Lawyering-up Medicine Open Letter

UCL trachea transplants: Videregen sets lawyers on Liverpool academics Murray and Levy

Videregen, the Liverpool-based company which bought the trachea regeneration patent from UCL, deployed lawyers against the academics Patricia Murray and Raphael Levy, precisely via their employer University of Liverpool. Main issue is the parliamentary submission by Levy and Murray, subject to absolute privilege. Yet Videregen also cites from the confidential notice of suspected research misconduct Murray and Levy submitted in good faith to UCL.

The Science and Technology Committee of the British House of Commons opened in November 2017 an inquiry into Research Integrity. This prompted two University of Liverpool academics to submit a letter to the committee, describing the inaccuracies, misrepresentations and blatant lies which incurred in the course of the trachea transplants performed by the surgeons Paolo Macchiarini and Martin Birchall. The two academics were Patricia Murray, professor in stem cell biology and regenerative medicine, previously a nurse on a Head and Neck unit, and Raphael Lévy, senior lecturer in nanotechnology and imaging. The two also notified the relevant UK authorities and Birchall’s employer UCL of their concerns, especially after even suspected data manipulations came to light. UCL representative gave as a reply an oral and written testimony to the parliamentary committee, other stakeholders provided their own written replies. The first Murray-Levy letter was followed by a second one, because UCL needed help recalling correctly what they did to which patient, and how many have died from the very similar trachea replacement technology which UCL still demands to be allowed to test on 60 more patients.

Now the most vile thing happened, as reported by The BMJ on July 12. Videregen, the Liverpool-based company which bought the trachea regeneration patent from UCL and engages Birchall’s services as advisor, deployed lawyers against Murray and Levy, precisely via their employer University of Liverpool. The main issue is the parliamentary submission by Levy and Murray, subject to absolute privilege. Yet Videregen also cites from the confidential notice of suspected research misconduct Murray and Levy submitted in good faith to UCL (which has not yet decided whether misrepresenting data and providing false information in applications for funding, ethics approval and regulatory permissions is serious enough to warrant an investigation). One wonders who forwarded Videregen this notice, which was confidential and absolutely none of their business? UCL, or their professor Birchall, or Birchall with permission from UCL? Another question is: is our tax money which the EU Commission gave Videregen for trachea transplanting now being used to threaten critics?

The legal letter by the London-based Keystone Law threatens the University of Liverpool with massive lawsuits and demands compensation for the derailed multi-million pound-heavy clinical trials. It is already the second letter, where a Murray and Levy are given the choice to be sued, or sign a cease-and-desist “undertakings” where they would pay Videregen all the incurred legal costs, renounce their submissions to Parliament and retract their evidence to UK regulatory authorities and UCL before the investigations can even take place. The best bit: Murray and Levy are to make sure I never speak in Liverpool again and they have to somehow delete all my articles, talks and social media posts which make reference to the trachea transplant technology Videregen patented. In particular my presentation from June 1st in Liverpool was seen as provocative in this regard. Below is a video of it I posted on YouTube, and here the corresponding SlideShare presentation, which all have to go, or else University of Liverpool and its academics will be sued. Legally, such demands make no sense whatsoever, simply because they cannot be enforced. But this is not the point. As long as their bluff works, Videregen wins.

The University of Liverpool was also expected to sign a declaration that the submissions by Murray and Levy to the UK Parliament and authorities are false, misleading, inaccurate and incomplete. Basically, the university has to declare that the technology works, is successfully proven and that nobody ever died from a trachea transplant performed by Birchall and Macchiarini.

I suspect the legal success Macchiarini’s trachea transplanters had against me in German created a precedence. Only that in UK, it may have backfired badly. The medical journal BMJ reported already.



Videregen is a small-to-medium sized company renting office space in the Liverpool Science Park. The regmed business was founded by its CEO Steve Bloor in 2011 with just one pound start capital and one single share. In 2014, the licence for the regenerated trachea and voicebox grafts was sold to Videregen by UCL and their partners Northwick Park Institute for Medical Research (NPIMR), where Birchall was apparently running animal tests (not clear how many, due to image duplications).

Since that deal, the Videregen business flourished, ie., till Macchiarini affair exploded, and certain people started to ask questions. Thanks to a clever partnering with the industry sponsor Cell and Gene Therapy Catapult of  Catapult UK, Videregen runs the (now derailed) EU-funded phase 2 trachea transplant clinical trial TETRA, which was scheduled to operate 48 patients with the Videregen-patented trachea transplants from 2018 on. To get a licence from the European medicines Agency (EMA), Videregen hid the true causes of death or even the existence of Birchall’s and Macchiarini’s trachea transplant patients, and convinced EMA that the two pigs which died right after receiving a trachea transplant at NPIMR, were actually proof that the method works.

