FDA's Cleveland Clinic and Duke Connection

Steven Nissen (Cleveland Clinic) and Robert Califf (Duke) are well known advisers to FDA: outside experts the agency turns to on thorny issues -- especially involving cardiovascular risks. What is less recognized is the prominence of the institutions that Nissen and Califf represent and their impact on the FDA advisory committee process. The agency currently has a dozen advisory committee members from the Cleveland Clinic and Duke.

When the Food & Drug Administration took on the thorny subjects of how and when to conduct cardiovascular outcomes research for diabetes drugs at a public advisory committee earlier this summer, the agency devoted half a day to presentations by two of the most prominent academic experts on clinical trials for cardiovascular events: Cleveland Clinic medical director Steven Nissen and Duke University vice chancellor for medical research, Robert Califf.

It wasn’t surprising for FDA to turn to Nissen and Califf for help on the tough subject of changing clinical...

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