarios assume as many as 35 employees as well as $250,000 for a contract to acquire services to help CIRM develop a “strategic plan.” No details were provided on the nature of those services. Under its most generous scenario, CIRM also would stage another scientific conference at a cost of $125,000.

Today’s budget hearing is before CIRM’s Governance Subcommittee. Its recommendations are expected to go before the Oversight Committee on Sept. 9.

Monday, August 29, 2005

The Bee: Golden State Deserves More from Stem Cell Research

California lawmakers should step in to assure that taxpayers reap the benefits of the $3 billion in stem cell research they are financing, The Sacramento Bee said Monday.

And state Treasurer Phil Angelides, a candidate for governor, should cough up documents that he has relating to the issue, according to The Bee’s editorial, which recommended that legislators press him to do so.

The Bee was reacting to the report by the California Council on Science and Technology last week that said the state should not expect a bonanza from CIRM, at least not any time in the next 10 years.

“Prop. 71 supporters are doing a flip-flop. Biotech firms and university officials are saying that royalties and discounted care would discourage ‘innovation’ and diminish the potential for medical breakthroughs. To drive home this point, they are now throwing cold water on the idea that stem cell research will be very profitable,” The Bee editorialized.

“The CCST report is significant for several reasons. First, the council is composed of leading biotech executives and university bigwigs, a group that hasn't previously acknowledged that Prop. 71 was oversold to voters. Second, it represents an attempt by biotech leaders to have it both ways. Back in 2004, they campaigned for an initiative that will provide their industry with $3 billion in taxpayer-funded venture capital. Now that it is law, they issue an official-sounding report that recommends California give up on royalties - negating some of the arguments that helped get Proposition 71 passed.”

The Bee also pointed to a little-noticed letter earlier this year to Angelides from the state’s “bond counsel (that) warned that patents and royalties resulting from state grants might be construed as taxable ‘assets,’ making them ineligible for financing by tax-exempt bonds.

“Apparently, Angelides and leaders of the stem-cell institute have known about these challenges for some time, but haven't said anything. To flush out this issue, this page (The Bee’s editorial page) filed an open records request for all memos written by the treasurer's bond counsel on Proposition 71 prior to its passage. Angelides rejected those requests, citing attorney-client privilege.”

Lawmakers should sniff out the documents and create a new panel to look at the intellectual property issues involving CIRM, The Bee said.

Klein Twits The Sacramento Bee

California stem cell chairman Robert Klein has fired back rather mildly at The Sacramento Bee, one of his stronger critics, declaring that its most recent editorial was inconsistent with its previous positions.

The comment was published in The Bee in response to an Aug. 13 editorial that said the agency was in a state of denial.

Klein said The Bee's editorial "implies that the CIRM should slow down in its
forward movement, yet in past editorials you have criticized us for moving too
slowly: " He cited a May 22 piece.

Klein also took issue with The Bee's position that CIRM should not seek funding from non-profit organizations. He pointed to two state programs that have non-profit funding. But he did not address The Bee's main point, which was that heavy reliance on non-profits could lead to untoward influence of those organizations on CIRM.

Klein's response was the first such to a Bee editorial. The article in question was moderate compared to others The Bee has published.

Klein's comments also have the earmarks of the work by the Edelman PR firm, which is being paid $27,500 a month to peddle the agency's position. Edelman has been criticized by members of the Oversight Committee for not demonstrating much "product." The Klein letter to The Bee is another demonstration that Edelman may be beginning to produce. But the sad fact is that one of the problems of the agency all year is its weak PR and dismal public information efforts. Perhaps that is beginning to change, but CIRM has a long way to go.

The agency could start with long needed improvement in the agendas for its meetings, which should have full backup material online. We have pointed out repeatedly that even lowly school districts do a better job in distributing information to the public in advance of meetings. Members of the Oversight Committee have complained as well that they do not get material for the meetings in sufficient time.












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Thursday, August 25, 2005

The California Stem Cell Gorilla

Who really needs President Bush? That's the question posed by Ronald Bailey, author and science correspondent for the libertarian magazine, Reason.

Writing on the Reason web site, he provides an up-to-date overview of stem cell funding in the wake of Bush's restrictions on stem cell research. Bailey notes that the Golden State will be outspending entire countries, including the South Korean effort that has received so much notice.

