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Published on: December 3, 2020
Integration of pediatric aspects into the general drug development process
1F. Hoffmann-La Roche Ltd., Pharmaceuticals Division, Basel, Switzerland. klaus.rose@roche.com
Insights
Pediatric drug development faces challenges due to limited clinical testing. Legislation in the US has improved pediatric medicine safety and efficacy, with similar approaches considered globally.
Area of Science:
- Pharmacology
- Pediatrics
- Regulatory Science
Background:
- Pediatric drug treatment often lacks formal clinical testing compared to adults, raising safety and efficacy concerns.
- Increased awareness of child physiology and evolving societal views on children's rights drive the need for pediatric-specific drug development.
- Public action in the US and EU has spurred legislative changes to address gaps in pediatric medicine research.
Purpose of the Study:
- To examine the impact of pediatric legislation on pharmaceutical innovation.
- To discuss the complexities and requirements for integrating pediatric considerations into drug development.
- To highlight the need for a shared responsibility framework among stakeholders.
Main Methods:
- Review of existing pediatric legislation and its outcomes.
- Analysis of challenges in global pharmaceutical companies developing pediatric medicines.
- Discussion of ethical and economic considerations in pediatric drug development.
Main Results:
- US pediatric legislation has successfully facilitated children's participation in pharmaceutical innovation over 8 years.
- Comparable legislative approaches are under consideration in Europe and Japan.
- Global pharmaceutical companies face complexity in building internal competency for pediatric drug development.
Conclusions:
- Effective pediatric drug development requires addressing regulatory, economic, and ethical frameworks.
- Shared responsibility among regulatory authorities, industry, healthcare providers, and patients is crucial.
- The success of US legislation provides a model for future pediatric drug development initiatives worldwide.
Abstract:
Drug treatment of children is today less regularly based on formal clinical testing than adults. This has led to concerns regarding the safety and efficacy of pediatric medicines and resulted in public action in the United States and the European Union. The reasons for the increasing awareness include better understanding of child physiology, increased trust in GCP (good clinical practice), improved treatment of several severe childhood diseases, a changed view of the child as a subject in society, and more. The US has successfully introduced pediatric legislation that facilitates participation of children in phar maceutical innovation, and comparable approaches are now being discussed in Europe and Japan. While the outcome of the EU pediatric regulation in the near future is still open, the US pediatric legislation has been highly successful over the past 8 years and will be revised before it expires in September 2007. Innovative drugs are today being developed by global pharmaceutical companies. Adding pediatric aspects to this development process is a complex task where companies need to build up internal competency. Bureaucratic procedures that could be harmful to the companies' economic fundaments need to be avoided, and an appropriate ethical framework is required. This needs to be addressed by all partners in healthcare, including regulatory authorities, the pharmaceutical industry, pediatricians, patients and others in a sense of shared responsibility.
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