Related Experiment Video
Updated: Feb 25, 2026

A Pediatric Concussion Model in Mice: Closed Head Injury with Long-Term Disorders (CHILD)
Published on: February 7, 2025
Juvenile Nonclinical Safety Studies in Support of Pediatric Drug Development
Paul C Barrow1, Georg Schmitt2
1Roche Pharmaceutical Research and Early Development, Pharmaceutical Sciences, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd, Grenzacherstrasse 124, CH-4070, Basel, Switzerland. paul.barrow.pb1@roche.com.
Insights
Pediatric drug assessments are mandatory for marketing applications globally. Juvenile toxicity studies, crucial for these assessments, require careful planning with regulators to ensure timely drug approval.
Area of Science:
- Pharmacology
- Toxicology
- Regulatory Science
Background:
- Pediatric assessments are a mandatory part of drug marketing applications in major global regions.
- Nonclinical juvenile toxicity studies are frequently required components of these pediatric assessments.
- Regulatory guidelines necessitate these studies unless a waiver is obtained.
Purpose of the Study:
- To outline the requirements and considerations for designing juvenile toxicity studies.
- To emphasize the importance of early submission of pediatric investigation plans (PIP) or pediatric study plans (PSP).
- To highlight factors influencing the selection of species and study design for juvenile drug toxicity evaluations.
Main Methods:
- Consultation with regulatory authorities (e.g., FDA, EMA) for protocol development.
- Early submission of PIP/PSP to avoid delaying adult marketing authorization.
- Consideration of drug's therapeutic use, patient age range, and treatment duration.
- Evaluation of potential age- or species-specific differences in drug efficacy, pharmacokinetics, and toxicity.
Main Results:
- Successful navigation of regulatory requirements for pediatric drug development.
- Informed selection of appropriate animal models for juvenile toxicity testing.
- Timely submission of required pediatric study documentation.
- Comprehensive understanding of factors influencing juvenile drug safety and efficacy.
Conclusions:
- Strategic planning and early engagement with regulatory bodies are essential for juvenile toxicity studies.
- Careful consideration of specific factors ensures the relevance and adequacy of study designs.
- Adherence to regulatory requirements facilitates the pediatric drug approval process and ensures child safety.
Abstract:
A pediatric assessment is now a required component of every drug marketing application in North America, Europe, and Japan, unless a waiver has been granted previously. Nonclinical juvenile toxicity studies are often required as part of this assessment. The protocols for juvenile toxicity studies are best devised in consultation with the regulatory authorities. It is important to submit the pediatric investigation plan (PIP) or pediatric study plan (PSP) early, in order not to delay the marketing authorization of the drug in adults. The choice of species and the design of juvenile toxicity studies are based on a series of complex considerations, including the therapeutic use of the drug, age at which children will be treated, duration of treatment, and potential age- or species-specific differences in efficacy, pharmacokinetics, or toxicity.
Related Concept Videos
Preclinical Development: Overview
Pharmacokinetics in Pediatric Patients: Drug Excretion
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Pharmacokinetics in Pediatric Patients: Drug Distribution
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Clinical Trials: Overview

