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Published on: September 20, 2019
European paediatric research and children's therapeutic needs. A trial review
1Laboratory for Mother and Child Health, Mario Negri Pharmacological Research Institute, Milan, Italy. pandolfini@marionegri.it
Insights
European paediatric drug research shows a significant gap between children's therapeutic needs and current research focus. The Paediatric Regulation aims to better align drug development with these essential needs.
Area of Science:
- Paediatric pharmacology
- Clinical trial analysis
- European drug regulation
Background:
- Paediatric drug therapy research is crucial for addressing children's specific health needs.
- The European Medicines Agency (EMEA) established priority lists for paediatric medicinal products.
Purpose of the Study:
- To assess the landscape of paediatric therapeutic research in Europe.
- To evaluate the alignment of ongoing research with identified paediatric needs and EMEA priorities.
Main Methods:
- Analysis of 379 ongoing and published paediatric drug therapy trials (2004-2007) across 27 EU countries.
- Comparison of trial data with the EMEA priority list for paediatric studies.
- Utilized data from the DEC-net paediatric trial register and two biomedical databases.
Main Results:
- The majority of trials focused on infectious and parasitic diseases; however, only four of 25 EMEA priority conditions were significantly addressed.
- Malignant diseases and asthma were the most common EMEA priority areas studied.
- Ongoing research showed a better, though still limited, coverage of EMEA priority conditions compared to published trials.
Conclusions:
- Despite ongoing paediatric research in Europe, a notable disconnect exists between therapeutic needs and research activities.
- The European Paediatric Regulation is expected to foster research more closely aligned with children's actual medical requirements.
Aim:
To evaluate the current paediatric therapeutic research situation in Europe with respect to paediatric needs and drug therapies.
Methods:
Data from ongoing and published paediatric drug therapy trials from 2004 to 2007 were evaluated and compared to the European Medicines Agency (EMEA) priority list for studies on paediatric medicinal products. Ongoing trial data from the DEC-net paediatric trial register and published trials from two biomedical databases were used.
Results:
In all, 379 trials from the 27 European Union (EU) countries were found (most common country: Italy, 18.2%). The major disease area covered was 'infectious and parasitic diseases' (21.4%). Only four of 25 EMEA priority conditions were addressed, the most common were 'malignant diseases' (18.2% of trials) and 'asthma' (3.2%). A subset of 190 published trials, representing the same four countries that participated in DEC-net (France, Italy, Spain and United Kingdom), was compared to the register's 257 ongoing trials. Some significant differences in disease areas covered were found. Concerning the EMEA priority conditions, the ongoing research addressed more of them.
Conclusion:
Paediatric research is being carried out in Europe, but this study found a general lack of overlap between therapeutic needs and research. The Paediatric Regulation will hopefully lead to research that is more focused on children's needs.
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