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Pediatric Trials Run in India: An Analysis of Clinical Trials.gov 2006-2015
Giulia Lorenzoni1, Rosanna Irene Comoretto1, Mariangela Ruffolo1
1Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Insights
This study analyzed pediatric clinical trials in India between 2006-2015. Most trials focused on treatment and prevention, aligning with India
Area of Science:
- Pediatric Clinical Research
- Global Health Trials
- Clinical Trial Analysis
Background:
- Examining a decade of pediatric clinical trials (2006-2015) with a focus on sites in India.
- Utilizing the Aggregate Analysis of ClinicalTrials.gov (AACT) database for comprehensive data extraction.
Observation:
- Identified 9,648 pediatric interventional studies, with 193 having at least one site in India.
- Most trials targeted treatment (92) and prevention (65) with efficacy/safety endpoints (158).
- Infants and toddlers were primary participants (97%), while neonates were included in 22% of trials. Early termination/withdrawal rate was 5%.
Findings:
- Commonly studied conditions included bacterial infections, viral infections, digestive diseases, and mental health disorders.
- Both communicable (75) and non-communicable (72) diseases were equally investigated.
- Therapeutic areas in Indian trials aligned with public health needs, ensuring appropriate patient enrollment.
Implications:
- Highlights the alignment of clinical research in India with national public health priorities.
- Provides insights into pediatric trial enrollment and focus areas for future research in India.
- Demonstrates the value of systematic analysis of clinical trial data for understanding research landscapes.
Objective:
To present a snapshot of 10 y of pediatric research, with a focus on trials with at least one enrolling site in India.
Methods:
The study included all interventional trials registered at ClinicalTrials.gov from January 2006 through December 2015, enrolling patients aged 0 to 18 y. The database for Aggregate Analysis of ClinicalTrials.gov (AACT) was the data source used.
Results:
Nine thousand, six hundred forty-eight pediatric clinical studies were identified. Of these, 193 had at least one enrolling site in India. The primary purpose for most of these trials was treatment (n = 92) and prevention (n = 65) coupled with an efficacy and/or safety endpoint (n = 158). Infant and toddlers were eligible for enrollment in the majority of trials (97%) while neonates only in 22% of trials. The rate of early termination or withdrawal was 5%. The most commonly studied conditions were bacterial infections, viruses, digestive and mental diseases. Overall, communicable diseases (n = 75) and major non-communicable diseases (n = 72) were equally investigated.
Conclusions:
The most commonly studied therapeutic areas in trials enrolling from India and registered in ClinicalTrials.gov were appropriate for India public health needs and patients were not enrolled into studies inappropriately from this perspective.
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