Council for Tobacco Research
Deposition of Richard E. Kouri [Deposition of Kouri in the Matter of the State of Texas]
Fields
- Master ID
- Ctrmn00043385-4499
Related Documents:- CTRMN043652-3668 Deposition of Richard E. Kouri [Deposition of Kouri in the Matter of the State of Texas]
- CTRMN043669-3670 Consultancy Agreement [Agreement to Provide Analysis of Certain Aspects of Research Performed by Microbiological Associates Inc Under Contract with Ctr]
- CTRMN043671-3674 Arch, Et Al V. American Tobacco Company, Et Al [Deposition Postponed]
- CTRMN043675-3678 Witness Fee [Check for Sixty Four Dollars and Eighty Cents]
- CTRMN043679-3689 Check 3223 [Forty Dollars and Zero Cents]
- CTRMN043690-3694 District of Columbia City of Washington Affidavit of Dr. Richard E. Kouri [Statement Concerning Involvement with Microbiological Associates Inc and Ctr]
- CTRMN043695-3695 Stages in Carcinogenesis [Diagram]
- CTRMN043696-3696 Microbiological Associates Contract 30 [Proposed Research Modification and Tentative Approval of One Year Contract Involving Effects of Cigarette Smoke Related Chemicals]
- CTRMN043697-3697 A Frank Statement to Cigarette Smokers [Response to Recent Reports on Possible Link Between Cigarette Smoking and Lung Cancer]
- CTRMN043698-3701 Chronic Exposure of Mice to Cigarette Smoke [Foreword, Introduction and Objectives of the Complete and Unedited Final Report of Contract Research Performed by Microbiological Associates]
- CTRMN043702-3702 "Suggested Distribution of Book Titled "Chronic Exposure of Mice to Cigarette Smoke"" [Listing of Possible Recipients and Number of Copies to Each]
- CTRMN043703-3710 Press Release for Mai Report [Copy of Draft for Views and Suggestions]
- CTRMN043711-3720 Chronic Inhalation Studies in Mice. II. Effects of Long-Term Exposure to 2r1 Cigarette Smoke on (C57bl/Cum X C3h/Anfcum)F, Mice Jnci Vol 77 No 1 [St 2r1 Cigarette Smoke Has Weak Carcinogenic Activity in Mouse Lung Tissue]
- CTRMN043721-3721 Ctr Meeting - October 18, 19, 20, 1978 [Controversial Contract Work Conducted by the Microbiological Associates Terminated]
- CTRMN043722-3778 Evaluation and Characterization of An Alkaline Elution Assay As A Measure of Pulmonary Dna Damage Induced by Chemical Carcinogens or the Chemicals in Cigarette Smoke [Outline of Proposed Research Includes Resume and Bibliography]
- CTRMN043779-3871 [Affirmation of Continuation of Funding While Alternative Funding Is Evaluated Contract 22 Will Continue in Present Form Transmits Progress Report]
- CTRMN043872-3951 Malignant Transformation, Mutagenesis and Fibrinolysin Production of Cigarette Smoke Condensate Fractions [Description of Proposed Research Includes Resume and Bibliography]
- CTRMN043952-3953 Conference on Human Carcinogen Metabolism: Ahh [Observations and Conclusions on Conference]
- CTRMN043954-3954 Deposition of Richard E. Kouri [Deposition of Kouri in the Matter of the State of Texas]
- CTRMN043955-4294 "Final Report "Smoke Inhalation Studies in Mice"" [Describes Facilities, Equipment, and Results]
- CTRMN044295-4296 Executive Committee and Contract Committee Meeting [St]
- CTRMN044297-4336 Proposed Studies for Ctr 0030 - Smoke Inhalation Carcinogenesis Studies in Mice [Describes Facility for Determination of Effects of Cigarette Smoke]
- CTRMN044337-4464 Progress Report for Ctr-0030 - Smoke Inhalation Studies in Mice [Describes Procedures and Findings]
- CTRMN044465-4473 [Summary of Current Research on Smoke Inhalation in Mice]
- CTRMN044474-4487 Progress Report for Ctr-0030---Smoke Inhalation Studies in Mice [Describes Recent Findings]
- CTRMN044488-4488 Official Abstract Form the Effect of Lifetime Exposure to Whole Cigarette Smoke in Bc3f1/Cum Mice [St Describes Changes in Lungs]
- CTRMN044489-4489 [Confirms Meeting to Present Final Report for Ctr Contract 0030]
- CTRMN044490-4496 [Proposal Regarding Completion of Manuscripts From Chronic Smoke Inhalation Study]
- CTRMN044497-4497 [Requests A Special Project to Provide Support for Preparation of Manuscripts Resulting From Smoke Inhalation Study]
- CTRMN044498-4499 [Transmittal of Manuscript Regarding Chronic Inhalation Studies in Mice]
- Author
- Kouri, R.E.
- Depository Date
- 30 Sep 1997
- Box
- 268
- Type
- TRANSCRIPT
- UCSF Legacy ID
- zpt30a00
Document Images
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UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF TEXAS
TEXARKANA DIVISION
THE STATE OFTEXAS, .
Plaintiff, .
vs. . Civil Action No. 5-96CV91
THE AMERICAN TOBACCO, .
et al.,
Defendants.
Baltimore, Maryland
September 12, 1997
Videotaped deposition of RICHARD E. KOURI, Ph.D.,
A Witness, called for oral examination by counsel for the
State of Texas, taken at the Harbor Court Hotel, 550 Light
Street, Caucus Room, before Shari L. Nelson, Notary Public,
beginning at 9:50 o'clock a.m.
Reported By:
Shari L. Nelson, RMR-CRR
Riggleman, Turk & Nelson
(410) 539-6398
RIGGLEDLAN, TURK & NELSON
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A P P E A P. A N C E S
SUSAN NIAL, ESQ., cn behalf of the
State of Texas.
LARRY W. THORPE, ESQ., on behalf of the
State of Texas.
CRAIG T. EDWARDS, ESQ., on behalf of the
Barnes Plaintiffs in Penrsylvania.
LOUIS GOTTLIEB, ESQ., on behalf of
New York.
STEPHEN J. McCONNELL, ESQ., on behalf of
Philip Morris.
ROBERT J. KIRSF?ENBERG, ESQ., on behalf of
Lorrilard Tobacco Company.
DAVID B. ALDEN, ESQ., on behalf of
R. J. Reynolds Tobacco Co:apany.
BRUCE G. MERRITT, ESQ., and ALAN H.
SCHEINER, ESQ., on behalf of CTR.
Also Present: Lisa Bauer, Videographer.
Judy Scolnik, Ness-Motley.
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C 0 N T E Pi T S
Witness Page
RICHARD E. KOURI, Ph.D.
Examination By Ms. NiGl. ...... 9
Examination By Mr. Merritt ..... 72
E X F? I B I T S
Number Descriotion
1 Curriculum Vitae . . . . . . . . . .
2 Consultancy Aareement. . . . . . . .
3 Check with attached letter to
Richard Kouri, Ph.D., from Karen M.
Markert dated July 22, 1997. ....
16
4 Subpoena . . . . . . . . . . . . . . 16
5 Subpoena . . . . . . . . . . . . . . 16
6 Affidavit . . . . . . . . . . . . . . is
7 Stages in Carcinoaenesis ...... 25
8 Contract 30 . . . . . . . . . . . . . 25
9 A Frank Statement to Cigarette
Smoke rs . . . . . . . . . . . . . . . 3 0
10 Chronic Exposure of Mice to
Cigarette Smoke. . . . . . . . . . . 39
11 Distribution list. . . . . . . . . . 46
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Exhibits (Continued)
Number Description Marked
12 Memorandum to Robert F. Gertenbach
from Leonard S. Zahn dated October
1, 1984 . . . . . . . . . . . . . . . 47
13 Article . . . . . . . . . . . . . . . 59
14 Memo to CTR File from R. B. Seligman
dated October 25, 1978 . . . . . . . 65
15 Application for Research Grant . . . 100
16 Letter to William U. Gardner from
Richard E. Kouri, Ph.D., dated
May 24, 1978 . . . . . . . . . . . . 101
17 ADplication for Research Grant . . . 104
18 Memo to Dr. W. U. Gardner from Hans
Meier dated March 10, 1978 ..... 117
19 Final Report . . . . . . . . . . . . 181
20 Agenda-Executive Committee and
Contract Committee Meeting . . . . . 186
21 Proposed Studies from CTR 0030-
Smoke Inhalation Carcinogenis
Studies in Mice . . . . . . . . . . . 193
22 Progress Report for CTR-0030 - Smoke
Inhalation Studies in Mice ..... 198
23 Letter to William U. Gardner from
Richard E. Kouri and Carol J. Henry. 198
24 Progress Report for CTR-0030 - Smoke
Inhalation Studies in Mice ..... 206
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25 Official Abstract Form . . . . . . . 213
26 Letter to Sheldon C. Sorr.mers from
Carol J. Henry dated December 22,
1981 . . . . . . . . . . . . . . . .
249
27 Letter to Tom Hoyt from Joh-n Parker
dated December 6, 1983 . . . . . . .
249
28 Letter to Sheldon C. Sor,..;;ers from
Carol J. Henry, Ph.D., dated July
31, 1985 , , , , , , , , , , , , , ,
257
29 Letter to Elizabeth K. Weisburger
from Carol J. Henry, Ph.D., and
Richard E. Kouri, Ph.D., dated
August 16, 1985. . . . . . , , , , ,
62
0
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P R O C E E D I N G S
MS. BAUER: This video deposition is being
taken in accordance with Texas Rules on September 12, 1997, at
9:49 a.m. at 550 Light Street in Baltimore, Maryland. The
Court Reporter is S:ari Nelson with Riggleman, Turk & Nelson.
My name is Lisa Bauer with Riggleman, Turk & Nelson. The
equipment being used is a Panasonic camcorder.
The caption of the case is the State of Texas
versus The American Tobacco, et al, in the U. S. District
Court, Eastern District of Texas, Case No. 5-96CV91.
Will the attorneys please identify themselves
and who they represe nt
MS. .
NIAL: Susan Nial from Ness-Motley for the
State of Texas.
MR. THORPE: Larry Thorpe, Reaud, Morgan &
Quinn for the State of Texas
MR. .
EDWARDS:
Craig
Edw
ards, Mellon, Webster &
Mel1on, State of Pennsylvania, Barnes.
MR. GOTTLIEB: Lou Gott lieb, Goodkind,
Labaton, Rudoff & Sucharow, i n the New York class action
cases.
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MR. McCONNELL: Stephen McConnell of Dechert,
Price & Rhoads representing Philip Morris in the case of
Barnes in the Eastern District of Pennsylvania.
I would like a stipulation on the record that
we're following the Texas Rule and there's a stipulation that
for purposes of the Barnes case, that all objections including
those as to form are reserved for purposes of trial.
Particularly I would like that stipulation on the record for
Mr. Edwards.
MR. KIRSHENBERG: Robert Kirshenberg from
Greenberg & Trauric in New York on behalf of Lorillard Tobacco
Company in the New York class actions and I would join in the
request with my co-counsel here with respect to the
stipulation.
MR. ALDEN: David Alden from Jones, Day,
Reavis & Pogue on r:half of Reynolds.
MR. SCHEINER: Alan Scheiner from Debevoise &
Plimpton on behalf of Council for Tobacco Research--U.S.A.,
Inc.
MR. MERRITT: Bruce Merritt, Debevoise &
Plimpton, on behalf of Council for Tobacco Research.
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MS. BAUER: The witness today is Doctor
Richard Kouri and will now be sworn in
.
MR. MERRITT: Before we swear the witness, can
we just reiterate the stipulation
.
MS. NIAL: I was going to say, maybe Craig,
you want to stipulate for your clients and Mr. Gottlieb for
your clients? I think you need to do that verbally.
MR. EDWARDS: We just stipulate that all
procedural and other objections will be maintained.
MR. GOTTLIEB: I'll make the same stipulation
for the New York Plaintiffs that all objections will be
reserved including objections as to form.
MR. MERRITT: Let me add for the record that
it's my understanding that under the Texas Rule, all
objections whether of substance or form are reserved in the
Texas case as well. So as I understand it, we are operating
under the same rule here for all the cases that this has been
Noticed or cross-Noticed in, and that all objections =or form,
objections in the nature of leading question, motions to
strike for lack of responsiveness, these are all reserved?
MS. NIAL: That is my understanding.
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MR. THORPE: That's correct, and the only
objection that can be made is as to privilege.
MR. MERRITT: That is so stipulated?
MR. THOF.?E: So stipulated.
MR. EDWF:DS: So stipulated.
MR. GOTTLIEB: So stipulated.
MS. NIAL: Good morning, Doctor Kouri, I think
you need to be sworn in. Would you swear the witness, please.
Thereupon ---
RICNAR.D E. KOURI, Ph.D.
A Witness, called for oral examination by counsel for the
State of Texas, having been first duly sworn by the Notary
Public, was examined and testified as follows:
EYAMIN=.TION BY MS. NIAL
Q Doctor Kouri, before we begin the questioning this
morning, I would like to go over a few ground rules for you so
that we're all on the same page when we go through the
deposition.
First of all, even though this is informal,
informal setting in a hotel room, this is exactly the same as
it would be if you were in a courtroom. This deposition can
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be used in evidence in a courtroom.
Second of all, all your answers need to be verbal
so that the Court Reporter can take it down. That's, even
though we're videotaping this deposition, your answers need to
be verbal.
A Okay.
Q
If you don't understanc a question,
please ask fcr
it to be repeated, or if you can't hear it. If you answer a
question, I will assume, as will the other questioners, that
you have heard and understood the auestion.
A I agree.
Q As to breaks, any time you need a break, please ask
and they'll be given liberally. Ne understand your situaticn.
The only thing I would ask is that it would not be during a
pending question but if you need a break, just let me know.
A Okay.
Q
We will try to give Doctor Kouri fairly regular
breaks because of his leg.
Okay. Doctor Kouri, I wonder if you could tell Ls
a little bit about your education, please.
A I'm a graduate of Ohio State University
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undergraduate. My Ph.D. is in ra-liation biology from the
University of Tennessee working a: the Oak Ridge National
Laboratory, and I did a postdoctcral fellowship at the Roche
Institute for Molecular Biology in , Nutley, New Jersey, and in
the area of biochemical genetics.
Q Do you belong to any L--ofessional associations?
A Quite a few.
Q Can you name a few of :~hem for us, please?
A Human Genome Organization, American Association for
Cancer Research, the American As-so-ciation for the Advancement
of Science, probably five others.
Q Okay. Doctor, I'd like to show you a document
which I believe is your current CV and I would like you to
identify it for the record. I wcn-der if
you could look
throuah it, sir, and then tell me whether or not it is your
current CV.
A Yes, the first two paces is a summary version of
the CV and then the bibliography and the biographical sketches
is actually the latter half of t'r:is. Yeah, this is mine.
Q
It is current as of today, Doctor Kouri?
A It is current.
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MS. NIAL: I am going to make this the first
exhibit to the deposition.
(Document was marked Kouri
Deposition Exhibit No. 1).
Q (By Ms. Nial) Doctor Kouri, who first contacted
you with regard to CTR's involvement in tobacco litigation?
A Mr. Alan Scheiner.
Q And is Mr. Alan Scheiner employed by the law firm
of Debevoise & Plimpton?
Q
Yes.
Who does he represent?
A CTR.
Q And how did that first contact occur?
A He called me and asked if I would help organize
some of the files related to the numbers of-contracts that
Microbiological Associates performed under the auspices of CTR
from mostly the 1970s.
Q Did you meet with Mr. Scheiner?
A Yes.
Q How many times did you meet with Mr. Scheiner?
A Once.
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Q I wonder, Doctor, if I could show you a document.
A Yes.
Q Do you recognize that document?
A Yes.
Q It's a consultancy contract, is it, sir?
A Yes.
Q F-nd what is the date on that consultancy contract?
A February 21st, 1997.
Q P_rd have you signed that consultancy contract, sir?
A Yes.
Q With whom was that consultG~cy arrangement?
A tiv_th Debevoise & Plimpton.
MS. NIAL: I wonder if we could make that an
exhibit.
(Document was marked Kouri
Deposition Exhibit No. 2).
Q (~y Ms. Nial) Now, Doctor, after you met with or
while you were meeting with Mr. Scheiner, did you in fact
organize documents for Mr. Scheiner?
A Yes.
Q
And what documents did you organize for
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Mr. Scheiner?
A Mostly the, the proposed studies and the progress
reports related to the various contracts and work that was
going on by Microbiological Associates for CTR.
Q Did Mr. Scheiner leave any documents with you?
A No.
Q Did Mr. Scheiner provide to you a copy of your 1986
article?
A Yes. I didn't have one.
Q Did you bill Mr. Scheiner for your time?
A Originally yes, I billed for, as per the consulting
agreement and then had second thoughts about not setting up
this sort of relationship with any sort of money changing
hands and so I asked Mr. Scheiner not to pay me and in fact he
did not.
Q Did Mr. Scheiner after your meeting ask for you to
testify for CTR in the tobacco litigation?
A No.
Q Now, Doctor Kouri, you've met with me and some of
my colleagues, have you not?
A Yes.
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Q And we've met several times; is that correct?
A Yes.
Q Have we given you any money?
A No.
Q Have you signed a consultancy agreement with us?
A No.
Q Doctor, are you here pursuant to a subpoena?
A Yes.
Q You're I-=re pursuant to a subpoena from the Arch
case --
A Yes.
Q -- now called the Barnes case that you received
from Thomas Mellon; is that correct?
A Yes.
Q Is this a copy of that subpoena?
A Yes.
MIR. NIAL: We are going to make that an
exhibit and Bruce, here is one for you.
Q (By Ms. Nial) You are also here pursuant to two
subpoenas issued irn the Texas matter; is that correct?
A Yes, I think so.
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Q One from Mr. Scheir.er at Debevoise & Plimpton?
A Yes.
Q And one from Grant Kaiser who is plaintiff's
counsel in that case; is that correct?
A Yes.
MS. NIAL: We're going to make those two
exhibits.
(Documents were marked Kcuri
Denosition Exhibit Nos. 3
through 5).
Q (By Ms. Nial) Pursuant to the Debevoise & Plimpton
subpoena, you were asked to provide certain documents to
Debevoise & Plimpton, were you not?
A Yes.
Q Doctor, I ask you to look at this group of
documents.
(Witness reviewing documents).
A Yes.
Q Are those the documents that you have in your files
that are responsive to the Debevoise & Plimpton subpoena?
A Yes, that's everything I could find.
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Q
Q
Including the deposition of Carol Henry?
Correct.
We are going to give those to Mr. Merritt.
A I should say parenthetically that the deposition
from Carol Henry does have some errors in it. The book, there
is a copy of actually the book that we're all going to
describe later in there and every other page
is missing in
that deposition. It just must have been Xeroxed improperly.
Q Now, Doctor, when you said Doctor Murray, Doctor
Henry's deposition had errors in it, you mean the exhibits
were in error?
A The exhibits, yes, I'm sorry.
Q That's okay.
MS. NIAL: Just as an aside, Bruce, we have
contacted the Court Reporter to determine whether or not the
exhibit itself is correct.
MR. NIERRITT : Okay.
Can we go off the record.
(Discussion off the record).
Q (By Ms. Nial) Now, Doctor, all of your
publications are listed on your current CV; is that correct?
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A Yes.
Q You have not provided copies of those publications
to Debevoise & Plimpton?
A No.
Q And Doctor, I would like to show you a copy of
another document. And this is a copy of an affidavit signed
by you, is it, sir?
A Yes.
MS. NIAL: If we can attach that as the next
exhibit.
(Document was marked Kouri
Der)osition Exhibit No. 6)
Q (By Ms. Nial) Doctor Kouri, did you draft this
affidavit?
A Yes.
Q And you had it notarized --
A Yes.
Q -- and forwarded to my office?
A Yes.
Q And it was initially drafted for the Florida case;
do you recall?
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A Actually I guess, I think so.
Q Now, Doctor, are you familiar with the firm of
Microbiological Associates?
A Yes.
Q And what does Microbiological Associates do?
A They're a contract research organization in
:
Bethesda, Maryland, that performs a variety of contract
responsibilities for funding agencies for both govern-ent and
nongovernment sponsors.
Q Is that what they do currently, sir?
A They've expanded that to include much more work for
private industry.
Q Doctor, did you work at Microbiological Associates?
A I did.
Q When did you begin working at Microbiolocical
Associates?
A I think 1971.
Q And how long did you work at Microbiological
Associates?
A Thirteen years.
Q What was your position during the time that you
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were at Microbiological?
A I began as Project Director for a variety of
contracts and eventuated as Director of Research for the past,
for the ten years, that's the post I held at Microbiological
Associates.
Q You're not currently workinc for Microbiological
Associates?
A No, I left in 1994.
Q Why did you decide to go to Microbiological
Associates?
A They had some interest in areas that were
consistent with my interests, specifically in the areas of
carcinogen metabolism. We had some interesting information
from my postdoc, the Roche Institute, and I could continue
that work at Microbiological Associates.
Q Do you know whether or not CTR, the Council for
Tobacco Research, had any contracts with Microbiological
Associates?
A Yes.
Q Did they have more than one contract?
A Oh, yes.
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Q What was your role in these contracts?
A I originally was a co-pr:ncipal investigator of
those contracts with Doctor, with-, actually with Doctor
Carrie
Whitmire originally and eventually a co-principal investigator
with Doctor Carol Henry, a series cf projects, and some of
them that I was the principal investiaGtor alone.
Q Now, what type of wor'rk did you do with Doctor
Henry?
A Doctor Henry's was mostly in the area of the smoke
inhalation program in which it was setting up a set of model
systems to see if we could understa::d or at least study some
of the potential biological effects of whole cigarette smoke.
Q Did you have a contact w_th CTR while you were
doing the work with Doctor Henry?
A Yes.
Q Who was that,'sir?
A Mostly Doctor John Kreisher.
Q Now, sir, you had a contract with Microbiological
Associates -- excuse me, you had a contract with CTR through
Microbiological Associates. Do you know the difference
between a CTR contract and a CTR grant?
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A In general it was explained to me and that came out
later, we are probably going to get into it, but in general a
grant was a gift that was a sum, a sum of money given to a
grantee to perform a particular set of technological studies
with really very little strings attached and that, usually the
money was given up front and a final report was given at the
end.
A contract in theory was a set of responsibilities
set out by the contractor, in this case CTR, to be performed
by the contractee, and if we did in fact perform those to
their satisfaction, we earned a fee for that set of
responsibilities.
Q Did the control that was exercised by CTR over
contract research differ from that exercised over grant
research?.
A Yes, yes.
Q Did ye:: ever have a CTR grant, Doctor Kouri?
A Yes, one.
Q When did you receive that grant?
A I think it was in '81.
Q Under what conditions did you receive that grant?
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A As a grant, just what I said before.
Q Now, you said the type of research that you did
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with Carol Henry was to expose mice to cigarette smoke; is
that correct?
A Yes.
Q I wonder if you could tell me whether or not the
research you did with Doctor Henr7 involved only one
experiment.
A Oh, no, it was a series of experiments, all
designed in, with trying to understand the potential
biological effects of whole cigarette smoke.
Q Now, the inhalation project that you were workin:g
on with Doctor Henry, was that a;,ar'L of a larger program?
A Yes. What we tried to do is we tried to
understand -- for example, stages of carcinogenesis is
something we put together, and we were trying to understand if
cancer was going to be one of the endpoints that we would
study, then we would try to break it down into a workable
set
of steps and stages so that we perhaps could understand how
cigarette smoke could potentially affect each one of those
stages.
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Q Doctor, I wonder if I could show you a document.
And if you could identify that document for the record, please
sir.
A This is an example of a -- my job actually was
mostly to be a strG:;egist, to try to understand where we were
going, where we were now and where we were going to be in
perhaps a couple years, and this was an attempt to put a
pathway together from which to follow
along the lines in these
kinds of studies, not necessarily for CTR but for any agency
that would have bee-- interested in this sort of activity. And
these are the poter=ial steps we thought in ch-emically-induced
cancer.
Q And who developed the chart that we're looking at,
sir?
A Actuallv I developed most of it in help with Doctor
Kreisher, and then eventually we asked Doctor Henry to get,
put her imprimatur and changes and concerns in and then
eventually all three of us were involved in the final
construction of it.
Q Sir, did this chart form the basis of your work at
Microbiological tha-- was done for CTR?
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A Yeah, often, yes.
Q
Were there components, for example, in your
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research that covered chemical transformation, carcinogenesis
and mutacenesis?
A
A
Q
Yes.
Were those important csnponents of your research?
Yes.
Doctor, I would like to show you a document we are
going to make an exhibit.
(Doc~:ments were marked Kouri
Deposition Exhibit Nos. 7
and 8).
A Yes.
Q (By Ms. Nial) Now, Doctor, I wonder if you could
look at the top of that document and identify it,-if you will,
for the record.
A This seems to be an internal document from the
Council for Tobacco Research that just states that two of the
contracts that we had currently going on in Microbiological
Associates, Contract 14 and 22, were combined into one large
contract, Contract 30, and this was the, most of the smoke
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inhalation studies.
Q Now, the next paragraph where it talks about a
special committee, I wonder if you could tell, read into the
record what that paragraph states.
The Contract Review Committee would be Doctor
Feldman, Gardner, Jacobson, Lynch, Meier, Sommers, and CTR
staff that met on December 21st and 22nd to review progress.
Q Okay. I was actually talking about this paragraph
right here where it says a Special Committee on Contracts was
appointed.
A A Special Committee on Contracts was appointed by
Doctor Sommers and after a two-day session the decision was
made to delete much of the research on chemical
transformation, carcinogenesis, mutagenesis and emphasize the
smoke inhalation studies and studies related to the effects of
smoke exposure on mice.
Q Sir, did you note that at that time, in
approximately 1978 when this document was issued, that that
part of your research was terminated?
A Yes.
Q Do you remember who informed you of the
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termination?
Not exactly. It was being filtered throuc:, both
verbally and I think finally formally it was via Tim Finnegan.
Q Who is Mr. Finnegan?
A He was a counsel for, with Ed Jacobs Z"or the
Council for Tobacco Research.
Q He was a lawyer?
A He was a lawver.
Q Had you met Finnegan before?
A Oh, yes.
Q And how abou-- Mr. Jacobs?
A Yes.
Q Did you attend scientific advisory board meetings
for the CTR?
A A few.
Q And were Mr. jacobs or Mr. Finnegan at t'r_c-se
meetings?
A Usually.
Q Did the termination of the components of y--ur
research which dealt with chemical transformation,
carcinogenesis and mutaaenesis have an impact on your
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research?
A Well, yes. It move: the timbre of the research
from a, kind of a basic research sort of activity in which we
were trying to understand basic mechanism to more
finish up the smoke inhalation studies.
of let' s
Q Okay. Did there cc*.= a time, Doctor Kouri, whe:n
you were working on your inhalaticn work that the entire
inhalation research project was terminated?
A Yes.
I
Q How were you notified c= that termination?