Videregen also led, again thanks to Catapult UK, the Innovate UK-funded phase 1 clinical trial Inspire, which was expected to inform the phase 2 TETRA with its predictable success stories of 4 patients. Nobody was recruited though, because the trial was suspended in 2016 after my reporting, together with another phase 1 clinical trial about to be run over 10 patients in which Videregen was also involved: RegenVox. There, the decellurised donor larynx (voicebox) was about to be regenerated with the patients’ bone marrow cells seeded in a bioreactor, just like with the trachea. RegenVox is now officially terminated. All those 3 clinical trials, where Videregen was poised to shovel millions of public funding and investor money, have the company’s paid advisor Birchall as lead investigator.

s and t
UCL got hammered by the Parliament’s Research Integrity Committee. Full report here.

You can see now why Bloor and his Videregen are so upset, especially after their desperate recent attempt to find new partners for trachea transplanting in US, China or Japan apparently bore no fruit except embarrassment. Birchall and UCL are also unlikely to be content with how things played out, but under current circumstances they can hardly sue Murray and Levy themselves. But Videregen can try.

How the business works, in theory. In practice, Shauna Davison is dead. And so are others. Source: YouTube

The BMJ bombshell

This is what BMJ wrote about the response Murray and Levy got for their engagement:

“UCL has a fixed timetable for such investigations, and the Liverpool academics pressed for answers when they believed that the time limit had been exceeded. What they got was a nine page letter from Keystone Law on behalf of Videregen, a company planning two clinical trials in collaboration with UCL.

The letter, sent to the vice chancellor of Liverpool University, says that the complaints have damaged the company by making statements that are “false, misleading, inaccurate and/or incomplete” and may have grave consequences for Videregen’s ambition, reputation, and ability to conduct research.

In a second letter Keystone Law says that Videregen believes that Murray and Lévy “have unilaterally decided to conduct an ongoing campaign against our client” and that they have made comments not based on objective data. It offers not to proceed
with litigation against the university if it dissociates itself from Murray and Lévy’s comments and those made in a similar vein by others, including the blogger Leonid Schneider, a campaigner active in the field who spoke at a meeting at the university. It provides a draft statement for the university to sign”.

This is what Murray herself has to say:

Patricia Murray on UCL trachea transplants and Videregen’s legal threats

In November 2017, my colleague and I submitted a report to the current Research Integrity Inquiry entitled ‘Tissue-engineered’ tracheas: an assessment of the scientific, clinical and ethical implications1. Our report recommended that clinical trials involving the transplantation of ‘tissue-engineered’ tracheas (the ‘Inspire’ trial, funded by Innovate UK) and larynxes (the ‘RegenVox’ trial, funded by the Medical Research Council) should not take place, and that no further transplants of ‘tissue engineered’ airways should be performed in the UK on the grounds of ‘compassionate use’ until firm evidence of safety and efficacy has been obtained from appropriate animal models. We provided supplementary evidence to the Inquiry in January2 and May3 2018, and some of the key issues were recently reported in the journal ‘Science’4.

As indicated in our January 2018 contribution to this inquiry2, we submitted (also in January) an allegation of research misconduct to UCL due to concerns relating to preclinical data from UCL’s trachea transplant team. We were motivated to do this because we felt the issues were rather serious, given that one of the research publications in question contained data to support the RegenVox clinical trial.

After submitting our allegation, we were informed by UCL that they would deal with the allegation in accordance with their published Procedure for dealing with allegations of academic research misconduct, and that they had assembled a Screening Panel. Over subsequent months, we provided additional evidence to UCL to help them with their investigation.

In April 2018, we were informed that a letter had been received from solicitors acting on behalf of UCL’s collaborator, the SME Videregen, indicating that their client was contemplating legal action in response to (i) allegations of research misconduct concerning trachea transplants we had submitted in good faith to UCL; (ii) submissions we have made to the Science and Technology Select Committee; (iii) an article in Science raising concerns about trachea and larynx transplantation trials4. Importantly, the solicitor’s letter quoted directly from a document we submitted that was not in the public domain.

In June 2018, a further letter was received from Videregen’s solicitors, threatening legal action if we do not sign a statement indicating that we will cease and desist and that we will remunerate Videregen for their current legal costs. It is interesting to see what strategies can be used to try and silence individuals who are raising concerns about suspected research misconduct in good faith.  

Big business plans, now a bit off schedule. Sorry about that, Steve! Source: YouTube





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18 comments on “UCL trachea transplants: Videregen sets lawyers on Liverpool academics Murray and Levy

  1. Wow. Too bad England is currently being run by a half-stuffed muppet, while a wheezing windbag is waiting to swoop in from the wings. This sort of thing could not happen in a less distracted democracy.


  2. Me again

    – This is the best possible evidence for the severe concerns by Murray and Levy being valid
    – The Science Mafia finally overreached, violating procedures and openly trying to coerce two respected researchers. This will help the public to understand how Universities/Journals/etc. truly operate when facing misconduct.

    Well done!


