Peter H. Forsham v. Joseph A. Califano, Jr., Secretary of the Department of Health, Education and Welfare

587 F.2d 1128, 190 U.S. App. D.C. 231, 4 Media L. Rep. (BNA) 1122, 1978 U.S. App. LEXIS 8391
CourtCourt of Appeals for the D.C. Circuit
DecidedOctober 17, 1978
Docket76-1308
StatusPublished
Cited by35 cases

This text of 587 F.2d 1128 (Peter H. Forsham v. Joseph A. Califano, Jr., Secretary of the Department of Health, Education and Welfare) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Peter H. Forsham v. Joseph A. Califano, Jr., Secretary of the Department of Health, Education and Welfare, 587 F.2d 1128, 190 U.S. App. D.C. 231, 4 Media L. Rep. (BNA) 1122, 1978 U.S. App. LEXIS 8391 (D.C. Cir. 1978).

Opinions

Opinion for the Court filed by Circuit Judge LEVENTHAL.

Concurring opinion filed by Circuit Judge MacKINNON.

Dissenting opinion filed by Circuit Judge BAZELON.

LEVENTHAL, Circuit Judge:

In its broad aspect this appeal presents the question whether and under what conditions data compiled by a private group that is receiving money under a federal grant-in-aid program are or become “agency records” by virtue of the fact that the agency has funded the program and has the authority to demand those records.

An action was brought by specialists in the treatment of diabetes, as individuals and a committee,1 to obtain raw research data of the University Group Diabetes Program (UGDP). The program is a privately conducted and federally funded long-term clinical study of the treatment of diabetes, that has reported certain harmful consequences attendant upon the long-term use of oral hypoglycemic agents. Plaintiffs question the validity of the study, and are concerned lest a useful therapeutic tool be unnecessarily removed from the market. They seek access to the raw data in order to implement their challenge to the study’s validity.

The action was brought under the Freedom of Information Act (FOIA), 5 U.S.C. § 552. That Act is addressed to each “agency” of the Federal Government as defined.2 Broadly speaking, and subject to [1131]*1131exceptions, it directs each agency to make available to the public certain information, and also “agency records.” It establishes the District Court’s “jurisdiction to enjoin the agency from withholding agency records and to order the production of any agency records improperly withheld from the complainant.” 5 U.S.C. § 552(a)(4)(B).

A. BACKGROUND

1. The UGDP Study and the Sponsoring Institute

The UGDP is a study funded by 13 federal grants administered by the National Institute of Arthritis, Metabolism and Digestive Diseases (hereafter sometimes Institute or NIAMDD). That institute is an “agency” under the Act, being part of the National Institutes of Health, which in turn is an organization within the Public Health Service, in the Department of Health, Education and Welfare. The grants were made under the statutory grant-in-aid authority of the Public Health Service Act, 42 U.S.C. § 241(c). The grants were made to each of 12 participating university medical centers on the basis of their applications, and a grant was made to the UGDP Coordinating Center at the University of Maryland.3

The pertinent background facts are presented in the affidavit of Dr. G. Donald Whedon, Director of NIAMDD:

4. The inspiration for the UGDP study came from private non-government physicians and scientists in mid-1959. Between 1959 and 1961, before the study actually began with the entry of the first patients, the design, methods, and objectives of the study were evaluated by persons associated with the UGDP and representatives of NIAMDD. The Food and Drug Administration was not involved in the planning, inception, or design of the UGDP study. The study was funded by NIAMDD as part of its responsibility to support research in the field of diabetes and not with any specific regulatory objective in mind.
sf: * * * * *
9. The UGDP raw data (e. g., patient charts and forms) are the property of the individual investigators and the Coordinating Center and are not owned by NIAMDD. Furthermore, it is not the normal practice of NIH or this Institute to require grantees to submit their raw data for review and, in fact, submission of raw data to the institute is extremely rare. Management of the day-to-day operations of grant-supported activities is the responsibility of the grantee. Supervision of the grantee’s funded activities by this Institute is generally limited to review of periodic reports submitted by the grantee. (45 CFR §§ 74.80, 74.82). Due to the large number of research grants outstanding — currently approximately 1800 — it would not be physically possible for the Institute to subject raw data, if submitted, to critical review, and' to require submission of the raw data of the UGDP study would have been an extraordinary requirement. It is the practice to evaluate applications for renewal grants on the basis of progress reports and final reports submitted to NIH. This practice was followed with respect to the UGDP grants. No specific [1132]*1132provisions of the UGDP grants required submission of raw data to the Department of Health, Education and Welfare. Pursuant to 45 CFR § 74.23, officers or employees of the Department could obtain access to the raw data for purposes of audit inspection and copying if access is deemed pertinent to the grant. The raw data which are the subject of this case have never been seen by, or been in the possession of, any officer or employee of the National Institutes of Health. * *

The particular documents sought by the plaintiffs in this case are observations on over 1000 diabetic patients, who were monitored from 5 to 8 years. It is estimated that there are some 55 million such documents.

In June, 1970, the UGDP investigators made a presentation of the methods and initial results of their study at the annual meeting of the American Diabetes Association. The results indicated that the administration of tolbutamide (an oral hypoglycemic drug) to mild adult-onset diabetics led to a death rate from cardiovascular disease higher than that of groups treated with diet alone, with a fixed dosage of insulin, or with a variable dosage of insulin. The findings were published in the December 1970 Journal of the American Diabetes Association. During 1970 and 1971, over a dozen articles were published in medical journals concerning the study, some supportive and some critical.4

The NIAMDD contracted in 1972 with the Biometric Society, a private international professional society of biostatisticians, for an in-depth assessment of the quality of the UGDP study. The Society made a report to the Institute in 1974 that apparently found some merit on both sides of the controversy. It concluded that while some of the criticisms of the UGDP study were valid most were unpersuasive, and the evidence of harmfulness adduced in the UGDP study was “moderately strong.” This was made public in the American Medical Association Journal for February 1975.5

2. Food and Drug Administration

The Food and Drug Administration of HEW, on being apprised of the UGDP results, issued in its October, 1970, Bulletin to the medical community a recommendation that tolbutamide should be used only in cases of adult-onset, stable diabetes that could not be controlled by diet and could not be treated with insulin. A June, 1971, FDA bulletin proposed changes in labeling of oral hypoglycemic drugs to warn of cardiovascular hazards.

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Bluebook (online)
587 F.2d 1128, 190 U.S. App. D.C. 231, 4 Media L. Rep. (BNA) 1122, 1978 U.S. App. LEXIS 8391, Counsel Stack Legal Research, https://law.counselstack.com/opinion/peter-h-forsham-v-joseph-a-califano-jr-secretary-of-the-department-of-cadc-1978.