A Again, it was a series of conversations that went
I
on between ourselves and CTR stG=_, and it had begun really
all the way back in 1978 when Doctor Kreisher was rel_eved of
his responsibilities at CTR. It was fairly obvious a:t that
time at least one of our champions for that sort of ac-ivitv
was no longer there and it was likely that our ability to
carry on that work long term was likely in jeopardy, and it
didn't surprise any of us that in fact it was phased cut. The
actual steps involved in that phasing out, I really can't
remember but it involved both conversations with Docter
Gardner, Doctor LiSanti, and Mr. Finnegan.
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Q Do you have any understanding of why your research
was terminated?
A Actually Mr. Finnegan was fairly straight=orward in
his statements about that, and it got to the same co*:-rersation
or points that we made earlier and that is
the difference
between a grant and a contract, that there were some legal
responsibilities that micht be involved in a contrac_ setting
that would have been different than from a grant sett_ng, and
therefore it would have been, it's not politically responsible
from the CTR point of view to continue carrying on t:__s sort
of research from a contract point of view because it could
have been, the connotation still could be that the work was in
fact coming from CTR to us as a contractor to contrGc=ee. We
asked well, let's change it to a grant, then, and the decision
was at that time that it just didn't seem to be cons_=tent
with what the current ki"ds of administration that was going
on at CTR.
Q
I am wondering if you are familiar with a document
that's called a Frank Statement to Cigarette Smokers. I would
like to show you a copy of that document and I will m;rk it as
an exhibit.
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A No, I have never seen this before.
Q
I wonder if you could take a moment, sir, and read
it. Can you read it,
sir?
A Do you want me to read it out loud?
Q No, no, read it to yourself, sir.
(Docu-:ent was marked Kouri
De:csition Exhibit No. 9).
(Witness reviewirc document).
A Yes.
Q
(By Ms. Nial) I wonder if you note, sir, the
statement, we accept an interest in . people's health as a basic
responsibility paramount to every other consideration
business.
Do you see that, sir?
A Yes.
Q Do you believe that the actions of CTR were
consistent with this Frank Stateme nt?
in our
A No.
Q Okay. Sir, when you were told that your work on
the inhalation project was completed or terminated, were you
asked to submit a final report?
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A Yes.
Q And who besides yourself was involved in the
drafting of that final report, sir?
A Doctor Henry, Doctor Gardner, and Mr. Finnegan.
Q Did Mr., did Doctor Gardner participate in the
actual research?
A No.
Q
And Mr. Finnegan you told me is a lawyer
representing CTR; is that correct?
A Yes.'
Q Did either Doctor Gardner or Mr. Finnegan cive ycu i
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any guidelines regarding the drafting of the final re_ort?
A Yes.
Q What were those guidelines, sir?
A They would like to minimize the amount of :..ords
that went into the final report. It was really to be a
compendium of data, figures, tables, with a minimum a-:ount of
context in which to at least review and introduce those tables
and figures and it was to be, have very limited to no
discussion.
Q Was this limited or no discussion guideline typical
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when writing up a scientific report?
A Quite the opposite.
Q Have you written up scientific reports before,
Doctor Kouri?
A Yes, yes.
Q What is typical when you write up a scientific
report?
A Well, usually it's incumbent upon the person who
carried out the work to try to put it in a context in which it
was carried out, either, either context from the point of view
of how this particular set of results compared to, sav other
species or other conditions or in a historical sense what else
has been going on, how does it fit in with what else
is bei r.g
done in the literature at that particular time. It's much in
the same way that any publication is written.
Q
And the final report that you put together under
the direction of Mr.
Finnegan and Doctor Gardner did not
contain any context; is that correct?
A Correct.
Q Why do you think Mr. Finnegan -- strike that.
why do you -- what was your understanding of why
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Mr. Finnegan did not want any discussion?
A Ple thought it was just to be a one document summary
of a lot of complex studies that were carried out f or about a
three- to five-year period before that. So that it was, just
tried to be a compendium of results -- well, results, too, and
tables and figures so that anybody could actually look at
those tables and figures and come to scme sort of conclusion.
Q Was the report, the final r-e.port a collection of
raw data?
A Yes.
Q Pnd --
A There was some analyses asscciated with those raw
data. They were put in the context at least that you could
read them. I mean, they weren't a compendium of just raw
data.
Q Did you intend the final re:ort that you and Doctor
Henry drafted to be published and distributed to the public?
A No.
Q In your opinion, was it appropriate to distribute
that report to the public?
A No.
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Q If you had been informed by CTR or Mr. Finnegan
that the final report was going to be distributed to the
public, would you :ave insisted on including a discussion or
context of the research?
A Oh, absolutely.
Q Why is _t important to include in a scientific
report the context of the research?
A It's a, just a way to view the data in the context
of which, what was going on at the time and what we knew at
the time. Just, :cY an example, if you were talking about
cigarette smoke, I mean you would like to say does this
compare to how muc: cigarette that a human might get or how
much, how much smoke that, say one of the other studies,
say
hamsters or rabbits or any other species that might have been
carried out before:and, how do they compare. So that one
could get an idea cfE what dose that you might have bee:n using
compared to say doses anybody else might have used so you get I
a'context in which to view the data.
Q Does the failure to include a context have an
impact on how the data might be interpreted by persons who are
reading the raw data?
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A I think that's f airly obvious.
Q Now, Doctor Kouri, are you familiar with what's
been called in this litigation the 1984 Blue Book?
A Yes.
MS. NIAL: Now, I believe, Mr. Merritt -- I
wonder if we could at least share your Blue Book. I don't
have my copy of it.
THE WITNESS: I have mine.
MS. NIAL: You have yours?
THE WITNESS: (Nodding head Gffirmatively).
MS. NIAL: Oh, the witness has his.
(Discussion off the record).
Q (By Ms. Nial) Now, Doctor, I have in my hand a
copy of the 1964 Blue Book which is your copy; is that
correct?
A Correct.
Q If you don't mind, we're not going to attach the
Blue Book as an exhibit to this deposition.
MR. MERRITT: That's fine.
MS. NIAL: I think everybody has a copy of it,
at least once.
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Q (By Ms. Nial) Doctor, were you contacted before
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the Blue Book was actually published in 1984?
A No.
Q When did you become aware of its publication?
A When it appeared on my desk.
Q When was that?
A The actual -- I tried to remember that. ~t's
probably late in '84, '85, at least, you know, or maybe even a
little later than that w:en it appeared.
Q And have you reviewed the Blue Book rece--:1y?
A Yes.
Q And what does the Blue Book contain?
A Pretty much t:e content of the f inal repc=t..
Q Is it exactly in the way that you and Doc-or Henry
organized it?
A No.
Q And what are the differences, if you can recall,
sir?
A The onlv thinc I could see is that the introduction
objective section was moved after the summary instead of
before the summary, one, and two, the preface to the book was
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something put together by Doctor Sommers and obviously was not
a part of the final report.
Q Did the change in organization from the way you and
Doctor Henry organized it to the new way that appears in the
Blue Book have ar:y impact on how the information in the Blue
Book would be interpreted?
A It mic:t. I think the biggest issue is that it
probably shouldn't have been moved as opposed to what impact
it had. It just wasn't a verbatim construction from what we
had sent.
Q O:cay. =-nd it was represented to be a verbatim
presentation?
A Yes. In fact, I didn't know it until I looked at
it. In fact, I didn't know it until Doctor Henry told me
about it actually in her deposition is when I realized it. I
had never loeked at the book carefully enough to have noted
that. She in fac;1 did.
Q Did you give your permission for any change in the
final report?
A No. We didn't even know it was done.
Q And this Blue Book is the final report that you put
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together with the changes you've noted without any
interpretations included by you or Doctor Henry?
A Correct, correct.
Q Does your name appear in the Blue Book?
A Yes, Doctor Henry and myself are listed as the
co-principal investigators of the contract.
Q Did you give permission for your name to appear in
this Blue Book?
A No.
Q Are there any authors identified in the text?
A
No, other than our own.
But you were not identified as authors?
A Not really.
Q Do you think that having your name on this Blue
Book as a project director might have been misleadirz to
persons looking at the book?
A Yes.
Q Doctor, I'd like to show you an excerpt frcm the
Blue Book which is identified as Foreword.
A Yes.
MS. NIAL: I will make an exhibit of that
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section of the Blue Book.
(Document was marked Kouri
Deposition Exhibit No. 10).
(Witness reviewing document).
A Yes.
MS. NIAL: It looks like it has bee:n
inappropriately staplec, gentlemen, and I do apologize for
that.
Q (By Ms. Nial) Now, Doctor Kouri, this is one of
the additions to the Blue Book that you indicated that had
been -- I'm sorry, additions to your final report tha-- had
been made for the publication as the Blue Book; is that
correct?
A Yes.
Q And who is identified as the'author of this
Foreword?
A Sheldon C. Sommers, M. D.
Q
Did Doctor Sommers participate in any of t::e
research at Microbiological?
A No.
Q I wonder if you could take a moment to look at the
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Foreword.
A Yes.
Q Have you reviewed this Foreword before?
A Yes.
Q Do you agree with the F oreword?
A No.
Q I wonder, sir, if we could go through the Foreword
and if you could tell me what parts of it you do not Ggree
with.
A The second sentence, for example, says the
experiments represented a determined effort to develoc a
suitable animal model involving chronic cigarette smoke
exposure of inbred mouse strains known to develop various
histopathologic types of lung carcinoma after intratracheal
administration of pure chemical carcinogens.
That's a factual state::~ent but in the context of
chronic exposure of mice to cigarette smoke, I, my opinion
would be that that suggestion is now that the animal rodel
expresses identical histopathological phenotypes as those
phenotypes associated with cigarette smoking in humans. I
think that's what the connotation is in that sentence, and I
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think most people who read it w~uld take that to mean. And in
fact, the types of tumors that we did get in mice, althoug'rh of
the major types found in cigarette, in cigarette smoke
associated cancers in humans, they are not identical. Thei=
location is different and even the types of tumors are
different. And we note that because it's a rodent and not a
human and because of physiological differences, a variety of"
conditions, they are not identilcGl. And so making that
statement is a bit misleading.
Q Okay. Next state<<enft that you find misleading,
sir?
A The results, in the nexc, the results observed
included these, none of the smoke exposed animals developed
pulmonary squamous cell carcinoma.
Now, again, that follows exactly what I just sa_;
before, the connotation would have been, then, that these mice
do get scuamous cell carcinomas of the type that humans get in
response or at least associated in a epidemiological fashio~
with cigarette smoke.
The kind of tumors that humans get in respcnse to
cigarette, associated with cigarette smoke are mainly
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bronchogenic squamous cell carcinomas, very often bronchogenic
or at least central adenocarcinomas and some peripheral
adenocarcinomas as well as oat cell carcinomas.
In mice we find no oat cell carcinomas because the
cells aren't there and in fact we find no bronchogenic
squamous cell carcinomas in mice even with high doses of
chemical carcinogens that induce lung cancer in general. So
that we don't find the kinds of bronchogenic squamous cell
carcinomas in mice even with chemical carcinogens, even known
chemical carcinogens, exact kind.
So it's not surprising that we didn't find squamous
cell carcinomas the way it's written here. As a matter of
fact, it would have also been correct if he had said we also
didn't find oat cell carcinomas which is in fact we didn't
find oat cell carcinomas. And the reason we didn't find oat
cell carcinoma is that there isn't an oat cell in a mouse.
The reason we didn't find bronchogenic sauamous cell
carcinomas in a mouse is that the mouse doesn't seem to get
it. So that is irrelevant, that statement, that we didn't
have squamous cell carcinomas.
Q Okay. I wonder if we could follow on, then, to the
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next statement that you believe is misleading.
A Mice pretreated with a pure carcinogen did not have
significantly increased lung cancers after prolonged smoke
exposure and overall numbers of pulmonary neoplasms identified
were not statistically significantly different in smoke
exposed compared to sham or shelf. S'r.elf should be out of it
immediately because that's really a separate animal and
different control.
Eetween smoke and sham, wha:: the overall numbers
that were fcund, if you added every of all the tumors that
were found were in fact not different but that's really
comparing a:_les and oranges, that's a whole set of a variety
of tumors l;sted with a whole set of a variety of tumors.
tce could break down those two populations into a
set that is apples and apples. For ex-ample, we could take a
set of individuals, animals that were taken off test randomly
in the smoke exposed group and taken off randomly in the sham
treated anim:ls and compare those, those individual sets of
animals distinctly as a particular subset.
In that particular case, the overall incidence of
cancer amona those two groups, between those two groups is in
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fact statistically significant at .04, and was stated in the
results as such. As we stated here, we had a tendency to
mitigate against that statistical significance because any
month-by-month cha.r.ge never reached any higher than .07.
So we were right on the cusp. In some instances if
we did the analysis it would have been statistically
significant; in other instances it would not. But in fact the
way it's stated here overall incidence is in fact incorrect.
If you take a subset, the overall incidence in fact is
statistically significar_t.
Q Now, Doctor Kouri, if Doctor Sommers had asked you
to review this Foreword before it was included in the book,
would you have informed him of the inaccuracies of his
Foreword?
A I would assume I would have.
Q But he did not send this Foreword to you for your
review before publishing it?
A Correct.
Q I wanted to ask you about this first sentence in
the Foreword, it says the material that follows is the
complete and unedited final report of contract research
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performed from 1975 to 1983 by Microbiological Associates,
Bethesda, M. D., et cetera. Is it correct to say that this is
the complete and unedited final report?
A Well, obviously it was edited.
Q
Okay. Doctor, were you aware when you received
your copy of the 1985 Blue Book that ir- was widely distributed
to members of Congress, to members o-LE Congress?
A No.
Q Have you since found out that that was correct?
A Actually I don't, I have ne-:er seen a distribution
list, but verbally I have been lr-orm`w that it went to a lot
of people.
Q Doctor Kouri, I would like tLo show you what I
represent to you is a distribution lis:t for the 1984 Blue
Book.
A That represents about nine thousand?
Q It may be nine thousand.
A Is that the five thousand plus the four thousand or
something? I don't know exactly how this adds up but yes,
that's a fairly -- what's the Pluto Club?
Q I do not know.
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A Oh, I'm sorry, I didn't know that, I don't know
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what it is either.
(Document was marked Kouri
Deposition Exhibit No. 11).
Q (By Ms. Nial) Doctor, was it appropriate to
distribute the 1984 Blue Book to members of Congress without
including the internretations that you and Doctor Henry would
have of the information?
A I think it was inappropriate to send that document
to that many people without at least allowing us to have
looked at it, okayed that, since our names were associated
with it.
Q And I would assume, then, Doctor, that you do not
approve of this use of the final report?
A I'm not even sure what the use-was, to be honest
with you. I just krow that they should have asked us first, I
think it would have been appropriate.
Q At the time of the distribution of the 1984 book,
did you see any press releases relating to the publication of
this document?
A No.
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I wonder if I could show you an exhibit, sir.
MS. NIAL:: Can we go off the record for a
minute?
MS. BAUER: Off the record at 10:38.
(Discussion off the record).
MS. BAUER: Back on the record at 10:41.
MS. NIAL: Doctor Kour_, I would like to show
you a document which we are going to make the next exhibit.
(Document was marked Kouri
Deposition Exhibit No. 12).
(Witness reviewina doc::ment).
Q (By Ms. Nial) Doctor Kouri, if you would take a
second to review that document.
A Read the entire thing?
Q Yeah.
(Witness reviewing docu:aent).
A Yes.
Q Are vou done?
A Yes.
Q Now, Doctor, I wonder if you could look first at
the first page --
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A Yes.
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Q -- which is a memo from Leonard Zahn to Robert F.
Gertenbach; is that correct?
A Yes.
Q Do you know who Leonard Zahn was or is?
A Yes.
Q Who was he?
A He was a per-con who worked for a public relations
firm that the Council worked with.
Q Okay. F-nd Robert F. Gertenbach, who was
Mr. Gertenbach?
A At that time he was the new director of CTR,
President I think was his title.
Q Do you know ..zether Mr. Gertenbach was a scientist?
A Actually I dcn' t think so but I don' t k nc:~7 that.
Q Okay. In this memo to Mr. Gertenbach, M=. Zahn
says the following, -- tell me if I am reading this
correctly -- I hope Charlie will look closely at my
explanations and translations to make sure I have not
oversimplified or cmitted anything that is significant. There
are some apparent discrepancies in the MAI summary that he may
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be able to clarify for me. You'll note I have included
several negative findings which, in terms of the major thrust
of the study, probably are not important. However, they are
included to show we are not trying to conceal adverse results.
Pinat's your reaction to that statement by Mr. Zahn?
A Well, I, I don't think he was in the position to
actually even come to any conclusion relative to positive or
negative. I don't think he was a technical person. It would
have been smarter to have somebody that actually did the
studies tell him this, what was important, what wasn't
important.
Q They didn't ask you about drafting a press release?
A No, this is the first time I have even seen this.
Q I am reading the press release. Do you think the
press release cr at least, excuse me, the draft press release
that is attached to this memo fairly represents the results?
A Oh, :'io.
Q If you could just tell me briefly how you think it
is not representative.
A Oh, God, this would take too long to go through the
whole thing. Much in the same way I started off with the
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first conversation is largely effective here but the idea of a
massive inhalation study in which more than ten thousand mice
were exposed is not really -- it's a bit misleading in that
the connotation here is that we in fact did the be-all, to
end-all study for smoke inhalation and this in fact was the
study when that wasn't the case. This was
to be a set of
studies, in fact this was the first of a series of s-oke
inhalation studies that were to be scheduled to try to
understand in some regards the potential biological e=fects of
whole cigarette smoke. Pie only smoked one strain, we"only
smoked one sex, and we only smoked, exposed to one particular
kind of cigarette.
What we tried to do is shake down -- just _= huge
amount of infrastructure was required to carry out a study of
that magnitude to include how to generate enough smoke, how to
distribute it properly to the animals, to keep those animals
happy, alive, and we ran into, you know, the typical sorts of
problems when one is handling this number of animals. What's
true is the amount of work it takes. That just gives you an
indication of how difficult it is to try to do these kind of
studies. That fact, that, those words there, when I
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originally wrote them were, were to try to connote to the
reader ~ow difficult it is to do t:ese studies. It was not to
say that this was a huge study in which we have, finally can
ask the cuestion of biological effe-cts from whole cigarette
smoke and in fact have answered t1r~at auestion. That was never
meant to be, nor -- it was just G- idea to try to connote to
the reader how, how difficult it is to carry out these studies
even under the very limited studies and endpoints we could
compare =or this particular study.
So the inference here to me is all bassackwards,
and we %:ould never start off that .:ay and massively da da da
da da da, because in fact this was t-o be a set of studies c=
which the remaining ones never got to be done.
Q
And the remaining ones d_dn't happen because CTR
terminated its support of them?
A Correct.
Q That's all I have on that document, sir.
MS. NIAL: Let's take a break.
MS. BAUER: Off the record at 10:49.
(Discussion off the record).
MS. BAUER: Back on the record at 11:06.
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Q (By Ms. Nial) Doctor Kouri, we are going to begin
questioning again, you're still under oath.
A Yes.
Q Now, Doctor Kouri, before we took our break, we
were talkir_c about the press releases and the
distribution of
the 1984 bock. Do you recall that, sir?
A `_' e s .
Q As to the distribution of the 1984 book to lay
people, I'd like to ask you, sir, would a lay person be able
to interpret the content of the 1984 book in your opinion?
A
1,,ould a lay person in your opinion be more likely
simply to re-=d Doctor Sommers' summary or Foreword rather t"-an
attempting to review the raw data?
A Probably. It's tough for me to tell.
Q
Would it be your opinion, si-r, that someone woul:d
need a scie::tific background to interpret the data containe:
in the Blue Book?
A Absolutely.
Q ~L-d even someone with a scientific background,
would that person be better served if he was provided with z-he
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interpretations and context that could be provided by the
primary researchers?
A Absolutely. Not everything was in the report.
Q And not everything was in the report, sir, because
Mr. Finnegan told you to limit the kinds of information you
provided?
A No, not necessarily. It was more, for example,
context, the fact that what kind of, what kind of tumors do
mice get, you know. We, we just annotated them. We didn't
put them in any context of the kind of tur:.ors these get
compared to h-a--lsters, compared to humans, compared to
anything. There was no way to view whether this was just a
set of studies viewed of and by itself around that small
microcosm in which they were done. Therefore if you weren't
aware of some of the other things that were to be associated
with it, for example, how much cigarette smoke might be
deposited in humans, you couldn't take these data and, and
,
transpose them under a human situation, to the human
without having more information at your hand than was
presented in this book.
Q
And you had that information, sir?
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A We wanted to.
Q P-nd why -- and when you say you wanted to have that
information, what stopped you from having it?
A Mr. Finnegan asked us not to put it in.
Q Now, sir, if representatives of the tobacco
industry cited the M_crobiological results as supporting their
proposition that cigarette smoking does not cause lung cancer,
would you agree with that representation?
A Excuse me, say it again.
Q Okay. If certain representatives of the tobacco
industry stated that the results of the Microbiological
inhalation project supported the statement that cigarette
smoking does not cause lung cancer, would you agree with that
representation?
A No.
Q
And what would your opinion be of the results that
were found in the Microbiological inhalation --
A Oh, I think they were stated categorically in the
paper. Unlike the final report that's here,
we actually
published a peer review document, publication a year and a
half, two years later, in which the data then were compiled
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and then put in a limited context I might add, anyway, but a
least a context in which you could look at all the data, and
we concluded that cigarette smoke under these sets of
and I think that's
Q Doctor Kouri, you did not reach the usual ninety-
conditions is a weak chemical carcinogen,
the correct conclusion from these data.
five percent confidence level in the Microbiological
is that correct?
results;
A Depends on how you want to say that. In the way
that Doctor Sommers mentioned in the Foreword, if I looked at
the overall incidence of cancer in a particular subset, those
animals that were taken off test randomly we would have
reached statistical significance, that is less than .05. But
as we said, which Doctor Sommers failed to state in here, that
we felt that even that .04 was mitigated by the fact that at
no time did we reach .05 level of significance, actually
reached .07 in a month-by-month analysis, and we felt that was
a little bit, it's a little more conservative of a statistical
analysis but it gave us a feeling.
So what I would say we were right on the cusp of
statistical significance all the way along the study. Of
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course that wasn't the primary purpose necessarily for this
study either so -- it was to shake down equipment and shake
down the whole facility. So the fact that we even got that
close was kind of surprising to us as a matter of facz.
Q Are mice particularly sensitive to nicotine?
A Very much so.
Q Did that sensitivity to nicotine have any _mpact on
the results of your study?
A Likely, although that's supposition. From what i
can remember at the time, putting myself twenty years ago,
mice constantly fought the cigarette smoke when it cG-e down
the tubes for their inhalation. They never really Geapted
themselves very well, and we lost animals, a great de-=l of
animals through a variety of accidents, machine malfunctions,
and the fact that they didn't like nicotine and were very
sensitive to nicotine and often died within an hour o= smoke
exposure.
And so to limit that, we originally were c;ing to
expose animals to an entire cigarette's worth of smoke, that
is roughly ten puffs, and we had to limit it with the 2R1
cigarette to five puffs, roughly a third of the cigarette to a
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half of the cigarette, only because we just couldn't give any
more, we were killing the animals.
And so we knew we needed to move away from high
nicotine cigarettes if we were really going to be able to do a
bona fide bioassay with that particular material.
Q Did you have plans to do that kind of lower
nicotine inhalation study?
A We already had preliminary data with the 3A1 and
the 2A1 cigarette which are low alkaloid cigarettes, and those
we could come up with a regimen in which toxicity was cut
virtually in half to less and still got significant deposition
of smoke into the pulmonary tissue.
Q Was the research that you had planned for --he
complete inhalation study ever completed?
A No, but I wouldn't, i would actually say t~at there
was never such thing as a complete study. I always v_eweu it
I think, at least at the time when we discussed this, these
were evolving studies and we were going to learn eve rv time we
did it, and we'd doubt if we ever did the perfect inh-mlaticn
study but they would get better and better as we learned mcre
and more on just the operational details and the manaaement we
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needed to put into running a program of this size.
Q In your opinion, was the termination of the
inhalation study at the time CTR chose to terminate it good
science?
A No, I certainly didn't thi.r.:c so but that was their,
they were t:e contractor and it was their decision. Good
science I t^:ink would dictate, I thoucht it would dictate that
we follow through with some of the interesting sorts of
observations that we found at the beginning and to see if we
could continue it on. I always thought it was a much better
decision to make decisions from knowledge, not ignorance, and
not having that information in front o' you was, just unabled
you to make an informed decision.
Q Doctor Kouri, did you ever have the opportunity to
publish some of the results from your inhalation studies done
at Microbiological?
A Surelv.
Q And when did you do that, sir?
A we published them pretty much all the way along.
Smoke deposition, smoke uptake, impact of cigarette smoke --
well, smoke facilities themselves in general. There was quite
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a few publications. I don't remember the actual nurrLber but I
would guess that we averaged as a group a publication every
month to six weeks for that whole period of time in which we
were doing Council work. So there is probably forty papers.
Q Now, on the results of the Microbiological research
that were contained in the final report, did you publish on
that material?
A Yes.
Q And I wonder, sir, if I could give you a document.
A Yeah, this is the paper.
MS. NIP-1: I am going to make that t:e next
exhibit.
(Document was marked Kc~ri
Deposition Exhibit No. 13).
Q (By Ms. Nial) Now, Doctor, is Exhibit 13 the
article that you publis:eci on those results?
A Yes.
Q When did that article actually get publis:ed?
A It was in the July issue, 1986, of the Jcurnal of
National Cancer Institute.
Q Did you and C:rol Henry publish this article
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together?
A Yes.
Q Did anyone besides you and Doctor Henry review the
article?
A Doctor Gardner a::d Mr. Finnegan.
Q And did Mr. Finnegan offer any editing advice?
A Yes.
Q And what editing advice did he offer you?
A He asked us to limi t our discussion to the
exneriments at hand here without putting much, either
historical context or, I don't know, other human context to
these studies, and we did.
Q And why didn't he want you to give any human
context of the studies?
A Tough for me to tell. I could surmise that it was
just an attempt to simplify this particular study to the data
at hand rather than expanding it any.
Q Left to your own decisions regarding the
publication of this article, would you have limited your
comment regarding weak carcinogen to mouse lung?
A Would I have altered the --
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Q
Would you have -- if you could refer to
the first
sentence of the discussion. The first sentence of the
discussion, the results of this study suggest that 2::1
cigarette smoke has weak carcir:ccenic activity in mouse
tissue.
A Right.
Q Would you have limited your opinion or your
interpretation of the results to being
mouse lung tissue?
weak carcinogenic
lung
in
A If, if Mr. Finnegan were not there?
Q Yes.
A No, that's the correct conclusion.
Q Okay.
A And Mr. Finnegan agreed with that conclusion.
Q Okay. Do you have any opinion about the _moact of
the widespread distribution of the Blue Book on the _-:oor:.a:!ce
of vour article in 1986?
A Actually no because I actually didn't know it had a
widespread opinion. So I didn't think it had any impact at
the time. In fact, I didn't know it until a month aco that it
might have had any impact.
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Q Doctor Kouri, you've reviewed Doctor Henry's
deposition; is that correct?
A Yes, I've looked at it.
