The day started with a news item on Xconomy declaring "J&JOpens Data Vault to Yale, in ‘Unprecedented’ Transparency Move" - Surely an important development on something that's been propounded for long - below is my comment on this piece;
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Way back in March 2008 a fellow member initiated a discussion topic titled ”Radical Transparency for Drug Safety?” on
Pharmaceutical Discussion Group that I manage. The brief engagement that this topic generated ended up
identifying the following as ‘key aspects that need to be addressed’ before
radical transparency becomes acceptable to pharma;
- Enabling climate (safe harbor) &
- Some incentivization
Well, it appears Yale cracked this code, of
de-risked data-sharing after beta-testing it on rhBMP-2
Project based on Medtronic’s data-sharing, well enough to get J&J aboard this transparency express.
A brief read of the Data Use
Agreement of the rhBMP-2 project shows what emboldened, motivated J&J with agreeing to
share all its data publicly. Below is a list of clauses within the data use agreement
broadly catagorized into the key aspects stated above;
Safe Harbor
Reproduced Text in “quotes”
Reproduced Text in “quotes”
Section 2.3 - No Direct
Identifiers
“The Data will not include any
direct personal identifiers ofthe study subjects to whom the information relates,
nor will it identify which clinical investigators or sites contributed the data
for a particular subject. Within the Data, subjects and investigators are identified
by unique identification numbers, and User will not have access to the keys
that relate the identification numbers to the identities of the subjects or
investigators”
Section 5 - Confidentiality of
Data
Across sub-sections 5.1 (obligations
of Confidentiality) through to 5.4 (Survival of Obligations)
Section 6 - Subject Protection
“The Data may contain certain
information that can be used by itself or in combination with other available
information to identify a specific study subject (“Study Subject Personal Data”)”
This section is detailed further
through sub-sections/ clauses 6.1 (no re-identification) through to 6.4 (safeguards)
Section 8 – Publications
Prevents user sharing any ‘redacted
portions’ of the data fro being referred in any publication.
To the credit of Medtronic & YODA though section 6.3
(Non-Disclosure) allows user to share study subject personal data with the “regulatory
authorities, upon lawful request by such authority” – It will be interesting
though if a similar openness would be retained in the J&J data use
agreement, given the much larger data set & hence greater regulatory implication.
Incentivization
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Section 7 - Reporting and Use of
Results
Obligates user to share all data
generated from the analysis/ reserach into the sponsor data with YODA and the sponsor.
Further YODA retains the right to make this report public (or not…)
Section 9 - Inventions
“In the event that User utilizes
the Data to develop any inventions or discoveries, whether patentable or not
(“Inventions”), User will assign to Medtronic all proprietary interests in said
Inventions and in the event that User is statutorily prohibited from assigning
its interest, User will grant, or ensure that the inventor grants, to Medtronic
a fully paid, perpetual, worldwide, exclusive, royalty-free irrevocable
transferable license for all purposes, including sub license and assignment to
each such Invention without further consideration. User will cooperate with
Medtronic to ensure execution and delivery of all documentation that Medtronic
reasonably deems necessary to perfect Medtronic’s rights in the Inventions.”
The sheer scope of the section 9 along with the safe harbor
provisions listed above makes this exercise come across more as externalization
of clinical data-mining & analysis by the sponsor organization – I have no
reason to believe J&J will have it any different except that the
safe-harbor provisions may be more detailed, as mentioned above.
Finally, the one unstated intent of any pharma opening up
its own data banks is to build pressure on the other peers and thus have
insight into competitor clinical data that till date eluded them.
All said, it’s great to see transparency starting to be
practiced rather than just debated about & hopefully this’ll give pharmaceutical research a chance to impact lives better than it could before.
More power to radical transparency.