Pediatric drug development in China: Reforms and challenges
- PMID: 31491470
- DOI: 10.1016/j.phrs.2019.104412
Pediatric drug development in China: Reforms and challenges
Abstract
In China, child and adolescent pediatricians often face challenges in treating children with the appropriate medications. Within the last 8 years, the Chinese government has already initiated a series of policies to promote development of age-appropriate medicines for children. In this study,we introduced the current status of pediatric drugs, obstacles for pediatric drugs development and regulatory reforms in China. The lack of label information in drugs for children, inadequacy of age-appropriate dosage forms and strengths, and shortage of pediatric drugs are some of the problems commonly faced. There exists neither mandatory requirements nor enough financial drivers for development of pediatric medicines. Though some progress in terms of pediatric drugs development as well as distribution have been made by Chinese government over past years, further efforts are necessary to improve availability of pediatric medications.
Keywords: NMPA; Pediatric drug development; Pediatric study; Pediatric trial networks; Regulatory framework.
Copyright © 2019 Elsevier Ltd. All rights reserved.
Similar articles
-
[Survey on common pediatric drugs for renal diseases].Zhonghua Er Ke Za Zhi. 2013 Dec;51(12):888-91. Zhonghua Er Ke Za Zhi. 2013. PMID: 24495757 Chinese.
-
Moving toward a paradigm shift in the regulatory requirements for pediatric medicines.Eur J Pediatr. 2016 Dec;175(12):1881-1891. doi: 10.1007/s00431-016-2781-z. Epub 2016 Sep 19. Eur J Pediatr. 2016. PMID: 27646479 Review.
-
Pediatric off-label drug use in China: risk factors and management strategies.J Evid Based Med. 2013 Feb;6(1):4-18. doi: 10.1111/jebm.12017. J Evid Based Med. 2013. PMID: 23557523 Clinical Trial.
-
Therapeutic orphans, off-label, pediatric drug development: towards reasonable pharmacotherapy for minors.Expert Opin Pharmacother. 2024 Dec;25(18):2375-2384. doi: 10.1080/14656566.2024.2426678. Epub 2024 Nov 14. Expert Opin Pharmacother. 2024. PMID: 39526437 Review.
-
Pediatric drug data in Canadian drug monographs: a descriptive analysis.CMAJ Open. 2020 Aug 31;8(3):E522-E529. doi: 10.9778/cmajo.20200010. Print 2020 Jul-Sep. CMAJ Open. 2020. PMID: 32873580 Free PMC article.
Cited by
-
Developing a quality indicator system for pediatric clinical trials management of research centers in China: a modified Delphi-Analytic Hierarchy Process study.BMC Pediatr. 2025 Mar 31;25(1):256. doi: 10.1186/s12887-025-05513-y. BMC Pediatr. 2025. PMID: 40165073 Free PMC article.
-
Pediatric Drug Development: Reviewing Challenges and Opportunities by Tracking Innovative Therapies.Pharmaceutics. 2023 Oct 6;15(10):2431. doi: 10.3390/pharmaceutics15102431. Pharmaceutics. 2023. PMID: 37896191 Free PMC article. Review.
-
Guideline for the management of pediatric off-label use of drugs in China (2021).BMC Pediatr. 2022 Jul 23;22(1):442. doi: 10.1186/s12887-022-03457-1. BMC Pediatr. 2022. PMID: 35869466 Free PMC article.
-
Recent landscape and trends for industry-sponsored pediatric clinical trials in China from 2013 to 2022.Pediatr Investig. 2024 Jan 3;8(1):12-20. doi: 10.1002/ped4.12409. eCollection 2024 Mar. Pediatr Investig. 2024. PMID: 38516137 Free PMC article.
-
Disparities in economic burden for children with leukemia insured by resident basic medical insurance: evidence from real-world data 2015-2019 in Guangdong, China.BMC Health Serv Res. 2022 Feb 19;22(1):229. doi: 10.1186/s12913-022-07564-8. BMC Health Serv Res. 2022. PMID: 35183172 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Miscellaneous