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OFFICE OF NEW DRUGS MODULE

  1. Since there is an issue with consent, how are pharmacokinetic studies in healthy pediatric populations approved?
    1. A company must only study patients who can potentially benefit from treatment. Studies in healthy patients are not permitted. Any child in a clinical trial potentially has to benefit from that trial -- even if it's basic pharmacodynamic, pharmacokinetic blood-draws; there are blood-drawing limits for children as well.
  2. If a product is to be used only in adults does PREA apply?
    1. If the product meets the five criteria-- an application for a new indication, new dosage form, new dosing regimen, new route of administration or new active ingredient--then PREA would apply, unless the indication was an orphan indication. The sponsor has a choice of applying for a deferral or waiver of PREA required studies. That waiver can be for the full pediatric age group, or a partial waiver. So PREA does apply, but studies in pediatric patient for adult-only conditions may be waived because of too few patients to study.
  3. Are children involved in clinical trails for vaccines?
    1. Yes, however, vaccine legislation is the responsibility of the Center for Biologics Evaluation and Research (CBER). CBER has the leading authority and is a World Health Organization center.
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Topic: page 3 of 4 (Lesson: page 22 of 24)