Challenges and Opportunities in the Development of Medical Therapies for Pediatric Populations and the Role of Extrapolation

Author:

Barrett Jeffrey S.1,Bishai Raafat2,Bucci-Rechtweg Christina3,Cheung Amy4,Corriol-Rohou Solange5,Haertter Sebastian6,James Angela7,Kovacs Steven J.8,Liu Jing9,Potempa Dennis10,Strougo Ashley10,Vanevski Konstantina11,

Affiliation:

1. Translational Medicine, Translational Informatics, Sanofi; Bridgewater New Jersey USA

2. Clinical Development, Metabolic Disease Department; AstraZeneca; Gaithersburg Maryland USA

3. Global Health Policy, Regulatory Affairs, Novartis Pharmaceuticals Corporation; East Hanover New Jersey USA

4. Quantitative Clinical Pharmacology, Early Clinical Development, Innovative Medicines and Early Development Biotech Unit; AstraZeneca Cambridge UK

5. GRAPSQA/Global Medicines Development; Astra Zeneca Paris France

6. Translational Med & Clinical Pharmacology, Boehringer-Ingelheim Pharma; Ridgefield Connecticut USA

7. Clinical Pharmacology and Exploratory Department; Astellas Pharma; Northbrook Illinois USA

8. Translational Medicine, Novartis Institutes for BioMedical Research; East Hanover New Jersey USA

9. Clinical Pharmacology, Pfizer; Groton Connecticut USA

10. Translational Medicine, Pharmacokinetics, Dynamics and Metabolism, M&S; Sanofi Frankfurt Germany

11. Global Clinical Development, Bayer HealthCare; Basel Switzerland

Publisher

Wiley

Subject

Pharmacology (medical),Pharmacology

Reference88 articles.

1. Off-label use of drugs in children;Frattarelli;Pediatrics,2014

2. Manipulation of drugs to achieve the required dose is intrinsic to paediatric practice but is not supported by guidelines or evidence;Richey;BMC Pediatr,2013

3. Paediatric drug development: the impact of evolving regulations;Turner;Adv Drug Deliv Rev,2014

4. Extrapolation of adult data and other data in pediatric drug-development programs;Dunne;Pediatrics,2011

5. International Conference on Harmonization E11 (R1) http://www.ich.org/fileadmin/Public_Web_Site/ICH_Products/Guidelines/Efficacy/E11/E11-R1EWG_Step4_Addendum_2017_0818.pdf 2017

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