This biographical article is written like a résumé .(January 2022) |
Janet Woodcock | |
---|---|
Principal Deputy Commissioner of Food and Drugs | |
In office February 18, 2022 –February 1, 2024 | |
President | Joe Biden |
Preceded by | Amy Abernethy |
Succeeded by | NamandjéBumpus |
Commissioner of Food and Drugs | |
Acting | |
In office January 20,2021 –February 17,2022 | |
President | Joe Biden |
Preceded by | Stephen Hahn |
Succeeded by | Robert Califf |
Director of the Center for Drug Evaluation and Research | |
In office October 1,2007 –April 12,2021 Acting:October 1,2007 –April 1,2008 | |
Preceded by | Steven K. Galson |
Succeeded by | Patrizia Cavazzoni |
In office May 1994 –April 2004 | |
Preceded by | Carl Peck |
Succeeded by | Steven K. Galson |
Personal details | |
Born | Washington,Pennsylvania,U.S. | August 29,1948
Spouse | Roger Miller [1] |
Education | Bucknell University (BS) Northwestern University (MD) |
Awards | Biotechnology Heritage Award (2019) |
Janet Woodcock (born August 29,1948) is an American physician who served as Principal Deputy Commissioner of Food and Drugs from February 2022 until February 2024,having previously served as Acting Commissioner of the U.S. Food and Drug Administration (FDA). [2] She joined the FDA in 1986,and has held a number of senior leadership positions there,including terms as the Director of Center for Drug Evaluation and Research (CDER) from 1994 to 2004 and 2007 to 2021. [3]
Woodcock has overseen the modernization and streamlining of CDER and FDA,introducing new initiatives to improve the timeliness and transparency of FDA procedures,and the safety,quality and effectiveness of drugs. She informs the United States Congress and other government bodies about the FDA and its concerns,helping to develop policy recommendations and legislation. In 2015,Woodcock received a Lifetime Achievement Award from the Institute for Safe Medication Practices in recognition of “a significant career history of making ongoing contributions to patient safety.” [4] She has also received the 2019 Biotechnology Heritage Award. [5]
Woodcock received a Bachelor of Science in Chemistry from Bucknell University in 1970,and earned her Doctor of Medicine from the Feinberg School of Medicine at Northwestern University Medical School in 1977. [6] [3] [5] She worked at the Hershey Medical Center at Pennsylvania State University (1978-1981) and the Veterans Administration Medical Center of the University of California,San Francisco (1982-1985), [7] earning certifications in Internal medicine (1981) and Rheumatology (1984). [8]
Woodcock joined the U.S. Food and Drug Administration (FDA) in 1986,as the Director of the Division of Biological Investigational New Drugs in the Center for Biologics Evaluation and Research (CBER). As of September,1990,she became Acting Deputy Director of CBER. She became Acting Director of the Office of Therapeutics Research and Review (part of CBER) as of November 1992,and was confirmed as Director of the Office of Therapeutics Research and Review as of November 1993. [3]
From May 1994 to April 2004 Woodcock served as Director of the Center for Drug Evaluation and Research (CDER) of the FDA. [3]
From April 2004 to July 2005,Woodcock was Acting Deputy Commissioner for Operations at the FDA. From July 2005 to January 2007,she served as Deputy Commissioner for Operations and Chief Operating Officer of the FDA. From January 2007 to March 2008,she served as Deputy Commissioner and Chief Medical Officer of the FDA. [3] [9]
From October 2007 to March 2008,Woodcock also served as Acting Director of the Center for Drug Evaluation and Research (CDER). As of March,2008,she became Director of CDER,a position which she held until April 12,2021. [10] [11] [8] In addition to being the Director of CDER,she has concurrently served as Acting Director of the Office of Product Quality from October 2014 to September 2015;and as Acting Director of the Office of New Drugs from January 2017 to December 2018. [3]
On April 12,2021,Woodcock transitioned from her role as Director of CDER to Principal Medical Advisor to the Commissioner,while continuing to serve as Acting Commissioner.
As Director of the Office of Therapeutics Research and Review (1992–1994),Woodcock covered the approval of the first biotechnology-based treatments for multiple sclerosis and cystic fibrosis. [3]
As Director of CDER,beginning in 1994,Woodcock oversaw the modernization of CDER and FDA,streamlining review processes and standards,transitioning to electronic formats for submissions and decision-making processes,and making regulatory procedures,policies,and decisions publicly available. She has supported the development of systems which encourage a high degree of participation by consumers,patients,and their advocates. [3] [5] [12] [13] [14]
It’s an ongoing intellectual challenge. It’s the intersection of science and medicine and law and policy.
