Substance Abuse and Rehabilitation

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Disclosure of conflicts of interest and credibility for the medical profession This article was published in the following Dove Press journal: Substance Abuse and Rehabilitation 30 December 2015 Number of times this article has been viewed

Alain Braillon 1,* Bernard Granger 2,* Alcohol Treatment Unit, Amiens University Hospital, Amiens, 2 Department of Psychiatry, Tarnier Hospital (AP-HP), Paris, France 1

*Both authors contributed equally to this work

Dear editor We were surprised by an unbalanced review about nalmefene for alcohol dependence, wherein the authors had stated no conflicts of interest (COIs).1 The Editor in Chief and the Publisher were very professional when we stressed our concerns, and they must be commended. They accepted publication of a critical free evaluation based upon evidence where we also called for full disclosure of COIs.2 The authors’ correction acknowledged several links (consultancies, honoraria, speaker fees, travel grants) for several pharmaceutical companies, including Lundbeck, which markets nalmefene.3 However, existing links with Grey Healthcare France were not provided. Grey Healthcare is “a full-service, global, integrated communications agency”, which claims “our market-leading campaigns generate brand engagement, grow sales …”, and has among its clients Lundbeck for nalmefene. Such links should have been disclosed according to the French Sunshine Act. Whatever the law could be, science integrity requires that all COIs, financial or otherwise, that could ever have affected a researcher’s judgment should be declared. They overcome our most basic medical commitment: to care for those who need it, and also constitute a crisis of credibility for the medical profession.4

Disclosure AB was coinvestigator for the clinical trial ALPADIR (baclofen). BG has no conflict of interest related to this communication.

References Correspondence: Alain Braillon Alcohol Treatment Unit, Amiens University Hospital, Amiens 80000, France Email [email protected]

1. Paille F, Martini H. Nalmefene: a new approach to the treatment of alcohol dependence. Subst Abuse Rehabil. 2014;5:87–94. 2. Braillon A, Granger B. Nalmefene and alcohol dependence: a new approach or the same old unacceptable marketing? Subst Abuse Rehabil. 2015;6:75–80. 3. Paille F, Martini H. Nalmefene: a new approach to the treatment of alcohol dependence [corrigendum]. Subst Abuse Rehabil. 2015;6:81–82. 4. Braillon A. Conflicts of interest and the future of medicine: the United States, France and Japan. J Public Health Policy. 2011;32:391–398.

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http://dx.doi.org/10.2147/SAR.S100475

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Braillon and Granger

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Disclosure of conflicts of interest and credibility for the medical profession.

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