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Path towards efficient paediatric formulation development based on partnering with clinical pharmacologists and
Jennifer Walsh1, Daniel Schaufelberger2, Sonia Iurian3
1BioCity Nottingham, Jenny Walsh Consulting Ltd, Nottingham, UK.
Insights
Developing age-appropriate pediatric formulations is crucial but complex. A pediatric Quality Target Product Profile (p-QTPP) aids early planning and collaboration for better pediatric medicine development.
Area of Science:
- Pharmaceutical Sciences
- Pediatric Drug Development
- Formulation Science
Background:
- Global access to age-appropriate pediatric drug formulations remains a priority, yet development lags behind adult products due to inherent complexities.
- Regulatory incentives have not fully overcome the challenges in bringing pediatric formulations to market, highlighting a critical unmet need.
Purpose of the Study:
- To advocate for the use of a pediatric Quality Target Product Profile (p-QTPP) as a strategic tool for efficient pediatric formulation development.
- To define essential attributes of pediatric formulations and promote enhanced collaboration among multidisciplinary teams.
- To address hurdles in pediatric drug development, such as lack of early information on indications and dosing.
Main Methods:
- This position paper proposes the utilization of a pediatric Quality Target Product Profile (p-QTPP) framework.
- It outlines key attributes for pediatric formulations and emphasizes collaborative approaches.
- Recommends incorporating acceptability testing as a secondary endpoint in clinical trials.
Main Results:
- The p-QTPP is identified as an efficient tool for early planning and decision-making in pediatric formulation design.
- Essential attributes for pediatric formulations are suggested to guide development.
- Increased collaboration between formulation scientists and clinical professionals is advocated.
Conclusions:
- The p-QTPP can expedite the development of new chemical entities and the repurposing of existing drugs for pediatric populations.
- Enhanced collaboration and defined formulation attributes are key to creating safe, effective, and acceptable pediatric medicines.
- Addressing early knowledge gaps regarding indications and dosing through tools like the p-QTPP is vital for successful pediatric drug development.
Abstract:
Improved global access to novel age-appropriate formulations for paediatric subsets, either of new chemical entities or existing drugs, is a priority to ensure that medicines meet the needs of these patients. However, despite regulatory incentives, the introduction to the market of paediatric formulations still lags behind adult products. This is mainly caused by additional complexities associated with the development of acceptable age-appropriate paediatric medicines. This position paper recommends the use of a paediatric Quality Target Product Profile as an efficient tool to facilitate early planning and decision making across all teams involved in paediatric formulation development during the children-centric formulation design for new chemical entities, or to repurpose/reformulate off-patent drugs. Essential key attributes of a paediatric formulation are suggested and described. Moreover, greater collaboration between formulation experts and clinical colleagues, including healthcare professionals, is advocated to lead to safe and effective, age-appropriate medicinal products. Acceptability testing should be a secondary endpoint in paediatric clinical trials to ensure postmarketing adherence is not compromised by a lack of acceptability. Not knowing the indications and the related age groups and potential dosing regimens early enough is still a major hurdle for efficient paediatric formulation development; however, the proposed paediatric Quality Target Product Profile could be a valuable collaborative tool for planning and decision making to expedite paediatric product development, particularly for those with limited experience in developing a paediatric product.
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