Disclosure of Conflict of Interest Statement · I acknowledge that I must disclose any conflict of...

Disclosure of Conflict of Interest Statement

For Use by the Editors and Editorial Board Members of Muscle & Nerve

January 2019

I have read and agree to abide by the Muscle & Nerve Conflict of Interest policy as described here:

http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1097-4598/homepage/EditorialBoard.html

I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation,

or activity with any entity, whether or not active in the fields of neuromuscular and/or electrodiagnostic medicine, which may

give rise to a conflict of interest.

I acknowledge that I understand that the Muscle & Nerve Conflict of Interest policy extends to my partner, a business or other

entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to

promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of

interest, by updating my Disclosure Statement.

Check appropriate box and complete as applicable:

I have no conflicts of interest.

I have interests or commitments to disclose, as described below.

Name: __Elisabeth Barton_______ Date: _1/22/19_ Signature: _______________________________

DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.

Commercial Interest (Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.)

What was received? What you or your spouse/partner received from the commercial interest (e.g., salary, royalty, intellectual property rights, consulting fee, honorarium, and ownership interest (stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit). LIST ONLY THE CATEGORY, NOT THE AMOUNT.

For what role? The role you or your spouse/partner played to receive the salary, goods, honorarium, etc.: employment, management position, independent.

Disclosure of Conflict of Interest Statement

For Use by the Editors and Editorial Board Members of Muscle & Nerve

January 2019

I have read and agree to abide by the Muscle & Nerve Conflict of Interest policy as described here: http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1097-4598/homepage/EditorialBoard.html

I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation, or activity with any entity, whether or not active in the fields of neuromuscular and/or electrodiagnostic medicine, which may give rise to a conflict of interest.

I acknowledge that I understand that the Muscle & Nerve Conflict of Interest policy extends to my partner, a business or other entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of interest, by updating my Disclosure Statement.

Check appropriate box and complete as applicable:

I have no conflicts of interest.

X I have interests or commitments to disclose, as described below.

Name: Joe N. Kornegay Date: 1-24-19 Signature:

DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.

Commercial Interest (Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.)

What was received? What you or your spouse/partner received from the commercial interest (e.g., salary, royalty, intellectual property rights, consulting fee, honorarium, and ownership interest (stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit). LIST ONLY THE CATEGORY, NOT THE AMOUNT.

For what role? The role you or your spouse/partner played to receive the salary, goods, honorarium, etc.: employment, management position, independent.

I am a paid consultant for Solid Biosciences.

Consulting fee Consultation on preclinical project design

X

Disclosure of Conflict of Interest Statement

For Use by the Editors and Editorial Board Members of Muscle & Nerve

January 2019

I have read and agree to abide by the Muscle & Nerve Conflict of Interest policy as described here:

http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1097-4598/homepage/EditorialBoard.html

I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation,

or activity with any entity, whether or not active in the fields of neuromuscular and/or electrodiagnostic medicine, which may

give rise to a conflict of interest.

I acknowledge that I understand that the Muscle & Nerve Conflict of Interest policy extends to my partner, a business or other

entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to

promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of

interest, by updating my Disclosure Statement.

Check appropriate box and complete as applicable:

I have no conflicts of interest.

X I have interests or commitments to disclose, as described below.

Name: Craig M. McDonald_______ Date: 3/4/2019 Signature: _

DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.

Commercial Interest (Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.)

What was received? What you or your spouse/partner received from the commercial interest (e.g., salary, royalty, intellectual property rights, consulting fee, honorarium, and ownership interest (stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit). LIST ONLY THE CATEGORY, NOT THE AMOUNT.

For what role? The role you or your spouse/partner played to receive the salary, goods, honorarium, etc.: employment, management position, independent.

PTC Therapeutics, Inc Consulting fee Consultant; Member Scientific Advisory Board

Sarepta therapeutics Consulting Fee Honorarium

Consultant; Member Scientific Ad Board Speaker

Santhera Pharmaceuticals Consulting Fee Honorarium

Consultant; Member Scientific Ad Board Speaker

Capricor Therapeutics, Inc.

Consulting Fee Honorarium

Consultant; Member Scientific Ad Board Speaker

Catabasis Pharmaceuticals, Inc.