"So far four states have put taxpayer dollars behind human embryonic stem-cell research," Bailey reports. "The 800 pound gorilla in the stem cell funding arena is California. Last November, California voters passed $3 billion initiative that created the new California Institute of Regenerative Medicine that aims to fund stem-cell research at $300 million annually for the next ten years. That is more than 12 times higher than current federal funding. California will not only be outspending the U.S. Federal government; it will be trouncing whole countries on stem-cell research funding. For example, the United Kingdom has plans to spend $175 million per year on stem-cell research. In 2002, the Australian government awarded the Australia Stem Cell Centre with $43.55 million over four years. And the research of South Korean scientists who have recently been making breakthroughs in cloning human embryonic stem cells has been supported by about $11 million in government grants."

Bailey runs down the list of states considering or funding stem cell research, moving on to private efforts.

"For example, the Starr Foundation is providing $50 million over three years for human embryonic stem-cell research at three New York City medical institutions, including the Sloan-Kettering Memorial Cancer Center. The Harvard University Stem Cell Institute is seeking $100 million in private funding. The University of California, Los Angeles announced the establishment of its Institute for Stem Cell Biology and Medicine with $20 million in funding over the next 5 years. Stanford University announced the creation of $120 million Institute for Cancer/Stem Cell Biology and Medicine in 2002. Former Intel CEO Andy Grove gave the University of California in San Francisco a matching grant of $5 million to start its Developmental and Stem Cell Biology Program. In 2001, an anonymous donor gave Johns Hopkins University in Baltimore a $58.5 million gift to launch an Institute for Cell Engineering. The University of Minnesota has set up a Stem Cell Institute with a $15 million capital grant. In 2004, an a grateful patient pledged $25 million over the next ten years to finance stem-cell research at the University of Texas Health Science Center in Houston."

"Given all of these sources of funding for stem-cell research, it's a real question whether or not researchers need the Feds at this point. And one more deliciously ironic thought: It's just possible that, by imposing his funding restrictions and spurring so many independent initiatives, President Bush has actually caused the creation of more embryonic stem cell lines than would have been produced with federal funding."

Bailey is more cautious than I would be in describing the impact of Bush's move. He elevated awareness of the issue with his ideological decision and galvanized the stem cell community. Without Bush's help, California stem cell chairman Robert Klein would not be sitting today in his red brick offices in Emeryville, CA.

(Bailey's book, "Liberation Biology: The Scientific and Moral Case for the Biotech Revolution" is available from Prometheus Books.)

Lean Coverage of Big Bucks Issue

News coverage was sparse of this week's important recommendations about who gets the profit from California's publicly funded stem cell research.

Six billion dollars are immediately at stake. That is the cost of the seed money that California is going to provide for the research.

We could be wrong, but it appears that only three newspapers in California carried stories on the subject, which obviously is not a hot topic around water coolers. The trouble is those two deadly words – intellectual property. Deadly at least to editors and reporters. The folks who stand to profit are watching very closely.

But lack of news coverage also signals waning interest in the mainstream media about the doings of the California stem cell agency, which is no longer as novel as it was eight months ago. Newsrooms are in the throes of summer vacations, as well, which means that staffing issues can affect coverage decisions.

Offering stories in Wednesday's papers were reporters Steve Johnson of the San Jose Mercury News and Bernadette Tansey of the San Francisco Chronicle, both of which have important readerships involving biotech and venture capitalists. Reporter Terri Somers of the San Diego Union Tribune wrote a piece this morning. Her readers also include a substantial stem cell community.

Somers wrote that the IP plan California adopts for stem cell research is likely to serve as a model for other states rushing into the field.

She said, "In promoting Prop. 71, supporters pointed to a financial analysis they commissioned that said California could recoup $537 million to $1.1 billion if it were to get a cut of the licenses and royalties that companies would pay to use any Prop. 71-funded discovery in research or drug production.

"But this assumed either that private investors or companies would agree to pay additional money on top of what they traditionally pay researchinstitutes to license technologies or that the research institutes wouldbe willing to take less.

"The council's report said that is unrealistic."

In the San Jose paper, Johnson quoted H. Ralph Snodgrass, chief executive of VistaGen, who said, "What if the agency says we're going to tax 3 percent of the revenues -- or 12 percent -- of any product developed with this? It could have a stifling effect on the commercialization of the technology."

