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Vol 278 No 7434 p39
13 January 2007

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Children’s research encouraged by new rules

New European rules intended to increase the supply of medicines licensed for paediatric use by providing research incentives come into effect on 26 January 2007 (PDF 210K).

Companies that test their medicines for suitability to treat children will get an extra six months’ market exclusivity for medicines under patent, regardless of whether the results are positive, provided information is included in the summary of product characteristics. From 26 July 2008, such research will be compulsory. Orphan medicines will get an extra two years’ market exclusivity.

A greater incentive is on offer for medicines that are out of patent. In these cases, companies that license them specifically for use by children will get 10-year paediatric use marketing authorisations.

The changes are being introduced by a European Regulation, which does not have to be transposed into national legislation. Other changes brought in by the new Regulation include:

• A European database of paediatric clinical trials

• A requirement to submit paediatric clinical trial data to regulatory authorities

• A European Paediatric Clinical Trials Network

• Central funding for the study of off-patent medicines

• An identifying symbol on the package of all products authorised for paediatric use

The new rules and the incentives they offer have been welcomed by Tony Nunn, clinical director of pharmacy at the Royal Liverpool Children’s NHS Trust and associate director of the Medicines for Children Research Network.

“This is the most significant piece of legislation related to children’s medicines that we’ve seen,” Mr Nunn said. “It will set the scene for the next 10 to 20 years and put right some of the wrongs that children have suffered under the Medicines Act 1968.” Mr Nunn said that the Medicines Act had made it too difficult for manufacturers to research and develop medicines for children.

“This will improve the availability of medicines for children that have been appropriately researched and developed and made available in age-appropriate formulations and reduce the use of unlicensed and off-label medicines,” he said.

He added that more clinical trials would be carried out in babies and children and that the data would have to be made available even if the results did not support use of the medicine under investigation. The Medicines for Children Research Network meant that the UK would be well placed to carry out these trials.

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