Q
There was one particular issue
in Doctor Henry's
deposition regarding some leases. Do you recall that
discussion?
A Yes.
Q
And do you recall that that discussion indicated
that CTR wanted to terminate the Microbiological inhalation
studies because of the issue of the possible termination of a
lease?
A Yes, that was the connotation in Doctor Henry's.
Q Do you recall the issue relating to the lease?
A Yes. Actually I was probably more close to it than
Doctor Henry was because I was the Director of Research and in
that regard I was her boss.
Q tvas the lease on the Microb_ological building the
reason that the inhalation project was terminated?
A In my opinion no.
Q Doctor Kouri, who was Doctor Kreisher?
A He was our contact at Council for Tobacco Research
T
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related to these projects.
Q And approximately how long did you work with Doctor
Kreisher; do you recall?
A From, it must have been '70 to '78.
Q And what happened in 1978?
A He was terminated.
Q Did he just leave because he had other business
elsewhere?
A No, at t1re time it was explained to us that he was
just, he was relieved of his responsibilities at the Council
because of, just, kind of an inability to get along.
Q And did you ever experience any inability to get
along with Doctor K_eisher?
A No.
Q Were you aware of any of these problems prior to
his termination?
A No.
Q You earlier described in your testimony, please
correct me if I'm wrong, Doctor Kreisher as a champion of your
work at Microbiological. What did you mean?
A Well, to get any of these, this project done of
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this size, it requires a lot of effort by usually a few people
and a champion is what anybody needs to get the project done,
and Doctor Kreisher was a champion in terms of he thought this
was the kinds of things that ought to be done. And I got
enthusiastic in a lot of regards because of his enthusiasm,
and we seemed to be making prccress in that area so I felt
pretty comfortable with this tea,:~ approach that would be
workable.
Q Was there anyone else at CTR that you felt was
competent to deal with the work going on at Microbiological
besides Doctor Kreisher?
A The only person who really had some technical
expertise on staff was Doctor Gardner.
Q Did he ever get involved in your work?
A Not on the day -- not to the level that Doctor
Kreisher did but he was helpful. Because he was a
pathologist, he would, he very often was helpful in some of
our interpretation. He carried on more conversations with our
pathology team than he did with our, our, say the operating
team.
Q Now, Doctor Gardner didn't write the Foreword in
X
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the 1984 Blue Book, did he?
A No.
Q Doctor Sommers wrote that Foreword?
A Right.
Q Was Doctor Sommers qualified to interpret that
data?
A Again, my opinion is : o-- actually I don' t know of
Doctor Sommers' background in the smoke area. He is an b?. D.
but I thought he really had more o= a surgical background as
opposed to -- although I might be wrong there. I actually
don't know Doctor Sommers' backcroLnd. He came in a little
late on the scene. Fle was not there for this whole set of
processes that were going on in terms of these studies. I
actually don't know when he appeared actually on the scene,
and I was kind of surprised when I saw that his name was the
one associated with it. It would have been -- Doctor
Gardner's is the one I would have expected to see if anybody.
Q I would like to show you a document, sir. This
will be the next exhibit.
(Document was marked Kouri
Deposition Exhibit No. 14).
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(Witness reviewing document).
A Yes.
Q (By Ms. Nial) When you were meeting with
Mr. Scheiner, did he show you this document?
A No.
Q Now, this document is an October 25th memo from a
Mr. Seligman to the CTR file; is that correct?
A Yes.
Q It's on Philip Morris stationery; is that correct?
A Yes.
Q I wonder i f you could look first of all in the
first paragrap:!. Does it indicate that Doctor Kreisher's
employment wit1n CTR had been terminated?
A Yes.
Q is that about the time that you think Doctor
Kreisher had left?
A I think. It sounds right.
Q I wonder if you could go to the last paragraph
which says at a recent meeting, the controversial contract
work conducted by Microbiological Associates was terminated at
the end of the vear, probably June 1979.
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Were you aware that your work at Microbiological
was controversial?
A No.
Q Was this the first time you've heard the word
controversial applied to your work at Microbiological?
A Yes.
Q Do you have any opinion as to why it might have
been controversial?
A No, not really.
Q Okay. Do you know anything about this gra:t for
thirty-eight thousar_d dollars that --
A I think, although I might be wrong, I think it was
the amount of money that was required by Carol and myself to
pull together all of the final tables that were part cf this
project and put together this paper.
Q Okay.
A Or it miczt have been to actually put this together
as well. Maybe it was bcth as a matter of fact.
Q So you think it might have been money for both
putting together the final report --
A The final repcrt and the associated publications.
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It was to wrap it up.
MR. McCOr~'NELL: Susan, are you done with this
exhibit?
MS. NIAL: Yes.
MR. McCOl,'NELIL: I note the designation : on the
side of the exhibit that says dissemination is prohibited by
Court Order. I think at this point I am going to ask that the
part of the deposition transcript that pertains to this pace
be marked as confidential and subject to whatever sealing
order is appropriate in the Barnes case.
MS. NIAL: ^his document has gone thrcugh the
being produced procedure in the State of Florida and is
longer under a protective order of any kind.
no
MR. McCO"N-ELL : I don' t know i f that' s the
case in the Barnes case.
I
MR. SCHEINER: Florida is not an active case.
This is not being taken in Florida.
MS. NIAL: T- understand that, but it's out in
the public domain, this document. I object to this deposition
being sealed.
MR. McCOh~ELL: I understand that, but we
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reserve our rights -- I just don't want to waive any right we
have in the Barnes case to have this part of the transcript
sealed.
MS. NIAL: Okay. I' ll just let you k::ow --
MR. THOP.?E: That's going to have to he worked
out with the Court in Texas before any sealing is done.
MR. McCO`~"NELL: I understand.
MS. NIAL: I will just let you know fcr the
purposes of your own record that this document was used in the
Carol Henry deposition and that deposition is not s`G_ed.
Q (By Ms. Nial) Doctor Kouri, after Doctor K_eisher
left CTR, did your relat_onship with CTR change?
A Yes.
Q How did _t ch-=-:ge, sir?
A Well, obz-ious_v the style is much different between
John and mostly the rela:.ionship we had was then with Bill
Gardner, Doctor Gardner, and Mr. Finnegan himself often was
involved. So the whole way of doing business was pretty much,
from my way of taking it, it was obvious that we were slowing
down the basic technical sorts of approaches that we were
doing and we were moving towards just completing and finishing
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whatever activity that was going on at the time.
Q As a scientist, are you used to having lavrfers
working alongside you when you're doing work?
A First time in my life and the only time.in my life.
Q Did you travel to New York at all to inform the CTR
SF3 of your work?
A It wasn't necessarily SAB I should say, it was CTR
staff itself. What we tried to do is -- in fact, because
Doctor Kreisher wasn't there to ie an effective spokesperson
that we thought for our own, for this large contract, Doctor
Henry and myself decided that it would just be smarter that
we got up there virtually every ~:.cnth because it's a=ot of
money, it was a big project, that it would be just smart on
our parts to keep everybody that we thought, you know,
informed as well as we could in terms of the progress of t:_=
project.
Q Did the kinds of research that you do change a_'te=
Doctor Kreisher, that you did change after Doctor Kre_sher
left?
A Yeah, we, all the basic research in terms of
mutagenesis, carcinogenesis, the in vitro assay,
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transformation, cigarette smoke condensate related stuff, some
of the biochemistry, those were studies that actually were
asked to be terminated and they were and so by definition a
lot of our work -- in fact, a lot of the work that I
specifically was involved in oricinally and historically was
no longer really very important cr less important anyway, and
we focused pretty much on the, on the smoke inhalation study
itself.
Q -Now, Doctor Kouri, you, as we said, you've reviewed
Doctor Henry's deposition and in that deposition there was
some indication by Mr. Merritt that there was some conflict of
interest existing between you and Doctor Kreisher. Do you
recall that exchange?
A Ye s .
Q t~;hat was your reactio-: to that exchange when you
read it?
A I was surprised.
Q Was there any conflict of interest existing betwee*
you and Doctor Kreisher?
A I don't think so.
Q
Have you ever been accused of that kind of activity
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1 in your job before?
2 A No.
3 MS. NIAL: If you could give me a minute , I
4 might be able to wrap this up.
5 MR. MERRITT: Okay.
6 MS. BAUER: Off the record at 11:31.
7 (Thereupon, a short recess was taken).
8 MS. BAUER: Back on the record at 11:42.
9 MS. NIAL: Except for reserving my right to
10 redirect, I have no further questions for Doctor Kouri.
11 MR. MERRITT: Let's go off the record.
12 MS. BAUER: Off the record at 11:42.
13 (Discussion off th
d)
e recor
.
14 MS. BAUER: Back on the record at 11:43.
EXAMINATION B
15 Y MR. MERRITT
16 Q Doctor Kouri, my name is Bruce Merritt and I' m here
17 representing the Council for Tobacco Research. We have n't met
18 prior to today but you have spoken on a prior occasion with my
19 associate Alan Scheiner?
20 A Correct.
21 Q And you responded to some questions from Ms. Nial
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on your direct exam:nation relating to those communications?
A Correct.
Q Did Mr. Scheir:er in the course of that meeting with
you ask you to do anythir_g that you felt was improper?
A Oh, no.
Q Or uneth_cai?
A No.
Q He came and asked you if you would assist him in
going through the f:_es relating to the MAI contracts --
A Correct.
Q -- and t=--rir_c to parse out what had happened?
A Correct.
Q And as I understand it, you were busy at the time?
A I was.
Q And you were willing to meet with him but you
required that he pay your customary consulting fee?
A I did.
Q And that was the fee of a thousand dollars a day I
believe?
A Correct.
Q And as I understand it, you subsequently decided
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that you didn't want
to accept the fee?
A Right.
Q You didn't understand that there was anything, any
strings attached to that money whatsoever?
A Absolutely.
Q Now, you have met several times with the Ness-
Motley firm; is that correct?
A Yes.
Q And that was in preparation for this deposition?
A Once in preparation for this deposition last
Monday.
Q And you also have had contact with them in
connection with preparing an affidavit for the use in one of
their lawsuits against CTR?
A Right, one other time.
Q You understand when I say CTR, I mean the Council
for Tobacco Research?
A Correct.
Q
And when I say MAI, I'm referring to
Microbiological Associates?
A Fine.
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Q You haven't required t:aem to pay you any kind of
consulting fee for your time sper:: with them?
A No.
Q
When they asked you to provide them with an
affidavit to assist them in the lawsuit, you provided suc: an
affidavit?
A I did.
Q And that was the ciocu-.ent that was marked this
morning?
A Correct.
Q Your -- let me start by asking you, when d-_d ycu
first become associated with NL~I?
A I think in 1970.
Q
How long had that bee-- af.ter you got out of
graduate school?
A Roughly two years.
Q
Where had you worked in the meanwhile?
A I postdoc'd at the Roche Institute for Molecular
Biology in Nutley, New Jersey.
Q After that you went directly to MAI?
A Correct.
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Q MAI is a private laboratory; is that correct?
A Correct.
Q it's not like a laboratory that might be operated
at Harvard or Yale?
A Correct.
Q It's a profit-making organization?
A Correct.
Q And at some point during the time that you were at
MAI, it was in fact acquired by some other company, by the
Whittaker Corporation; is that correct?
A Yes.
Q
And so unlike the work that other, that
universities or research labs that are nonprofit might have
done for CTR, the work that MAI did for CTR was profit making?
A Correct.
Q
And at some point in time, it became a fairly
significant portion of MAI's total revenues; isn't that
correct?
A Correct.
Q In excess of ten percent or so at some point?
A Probably about that level.
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Q Okay. Was your -- you were the project manager or
one of the project directors for the CTR work that MAI was
doing; is that correct?
A Correct.
Q And was your compensation pegged in any way to the
amount of work that was done or the profits made by MAI on
CTR's work?
A No.
Q But certainly your position and your stature within
the organization was affected by the fact that you were the
project director of one of their largest, if not their largest
customer?
A I don't know if you say my stature was enhanced
related to that. I was the Director o' Research or was named
the Director of Research I think separate from any
relationships with CTR, and that was the job I really held
most of the time with Microbiological Associates.
Q But CTR was a valuable customer so to speak --
A Certainly, certainly.
Q -- of MAI, and MAI's profitability was certainly
enhanced by CTR's work being there?
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A Certainly.
Q And it was certainly not enhanced by having the CTR
work go away?
A Certainly.
Q Pnd in terms of your career as a research scientist
at MAI and Carol I:er_ry's career as a research scientist at
MAI, that wasn't helped by the fact that the CTR work
eventually went away?
A Yes.
Q Yes, it was not helpful?
A Yes, it was not helpful.
Q Okay. Ar:ci that was a disappointment to you, wasn't
it, at the time?
A Yes.
Q I mean, it would have been, you could have imagined
at the time that the work that MAI was doing for CTR might
continue for a number of years --
A Correct.
Q -- in the future, might be profitable for hMI,
might be, might enhance your reputation and stature as a
research scientist in the research community?
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A Certainly. I
I
Q It's a fair statement, is it not, that at the ti*:e I
CTR made the decision to stop co:=inuing the work with MAI,
that you expressed some bitter disagreement to Doctor Gardner
and Doctor LiSanti, that you felt that it was a bad decision
and you disagreed with it and yo~.:were very disappointed;
isn't that a fair statement?
A I guess I would agree with everything but bitter.
Q Well, bitter in the s_-_se that you were ur.:._Gpny?
A Well, I think as you say, we're all business pecp_e
and technical people in our heart, that was our job. When Jcu
see about fifty percent of your responsibilities get taken
away in terms of level, yeah, you're d_sappointed, you wis:: it
wouldn't have happened. But I also on the other hand was a
business person enough to realize thGt things don't co crn
forever and we moved on.
Q In fact, an organization like CTR has a lot of
promising research opportunities made available to it?
A Of course.
Q And isn't it a fact th:.t an organization like CT:c
is always having to deal with deciding where to put a limited
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amount of money among an infinite number of opportunities?
A Absolutely.
Q And at the time CTR was doing the work with MAI,
they were also funding literally hundreds of other grantees --
A Correct.
Q -- who were submitting in many cases exciting and
cutting-edge type research proposals to CTR and CTR had to
choose among them?
A Absolutely.
Q And the decisions at CTR were over, on these grant
applications were overseen by a Scientific Advisory Board?
A Yes.
Q And these were scientists who were not employees of
CTR; is that right?
A Yes, that's my recollection.
Q
A number of these scientists were people that
you
knew; isn't that right? '
A Yes.
Q And they were scientists of substantial stature in
the scientific community?
A Yes.
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Q Were they people of high integrity?
A I would think so.
Q I mean, for example, Doctor Gardner, Doctor Gardner
had been a very prominent professor of anatomy at Yale --
A Right.
Q -- before his affiliation with CTR?
A Yes.
Q In fact, had been the head of the International
Cancer, International Congress against Cancer, you know the i
organization I'm refe=ring to?
A Yes.
Q And was k-:own nationally and internationally as a
cancer researcher of high integrity?
A I agree.
Q The other, there were several SAB members that were
in fact people that you had suggested as possible SAB members
to CTR; isn't that correct?
A Oh, I don't know if I ever suggested anybody.
There was -- sometimes I'd ask would this person help but I'm
not sure I ever up-front suggested anybody.
Q
Was there anybody on the -- for example, were you
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familiar with a scientist by the name of Hans Meier?
A Yes.
Q Was Hans Meier a man of, of significant stature in
the scientific community?
A I think so.
Q Was he a man of high personal and scienti.f.3 c ethics
as far as you knew?
A I think so.
Q Was there anyboody on the Scientific Advisory Board
that you felt was not, that didn't fall within that
description of being substantial stature and high integrity as
far as you knew?
A No.
Q Henry Lynch, were you familiar with him?
A Yes.
Q Was he also a scientist whose --
A . Yes.
Q -- reputation was, was both national and
international?
A Correct.
Q And a man of high integrity?
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A (Nodding head affirma=ively).
Q What about the staff? You've mentioned your
champion John Kreisher. There was another researcher there
named Vince LiSanti?
A Correct.
Q Did youbelieve that Vince LiSanti was a gcod
scientist?
A Actually I don't mean it this way, Vince wasn't
really a scientist. I mean, he, ':^e was, I think his strengt.h
was more in management and auctir__s;.ration at a technical
level, but he, he, I think he'd admit as well, his background
was in dentistry and he wasn't a toxicologist or a
carcinogenesis expert, and in that regard he helped us out in
some of our, let's say our tissue culture related stu==
because he was more familiar with those sorts of activities
but had limited background in toxicology or inhalatio.n~, the
smoke studies itself.
Q But in terms of his ability to administer and
manage research such as CTR was conducting under contract with
MAI, he had a lot of experience, he had done that for years
even before joining CTR?
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I
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A Correct. But I thought the question was in terms
of technically and I think he had very minimal technical
impact on the project but did help us out from an
administration and managerial point of view. That was I think
his strengt:? .
Q Okay. WGs he a man that ycu think had high
integrity?
A Sure.
Q -were any of the people that we have talked about,
the SAB mem:,ers, the staff people, Doczor Gardner, people that
would compromise their scientific intecrity or ethics because
the tobacco companies
asked them to do that?
A No, there was nobody there that -- in fact, I was
surprised to see the Foreword.
Q when you, when you were fir-st approached by Alan
Scheiner sc-e months ago and asked if you would assist him in
going through the MAI files, you didn't feel that this kind of
a contact with somebody representing CTR was any sort of an
improper thing, did you?
A Ko.
Q
You didn't expect that he would ask you to do
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anything improper?
A Absolutely not.
, Q Have you ever done anything that you believe to be
unethical or a violation of your scientific integrity because
CTR asked you to do it?
A No.
Q So your disagreements with Doctor Sommers'
Foreword, your disagreement, your criticism of tiie i.nvclvement
of CTR's lawyer in aspects of MAI's writing up of its
results
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and the like, none of that rises to the level where they were
asking you to do or making you do thincs that you as a
scientist felt were unethical?
A Correct.
Q And you never did anything that you as a scientist
felt was unethical as a result of them forcing you or coercing
you?
A Correct.
Q And you wouldn't have done that, would you?
A I would not have.
Q There -- ultimately when a scientist does research,
accumulates data, writes it up and makes it available, either
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to the person who hired him to do it or to the world at large,
he does it on his own individual scientific responsibility?
A Correct.
Q And he has to make sure that he's not falsifying
data, misinterpreting data, suppressing data, stating things
that are, that are misleading or fraudulent, and if he
it's his responsibility as well, isn't -Lt?
A I'm not sure --
Q Let me withdraw the question.
dces,
A That was a long one. I wasn't sure exactly what
you meant.
Q I don't want to, you know, tire you with one
question.
A I wasn't sure what that one meant.
Q A scientist who does research, who writes reports
or publishes articles in a journal does it on his own
scientific responsibility?
A Yes.
Q Ultimately every scientific journal article, for
example, bears a scientist's name --
A Yes.
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Q -- or the names of several scientists?
A Co-rrect.
Q And they put their name on there as their seal
that, that they're accepting responsibility for the integrity
of the process and the results?
A Correct.
Q And CTP,::ever asked you to do anything that
violated that; isn't that correct?
A Right.
Q The work that MAI did with CTR sl,anned a num:oer of
years; isn't that r_ght?
A Yes.
Q You starzed working for CTR either at or shortly
after you joined rL?T in 1974?
A No, I jcined I think in 1970.
Q 1970?
A (Nodding head affirmatively).
Q When did you start actually doing work with CTR?
A 1970.
Q So you started in 1970 and the work continued right
up until 1981 when, when the last of the inhalation studies
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terminated?
A Yes.
Q So that was eleven years that you worked fcr CTR?
A Sounds right.
Q The work that MAI did for CTR was multifaceted;
there were a lot of projects in addition to the smoke
inhalation studies?
A Correct.
Q There was work in mutagenesis?
A Yes.
Q On carcinogenesis?
A Yes.
Q Work on transformation?
A Yes.
Q There was work that was done with, with ma-::-a1
cells or bacteria in little Petri dishes where they were
exposed to various substances?
A Yes, yes.
Q That was kind of the mutagenesis and the
carcinogenesis studies?
A Yes.
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Q And during that period of eleven years, that work
was written up by you on a number of occasions and published
in peer review journals?
A Yes.
Q
right?
And CTR encouraged you to do that; isn't that
A Yes.
Q
In fact, I think overall there were some sixty peer
review journal articles that came out of the MAI/CTR
relationship?
A I didn't know the number but that sounds ccrrect.
Q In addition to the articles there were, there were
posters and abstracts that were submitted to internationGl, -
A Probably the same number.
Q -- international conferences?
A Yes.
Q In some cases CTR paid to have you or poctc= Henry
or Doctor Whitmire attend those conferences?
A Correct.
Q CTR, CTR's work in that area I think, wouldn't it
be fair to say, substantially moved the ball in, in science --
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A Absolutely.
Q -- during that decade?
A Absolutely.
Q This was high quality woYti:
A Absolutely.
Q in some cases it was cutting-edge work?
A F.bsolutely. In most cases it was cutting-edge
work.
Q
Now, when you described jo'.-.-n Kreisher as your
champion, he was the guy at CTR 4i: owas sort of in charge of
or supposed to look after the MAI study; --
A Yes.
Q -- isn't that right?
A Yes.
Q So when, when you would want to do some additional
work or want to propose a modification or an extension of some
research that you were doing, you would go to John Kreisher
and Kreisher would, would be part of the process of getting
the SAB to, to agree, if that's what they were going to do, to
do that research; isn't that right?
A Yeah, I think so.
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Q Have you ever worked in another organization that
has done, that has hired a contracting lab such as triAI to do
research?
A I'm sorry?
Q HGve ycu ever, have you ever worked for another
organization that, that has been like CTR was in the
seventies, that is, that was hiring a research lab to do
research for them?
A ye=.
Q A:d have you ever acted in the capacity of sort of
a contract o==icer?
A No, I haven't myself. You mean me to give out the
contract?
Q YeS, yes.
A No.
Q but have you observed that those organizations
invariably have s:;-:ebody who is responsible for each contract?
A Correct.
Q And that person --
A That's vour contract officer.
Q Yeah. And one of the duties of a contract officer
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is to be knowledgeable about what the contractor is doing?
A Correct.
Q To understand how it fits into the overall program?
A Correct.
Q And also to l::ok out for the funding agency to make
sure they're getting barg for their buck?
A Correct.
Q He's supnosed to be essentially more of a.^n advocate
for his employer than fc= the contracting lab; isn't that
true?
A Yes.
Q And there were times, were there not, when, when
Kreisher, Mr. Kreisher cculd have been criticized by somnone
at MAI who felt that mav'--e the MAI study wasn't the i::ghest
priority for CTR for bei-g too much of an advocate fcr bLk.T.?
A I don't think so but I don't know what ycu mear. by
that. I mean --
Q Let me try to approach it a different way. When
there was an issue as to whether or not MAI should be doing
certain additional research at CTR, you could usually count on
Mr. Kreisher to be an ad-:ocate for MAI's point of vie:. because
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was
required a specific attention, you know, for a study, whatever
it is, it was all based on science. I mean, if it was based
o: good science and the propcsed studies or the prepc-=ed
alteration or the proposed project made sense both
technically, financially, and whatever i.t is -- John rronably
killed as many projects as he in fact accepted. He ce:tainly
you and he had a fair amount of agreement as to what MAI
doing?
A No, no, I wouldn't -- I would say that if we
wasn't an advocate just
to
rubber stamp any good thoucht t'_at
I might have had or I thought I had at that time. HE would
look as any project director does and that is he evaluates it
based on the data that he has at the time, and of.ten we
brought in other people from CTR to help us evaluate some of
those studies as well. Vince LiSanti, for example, is one of
the ones.
So I don't think he was the only person involved
and, and they are all based on a typical review cycle or
review approach that I think that anyone would have cdcne. ir,
fact, a lot of the project directors at NCI with whom I worked
would have done the same exact thing.
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Q If there's an infinite amount of money, then all,
all good science proposals can be funded; isn't that right?
A True.
Q But there rarely is infinite amount of money?
A Rarely.
Q Certainly it's fair, is it noi:, to say that
Kreisher was very much in smpat:^.y with the prioriti es that
MAI wanted to accomplish? I mean, you collaborated together
on that carcinogenesis chart that :ras discussed this morni*:c?
A Umh-humh.
Q
You had, you shared a:_sion as to the sorts of
research that you thought would be most helpful in unraveli-ng
the mystery of what causes cancer, and Mr. Kreisher was, was
similarly-minded in many respects 1-,,o yourr approach to those
problems; isn't that a fair statement?
A Yes, sympathetic might not be the right word, it's
more our objectives and our view c= the problem was fairly
similar.
Q And in addition, you h-ad a certain personal rapport
with Mr. Kreisher; isn't that fair to say?
A Only technical.
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Q Well, but after he left CTR and after you ].eft MAI,
you were later business partners together; isn't thaYt right?
A That's ten years later, but, but that had -- yes,
but again, if the question -- repeat the auestion again.
Q You were --- after you left N.AI s::r.:: after he left ,
'
CTR, some years later you went int:, busines.: w_,1_;.r~
i
Kreisher?
Kreisher.
s. ~
A Ye
Q Okay. You had more, you have mo_c: oy a
relationship with him than you do with, with, you know, many i
of the people that you've had to deal
with ir., your career?
~
A At the time at which we were carrying cut these
studies, I had no more responsibility or relationship with ~
Doctor Kreisher than I had with any other projec;t director or ~
contract officer. ~
Q So the fact that you became a business partner of
his in later years was due to
,
A Was secondary. I mean, that happened ten years
later.
Q Okay. Isn't it a fact, though, that when he left
CTR, that your relationship with Doctor Gardner was not as
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supportive in your view as, as Doctor Kreisher's relationship
had been?
A No, I thought Doctor Gardner was every bit as
I
enthusiastic, a champion for the projects as Doctor Kreisher
wo:s.
I
Q So you feel that Doctor Gardner was open-minded in
terms of what you were doing at MAI?
A I did.
Q And if Doctor Gardner had concluded in 1980 that
CTR's money would be better spent elsewhere than on continuing
work with MAI, you would have no reason to believe that that
wasn't an honest opinion by a scientist of integrity?
A You're right.
Q And that's a matter in which different scientists
could have a different opinion; isn't that correct?
A Correct.
Q There's always the problem of limited resources --
A Absolutely.
Q -- and different places in which you can spend it?
A Yep.
Q And you never felt that Doctor Gardner had become
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an industry shield or had given up his integrity in order to
do the will of the tobacco companies?
A I have no information that would suggest that.
Q Now, when Doctor Kreisher left CTR, I think you
testif ied this morni na that you, that at that poi nt w:icxi
in the middle of, or in the Spring of 1978,
was
t::ar you =e'_t t:nac:
the amount of work, you felt that MAI's activity or rL=-:I's
research began to wind down?
A Correct.
Q Isn't it a fact, Doctor Kouri, that CTR 101A., the
lifetime smoke inh-alation study, hadn't even started GS cf thel
. ~
time when Doctor Kreisher left?
A It just started.
Q And that that was in fact, in terms of mo:!cy s.?zr.t,l
the biggest thing that CTR did with MAI?
A Correct.
