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Paediatric Inflammatory Bowel Disease: A Multi-Stakeholder Perspective to Improve Development of Drugs for Children
Nicholas M Croft1, Lissy de Ridder2, Anne M Griffiths3
1Blizard Institute, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Insights
New therapies for pediatric inflammatory bowel disease (IBD) face significant approval delays. Collaborative efforts are needed to expedite the development and accessibility of these crucial IBD treatments for children.
Area of Science:
- Gastroenterology and Hepatology
- Pediatric Pharmacology
- Regulatory Science
Background:
- Limited advanced treatment options exist for pediatric inflammatory bowel disease (IBD), specifically Crohn's disease and ulcerative colitis.
- A significant delay, averaging 7 years, exists between adult and pediatric drug approvals for IBD.
- Despite regulatory pathways for pediatric studies, timely drug access for children remains a challenge.
Purpose of the Study:
- To discuss multi-stakeholder perspectives on developing new drugs for pediatric IBD.
- To identify and propose actions for expediting the approval of novel IBD therapies in children.
Main Methods:
- A 2-day virtual multi-stakeholder meeting was convened.
- Participants included clinical academics, patient representatives, pharmaceutical industry professionals, and regulatory agency members.
- Discussions focused on current challenges and potential solutions in pediatric IBD drug development.
Main Results:
- Key perspectives from diverse stakeholders on pediatric IBD drug development were presented and discussed.
- Actionable strategies to accelerate the approval process for new pediatric IBD medications were proposed.
- The need for enhanced collaboration among all parties involved was highlighted.
Conclusions:
- Expediting drug approval for pediatric IBD requires coordinated action from all stakeholders.
- Facilitating the development and accessibility of new IBD therapies for children is a critical unmet need.
- Continued multi-stakeholder engagement is essential for advancing pediatric IBD treatment options.
Background And Aims:
Despite recent approvals for new drugs to treat adults with Crohn's disease or ulcerative colitis, there are only two approved advanced treatment options [infliximab and adalimumab] for children with inflammatory bowel disease [IBD]. There are many potential new therapies being developed for adult and paediatric IBD. Moreover, regulatory agencies in both the European Union and USA have processes in place to support the early planning and initiation of paediatric studies. Nevertheless, unacceptable delays in approvals for use of drugs in children persist, with an average 7-year gap, or longer, between authorization of new IBD drugs for adults and children.
Methods:
A 2-day virtual meeting was held during April 14-15, 2021 for multi-stakeholders [clinical academics, patient community, pharmaceutical companies and regulators] to discuss their perspectives on paediatric drug development for IBD.
Results:
The multi-stakeholder group presented, discussed and proposed actions to achieve expediting the approval of new drugs in development for paediatric IBD.
Conclusions:
Collaborative action points for all stakeholders are required to make progress and facilitate new drug development for children with IBD.
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