Skip to main content
Top
Published in: Italian Journal of Pediatrics 1/2010

Open Access 01-12-2010 | Debate

The european paediatric legislation: benefits and perspectives

Authors: Francesca Rocchi, Paolo Paolucci, Adriana Ceci, Paolo Rossi

Published in: Italian Journal of Pediatrics | Issue 1/2010

Login to get access

Abstract

Background

The lack of availability of appropriate medicines for children is an extensive and well known problem. Paediatricians and Physicians who take care of the paediatric population are primarily exposed to cope with this negative situation very often as more than half of the children are prescribed off-label or unlicensed medicines.

Discussion

Medicinal products used to treat this population should be subjected to ethical research of high quality and be explicitly authorised for use in children as it happens in adults. For that reason, and following the US experience, the European Paediatric Regulation has been amended in January 2007 by the European Commission. The objective of the Paediatric Regulation is to improve the development of high quality and ethically researched medicines for children aged 0 to 17 years, to facilitate the availability of information on the use of medicines for children, without subjecting children to unnecessary trials, or delaying the authorisation of medicines for use in adults.

Summary

The Paediatric Regulation is dramatically changing the regulatory environment for paediatric medicines in Europe and is fuelling an increased number of clinical trials in the paediatric population. Nevertheless, there are some risks and pitfalls that need to be anticipated and controlled in order to ensure that children will ultimately benefit from this European initiative.
Literature
1.
go back to reference Hoppu K: Paediatric clinical pharmacology: at the beginning of a new era. Eur J Clin Pharmacol. 2008, 64: 201-5. 10.1007/s00228-007-0390-5.PubMedCrossRef Hoppu K: Paediatric clinical pharmacology: at the beginning of a new era. Eur J Clin Pharmacol. 2008, 64: 201-5. 10.1007/s00228-007-0390-5.PubMedCrossRef
2.
go back to reference Conroy S, Choonara I, Impicciatore P, Mohn A, Arnell H, Rane A, Knoeppel C, Seyberth H, Pandolfini C, Raffaelli MP, Rocchi F, Bonati M, Jong G, de Hoog M, van den Anker J: Survey of unlicensed and off label drug use in paediatric wards in European countries. European Network for Drug Investigation in Children. BMJ. 2000, 320: 79-82. 10.1136/bmj.320.7227.79.PubMedCentralPubMedCrossRef Conroy S, Choonara I, Impicciatore P, Mohn A, Arnell H, Rane A, Knoeppel C, Seyberth H, Pandolfini C, Raffaelli MP, Rocchi F, Bonati M, Jong G, de Hoog M, van den Anker J: Survey of unlicensed and off label drug use in paediatric wards in European countries. European Network for Drug Investigation in Children. BMJ. 2000, 320: 79-82. 10.1136/bmj.320.7227.79.PubMedCentralPubMedCrossRef
3.
go back to reference Pandolfini C, Bonati M: A literature review on off-label drug use in children. Eur J Pediatr. 2005, 164: 552-8. 10.1007/s00431-005-1698-8.PubMedCrossRef Pandolfini C, Bonati M: A literature review on off-label drug use in children. Eur J Pediatr. 2005, 164: 552-8. 10.1007/s00431-005-1698-8.PubMedCrossRef
4.
go back to reference Roberts R, Rodriguez W, Murphy D, Crescenzi T: Pediatric drug labelling improving the safety and efficacy of pediatric therapies. JAMA. 2003, 290 (7): 905-11. 10.1001/jama.290.7.905.PubMedCrossRef Roberts R, Rodriguez W, Murphy D, Crescenzi T: Pediatric drug labelling improving the safety and efficacy of pediatric therapies. JAMA. 2003, 290 (7): 905-11. 10.1001/jama.290.7.905.PubMedCrossRef
5.
go back to reference Campbell H, Surry S, Royle E: A review of randomised controlled trials published in Archives of Disease in Childhood from 1982-1996. Arch Dis Child. 1997, 79: 192-7. 10.1136/adc.79.2.192.CrossRef Campbell H, Surry S, Royle E: A review of randomised controlled trials published in Archives of Disease in Childhood from 1982-1996. Arch Dis Child. 1997, 79: 192-7. 10.1136/adc.79.2.192.CrossRef
6.
go back to reference Paolucci P, Jones KP, Cano Garcinuno MC, Catapano M, Iolascon A, Ceci A: Challenges in prescribing drugs for children with cancer. Lancet Oncol. 2008, 9 (2): 176-83. 10.1016/S1470-2045(08)70030-5.PubMedCrossRef Paolucci P, Jones KP, Cano Garcinuno MC, Catapano M, Iolascon A, Ceci A: Challenges in prescribing drugs for children with cancer. Lancet Oncol. 2008, 9 (2): 176-83. 10.1016/S1470-2045(08)70030-5.PubMedCrossRef
9.
go back to reference McIntyre J, Conroy S, Avery A, Corns H, Choonara I: Unlicensed and off label prescribing of drugs in general practice. Arch Dis Child. 2000, 83: 498-501. 10.1136/adc.83.6.498.PubMedCentralPubMedCrossRef McIntyre J, Conroy S, Avery A, Corns H, Choonara I: Unlicensed and off label prescribing of drugs in general practice. Arch Dis Child. 2000, 83: 498-501. 10.1136/adc.83.6.498.PubMedCentralPubMedCrossRef
Metadata
Title
The european paediatric legislation: benefits and perspectives
Authors
Francesca Rocchi
Paolo Paolucci
Adriana Ceci
Paolo Rossi
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2010
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/1824-7288-36-56

Other articles of this Issue 1/2010

Italian Journal of Pediatrics 1/2010 Go to the issue