Q And that was a study that went on for several years
after Doctor Kreisher's departure?
A Correct.
Q Now, you -- could I ask you to look at Exhibit
14, --
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A Yes.
Q -- which was marke: this morning.
You testified that -- now, this is a memo, an
internal Philip Morris memo in October of 1978, and Ms. Nial
asked you this morning about the last paragraprh of thi s memo
which makes reference to the fact that a controversial
~
contract was terminated at the end of the year but a grant to ~
the two principal investigatcYs was approved in the amount of ,
I
thirty-eight thousand. ~
~
A Yes.
Q You testified that you t'r_ought this grant was for
the writing up of the, of the inhalation study?
A I think so.
Q But the inhalatiorn study at that point hadn't even
begun; isn't that correct?
A I actually don't remember what the -- do you know
what the thirty-eight thousand was
for, then?
Q But I'm not the witness. The question is --
A I don't remember, sorry.
Q Isn't it a fact that it couldn't have possibly been
for the writing up of the Blue Book or the JNCI article or the
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inhalation final report because none of that has happened for
years? You didn't start working on the final report until
1981, isn't that right, --
A Correct.
Q -- three years later? ~
A Correct.
Q Is it a fair statement that your memory on years is
not, not --
A That's fine, that's fine.
Q Okay. In fact, the grant tzar's at question rier.°_
was CTR Grant 1271 which was a grant to you and Doctor Henry
to do mutagenesis and carcinogenesis a d transformation
studies with Doctor Benedict; isn't that right? I
A I actually -- obvious].y I d_dn' t remember that.
Q Eut did you, remember that the contract that Ms.
Nial asked you about this morning was in fact simply converted
to a grant because CTR felt it was more appropriate f or
funding by way of a grant and that it continued for another
three years?
A Obviously I didn't remember that. I still don't
remember it.
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Q Okay. Let me have marked as the next exhibit, let
me see if I can refresh your memory, Exhibit 15, which is an
Application for Research Grant to CTR dated September 11,
1978.
(Document was marked Kouri
Deposit ion t':o,:-5),
(Witness reviewing documFnt).
A Oh, all right, yes.
Q (By Mr. Merritt) You remember this as a grant
application that you submitted in September of
1978?
A Sure, I was in error,.this is -- obviously the
thirty-eight thousandd relates to this. I didn't know what it
was.
Q That was part of the mutagenesis and the
transformation and t'r.e carcinogenesis studies that you had
previously done under Contract 14?
A No, this was a new approach that we felt merited a
look from a grant point of view as opposed to a contract point
of view because this was in fact a fairly high-risk set of
objectives.and experiments that we. proposed here, and there
were concerns whether they would actually ever work or not.
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This had never been done, this alkaline DNA elution assay had
never been done in vivo, that is in animals, in tissue, and
we thought it represented an interesting corollary or
additional a_Proach to the projects that were going on and
because it was represented, it had relatively hiah risk
so
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associated with it, we felt it fit more within a grant point
of view than a cortract point of view because we actually
didn't know _= this would or would not work at all. So we
broke it up.
Buz isn't it a fact that in May of 1978, Doctor
Gardner asked you to take a look at your proposed studies
under Cor_tracz 14 w:ich were mutagenesis, carcinogenesis and
transformation studies, and to try and reformulate them as
grant studies and t1rat the SAB would consider them; isn't it
the fact that that _s how this thing came about?
A Aczually I don't recollect that.
Q Le-- me --
A In fact I doubt it.
MR. MERRITT: Let me have this marked.
(Document was marked Kouri
Deposition Exhibit No. 16).
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Q (By Mr. Merritt) Let me hand you, Doctor Kouri, a
letter that you wrote on May 24, 1978, to Doctor Gardner which
contains a revised, a progress report on, on Contract 22 and
some other materials. Do you recognize the letter on the
first page of that?
A I recognize my handwriting. I didn't, I don't
remember the letter.
Q This is a letter that you wrote? You don't have
any question about that?
A No, I co::' t.
Q And you see t::-- item that you've listed as -- well,
read the first paracrap:~ if you would.
A Just a little note --
Q You don't need to read it out loud, you carn just
read it to yourself.
A I'm sorrv.
(Witness reviewing document).
A Yes.
Q
Does th:t refresh your recollection as to how it
was that this grant application came to be submitted to CTR?
A Okay.
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Q I mean, isn't it a fact, Doctor Kouri, that this
application which has been marked as Exhibit 15, that this wasl
done as a result of the desire to convert certain of the
mutagenesis and carcinogenesis and transformation studies to a
grant form and that it was CTR's request to you to do so which
you complied with?
A No, I think it was in our mind to do this,
obviously from your letter of May 24th, '78, that --
Q Excuse me, Doctor Kouri, that's your letter.
A From the letter here, that we were to do that but
in fact we didn't do that. This particular approach here was
not a mutagenesis transformation experiment at all, it
represented a separate and distinct
approach for evaluating
the potential damage that cigarette smoke might cause. It was
not an extensiori of any ongoing work in Contract 14 or
22 or whatever this -- it says 14, 25 and 28 in
particular letter. We in fact didn't do that.
this
20 or
Q And that's because you didn't submit an application
for that?
A Correct, correct.
Q Now, Doctor Benedict did submit a grant application
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for a continuation of some of the work under Contract 14;
isn't that correct?
A I think so.
Q Did he continue doing some of that work?
A I don't know. Do you have the contract to refresh
my memory?
MS. BAUER: Mr. Merritt, I need to change the
videotape. This ends Tape No. 1 of the deposition of Doctor
Kouri. The time is 12:16.
(Discussion off the record).
(Document was marked Kouri
Deposition Exhibit No. 17).
MS. BAUER: This is Tape No.
2 of the
deposition of Doctor Kouri, the time is 12:19.
Q (By Mr. b:erritt) I've handed you Exhibit 17, and
this is an application submitted by Doctor William Benedict of
the U.S.C. School of Medicine to CTR for a grant in, in
February of 1975?
A Umh-humh, yes.
Q This grant was a study in transformation and
mutagenesis; isn't that correct?
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A Correct.
Q And this research continued to be funded by CTR up
until 1981; isn't that correct?
A I don't know when it actually ended.
Q And this was work that was being done somewhat in
collaboration between Doctor Benedict and MAI?
A Yes.
Q So when the memo that was marked as Exhibit 14
recites that, that certain research that was
not smoking
related was terminated, much of.that research continued under
grant to Doctor Benedict as well as to MAI; isn't that right?
A Not to
Q Well, it didn't continue as to MAI because you
didn't choose to su:mit -- you defined what grant application
you submitted to CTR?
A Correct.
I
Q
And you determined that the research studies, the
carcinogenesis studies that are included in that grant
application that's there in front of you was the research that
you wanted to do; is that right?
A This is the work that Bill wanted to do.
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Q But I'm referring you now back to your application,
Exhibit 15.
A- Yes. I'm sorry, say that again, then.
Q You determined what kind of carcinogenesis study
you would want to be supported by a grant?
A Right.
Q You never submitted a grant application to CTR to
study a carcinogenesis study other than this that wa-s refused;
isn't that right?
A Correct.
Q CTR said that as to further carcinogenesis studies,
they wanted you as a grantee to decide what it was yc~ wanted
to do and submit it to CTR as a grant application; isn't that
riaht?
A Except for carcinogenesis 'studies, yes. = think
you mean the transformation or mutagenesis or any ots:er
alternative assays, yes.
Q
The transformation and the mutagenesis was being
done by Doctor Benedict; is that correct?
A No, no, this was, like you said, Doctor Benedict
was doing certain aspects of transformation mutagenes_s and we
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were doing other aspects with other model systems. Those
model systems and those experiments were in fact terminated
'79. Doctor Benedict's approach using 10 T 1/2 cells as I
think he was using were continued under a separate erant
application.
Q Well, when you say they were terminated, t:e
contract under which they were being supported expired';
that right?
A That's right.
in
4sn't
Q And you had the cption to submit as did Dccz-or
Benedict a grant application for further support as a grant of
those studies if you felt that that would be where ycu wanted
to put your priorities?
A Correct.
Q And instead you submitted a grant application for a
different carcinogenesis study?
A That's correct.
Q And CTR funded that study?
A Correct.
Q And Doctor Gardner never told you that you wouldn't
be allowed to submit a grant application to do some other sort
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of carcinogenesis --
A Oh, absolutely -- correct, he did not.
Q
Scientific decisions are filled with discretion,
are they not?
A They are.
Q Discretion on what kind of proposed study a
researcher wants to do and wants to rile an application for?
A (Nodding head affirmatively).
Q Correct?
A Correct.
Q And discretion on the part of the granting agency
in terms of picking among those choices as to which ones they
want to support?
A Correct.
Q And in terms of those decisions, do you believe
that Doctor Gardner or the SAB acted without integrity in
making the decisions that they made in terms of what they
would support?
A Say that again.
Q
Well, do you think that CTR supporting the
particular grant applications that were submitted to them by
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you and by Doctor Benedict and not supporting other types of
carcinogenesis research that wasn't submitted to them, that
that was an unreasonable decision on their part?
A No.
Q It's a reasonable decision to fund --
A Whatever they want to ~und.
Q Yeah, based on what _s submitted to them; isn't
that correct?
A Correct.
Q And Doctor Gardner ne-rer told you that you :Gc to
somehow compromise your scientif_c integrity in terms of how
you defined what you submitted?
A Correct.
MR. MERRITT: Th=s is a good time for --s to
take a break. How long do you want to --
MS. NIAL: An hour?
MS. BAUER: Off th.e record at 12:24.
(Thereupon, at 12:26 p.m., a luncheon recess
was taken).
AFTERNOON SESSION (1:54 p.m.)
MS. BAUER: Back on the record at 1:54.
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Q (By Mr. Merritt) Doctor Kouri, what year did you
leave MAI?
A Oh, I think it was -- you would have to look it up.
Q Perhaps it would help refresh your recollection iff
you would look at your resume, Exhibit 1.
A 1S83.
Q That was about a year after the CTR contract ended;
is that correct?
A Yes.
Q And where did you go to work at that point?
A I went to International Biotechnologies.
Q And what was your position there?
A Director of Research.
Q And how long did you stay there?
A Let's see, for three years.
Q Was that the, the organization that Mr. Kreisher
was involved with?
,
A Yes.
Q So -- that was in 1983?
A '8:.
Q So when you testified this morning that it was ten
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years between when you left, when Mr. Kreisher or Doctor
Kreisher left CTR and w~,-,n you became his partner in this
venture, it was really five years?
A It was really five years.
Q That's -- in =act, you went into this partnership
with him immediately on leaving MAI?
A Yes.
Q And that was within a year of when the end of the
CTR work occurred?
A Yes.
Q Since NLAT, have you ever worked as an actual
research scientist?
A No.
Q You don't wor{ as a research scientist today?
A No.
Q Your career aS a research scientist per se pretty
much ended with the CTR study?
A Yeah.
Q Doctor Kreisher was a man, was he not, that
sometimes had difficulty dealing with people? Wasn't that
true in your experience?
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A No, I guess -- I saw him not having much problem
dealing with people.
Q Wasn't he occasionally arrogant sometimes in
dealing with, especially with older scientists?
A No.
Q Don't you recall him making critical commer.ts about
some of the older members of the SAB?
A I'm trying to think. No, I guess I don't recollect
any specific instance of a de:-ogatory comment against --
anybody specifically? I mean, what are we talking about?
Q
Well, do you recall telling Alan Scheiner, my
associate here, a few months ago that Doctor Kreisher :ad once
said scientists over the age of thirty-five just didn't
understand what was happening in science?
A Certainly, John made those statements all the time.
I guess -- but I guess you were specifically stating a'_-out the
Scientific Advisory Board people, and no -- he made a
statement in general that he felt the most effective time of a
scientist's career was below thirty-five. I mean, yeah, I
guess I have a similar sort of belief.
Q Wasn't that comment made, though, in the context of
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older scientists who didn't agree with his views of
carcinogenesis and his --
A No, it was a general ccrnment.
Q You never heard, you nFver heard any reports of
him, of him having trouble with Doctor Gardner because of
disagreements over CTR scientific proc=ams?
A No.
Q The carcinogenesis chart that you mentioned in your
testimony this morning, that's not, that chart wasn't any kind
of a secret, was it?
A No.
Q That chart was in fact publ_shed at some point in a
textbook, wasn't it?
A Correct.
Q So the insights and the truth, to the extent it's
reflected in that chart, about carcinccenesis was available
for the entire scientific community to pursue?
A Oh, yes.
Q It wasn't up to CTR to be the only agency
supporting research --
A Oh, of course.
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Q
And in fact, CTR, because of its limited resources,
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was in any event only a small player in a fairly large field
of scientific study?
A Absolutely.
Q And scientific proposals or projects that were
based on that chart or otherwise dealing with carcinogenesis
that had real merit didn't have to go just to CTR, they could
go to NIH or one of a number of other agencies?
A Correct.
Q Now, one of t1ne areas of research that you worked
on in the, and MAI worked on in the mid-seventies dealt with
aryl hydrocarbon hydroxylase or AHH?
A AHH.
Q That was something that you looked at both in man
and also in mice; isn't that correct?
A Yes.
Q That was an enzyme that was thought to be involved
in the activation of certain carcinogens; isn't that right?
A Correct.
Q There was a feeling that the level of AHH in an
animal might well affect its susceptibility to carcinogenesis;
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isn't that correct?
A Correct.
Q At some point there was even some thought that AHh
might be used as a marker for human beings, that possibly
would indicate which humans were most susceptible or most at
risk for certain types of cancer; isn't that correct?
A And that's still being done even at this time.
Q And that is research that was being done or some of
that research was being done by you in particular at MAI;
isn't that correct?
A Correct.
Q Do you recall that at some point CTR indicated to
you that they were not interested in investing as much in that
research going forward?
A In the human?
Q Yes.
A We had one contract from CTR related, specifically
related to the human work that completed and was not
continued.
Q And it was not continued because you didn't ask to
renew it?
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A Right.
Q Do you recall a conference on AHH that was held at
the Down State Medical School in Brooklyn?
A Yeah, that was mentioned vaguely. I actually don't
remember much about the conference but yes, we had one.
Q And do you recall that, that CTR asked Hans Meier
who was one of the SAB members to attend that conference and
to give an evaluation of the state of the research and whether
CTR should be continuing to support it?
A Actually until you mentioned it, I didn't realize
Hans was even there.
Q Okay. Let me show you a document --
A Hans was not an expert in carcinogen metabolism.
In fact, I went up to his lab at Jackson Lab and set uo the
assay for him.
Q But he was a scientist of some considerable
stature, was he not?
A Yes.
MR. MERRITT: Let me have marked as the next
in line that document, if you could hand that to the Court
Reporter.
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(Document was marked Kouri
Deposition Exhibit No. 18).
(Witness reviewing document).
A Yes.
Q (By Mr. Merritt) I take it you have not seen --
let me back up.
The document that's been marked as Exhibit 18 is a
March 10, 1978 memo from Hans Meier to Doctor Gardner entitled
Conference on Human Carcinogen Metabolism: AHH.
A Right.
Q I take it you haven't seen this document be=ore?
A No, I have never seen it.
Q The conference that he is describing in early March
of 1978, is that the Dow:. State Medical School conference?
A I guess that is it.
Q And there were in fact other people from C~R, both
the staff and the SAB who
were present at that conference;
isn't that correct?
A I don't remember actually.
Q You don't reme;wer. But you were present at the
conference?
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A Yes. Actually only because I asked somebody. I
forgot if I were honestly.
Q
Could you read the, the first paragraph
on the
first page, just read it out loud, please.
A The very first one?
Q Yes.
A I should like to make a few observations on the
human AHH conference before too much time has elapsed. You
may or may not wish to consider my evaluations and conclusions
when certain of the present grantees are up for renewal or
continuation application.
Q And then could you skip down to Paragraph No. 1
that's been marked, and read that please?
A One, I am disappointed that the situation with
respect to AHH in man is considerably more complex than in
inbred strains of mice. No doubt, the prerequisite of mitocen
stimulation of lymphocytes in culture is the major drawback.
Additional factors influencing results are the culture system
and the donor histories. These factors have been identified
and enumerated. They make assays in field or population
studies not only unreliable but almost impossible.
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Q Can you skip over to the second page and read
Paragraph No. 4.
A 4, it is clear now that AFi:? is neither an absolute
risk marker for cancer nor a diagnostic marker in cancer as a
whole or lung cancer specifically. Although it is no better
than other biomarkers applied in screening procedures for
cancer, within kindreds it may be a most useful discriminant
of relatives at risk. Thus AHH and other biomarkers as
discussed are best studied within the context of a clinical
program of human cancer genetics. This setting, Lynch,
Guirgis, Harris, Rasco, undoubtedly deserves CTR's continued
support while most of the others, Kour_, Contrell, Martin,
Alfred, Busbee, should be reduced and some, Fisher, Tyrer,
perhaps even eliminated. This is most likely the best way for
support money to be spent most effectively in the future.
Obviously a great deal has been learned and some progress has
been made. The likelihood of AHH beir.a a reliable cancer
screen outside families or kindreds is small.
Q These were obviously Doctor Meier's reaction to the
AHH program?
A Yeah.
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Q It was shortly after this, was it not, that the
existing research that you were doing at MAI on AHH was
expired and was not renewed; do you recall that?
A The specific contract, yes.
Q
time?
And you didn't disagree with that, did you, at the
A No.
Q You didn't make an application to renew it that was
turned down?
A Right.
Q You don't work in the area of AHH today, do you?
A No.
Q It's an area where there has been work over the
past several years and has evolved a lot from where it was in
the 1970s?
A Right. We were one part of the group that did move
this away from most of Hans' criticisms. Doctor Meier's
criticisms here were largely, at least answered to the point
that we could conclude, we could carry out some reasonable
studies and, and be able to make some conclusions even though
the assay is fraught with some of the problems that Hans
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mentioned, Doctor Meier mentions here.
Q That was work, though, that was supported by CTR
up -- before this time actually?
A Just to that time, yes.
Q And thereafter you continued to do work with AHH
involving mice in connection with the inhalation?
A Funded by CTR?
Q Yes.
A Yes.
Q The mice model that was used in the whole s-:oke
inhalation studies was a particular strain of mice, it was the
BC3F1 mouse; do you recall that?
A Umh-humh.
Q Why was that particular strain used?
A It was, _t had some attributes we thought were
useful in its ability to be a model system for smoke
associated biological effects. It was AHH inducible meaning
that in response to chemical carcinogens or chemical
treatment, it did make higher levels of this particular
enzyme. Therefore, it had the ability to metabolize.
It was
sensitive to pure chemical carcinogen induced certain kinds of
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lung cancers. It had a half life that was, in terms of, as a
model system, useful. It was clean, meaning that we could get
adequate numbers of animals that were free of most
adventitious agents meaning the viruses or bacteria
confound results if we didn't have it. Things like
that might
that.
Q These various mice strains were genetically pure,
were they not?
A Correct, this was an F1, it was a cross between two
strains, two inbreds.
Q When you say genetically pure, it means they have
been inbred so completely that all of the mice essentially
have the same genetic code?
A Correct, there are large sets of identical twins.
Q So when you expose two of these mice to different
environmental factors and they have different, and different
things happen to them, you know it's not because of the
genetics because genetically they are identical?
A Correct.
Q That isn't a situation that's always achievable
with other types of animals?
A Correct.
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Q You don't have inbred strains to that degree of
purity of say dogs or even of hamsters; isn't that true?
A Little bit in hamsters, sorry to say, but dogs is
probably a good analogy but yeah, they are not as inbred as we
can do with mice.
Q
Hamsters were not a good model for lung cancer
because it was known at that time that hamsters couldn't get
lung cancer from smoking; isn't that right?
A No, I don't think it was known that they couldn't,
it was just the experiments so far that had been done with
some hamsters indicated that, that the lesion that seemed to
develop in response to cigarette smoke was more in the larynx,
the upper pulmonary tree as opposed to the lung proper.
Q But it's a fact, is it not, Doctor Kouri, that
nobody then or now has ever produced lung cancer from smoke in
hamsters?
A I don't know that to be the case.
Q Did you view hamsters as a better animal model than
mice for these studies?
A No.
Q CTR didn't dictate that these had to be mice
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studies, did it? YTasn't this a decision, a scientific
decision that MAI participated in?
A Sure, and CTR.
Q And concurred in?
A And concurred in. Oh, absolutely, absolutely, I
didn't know what you meant. Of course. I think it was the
best model.
Q They aiso'had the advantage, mice, didn't they,
that they live a shorter period of time than most other
experimental animals?
A Yes.
Q They live less than, for example, than rats?
A Yes.
Q And there are also more strains of genetically pure~
mice than there are rats?
A Correct.
Q And they live significantly less than hamsters?
A Correct.
Q Of course obviously much, much, much less than dogs
or other --
A Correct.
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Q And they are also, in terms of cost, attractive
animals, you can, --
A Good point.
Q -- you can, you can handle and house and buy and
maintain mice a lot cheaper than other animals?
A Correct.
Q Wasn't it kind, wasn't it understood pretty much
from the beginning of the inhalation study that in order to
get statistically significant results, it was going to be
necessary to use thousan:s of animals?
A Correct.
Q There wasn't a situation where by smoking fifty or
a hundred mice, there was going to be any hope of seeing any
sort of results?
A Correct.
Q Females were also used in the two studies that are
included there in the B1::e Book. There was an advantage,
wasn't there, to using females as opposed to males?
A Yes.
Q Females are e:sier to cage, aren't they?
A Correct.
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Q They don't fight?
A Correct.
Q They are better behaved?
A In general.
Q But one of the things that had been done in the
preliminary studies by MAI was to test whether females and
males had the same deposit of particulate matter in their
lungs, received the same amount of, had the same
carboxyhemoglobin levels in their blood? These are all tests
of their ability to absorb the s;~oke; is that correct?
A Correct.
Q There really wasn't any difference between the
males and the females?
A Correct.
Q Other than gender, they were genetically the same
strain?
A Correct.
Q If they were in the same --
A Correct.
Q Males or females?
A (Nodding head affirmatively).
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Q The, the machine that was used to expose these
animals to smoke was the product of a number of years of
development; isn't that correct?
A Yes.
Q It was called the SEM, S-E-M, 2?
A Correct.
Q who had underwritten t:-- cost of developing that
machine?
A CTR.
Q And it was actually produced, though, by a company
in Brooklyn, wasn't it?
A Correct.
Q Products Instruments?
A (Nodding head affirmatively).
Q They actually sold it to the public; isn't that
right?
A Yes.
,
Q So what CTR was doing was developing a machine that
would be available to other researchers if they wished to use
it to perform inhalation studies?
A Correct.
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Q That development took five, six years, didn't it?
A Yes, I think. I wasn't involved in that.
Q The idea of -- what made that machine special as
opposed to some things that had been used earlier was that it
forced the mice to inhale the smoke through their nose?
A I wouldn't say it quite that way, I would go the
other way. Mice are obligate nose-breathers, they can't
breathe any other way. What it did do was this was a nose-
only exposure system as opposed to an aerosol chamber meaning
that you didn't blow smoke into an area and have them breathe
it and walk around within it but rather we wanted to confine
the smoke to just the snout, to the nose proper so that they,
they, if they were going to breathe at all, which they do,
they would take in the smoke as it went past their nose.
Q
It was really a much closer analogy or analogous
situation to human smoking?
I
A Yes, thar-'s what we were trying to do.
Q That's what CTR wanted?
A Certainlv.
Q Was any, was any -- the mice didn't like to smoke;
isn't that true?
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A Right, they did not.
Q Were any studies done to find out whether in fact
they were inhaling the smoke into their lungs?
A Yes.
Q What kir_d of studies were done for that purpose?
A We radiclabeled the smoke itself, for example,
meaning -- in fact, we had to design all pieces of equipment
that could take a c_garette, an actua]. cigarette and we got
one of the components, the normal components of cigarette
smoke which is called dotriacontane and radiolabeled that
particular molecule, that is made a radioactive version of it,l
and then contrived a needle that would be able to go right
down the bore of the middle of a cigarette and then rotate and
distribute this material along the length of the cigarette as
it, as it was pulled: out.
So what you ended up with is a radiolabeled
cigarette, of a no=--mal component of cigarette smoke being
labeled and this was a marker of the particulate phase, the
dotriacontane, and therefore we could follow its impingement
and its amount of activity that goes to a particular area as
an indication of where the cigarette smoke itself went.
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Q
So because it was radioactive, you could actually
trace the flow of the particulate matter into the lung of the
mouse?
A Right. After we exposed the animals to the
radiolabeled smoke, we cculd take out various tissues at
various times after smoke exposure and study where that
material went, where the smoke particulates went early on, and
in some regards where at least that molecule went
subsequently, which we found actually it didn't
Most of it went to the lung which we would like
go very far.
to see 1.t go,
and at the snout and very little anywhere else. So sz-:enty or
eighty percent of the total particulate matter that was, that
a mouse picked up at all in fact went into the respira-lory
tree, the lung.
Q When you say particulate matter, that's another way
of saying tar, what people in common parlance refer to as
cigarette tar?
A Correct.
Q It's the part of it that's not purely a aas?
A Correct.
Q So you could expose mice to this with the
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radioactive label and then kill -Lhe mouse, look at their
organs and find out where the sr:;oke had been because
would actually be radioactive traces of it where the
had, had infiltrated?
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smoke
A Right. And dotriaco-:=ane was a fairly inert
molecule metabolically meaning t:at it didn't seem to be a
substrate for a variety of enzymes so where it stood it
stayed.
Whereas we also looked at some other molecules t1re
same way. We monitored for nicotine levels in the mice but
did it by either taking urine sa-:ples or blood samples post
exposure to measure blood nicoti:~e levels to make sure that it
was going where we thought it was going or cotinine actually,
it's one of the metabolites of nicotine, and f ound it, as well
as carboxyhemoglobin which you just mentioned before which is
a monitor, then, for gas phase constituents, and we could
measure carboxyhemoglobin levels as a measure for carbon
monoxide levels in the cigarette smoke.
So we had markers for the gas phase, the
particulate phase and a couple different molecules within the
particulate phase. So we were very comfortable that the mice
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were in fact breathing and depositing smoke, smoke materials
where we hoped that they were going and that
respiratory tree.
Q
is in the
And in fact, the depositing of the smoke in, both
the gas and the particulate matter in the lung was, was in the
parts of the lung that are most similar to human
smokers, in
the bronchi and the bronchioli and not so much in the alveolar
spaces; isn't that right?
A No, no, actually I'd have to go back and look at
the numbers right now, but it was fairly generally distributed
in the mouse.
Q Wasn't it a fact, though, that there was relatively
little penetration in the alveolar spaces?
A Penetration?
Q Of the particulate matter of the TPM.
A It went to the peripheral spots of the lung and
stayed there.
,
Q And that was like it is with a human smoker?
A Yes.
Q There was no -- the results of your studies showed
that the depositing of the flow of the smoke into the mouse's
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lung was in much the same way as it is with a human smoker?
A Yes.
Q The resulting carboxyhemoglobin levels in the
mouse's blood were in fact even higher than with a human?
A Correct.
Q They were like twenty percent; isn't that right?
A Correct, higher.
