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Published on: December 11, 2016
Roles of Clinical Research Networks in Pediatric Drug Development
Mark A Turner1, Sabah Attar1, Saskia N de Wildt2
1Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.
Insights
Clinical research networks are crucial for advancing pediatric drug development. These collaborative networks improve trial efficiency, data quality, and global interoperability, ultimately benefiting all stakeholders involved in creating new medicines for children.
Area of Science:
- Pediatric Pharmacology
- Clinical Trial Methodology
- Health Services Research
Background:
- Historically, pediatric drug evaluation faced neglect, but it's now a vital component of drug development.
- Increased pediatric drug development activity necessitates enhanced collaboration among all stakeholders.
- Understanding the broader context, including clinical research networks, is essential for effective pediatric drug development.
Purpose of the Study:
- To provide an overview of the critical roles clinical research networks play in pediatric drug development.
- To highlight how networks enhance efficiency, data quality, and collaboration in pediatric trials.
- To emphasize the benefits of networks for various stakeholders in pediatric drug development.
Main Methods:
- This study is a narrative review synthesizing information on the functions of clinical research networks in pediatrics.
- The review examines the principles, processes, and outcomes associated with network-based pediatric drug development.
- Information was gathered on network structures (specialty, geographic) and their contributions to trial conduct and planning.
Main Results:
- Clinical research networks, regardless of structure, share common principles like resource sharing and improved trial design through experience.
- Networks standardize trial conduct, boosting speed and predictability while reducing site and sponsor burdens.
- Networks provide valuable real-world data for planning, support global interoperability, and foster participant centrality.
Conclusions:
- Sustainable clinical research networks are essential for high-quality, timely pediatric drug development.
- Networks act as multifunctional platforms, improving collaboration and efficiency across the drug development lifecycle.
- By promoting standardized processes and data sharing, networks accelerate the delivery of safe and effective medicines for children.
Abstract:
The evaluation of drugs that are used in children has been neglected historically but is now well established as an essential part of clinical drug development. The increase in pediatric activity among industry, and other sectors, has highlighted the importance of joint working. All participants in pediatric drug development need to be aware of the "big picture." An increasingly important part of this big picture in pediatrics, as in other populations, is the design and conduct of clinical trials in networks. This narrative review provides an overview of the roles of clinical research networks in pediatric drug development. Networks take many forms as specialty networks and geographic networks but work toward common principles, including sharing resources between trials, and using experience with trial conduct to improve trial design. Networks develop standardized processes for trial conduct (including performance management) that increase the speed and predictability of trial conduct while reducing burdens on sites, sponsors, and intermediaries. Networks can provide validated, real-world information about natural history, participant distribution, and standards of care to inform planning of development programs, including extrapolation and clinical trial simulation. Networks can work across geographic and jurisdictional barriers to promote global interoperability of drug development. Networks support participant centrality. Networks offer an opportunity to develop relationships with investigators, sites, and methodological experts that span pre-competitive foundations for drug development and specific products. Sustainable networks benefit all stakeholders by providing a multifunctional platform that promotes the quality and timeliness of clinical drug development.
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