Related Experiment Video
Updated: Jun 26, 2026

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics
Published on: June 17, 2022
Clinical investigation in pediatrics: challenges and opportunities in Toronto, Canada
1Clinical Pharmacology and Toxicology, Hospital for Sick Children, University of Toronto, Ontario, Canada. shinya.ito@sickkids.ca
Insights
Pediatric clinical investigation faces challenges due to limited resources and patient numbers. Opportunities lie in research infrastructure evolution, team amalgamation, and facility centralization for better drug research in children.
Area of Science:
- Pediatric clinical investigation
- Biomedical research infrastructure
- Translational research
Background:
- Clinical investigation in children presents unique challenges.
- The Hospital for Sick Children in Toronto, Canada, faces these hurdles.
- Resource intensity is increasing for both preclinical and clinical studies.
Purpose of the Study:
- To discuss challenges and opportunities in pediatric clinical investigation.
- To examine program structure, shared platforms, and infrastructure.
- To identify trends and propose solutions for advancing pediatric research.
Main Methods:
- Discussion of program structure within the Research Institute.
- Analysis of the Toronto Centre for Phenogenomics as a preclinical platform.
- Evaluation of evolving clinical research infrastructure.
Main Results:
- Trends include research team amalgamation and facility centralization.
- Pediatric research is uniquely challenged by fewer human resources and patients.
- Organizational changes are occurring at local and national levels.
Conclusions:
- Advancing pediatric drug research requires broader international collaboration.
- Functional amalgamation and infrastructure expansion are key opportunities.
- Addressing resource and patient number limitations is critical for pediatric clinical investigation.
Abstract:
We discuss the challenges and opportunities we face at The Hospital for Sick Children in Toronto, ON, Canada in conducting clinical investigation in children. Three areas are discussed: (i) the program structure of the Research Institute; (ii) the Toronto Centre for Phenogenomics as a common platform for preclinical studies across the university campus; and (iii) evolving clinical research infrastructure. Because preclinical and clinical investigation are becoming increasingly resource-intensive, we are witnessing a trend toward functional amalgamation of research teams, centralization of major experimental facilities, and the expansion of research infrastructure at local and national levels. Although these trends are common to clinical research in all age groups, pediatric investigation is further challenged by its relative paucity of research-related human resources, and patient numbers at local and even national levels. To promote drug research in children, these organizational changes in the research framework need to be seen on a much broader international level.
Related Concept Videos
Clinical Trials
There are four phases in a clinical trial. A phase one...
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Clinical Trials: Overview
Pharmacokinetics in Pediatric Patients: Drug Distribution
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Investigation of Disease Outbreaks