  3. Smut Clyde

    The interesting part of Keystone’s letter is the absence of specified grounds for the threatened litigation. The combination of imprecision, stupidity and thuggishness makes it positively Trumpian.


    • Smut Clyde

      The other Trumpian part is the extortion attempt: “Surrender unconditionally, pay all our costs (unspecified) and maybe we won’t run up more costs by actually suing you.”

      I’d complain of their effrontery, but I feel like I should be writing a harumphy letter to the Times when I use that word.


  4. Fernando Pessoa

    Justice Minister Shailesh Vara said:

    “The introduction of these new measures will make it harder for wealthy people or companies to bully or silence those who may have fairly criticised them or their products.”

    “Protection for those who are publishing material on a matter of public interest where they reasonably believe that publication is in the public interest”


  5. Fernando Pessoa


    (1) It is a defence to an action for defamation for the defendant to show that the imputation conveyed by the statement complained of is substantially true.
    (2) Subsection (3) applies in an action for defamation if the statement complained of conveys two or more distinct imputations.
    (3) If one or more of the imputations is not shown to be substantially true, the defence under this section does not fail if, having regard to the imputations which are shown to be substantially true, the imputations which are not shown to be substantially true do not seriously harm the claimant’s reputation.
    (4) The common law defence of justification is abolished and, accordingly, section 5 of the Defamation Act 1952 (justification) is repealed.

    Honest opinion
    (1)It is a defence to an action for defamation for the defendant to show that the following conditions are met.
    (2)The first condition is that the statement complained of was a statement of opinion.
    (3)The second condition is that the statement complained of indicated, whether in general or specific terms, the basis of the opinion.
    (4)The third condition is that an honest person could have held the opinion on the basis of—
    (a)any fact which existed at the time the statement complained of was published;
    (b)anything asserted to be a fact in a privileged statement published before the statement complained of.
    (5)The defence is defeated if the claimant shows that the defendant did not hold the opinion.
    (6)Subsection (5) does not apply in a case where the statement complained of was published by the defendant but made by another person (“the author”); and in such a case the defence is defeated if the claimant shows that the defendant knew or ought to have known that the author did not hold the opinion.
    (7)For the purposes of subsection (4)(b) a statement is a “privileged statement” if the person responsible for its publication would have one or more of the following defences if an action for defamation were brought in respect of it—
    (a)a defence under section 4 (publication on matter of public interest);
    (b)a defence under section 6 (peer-reviewed statement in scientific or academic journal);
    (c)a defence under section 14 of the Defamation Act 1996 (reports of court proceedings protected by absolute privilege);
    (d)a defence under section 15 of that Act (other reports protected by qualified privilege).
    (8)The common law defence of fair comment is abolished and, accordingly, section 6 of the Defamation Act 1952 (fair comment) is repealed.

    Publication on matter of public interest
    (1)It is a defence to an action for defamation for the defendant to show that—
    (a)the statement complained of was, or formed part of, a statement on a matter of public interest; and
    (b)the defendant reasonably believed that publishing the statement complained of was in the public interest.
    (2)Subject to subsections (3) and (4), in determining whether the defendant has shown the matters mentioned in subsection (1), the court must have regard to all the circumstances of the case.
    (3)If the statement complained of was, or formed part of, an accurate and impartial account of a dispute to which the claimant was a party, the court must in determining whether it was reasonable for the defendant to believe that publishing the statement was in the public interest disregard any omission of the defendant to take steps to verify the truth of the imputation conveyed by it.
    (4)In determining whether it was reasonable for the defendant to believe that publishing the statement complained of was in the public interest, the court must make such allowance for editorial judgement as it considers appropriate.
    (5)For the avoidance of doubt, the defence under this section may be relied upon irrespective of whether the statement complained of is a statement of fact or a statement of opinion.
    (6)The common law defence known as the Reynolds defence is abolished.



  6. Ana Pedro

    The unsustainable relativity of the truth gravitates towards proofs, influence, power and money


  7. Hi Leonid
    This is just horrible! That now calls for the nuclear option! That company needs to be pounded out of existence, this calls for [consequences] to the officers of that company.
    Furthermore those shysters from the law firm need to be offered the ususal Popehat response “snort my taint”.
    Cheers, oliver


    • Smut Clyde

      Murray and Levy are civil people so I understand if they do not refer KeystoneLaw “to the case of Arkell v. Pressdram”.
      Popehat’s adage also comes to mind: “Vagueness in legal threats is the hallmark of meritless thuggery”.


  8. What is also most interesting is the demand that evidence to Parliament be retracted – the letter is sent at a very convenient time of course, when Parliament is about to go into recess for the summer.
    I do not recall such a demand. I also do not know if it is legally possible to challenge a submission to Parliament, since it is now in the Parliamentary record and I don’t think this be altered.
    So definitely bullying tactics, and a letter with no substance can be treated with the contempt it deserves.


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