Tansey quoted Assemblyman Gene Mullin, D-South San Francisco, as saying, "I think there needs to be a greater emphasis on, 'What does the state get out of this deal?' You and I are paying $3 billion."

Wednesday, August 24, 2005

Who Benefits from Stem Cell IP?

One of the critics of the California stem cell agency says the just-released recommendations on intellectual property do not protect the interests of the people of California.

“Californians did not vote for Prop. 71 in order to favor corporate interests at the expense of the state and its taxpayers. Voters were promised during the Prop. 71 campaign that the state would get a share of any profits, and that any successfully developed treatments would benefit all Californians. This report by a stacked committee doesn’t seem to take those promises seriously,” said Marcy Darnovsky, associate executive director of the Center for Genetics and Society in Oakland, CA.

IP issues are not the hottest topic around most dinner tables, but the center identified why they are fundamentally important, especially at this stage.

"They will determine who benefits from our tax dollars. Will pharmaceutical corporations receive big profits, as Californians pay twice – once for the research, and again for the profit margin? Or will the taxpayers and voters have reasonable access to the products that they subsidized?” Darnovsky said.

The committee of the California Council on Science and Technology that prepared the IP recommendations "lacks representation of the public interest or even the state. The leadership of the CIRM shouldn’t accept this report’s recommendations. At a minimum, it must listen to more diverse voices.” said Jesse Reynolds, director of the project on biotechnology accountability at the center.

The center's statement can be found here.

Readers Write

We received the following note on the IP report from Terry Feuerborn, formerly Executive Director of Research Administration and Technology Transfer within the Office of the President at the University of California. He currently serves as the Technology Transfer Ombudsman for the Lawrence Livermore National Laboratory and the Lawrence Berkeley National Laboratory.

"From the beginning, there was reason for concern about the intellectual property management aspects of the stem cell initiative.  The wording in the initiative was confusing and hinted at an approach that would have been counterproductive. 

"Intellectual property issues are complex and often seem counterintuitive at first glance. Adoption of the federal rules embodied in the Bayh-Dole Act by CIRM would be a welcome development.  Those rules were hammered out over a long period of time by representatives of both higher education and the government.  In large measure, the rules were a response to the 'competitiveness' issue that was current at the time. 

"The results of the Bayh-Dole Act have been truly impressive.  The act played an important role, for instance, in the rise of the biotechnology industry.  In addition, the Bayh-Dole Act has been very effective in bringing new technologies to the marketplace.  The adoption of similar rules by the CIRM would ensure that intellectual property resulting from stem cell research would be managed in a way that has proved to be in the public interest."

Feuerborn also recommends further reading on the subject of the Bayh-Dole act, a brochure by Council on Governmental Relations.
"For the sake of disclosure," he reports, "I should mention that I am the author of this brochure."

Tuesday, August 23, 2005

Stem Cell IP Report Negative on Royalty Sharing, Favorable Pricing

A prestigious California advisory group today looked askance at proposals for royalty revenue sharing involving the California stem cell agency and was less than excited about "favorable pricing" for any therapies that might be developed.

Sharing revenues could be a disincentive to recipients of grants, both from the private and non-profit sector. Federal experience "strongly suggests" that efforts to control pricing "would actually hinder the availability of medical advances, rather than make them more widely available," the panel said.

The interim report by the Intellectual Property Study Group of the California Council on Science and Technology immediately came under criticism from the state's most influential legislator on stem cell issues, Sen. Deborah Ortiz, D-Sacramento.

She said the conclusions were "premature" and the group too narrowly based with a membership consisting of biotech and university representatives. The council is a nonprofit organization created by state legislation to recommend solutions on science-related issues.

Ortiz urged the council to begin an "objective, comprehensive study of other models that promote affordability and access to new therapies and medicines derived from research." (See below for full text of her comments as well as excerpts from the report.)

CIRM had no immediate comment on the study.

The CCST report repeatedly warned that expectations of quick profits and quick cures were "unrealistic" and verging on "hyberbole." Ten- and 20-year time frames are much more likely, it said.

Overall, the report said CIRM should be consistent with federal IP standards (Bayh-Dole Act). Specifically, ownership of IP should reside with the grantee, who would be "required to diligently develop IP for the public. In addition, the balance of any net royalties
must be used to support research and education activities."

CIRM should also:

"Permit grantees to own IP rights from CIRM-funded research."

"Require that grantees (institutions, individuals, or both) provide a plan describing how IP will be managed for the advancement of science and California public benefit."

