Califf was granted tenure as professor of cardiology at Duke University School of Medicine. He was the founding director of the Duke Clinical Research Institute, which is considered "the world’s largest academic research organization" with 1000 employees and an annual budget of $320 million, 50-60% of which is funded from industry. Califf has led many clinical cardiology research studies, health outcomes research, health care quality, and translational research, which seeks to ensure that advances in science translate into medical care. He was a lead investigator in clinical trials testing the efficacy of the cholesterol-lowering drug combination ezetimibe/simvastatin. As of 2015 he was vice chancellor of clinical and translational research and the director of the Duke Translational Medicine Institute. Califf is recognized by the Institute for Scientific Information as one of the top 10 most cited medical authors, with more than 1,200 peer-reviewed publications.
Relationships with the pharmaceutical industry
Califf worked very closely with pharmaceutical companies at the Duke clinical trials center "convincing them to do large, expensive, and, for Duke, profitable clinical trials." He was a paid consultant for Merck Sharp & Dohme, Johnson & Johnson, GlaxoSmithKline, AstraZeneca, and Eli Lilly per ProPublica from 2009 to 2013. The largest consulting payment was $87,500 by Johnson & Johnson in 2012, and "most of funds for travel or consulting under $5,000", which has been called "minimal for a physician of his stature". From 2013-2014 he was paid a total of $52,796, the highest amount was $6,450 from Merck Sharp & Dohme, followed by Amgen, F. Hoffmann-La Roche AG, Janssen Pharmaceutica, Daiichi Sankyo, Sanofi-Aventis, Bristol-Myers Squibb and AstraZeneca. He was the Director of Portola Pharmaceuticals, Inc. from July 2012 to January 26, 2015, An advisor of Proventys, Inc., Chairman of the medical advisory board of Regado Biosciences, Inc. and has been a member of the medical advisory board since June 2, 2009, and a member of the clinical advisory board of Corgentech Inc. Forbes wrote that his close ties to the drug industry were the reason for him not being nominated for the FDA Commissioner position in 2009.
In January 2015, Califf was appointed Deputy Commissioner of the United States Food and Drug Administration's Office of Medical Products and Tobacco, "second in scope only to being commissioner". In February 2015, Califf was cited as a possible successor to Margaret Hamburg, the outgoing Commissioner of the Food and Drug Administration. and in September 2015, President Barack Obama nominated him to be the next FDA commissioner. In February 2016, the US Senate confirmed Califf as commissioner of the Food and Drug Administration by a vote of 89-4. Dr. Califf stepped down from the post of FDA commissioner on January 20, 2017.
Memberships
He is a member of the Institute of Medicine. He was on the committees that recommended for example, Medicare coverage of clinical trials and to remove ephedra from the market, and the committee on identifying and preventing medication errors. As of 2015, he is member of the IOM Policy Committee and liaison to the Forum in Drug Discovery, Development, and Translation. He served on the FDA Cardiorenal Advisory Panel and FDA Science Board's Subcommittee on Science and Technology.
