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Ethical issues of clinical trials in children: a European perspective
1Academic Division of Child Health, University of Nottingham, The Medical School, Clinical Sciences, Derbyshire Children's Hospital, Derby, UK. helen.sammons@nottingham.ac.u
Insights
Clinical trials are essential for ensuring children receive safe medicines. New ethical guidelines and European legislation support pediatric drug research, balancing safety with the need for evidence-based prescribing for children.
Area of Science:
- Pediatric pharmacology
- Clinical research ethics
Background:
- Clinical trials are crucial for establishing safe and effective pediatric medicine use.
- Historically, children have been underrepresented in clinical research, raising ethical questions about informed consent and potential harm versus the benefit of evidence-based treatments.
- Balancing the protection of vulnerable populations with the need for robust scientific data is a key ethical challenge.
Purpose of the Study:
- To review new ethical guidance for pediatric clinical trials.
- To examine the implications of recent European legislation on pediatric medicine licensing and research.
- To address the ethical considerations of including children in clinical research.
Main Methods:
- Literature review of ethical guidance documents.
- Analysis of European legislation pertaining to pediatric drug licensing.
- Ethical analysis of research participation for pediatric populations.
Main Results:
- New ethical guidelines provide a framework for conducting pediatric clinical trials.
- European legislation aims to improve the availability of licensed medicines for children.
- The review highlights the ethical imperative to conduct research in children to ensure appropriate medical care.
Conclusions:
- Ethical guidance and legislation are vital for the responsible conduct of pediatric clinical trials.
- Involving children in research is ethically justifiable when conducted under strict ethical oversight.
- Continued research is necessary to ensure safe and effective medication prescribing for pediatric populations.
Abstract:
Children should not be harmed by their participation in clinical trials, therefore should no clinical trials be performed? This is a view that needs to be balanced as clinical trials provide the evidence we need to allow children safe and effective prescribing of medicines. Therefore, is it unethical not to involve this population in research? This review looks at new ethical guidance released to support the recently introduced European legislation for the licensing of medicines.
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