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European Pharmaceutical Contractor

Children: Seen and Treated

The quality and quantity of research into medicines intended to treat children is an oft-neglected concern. In a clarion call for change, Elisabethann Wright and Susan Clements at Hogan and Hartson investigate the new paediatric medicines regulation, which demands quality, safety and efficacy from medicinal products

It has been estimated that more than 50 per cent of medicines used to treat children in Europe have not been tested for use in this target group, neither have they been authorised for use in the care of children. On 26th January 2007, new EU legislation on medicines for children entered into force. The paediatric medicine regulation aims to balance the ethical issues raised by conducting trials on children with concerns arising from the treatment of children with products which have not been tested on them and the effects of which have not been assessed. The regulation plans to increase the development of medicines that are intended to treat children; to encourage research into medicines for use in treating children; and to improve the quality and quantity of information available in this area. It imposes an extensive system of requirements on companies and provides penalties for non-compliance. However, it also offers rewards and other incentives.

REQUIREMENTS

The regulation introduces the requirement that applications for marketing authorisation for new medicinal products include either the results of studies in the paediatric population that have been carried out in accordance with an agreed Paediatric Investigation Plan (PIP), or proof of having obtained a waiver or deferral from this obligation.


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Elisabethann Wright has been practicing European law for almost 20 years. She focuses on EU law relating to life sciences, with particular emphasis on pharmaceutical law, food law and the environment. She is also engaged in European public law and European court litigation. Elisabethann has extensive experience in litigation before the European Court of Justice, the European Court of First Instance and the European Free Trade Agreement (EFTA) Court. She was also a Référendaire at the European Court of Justice for many years. Elisabethann’s practice includes advising on the challengability of decisions of EU institutions and the validity of EU legislation. She also advises on EU law relating to government contracts.

Susan Clements’ practice focuses on life sciences. Susan has extensive experience in EU law and has advised on regulatory matters, competition law and litigation. Her work includes advising on all aspects of EU law relating to medicinal products and medical devices, including approval, marketing and postmarketing obligations. Her work has also included managing compliance audits, representing clients before the European Commission, co-ordinating filings in multiple jurisdictions and advising on litigation before the European Court of First Instance and the European Court of Justice.

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Elisabethann Wright
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Susan Clements
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4th Annual Patient Recruitment and Retention in Clinical Trials

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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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