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Updated: Mar 30, 2026

Whole-body PET/MRI of Pediatric Patients: The Details That Matter
Published on: December 19, 2017
Usage of unpublished paediatric data
Agnès Saint-Raymond1, Benjamin Pelle1, Cosimo Zaccaria1
1European Medicines Agency (EMA), London, UK.
Insights
The European Paediatric Regulation enhances pediatric medicine information by reviewing studies. This initiative has led to new indications and improved data accessibility for researchers and healthcare professionals.
Area of Science:
- Pharmaceutical Science
- Pediatric Medicine
- Regulatory Affairs
Background:
- The European Paediatric Regulation (EC No 1901/2006) aims to improve pediatric medicines through increased appropriate drug options, enhanced information, and ethical research.
- Article 45 mandates pharmaceutical companies to submit existing pediatric study data for regulatory review and product information updates.
Purpose of the Study:
- To assess the impact and outcomes of the European Paediatric Regulation on pediatric medicine development and information dissemination.
- To evaluate the review process of submitted pediatric study reports and their contribution to updating product information.
Main Methods:
- Identification and review of approximately 19,000 study reports for a thousand active substances.
- Assessment of data by member states' competent authorities in collaboration with the European Medicines Agency (EMA).
- Analysis of outcomes, including new pediatric indications and updates to product information.
Main Results:
- Over 7 years, 262 active substances (including 62 centrally approved and nearly 200 nationally approved medicines) have been assessed.
- The review has resulted in 16 new pediatric indications, addressing unmet needs, particularly in younger age groups.
- Public accessibility of reviewed data through an EMA database and the European Clinical Trials Register.
Conclusions:
- The European Paediatric Regulation is effectively increasing pediatric medicine information and addressing unmet needs.
- Publicly accessible data enhances awareness for researchers and healthcare professionals, preventing redundant pediatric trials.
- The regulation successfully stimulates high-quality ethical research with children and improves drug utilization in pediatric populations.
Abstract:
The European Paediatric Regulation (EC No 1901/2006) has three main objectives: increasing the number of appropriate medicines for children, increasing information on these medicines and stimulating high-quality ethical research with children. To contribute to the information, pharmaceutical companies were required under article 45 of the Regulation to submit existing paediatric studies to regulatory authorities for review and update of the product information. Nearly, 19 000 study reports have been identified for a thousand active substances. The data are being assessed by member states' competent authorities in collaboration with European Medicines Agency (EMA). After 7 years, 262 active substances have been assessed, all of the 62 centrally approved and nearly 200 nationally approved medicines. The review so far has led to 16 new paediatric indications, of importance in addressing previously unmet needs, in particular, in younger age groups. The information is being made publicly available in an EMA database accessible directly or through the public face of the European Clinical Trials Register. This will increase awareness of existing data that are useful to researchers and other healthcare professionals, and contribute to avoiding unnecessary duplication of paediatric trials.
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