"Grant basic research funds without requiring that grantees commit to providing revenue stream to the state. If, however, a revenue stream develops over time, revenues will be reinvested in research and education."

"Generally, make CIRM-developed research tools widely available to other researchers."

"Retain within CIRM Bayh-Dole-like rights to step in if the owner of IP is not undertaking appropriate steps to transfer technology to benefit the public."

"Leave license particulars to the owner who is in the best position to judge how best to ensure that discoveries are made widely available through commercialization or
otherwise."

"Reserve the right to use IP by or on behalf of CIRM."

"Establish and maintain a CIRM database to track all IP generated through CIRM funding."

Snippets from the CCST Report

Here are excerpts from the CCST stem cell IP report:

Lower Your Expectations -- "We conclude that some Californians have unrealistically optimistic expectations about the likely financial returns to the state from its investment in stem cell research, especially in the short run. Some statements about these returns verge on hyperbole."

Think Long Term -- "In the near term, benefits will accrue to the state from its investment in the Stem Cell Initiative through retention and recruitment of high-quality research personnel to the state and through enhanced business activity in support of California research institutions and programs. In the longer term, the state will realize the majority of its economic return on investment from the creation of new high-tech jobs and businesses, stimulation of the economy, and the tax revenues derived from commercialization of the research results into new products and therapeutic treatments for a wide variety of debilitating illnesses. Although these impacts are not likely to accrue quickly in the near term, they have the potential to be substantial."

Assist Venture Capitalists -- "Encourage private investors to invest in further research and development of new technologies resulting from CIRM-funded research. Venture capital investment plays a critical role in the development of IP after initial research and before late-stage R&D which is more generally funded by private industry."

Widely Available Databases -- "CIRM should encourage grantees to make CIRM-funded databases as widely available as possible. However, if a proprietary database is necessary to move a grantee’s stem cell research forward faster, proprietary databases may be developed for and used in that research. The success of CIRM will depend greatly upon researchers’ ability to access data and information, often for multiple purposes. Scientific and research progress in stem cell research, like other research, will depend on researchers’ ability to access and use information in the public domain and to combine public and proprietary data into new databases, as well as to re-evaluate and reuse existing data."

The Disincentive of Royalty Revenue Sharing -- "Royalty revenue sharing may have negative impacts on both non-profit and for-profit grantees. Revenue sharing imposed by CIRM on its non-profit grantees may act as a disincentive to invest the effort and cost necessary to secure patent protection, find an appropriate licensee, and ultimately transfer a promising technology to the commercial sector for the development of treatments and drugs that prove beneficial to the general public. In addition, for non-profit grantees, a royalty sharing requirement could, depending on how it is administered, prevent them from maximizing the impact of CIRM funding by using it to leverage federal funds, since federal funding rules require them to use net royalties for education and research purposes. Royalty revenue sharing imposed on for-profit grantees could discourage their participation in CIRM funding altogether."


Favorable Pricing -- "The linkage of such an important healthcare financing policy with IP policy, and the subsequent management of IP, may have unfortunate and unintended consequences. Experience at the federal level strongly suggests that it would actually hinder the availability of medical advances, rather than make them more widely available....The example of the NIH experience suggests that an explicit requirement for reasonable pricing will probably drive away industry, which will be the critical partner in bringing treatments from concept to reality, and will effectively erect an insurmountable barrier to the commercialization of the products of CIRM-funded research....We recommend that a more detailed examination begin in the near future that engages the full range of non-IP technical expertise required to lay out the key issues involved in reasonable or favorable pricing."

Political Necessity – The report recommended a requiring grant recipients to prepare a "plan describing how IP will be managed for the advancement of science and California public benefit. Although such a plan is not customary for research grants, the public interest in this initiative and the calls for accountability suggest that developing a plan is a political necessity."

Patentable Inventions -- "In all cases, grantees should be obliged to disclose to CIRM the patentable inventions and other intellectual creations that result from CIRM-funded research; if they believe that the creations would be most effectively disseminated and most effectively foster significant ongoing scientific progress through dedication to the public domain or open source licensing, CIRM should respect this decision. Most important, CIRM grantees should be expected to reserve the right to use the technology for their own research and education purposes and to allow other non-profit institutions to do so as well, even in cases where an exclusive commercial license is granted for the commercial development of a product."

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