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Therapeutics Pipeline
Lauren Sauer1, Alice Sato2, Herbert Dele Davies3
1GCHS, Special Pathogen Research Network, Department of Environmental, Agricultural and Occupational Health, UNMC College of Public Health, 984355 Nebraska Medical Center, Omaha, NE, USA.
Insights
Developing medical countermeasures (MCMs) for children presents unique challenges due to their distinct needs. The coronavirus disease 2019 pandemic accelerated the need for a robust pediatric MCM pipeline.
Area of Science:
- Pediatric pharmacology
- Infectious disease therapeutics
- Public health preparedness
Background:
- Children possess unique physiological, developmental, and psychosocial characteristics, complicating therapeutic development.
- Pandemic and outbreak scenarios exacerbate the challenges of creating effective pediatric medical countermeasures (MCMs).
- Past decade has seen progress, but the coronavirus disease 2019 pandemic highlighted critical gaps in pediatric MCM development.
Purpose of the Study:
- To address the inherent challenges in developing medical countermeasures (MCMs) for pediatric populations.
- To emphasize the necessity of a dedicated MCM pipeline for children.
- To highlight the unique considerations required for pediatric therapeutic development during public health emergencies.
Main Methods:
- Review of existing literature on pediatric drug development and MCMs.
- Analysis of challenges specific to pediatric populations during health crises.
- Examination of advancements spurred by the coronavirus disease 2019 pandemic.
Main Results:
- Pediatric-specific physiological and developmental differences pose significant hurdles for MCM development.
- The urgent nature of pandemics necessitates tailored approaches for pediatric MCMs.
- The coronavirus disease 2019 pandemic underscored the need for accelerated pediatric MCM research and development.
Conclusions:
- A robust pipeline for pediatric medical countermeasures is essential for effective public health response.
- Addressing the unique vulnerabilities of children is paramount in therapeutic development.
- Future efforts must prioritize pediatric considerations in the design and implementation of MCMs.
Abstract:
Children have unique physiologic, developmental, and psychosocial needs and unique vulnerabilities, making them a challenging population for which to develop therapeutics. This is particularly apparent in the urgent and chaotic environment of a pandemic or outbreak. Advances in the development of medical countermeasures (MCMs) for pediatric populations have grown substantially over the last decade, and the coronavirus disease 2019 pandemic forced advancements in how we approach pediatric MCM development. Consequently, a MCMs pipeline targeting the pediatric population is essential. This article addresses the challenges inherent in these differences that must be taken into account.
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