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Quality and clinical supply considerations of Paediatric Investigation Plans for IV preparations-A case study with
Sara M Hanning1, Mine Orlu Gul1, Jackie Winslade2
1Department of Pharmaceutics, UCL School of Pharmacy, London, UK.
Insights
Navigating Paediatric Investigation Plans (PIP) requires careful planning for medicine development in children. This study details practical challenges in PIP submissions and pediatric clinical trials, using a case study to offer insights for future applicants.
Area of Science:
- Pharmaceutical development and regulatory affairs.
- Pediatric clinical pharmacology and drug development.
Background:
- Paediatric Investigation Plans (PIP) are crucial for ensuring adequate data for medicine marketing authorization in children.
- Pharmaceutical development for pediatric populations presents unique regulatory and logistical challenges.
Purpose of the Study:
- To highlight practical considerations and challenges in Paediatric Investigation Plan (PIP) submissions.
- To examine issues encountered during pediatric clinical trials within the pharmaceutical development phase.
- To provide insights from the Clonidine for Sedation of Paediatric Patients in the Intensive Care Unit (CloSed) project for future applicants.
Main Methods:
- Case study analysis of the FP7-funded CloSed project.
- Discussion of practical challenges in formulation development, blinding, randomization, and product labeling/shipment.
- Comparison of clinical trial requirements with marketing authorization requirements for pediatric medicines.
Main Results:
- Identified significant challenges in various aspects of PIP submissions and pediatric clinical trials.
- Highlighted complexities in aligning clinical trial needs with marketing authorization requirements.
- Demonstrated the need for detailed planning and addressing practical hurdles in pediatric drug development.
Conclusions:
- PIP submissions require substantial information and careful consideration of practical challenges.
- The CloSed project offers valuable lessons for optimizing pediatric drug development processes.
- Anticipated benefit for future applicants from understanding these critical considerations and challenges.
Abstract:
A Paediatric Investigation Plan (PIP) is a development plan that aims to ensure that sufficient data are obtained through studies in paediatrics to support the generation of marketing authorisation of medicines for children. This paper highlights some practical considerations and challenges with respect to PIP submissions and paediatric clinical trials during the pharmaceutical development phase, using the FP7-funded Clonidine for Sedation of Paediatric Patients in the Intensive Care Unit (CloSed) project as a case study. Examples discussed include challenges and considerations regarding formulation development, blinding and randomisation, product labelling and shipment and clinical trial requirements versus requirements for marketing authorisation. A significant quantity of information is required for PIP submissions and it is hoped that future applicants may benefit from an insight into some critical considerations and challenges faced in the CloSed project.
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