— Janet Woodcock, 2018 [6]
Woodcock informs Congress and other government bodies about the FDA and its concerns in order to guide policy recommendations and legislation. [8] She has testified before congress on at least 50 occasions, under six different U. S. presidents. [6] [15] [16] She has been praised for her directness. [8]
“Again, I want it known that I appreciate Dr. Woodcock’s candor,” intoned Mr. Dingell, whose committee has jurisdiction over the FDA. “To her credit, she has stepped forth in the midst of a public health crisis to deal honestly with Congress. How I wish others in the administration showed the same vigor, responsiveness, and leadership.”
In 2000 Woodcock introduced the concept of risk management to the FDA's analysis of drug safety. [5] In 2002, she led the Pharmaceutical Quality for the 21st Century Initiative using a risk based approach to modernize pharmaceutical manufacturing and regulation. [17] [18] [7] [19]
Beginning with the publication of Innovation or Stagnation: Challenges and Opportunity on the Critical Path to New Medical Products (2004) [20] she has led the US Food and Drug Administration's Critical Path Initiative [5] [3] in an attempt to improve "development processes, the quality of evidence generated during development, and the outcomes of clinical use of these products." [21] Through public-private partnerships and the creation of consortia, the initiative seeks to apply advances in genomics, advanced imaging, and other technologies to the process of modern drug development. [21] [22] The goal is to more rapidly develop new medical discoveries in the laboratory and make them available to patients in need. [23] [5] [24]
Woodcock has also worked to improve the quality, effectiveness and safety of drugs through the Safe Use and Safety First initiatives, introduced in 2007–2008. Drug safety is viewed from a life-cycle perspective, examining each stage of the product life cycle. [25] [3] [4]
In 2012, the FDA rolled out the FDA Adverse Event Reporting System (FAERS), replacing the earlier AERS system. FAERS is an online database that is used by the FDA for safety surveillance of all approved drugs and therapeutic biologic products. FAERS helps to track adverse event and medication error reports from health care professionals (physicians, pharmacists, nurses and others) and consumers (patients, family members, lawyers and others). It is used in combination with MedWatch and the Vaccine Adverse Event Reporting System (VAERS) is to identify potential safety concerns. [26] [4]
Another monitoring system, the Sentinel System, became fully operational in 2016. Woodcock launched the Sentinel Initiative in 2008 in response to passage of the Food and Drug Administration Amendments Act of 2007 ("FDAAA"). The first Annual Sentinel Initiative Public Workshop was held in 2009, with subsequent yearly workshops to bring together possible stakeholders and explore a broad range of perspectives and issues. In 2009, the pilot program Mini‐Sentinel was launched. In 2014, expansion to a full system began. [3] [27] [28] The Sentinel System draws on existing databases of private health care insurers and providers to actively monitor for safety issues as they are developing, rather than relying on later third-hand reports. Woodcock has stated that the approach could “revolutionize” product safety. [29] [30]
In 2012 Woodcock oversaw a major reorganization of the generic drug program. [5] The first generic drug user fee program, Generic Drug User Fee Amendments of 2012 (GDUFA), was signed into law on July 9, 2012. [31] GDUFA was designed to build upon the 20-year-old Prescription Drug User Fee Act (PDUFA) and improve the generic drug review and approval process. [32] [3] [27]
Woodcock has also supported the 21st Century Cures Act. [33] [34]
On January 27, 2021 a coalition of 28 public health groups and opioid crisis organizations sent a letter to the Biden Administration regarding Woodcock's position as Acting Commissioner of the FDA. The letter said in part that "as the Director of the FDA’s Center for Drug Evaluation and Research (CDER) for more than 25 years, Dr. Woodcock presided over one of the worst regulatory agency failures in U.S. history." [35] Examples of improper opioid decisions mentioned in the letter include "approving Opana without adequate evidence of safety or long-term efficacy, approving Zohydro despite a vote of 11-2 against approval by a scientific advisory committee, and approving promotion of OxyContin for children as young as 11 years old." [35]
The following are among the awards received by Woodcock:
The United States Food and Drug Administration is a federal agency of the Department of Health and Human Services. The FDA is responsible for protecting and promoting public health through the control and supervision of food safety, tobacco products, caffeine products, dietary supplements, prescription and over-the-counter pharmaceutical drugs (medications), vaccines, biopharmaceuticals, blood transfusions, medical devices, electromagnetic radiation emitting devices (ERED), cosmetics, animal foods & feed and veterinary products.
