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The European paediatric legislation: benefits and perspectives
Francesca Rocchi1, Paolo Paolucci, Adriana Ceci
1Ufficio Informazione e Comunicazione - Agenzia Italiana del Farmaco (AIFA), Via del Tritone, 181 - 00187 Roma, Italy. f.rocchi@aifa.gov.it
Insights
The European Paediatric Regulation aims to improve ethical research and availability of high-quality medicines for children. This initiative seeks to ensure children benefit from authorized treatments without unnecessary trials or delayed adult drug approvals.
Area of Science:
- Regulatory Science
- Paediatric Pharmacology
- Clinical Trials
Background:
- A significant challenge in paediatric care is the lack of appropriate, approved medicines.
- Over half of children are prescribed medications off-label or without a license, posing risks.
Purpose of the Study:
- To analyze the impact and objectives of the European Paediatric Regulation.
- To ensure the development and availability of high-quality, ethically researched medicines for children aged 0-17.
- To facilitate access to information on paediatric medicine use while preventing unnecessary trials.
Main Methods:
- Review of the European Paediatric Regulation (amended January 2007).
- Analysis of the regulatory changes impacting paediatric medicine development.
- Examination of potential risks and benefits of the regulation.
Main Results:
- The Paediatric Regulation is transforming the European regulatory landscape for paediatric medicines.
- There is a notable increase in clinical trials conducted within the paediatric population.
- Anticipation and management of potential risks are crucial for the regulation's success.
Conclusions:
- Medicinal products for children require high-quality ethical research and explicit authorization, mirroring adult drug approvals.
- The regulation aims to balance the needs of paediatric patients with efficient drug development processes.
- Careful consideration of risks is necessary to ensure children ultimately benefit from this European initiative.
Background:
The lack of availability of appropriate medicines for children is an extensive and well known problem. Paediatricians and Physicians who take care of the paediatric population are primarily exposed to cope with this negative situation very often as more than half of the children are prescribed off-label or unlicensed medicines.
Discussion:
Medicinal products used to treat this population should be subjected to ethical research of high quality and be explicitly authorized for use in children as it happens in adults. For that reason, and following the US experience, the European Paediatric Regulation has been amended in January 2007 by the European Commission. The objective of the Paediatric Regulation is to improve the development of high quality and ethically researched medicines for children aged 0 to 17 years, to facilitate the availability of information on the use of medicines for children, without subjecting children to unnecessary trials, or delaying the authorization of medicines for use in adults.
Summary:
The Paediatric Regulation is dramatically changing the regulatory environment for paediatric medicines in Europe and is fuelling an increased number of clinical trials in the paediatric population. Nevertheless, there are some risks and pitfalls that need to be anticipated and controlled in order to ensure that children will ultimately benefit from this European initiative.
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