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home > epc > spring 2003 > clinical trials in children: a challenging need
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European Pharmaceutical Contractor

Clinical Trials in Children: A Challenging Need

In the European Union, the paediatric population (0-16 years old) represents about 75 million people, a fifth of the total population. Although this population may appear relatively large, the majority of medicines are still only developed and assessed for use in adult populations. The absence of suitable authorised medicinal products to treat diseases in children has been an issue of concern for some time.

This is mainly a result of the failure of pharmaceutical companies to perform the necessary tests and trials to adapt medicinal products to the needs of children. It is estimated that over two thirds of patients admitted to paediatric wards in European hospitals received drugs prescribed in an unlicensed or off-label manner, not having been specifically evaluated for use in children. Consequently it leads to risks of inefficacy and/or adverse effects.

Pharmaceutical companies have traditionally been reluctant to invest in developing specific treatments or adapting existing medicines to meet the needs of the paediatric population, mainly because the market is small and therefore of lower priority to them - and the risks associated with paediatric treatments are generally higher (for example, need for long-term follow-up of adverse effects). In addition, the pharmaceutical industry tends not to develop specific paediatric formulations.


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By Dr Carlo Giaquinto, Department of Paediatrics at the University of Padova, Italy
 
Carlo Giaquinto is Adjoint Professor at the Department of Paediatrics of the University of Padova in Italy. Since 1984 he has been responsible for the existing paediatric AIDS referral centre and has been a founder member of the European collaborative study. In 1993 he became the European Co-ordinator of the Paediatric European Network Treatment AIDS (PENTA) group.

He is involved in several international projects in both developed and developing countries, mainly related to the management of children with HIV infection. Carlo is also the Project Leader of a large network (Pedianet) of family paediatricians in Italy. He has recently been appointed Honorary Senior Lecturer at the Centre for Paediatric Epidemiology and Biostatistics of the Institute of Child Health in London.


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Dr Carlo Giaquinto
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Industry Events

4th Annual Patient Recruitment and Retention in Clinical Trials

13-15 October 2008, Amsterdam

Patient recruitment is now consuming thirty percent of clinical trial time - more time than any other clinical trial activity - and almost half of all trial delays result from patient recruitment problems. As the recruiting culture becomes more sophisticated and the forces affecting patient enrollment grow more numerous and complex, pharmaceutical companies are striving to discover new strategies to facilitate enrollment in clinical trials. With increasing industry pressure to develop, test and market greater numbers of new drugs faster, pharmaceutical companies need to perform clinical trials as quickly as possible. Inefficient patient recruitment processes is a formidable barrier to pharmaceutical companies' success in launching new products. Improving the patient recruitment process is imperative to avoid wasted investments and eliminate costly delays in bringing new drugs to market -- today and even more so in the not-so-distant future. Improved patient recruitment presents one of the largest opportunities for pharmaceutical companies to eliminate delays in clinical trials, thereby making it possible to reduce time to market.  With patent time limits and large overheads meaning that any delays in the development timeline can be disastrous, a good understanding of how to successfully recruit patients for trials is vital for any company looking to succeed.
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News and Press Releases

Azopharma Product Development Group, Inc

HOLLYWOOD, Fla. – Azopharma Product Development Group, Inc. (“Azopharma”) announced today the addition of innovative state-of-the-art equipment at its formulation and manufacturing division, ApiCross Drug Delivery Technologies in Hollywood, Florida. The most recent acquisition is the MG Futura Capsule Filler which delivers the latest in capsule filling technology. The company has also added a Bausch & Strobel Aseptic Filling Isolator, equipment that is ground-breaking in the powder filling process. These additions support our previously implemented XcelodoseTM powder micro-dosing system. With these technologies, Azopharma is able to provide its clients with all forms of the capsule filling process. The new equipment is part of Azopharma’s recent manufacturing expansion which includes 17 new manufacturing suites for GMP, cytotoxic and aseptic products...
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