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PJ Online homeThe Pharmaceutical Journal
Vol 272 No 7291 p341
20 March 2004

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Commission consultation on a draft proposal for a European Parliament and Council Regulation (EC) on medicinal products for paediatric use (PDF 100K, Acrobat Reader)
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Europe to offer child medicine research incentives

Children have been left behind by developments in drug technology

Pharmaceutical manufacturers are to be given incentives to carry out child-safety studies on medicines for use in Europe. Special paediatric licences will also be available for generic medicines to give generics manufacturers an incentive to do the work.

Following consultation which started two years ago (PJ, 16 March 2002, p349), the European Commission has published proposed new medicines legislation that will extend the market exclusivity of patented products or grant new exclusive paediatric licences when such studies are conducted.

A draft commission regulation says that applications for new marketing authorisations or applications for new indications, dosage forms or routes of administration for existing products still under patent must include the results of studies in children conducted according to previously agreed paediatric investigation plans.

There will be a waiver and deferral system to make sure that child research is only carried out to meet the therapeutic needs of children and when it is safe and ethical to do so. Products for which data are submitted will get an extra six months patent protection, regardless of whether the data show positive or negative results.

Different rules are proposed for generic medicines because there are no patents to extend. In these cases, paediatric safety studies will be rewarded with paediatric use marketing authorisations (PUMAs) exclusive to the manufacturer that generates the data. Generics manufacturers do not generally have substantial resources for research and development beyond equivalence studies and have little experience of clinical trials, so the EU will provide money to fund or part-fund such studies through a MICE (Medical Investigation for the Children of Europe) fund.

Sharon Conroy, chairman of the Neonatal and Paediatric Pharmacists Group, said: “This is likely to be the most important legislation on children’s medicines that we will see in the foreseeable future. It is likely to change the situation we have been in for many years where we have not got suitable licensed medicines for children. It will be good to get it up and running as soon as possible.”

She said that the current situation means that there is a lack of science-based dosing information for children which leads to dangers of toxicity or ineffectiveness of medicines. New dosage forms would also be helpful.

“ Children have been left behind by developments in pharmaceutical technology,” she added. “For example, the new melt technology would be wonderful for kids. It would overcome such a lot of the problems we have in formulating medicines for children. They can’t spit it out.”

The draft regulation is open for comment until 9 April.

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