Q And in a human smoker is really six or seven
percent?
A Right. You have a headache at that level.
Q These were all fairly state-of-the-art type tests;
isn't that right?
A Absolutely.
Q The development and the resources that went into
the development of this model did in fact represent a
determined effort tc try and use the sophisticated methods
that were available to science at that time to simulate as
closely as possible a smoking situation for a mouse that would
really be somewhat analogous and as closely analogous as it
could be made to a human smoker; isn't that right?
A Yes. And I should say it was Doctor Kreisher that
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actually did most of the work on the smoking machines. He and
really
Q And this was something that CTR was eager to be
successful in; isn't that right?
A Absolutely.
the people at Processing Instruments were the ones that
came up with the basic idea of how to make that work.
Q
They wanted to have a model that, an animal model
that would get --
A Correct.
Q -- lung cancer from smoking like a human wcald ge=
lung cancer from smoking if, if that were the case, i= that
could be achieved?
A We never -- I hate to say from what I reme.;ber_, we
never said it that way. We were very careful to say
biological effects of whole cigarette smoke. Cancer per se as
an endpoint was just represented as one of a set of e~;.poir_ts
we would like to be able to auantitate as a result of exposure
to cigarette smoke. But we were, from my way of thinking, we
always looked at it in a bigger picture to try to see what are
the spectrum of responses that might be associated with
exposure to cigarette smokle, cancer being one of them.
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Q But lung cancer was clearly the most important of
all of the various diseases that might be implicated, wasn't
it?
A What we wanted to do was to make sure that
cigarette smoke itself was going, as you just said, going to
the, going to the lung, being deposited within the lung and in
a way that's at least analogous to the situation in humans.
So we didn't want to compare ones that were completely
ridiculous.
For example, in inhalation chambers, you found a
significant amount of cigarette smoke _n the GI tract, in the
gut. Why? Ezcause animals have a tendency to preen each
other, and if you put it in, if you put the animals in an
inhalation chamber, they would run through and they would land
on their backs and they would lick it off of each other and
you would get a lot of smoke, you would get a lot of the
materials in the GI tract as opposed to the pulmonary tissue.
That to our way of thinking was a wholly inadequate model. So
we made attempts to make sure that it in fact went to the lung
and that's what we were doing.
So that was a factor not necessarily with cancer
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per se in mind but rather smoke inhalation per se in mind.
Q
But wasn't it a fact that the single disease that
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CTR was most interested in gaining some understanding on of,
as a result of these studies was lung cancer? They were, they
were interested in a variety of diseases but the one that was
clearly on the top of the list was lung cancer?
A Yeah.
Q Isn't it a fact that all of your interim progress
reports, the first item, the first paragraph under the
histopathology reports would always deal with lung cancer?
A Yes.
Q That, that was because of the statistical
association in humans. Obviously the disease from, going way
back, that people have associated statistically with human
cigarette usage is lung cancer?
Exactl%-. It was an endpoint that we felt we could
try to see if we could reproduce, you know, in a model system
with the hopes being, then, eventually we would find surrogate
markers, shorter-term markers that could substitute for some
of the biological activity of whole smoke and that was the
approach. So that we wouldn't have to do these repeat
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analyses of a three-year study armed with four or five
thousand animals to try to compare such things as male versus
female or one cigarette versus another cigarette.
Q But one of the purposes of doing this whole thing,
of investing all of this money and all of this time was to try
and in fact develop a positive animal model, that is an animal
model where you can in fact induce cancer such as it is found
in humans in an experimental animal?
A One of the aporoaches and one of the major
approaches was in fact that case, that's true.
Q
And this kind of money spent would be largely
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wasted if you couldn't do that? If in fact you couldn't
develop a positive animal model, your efforts wouldn't be,
really would be wasted; isn't that true?
A The only thing I can say is you never prove a
negative. So the fact that one didn' t f ind it under a given
set of conditions doesn't mean that it didn't occur or it
can't occur. So I would say that we would like to see it. A
negative we could never prove.
Q But a negative --
A Only a positive would ever --
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Q I'm sorry, I didn't mean to interrupt you. A
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positive would have value because then you
you would be able to then go on and
would have a model,
understand what sorts of
things were contributing to the disease?
A Correct.
Q You might conceivably be able to use an animal
model as a means of developing s;,me kind of a safer
cigarette --
A Correct.
Q -- by changing components?
A Absolutely.
Q There would be a lot of value to a successf-ul
animal model, isn't that correct, --
A Correct.
Q -- whereas there wouldn't be much value to a
failure, to failing and not being able to develop an animal
model?
A It's the latter -- I don't know how to answer thaz
I don't know how you value -- you can't prove a negative.
So
I can't say at one time anything was a failure. One, if one
does their studies and you think you're doing the right set
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conditions in which you're expecting a biological effect to
occur and you don't see it under those conditions, it's not
necessarily logical to say it's the assay that's wrong. It
might have been you didn't do some step in the actual
providing that material to the animal under a different
conditions.
set of
So there is a variety of reasons, and we all know
that as a scientist, you can never prove a negative, you can
only prove a positive. So I don't know how to answer your
auestion in terms of failure o= a model. The model was not a
failure, it had already prove^"d to be a workable model- much
before we actually did the or started off on the large study
we did do.
Q Well, the point I was making -- you're you
cannot prove, it's hard to prove a negative in science, but
the real value of this, of investing the kind of money that
CTR invested in this, in the background studies, the
preliminary work, developing the machine, sorting out the
particular mouse, making sure that the smoke gets into the
lung, all of that sophisticated cutting-edge science, that was
all done with the hope and the desire that the result would be
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an animal that in fact would be a positive animal that you
could induce disease in from the cigarette,
that you could,
you could create lung cancer like it occurs in human beings;
that was the end objective of this study, wasn't it?
A It was one of the objectives.
Q It was the most importa::t one, wasn' t it?
A Yeah.
Q And CTR didn't have an interest back when they
started this project in spending all of its money to develop
an animal model that in fact wouldn't get disease or wouldn't
be usable for --
A Oh, I don't think so.
Q They sincerely wanted in fact to be able to
create --
A I think so.
Q
- - lung cancer in these mice in a way that would be
like the lunG cancer that you see in human smokers, that was
/
where they were going and that's what they wanted; isn't that
correct?
A All the information I got from my contacts at CTR,
which was mostly John Kreisher at this time, would be
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consistent with what you just said.
Q And nobody, you know, Doctor Gardner, you know, did
he have any different opinion?
A No.
Q He was also sincerely interested in trying to
develop a positive animal model?
A Yes.
Q As far as you knew, the members of the SAB were as
well?
A Yes.
Q This was in fact a big part of CTR's annual budget
that was tied up in this?
A lie recognized that.
Q And implicit in that is there was a lot of research
that they might otherwise have wanted to support in the f orm
of grants that wasn't getting support?
A Right. I think what some of the -- for example,
some of the things that was done was to utilize this contract
in some regard as a focal point for generating a set of
animals that had been smoke exposed under a standard set of
conditions so that tissues, molecules, materials could be
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1 provided to a variety of other grantees so that they could in
2 fact be able to study what they, their own particular model
3 systems, whatever they're trying to study, in a condition in
4 which at least we know that the animals are being exposed
5 under a standard set of conditions and we wouldn't have ten
6 different smoke inhalation chambers running around the United
7 States trying to provide exposed animals to labs but rather
8 standardize that in sort of a way.
9 We also served in a typical contraci: fashion, then,
10 to provide mice to a variety of other CTR grantees to that
11 effect when they needed it.
12 Q Such as Doctor Benedict?
13 A Such as Doctor Benedict.
14 Q But those were essentially ancillary studies, were
15 they not?
16 A Those were studies that were initiated bv the
17 grantees themselves.
18 Q The main enchilada in the smoking of mice was the
19 whole smoke inhalation study, isn't that correct, and that's
20 what most of your final report dealt with, that's what most o
21 your proposals and your progress reports dealt with, that was
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the key central focus of CTR's interests; isn't that right?
A You say it slightly differently than I would. It
was the major study and the r.:ajor amount of money that we were
spending on and therefore it represented certainly a large
focus of the activity. Going orn up front, this study was to
be one of a series of studies, but in fact it was the only cne
that was finished. So by definition because it took cn so
much of our resources to get that particular study do::e, it
obviously served as a focus for a heck of a lot of our
progress report's, proposed s=--dies and everything else because
probably ninety-five percent of our resources were used to
generate that study.
Q And that reflected, did it not, the focus Gnd. the
direction of the interest of the SAB?
A Yeah.
Q They thought that this development of a positive
animal model was extremely i?-)ortant and that that was
probably the single most impc=tant thing that MAI was doing
for them; isn't that a fair statement, as far as you know?
A I guess as far as I know.
Q After the animals were smoked for whatever period
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of time it was - and there were actually two long-term
inhalation studies, CTR 100 and CTR 101A; isn't that right?
A Right.
Q One was a long term, appro-r.imately a half a
lifetime, and the second one was a full lifetime study.
After those animals had been smoked for the
requisite period of time, they were then examined, thFy were
then killed and examined histopathologically; isn't :-hatt
correct?
A Correct.
Q Scientists always manage to make --
A Make big words.
Q -- yeah, to make big words.
How was it determined how many
of these animals
were to be examined? I
i
A It was a guess.
Q The purpose was to -- let me, let me back up. ~
In the lifetime study, isn't it a fact that after
the first year, all of the animals were examined on death
except ones that were, where they had already started to decay
or somethina like that?
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A Correct, correct.
Q In the first year, only a representative sampling?
A Correct.
Q Pnd why was that?
A It was just -- doing histopathology is a fairly
expensive endeavor and so what we did in the first year is we
took a reasonable cross section we thought at the time, that
is asked some statisticians and said X number of animals died,
we don't expect to see a relatively high level of lesions in
this area, what number do you think we could use in order to
sample that population in order to aet a reasonable estimate
of what histopathological changes micht have occurred within
that?
And they concluded, I don't know what the actual
number was, ten or twelve percent of that total number ought
to give us a reasonable picture of all the lesions that
occurred in that population of animals up to say a three or
four percent population level, and we did that and found
everybody was normal. In other words, we didn't find any
pathological changes in the first year of animals, so we felt
it was not worth the added cost to go back and, and
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histopathologically evaluate every one of those first animals.
They just hadn't been on test long enough to expect to find
some of the biological effects we might attribute to cigarette
smoke.
Q That was in fact because prior studies that you had
done --
A That's right.
Q -- had shown in the first year nothing, nothing oi
significance happened?
A Good point, good point.
Q And after that first year, virtually all of the
mice were examined?
A Exactly.
Q Both smoked and nonsmoked?
A Correct.
Q And all of their respiratory organs were examined;
isn't that correct?
A Correct.
Q Including the larynx?
A Including.
Q So I take it that people who would criticize the
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MAI study as being bad science because it used mice as opposed
to other animals, you would disagree with that?
A Oh, absolutely.
Q Strongly?
A Strongly.
Q And people who assert there was some methcdology
flaw in the program because it didn't examine
histopathologically all of the mice in the first year, you
would disagree with that?
A I would disagree.
Q And people who ccntend that the larynx sho--ld have
been examined because it wasn't, you would disagree with that
because they're wrong?
A It was.
Q It was examined?
A I think there's a good example right there of
people who read this report here and because it didn': have
the context in which everything was done
and all those little
entities were not mentioned, they came to the wrong
conclusion.
Q But in fact it does mention in the report, doesn't
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it, --
A Oh, it might, but again, it's so big in terms of
tables and figures and a compendium that those sorts of
details cet lost unless you really look at it with a
fine-toothed comb.
Q And isn't it -- but in terms of the methodology of
how many animals were used, how many animals were chosen for
examination, the tissues that were examined -- and the-
weren't just examined by eye, they were examined
microscopically; isn't that right?
A Absolutely.
Q You feel that that was state of the art for the
time and that that was --
A Yes, absolutely.
Q -- and it was your best effort as a scientist to
develop a methodology that would --
A If we had to do it over again, we probably wouldn't
do it any differently, even in hindsight twenty years later.
Q
Now, you talked a little bit in the morning about
the difference between a grant and a contract as a means of
research. These inhalation studies were done under a contract
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with CTR?
A Correct.
Q And in fact, it was, eventually came to be known as
Contract 30?
A Correct.
Q
Some of the earlier <.Jr; that MAI did was done
under different contract num:.ers, there was a 14 and a 22?
A Yes.
Q There were a number cf them, weren't there?
A Yes.
Q Contract research is customarily different than
grant research, not just at CTR but everywhere; isn't that
right?
A Correct.
Q When-an agency has research done by contracz, it's
essentially hiring a researcher to do a particular project?
A Correct.
Q
And that researcher has a legal obligation to do
the project that he's been hired to do?
A Correct.
Q It's like hiring a contractor to put the reof on
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your house?
A Correct.
Q He may want to put a tile roof on but if you hire
him to put a shake roof on, that's what he's supposed to do?
A Correct.
Q Now, in this case MAI was part of the process by
which the protocols and the project was defined?
A Correct.
Q It wasn't like CTR just came to MAI and said do
this?
A Correct.
Q
But MkI had an obligation to do the project that
everybody haod agreed would be done under the contract; isn't
that right?
A Riaht.
Q
Whereas as a grant, it's simply almost like a gift,
money is given to a researcher and he can do what he says he's
going to do or not, there are very few strings attached; is
that correct?
A Correct.
Q There's nothing illegitimate or improper about
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doing contract research?
A Oh, no. It's probably the most common way to get
the work done.
Q The NIH does it?
A It does.
Q Research that requires a large outlay of capital,
you know, a lot of equipment, a lot of extra personnel, that I
i
requires work over an extended period of time, that's almost I
always done by contract, isn't it? I
I
A Yes. I
i
Q Because it isn't very well-suited for waiting for I
i
an applicant to come and submit a grant application?
A Correct.
Q Now, isn't it also a fairly universal provision in
contract research that the results of the contract research
actually belong to the agency that hired the lab to do it?
A Correct.
Q And typically contract research contracts, whether
they're with the government or private agencies, typically
require that before the researcher can publish, he must submit
a draft of a publication for review by the contracting agency;
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isn't that right?
A Right.
Q So CTR, if it required MAI to submit manuscripts
for its review, was simply acting in the mainstream of
science?
A Yep.
Q And NIH and NCI and Damon Runyon and the American
Cancer Society, they all do the same; isn't that richt?
A Most often, yes. Actually some of those don't give
off contracts, that's the only reason why it's a little
different.
Q But isn't it --
A The government does.
Q Doesn't American Cancer Society?
A I don't think they give off contracts. They might I
but --
Q You don' t know?
A I don't know.
Q isn't it also the case that research results from
contract research are often attributed by the outside world to
the agency that has hired the lab to do it?
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A Yes.
Q So that if, for example, there are results of
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research that the agency doesn't necessarily agree
with, it's
in sort of a quandary, isn't it, because if it allows those
results to be released, the world will assume that this is the
result of its efforts and those results will be attributed to
it even though it doesn't agree with it?
A I think so, yes, I didn't know what you -- that was
a little convoluted but --
Q Let me give you an example. The NIF-: occGsionally
sponsors research by way of contract?
A Right.
Q Doesn'tt the NTH take the view that if it doesn't
agree with the research results, that it takes a hard look as
to whether those results can be released because the world
will view them as the results of NIH research even th.ough the
NIH itself didn't do the research?
A I don' t know what, I don' t know what you mean by a
hard look. Let's say I've never been in a situation where
anybody from NIH for the sake of an argument either acreed or
didn't agree to a particular study and in any way didn't allow
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us to do certain things or didn't allow us to publish a
certain thing with those preconceptions in mind. I've never
been associated with that. I don't know of an instance in
which a funding agency like NIH in fact inhibited somebody
from not presenting some particular data because for some
reason they felt that it was disagreeing with some
preconception that they had. I don't know of any -- nothing
has ever happened to me personally to that effect and I don't
even know of one.
Q But they would have the right?
A No.
Q Wouldn't they have a right under the contract?
A I doubt it. We did pretty much -- this was full
public disclosure of most of the stuff we were doing.
Q Do not most contracts in a research setting provide
that the agency funding it is the o:%-ner of the research
results?
A Yes.
Q And that it has the right to control when, --
A No.
Q -- at a minimum when but possibly also if the
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research results are released?
A No, no, I've never had, I've never signed a
contract with NIH with that provision in mind.
Q How many contracts have you had with NIH?
A Twenty.
Q If someone who was working at the NIH overseeing
contracts said that that was in fact a standard provision an^
that it was frequently exercised, would you disagree with
them?
A Yeah.
Q Based on your experience?
A Eased on my experience.
Q Okay. Have you ever worked for NIH?
A No.
Q They have produced hundreds or thousands of
contracts, have they not?
A I would assume.
Q Have you ever been in a situation where the NIH
disagreed with the results of a contract research?
A No.
Q
So you've never been in a situation where, where
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there was a real disagreement?
A Most of the studies, the data spoke for themselves.
There couldn't be a disagreement, almost by definition.
Q Okay. But it is true, is it not, that the owner of
the results is in fact the contracting agency?
A Yes.
Q And it's true in your experience that there is a
provision requiring that before those results are published,
that the manuscript has to be presented to the NIH or to the
contracting agency for their review?
A Correct.
Q That's pretty standard?
A That's pretty standard.
Q And it is a different situation in terms of the
relationship betwee;n the results and the contracting agency
than it would be if it were a simple grant?
Correct.
,
Q With a grant, the researcher publishes his results
and no one is going to attribute those results to the agency
that provided the money?
A Correct.
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Q Whereas if the person is operating under a
contract, someone might well say those results are the work of
that agency that put up the money?
A You know, I think there is -- I mean, that was in
fact the conversation that Mr. Finnegan had with us to say
that that event does occur. In reality I have never been in a
situation where that in fact occurred, that there was
something that happened -- say for NIH.
is a little different animal.
Again, the government
No, I t~~ink it might be the case if you were doing
a contract for a private company, I think that sort of
restriction is fai=-ly common when doing it for a company, but I
when you did it for a funding agency such as, usually CTR I
and/or NIH which represented more of a funding agent, that was
their job to give out and distribute contracts and grants.' In
those cases I never really have seen any restrictions either
in what you can do with those. It was more, it was more being
polite to give the paper, for example, the manuscript to the
funding agency before you published it rather than kind of
like you had to.
I've never, even with CTR, did I ever have
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something rejected, in other words, don't publish this because
I don't like it. It never happened.
It's never happened in
over, I guess I have a hundred and ten or so, whatever
publications, I've never been refused the publication of a
paper because they didn't agree.
Q Well, the provision in a contract that re~:ires a
researcher before he publishes to submit a manuscript to the,
to the contracting agency, there's nothing improper w_th that?
A Absolutely not.
Q That doesn't necessarily imply that he's gc_ng to
be unable to publish his results?
A Absolutely. Most often -- I've never had Gn
instance where it was.
Q That includes CTR?
A That includes CTR.
Q In fact, it simply gives the supporting agency the
opportunity to make suggestions of an editing nature wich may
in fact be helpful?
A Absolutely.
Q Researchers --
A Good point.
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Q Researchers often benefit --
A Absolutely. When more people look at a paper and
with different viewpoints and different eye, very often it
becomes a better publication as a result of that and that's
pretty standard.
Q And ultimately when the researcher puts his name on
the final product and submits it for publication, he is
essentially saying that whatever suggestions he has accepted
or rejected --
A Correct.
Q -- are ones tnat he agrees with?
A We agree.
Q And the fact that somebody says you're overstating
your results and suggests a different approach, it still is up
to the scientific responsibility of the researcher to decide
whether to agree to that or not?
A Correct.
Q Nobody at CTR ever put you in a position where they
told you you had to make changes that offended your sense of
scientific integrity; isn't that correct?
A Yes.
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Q In fact, CTR consistently throughout this
relationship with MAI and even for years after that encouraged
you and Doctor Henry and Doctor Whitmire and the other
researchers involved to publish your results?
A Correct.
There was never any instruction that you should
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take results and bury them or suppress them or hide them from
the world?
A Nope.
Q And in fact, the final report that you produced
relating to this inhalation study contains those results for
the world to see and any scientist who wants to know what you
did to those mice and what happened to the mice, tl:e
information is there for them to see; isn't that correcc?
A It's correct the way you stated it. However, we
did, when we wrote the final report, it was
certainly r.ot with
the idea in mind that the world was going to see this final
report. I mean, it was, it was very difficult -- I mean, all
it is is a compendium of tables and figures. So it was always
going to be very difficult -- I never expected to see this in
the hands of whatever number, nine thousand people. It wasn't
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written with that audience in mind. It was written for a
certain small people that were involved integrally in this
study to such an extent that they would be able to interpret
in some fashion what these data might mean because we didn't
have enough time and were asked not to put much embellishment
into this particular document.
So this wasn't for human consumption. Now, on the
other hand, this was, the 1986 paper, --
Q T-e JNCI?
A -- the JNCI paper was for general distribution and
was written with those thoughts in mind. So we had, we could
put a certain amount of context. We still were asked to ;:eep
the context to the mice and specifically there and as
said before, it didn't offend my -- it offended my
sensibilities a little bit but not my, my integrity.
you've
I never,
there was nothing I didn't do or couldn't do that was wrong.
It's just that I would have liked to have been able to explain
in a little more detail so as to give even a lay person to
understand what the heck was going on in a different sort of
context, and I was a little disheartened that we didn't get a
chance to put it in that context.
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Q But in terms of what you put in the final report of
the inhalation studies, you didn't, you didn't not disclose
any data in there or you didn't put anything in there that
constituted a violation of your integrity as a scientist?
A Absolutely not.
Q And there was nothing that CTR could have done or
did do to try and get you to compromise your
A Absolutely not.
Q They had paid umpteern million --
integrity?
A They never asked, I might add. There was never an
intonation by anybody, Mr. Finnegan, Doctor Gardner, Doctor
Kreisher, that was never even a comment by anybody that
anything would have ever been changed or altered or asked not
to do it. These were the data, this was the data that came
out and this is what we stuck with.
Q Your conclusion in JNCI that cigarette smoke was
weakly carcinogenic in the mouse's lung, they never asked you
to take that out?
A No.
Q And you wouldn't have taken it out if they had
asked?
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A That's right, we wouldn't have published the paper
if they asked and we would have had a fight right then.
Q In fact, not only did they not ask you to take it
out, they encouraged you to publish it and paid you and Doctor
Henry for your time spent in writing that article --
A Correct.
Q -- even though they in fact didn't agree with the
results?
A No, sorry to say, they agreed exactly with the
results.
Q With the weakly carcinogenic?
A Yes, they signed off on it, Doctor Gardner and
Mr. Finnegan were there all the way through. This was only
done with their assent. It was never done in
contradistinction to those, to their opinion.
Q Didn't they ask you to put in the JNCI article that
these were not necessariiy, the results were not necessarily
concurred in by CTR?
A Right.
Q And that's because they weren't necessarily sure
that they were concurring in those results?
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A That was never stated, I'm sorry to say, that
comment, the first time that's ever been mentioned is you just
mentioned it.
Q Wasn't that in a letter that was sent to you that
you and, and Doctor Henry had that you
could, that you would
publish the article and you would s:ate very explicitly that
the conclusions that you reached and Doctor Henry reached in
the article were not necessarily the opinions of CTR --
A Correct.
Q -- isn't that right?
A Correct.
Q Isn't that in fact in the published JNCI article --
A Correct.
Q -- there in front of
--
A Correct.
Q -- you?
A The connotation was --
Q Let me just have an answer to that question. Isn't
that right?
A Absolutely, yes. But the connotation was in your
question that I took it to mean the time before that that
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meant that there was in fact disagreement with this particular
paper and that's where I said no, there's never been a
statement to date -- all they cared about is to make the
statement that this, these were opinions from us, not them.
They never said to us and to amf:,cdy, I've never heard it
before ever stated that they disagreed with those conclusions.
In fact, you're the first p4rso:: who has ever told me that.
Q Well, I didn't tell you that. My question to you
is, they made it clear, though, that these were your
conclusions?
A Correct.
Q These were not CTR conclusions?
A Right.
Q They made it clear to you --
A We were the ones that did the study.
Q
You could publish your conclusions without
hindrance by CTR?
A Correct.
Q All they asked was that you indicate that they were
your conclusions and not CTR's conclusions?
A Correct.
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Q That's because it was contract research and not
grant research?
A Sure.
Q And there is a possibility that because it's
contract research, people might think that CTR endorses it or
supports it when they might not; isn't that right?
A Right, but actually that statement now appears in a
variety of journals right now so it wasn't that -- it was
surprising perhaps that it occurred that early and that was
the only time CTR ever asked us to put that statement in one
of our publications, that is true, but nobody ever hinted to
us or even said it or intimated to us that they disagreed with
those conclusions that are in there. Nobody ever said that.
I mean, we went through the whole thing obviously letter by
letter and page by page and word by word and Mr. Finnegan and
Doctor Gardner never said that they disagreed with those
conclusions.
Q Did they -- in other words, they said you had a
free hand to write whatever conclusions you came to; isn't
that right?
A I had a free -- we all agreed that these were the
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conclusions. We -- all four of us sat down and we all went
through this thing, we were all concluding this, the paper,
the conclusions that are in the paper. We had a free hand.
am not sure what you mean.
Q Who was it that sat down and, and agreed?
A Doctor Gardner, Mr. Finnegan, Doctor Henry and
myself.
Q This was when you were writing which article?
A T~e 1986 paper, the JNCI article.
Q This was in 1985?
A I take it.
Q You were then in New Haven at the time?
A Yes, I guess that's right.
Q Did this meeting take place in New Haven?
A Which meeting?
Q This meeting you are talking about where the four
of you sat down and agreed on --
A Oh, no, this was all done -- actually it must have
been done earlier than that because I don't remember -- this
was all finished before I ever went to New Haven, this paper.
Q
The JNCI article?
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A Yeah.
Q Would it surprise you that in fact the article was
not agreed to be paid for until 1985?
A Not agreed to be paid for?
Q Isn't it a fact that the article was not written,
your time which was billed for the writing of this article was
not incurred until 1985? Is it your testimony that that's not
right?
A I actuall-y don't -- I don't remember. I didn't
realize -- I don't remember the dates.
Q
Do you have a clear vision of sitting down with
Doctor Gardner and, and Tim Finnegan and talking about the
conclusions of this?
A Yes.
Q And that was in connection with the JNCI artic le?
A Yes, and it took place in Bethesda, Maryland.
Q You clearly remember that?
A I think, ves, I think it's Bethesda, Maryland. It
wasn't in New Haven if that's what you mean.
Q Isn't it a fact, Doctor Kouri, that Doctor Gardner
was dead when you first started writing the JNCI article, that
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he wasn't at any meeting with you discussing any things,
you're just making that up; isn't that true?
A Pardon?
Q Isn't that true, that you don't have any
recollection of sitting down and discussing the.J'NCI article
with Doctor Gardner because he was dead before you started ~
writing the JNCI article?
i
A No.
I
Q You have a clear recollection of him being there?
A I have a clear recollection of him being there. I
~
Q Okay. The time you spent writing the JNCI article ,
was time that you billed CTR for; isn't that right?
A Yes.
Could I ask a question? When did Doctor Gardner
die? I don't remerlber.