A generic drug is a pharmaceutical drug that contains the same chemical substance as a drug that was originally protected by chemical patents. Generic drugs are allowed for sale after the patents on the original drugs expire. Because the active chemical substance is the same, the medical profile of generics is equivalent in performance compared to their performance at the time when they were patented drugs. A generic drug has the same active pharmaceutical ingredient (API) as the original, but it may differ in some characteristics such as the manufacturing process, formulation, excipients, color, taste, and packaging.
Prescription drug list prices in the United States continually are among the highest in the world. The high cost of prescription drugs became a major topic of discussion in the 21st century, leading up to the American health care reform debate of 2009, and received renewed attention in 2015. One major reason for high prescription drug prices in the United States relative to other countries is the inability of government-granted monopolies in the American health care sector to use their bargaining power to negotiate lower prices, and the American payer ends up subsidizing the world's R&D spending on drugs.
The United States Federal Food, Drug, and Cosmetic Act is a set of laws passed by the United States Congress in 1938 giving authority to the U.S. Food and Drug Administration (FDA) to oversee the safety of food, drugs, medical devices, and cosmetics. The FDA's principal representative with members of congress during its drafting was Charles W. Crawford. A principal author of this law was Royal S. Copeland, a three-term U.S. senator from New York. In 1968, the Electronic Product Radiation Control provisions were added to the FD&C. Also in that year the FDA formed the Drug Efficacy Study Implementation (DESI) to incorporate into FD&C regulations the recommendations from a National Academy of Sciences investigation of effectiveness of previously marketed drugs. The act has been amended many times, most recently to add requirements about bioterrorism preparations.
An approved drug is a medicinal preparation that has been validated for a therapeutic use by a ruling authority of a government. This process is usually specific by country, unless specified otherwise.
The Center for Biologics Evaluation and Research (CBER) is one of six main centers for the U.S. Food and Drug Administration (FDA), which is a part of the U.S. Department of Health and Human Services. The current Director of CBER is Peter Marks, M.D., PhD. CBER is responsible for assuring the safety, purity, potency, and effectiveness of biologics and related products. Not all biologics are regulated by CBER. Monoclonal antibodies and other therapeutic proteins are regulated by the FDA Center for Drug Evaluation and Research (CDER).
The Center for Drug Evaluation and Research is a division of the U.S. Food and Drug Administration (FDA) that monitors most drugs as defined in the Food, Drug, and Cosmetic Act. Some biological products are also legally considered drugs, but they are covered by the Center for Biologics Evaluation and Research. The center reviews applications for brand name, generic, and over the counter pharmaceuticals, manages US current Good Manufacturing Practice (cGMP) regulations for pharmaceutical manufacturing, determines which medications require a medical prescription, monitors advertising of approved medications, and collects and analyzes safety data about pharmaceuticals that are already on the market.
The Center for Devices and Radiological Health (CDRH) is the branch of the United States Food and Drug Administration (FDA) responsible for the premarket approval of all medical devices, as well as overseeing the manufacturing, performance and safety of these devices. The CDRH also oversees the radiation safety performance of non-medical devices which emit certain types of electromagnetic radiation, such as cellular phones and microwave ovens.
The Prescription Drug User Fee Act (PDUFA) was a law passed by the United States Congress in 1992 which allowed the Food and Drug Administration (FDA) to collect fees from drug manufacturers to fund the new drug approval process. The Act provided that the FDA was entitled to collect a substantial application fee from drug manufacturers at the time a New Drug Application (NDA) or Biologics License Application (BLA) was submitted, with those funds designated for use only in Center for Drug Evaluation and Research (CDER) or Center for Biologics Evaluation and Research (CBER) drug approval activities. In order to continue collecting such fees, the FDA is required to meet certain performance benchmarks, primarily related to the speed of certain activities within the NDA review process.
Numerous governmental and non-governmental organizations have criticized the U. S. Food and Drug Administration for alleged excessive and/or insufficient regulation. The U.S. Food and Drug Administration (FDA) is an agency of the United States Department of Health and Human Services and is responsible for the safety regulation of most types of foods, dietary supplements, drugs, vaccines, biological medical products, blood products, medical devices, radiation-emitting devices, veterinary products, and cosmetics. The FDA also enforces section 361 of the Public Health Service Act and the associated regulations, including sanitation requirements on interstate travel as well as specific rules for control of disease on products ranging from animals sold as pets to donations of human blood and tissue.
