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Key Infrastructure Elements for Conducting Pediatric Medical Device Clinical Trials
Chris Feudtner1,2, Douglas L Hill1, Russell T Nye1,3
1Division of General Pediatrics, The Children's Hospital of Philadelphia; Philadelphia, Pennsylvania.
Pediatrics
|May 7, 2025
Summary
Developing pediatric medical devices (PMDs) requires specific infrastructure. Experts identified key elements for successful pediatric medical device clinical trials (PMD-CTs), highlighting regulatory compliance and data monitoring as crucial.
Area of Science:
- Medical device development
- Clinical trial management
- Pediatric healthcare innovation
Background:
- Pediatric medical device (PMD) development significantly lags behind adult device development.
- There is a need to identify critical infrastructure supporting PMD clinical trials (PMD-CTs).
Purpose of the Study:
- To identify and rate the importance of infrastructure elements and supporting activities for PMD-CTs.
- To establish a consensus on essential components for successful PMD-CTs.
Main Methods:
- A multistage modified Delphi process was employed.
- Twenty-five experts in various aspects of PMD-CTs participated.
- Panelists identified and rated the importance of 24 activities and 130 infrastructure components.
Main Results:
- Highest importance was given to assuring US Food and Drug Administration (FDA) regulatory compliance and data and safety monitoring.
- Key infrastructure components included 'Principal investigator with clinical experience' and 'Device training plan'.
- Most identified activities and components received high importance ratings from the majority of panelists.
Conclusions:
- Agreement exists on important activities and infrastructure for PMD-CTs.
- A lack of a common mental model and terminology differences pose challenges.
- Addressing these challenges is crucial for organizations supporting PMD development.
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