Q If you have a clear recollection of him being alive
in 1985, then it w:s obviously after that.
A I didn't say that, I didn't say '85, I said I had a
clear recollection of him being there at the meeting in which
these were discussed. That's what I answered.
Q You have a clear recollection of him being there
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when the conclusion weakly carcinogenic in your draft J-1ICI
article was being discussed?
A Now we're talking about one specific event. Let's
say the discussion of the paper, the contents of the paper was
discussed by Doctor, with Doctor Gardner, with Mr. Finnegan,
with Carol Henry at offices in Eethesda, Maryland.
Now, I
don't remember what the date was. Obviously if Doctor Gardner
passed away in 1985, it had to be pre-1;35. That's all I
said. I'm sorry if I couldn't remember precisely what date.
Obviously I could not have met with Doctor Gardner if he were
dead.
Q The issue is do you remember when it was you
started writing the JNCI article?
A Probably similar to when we were analyzing the data
for this. This would have been 1984.
Q Well, that document, the JNCI article was not
written for over a year after the submission of the fi:al
report; isn't that correct?
A I think that's the case.
Q So the final report was submitted in Februa?-y of
1984?
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A Yes.
Q So the JNCI article was not written until the
middle part of 1985 and was not published until 1986?
A I don't, I don't remember the numbers. I do
remember, I think you'll see even there that verbatim there
are statements, paragraphs, taken right out of this report
that's found its way into the paper, the 1986 paper. So this
was a continuation, a continuing process going from here to
the paper.
Q
But nowhere, nowhere in the final report is your
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conclusion about cigarette smoke being weakly carcinogenic in
the mouse's lung? That was your principal conclusion, was it
not, in the JNCI article?
A Yes.
Q That nowhere appears in the final report; isn't.
that ricI-t?
A Actually I don't know, I don't remember it that
way.
Q So --
A I haven't read it to that level.
Q So you don't know today whether that --
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A That statement is not here? I don't know if it's
not here. I actually don't know.
Q I thought you had testified this morning that you
were not allowed to express that conclusion in the final
report?
A No, no.
Q You in =act were allowed to express your
conclusions in the final report?
done.
Sure. We probably didn't have all the analysis
I can't even, I can't tell you that.
Q So whatever Tim Finnegan told you about the final
report, it was not that you had to keep out your final, your
conclusion --
A Right, right.
Q -- you were free to include the conclusion?
A Sure.
Q You were free to include the conclusion in the JNCI
article?
A True.
Q That's a conclusion that was not forced on you by
CTR?
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A The weakly carcinogenic?
Q Yes.
A Was not forced?
Q Well, you weren't forced to arrive at any
particular conclus_on, that was a conclusion that you arrived
at on your own acccrding to your analysis of the data; isn't
that right?
A And -- well, -- I'm not sure which way -- say that
again, I'm sorry.
Q Well, the conclusion that you reached was your own
conclusion, it was::'t imposed on you by Doctor Gardner ---
A Oh, yeah.
Q -- or by Tim Finnegan?
A No, it wasn't imposed, it was agreed by all of us
that that was the conclusion.
MS. NIAL: Would this be an appropriate point
to take a break?
MR. MERRITT: Yeah.
MS. BAUER: Off the record at 3:00 p.m.
(Thereupon, a recess was taken).
MS. BAUER: Back on the record at 3:19.
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Q (By Mr. Merritt) Doctor Kouri, you testified this
morning that when you looked at the Blue Book the first time
and saw the Foreword by Doctor Sommers, that it struck you as
odd that it was Doctor Sommers and not Doctor Gardner; do you
recall that?
A Yes.
Q Isn't it a fact that Doctor Gardner was in fact
dead and therefore unable to write a Foreword or anything else
at that point?
A That's certainly true. I forgot.
Q Is it a fair statement to say that your
recollection in terms of specific dates, in some cases even
years is not --
A Sure.
Q -- as precise --
A Umh-humh.
Q -- as it once was?
A Yes.
Q This was a long time ago?
A This was a long time ago.
Q And there are things that, that you may not be
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perceiving in terms of its exact chronological order; isn't
that correct?
A Correct.
Q Now, I would like to focus again on the, on the two)
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inhalation studies that comprise the major part of the Blue
Book and the final report that you prepared. The first one
was a study called CTR100 which involved 2A1 cigarettes, these
were high tar, low nicotine cigarettes?
A Correct.
Q The mice %aere exposed for approximately twel ve to
fifteen months?
A I think that's right, eighty-eight weeks, is that
what it was? Someth_ng like that.
Q You would have to do the math on it.
A Actually I don't remember it myself. I thought
that's what I looked at last night to be honest with ycu.
Q It was approximately half to two-thirds of a
lifetime, --
A That sounds right.
Q -- of a mouse lifetime?
A That's right.
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Q Mice live about two and a half years, this strain
of mice lived about two and a half years.
In addition to the eiposure which involved havinc a
group that were exposed to smoke, a group that were called
sham exposed, they were put in the machines but not actually
exposed and then a third group which : was the shelf control, -
A Correct.
Q -- in addition to thos~ three groups, there were
also three groups which were treated with a chemical
carcinogen, in this particular case methyl.cholanthrene; isn't
that correct?
A Correct.
Q And the purpose of that particular study was what
as opposed to just the simple smokir:g experiment?
A It was an attempt at that time to see if we could
somehow hasten or progress or alter the kinds of tumors that
might be induced by a known chemical carcinogen by followup
treatment with cigarette smoke, exposure to whole cigarette
smoke.
Q Were these essentially promotion tests?
A Well, at that time it was thought to be promotion,
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I should say in retrospect now because hindsight is a hundred
percent now, methylcholanthrene ob-liously is what they call a
whole chemical carcinogen, it has initiating and promoting
I
activity itself. So it probably wasn't a great idea to have
used that compound in an initiation promotion assay.
Q At that time and I guess is still true today, a lot
of people believe that cancer is at least a two-step p=ocess?
A At least.
Q Something initiates the mutation in the cell and in
the cell's DNA which makes a tur,.or possible k.ut doesn't c-re-ate
the tumor and then something else promotes it and causes it to
grow to become a tumor?
A Correct.
Q That's a layman's overgeneralization.
A That's fine.
Q But it's a two-step process of initiation a:.d then
promotion?
A There are probably multiple steps in betwee:: there
and subsequent to promotion as well.
Q And wasn't part of the thinking behind this
methylcholanthrene portion of CTR100 that this would test
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1 whether mice who had had cancer essentially initiated through
2 the chemical carcinogen, whether exposure to smoke would
3 promote it, --
4 A Correct.
5 Q -- would provide that second step?
6 A Correct.
7 Q Fnd that same format was used in the second
8 inhalation study, 101A, was it not also, only a different
9 carcinogen was used?
10 A Right.
11 Q Pnd in 101A, it was benzo(a)pyrene?
12 A Correct.
13 Q And lOlA was different from 100 in the sense that a
14 different cigarette was used; isn't that right?
15 A Yes. '
16 Q 2R1?
17 A Right.
,
18 Q In the second, the lifetime study?
19 A Correct.
20 Q And that 2R1 is a high tar, high nicotine?
21 A Correct.
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Q
Whereas in the earlier one it had been high tar,
low nicotine?
A Correct.
Q In lOlA the animals were exposed for essentially
their entire lifetime?
A Correct.
Q
And according to your original proposal, the idea
was to try and give them, although obviously there's
let me withdraw that.
some
According to your original proposal, the plan was
to try to expose them in a way that would be comparable to a.
human smoker smoking three to four packs a day; isn't that
correct? That was sort of the target analogy that was being
sought?
A That might be the case. Actually I don't remember
the numbers so --
Q There was an attempt to try and translate --
,
A To a sianificant amount of tar.
Q Yeah, to translate the experience of a moderate
smoker, human-wise, to a, to a mouse in terms of the exposure
the mouse would have?
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A If I may --
Q Let me have an answer if I could to that question.
Is that yes or no and then you can answer.
A I can't -- ask the auestion one more time, then.
Q The goal was to try and develop a mouse exposure
that would be comparable, as comparable as you. coulcd muke it
to a moderate human smoker?
A Yes.
Q And that obviously had some difficulties and
pitfalls because you are not dealing with a human smoker, you
are dealing with a mouse?
A Correct, and that's actually what I wanted to say.
We found it very difficult to figure out how to conclud-e-, how
to measure that. Did you want to do it on per surface area on
a lung because the human has a huge surface area as op:osed to
the mouse, it's quite, it's quite different, or do you want to
do it per lung or per wet weight. There was a variety of ways
to try to compare that. We could come up with numbers that,
know I can remember this, that changed from only a couple
cigarettes' worth of tar per mouse was actually impinged as
opposed to all the way up to, you know, two and three racks
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per day depending on the denominator that we used, per gram
what weight of tissue or per unit surface area or per just
total lung volume itself, total lung. So it was not clear how
vie should come to that conclusion. We wanted to do more work
or try to do some more analysis on that
ended up doing it.
and we just ne:*er
Q But the reason you're going through all theSe
calculations and all of these exercises --
A To try to make them as coraparable as we cou=d.
Q Let me ask you, if you could --
MR. MERRITT: Off the record for a se.^_nd..
MS. RAUF;R: Off the record at 3:26.
(Discussion off the record).
MR. P-IERRITT : Can you mark this as the next
exhibit.
(Document was marked Kour_.
Deposition Exhibit No.
MS. BAUER: Back on the record at 3:27.
Q (By Mr. Merritt) I've just handed you a document
entitled -- it has on the front to Microbiological Associates,
and the first page is a February 28, 1984 letter from Carol
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Henry and Richard Kouri to Vincent LiSanti at CTR. Do you
recognize this document?
A Yes -- actually, I don't have the letter to Vince
LiSanti, though.
MR. MERRITT: Let:'s go off the record for a
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second.
MS. BAUER: Off the record at 3:28.
(Discussion off the record).
MS. BAUER : Back o.^n the record at 3: 2 9.
Q (By Mr. Merritt) Do you recogni7P Exhibit 19 as
the final report that was prepared for CTR Cont:ract 30?
A Yes.
Q This was a report that was written by you and
Doctor Henry; is that correct?
A Correct.
Q
And it represents the findings and a description of
the methodology of the inhalation studies that were done, all
,
of the inhalation studies that were done under Contract 30 bv
MAI?
A Correct.
Q Okay. Let me ask if you would look at Page 42.
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A Yes.
Q This is the beginning of a section that deals with
the first of the two inhalation'studies that we have been
talking about, CTR100?
A Yes.
Q And this shows, does it not, that the study startecid
in June of 1977?
A Yes.
Q And that study ran to completion?
A To completion, yes.
Q I mean both of these studies, both CTR100 and lOiA
ran to completion; is that correct?
A To their scheduled completion, yes.
Q Now, the results of these, of the CTR100 were
essentially negative in the sense that none of the animals
that were exposed to the test cigarette that was being used
that study developed any lung cancer; isn't that correct?
/
in
A Correct.
Q And with regard to the mice that were treated with
methylcholanthrene, the mice that were smoked actually had
less cancer, less lung cancer than the ones that, that were
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not smoked; isn't that correct?
A I think that's true. I don't remember the actual
numbers myself. Yes.
Q So at least in terms of this one study which was
not a lifetime study but was a long-term study, the results
were negative in terms of the ability to create through smoke
inhalation lung cancer in animals; isn't that correct?
A Right, it was not -- however, I should say that
that was not an endpoint to the study, that is cancer in the
smoke exposed animals. We knew if we exposed animals for
eighty-eight weeks, the probability of generating cancer we
thought was going to be fairly small for a compound with a
weak, with a potentially as weak carcinogenic effects as whole
cigarette smoke.
Q One of the purposes of the study --
A Just, just to check to see if we could find some.
We didn't really expect to see much in that period of time.
Q But on the 101A which was the subsequent study, --
A Correct.
Q -- the full lifetime study, it was your expectation
that you would be able to produce lung cancer in the animals?
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A We were trying, we were trying.
Q Now, let me ask you to turn to, let me ask you to
turn to Page 101.
A Yes.
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Q
This is the portion of the book that, that
describes the results of CTR101A; isn't that correct?
A Correct.
Q That was a study that was started in September of
1978 and concluded in approximately the middle of 1981?
A I think that's right.
Q Okay. Now, it was during sort of midterm of this
particular study that CTR decided not to do any further
inhalation studies; isn't that correct?
A I think thar.'s right.
Q
And in fact, it was, there was a meeting in June of
1980 at the, of the subcommittee which was sometimes called
the Executive Committee of the SAB that oversaw 4-AI projects
at which the discussion was raised as to whether or not this,
these studies should be continued; isn't that correct?
A Is that the document we were talking about before?
What document are you referring to? I don't specifically --
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Q Well, I will, I will see if I can refresh your
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memory on that.
(Document was marked Kouri
Deposition Exhibit No. 20).
Q (By Mr. Merritt) T- am showing you a document
that' s been marked as Exhibit 20 which is entitled Ex.ecutiv=_
Committee and Contract Committee P!eeting, Friday, June 20,
1980, at 9:00 a.m., and consists of agenda and report.
A Okay.
Q Does that refresh your recollection that there was
a meeting --
A Yeah, umh-humh.
Q -- in June of 1980 at which the purpose was to
decide whether or not CTR inhalation work with MAI should
continue beyond 101A?
A Correct.
Q
And you and Doctor Henry both came and made a
presentation to the membzrs of the SAB that were present
there?
A Yep.
Q And that was Doctor Bing, Doctor Feldman, Doctor
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Gardner, Doctor Jacobson, Doctor Meier --
A (Nodding head affirmatively).
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Q
-- and Doctor Sommers who would normally have been
there was not present at that meeting?
A Correct.
Q You recollect that meeting?
A Yeah.
Q It's also true, is it not, that there were no
lawyers present at that meeting?
A I don't remember that. I don't think there was. I
think actually it would have been here if there were.
Q But there was -- Doctor LiSanti and Doctor Gardner
were also there?
A Yes.
Q Do you recall that at that meeting one of t~_e
issues that was perplexing the SAB was the fact that the
continued, the third inhalation study that was going to, that
you and Doctor Henry wanted to perform was going to require an
additional four and a half million dollars of CTR funds; do
you recall that dollar amount being your estimate?
A That sounds right.
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Q Okay. And it was going to require a three-year
commitment on the part of CTR?
A Correct.
Q And you recall, do you not, that in the months
prior to this meeting, there had been some concern expressed
by CTR over the fact that MAI was coing to either have to
renew its lease and require CTR to commit to a full three
years or it was going to have to move animal:- to a different
laboratory because its current lea:e was ending?
A
A
Umh-humh.
Do you recall that?
Umh-humh.
Q You recall that there were some people at CTR that
were somewhat upset about that because they didn't learn about
it until February of 'that year?
A Right. Actually so did I, I was upset as well.
Q Because you hadn't learned about it?
A I hadn't heard it either.
Q In fact, the CTR had, a good portion of what CTR
had invested in these studies over the year had been spent in
fitting out about eight thousand scn:are feet of MAI
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laboratory?
A Correct.
Q Do you recall also that there was concern expressed
at this meeting about the possibility that a third inhalation
study would only produce a necativ: result, in other words
would not succeed in producing what some people on the SAB
felt was the intended hope which was humanlike lung cancer?
A I don't remember that. That could very wel'L have
been a concern.
Q
Okay. Wasn't, wasn't _r- in fact the case that a
lot of people at CTR wanted an ar._ mal model that would produce
not just lung cancer but squamous cell carcinoma?
A It never was stated that way.
Q Well, isn't it -- squa«:ous cell carcinoma was as
o`
this time the form of lung cancer that was most commonly
associated with smoking in humans; isn't that right?
A Bronchogenic squamous cell carcinoma.
Q But squamous cell carcinoma?
A The only reason I make a difference here is that
the mouse doesn't get the same kind of squamous cell carcinoma
that a human gets, that it's purported that humans get in
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exposure to cigarette smoke. So squamous cell carcinoma was
just a type of tumor that represented, that certain of the
cell types in a mouse, you know, could become carcinogenic. I
don't think it was anything unique that it had to be cigarette
smoke that caused that effect or not cigarette smoke. We knew
we weren't going to get bronchogenic sauamous ce11l carcinoma
anyway because that mouse didn't get it.
Q But the mouse did get squamous cell carcinoma?
A Right, but it got it in the wrong spot from a human
point of view.
Q But it got squamous cell carcinoma?
A Riaht, it just happened to get it in the wrong
spot. That means the physiology is different enough to not to
get, that it's not really comparable, but we had to live with
that.
Q Now, as of the time that this meeting took place in
June of 1980, the ongoing lOlA which was then about a year and
a half into it had not in fact produced any lung cancers that
were associated with smoking; isn't that correct?
A And we didn't expect any.
Q Well, whether it was expected or not, the tumors
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that were being produced by the study at that point, and there
were some, were not tumors that.you regarded as associated
with smoking?
A No.
Q So the results --
A No, I meant I dor.' t think I agree witl-i that
comment.
Q Okay.
A At June of 1980 from my recollection, that's about
the same distance that the original study with the 3A1 or the
2A1, the low alkaloid cigarette went. Right? So we already
knew that up to this time that smoke alone was likely not
going to cause a biological effect of and by itself. I think
you will even see in the agenda here that the experiments that
are being updated are Experiment 100, female mice 3MCA 2A1 and
100 female mice benzo(a)pyrene 2R1. In other words, we had
data on the carcinogen induced tumors but we didn't have any
data on the smoke alone. In fact, we didn't expect to have
any.
So this decision not to continue was done before we
knew we did or did not have a biological effect on cigarette
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smoke exposure in these animals.
Q So it's your testimony that the decision could not
have been affected by a concern one way or the other about the
results?
A Correct, we didn't know, we didn't have them yet.
Q And the decision was nort to stop lOlA but to sim}:ly
not do the next one in line which was 1, would have been
called 101B?
A Something like that, yes.
Q So it certainly was not the SAB's concern about
what the results of 101?1 were that motivated them --
A Right.
Q -- because they were going to allow lOlA to
continue to completion; isn't that right?
A As a result of this meeting I would say yes.
Q And in fact it did, CTR did, even though CTR
decided not to do a third study, not to do 101B, it allowed
lOlA to continue to completion sometime the following year?
A Right.
Q And at that particular time the results were known
but the results were not known when the SAB made its decision
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in June of 1980?
A Correct.
(Document was marked Kouri
Deposition Exhibit No. 21).
Q (By Mr. Merri:t) Doctor Kouri, before you look at
that, I don't want to hG-ie you read that cover to cover right I
now. Let me go back to a question 1 asked you a few minutes
ago. Isn't it a fact that in your original proposal for 101A,
you were assuming that t::ere would be approximately a two
percent squamous cell carcinoma incidence in the smoke exposed
mice versus a zero incidence in the nonexposed mice and that
that was the assumption upon which you made certain
projections?
A You know that sounds right, I actually didn't
remember that until you -lust saidit but I recollect that
that's generally what we had hoped.
Q That was important because at least to some people
at CTR, the fact of
squamous cell carcinoma was
important
because that, although in a different location, is the type of
carcinoma that human smokers get?
A Human smokers get alveologenic adenocarcinomas to
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1 almost the same extent, just slightly smaller than
2 bronchogenic squamous cell carcinomas.
3 The two kinds of tumors that we're describing here
4 are sauamous cell carcinomas and adenocarcinomas. The two
5 most prevalent tumors in humans, when exposed to cigare=te
; ~moke, are in fact squamous cell carcinoma and adenocarcino-:a,
7 and the third one is called oat cell carcinoma. Mice do no-_
8 get oat cell carcinoma because they do not seem to have the
9 equivalent of an oat cell. They get, they can get squa:nous
101 cell carcinoma and they can get adenocarcinoma
but theV do??' t
11 get it in the same location that humans get it in most often.
12 So there are two smoke associated tumors in humans,
13 adenocarcinoma and squamous cell carcinoma. It is true that
14 there are slightly more squamous cell carcinomas in hu--=ns
15 than there are adenocarcinoma, but in general there micht be,
16 say forty percent are squamous cell and twenty-five percent is
17 adenocarcinoma or something like that. I mean, I could be
18 wrong by a little bit but you could look it up. You'll see
19 it.
20 Q But Doctor Kouri, going back to when this happened
21 in the late 1970s, isn't it a fact that a lot of people didn't
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believe that adenocarcinomas were associated with smoking in
the 1970s as opposed to what you may have heard or read since
that time?
A It would, it was about that time in which that --
now we' r_ e talking about within a c;,up].e of years. Let' s say
at that time, early eighties was _.. fuct the realization th.Gt
a variety of tumors were associc.ted, lung tumors were
associated with exposure to smoke. Now, we can go back in literature and look it up, and I would, I
would bet that about
'80, perhaps even earlier there were articles in the
literature that showed correlations between whole cigarette
smoke and incidence of adenocarcinoma.
Q But isn't it a fact that it wasn't until into t;:e
eighties, several years into the eighties that the
Surgeon
General for the first time identif_ed adenocarcinoma as
something that was associated with smoking whereas sa_uamous
cell had been thought to be associated with smoking for
decades; isn't that right?
A I can't answer that. I don't know.
Q And in fact, when you made your projections for
this study, you were assuming that you would get a two percent
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difference in squamous cell carcinoma between the smoked and
the nonsmoked mice?
A Fine. I didn't remember the numbers but okay.
Q Isn't it a fact that there were scientists on the
SAB for whom sauamous cell carcinoma was really the target
type of carcinoma for an animal model?
A I don't know that.
Q Let me -- isn't it a fact that in your reports that
you were giving to CTR, your interim reports during 1980 and
1981, the only carcinomas that you were seeing in the mice, in
the smoked mice or in the sham exposed or control mice were
adenocarcinoma?
A Correct.
Q And that these are tumors that in fact are
expressed spontaneously by mice even if you do nothing to
them?
A Correct.
Q And in fact, approximately five percent of the mice
that were just sitting on the shelf in the lab and that
weren't having anything done to them were getting
adenocarcinoma?
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A Correct.
Q These are called spontaneous tumors because they --
A They had no etiology.
Q Nothing has to be done to the mouse for them to
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have it, they get them essentially genetically; isn't that ~
~
right? `
i
A Correct. ~
i
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Q Isn't it a fact that you consistently referred to (
these tumors throughout the period off time in which you
reporting on the results of 101A as nor_ associated with
smoking?
A Pardon r;;e?
were
Q Isn't it a fact that you consistently, durir.g the
course of lOlA when the mice were beginning to get
adenocarcinomas, described them in your own
reports as tumors
that were not associated with smoking?
A I guess I would have to see that.
Q Well, --
A No, I don't remember ever stating that. I mean, I
don't remember making that statement. If I did, I wouldn't
have known why we did that. We didn't know what was
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associated with smoking and not associated with smoking.
Certainly when it came on earlier, that would have been
even if I had done it, I would think it would have been
premature to say that this was or was not associated with
smoking.
Q But in fact, isn't it true that neither you nor
Doctor Henry nor anybody at C"!'F, thought that adenocarc:_nor.iGs
were smoke associated or smoke related?
A Absolutely not.
Q So you wouldn't have ever described them as not
smoking related in your reports; is that right?
A I -- if I did, I don't think I should have : ecause
I don't know that. In fact, I don't even know that now.
MR. MERRITT: Next exhibit, please.
(Documents were marked Kouri
Deposition Exhibit Nos. 22
and 23).
(Witness reviewing documents).
A Yes.
Q (By Mr. Merritt) Let me ask you if you would,
Doctor, to look first at Exhibit 23 which is a May 9, 1980
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letter report to Doctor Gardner signed by Richard Kouri and
Carol Henry. Do you recognize this as a report that you
prepared to the SAB or I beg your pardon, a report that you
prepared to CTR on or about May 5, 1980?
A It looks to be, yes.
Q
This was in fact jus_ a few weeks before t'r:e Jur.e
1980 meeting of the Executive Co-mmittee that we were talking
about a few minutes ago?
A I guess that' s richt.
Q This was in fact the most recent status repcrt ore the progress of 101A as of' the t:.r,e the SAB
made its decision;
is that correct?
A I'm sorry?
Q
This would have been the most recent report on the
status of lOlA as of the time --
A No, we presented it then at that meeting, t::e mc-st
recent.
Q Prior to the, prior to the meeting.
A Oh, yes, this would have been the one in frcnt of
it.
Q Now, as of the time that this report was prepared,
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if you would look on Page 3, you were seeing in the mice some
adenocarcinomas, isn't that correct, at least one at that
point?
A Where are we?
Q On Paragraph 4, do ycu see that?
A Yes.
Q Yet you reported, did you not, in Paragraph 3 above
that the only smoke associated lesions observed are low levels
of PAMA and congestion; --
A Umh-humh.
Q -- isn't that correct?
A Right.
Q PAMA being pigmented alveolar macrophage
accumulation?
A Right.
Q And that's not a form of cancer, right?
A Correct.
,
Q That's -- nor is lung, nor is congestion a form of
cancer?
A Correct.
Q In fact, you went on to say that there were no
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malignant lung lesions had been observed in either the smoke
or sham animals at that point.
A Okay.
Q But the fact was that there was adenocarcinomas at
that point which you did not regard as a smoke associated
lesion; isn't that right?
A I guess what we're talking about here is a matter
of semantics. .Therz was one tumor found, and I'm sure that
wasn't statistically significant from zero.
Q You found one tumor and that was --
A I don't even know where it was.
Q But it was an adenocarcinoma, right?
A It was an adenocarcinoma, at least that's what it
says here. I don't know what the data are so it's tough to
say what that refers-to. Again, this is taken out of a
context of having described these data at
length previously
and then this was a summary of those data and I don't have the
data in front of me so I don't know what that refers to. In
fact, that could have been on the shelf control for all I
know, right?
Q Well, it's your report, not mine.
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A Well, I can't tell from this.
Q Let me ask you now to look at Exhibit 22, this is a
few weeks later.
A Yes.
MR. SCHEINER: Let's go off the record for a
minute.
MS. BAUER: Off the record at 3:54.
(Thereupon, a short recess was taken).
MS. BAUER: Back on the record, 3:56.
Q (By Mr. Merritt) Let me refer you to Exhib_z 22
which is a progress report for CTR-30 for the period September
1, '79 through August 31, 1980, which has been marked as
Exhibit 22. Do you recognize that as the status report for
the inhalation studies that were prepared, that was prepared
in, in or around August or September of 1980?
A Yes.
Q This is several weeks after the document you just
testified about?
A Right.
Q As of this particular time, if you look at Page 40,
the mice that had been exposed to smoke had a total of six or
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had a total of three adenocarcinomas, isn't that correct, at
that time?
A Yes.
Q And if you look back on, at Page 3 in the text you
find there were in fact a total of six lung carcinomas that
were observed in both the smoke and sham exposed animals?
A Correct.
Q
You can also -- and these were adenocarcinc~::as or
ones that are described irn your terminology as AAC; isn't that
right?
A Correct.
Q That stands for alveolar adenocarcinoma?
A Correct.
Q Now, in fact, as of that time, even thouah t:ere
were six lung carcinomas, six adenocarcinomas among bc=^ the
smoked and the sham mice, you nonetheless said, quote,
the
only smoke associated lesion observed to date has been the
accumulation of pigmented alveolar macrophages or P.PLML?; isn't
that right?
