The Commercial Appeal

Former FDA chief Califf tapped again

- Matthew Perrone and Zeke Miller

WASHINGTON – President Joe Biden on Friday chose Dr. Robert Califf, a former Food and Drug Administra­tion commission­er, to again lead the powerful regulatory agency.

Califf’s nomination comes after months of concern that the agency near the center of the government’s COVID-19 response has lacked a permanent leader. More than a half-dozen names were floated for the job before the White House settled on Califf.

A cardiologi­st and clinical trial specialist, Califf, 70, served as FDA commission­er for the last 11 months of President Barack Obama’s second term. Before that, he spent one year as the agency’s No. 2 official after more than 35 years as a prominent researcher at Duke University, where he helped design studies for many of the world’s biggest drugmakers.

Since leaving government, he has worked as a policy adviser to tech giant Google, in addition to his ongoing academic work at Duke.

“As the FDA considers many consequent­ial decisions around vaccine approvals and more, it is mission critical that we have a steady, independen­t hand to guide the FDA,” Biden said in a statement announcing his decision.

If confirmed by the Senate, Califf

would oversee decisions on COVID-19 vaccines along with a raft of other knotty issues, including the regulation of electronic cigarettes and effectiveness standards for prescripti­on drugs. He would be the first FDA commission­er since the 1940s to return for a second stint leading the agency.

“Rob is a relatively safe choice because he is known in Washington and is widely respected,” said Wayne Pines, a former FDA associate commission­er who has helped several commission­ers through the confirmation process. “He will have broad support from FDA stakeholde­rs.”

The FDA regulates the vaccines, drugs and tests used to combat COVID-19. That’s on top of its normal duties regulating a swath of consumer goods and medicines, including prescripti­on drugs, medical devices, tobacco products, cosmetics and most foods.

Dr. Janet Woodcock, the agency’s longtime drug director, has been serving as acting commission­er since January. For months she was expected to be tapped for the permanent post, but her nomination ran into pushback from key Democratic lawmakers, including Sen. Joe Manchin of West Virginia, over the handling of opioid prescripti­on painkiller­s during her 30plus years at the agency.

The White House faced a legal deadline of mid-november to nominate a permanent commission­er or name another acting commission­er.

Califf arrived at the FDA in 2015 determined to modernize how the agency reviewed drug and device study data. But his brief time as commission­er was dominated by unrelated pharmaceut­ical controvers­ies, including surging opioid addiction and overdoses.

He was among the first FDA officials to publicly acknowledg­e missteps in the agency’s oversight of painkiller­s like Oxycontin, which is widely blamed for sparking the ongoing opioid epidemic, now driven by heroin and fentanyl.

 ?? ANDREW HARNIK/AP ?? President Joe Biden is nominating Dr. Robert Califf, a former FDA Commission­er, to again lead the regulatory agency.
ANDREW HARNIK/AP President Joe Biden is nominating Dr. Robert Califf, a former FDA Commission­er, to again lead the regulatory agency.

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