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The STEP (safety and toxicity of excipients for paediatrics) database. Part 1-A need assessment study
Smita Salunke1, George Giacoia, Catherine Tuleu
1Pharmaceutics and Centre for Paediatric, Pharmacy Research, UCL, School of Pharmacy, United Kingdom. Smita.Salunke@pharmacy.ac.uk
Insights
The STEP database is needed to consolidate information on excipient safety for pediatric medicines. A global survey confirmed user demand for this valuable resource, leading to pilot database development.
Area of Science:
- Pharmaceutical Sciences
- Toxicology
- Regulatory Affairs
Background:
- Commonly used excipients in adult medicines pose toxicological risks and safety concerns for children.
- Information on excipient acceptability for pediatric populations is fragmented and scarce.
- The European and United States Paediatric Formulation Initiatives (PFIs) are developing the STEP database to address this gap.
Purpose of the Study:
- To assess the necessity and demand for the STEP database.
- To define the optimal content and structural framework for the STEP database based on user needs.
Main Methods:
- A global survey was distributed through the European Paediatric Formulation Initiative (EuPFI) website and email invitations.
- The survey targeted a diverse group of professionals in industrial, regulatory, academic, and clinical fields.
- Data collection focused on understanding user requirements for the STEP database.
Main Results:
- The survey identified key potential users of the STEP database.
- It elucidated specific information needs regarding excipient toxicity and safety for pediatric use.
- Respondents overwhelmingly supported the STEP database development, deeming it a valuable resource and indicating preferred content and structure.
Conclusions:
- The survey strongly emphasized the critical need for the STEP database.
- Findings support the ongoing development of a pilot STEP database to evaluate feasibility and refine the approach.
Unlabelled:
Excipients that are commonly used in adult medicines have been associated with elevated toxicological risks and safety issues in children. However, the information available on their acceptability for paediatric age groups is sparse and distributed over various sources. Hence, European (Eu) and United States (US) Paediatric Formulation Initiatives (PFIs) are collaboratively creating a STEP database. Because the development of database is a costly and time consuming venture, it is important to capture the requirements from the potential users and identify at an early stage the content and features that will serve the specific needs so that they can incorporate into the databases as it is developed.
Aim:
To assess the need of STEP database, to determine the database content and structure that meets the needs of the potential users.
Method:
A global survey was conducted via EuPFI website and email invitations, targeting a representative cross section of industrial, regulatory, academic and clinical professionals, to capture the database requirements.
Result:
The survey revealed (1) the potential users of this database, (2) the excipients' toxicity and safety information needs, (3) the content and structure preferred for the database. Majority of respondents favoured the development of STEP database and reported that it would be a valuable resource. CONCLUSION AND FUTURE WORK: The survey emphasized the need for STEP database and thus leads us to development of pilot database to assess the feasibility of developing such a database.
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