President of the United States George W. Bush signed the Food and Drug Administration Amendments Act of 2007 (FDAAA) on September 27, 2007. This law reviewed, expanded, and reaffirmed several existing pieces of legislation regulating the FDA. These changes allow the FDA to perform more comprehensive reviews of potential new drugs and devices. It was sponsored by Reps. Joe Barton and Frank Pallone and passed unanimously by the Senate.
Priority review is a program of the United States Food and Drug Administration (FDA) to expedite the review process for drugs that are expected to have a particularly great impact on the treatment of a disease. The priority review voucher program is a program that grants a voucher for priority review to a drug developer as an incentive to develop treatments for disease indications with limited profitability.
Steven Kenneth Galson is an American public health physician. He is currently a Senior Advisor at the Boston Consulting Group and Independent Board Member at Biocryst Pharmaceuticals and Elephas Biosciences. Until 2021 he was Senior Vice President for Research and Development at Amgen, the California-based biopharmaceutical company. He is also a Trustee and Professor-at-Large at the Keck Graduate Institute for Applied Life Sciences in Claremont, California. He is a retired rear admiral in the United States Public Health Service Commissioned Corps and public health administrator who served as the acting Surgeon General of the United States from October 1, 2007 – October 1, 2009. He served concurrently as acting Assistant Secretary for Health from January 22, 2009 to June 25, 2009, and as the Deputy Director and Director of the Center for Drug Evaluation and Research (CDER) at the Food and Drug Administration from 2001 to 2007. As the Acting Surgeon General, he was the commander of the United States Public Health Service Commissioned Corps and, while serving as the Assistant Secretary for Health, was the operational head of the Public Health Service.
The following outline is provided as an overview of and topical guide to clinical research:
Critical Path Institute (C-Path) is a non-profit organization created to improve the drug development process; its consortia include more than 1,600 scientists from government regulatory and research agencies, academia, patient organizations, and bio-pharmaceutical companies.
The Reagan-Udall Foundation for the Food and Drug Administration is a private nonprofit (501c3) organization, created to support the mission of the U.S. Food and Drug Administration (FDA) to help equip FDA staff with the highest caliber, regulatory science and technology in order to enhance the safety and effectiveness of FDA regulated products. Although it was mandated by Congress in the Food and Drug Administration Amendments Act of 2007 to help support and promote FDA's regulatory science priorities, it is independent of the agency, with its own Board of Directors, staff and research agenda. The Reagan-Udall Foundation creates public–private partnerships to advance research in regulatory science, enhance medical decision making, and promote innovation. It also advances regulatory science through fellowships and other training programs, both for private scientists and for FDA staff.
The Food and Drug Administration Safety and Innovation Act of 2012 (FDASIA) is a piece of American regulatory legislation signed into law on July 9, 2012. It gives the United States Food and Drug Administration (FDA) the authority to collect user fees from the medical industry to fund reviews of innovator drugs, medical devices, generic drugs and biosimilar biologics. It also creates the breakthrough therapy designation program and extends the priority review voucher program to make eligible rare pediatric diseases. The measure was passed by 96 senators voting for and one voting against.
Breakthrough therapy is a United States Food and Drug Administration designation that expedites drug development that was created by Congress under Section 902 of the 9 July 2012 Food and Drug Administration Safety and Innovation Act. The FDA's "breakthrough therapy" designation is not intended to imply that a drug is actually a "breakthrough" or that there is high-quality evidence of treatment efficacy for a particular condition; rather, it allows the FDA to grant priority review to drug candidates if preliminary clinical trials indicate that the therapy may offer substantial treatment advantages over existing options for patients with serious or life-threatening diseases. The FDA has other mechanisms for expediting the review and approval process for promising drugs, including fast track designation, accelerated approval, and priority review.
Lisa Morrissey LaVange is Professor and Chair of the Department of Biostatistics in the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill where she directs the department’s Collaborative Studies Coordinating Center (CSCC), overseeing faculty, staff, and students involved in large-scale clinical trials and epidemiological studies coordinated by the center. She returned to her alma mater in 2018 after serving as the director of the Office of Biostatistics in the United States Food and Drug Administration (FDA) Center for Drug Evaluation and Research (CDER). Her career also includes 16 years in non-profit research and 10 years in the pharmaceutical industry. She served as the 2007 president of the Eastern North American Region (ENAR) of the International Biometric Society (IBS), and as the 2018 American Statistical Association (ASA) president.
Patrizia Cavazzoni is the director of the U.S. Food and Drug Administration's (FDA) Center for Drug Evaluation and Research (CDER). Prior to this position she worked at Pfizer and had been a psychiatrist