On the day CA stem
cell agency’s governing board proposes dramatic changes in response to IOM report,
the darkest process in CIRM grant review procedure remains untouchable. It is called
Pre-Application, invented by California Institute for Regenerative Medicine
(CIRM) as the safe haven of CIRM directors’ wrong doings, because CIRM would
not disclose any information of its pre-applications to the public, not even to
IOM. However, understanding CIRM pre-application process is critical for
understanding why > $1 billion of CIRM awards have gone into CIRM directors’
own financial interests, not to Prop 71 stem cell research. According
to Gilberto
Sambrano, who is CIRM Associate Director, CIRM pre-application selection is run
by him, CIRM director Pat Olson and 3 or 4 others. They send out
pre-applications to 3 outside reviewers they selected in CIRM directors’ favor,
most likely CIRM directors’ conflict of interest (COI) alliances, like regular Journal
editors do. And those outside reviewers score the word-space-information
limited pre-applications based on their own opinions, not any scientific data
or scientific merit, NOT like regular Journal or grant reviewers do. There is no
procedure in CIRM pre-application to identify abuse & COI. There is no
procedure in CIRM pre-application to ensure fair review & competition. And
there is no appeal for CIRM pre-application, even it is a flawed grant review, even it has
COI. Basically, the reviewers can say
whatever they like about CIRM pre-applications and trash their competitors’
research and cell types such as hESC research of Prop 71, because they do not
have to provide any scientific evidences to support their opinions, nor concern
about any ethics or scientific conduct codes or public opinions or accountability
or public scrutiny since no one would know about it, besides the very
discouraged & frustrated applicant buried in the pre-application. In our
case, the reviewers’ opinions favor trans-differentiation or direct
differentiation [<0.5% efficiency, not useful for patients or translatable] of
UCSF/Gladstone’s Deepak Srivastava & UCSD Larry Goldstein groups to
intentionally give biased comments and low score to Prop71 & hESC research.
Those pre-applications favored by reviewers’ opinions would do better to be
selected by CIRM directors to recommend to CIRM board, those not favored by the
reviewers’ opinions would not be selected, no matter what the scientific data or
evidences say & no matter what the Prop 71 says. Just think about who
select those reviewers, it is not too difficult to figure out who would be
favored by CIRM reviewers and eventually selected by CIRM directors for $ millions
awards, which is hard to believe not to be the definition of financial COI. Is
Prop 71 written that all CIRM grants should be only scored by 15 members in
CIRM board, not decided by a few outside reviewers or CIRM directors using
biased non-transparent cheery-picking process? CIRM director Gilberto Sambrano,
who seemed not respond to CA stem cell agency’s governing board
proposed dramatic changes,
was eager to defend CIRM pre-application process & reviewers’ biased
comments & scores by agreeing with & elaborating the reviewers’ opinion
without any scientific basis, discrediting scientific data/evidences as my own
opinion, saying COI cannot be identified & changes cannot be done,
discouraging any appeal or even discussion, discouraging any suggestions for
fair review/transparency/improvement, then telling me that NIH is doing the
same thing too. Although NIH grant review processes contain many loopholes too,
at least, NIH allows any applicants to appeal, and the NIH program officials
are bound by NIH policy & regulation not to discourage anyone to appeal or
they cannot tell anyone not to appeal.
As accounted by Gilberto Sambrano, CIRM
non-transparent pre-application process invented by CIRM directors maybe the
biggest grant review loophole for abuse & corruption in government funding
agencies. It allows CIRM directors to hand pick their own awards with financial
COI ties without having to go through fair competition, scientific grant review
process, accountability, and public scrutiny. What accounted by CIRM director Gilberto
Sambrano would explain that > $1 billion of CIRM awards have gone into CIRM directors’
own financial interests with no Prop 71 scientific merit, hundreds of millions
of public funds for stem cell research & cure have gone into stem cell
frauds and wastes, the most potential hESC research have been buried in CIRM abusive
grant review process, and towards clinical translation of hESC therapy
derivatives and medical innovations designated by Prop 71 has not been able to
receive a penny from CIRM, and there is zero result from > $1 billion of
CIRM awards. According to Prop 71, only
the 15 scientist members of the Scientific and Medical Research Funding Working
Group shall score grant and loan award applications for scientific merit. There
is no such unaccountable pre-application in Prop 71. Pre-application procedure
was invented by CIRM directors to counter-act transparency when CIRM began to allow
appeal procedure in grant review under public pressure for transparency and accountability.
If CIRM really wants to improve transparency and fairness in its grant making
and review processes, there are many good & efficient government standards
& procedures that they can easily adopt, such as having the applicants to
speak and talk about their scientific data and proposal in public meetings,
having independent grants appeal officers, having policy & guidelines for
reviewers. With ~$ 1 M luxury salary to CIRM president and chair and ~ $ 20 M
spending budget from the State, CIRM directors like Gilberto Sambrano would cry
about that they could not handle ~ 150 grant applications every time I talk to
them. Have we heard CA governor cry about that he cannot handle the state
budget? Maybe CIRM should also hire someone who can handle the 150 grant
applications to improve its efficiency and transparency as a state government agency.
If CIRM cannot even follow and implement Prop 71, if CIRM president Alan
Trounson can see no merit in Prop 71 stem cell research, if CIRM directors
think they are above the law, it is hard to believe they will adopt any changes
and increase transparency of grant making and review processes.
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