Pediatric formulation development - Challenges of today and strategies for tomorrow: Summary report from M-CERSI
David Cheng Thiam Tan1, Yuet Mei Khong1, Steven Mount2
1AbbVie Inc., North Chicago, IL, United States.
Insights
This workshop addressed pediatric formulation development challenges and strategies. Key discussions covered drug acceptability, excipients, analytical methods, clinical considerations, and regulatory differences for pediatric drug products.
Area of Science:
- Pharmaceutical Sciences
- Regulatory Science
- Pediatric Medicine
Background:
- A workshop convened experts from academia, industry, and regulatory bodies (U.S. Food and Drug Administration [FDA], International Consortium for Innovation and Quality in Pharmaceutical Development [IQ]) to discuss pediatric formulation development.
- The event focused on current challenges and future strategies in creating safe and effective medications for children.
Purpose of the Study:
- To summarize key discussions and outcomes from a multi-disciplinary workshop on pediatric formulation development.
- To identify and review critical aspects of pediatric drug formulation, including acceptability, excipients, analytical testing, clinical considerations, and regulatory landscapes.
Main Methods:
- The workshop featured sequential sessions on formulation, analytical, clinical, and regulatory aspects of pediatric drug development.
- Each session included framing presentations, facilitated breakout groups, and panel discussions to foster multi-stakeholder input.
Main Results:
- Discussions highlighted the importance of drug product acceptability, pediatric-specific excipients, and oral device considerations in formulation.
- Key analytical strategies for mini-tablets and dosing vehicle selection were explored, alongside the influence of pharmacokinetic predictions on formulation design.
- Regulatory differences across regions and patient-centric factors for novel pediatric formulations were examined, alongside potential collaborations.
Conclusions:
- The workshop provided a comprehensive overview of current pediatric formulation development challenges and proposed strategies for future advancements.
- Collaboration and a focus on patient-centric factors are crucial for overcoming regulatory hurdles and improving pediatric drug accessibility.
Abstract:
A workshop on "Pediatric Formulation Development: Challenges of Today and Strategies for Tomorrow" was organized jointly by the University of Maryland's Center of Excellence in Regulatory Science and Innovation (M-CERSI), the U.S. Food and Drug Administration (FDA) and the International Consortium for Innovation and Quality in Pharmaceutical Development (IQ) Drug Product Pediatric Working Group (PWG). This multi-disciplinary, pediatric focused workshop was held over a two-day period (18-19 Jun 2019) and consisted of participants from industry, regulatory agencies, academia and other organizations from both US and Europe. The workshop consisted of sequential sessions on formulation, analytical, clinical, and regulatory and industry lessons learned and future landscape. Each session began with a series of short framing presentations, followed by facilitated breakout sessions and panel discussion. The formulation session was dedicated to three main topics pertaining to drug product acceptability, excipients in pediatrics and oral administration device considerations. The analytical session discussed key considerations for dosing vehicle selection and analytical strategies for testing of different dosage forms, specifically mini-tablets (multiparticulates). The clinical session highlighted the influence of pediatric pharmacokinetics prediction on formulation design, pediatric drug development strategies and clinical considerations to support pediatric formulation design. The regulatory and industry lessons learned and future landscape session explored the regional differences that exist in regulatory expectations, requirements for pediatric formulation development, and key patient-centric factors to consider when developing novel pediatric formulations. This session also discussed potential collaboration opportunities and tools for pediatric formulation development. This manuscript summarizes the key discussions and outcomes of all the sessions in the workshop with a broadened review and discussion of the topics that were covered.
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