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European regulatory strategy for supporting childhood cancer therapy developments
Dominik Karres1, Giovanni Lesa1, Franca Ligas1
1Paediatric Medicines Office, Scientific Evidence Generation Department, Human Medicines Division, European Medicines Agency (EMA), Amsterdam, Netherlands.
Regulatory strategies for paediatric oncology aim to accelerate the development of innovative medicines for children. Paediatric investigation plans (PIPs) are adaptable documents requiring stakeholder input to meet evolving needs in rare childhood cancers.
Area of Science:
- Paediatric Oncology Drug Development
- Regulatory Science
- Oncology Therapeutics
Background:
- Advancements in oncology identify new molecular targets, driving the development of innovative medicines.
- Global regulatory requirements, like the US RACE for Children Act, are evolving for paediatric oncology drug pipelines.
- Paediatric oncology faces challenges due to rare, life-threatening diseases and high unmet medical needs.
Purpose of the Study:
- To explain the EU regulatory decision-making strategy for paediatric oncology.
- To foster evidence generation for drug development based on medical needs and scientific robustness.
- To address challenges in completing paediatric oncology development efforts for innovative products.
Main Methods:
- The EU regulatory decision-making strategy for paediatric oncology is described.
- The concept of paediatric investigation plans (PIPs) as living documents is highlighted.
- Stakeholder engagement through platforms like EMA and ACCELERATE is utilized.
Main Results:
- Regulatory bodies acknowledge feasibility challenges in paediatric oncology drug development.
- Prioritization of products and identification of next-generation therapies are crucial.
- Paediatric investigation plans (PIPs) are adaptable based on new evidence and evolving needs.
Conclusions:
- Regulatory strategies aim to ensure timely availability of effective and safe medicines for children.
- Continuous scientific progress necessitates adaptive regulatory approaches for paediatric oncology.
- Collaboration with stakeholders, including patients and clinicians, is vital for successful paediatric investigation plans.
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