The mission with the PaediatricData.EU website is ultimately to promote progress of medical research and treatment development for children through showing how changes proposed by established stakeholders translate into practice, and through more quantitatively informing further policies.
Thw website was created to present ideas about how to evaluate the progress in treating children with a serious disease, in particular children with cancer. For children with cancer, progress in outcomes is a long-standing issue. Children require specific medicines for their specific diseases. The approach has reversed, from protecting children from research and preventing them from experiencing its benefits, to now protect children through research and participation. (See discussion for example in .)
Examples of indicators described in this website show the complexities in improving outcomes for children and in measuring progress. (See for other sets of indicators for example ).
Feedback and suggestions are welcome and invited with the form below.
References
{5011:2E7HAU7S},{5011:EQUGRCZX};{5011:PUPGF48G},{5011:FTF7FH2U},{5011:XHJB7PNG},{5011:HLPRMN5D} default asc no 33 %7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3A%22zotpress-b57de66df9d2a2bd99a14a9e582d8310%22%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22EQUGRCZX%22%2C%22library%22%3A%7B%22id%22%3A5011%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Expert%20group%20on%20clinical%20trials%20for%20the%20implementation%20of%20Regulation%20%28EU%29%20No%20536%5C%2F2014%20on%20clinical%20trials%20on%20medicinal%20products%20for%20human%20use%22%2C%22parsedDate%22%3A%222017-09-18%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EExpert%20group%20on%20clinical%20trials%20for%20the%20implementation%20of%20Regulation%20%28EU%29%20No%20536%5C%2F2014%20on%20clinical%20trials%20on%20medicinal%20products%20for%20human%20use.%202017.%20%26%23x201C%3BEthical%20Considerations%20for%20Clinical%20Trials%20on%20Medicinal%20Products%20Conducted%20with%20Minors.%26%23x201D%3B%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fec.europa.eu%5C%2Fhealth%5C%2Fmedicinal-products%5C%2Feudralex%5C%2Feudralex-volume-10_en%27%3Ehttps%3A%5C%2F%5C%2Fec.europa.eu%5C%2Fhealth%5C%2Fmedicinal-products%5C%2Feudralex%5C%2Feudralex-volume-10_en%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22document%22%2C%22title%22%3A%22Ethical%20considerations%20for%20clinical%20trials%20on%20medicinal%20products%20conducted%20with%20minors%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22name%22%3A%22Expert%20group%20on%20clinical%20trials%20for%20the%20implementation%20of%20Regulation%20%28EU%29%20No%20536%5C%2F2014%20on%20clinical%20trials%20on%20medicinal%20products%20for%20human%20use%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222017-09-18%22%2C%22language%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fec.europa.eu%5C%2Fhealth%5C%2Fmedicinal-products%5C%2Feudralex%5C%2Feudralex-volume-10_en%22%2C%22collections%22%3A%5B%22ZIM93FRK%22%5D%2C%22dateModified%22%3A%222022-03-15T07%3A05%3A19Z%22%7D%7D%2C%7B%22key%22%3A%22PUPGF48G%22%2C%22library%22%3A%7B%22id%22%3A5011%7D%2C%22meta%22%3A%7B%22parsedDate%22%3A%222015-03-20%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3E%26%23x201C%3BThe%20European%20Roadmap%20to%20Horizon%202020%20for%20Children%20and%20Adolescents%20with%20Cancer%20-%20A%20Long%20Term%20Sustainable%20Strategy.%26%23x201D%3B%202015.%20SIOPE%20-%20the%20European%20Society%20for%20Paediatric%20Oncology.%20March%2020%2C%202015.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fwww.siope.eu%5C%2F2015%5C%2F03%5C%2F20%5C%2Fthe-european-roadmap-to-horizon-2020-for-children-and-adolescents-with-cancer-a-long-term-sustainable-strategy%5C%2F%27%3Ehttps%3A%5C%2F%5C%2Fwww.siope.eu%5C%2F2015%5C%2F03%5C%2F20%5C%2Fthe-european-roadmap-to-horizon-2020-for-children-and-adolescents-with-cancer-a-long-term-sustainable-strategy%5C%2F%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22webpage%22%2C%22title%22%3A%22The%20European%20Roadmap%20to%20Horizon%202020%20for%20Children%20and%20Adolescents%20with%20Cancer%20-%20A%20long%20term%20sustainable%20strategy%22%2C%22creators%22%3A%5B%5D%2C%22abstractNote%22%3A%22With%2035%2C000%20new%20cases%20every%20year%2C%20childhood%20cancer%20is%20an%20urgent%20public%20health%20issue%20in%20Europe.%20Access%20to%20care%20is%20unequally%20available%20across%20the%20region%20and%2C%20in%20spite%20of%20the%20progress%20achieved%2C%20cancer%20remains%20the%20leading%20cause%20of%20disease-related%20death%20for%20children%20beyond%20one%20year%20of%20age.%20Under%20the%20coordination%20of%20the%20European%20Society%20...%22%2C%22date%22%3A%222015-03-20T17%3A57%3A57%2B00%3A00%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.siope.eu%5C%2F2015%5C%2F03%5C%2F20%5C%2Fthe-european-roadmap-to-horizon-2020-for-children-and-adolescents-with-cancer-a-long-term-sustainable-strategy%5C%2F%22%2C%22language%22%3A%22en%22%2C%22collections%22%3A%5B%224ZPMP95J%22%5D%2C%22dateModified%22%3A%222018-03-20T08%3A31%3A23Z%22%7D%7D%2C%7B%22key%22%3A%22HLPRMN5D%22%2C%22library%22%3A%7B%22id%22%3A5011%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22European%20Medicines%20Agency%22%2C%22parsedDate%22%3A%222017-08-15%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EEuropean%20Medicines%20Agency.