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A report from the pediatric formulations task force: perspectives on the state of child-friendly oral dosage forms
Anne Zajicek1, Michael J Fossler, Jeffrey S Barrett
1Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland, USA, zajiceka@mail.nih.gov.
Insights
Many patients struggle with standard oral medications due to size and taste, leading to treatment failure. A task force identified key needs for developing better pediatric formulations, improving adherence and outcomes.
Area of Science:
- Pharmaceutical Sciences
- Pediatric Medicine
- Regulatory Science
Background:
- Tablets and capsules are standard oral dosage forms but pose challenges for many patients, particularly children.
- Issues include large size, poor palatability, and incorrect dosage strength, leading to poor adherence and therapeutic failure.
Purpose of the Study:
- To identify manufacturing, regulatory, and research needs for improved pediatric oral formulations.
- To address challenges hindering effective medication delivery in pediatric populations.
Main Methods:
- Formation of the American Association of Pharmaceutical Scientists' Pediatric Formulations Task Force.
- Multidisciplinary expert review of pediatric formulation challenges, manufacturing, and regulatory considerations.
Main Results:
- Identified critical needs including dosage form and palatability standards for all pediatric ages.
- Highlighted requirements for relative bioavailability, small-batch manufacturing, and viable economic models.
- Recognized the need for specific regulatory guidance for pediatric formulations.
Conclusions:
- The assessment is a crucial initial step for developing innovative and appropriate oral formulations for children.
- Addressing identified needs is essential for enhancing pediatric medication adherence and therapeutic success.
Abstract:
Despite the fact that a significant percentage of the population is unable to swallow tablets and capsules, these dosage forms continue to be the default standard. These oral formulations fail many patients, especially children, because of large tablet or capsule size, poor palatability, and lack of correct dosage strength. The clinical result is often lack of adherence and therapeutic failure. The American Association of Pharmaceutical Scientists formed a Pediatric Formulations Task Force, consisting of members with various areas of expertise including pediatrics, formulation development, clinical pharmacology, and regulatory science, in order to identify pediatric, manufacturing, and regulatory issues and areas of needed research and regulatory guidance. Dosage form and palatability standards for all pediatric ages, relative bioavailability requirements, and small batch manufacturing capabilities and creation of a viable economic model were identified as particular needs. This assessment is considered an important first step for a task force seeking creative approaches to providing more appropriate oral formulations for children.
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