FDA Commissioner Scott Gottlieb to step down

At the Food and Drug Administration, the physician and venture investor promoted policies focused on innovating approaches to population health, opioids, chronic disease, AI and precision medicine.
By Mike Miliard
04:19 PM
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Food and Drug Commissioner Dr. Scott Gottlieb announced his resignation from the FDA on Tuesday. He said he would step down from the agency in about a month.

WHY IT MATTERS
Gottlieb was nominated by confirmed by a 57-42 Senate vote less than two years ago, in May of 2017.

Despite the concerns of some that his close ties with the pharmaceutical industry offered the potential for "unprecedented financial entanglements with the industries he would regulate as FDA commissioner," others were hopeful that his energy and enthusiasm would help "accelerate the discovery, development and delivery of new cures and treatments" to address some of the most pressing problems in the U.S. healthcare industry.

In his resignation letter, Gottlieb cited his work on e-cigarettes and youth vaping, the opioid crisis, access to generic drugs, efforts to "reduce the burden of chronic disease through better information and diets" and other population health imperatives. He also pointed to recent approvals for new gene therapies and other precision medicine tools.

HHS Secretary Alex Azar said Gottlieb "has been an exemplary public health leader, aggressive advocate for American patients, and passionate promoter of innovation."

THE LARGER TREND
Gottlieb was especially bullish on the potential for artificial intelligence and machine learning in healthcare, and under his leadership the FDA made several new approvals of AI diagnostic devices and algorithms.

"AI holds enormous promise for the future of medicine, and we’re actively developing a new regulatory framework to promote innovation in this space and support the use of AI-based technologies," said Gottlieb in 2018. "Where we focus on a firm’s underlying quality – we’ll account for one of the greatest benefits of machine learning – that it can continue to learn and improve as it is used."

This past month, FDA published its first-ever guidance on how to achieve a more streamlined and timely approval of AI and digital health tools, the Digital Health Innovation Action Plan.

ON THE RECORD
Shortly after the news broke of Gottlieb's departure, Healthcare IT News interviewed Dr. Eric Topol, executive vice president of Scripps Research, about his forthcoming book, Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again.

Topol said he was disappointed to hear of Gottlieb's resignation.

"I know Scott, and I think very highly of him. I think he's been one of the very best commissioners in my 40 years since finishing med school," said Topol. "He's very progressive, he's been supportive of innovation, he's been a great communicator. In many ways he's really been the exemplary commissioner.

"So to see his term be limited to two years, not even – he's done more in two years than a lot of commissioners did in four times as long," he added. "He's been on a tear of getting things done – a record number of drugs, new devices, a very aggressive stance toward AI and digital health. All the things that I like to see, he represented them."

"Scott’s leadership inspired historic results from the FDA team, which delivered record approvals of both innovative treatments and affordable generic drugs, while advancing important policies to confront opioid addiction, tobacco and youth e-cigarette use, chronic disease, and more," said Secretary Azar. "The public health of our country is better off for the work Scott and the entire FDA team have done over the last two years."

Twitter: @MikeMiliardHITN
Email the writer: mike.miliard@himssmedia.com

Healthcare IT News is a HIMSS Media publication.