Saturday, February 02, 2013

The Story of CPRIT, Part 1: A Promising Start

HC Renewal readers who don’t live in Texas may not have followed the saga of the Cancer Prevention & Research Institute of Texas (CPRIT). It’s a fascinating story which will take me more than one post to tell even a partial version of, especially since a wealth of information is available because of FOIA requests and the superb reporting of the Houston Chronicle and The Cancer Letter.

A constitutional amendment authorizing CPRIT was proposed to the voters in November 2007. (In Texas, lots of things that could be passed legislatively elsewhere require amending the constitution, so that it’s now a very long document indeed.) With a pot of money second only to the NIH’s (up to $300 million in bonds per year was authorized for 10 years for a total of $3 billion), its ambitious goal was to make progress against cancer while making Texas a real leader in cancer research. Enabling legislation was passed and the institute got off to a good start in 2009 by putting together a leadership team that included Nobel prize winner Alfred Gilman as Chief Scientific Officer and Phillip Sharp (another Nobel prize winner) as head of its Scientific Review Council. The press release announcing Sharp’s appointment stated:
Research and prevention grant applications will be assessed using an external- to-Texas peer review process. . . . [P]olicies and processes [are being formalized] that will ensure CPRIT funds only the best scientific research and prevention projects, measures its success and shares results on progress so that Texas will lead the nation as a model for cancer research and prevention programs.

The process was formalized; and the 2009 Policies and Procedures Guide has a diagram showing that grants were supposed to be submitted electronically, be triaged for merit, and (if they survived initial triage) first go through scientific peer review, then go through commercialization review for business worthiness (only if they were translational projects), be recommended for funding, and then be submitted for review and final funding approval by the CPRIT Oversight Committee (cf. State Audit report, Appendix 5).

Peer review teams of eminent out-of-state scientists were put together, the process got going, and projects deemed worthy by the Scientific Review Council were routinely approved by CPRIT’s Oversight Committee, a group of political appointees plus the Attorney General and the State Comptroller. CPRIT money helped attract some eminent researchers to the state

But then, it all fell apart.

Dr. Gilman, the Nobel laureate who had set up the scientific review process, submitted a letter of resignation in May 2012, effective the following October. In his resignation letter, he stated that he would like “to prevent further award of vast funds for research programs ostensibly within incubators that were not described and therefore could not have been reviewed.”

The grant that he refers to and that had upset him so mightily was a large one-year combined award approved in March for an incubator at Rice University and for MD Anderson’s Institute for Applied Cancer Science.  

Why was he so upset about this particular award? More on that in the next installment.


Anonymous said...

I was suprised and disappointed when I learned that Al Gilman
was selected for the CPRIT position, because he had a checkered past. See

He was also a heavy smoker, which conflicted with the goals
of a cancer prevention institute.

Anonymous said...

Really interesting link, thanks, and well worth checking out. Although I don't know for myself, you are probably right that Gilman would have gotten nowhere in Texas without being willing to play the connection game, with all the special privileges that go with that, and the article is interesting and specific. Many times I have seen a battle between the tarnished and the more tarnished, and found that I had to root for the tarnished. That might be the case here.

However, I must disagree that someone's personal habits of this nature should affect whether they get hired for such a job. If someone ADVOCATED smoking, that would be one thing. Whether they smoke or not (away from the workplace) I think is not a matter that should affect their employment, even at a cancer institute or hospital, though no it is far from admirable.

Anonymous said...

"Is this the same Alfred Gilman who is a heavy smoker, and when the campus went smoke free, felt it didn't apply to him? The one whose secretaries were finally so sick of the second hand smoke that they called the campus police, who escorted him out of the building to the alley across the campus and said, this is where you need to come to smoke your Marlboroughs."

Posted by Appalled May 5, 2010 at 11:36 AM at