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The Role of the FDA in Pediatric Research

Presented July 16, 2004

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Table of Contents

The Role of the FDA in Pediatric Research 

Overview

The Food and Drug Administration

FDA Impact

Drug Development in under 15 minutes

Acronyms

New Drug Development

Investigators’ Interactions with FDA

FDA’s Bioresearch Monitoring Program

Site Selection: General Caveats

Mechanics of On-Site FDA BiMo Clinical Investigator Inspections

Compliance Classifications

Pediatric Specific Activities

Written Request (WR)

BPCA- Provisions

FDA On-Patent Drug Exclusivity Process

FDA/NIH Off-Patent Drug Process

Goal

Labeling – the Best and the Worst

Labeling Intent

Labeling Problems

Labeling

The Knowledge Gap in Pediatric Therapeutics

The Knowledge Gap: Possible Reasons

Pediatric Benchmarks

History of Pediatric Regulations/Legislation

2002 Best Pharmaceuticals for Children Act (BPCA)

Best Pharmaceuticals for Children Act (cont.)

Goal

Results, Lessons Learned & Issues

Results

RESULTS,  June, 2004

Exclusivity: On-Patent Summary of Important Findings

Gabapentin Descriptors on Studies

Growth and Development

Growth and Development

Growth and Development

Cognition and Behavior

Progress: Product Labeling with Significant Changes for Dosing or Risk

Progress: Product Labeling with Significant Changes for Dosing or Risk

Progress: Product Labeling with Significant Changes for Dosing or Risk

Progress: Product Labeling with Significant Changes for Dosing or Risk

Progress: Identification of a Safety and Effectiveness Issue

Progress: Product Labeling with Significant Changes for Dosing or Risk

Progress: Product Labeling with Significant Changes for Dosing or Risk

Bridging Studies in Drug Development (for Different Scenarios)

Definition of Bridging Studies

Additional Intrinsic & Extrinsic Factors
Defined in ICG E5

Example 1: Pediatric Bridging

Pediatric Study Decision Tree

Studies in Pediatrics with SVT/VT

PK in Pediatrics

Lessons Learned

What Have We Learned

ONGOING LESSONS LEARNED

Ethical Issues

General Principles ICH E-11

Prior Peds Advisory Subcommittee Discussion

Prior Peds Advisory Subcommittee Discussion (cont.)

FDA Web Page

Pediatric Web Page

To Contact Us

Future Research

Back-up

Pharmacometrics

Consensus Statement-1999

Consensus Statement-1999 (cont.)

Consensus Statement-2000

Consensus Statement-2000 (cont.)

Consensus Statement-2000 (cont.)

Consensus Statement-2001

Consensus Statement-2001 (cont.)

Consensus Statement-2001 (cont.)

Author: 

Dianne Murphy, M.D.
Director
Office of Pediatric Therapeutics, OC & OCTAP
CDER, FDA

Presented:
July 16, 2004
Glaser Pediatric Research Network Symposium

Download presentation source [PowerPoint format]

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Date created:  September 2, 2004

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