A That's right.
Q So as of the time you wrote this report in
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September of 1980, you did not regard those adenocarcinomas as
smoke related?
A No, that's not what it says. It says the only
smoke-related lesion observed was PP1'4As, I agree with that.
What we found is there was the same number of alveologenic
adenocarcinomas in the sham as there were in the treated so
therefore they were not smoke related. That does not say that
alveologenic adenocarcinomas are not smoke-related, it just
happens to state that those two were not significantly
different from a statistical point of view and therefore they
weren't a smoke-associated lesion.
Q So --
A
Up to that time. That's all it says.
So you were doing a statistical analysis and
comparison on these things as you went along in, in --
A I don't think you had to when you see 2, 2 and 3
for the noncompressing nodule, this is the ANCN, the
compressing nodule, ACN, and the AC are all these AACs. You
can see -- we had a tendency to lump these together. We
didn't know it at the time but later we proved that those
particular kind of lesions could progress to overt
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alveologenic adenocarcinoma and you could see the 2, 2 and 3
was obviously not a difference between 2, 2 and 3. So I don't
think it took much of statistics to figure out that those were
not statistically significant and therefore they were not a
smoke-associated lesion.
Q Well, except --
A At that time.
Q -- you don't say anywhere in this paragraph that
your conclusion that they're not smoke associated is based on
their relative comparison. In fact, you don't even mertion in
this paragraph --
A That's true.
Q -- the numbers for the smoke and the sham?
A That's true.
Q You simply say that there have been six lun_r,
carcinomas which you know to be adenocarcinomas but you don't
consider them at that time to be smoke associated?
A Correct.
Q I take it there was also at this point in time no
squamous cell carcinomas; isn't that right?
A Correct, although it would have been here. Well,
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yes. We did not find it.
Q Let me now -- mark this.
(Document was marked Kouri
Deposition Exhibit No. 24).
Q (By Mr. Merritt) Moving ahead several months, I am
now handing you Exhibit 24 which is a progress report for
Contract 30 prepared by Carol Henry and a number of other
doctors, including yourself, dated March 15, 1981.
A Correct.
Q And I wculd like to direct your attention to
Paragraph, to Page 1 of this document.
A Umh-humh.
Q You reccgnize this as a progress report that you
submitted to CTR in about March of '81?
A It souncs right.
Q Now, once again, you recite, do you not, in the
second sentence of the bottom paragraph on Page 1 that the
only smoke-associa-Led lesion observed to date has been the
accumulation of pic:lented alveolar macrophage or PAMA?
A Correct.
Q You alse note at that point that eight alveolar
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adenocarcinomas have been observed in the smoke group compared
to only two in the sham exposed group.
A Correct.
Q So at this point the smoke animals had four times
as many as the sham exposed?
A Right.
Q Which is more than the final total that you, is a
higher percentage difference than the final
describe in your s1CI article?
A Right.
total as you
Q And yet you still did not describe those
adenocarcinomas as smoke related?
A They were not statistically significant
differences, those numbers, so therefore they were not smoke
associated.
Q Even though they are adenocarcinomas and there is a
clear difference between the smoke and the nonsmoke group.
A Right.
Q Isn't it a fact that you didn't regard them as
smoke associated because adenocarcinomas were not generally
regarded as smoke associated in 1978 and '79 --
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A No.
Q -- and 1980?
A No, at least I think we stated exactly this way
because we didn't know what was smoke associated and what was
not and rather than a preconception, we would not state that
they were different or smoke associated unless they pYoved
statistical significance.
We were trying to -- these are very difficult
studies here. These are snapshots of a very complex s:udy
done for a long time and we didn't even know exactly rcw
we
were going to be able to analyze the data because -- again,
you're going to -- this study is, was a very complex s-udy, it
was designed in mind to shake dowrr the equipment for a
lifetime study. An ancillary objective with this experiment
was in fact to see if we could keep enough animals lor_c'enough
that they could possibly express some disease phenotypes that
might be associated with lung cancer, with smoke expos--,re a~d
especially in the lung itself.
So we didn't know what to expect actually, and so
up front I think it would have been -- I mean, even if we had
said it right now, it would have been premature to call
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things -- the only reason why it was smoke associated, the
PAMAs, is the only PAitiIAs virtuall j we ever found were on smoke
exposed animals and it was pretty obvious that the smoke was
going where we wanted it to go so it is indicating that it was
there. But in terms of the actual tumors -- as a matter o=
fact, in retrospect, I probably -- iL says fibrosarcomas,
don't know what the data are here, I guess maybe it
but
there miaht have been already more fibrosarcomas in the smoke
associated group than the sham. Again, we didn't call
that at
this time smoke associated, we didn't know, but in retrospect
when we actually analyzed the data, you know, virtuallv two
years after this, those fibrosarcomas were highly
significantly associated with smoke exposure. We don't kncx
why necessarily but they are. But we didn't have
.preconceptions, we didn't try to make conclusions before we
had all the data in front of us. At least I tried not :.o.
Q Isn't it a fact that the reason you didn't regard
adenocarcinomas as smoke associated at this point in time was
that the animals sitting on the shelf that hadn't been exposed
to any smoke at all were getting them at the rate of almost
four percent which was three times the rate that the smoked
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animals were?
A No, no, I'll repeat, your beginning statement there
is incorrect. We didn't have a preconception of what was
smoke associated and what was not. So I didn't care
necessarily what it was, and the sham, the shelf animals we
knew was an inappropriate control for any experiment here
because they were virtually a different species by that ti,;,e
because they were already growing at almost twice the rate as
the, both the sham and the shelf. So that they were fed, you
know, chow ad libitum, whatever they wanted, and so therefore
they were pretty fat and happy and we knew that those animals
were going to be a very difficult group to try to compare at
all but we felt we had to keep that particular group of
animals as a control anyway because somebody was going to ask
us why didn't we just keep some on the side. We knew that
wasn't an effective comparison and never assumed we were going
to compare the sham and the smoke groups to the shelf, at
least not from a smoke point of view. The correct control was
sham, and that was it, not shelf.
Q But you did have a shelf group?
A Of course.
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And the shelf group was in fact mice that had not
been exposed to smoke?
A Correct.
Q They were sitting in cages on a shelf somewhere in
the laboratory?
A Correct.
Q
And they cot adenocarcinoma at the rate that mice
genetically get it s:or.taneously; isn't that
A Correct.
right?
. Q That rate almost from the beginning of this study
was always higher than the rate that you saw either in the
smoked or in the shar-.; isn't that correct?
A I don't kTow that. I don't think I ever did the
analysis.
Q It certai-lv was the case as of March of i9S1 when
you submitted this reoort; isn't that right?
A Well, you said it might have been for that.
Q Isn't that right there in front of you, 3.8
percent?
A Right, I've said before we''ve never made a
comparison between shelf and sham and smoke because it's an
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improper comparison.
Q Isn't that what you're doing, aren't you in fact
comparing them right here in Exhibit 24, you say 8,
parentheses, 1.4 percent, alveolar adenocarcinomas have been
observed in the smoke exposed group compared to 2,
parentheses, .5 percent, and 6, parentheses, 3.8 perce:::, for
the sham exposed and the shelf control groups respectively.
A Right.
Q Aren't you in fact comparing them? Aren't you
fact comparing them?
A Yes.
Q And isn't it -- in fact, the comparison sho;:S that
the shelf control group are in _act getting substantially mcre
of these adenocarcinomas, these spontaneous group --
A I can't conclude that.
Q
before --
You need to let me answer, finish the question
A I'm sorry.
Q Isn't it a fact in this very sentence where vou
compare them, the shelf group are getting them at the rate of
almost four percent and the smoked are getting them at only a
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little more than one percent; isn't that a fact as you have
written in your own words in this document?
A Correct.
Q Okay.
MS. EAUER: This ends Tape No. 2 of the
deposition of Doctor Kouri. The time is 4:08 p.m.
(Thereupon, a short recess was taken)
(Document was marked Kouri
Depositicn Exhibit No. 25) .
MS. BAUER : T:r i s i s Tape No. 3 of the
deposition of Doctor Kouri. The time is 4:23.
Q (By Mr. Merritt) Doctor Kouri, I've put in =ror.t
of you Exhibit 25 which is a one-page document with 13th
International Cancer Congress at the top, Official Abstract
Form. Do you recall going to a meeting of the InternationG_
Cancer Congress in September of 1982 in Seattle, Washir_aton?
A
Q
A
Q
No, I didn't go.
Doctor Henry went?
Right.
And this is a meeting that is periodically held for
scientists in, in the international medical and biomedical
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research community who are involved with cancer research; is
that correct?
A Correct.
Q And the document in front of you is an abstract
that was to be displayed at this meeting as a poster that was
prepared by you and Doctor Henry; isn't that correct?
A Yes, I think Doctor Henry did it. ~
Q But you certainly agreed, she certainly consulted ~i
t
with you before -- I
A She must have shown it to me, yes.
Q This would in fact have been the first public
statement of tre results of the 101A inhalation studies; isn't
that correct?
A Umh-humh.
Q This was in fact a statement that was being made to
the scientific community and in particular the scientific
community involved with cancer research?
,
A Umh-humh.
Q And this was done after, in fact significantly
after the completion of 101A; isn't that correct?
A What's the date of this?
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Q Do you know?
A Do I know? No, I don't know. I was asking.
I guess it was supposed to have been there before
December ist, '81. Okay.
Q This was after the completion of the exposure of
the mice in 101A?
A
A
Just about that time, isn't it?
Well, wasn't the --
.
Actual ly 7 co_^.' t remember the numbers right -ncw.
Q Wasn't the final report originally sc:^eduled for
delivery in December of 1981?
A Ri ght, but I thin'.{ we had animals st.i l1 on test ar:d
we certainly didn't complete all the pathology by then or all
the analysis.
Q You had enouch information* that you were willing to
go to the scientific ce-:-runity and tell them
things which you
assumed you had some basis for telling them, right?
A Right, these are preliminary data.
Q It doesn't say anywhere preliminary, does it?
A That's what abstracts are.
Q But it doesn't say anywhere preliminary?
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A That's what abstracts are.
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Q Okay. But my question to you is does it say
anywhere that this is preliminary?
A That's what abstracts are.
Q Okay. We can do this for a long time but I'm
entitled to an answer to my question. Does t1his c'.ocumeat
that's been put in front of you, Exhibit 25, say anywh~=e
these results are preliminary? Does the word prelim:.nG:y
appear anywhere in this document?
t Za l..
A No. i
Q This was admitted -- I am not trying to make yo Iu
say that this is a peer reviewed article.
A Right, that's what I meant.
I
Q This is a poster, it is an abstract?
A It is a preliminary observe, it's a prelimi--ary
exnosition of the data as it existed at that time.
Q And it's not a statement that one'makes wit:out any
sort of basis; isn't that correct? You just don't tell the
scientific community, whether it's in a poster or anything
else, something that you don't think you have some basis for
saying?
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A Sure. It's a snapshot of the data at that time.
Q Pnd at this point, according to this thing, over
fifteen hundred mice were evaluated?
A Yes.
Q Isn't that what it sals:
A Yes.
Q That's substantially a?1 of the mice that were
evaluated in the study; isn't that correct?
A I guess. I actually don' t know. I don' t have the
numbers in front of me. I can't ccmoare that but that sounds
right.
Q Wasn't it a fact that this particular abstract .tias
submitted, was something that you and Carol Henry and
CTR
people were aware of and discussed the appropriate ti:ning
and isn't it a fact that this was not done until in fact th.e
exposure and the examination of the mice was completed?
A I think the examination of the mice
histopathologically was done, obvicusly not all of the
analysis for statistical significance, all of the data had not
been analyzed in '81.
Q Okay. But it had been analyzed enough that you
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were comfortable going to the International Cancer Congress
and presenting the information that you present in this
document; isn't that right?
A Correct.
Q One of the things that you say in this document was
that, the only smoke-induced lesion was an accumulatiorn of:
pigmented alveolar macrophages which again is our friend PA.NLA;
isn't that right?
A Correct.
Q That's w.nat you say.there. You go on to say the
incidence of spontaneous lung cancer, parenthesis,
alveolar adenocarcinomas, end of parenthesis, was
approximately five percent.
A Right.
i.e.,
Q So even as of the date that this was done and
presumably even as of the date that this poster was displayed
to the scientific community in 1982, you did not regard
,
adenocarcinomas as smoke related?
A As statistically associated with smoke exposure,
that's right. The} are not, they weren't, at least I didn't
think they were at that time.
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Q And even as of the time that this was done, you
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felt in a one-paragraph abstract that it was
important enough
to tell the scientific community that the incidence of
spontaneous lung cancer, the adenocarcinomas that the mice get
just by virtue of being mice, was five percent, and you
further go on to say that exposure of smoke failed to alter
this tumor incidence?
A Correct.
Q Those are your words?
A Correct.
Q You furtrer go on to say that although exposure to
smoke in this model resulted in significant changes in short
term endpoints, no carcinogenic effects were noted, those are
your words; isn't t~at correct?.
A Right. w:at I'm saying all the way along here,
these abstracts are
snapshots of the data as we interpret and
analyze up to that time. I think the thing -- instead of
focusing on a set of interim reports that were incomplete both
in terms of their analysis, their review and their
conversations -- I mean, I mean the final -- like you say, an
abstract in fact is a snapshot of what was going on. The
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final report in terms of what hit the literature is peer
reviewed and we cari argue about what we need to argue about I
think in terms of this is the final report that went into the
JNCI. I mean, these other thincs are taken out of context and
which we didn't have all the, it seems like we did not 1have
all the data. We haven't cFrta:nly analyzed aJ.7l tre d=-.--a to
date. We were in the process o: analyzing the data at that
time, one point.
The second point is I am not sure right now, one
sends these abstracts in, you know, fairly early on and you
make them nonspecific as best you can and I don't have any
real idea what data was actually presented at the meet=ng.
Often one presents the data and says I'm going to present s:,me
data and you present what you actually have at the time as
opposed to what you literally sa_d here because you didn't
have that at that time. That's the whole idea. This _s what
it looked like at whatever this date might have been in '81
and when we finally went to the meeting, some other data might
have been presented. I actually don't even remember wi:at was
presented. In fact, I didn't go, Carol went to this meeting.
But I will say that when you finally look at all
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the data, analyze the data, this is what comes out of it, of
which we all agreed, CTR and ourselves, that these are the
good summary of the best est_mates of what we could come up
with when analyzing these studies, riot these interim reports
which are difficult to interpret in view of the fac;: t:at they
were just looked at as snaps:ots c= that experImc.zt st...:; as
it was unfolding. We did not know how to analyze all ':zese '
data until we got it all out. and we could sit back for -nayh,e f
I
I
six months and try to understand v:::at it might be toll_ng us.
It's a big study, and it was dor.e -- and we tried to do a
variety of methods, that we ;aere continually trying t;: a:^av::e~
this data. I think it's a little bit unfair to take a^ic
like this and hold my feet to the fire that this is in fact
what we meant. This is in fact what we meant.
Q Well, and that was in fact what was publis'~ed?
A That's the only thing that counts.
Q And CTR didn't prevent you from publishing that?
A Exactly. This here is just what it is, it was an
interim piece of information and it says alveologenic
adenocarcinomas were not smoke associated which is in =act at
that time the data would seemingly suggest that that w:s the
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222
case, they were not smoke associated.
When we actually got in there and did the analysis
and compared apples and apples and oranges to oranges, we
could find conditions in which there was a statistical
significantly difference between adeno, the incidence of
adenocarcinomas in the smoke versus the sham and that's what
we said.
Now, that doesn't mean that this was, that this -
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all that meant is that this was the information we had at the
time and this was the information that f_nally came
same data when we finally sat down and
out of the
analyzed it. I
think -- I don't even know, maybe we actually presented this
data, these data, that is the data that made up the JNCI
paper, at the actual meeting but I don't know. I actually
don't remember. That was fifteen years ago.
But I know what abstracts are and abstracts in
general are not peer reviewed publications, they're, you know,
as best we can get an ability to take a snapshot and tell some
people what data looked like right now, currently.
Q Okay. Do you have any reason to believe
let me withdraw that.
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I'm not trying to hold your feet to the fire on
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this.
Did you read Carol Henry's deposition?
A I read it.
Q Do you disagree with her testimony that at the timel
that this happened, that a lot of peoplp ic'.t that
adenocarcinomas were not smoke associated?
i
~
A No, I didn't remember that but okay. ;
i
Q Isn't it a fact that there were scientists, i
including peotile like Doctor Sommers, who didn't believe that
adenocarcinemas were, or didn't believe that the scientific
record was t-ere to establish that they were smoke related?
A I don't remember that but that might be the case.
Q And so isn't it in fact a fair statement or let me
phrase it di:ffferently.
Are you saying that it would be unreasonable or
improper or unethical for Doctor Sommers to have stated, taken
the position that squamous cell carcinomas were the only
associated lung cancers as of the time that this was
happening, meaning in the early eighties?
A No, I don't think we knew that. Squamous cell
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carcinoma was definitely not the only smoke-related lesion in
humans in the early eighties. There were a variety of cancers
that were associated with cigarette smoking in humans.
I
Q Do you think -- so it's your testimony that it
would be unreasonable for a scientist looking at the five
percent rate of spontaneous expression of these
adenocarcinomas to say that they're not smoke associated for
that reason?
A Right, I would say it's improper to come to that
conclusion.
Q Because you disagree with it?
A I just said it's improper to come to that
conclusion because you didn't hac,e -- these are the data that
we ought to be arguing about, not those, because these are the
data that we eventually all agreed made sense regardless of
what went on before, what we thought before, we didn't think
alveologenic adenocarcinomas were or were not associated with
cigarette smoke up until that time. I mean, I think it's
unfair to worry about what happened before when we actually
sat down, did the analysis and in the cold light of day do
those sorts of comparisons and we all sat in the room and
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225
concluded that they were in fact --
Q But that document that you're waving, the JNCI
article, was not written until 1985. The issue is whether
somebody prior to that time might have taken the view
reasonably and legitimate].y that the failure to find any
squamous cell carcinoma was a significG,at findin;r, evel thougrh
there were adenocarcinomas noted:
A All I want to say,'I wa:: answering your quest_on
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when you said ciidn' t you think Doctcr Sommers had i:h.e right to
write down so-~.,amous cell carcinoma wa s sn,cke associated in
that passage o` this book, that's in '84. My answer was no,
don't think he had the right to answer that question bec=use
we didn't know that for a fact it was or was not the only
smoke-associated lesion and in fact the data in here
unequivocally showed that there was another tumor that was in
fact associated with smoke lesions and it eventually was in
that data.
These data and these data are identical. Doctor
Sommers chose to read the data and make a statement about
there is no smoke-associated cancers in here when in fact that
is an improper conclusion.
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Q He didn't, he didn't say that there was no smoke,
he said there was no squamous cell carcinoma.
A And he said that the incidence of cancer, the total
incidence of cancer in the smoke and the sham were not
different.
Q Were not significantly different, isn't thut what
he said?
A That's richt, and that's --
Q Isn't tha: a fact?
A That is r_ot a fact.
Q In fact, at the .05 confidence level, there was no
difference between the s<<,oking and the sham exposed mice;
isn't that correct?
A No, that is not.
Q Okay. A-_c: where do you -- let me withdraw that.
A Let's reau the paper. The paper in 1986, which
comes out of this paper here, I just happen to know where it
is, it says the final incidence of seven lung cancers all
alveologenic adenocarcinoma -- the final incidence of seven
lung cancers all AAC in four hundred seventy-four smoke
exposed mice comparz~3 to zero lung cancers in two hundred
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seventy-two sham exposed mice was significantly different.
That's .04.
Q Where is that?
A That' s what it was.
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MS. NIP?. What page he is 1.ooking for.
THE Tr'iIT:'JESS. I'm sorry, _t e ra,J= -- r:y page II
doesn't have, it's Page 9 of the fax.
MS. NIAL: The fax you sent Q (By Mr. Merrit'L) Are you rea~:ing fy-om a chart or
are you reading from --
A I'm reading from the text. Under discussion. The
numbers are .04 coming from here but I can't remember where ~itt
is here.
Q Tell me, in fGct -- well, -- I want to follow-up on
your prior statement. Tell me, Doctor Kouri, where is it in
this JNCI article do you cite a finding at .04 percent
confidence level?
A The .04 is somehow not in this text, it says
significant but it's in the Blue Book. Does it say .04?
MS. NIAL: Yes.
THE WITNESS: Where is it?
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1 MS. NIAL: It's on Page 209 in the first
2 column where it begins with Table 4 presents the results and
3 it's down about four lines or so, three lines from the bottcm,
41 again on Page 209. Chronic cigarettes --
5 THE WITNESS: There it is, .04, there ir- is. ~
f
i
6 So I should have read that part f_Ysi-,. ~
7 A Now, this is an indication example that it wouldn'tj
~
8 have been a bad comment. However, Doctor Sommers ar.t:uG±ly j
9 writes in his Foreword, and if he wouldn't have stated it t::i Is
10 way, I probably would have cautioned him against it had I seen~
11 it first, it says the overall nurri:ers of pulmonary neoplasms
12 defined were not statistically sicnificant, when in facz if
13 you looked at the overall number, overall numbers in the smc::e
141 and sham group for.those animals that were taken off
random=y,
15 it is in fact statistically signifficant. But we in our own
16 way to try to be conservative miticated that conclusiorr by the
17 month-by-month cumulative probability however never reached
18 the level of significance less than .05. In fact, it was .07
19 at any given month.
20 But the total cumulative frequency which is in fact
21 the overall numbers that was written here by Doctor Sommers --
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he just got himself in trouble by making that statement. if
we would have reread that slightly differently, we would have
been correct, but the way it's written here, it's in fact
incorrect.
Q
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Well, it's not incorrect because this particular
passage that you're referring to only referr~ to one su::::et of
the total population; isn't that right?
A That's right.
Q And as to the differences on the entire oc;:--lation
of all the mice, it was not statistically signif:~cant a- .05?
A That is an unfair comparison. You cannot compare
sets of individuals, some were taken off test
randorr;' :-, :,om~-:
were allowed to die of their tumors. It's a weil-ki:ow: iact
that one has to analyze the data based on the method by which
they were removed from tests. So you cannot compare ta~
complete -- it would be the
same example -- well, I wi_1
aive
you -- the examples are immaterial right now. Let's just say
you really cannot compare overall incidences
in two dif"ferent
ones. The latency might be different. There are a loz of
different reasons why two things could be statisticall-,
significantly different and yet, you know, the overall
lI
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incidence is identical. In fact, i~-- obfuscates the issue, it
doesn't clarify.
Q Now, the fact is that th:s particular passage that
you have relegated in the JNCI article to the sixth page is::'t
referred to anywhere in the abstrwc= up front -- in fact, w::ati
I
you say up front is that the differezce between the =;moke an:.=~
i
I
sham exposed groups was not statistically significant at P-05
i
but only the data suggested that the tumors occurred with a ~'
!
shortened latency in the smoke exposed group at P-1U; isn't I
I
that correct?
A Yes.
Q You didn't make any reference to this particular '
subset of the population; isn't tha-L right?
A Right.
Q W:at's even more significant, though, is that
Doctor Sommers didn't have this JNCI article in front of hir
when he wrote the preface to the Blue Book?
A He had all the same data that we had.
Q He had your final report; isn't that correct?
A Right.
Q You have the final report there in front of you.
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A Pnd it says exactly the same thing.
Q Well, let's see if it does. On Page -- let me ask
you if you will look at the report itself. This is the
document as you prepared it, isn't
that correct, Exhibit 19?
A 'r;-c: zt. . Where should we look'
Q Lookk cn Page 4.
A 4. Yes.
Q Page 4:is in fact your summary of the data an,a in
fact starting on Page 3 is your su,:.-nary of the data of 101A;
isn't that correct?
A Yes, that's what I think it _s.
Q
W~en you went through the hundreds of pures that go
into this book and pulled out what you thought the significant
findings were to be included in the summiiary up front, .t::2I.s is
what you put i*_,: the summary, right, on Page 4?
A Ri ght, okay.
Q In Page 4 the first time you talk about cancer is
at the bottom paragraph of Page 4 and what do you note?
You
note that all lung cancers observed in the 3, in the BC3F1/Cum
mice were alveolar adenocarcinomas, AAC; you thought that was
an important finding, didn't you?
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A Correct.
Q That's in fact the very first thing you say about
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cancer in this study, right?
Q
Yes.
The seccr.d thing you say is no squamous cell
carcinomas or other pulmonary carcinomas were observed in ch.e
smoke, sham or, shelf control group. That was the -- you also
thought that that was an important finding, did you not.?
A This is -- right, right.
Q You go on to say that a total of nineteen
adenocarcinomas were observed out. of a total of nine hundred
and seventy-eight animals at risk in the smoke exposed group
while seven adenocarcinomas were observed out of the six
hundred and.fifty-o~.e sham exposed animals at risk.
You then co on to say data analysis
in four
different ways indic:ted that no differences were
observed
between the smoke or sham exposed groups at a .05 confidence
,
level. Those were your words, right?
A Correct.
Q
Those are in fact the first four sentences, the
first four items of information that you would want a reader
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to see in terms of summary of what this study was all about?
A Correct.
Q And what you say is they're all adenocarcinomas,
there were no squamous cell carcinomas, and there was no
statistically significant difference between the smoke and the
sham exposed analyzed four different ways; isn't that co.Tre::+:.?
A That's what it says.
~
Q Now, you don't inciaion in t:hi s parti cular suiT:,,:ary I
anywhere a 0.04 con=idence level, do you?
A We didn't analyze it that way up to that date.
Q But this was the report that Doctor Sommers had
when he wrote his Foreword; isn't that correct?
A Isn't that the same thing we were always taiki.ng
about? This thing was never meant for wide di ssemir_atic::. It
was meant for an ability to analyze these data as in-depth as
anybody could. We hadn't analyzed all the data to date,
neither should have anybody else. But they wanted it this
way, we gave it to them this way. I'm sorry to say, this is al
pitfall that happens when one is not allowed to, to really
look at all of the data and do the analysis that we eventually
did to get rid of the data, to get the paper.
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The point here is the paper, not this. This, this
data are the exact same data that gave rise to this paper.
This is the peer reviewed publication in which the analyses
were done. They finally came to that conclusio:n ar:d those
were the conclusions for the data. They're here, too. The
fact that we didn't analyze it all. the ways that perhG_ s we
had up to that time was immaterial. I mean, these are the,
those are the conclusions. We're looking at al)_ the same
data.
Q And the conclusion that you're relying on today
didn't, you didn't bother to mention, although you say it's
very significant today, even in your JNCI article, you don't
bother to mention it until six pages into the article; isn.'t
that right? What you say in the, in
the abstract on the first
page is the same thing you've said here in the final report
which is that there was no statistically significant
difference between the two groups; isn't that right? Look at
it. Isn't that right? Look at it.
A Wait, wait.
Q My question is, am I not right?
