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4 Models for Enhancing Pediatric Drug Development
Pages 29-35

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From page 29...
... Vaccine Development IN THE UNITED STATES Vaccine development in the United States can offer lessons for p ­ ediatric drug development. Both vaccines and drugs are covered by the Pediatric Research Equity Act (PREA)
From page 30...
... , a national vaccine safety surveillance program that collects information about adverse events occurring after the administration of U.S.-licensed vaccines. Reports are made by vaccine manufacturers, health care providers, state immunization programs, vaccine recipients, and other sources.
From page 31...
... Ward described an AAP collaboration with the Royal College of Pediatrics in the United Kingdom to develop a drug handbook for pediatrics that would include off-label prescribing information based on expert opinion. The key challenge, he noted, is correlating adverse events with exposure to medications.
From page 32...
... Incentives Incentives will vary according to whether a product is patentp ­ rotected, off-patent, or an orphan drug. For patent-protected ­products, submission of an application for marketing authorization or any application for a variation will incur a new obligation to provide study results in accordance with an agreed-upon PIP.
From page 33...
... The PIP will also include justification for any waivers or deferrals -- for example, if there is no significant therapeutic benefit over existing treatments for children or for a particular pediatric population, or if it is more appropriate to initiate studies in children after sufficient data for adults are available. Additional Measures All applicants will be eligible to receive free scientific advice from the EMEA on the design and conduct of pediatric studies and on pharmacovigilance measures for the postauthorization period.
From page 34...
... As with pediatric medications generally, market forces work against the development of pediatric cancer drugs. Each year 9,000 pediatric cancers are diagnosed in the United States, compared with a much larger number of adult cancers (e.g., 200,000 new breast cancer cases, 190,000 prostate cancer cases, and 160,000 lung cancer cases)
From page 35...
... The goals are to identify small molecules that are inhibitors of specific targets in pediatric cancers and could be used to explore the pathways involved in pediatric cancers, identify candidate small molecules for preclinical testing, and network with others to improve capacity and ultimately advance these agents to the level of the pediatric clinic. Finally, NCI is funding the Pediatric Cancer Drug Discovery Consortium to screen adult cancer drug candidates in animal models with pediatric tumors.


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