A guest blog by Chris Douglas, 30th April 2012
In addition to taking part in the WPI’s UK study, I privately had my blood shipped to VIPdx for a HGRV/XMRV antibody test.
The following year, Dr Judy Mikovits was dismissed by the WPI. One of the bones of contention between the two parties seems to have been the scientific validity of VIPdx’s HGRV/XMRV assays and the defensibility of offering a commercial test for sale so early in the research.
These concerns were reinforced by the failure of any assays used in the US NIH’s Blood Working Group study to detect HGRV/XMRV on a fast throughput basis (i.e. outside of a research lab). These assays included those of the WPI on which VIPdx’s tests, allegedly, were based.
At the end of September 2011, UNEVX (the lab that superseded VIPdx) withdrew its HGRV/XMRV antibody test but gave scant rationale for the action. People in Europe, however, were told by their local labs that there were concerns about the test’s reliability.
On 17th October, I emailed Annette Whittemore to request scientific validation of VIPdx’s HGRV/XMRV assays. It took a further four weeks and the intervention of Kellen Jones-Monnick (WPI Office Manager) to receive the following response from VIPdx.
STATEMENT OF VINCENT LOMBARDI, PhD
CLINICAL LAB DIRECTOR, VIP Dx
A number of recent publications and individuals have mischaracterized the nature of certain clinical laboratory results reported by VIP Dx, a CLIA certified clinical laboratory. VIP Dx has met the required CLIA Program standards and is certified to offer and perform only clinically validated laboratory tests. The “XMRV test” offered by VIP Dx is clinically validated and performed under rigorous protocols to ensure the accuracy and reliability of the test results. XMRV testing was offered based upon the existing scientific knowledge at the time. The original assays for XMRV testing were based on the 2009 Science publication. Those assays, as well as all subsequent modifications, were internally validated prior to being used to process patients’ samples. WPI’s Research Director was instrumental in the decision to make such a test available to physicians. The interpretation of the XMRV test results, as with all laboratory tests, is the responsibility of the ordering physician.
Before offering any test to the public, VIP Dx established comprehensive performance specifications including accuracy, precision, analytical sensitivity, specificity, and others required for test performance.
Further email exchanges confirmed that “…XMRV testing is for both the culture and the serology tests…” and that “…ALL of the tests we run are validated and inspected by the State of Nevada,”
I asked to see the “validation data”, requested details about “the State of Nevada” and reiterated my question about why a “clinically validated” test (or tests) was withdrawn.
VIPdx replied that “The State does not “hold” this information. It is a proprietary record of the laboratory. They inspect but do not keep our records. Our validation records and test protocols are proprietary intellectual property of the laboratory.”
Again, I requested “more tangible evidence of the scientific validity of the two XMRV tests” and an explanation of how they “…have been validated, particularly given that there was no previously established benchmark against which to compare them.”
I received no further replies from VIPdx.
Next, I contacted the State of Nevada Health Board Bureau of Health care Quality and Compliance which also handles Clinical Laboratory Improvement Amendments (CLIA).
During the ensuing correspondence, and contrary to VIPdx’s statement to me, it emerged that “Vincent Lombardi is not the laboratory director, nor has he served in that regulatory capacity” and “they took this off their website today, it is incorrect.”
[The regulatory Laboratory Director (i.e. the person who represents the lab for regulatory purposes) was/is Sanford Barsky who, in February 2012, CFS Chronicles found to be accused of scientific fraud.
http://www.cfschronicles.com/1/post/2012/02/vote-of-no-confidence.html ]
It also transpired that “Unevyx [sic] has not been approved nor have they begun to perform XMRV tests” despite offering these for sale from 13th June 2011.
Although the State Health Board identified these two regulatory anomalies, it did not pursue an investigation into VIPdx or the scientific validity of its HGRV/XMRV tests.
Without such scientific validation, it is impossible to establish whether or not:
a) it is appropriate to take medication prescribed as a result of a positive VIPdx HGRV/XMRV test;
b) insurance company and private funds have been spent on tests that may have been invalid;
c) test results support current advocacy strategies for HGRV/XMRV-related diseases.
Given the continued absence of proof of scientific validity, I emailed VIPdx to request a refund for the test. I did this four times between 24th February and 22nd March but, apart from one read receipt, I have not received a reply.
In order to encourage a more forthcoming dialogue on the subject, perhaps others who have paid for a HGRV/XMRV test from VIPdx may wish to request a refund too. They also may wish to make a formal complaint to the State Health Board, particularly in light of the following statement from Dr Mikovits’ lawyer.
“Mikovits also confronted institute officials for allegedly selling blood tests through the institute’s clinic even after the tests had been invalidated, “thereby committing Medi-Care fraud,” Jones said.” Reno Gazette Journal, 23rd April 2012.
VIPdx
Marguerite Ross, Director of Marketing and Client Relations
State of Nevada Health Board Bureau of Health care Quality
Vickie Estes, Supervisor, Medical Laboratory Services
Editor’s Addendum:
According to the same article cited by Chris, http://www.rgj.com/article/20120423/NEWS/304230038/Fired-Whittemore-Peterson-Institute-researcher-claims-justice-system-flawed,
“The institute had been using federal grant money to pay a lab director, Vincent Lombardi, even though he did not work at the institute full time, Jones said.
“Jones also said Mikovits raised concerns about the alleged misuse of cells allocated for nonprofit research “to harvest supplies for the institute’s for-profit clinic.” Mikovits claimed the institute covered up the alleged misappropriation for two years.
“Mikovits also confronted institute officials for allegedly selling blood tests through the institute’s clinic even after the tests had been invalidated, “thereby committing Medi-Care fraud,” Jones said.”
Taken in combination – the concerns Chris has expressed, the statement above, and the recent article by Cort Johnson (WPI Back On Track? University Gives WPI Strong Show of Support) which documents the “strong approval” of the WPI by the University of Nevada, I have to defer to Samuel Wales’ recent cry for appropriate language to describe our paradigm. (Misopathy).
Perhaps “misapathy” would be another appropriate addition to our lexicon?
CFS Untied


