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A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
Clinical trials in children
F J Morales-Olivas1, C Morales-Carpi
1Departamento de Farmaco-logía, Universitat de València, Valencia, Spain. morales@uv.es
Insights
Pediatric clinical trials are crucial for ensuring safe and effective medications for children, addressing the "therapeutic orphan" problem. This review examines the benefits, risks, and ethical considerations of pediatric drug research.
Area of Science:
- Pediatric clinical pharmacology
- Drug development and evaluation
Background:
- Children are often excluded from clinical trials due to perceived risks.
- This exclusion leads to a lack of evidence-based treatments for pediatric populations, creating
Purpose of the Study:
- To review the current landscape of pediatric clinical trials.
- To discuss the unique challenges and ethical considerations in pediatric research.
- To examine the legal frameworks governing pediatric drug studies in Europe and the USA.
Main Methods:
- Literature review of pediatric clinical pharmacology and trial design.
- Analysis of ethical issues including consent and placebo use.
- Examination of legal regulations for pediatric trials.
Main Results:
- Pediatric trials present specific design challenges due to age variations and disease prevalence.
- Ethical considerations such as informed consent and the use of healthy children require careful navigation.
- Legal frameworks in Europe and the USA provide guidelines but also present complexities for pediatric research.
Conclusions:
- Addressing the
Abstract:
Randomized controlled clinical trials are felt by the medical community to provide the best evidence. Participation in trials involves the possibility of obtaining benefits but also of suffering some risks. Those risks are often considered unacceptable for children but if clinical trials are not conducted in children, clinicians are forced to extrapolate study data from adults. In 1968 H. Shirkey termed children "therapeutic orphans" because of the lack of adequately tested and labeled drugs available in appropriate formulations. Research involving children entails specific difficulties as the need to study children of different ages, the small number of children affected by certain diseases or ethical issues. This paper considers aspects of pediatric clinical pharmacology and children's responses to drugs. It also reviews some of the current situations in pediatric clinical trials, covering aspects such as: the benefits and risks of trial participation; the specificity of pediatric trial design; the ethical issues such as consent; the use of placebo or the participation of healthy children; and the current legal situation in Europe and in the USA.
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