Trends in financial payments from industry to US cancer centers, 2014-2021

Abstract Background Industry payments to US cancer centers are poorly understood. Methods US National Cancer Institute (NCI) –designated comprehensive cancer centers were identified (n = 51). Industry payments to NCI–designated comprehensive cancer centers from 2014 to 2021 were obtained from Open Payments and National Institutes of Health (NIH) grant funding from NIH Research Portfolio Online Reporting Tools (RePORT). Given our focus on cancer centers, we measured the subset of industry payments related to cancer drugs specifically and the subset of NIH funding from the NCI. Results Despite a pandemic-related decline in 2020-2021, cancer-related industry payments to NCI–designated comprehensive cancer centers increased from 482 million in 2014 to 972 million in 2021. Over the same period, NCI research grant funding increased from 2 481 million to 2 724 million. The large majority of nonresearch payments were royalties and licensing payments. Conclusion Industry payments to NCI–designated comprehensive cancer centers increased substantially more than NCI funding in recent years but were also more variable. These trends raise concerns regarding the influence and instability of industry payments.