Consulting Fee

Consultant

X

X

FibroGen Consulting Fee

Consultant

Cytokinetics, Inc. Consulting Fee

Consultant

Astellas Consulting Fee

Consultant

Disclosure of Conflict of Interest Statement

For Use by the Editors and Editorial Board Members of Muscle & Nerve

January 2019

I have read and agree to abide by the Muscle & Nerve Conflict of Interest policy as described here:

http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1097-4598/homepage/EditorialBoard.html

I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation,

or activity with any entity, whether or not active in the fields of neuromuscular and/or electrodiagnostic medicine, which may

give rise to a conflict of interest.

I acknowledge that I understand that the Muscle & Nerve Conflict of Interest policy extends to my partner, a business or other

entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to

promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of

interest, by updating my Disclosure Statement.

Check appropriate box and complete as applicable:

I have no conflicts of interest.

I have interests or commitments to disclose, as described below.

Name: ____Masahiro Sonoo_________ Date: __3 Feb 2019_____ Signature: _______________________________

DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.

Commercial Interest (Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.)

What was received? What you or your spouse/partner received from the commercial interest (e.g., salary, royalty, intellectual property rights, consulting fee, honorarium, and ownership interest (stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit). LIST ONLY THE CATEGORY, NOT THE AMOUNT.

For what role? The role you or your spouse/partner played to receive the salary, goods, honorarium, etc.: employment, management position, independent.

v

Disclosure of Conflict of Interest Statement

For Use by the Editors and Editorial Board Members of Muscle & Nerve

January 2019

I have read and agree to abide by the Muscle & Nerve Conflict of Interest policy as described here:

http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1097-4598/homepage/EditorialBoard.html

I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation,

or activity with any entity, whether or not active in the fields of neuromuscular and/or electrodiagnostic medicine, which may

give rise to a conflict of interest.

I acknowledge that I understand that the Muscle & Nerve Conflict of Interest policy extends to my partner, a business or other

entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to

promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of

interest, by updating my Disclosure Statement.

Check appropriate box and complete as applicable:

I have no conflicts of interest.

☒ I have interests or commitments to disclose, as described below.

Name: Eric J. Sorenson, MD_______________ Date: _1/22/2019___ Signature: _ ____________

DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.

Commercial Interest (Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.)

What was received? What you or your spouse/partner received from the commercial interest (e.g., salary, royalty, intellectual property rights, consulting fee, honorarium, and ownership interest (stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit). LIST ONLY THE CATEGORY, NOT THE AMOUNT.

For what role? The role you or your spouse/partner played to receive the salary, goods, honorarium, etc.: employment, management position, independent.

Cytokinetics, Inc Grant support for clinical trial research

Site PI for clinical trial

Disclosure of Conflict of Interest Statement

For Use by the Editors and Editorial Board Members of Muscle & Nerve

January 2019

I have read and agree to abide by the Muscle & Nerve Conflict of Interest policy as described here:

http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1097-4598/homepage/EditorialBoard.html

I acknowledge that I must disclose any conflict of interest, along with a description of any personal business interest, affiliation,

or activity with any entity, whether or not active in the fields of neuromuscular and/or electrodiagnostic medicine, which may

give rise to a conflict of interest.

I acknowledge that I understand that the Muscle & Nerve Conflict of Interest policy extends to my partner, a business or other

entity with which I am associated and all members of my immediate household. I also understand that it is my obligation to

promptly reveal any changes in my personal business interests, affiliations or activities which may give rise to a conflict of

interest, by updating my Disclosure Statement.

Check appropriate box and complete as applicable:

x I have no conflicts of interest.

I have interests or commitments to disclose, as described below.

Name: __Craig Zaidman_____________ Date: _2/5/19______ Signature:

DISCLOSURE LISTING OF INTERESTS/ COMMITMENTS.

Commercial Interest (Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.)

What was received? What you or your spouse/partner received from the commercial interest (e.g., salary, royalty, intellectual property rights, consulting fee, honorarium, and ownership interest (stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit). LIST ONLY THE CATEGORY, NOT THE AMOUNT.

For what role? The role you or your spouse/partner played to receive the salary, goods, honorarium, etc.: employment, management position, independent.