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UIC doctor’s research misconduct ‘an isolated event’

Dr. Mani Pavuluri

Dr. Mani Pavuluri, a child psychiatrist at the University of Illinois at Chicago, is under investigation by state regulators over her research into children with bipolor disorder. | Joshua Clark / UIC Photo Services

In response to the May 1 editorial and recent Sun-Times/ProPublica story, we want to clarify and correct some of the key facts related to what we have done since we first identified the issue related to Dr. Mani Pavuluri’s clinical research.

Following an unanticipated event during a study, a review and audit of the investigator’s research was initiated by the UIC Institutional Review Board (IRB). Based on audit findings, the UIC IRB found the investigator, Dr. Pavuluri, to be in non-compliance with federal and university research policies.

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UIC self-reported the onset of its investigation to all necessary federal agencies and as a result, three research studies were immediately stopped. A letter was subsequently sent to approximately 350 study subjects, or their parents/guardians, informing them of the research non-compliance. The UIC IRB also suspended all research protocols involving this investigator.

Bipolar disorder is, unfortunately, a chronic condition where behavioral symptoms such as mood, sleep and, emotional control fluctuate substantially. Lithium is one of the most widely used and safe treatments for bipolar disorder in adults and represents the standard of care in pediatric psychiatry to treat bipolar disorder in children and adolescents between the ages of 12 and 17.  It is not uncommon, however, for clinicians to use lithium for mood stabilization on even younger patients diagnosed with bipolar disorder as an “off-label” use of the medication. Additionally, there is no evidence that therapeutic doses of lithium, for a five-week period, have any long-term deleterious consequences either to the brain or behavior in children and adolescents.

In compliance with federal and university policies, an inquiry and, subsequently, a formal investigation of the allegations of research misconduct were undertaken by UIC. UIC submitted its findings of the internal research misconduct investigation in October 2015. Based on the results of the initial audit, UIC put a hold on Dr. Pavuluri’s research, and at the conclusion of the internal investigation, UIC suspended all of Dr. Pavuluri’s research activities indefinitely. Dr. Pavuluri has not resumed any clinical research studies since 2013.

A detailed external audit was conducted by three Department of Health and Human Services agencies in July 2014, which determined that the human subjects’ research at UIC did not have any systemic issues of lax research oversight and was performed upholding the highest standards in ethical and responsible research conduct. Hence, the case of Dr. Pavuluri’s research misconduct is believed to be an isolated event.

The case that is the subject of media reports remains an open investigation with the DHHS Office of Research Integrity.

In December 2017, UIC repaid $3.1 million to the National Institutes of Health for one of Dr. Pavuluri’s research grants. UIC had also returned unexpended funds from three of her grants – including this one –  in 2013. This is the only time in its history that UIC has had to reimburse grant funds due to human subject noncompliance.

The non-compliance related only to Dr. Pavuluri’s research work. A review of her clinical practice demonstrated high-quality patient care with appropriate clinical documentation.

UIC’s research office provides continuing education and training to our research community, in addition to routine re-evaluations of each research protocol and random audits of clinical trials. In fact, Dr. Pavuluri participated in a number of training sessions before and during her research work. We take these matters very seriously and we are committed to adhering to the highest standards for research integrity — particularly regarding research issues involving minors — and to comply with all federal, state and university regulations

Mitra Dutta, PhD
Vice Chancellor for Research
University of Illinois at Chicago

Anand Kumar, MD
Lizzie Gilman Professor and Head of the Department of Psychiatry
University of Illinois at Chicago

Stop bullying of kids, don’t arm teachers with guns

I agree that the key to safety in our schools is not arming our teachers.  My wife teaches second grade and this is a recipe for disaster. Rather, I feel we should address the issue of bullying.  

Most of the school shooters were alienated kids who didn’t fit in. I, personally, was bullied one way or another through most of my school years in three different schools. Many times I wanted to take a gun to school and “fix” them once and for all.  This was back in the 1960’s and 1970’s, and guns were much harder to get. I tried going to the teachers, my parents went to the teachers and administrators. They had no idea it was happening and ordered that I get an apology. Of course, this made things worse.

School administration may think they are addressing this problem but they aren’t, as clearly this is continuing.

Michael Stephenson, Portage, Indiana

No one is held accountable when children are shot

A five-year-old girl was shot in Albany Park last weekend while playing outside, and a four-year-old girl was shot on the South Side Tuesday night while sitting on her porch. Just two more shootings in a city with some of the toughest gun laws. Where are the protests? Where is Jesse Jackson? Where is Al Sharpton? Where is Fr. Pfleger ? Where is Rahm Emanuel? And what about Black Lives Matter ? Do black lives only matter when a black suspect is shot by a police officer ?

You can be darn sure that if these were police-involved shootings, that all of the above would be calling for justice and calling for protests. So why not now?

When four and five-year-old children cannot even play outside their homes for fear of being shot, then something drastic needs to happen. This should never happen in the great city of Chicago. Yet it happens all too often, and nobody is held accountable.

Mike Daly, Grayslake