1. No category

ICMJE FORM FOR DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST
Given Name (First Name): Leopoldo
Type of Relationship
No
Board membership
X
Consultancy
X
Employment
X
Expert testimony
X
Grants/grants pending
X
Payment for lectures
including service on
speakers bureaus
Payment for manuscript
preparation
Patents (planned, pending
or issued)
Royalties
X
Travel/accommodation/
meetings expenses
unrelated to
activities listed**
Other (err on the side of
full disclosure)
Money
Paid to
You
Money to
Your
Institution*
Entity
Comments
X
X
X
Payment for development
of educational
presentations
Stock/stock options
Surname (Last Name): Pérez de Isla
X
Menarini
X
Various
companies
X
Travel expenses covered to
attend various congresses
X
* This means money that your institution received for your efforts.
** For example, if you report a consultancy above there is no need to report travel related to that consultancy on this line.
Are there other relationships or activities that readers could perceive to have influenced, or that give the
appearance of potentially influencing, what you wrote in the submitted work?
No other relationships/conditions/circumstances that present a potential conflict of interest
Yes, the following relationships/conditions/circumstances are present (explain below):