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Outcomes of the Pediatric Development Plan of Tapentadol
Mariëlle Eerdekens1, Tatjana Radic1, Melanie Sohns1
1Grünenthal GmbH, Aachen, Germany.
Insights
Tapentadol, an opioid analgesic, is the first pain medication formally developed for pediatric patients. Its oral solution was approved in the EU for moderate to severe acute pain in children aged 2 to 18.
Area of Science:
- Pediatric pharmacology
- Pain management
- Regulatory science
Background:
- Tapentadol is an opioid analgesic used for pain relief.
- Formal regulatory pathways for pediatric drug development are crucial.
- Pediatric pain management requires age-appropriate formulations and dosing.
Purpose of the Study:
- To summarize the outcomes of the tapentadol pediatric development program.
- To discuss challenges in pediatric clinical trial design and execution.
- To outline interactions with regulatory authorities during development.
Main Methods:
- Review of the pediatric development program for tapentadol.
- Analysis of clinical trial data across neonates to adolescents.
- Examination of regulatory interactions and challenges.
Main Results:
- Tapentadol oral solution authorized in the EU in 2018.
- Indicated for moderate to severe acute pain in children aged 2 to <18 years.
- Development addressed the full pediatric age range from birth.
Conclusions:
- Tapentadol represents a significant advancement in pediatric pain management.
- The formal development process facilitated regulatory approval.
- Further insights into pediatric clinical trial conduct and regulatory engagement are provided.
Abstract:
The opioid analgesic tapentadol was the first pain medication to be developed for the treatment of pain in children under a formal process established by the regulatory authorities. This article summarizes the outcomes of the pediatric development program for tapentadol across the entire age range from birth (including neonates) to adolescents <18 years of age. In addition, the challenges experienced when designing and conducting the pediatric tapentadol clinical trials as well as the interactions with the regulatory authorities are discussed. As a first outcome, the oral solution of tapentadol was authorized in the EU in 2018 as a new treatment option in the hospital setting for moderate to severe acute pain in children from 2 to <18 years of age.
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Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...

