Diabetes drug and conflicts of interest

So much for confidential peer review.

Last May, a controversial paper in the New England Journal of Medicine (NEJM) reported that a popular diabetes drug—rosiglitazone, sold as Avandia—substantially hikes a user's risk of heart attack (SN: 6/23/07, p. 397). But according to an ongoing investigation by the U.S. Senate Committee on Finance, Avandia's maker knew about the study before it was published. The company—Philadelphia-based GlaxoSmithKline—had a leaked copy, courtesy of a scientist that NEJM had recruited for a peer review of the paper.

"The man who did this is Dr. Steven Haffner," ranking Finance committee member Sen. Charles E. Grassley (R-Iowa) reported last week, referring to the investigation. Grassley added that Haffner, a physician with the University of Texas Health Science Center (UTHSC) in San Antonio, "confirmed to my investigators that he faxed a draft of the study to GlaxoSmithKline weeks before it was published."

According to a statement issued by William L. Henrich, dean of medicine at UTHSC-San Antonio, the charges have "just come to light on our campus. We are embarking on a complete investigation." He added that if Grassley's charges are confirmed the university expects to take "swift and appropriate action."

Most troubling, Grassley argues, is the reviewer's role. By leaking unpublished data, Haffner "violated practically every tenet of independence and integrity held sacred by the major medical journals," he says.

Calls to Haffner were forwarded to the UTHSC-San Antonio Office of External Affairs.

When Haffner received the UTHSC-San Antonio Presidential Distinguished Scholar Award last year, the university noted that, in terms of federal support, he is among its "highest-funded investigators." He also received some $75,000 for consulting and speaking fees from GlaxoSmithKline, according to government filings that Grassley's team uncovered.


Found in: Science & Society
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Suggested Reading:
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  • Krall, R.L. 2007. Cardiovascular safety of rosiglitazone. Lancet 369(June 16):1995-1996. Abstract available at [Go to].

    Nainggolan, L. 2007. Rosiglitazone meta-analysis continues to drive controversy in second week. Heartwire (May 30). Available at [Go to].

    Nissen, S.E., and K. Wolski. 2007. Effect of rosiglitazone on the risk of myocardial infarction and death from cardiovascular causes. New England Journal of Medicine 356(June 14):2457-2471. Available at [Go to].

    Raloff, J. 2007. Diminishing obesity's risks: Mouse data suggest that, properly managed, obesity can be benign. Science News Online (Oct. 6). Available at [Go to].

    Seppa, N. 2007. Diabetes drug might hike heart risk. Science News 171(June 23):397. Available at [Go to].

    Vastag, B. 2007. Debate renewed: Diabetes drug ups heart risk. Science News 172(Sept. 15):164. Available at [Go to].

    Wood, S. 2007. US Senate Committee releases report on GSK's "intimidation" of John Buse over rosiglitazone. Heartwire (Nov. 20). Available at [Go to].

    ______. 2007. A house divided: No clear answers on rosiglitazone safety or political backstory. Heartwire (June 7). Available at [Go to].
Citations & References:
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  • Charles E. Grassley

    135 Hart Senate Office Building

    Washington, DC 20510-1501


    Steven M. Haffner

    Division of Clinical Epidemiology

    Department of Medicine

    Room DTL, Room 5.606U

    University of Texas Health Science Center at San Antonio

    7703 Floyd Curl Drive

    San Antonio, TX 78229-3900


    William L. Henrich

    School of Medicine and Vice President of Medical Affairs

    University of Texas Health Science Center at San Antonio

    7703 Floyd Curl Drive

    San Antonio, TX 78229-3900


    Christopher Viehbacher

    U.S. Pharmaceuticals

    GlaxoSmithKline

    5 Moore Drive

    P.O. Box 13398

    Research Triangle Park, NC 27709