A Yes, yes. Can I address your issue? What I am
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trying to address here -- wait a minute, we're a little bit
miscommunicating in one
regard. What I'm trying to say all
the way along, we have exact same data
right? What I
in both places. All
said, and i've told you, I've tried to say this
before, the .04 overall incidence that was sta~;i=ticGlly
significant, we in our o-.rn minds argued and mitigate.^
that being a, something I wanted to hang my
Gc c;inwt
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aq i.o
hat on,
be -- in other words, I didn't think I needed to write
that said, you know, .04 and
make a big issue o-f that,
reason why I didn't think it was
a
a big i s sue is that w:.en wv
analyzed it month by month, we only got .07. rLna I wrote it
in here, and it states ir : here we somewhat m,iticate the fact
that it was .04 by t'r:e fact we never reached statistical
signif icance at any monthly i nterval , all right? So what I
was trying to say right c=f the bat here is that we're right
on the cusp of stati=tic-a1 significance when we did these
analyses. Now, we almost got it, regardless of how we did it,
and that's the same data that are here. - Okay.
What I'm only arguing about and the only thing I
have argued about all the way along was the comment that
Doctor Sommers made by summarizing these data, and the only
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mistake he made was when he said o7erall incidence. Now, I
would not have had a problem with that, the only trouble is
the overall incidence, the way he mentioned it, seven out of
the four seventy-two and zero out of two seventy-two is in
fact statistically significant. T^e monthly by monthly
weren't:, and we had increased 1Gte::cy but the only way you
would have picked those up -- we didn't have all the dGta
here.
All I was trying to say here is not the data -
we're kind of going a little besideways here. The only
mistake I think that was made, and I wrote
it in my affidav:
is that I think it would have served everybody's best
interests if Carol and I would have been able to look at this
book before
never got a
my argument
done and the
what I said.
exactly what
I
it went out, especially with the Foreword, and we
chance. And I, the only thing I've ever said i=
along here is that I think that was, a mistake was
way it's written it's misleading. That's in fact
And I think the reason it's misleading is
I'm saying right now. I wouldn't have allowed
him to say it the way he said
case.
it in here if that were the
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Q But the fact is that you're accusing him of
intending to mislead people --
A No, no.
Q -- for stating nothing other than what you yourself
-
state in the very first paragraph
A Exactly.
Q -- of the summary of yo--,r own report that you've
written?
A Those are the prob?.ems associated with taki.nc a
paper that hadn't already been Gna:yzed completely, as a
compendium, all it is is a compendium of tables. You will i
have to admit, I don' t think anY :^ody has ever seen a boo}: th
size have so few written words; there must be twenty pages of
written words and a hundred and fi=ty tables and a hundred and
fifty figures. I mean, that's all it is is a compendium of
data and there was very little analysis that was done which is
what they asked for. Nobody expec;.ed this to go into the
literature and in fact, Charlie understood what he needed to
do is to try to put something in context and he decided to do
it that way. And I wish he wouldn't have done it that way
because in fact he was a little misleading the way he wrote it
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1 in.
2 Q I understand that you wished he hadn't done it, I
3 understand that you are irritated that he did it without
4 consulting with you, but the fact of the matter is that the
5 findings that he reports in that Foreword are almost listed
6 verbatim out of your own summary in the re?c:rt. Now, maybe
7 you could have set him straight if he had as::.--:d you --
8 A Right.
9 Q -- but he didn't ask you.
10 A That's cor=ect.
11 Q Anci - -
12 A That's the only issue I have.
13 Q Are you testifying that because, that this could
141 not simply have been an honest error on his part to have
151 simply taken your summary --
16 A I think it was an honest error.
17 Q You think it was an honest -- you don't have any
18 evidence that he intended to somehow distort your findings?
19 A Absolutelv, I think it was an honest error.
20 Q Because what he said is literally true?
21 A It was an honest error for us. We hadn't analyzed
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all the data that way. I think it was an honest error for
him.
Q Even the finding you are focusing on today dealing
with the subset of animals that were randomly tayen off which
are the ones that died in the course of inhalation, that was
not something that was featured in the introduction to the
JNCI article?
A Correct.
Q You noted it but you didn't note it r_cht up frcnt?
A Right. we modified that -- exactly as I said
before, we recognized it was there. We didn't make a bia
issue out of it because we weren't sure -- it's Yig'r.t on the
cusp. The conclusion was exactly as we stated here, 2R; whole
cigarette smoke in BC3:1 mice is weakly carcinogenic, and I
think the data support that. And that's all the conclusion
was and I think we all aareed that was the right conclusion.
Q But my question to you is, isn't it a=act that
somebody reading this article who just read your abstract
wouldn't even have focused on the particular finding that
you're now talking about today?
A Yeah, I agree with you.
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Q
If you just read the abstract which is the
introduction -- it's the thing that you put up there because a
lot of people don't read the article; isn't that right?
A Correct.
Q When you write the abstract, you want to put in the
things there that you want the readerr to e-.Tet, -
A Right.
Q -- and he is going to niss & lot of deta; lhut the
important stuff you put i n the abstract?
A Right.
Q That finding that you're talkin:;~ about todaJ, this
.04 statistical significance was not in that introducto=y
section; isn't that right?
A Right.
Q And a reader just looking at this and not reading
the rest of it could honestly in good faith come to the
conclusion that what you were saying is that there was=:'t a
statistically significant difference, unless he read through
the entire article; isn't that right?
A Yes.
Q
Okay. Because it --
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A I agree.
Q Okay. So my questiorn to you is, how can you
condemn Charlie Sommers for taking conclusions out of your
summary in the final report and conclusions that he could also
have gotten out of the first parGcraph of the JNCI article?
A What the conclusion in tY:Gt paper is that 2R1 whole
cigarette smoke is weakly carcinogenic, that's the
conclusion,
ricrht, that's in that article, that's in the ~, '
J bst:racll-., it s i;l;';
the summary, it's in the conc].usioa, wherever it is, right?
That isn't the conclusion in the Foreword to this book, tha~'=
my problem, all right? It does not say that 2R1 whole
cigarette smoke was weakly carcinogenic to BC3F1 mice. Tn ~
fact, the connotation was that it was not carcinogenic.
Q Well, --
A And I'm saying that is _n fact misleading. It
might be an honest mistake because he didn't -- because -- and
I said the only honest mistake here is the word he used here
was overall incidence because he happened to pick a word
overall incidence that even I didn't, didn't make into a big
issue as evidenced by what you just said, I didn't even put it
into the summary of the paper as a big deal. But Charlie,
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Doctor Sommers thought it was a big enough deal to write it in
and he happened to choose the wrong words because the way he
wrote it, he actually is wrong because he happened to pick one
in which the overall incidence was in fact statistically
significantly different. I mean, the way he ;rrote it, he
would have had to write cigarette smoke was in fact associated
with cigarette smoke exposure. I mean, that's the way he --
because the way he wrote it but I dor.'r oven think that wa~ a
right conclusion either the way it was done because of t.hF,
fact that, again, the way the animals came
off test and a
variety of other re-asons that this is a better way to state
it. He just chose a set of simplified words in order to try
to convey a set of ideas that this, this particular
experiment, and as I read this in sum total was
largely
negative, right? That's what I think this Foreword states,
that this experiment was largely negative, when in fact the
real conclusion is that it's a weak carcinogen and it's not
unlike what we would have expected cigarette smoke to be even
in humans because it's a weak carcinogen.
Q The weak carcinogen is your conclusion, right?
A It was all our conclusions.
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Q That's not the, the data is something objective
10
that's not subject to --
A That's correct.
Q And the data was in there?
A Right.
Q And Charlie in his Foreword was not saying don't
read the data, don't turn the pages and see what the data
resulted?
A Right.
Q
He is reciting some of the findings are as follows
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and he lists them?
A Right.
Q And everything that he lists is consistent with
whatt you had provided to him?
A Everything would have been fine if he didn't say
the overall numbers cf pulmonary neoplasms, pulmonary
neoplasms -- now, these are alveologenic adenocarcinomas,
squamous cell carcinoma, anything he is talking about
identified were not statistically significantly different in
the smoke exposed mice compared to sham or shelf, and that's
not quite right.
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Q But in fact it's pretty darn close to what a normal
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reader would get out of the very first paragraph of
report in which you say --
A No.
Q
your final
-- data analysis in four different ways indicate.d
that no differences were obserfed betweern the smoke or sham
exposed group.
A I agree with you. T: e on:!,~ thing that r.eal;_,
counts is not this document here crh,c:ri i: a compil~.ti o=: cf
data, but when we actually sat down among all of us, ;-TR
included, analyzed the data and came to the conclusicn _t was
weakly carcinogenic. Now, T_ ccr.'t know why that -- that
comment should have been in here. We hadn't analyzed a~_1 `-he
data in that way because we did-:'t have time to analyz3 it ;;o
and this thing came out and 1 just flipped out
because xe
didn't even analyze all the data yet when this thing csme out.
I couldn't have come to that conclusion that was written in
the Foreword. In fact, I didn't even pay any attention to it
until I was asked for this proceedings or I would have never
even read it. I wouldn't have compared the actual words to
the data here and realized, oh, man, we shouldn't have done it
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that way in retrospect.
Q
or --
In fact, you never con-.plained about that Foreword
A Oh, I did, you better believe I did.
Q Isn't it a fact that subsequent to that Forewora
you and Carol Henry had a number of dealings with CTR, you
continued to accept money from C':': to write tr:.,~ JNCI arti c=__.,
and you thanked them for their e_.courac_rement and their supUor=i
I
and nowhere in your correspondence with them is there any hinti
of any disapproval whatsoever o_ t'r.at Foreword?
A I don't know, I can',- argue, I can't remember
whether there was something written down, but there certainly
was -- as soon as this came out, when I saw it, I called Bo^
Hockett who is the person that I originally got this from and
Bob was the one --
Q You think Bob was alive then, too?
A I don't know when Bob was. I thought I got this
thing originally and it said from Bob Hockett but I could be
mistaken. No, I don't know when Bob --
Q You didn't call Bob Hockett, did you? Are you
telling me you remember?
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A I said I think my thing came in here and what I was
trying to get ahold of is Bob Hockett. I can't remember
what -- wait a minute, now we are talking about whether he
died or not, let's not get into that. All I'm talking about
here -- I may be wrong but I thought I had a little card in
here that sa_d from, thanks, or +,:Lunks to r:rom Bob but I dor.' t'
know when -- I thought that's wha'- :ni~;_: ; aid. I don't: know `
how I just remembered that.
Q Isn't it a fact that you have never in ::iitir.g at I
any time up until this litigation was filed complained or fi
protested or criticized in any way the publishing of the Blue !
Book? I
A No, that's not right.
Q Tell me what writing you have produced.
A I don't know about writing. You said in wr=ting.
I just don't remember whether we ever wrote anything.
Q There was a lot of correspondence, wasn't there?
A There might have been. I wouldn't be a bit
surprised if it were in writing.
Q And in fact, didn't you understand that CTR -- let
me withdraw that.
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Let me go back just briefly to your conclusion,
this conclusion that you contend is statistically significant
at .04. You acknowledge that it's not contained in the ~
abstract at the beginning --
A Correct.
Q -- of the JNCI art;clE?
A
~
~
Correct. ~
It's towards the back. You also acknowled^e
. C
+
this is an analysis of one subset of the mice ~:hat were
studied under the 101A? ~
1
A Correct. ~!
i
Q As to the other subset, the ones that were presume_i
to have d;ed of their lesions, there was no difference betweer,~
smoking and sham?
A Correct.
1
Q A:;d you also acknowledge, do you not, that the fact
that the two are inconsistent has a tendency to lessen the
impact of your conclusion?
A Correct.
Q
So this is not a strong conclusion?
A Correct.
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Q This isn't something that strongly points to a
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particular conclusion --
A Correct.
Q -- about mice carcinogenesis; isn't that right?
A That's the reason it was called a weak chemical
carcinogen. I agree w? r.'r. you a hundred percar_i:.
Q You in fGcL felt necPssary to ciiscl^se in t:_=~ ~~~7CI
article that in your opini cn thE, fact that Lhe Lwo trs .: d.~.6
not agree tends to lessen thc _rapact of thF c:c1n; J.us_or. that
smoke exposed animals i n the subset popu' ac.ion hi,;:d a
significantly higher i nci dence of lung car_ce.r than the sham
exposed animal?
A That' s exactly right. I' d havce to say that was a
comment, as I remember, and don't take -- th:,.,- was, th_s was
something we did have some conversations with rlr. Fin^_yGn
about because that was an issue and his point was don'-L you
think that the fact that it never reached statistical
significance in a monthly interval mitigated in some regards
against the fact that it was in total but it wasn't in any
given month, and I had a tendency to agree with him. I
thought that was a proper way to caution the reader, and so I
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did it.
MS. NIAL: Bob, is this a good time to take a
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break?
MR. MERRITT: Yeah, let's take a break.
MS. BAiJE.°.: Of f the record at 5: C2 .
(Thereuron, a shorc recess was ta}:e::3 .
(Documents were marked K3u=i
: ::position Exhibit Nos. 2 6
and 27).
.MS. BAUER: Back on the record at 5.13.
Q (By Mr. Merritt) Doctor Xouri, this morr.i::_c you
testified to your opiniorn t'r.at people may have in fact been
misled by Doctor So:nrners' preface to the Blue Book. Do you
recall that testimony?
A Yes.
Q Do you in fact know of anyone who was misled by
reading that?
A No, no.
Q Do you know of any smoker or any Congressman or any
scientist or anybody whatsoever who read that preface cr that
Foreword and as a result was misled?
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A Only Doctor Sommers.
Q Going back to the end of 1981, let me ask, let me
ask you to look at Exhibit 26. Do you recognize this? This
is a letter dated December 22nd, 1981, from Carol Henry to
Doctor Sommers and Thomas Hoyt. December 1981 was followina
the comnletion of the exposure portion of Contract 10if.; is
that correct?
A I think that's right.
Q And at that time Doctor Eenry in this leC::e_-
promises to bring the final report with her to a meetirg ai:
CTR that was scheduled for January of 1982; is that correct?
A Yes.
Q Isn't it a factt that -- and this time frame
corresponds with earlier projectio::s that the rEport wculd re
written up and submitted to CTR at the end of 1981; isr_'t trat
a fact?
A I think that's right.
Q Now, in fact the final report was not submitted to
CTR for over two years; isn't that correct?
A Right.
Q And isn't it a fact that that was the cause of scme
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aggravation and, and perhaps anger is too strong a word but
clearly irritation on CTR's part that it was not getting its
report; isn't that true?
A Yeah, I think that's trae.
Q In fact, part of the reason that that was happening
was that you and Doctor Henry had been assigned to other
projects, isn't that right, that was part of it?
A Right.
Q She got pregnant at scme point and was unable to
work on this?
A That might be true, tcc. I actually forgot about
that.
Q And then at the end o= '82 or the beginning of 'c3,
a year or so after this letter was written, you left MAI and
were starting a new job that had ti:ne requirements?
A Right.
Q And so without pointing any fingers, --
A It took a while.
Q -- it is in fact the case that CTR waited a long
time to get this report?
A Correct.
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Q And that people at CTR were aggravated because they
had spent a lot of money on these things and they wanted to
see something to show for it; isn't that right?
A I'm sure. I
Q
And isn't it also a fact that in addition to the
report, it was contemplated early on that there
published manuscripts in peer review journals?
A Correct.
would be
Q And that among the things that were happening in
'81 and '82 were questions to you and Doctor Henry about when
will we see some manuscripts for publications; isn't that
right?
A Yes.
Q There were in fact going to be four manuscripts,
there was going to be one describing methodology, one
describing the results of the smoke inhalation studies, one
describing the results of the, of the promotion using the
methylcholanthrene and benzo(a)pyrene, and then a fourth one
that was going to be a comparison with human data; isn't that
right?
A I think that's right. Actually I had forgotten
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about that but now that you said it, I agree with you.
Q
Let me ask you to look at a document marked Exhibit
27 which is a letter from John Parker of Microbiologica].
Associates to Tom Hoyt dated December 6th, 1983, and this
relates to the, to this ongoing negotiation or discus-sion that
was going on between CTR and MAI as to A, when do
we get our
report and B, when do we start seeing these manuscripts?
!
A I think that's riaht.
~
Q And this letter is dated December of '83.. ^his is ~
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two years after the project has essentially been ccr,._'.::zed and
the second and third and fourth manuscripts anyway anc
the
final report itself have riot yet been delivered; is that
correct?
A Yes.
Q Now, in this letter or attached to this letter are
a series of proposed outlines for these various mariusc=-_pts.
A Umh-humh.
Q And I'll refer you specifically now to a pace that
has at the top Figure 1. Do you see that?
A Yes.
Q That's in fact an outline of the second manuscript
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of the four; isn't that correct?
A Yes.
Q And that's in fact roughly an outline of the JNCT
article that was subsequently written; isn't that correct?
A I think so, yes.
Q
And so in fact -- let me ask you what I askFc': you
before and you were a little uncertain at the time, th~:: JNCI
article was actually written after, at least after the date of
this letter; isn't that right?
A I actually don' t know that to be a fac::. 1 mean,
it could easily -- this, this inventory or this intrcduction,
methods and results could have literally been, we already had
drafts of that paper written.
Q It could have been but you don't remember one way
or the other?
A That's right, I can't remember, but there's nothing
in here that says it was done before or after this time.
Q Except that in this letter John Parker, who is --
A He is the President of Microbiological Associates.
Q John Parker on behalf of MAI is saying we propose
this to you as a general sort of outline of the areas that
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would be covered in the various manuscripts?
A Correct.
Q The one that's identified as Figure 1 is JNCI
article and the article as it was finally prepared by you and
I
Doctor Fenry roughly corresponds to this outline?
A Right, a draft might hGve already been written for
all I know. That's the reason why it looks like this.
Q On the very first page of this letter Doctor Parker
says thaL the second and third manuscripts have been scheduled
for completion by February 1984.
A Right.
Q Which was in fact also the, which was in fact tr.e
date that the, that the final report was ultimately given *_~:.
CTR; isn't that right?
A Yes.
Q But in fact it wasn't presented to CTR in February
of '84, the JNCI manuscript?
A That's right.
Q And in fact, it wasn't submitted to CTR for over a
year and a half later; isn't that true?
A Correct.
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Q So in February of 1984, CTR has waited at that
point over two years for the final report; isn't that right?
A Yeah.
Q And it's been promised a manuscript but it doesn't
have it; isn't that right?
A Right.
Q And it doesn't know in fact when it's going to get
the manuscript; is-r't that right?
A Yes.
Q I mean, it wasn't until the middle of '85 t`!at
Carol Henry proposed to CTR that they pay you and Doctor Henry
to invest the time to actually write the article and get it
out; isn't that the case?
A I don't have that letter in front of me that
says -- I don't know what the dates were, but I certainly
remember the fact that we were remiss in getting all this
done. It was obviously not high in the priority list, most of
which because of you said a long time ago, it seemed like a
long time ago, when you said that CTR did represent a healthy
percentage of the work that was going on at Microbiological
Associates and without it, we had to scamper around to, to
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fill that gap, and that was our primary priority to do that.
Off the record.
(Discussion off the record).
(Document was marked Kouri
Deposition Exhibit No. 28).
MS. 3AUER: Back or, the record at 5:26.
Q (By Mr. r`.erritt) Let me ask you if you would look
at a document that's been marked as Exhibit 28 and which is a
July 31, 1985 letter from Carol Henry to Sheldon SomneYs at
CTR, and do you recognize this letter?
A No, I didn't remember it but I think Carcl told me
she was going to send it.
Q And it shows a copy was sent to you. You were
aware that during this time, meaning July of 1985, there were
negotiations over CTR providing funds --
A Yeah.
Q -- to enable you and Doctor Henry to take the time
to write up the JNCI article?
A Umh-humh.
Q And CTR in fact agreed to provide thirty-eight
thousand dollars for a total of two hundred and eighty hours
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of time for yourself and Doctcr Kouri, I beg your pardon and
Doctor Henry to write the JNCI article?
A Yep.
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Q Now, this is well c-rer a year after the final
report was submitted to CTR i:: February of 1984?
A I agree.
Q Arid it's over a year after this particular
manuscript was promised to CT.F; isn't that correctc'
A (Nodding head affirmatively).
Q Now, the scientific community had been made aware
in the 1970s that there was a:-- inhalation proj ect that was
really unprecedented in size Gnd sophistication that was being
done by MAI under sponsorship by CTR? This was not a secret;
is that correct?
A Right.
Q And there were people on the SAB, for example, who
were then sitting, who were then employees of the National
Cancer Institute who had told people that this study was being
done and the scientific community in fact had a legitimate
interest in what the outcome of this work was; isn't that
right?
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A I, I think that the -- did they have a scientific
interest? No, I can't address that issue whether they had an
interest or not. Nobody ever asked me outside of CTR, you
know, to get that thing done. r:obody was,
nobody was, you
know, waited with bated breath, t*:at they were waiting for
that publication.
Q But isn't it a fact t:at CTR did get inquir_es I
(
~
about the status of the study ~.:r.d' that in fact the study had
,
been concluded years before? ~
A Oh, yes, it took us a while to get it done. we
were remiss.
Q And CTR had spent. several million dollars dcir.g
this? I
A Oh, I, I agree with you. I
i
Q And in February of 19124 when they get your final
report, late, when they don't gez a manuscript that has been
promised to them in 1984 and don't know when they're going to
get it and in fact don't get it for over a year later, was it
i
unreasonable for them to consider ways in which the results of
this study, the data and methodology could be made available
to scientists without having to wait until you or Doctor Henry
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finally get around to writing a manuscript?
A Perfectly reasonable request.
Q And so I take it you're not saying that there's j
anything necessarily nefarious about the fact that CJ':2 was I~
wanting in 1984, when they final].y had the final repor+::, some ~I
I
way to get this out, -- ;
i
A It --
Q -- that was not unreasonable of them?
A That's not unreasonable. +
~
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Q In fact, the only way they could cat t'r:i s ~
information out was by giving people the final reoort because
that's all they had at that point; isn't that correct?
A I don't have any argue -- I guess the only time it
would have been, it would have seemingly been proper to just
give us -- they did make some subtle changes in this final
report from us a:.d they put a Foreword on it. It would have,
normally it would have been pretty smart just to run
it by us
first and tell us what they were going to do with it, that
that's what they intended to do, but that wasn't done.
Q I understand that you are not happy about that.
A That's all I've ever said.
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Q But the fact of the matter is, --
A They could and they didn't.
Q -- putting aside that discourtesy if that's what it
was to you --
A That's it.
Q -- putting aside --
A I'll go with that.
Q -- the possibility that you might have corrected
Doctor Sommers in his misunderstanding of your results, the
mere fact that they said let's publish this thing so the
scientific community can have it, that in itself was not
unreasonable or unez-^ical or improper?
A No, I'v:r r.ever said that. The simple fact of
putting this in the pGper was no problem,
that would have been
fine. I guess all T would have wanted-to do was look at it
then. Because what T said is I would have rewritten or
written it slightly differently had I known that's what we
were going to do with it up front. I mean, we got the thing
out. This is a monstrous undertaking and it was under duress
at that time that we were doing, we were remiss at getting
this done, I'll be the first to apologize and have to, to the
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CTR staff when we did it, but that happened. I'm sorr~y.
And that, but when we finally got around to doing
it, we got it into there, we followed up as best we can, as
fast as we can to get the paper out. It wasn't very t_:nely.
I wish it were more timely but at the time, I hate to say it
just wasn't the highest priority on Carol nor my plate at the
time, we were out doing other things and I'm sorry about that.
Q And the problem was that CTR as of 1984 didn't know
when it would actually get
on your plate?
A I think that's true.
Q Okay.
MR. MERRITT: Give me like one second. Can we
just huddle quickly without --
MS. NIAL: Let's go off the record.
MS. BAUER: 0:f the record at 5:34.
(Discussion o-ff the record).
MR. MERRITT: Next one.
(Document was marked Kouri
Deposition Exhibit No. 29).
MS. BAUER: Back on the record at 5:36.
Q (By Mr. Merritt) Doctor Kouri, I have just handed
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you a document which is an August 16, 1985 letter from Doctor
Henry and yourself to Doctor Elizabeth Weisburger at the
Journal of the National Cancer Institute.
A Correct.
Q This is a letter that you and Doctor Henry sent to,
to the JNCI at about that time?
A Correct.
Q Reading, directing your attention to the second
paragraph of this letter, could you read the, the paragraph
starting with the third sentence?
A A final report?
Q Yes.
A A final report describing these studies was
submitted to CTR. As a result of requests for copies of this
rather extensive report, CTR elected to print the final report
verbatim in bound book form for general dissemination. The
work presented in this manuscript has not been published in
any journal.
Q Was it in fact your understanding at this time that
that was the reason why CTR had elected to have the final
report printed?
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A I don't really know. That seemed to be the easiest
way to state this when we were going to submit the paper.
Obviously the attempt here was to recognize that this volume
existed in the public literature and we wanted to make sure
that it would not prevent us from publishing the paper. That
was the attempt here.
Q But the sentence that is contained in this letter
that you wrote, was that true, was that a true statement?
A I don't know if it was true or not true, it just
seemed to be the right thing to say at the time.
Q But it was something that at the time you said
to --
A ?t seemed to be a nice way to state, you know, what
happened, and so we were being polite about everything
without, without raising any heckles from anybody. I don't
think from this letter, I don't think it makes any sense, I
mean makes any connotation whether we liked the publication of
,
this journal or didn't -- or this book or didn't like it, it
was just the simple fact we wanted to make sure it didn't
inhibit our ability to publish the original paper.
Q You wouldn't have lied to the JNCI in connection
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with submitting your manuscript?
A I don't think that would be a lie, that's right.
Q This sentence whether you like it or not or whether
you are happy about it or not, it reflected your understanding
that CTR had elected to print the book because they had
received recuests about it; isn't that correct?
A Right.
Q That's what this sentence says?
A Right.
MR. MERRITT: I have nothing further.
MS. BAUER: Off the record at 5:39.
This concludes the deposition of Doctor Kouri.
(Thereupon at 5:39 o'clock p.m., the
examination of the witness was concluded).
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CERTIFICATE OF DEPONENT
I hereby certify that I have read and examined the
foregoing transcript, and the same is a true and accurate
record of the testimony given by me.
Richard E. Kouri, Ph.D.
CERTIFICATE OF NOTARY PUBLIC/REPORTER
STATE OF MARYLAND )
CITY OF BALTIMORE )
I hereby certify that on the 12th day of September
1997, before me, pe=sonally appeared RICHARD E. KOURI, Ph.D.,
who was first duly sworn by me to tell the truth, the whole
truth and nothing but the truth;
That the testimony of the said RICB,~RD E. KOURI,
Ph.D., was reduced to writing under my direction, and the
foregoing is a true record of the testimony given by the said
deponent.
I further certify that in my presence it was
stipulated and agreed by and between counsel for the
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respective parties that the sealing and filing by the Notary
be waived.
I further certify that I am not attorney, relative I
nor employee of any party hereto, nor otherwise interested in I
the event of this cause.
In Witness Whereof, I have hereunto set my hand and
affixed my Notarial Seal, this 15th day of September, 1997.
';5'UA4' ~. -&~
Shari L. Nelson
Notary Public in and for the
State of Maryland.
My Commission Expires
February 1, 1998.
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