2011
DOI: 10.1002/bdrb.20303
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Nonclinical support of pediatric drug development in a global context: an industry perspective

Abstract: The earlier inclusion of children into clinical trials has challenged toxicologists to develop nonclinical strategies to support these trials early in the drug development process, and the routine practise of global development strategies (i.e., concomitant development and filing in multiple geographical regions) adds another complication. Ideally, one would like to develop a stagey that would meet regulatory requirements from all regions. This presentation illustrated the challenges faced in developing a stra… Show more

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Cited by 6 publications
(5 citation statements)
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“…Using electronic databases of chemicals and protein targets and clinical data such as patient to patient variations in response to treatment, several strategies are being employed to reduce the cost of drug development and to increase the speed at which drugs are developed [ 193 ]. There are obvious challenges to the efficient development of drugs and these include the lack of models that can recapitulate the human body properly in terms of response to candidate compounds, the heterogeneity of individuals in terms of their response to candidate compounds and the inability to analyse biological processes properly during testing of candidate compounds [ 194 , 195 , 196 ]. Despite a heavy investment in research and development, most candidate compounds show weakened efficacy as the stages of drug development move towards clinical trials [ 197 , 198 , 199 , 200 , 201 ].…”
Section: Natural Products Drug Discovery Research and Development mentioning
confidence: 99%
“…Using electronic databases of chemicals and protein targets and clinical data such as patient to patient variations in response to treatment, several strategies are being employed to reduce the cost of drug development and to increase the speed at which drugs are developed [ 193 ]. There are obvious challenges to the efficient development of drugs and these include the lack of models that can recapitulate the human body properly in terms of response to candidate compounds, the heterogeneity of individuals in terms of their response to candidate compounds and the inability to analyse biological processes properly during testing of candidate compounds [ 194 , 195 , 196 ]. Despite a heavy investment in research and development, most candidate compounds show weakened efficacy as the stages of drug development move towards clinical trials [ 197 , 198 , 199 , 200 , 201 ].…”
Section: Natural Products Drug Discovery Research and Development mentioning
confidence: 99%
“…In the US, however, the aim is availability of an agreed pediatric development plan by the beginning of phase III clinical trials and its completion before a new drug application (NDA) is filed. Hence, the first interaction between a pharmaceutical company and a regulatory authority with regard to pediatric drug development is much later in the US than in the EU (Cappon, 2011).…”
Section: Kineticsmentioning
confidence: 99%
“…A more standardized approach, including numerous parameters by default is favored instead, as it appears to be required by the regulatory agencies (Cappon, 2011;Cappon et al, 2009;De Schaepdrijver, 2010) (see also Chapter 2.4.6).…”
Section: Case-by-case Versus Standardized Approachmentioning
confidence: 99%
“…However, the type and number of studies needed can be complicated by the development of a global plan. There are clear examples of differences in approach for particular compounds in the EU and the US (Cappon, 2011). When preparing these juvenile animal studies, it was recognized that consultation with the regulatory authorities is important, as there may be changes to the pediatric plan (e.g.…”
Section: Case Studies: Emerging Productsmentioning
confidence: 99%