%202017.%20%26%23x201C%3B10-Year%20Report%20to%20the%20European%20Commission%20-%20General%20Report%20on%20the%20Experience%20Acquired%20as%20a%20Result%20of%20the%20Application%20of%20the%20Paediatric%20Regulation.%26%23x201D%3B%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fec.europa.eu%5C%2Fhealth%5C%2Fsites%5C%2Fhealth%5C%2Ffiles%5C%2Ffiles%5C%2Fpaediatrics%5C%2Fdocs%5C%2Fpaediatrics_10_years_ema_technical_report.pdf%27%3Ehttps%3A%5C%2F%5C%2Fec.europa.eu%5C%2Fhealth%5C%2Fsites%5C%2Fhealth%5C%2Ffiles%5C%2Ffiles%5C%2Fpaediatrics%5C%2Fdocs%5C%2Fpaediatrics_10_years_ema_technical_report.pdf%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22report%22%2C%22title%22%3A%2210-year%20Report%20to%20the%20European%20Commission%20-%20General%20report%20on%20the%20experience%20acquired%20as%20a%20result%20of%20the%20application%20of%20the%20Paediatric%20Regulation%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22name%22%3A%22European%20Medicines%20Agency%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22reportNumber%22%3A%22%22%2C%22reportType%22%3A%22%22%2C%22institution%22%3A%22%22%2C%22date%22%3A%222017-08-15%22%2C%22language%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fec.europa.eu%5C%2Fhealth%5C%2Fsites%5C%2Fhealth%5C%2Ffiles%5C%2Ffiles%5C%2Fpaediatrics%5C%2Fdocs%5C%2Fpaediatrics_10_years_ema_technical_report.pdf%22%2C%22collections%22%3A%5B%22WM6BUJT2%22%5D%2C%22dateModified%22%3A%222018-03-18T10%3A17%3A24Z%22%7D%7D%2C%7B%22key%22%3A%222E7HAU7S%22%2C%22library%22%3A%7B%22id%22%3A5011%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Nuffield%20Council%20on%20Bioethics%22%2C%22parsedDate%22%3A%222015-05%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3ENuffield%20Council%20on%20Bioethics.%202015.%20%26%23x201C%3BChildren%20and%20Clinical%20Research.%26%23x201D%3B%20Nuffield%20Bioethics.%20May%202015.%20%3Ca%20href%3D%27http%3A%5C%2F%5C%2Fnuffieldbioethics.org%5C%2Fproject%5C%2Fchildren-research%5C%2F%27%3Ehttp%3A%5C%2F%5C%2Fnuffieldbioethics.org%5C%2Fproject%5C%2Fchildren-research%5C%2F%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22webpage%22%2C%22title%22%3A%22Children%20and%20clinical%20research%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22name%22%3A%22Nuffield%20Council%20on%20Bioethics%22%7D%5D%2C%22abstractNote%22%3A%22Exploring%20ethical%20questions%20arising%20from%20the%20involvement%20of%20children%20in%20clinical%20research%22%2C%22date%22%3A%222015-05%22%2C%22url%22%3A%22http%3A%5C%2F%5C%2Fnuffieldbioethics.org%5C%2Fproject%5C%2Fchildren-research%5C%2F%22%2C%22language%22%3A%22%22%2C%22collections%22%3A%5B%22ZIM93FRK%22%5D%2C%22dateModified%22%3A%222016-05-09T20%3A52%3A41Z%22%7D%7D%2C%7B%22key%22%3A%22XHJB7PNG%22%2C%22library%22%3A%7B%22id%22%3A5011%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22R%5Cu00f6ssig%20et%20al.%22%2C%22parsedDate%22%3A%222013-06-05%22%2C%22numChildren%22%3A3%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3ER%26%23xF6%3Bssig%2C%20C%2C%20H%20Juergens%2C%20M%20Schrappe%2C%20A%20Moericke%2C%20G%20Henze%2C%20A%20von%20Stackelberg%2C%20D%20Reinhardt%2C%20et%20al.%202013.%20%26%23x201C%3BEffective%20Childhood%20Cancer%20Treatment%3A%20The%20Impact%20of%20Large%20Scale%20Clinical%20Trials%20in%20Germany%20and%20Austria.%26%23x201D%3B%20%3Ci%3EPediatric%20Blood%20%26amp%3B%20Cancer%3C%5C%2Fi%3E%2060%20%2810%29%3A%201574%26%23x2013%3B81.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1002%5C%2Fpbc.24598%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1002%5C%2Fpbc.24598%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Effective%20childhood%20cancer%20treatment%3A%20The%20impact%20of%20large%20scale%20clinical%20trials%20in%20Germany%20and%20Austria%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22C%22%2C%22lastName%22%3A%22R%5Cu00f6ssig%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22H%22%2C%22lastName%22%3A%22Juergens%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22M%22%2C%22lastName%22%3A%22Schrappe%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22A%22%2C%22lastName%22%3A%22Moericke%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22G%22%2C%22lastName%22%3A%22Henze%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22A%22%2C%22lastName%22%3A%22von%20Stackelberg%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22D%22%2C%22lastName%22%3A%22Reinhardt%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22B%22%2C%22lastName%22%3A%22Burkhardt%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22W%22%2C%22lastName%22%3A%22Woessmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22M%22%2C%22lastName%22%3A%22Zimmermann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22H%22%2C%22lastName%22%3A%22Gadner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22G%22%2C%22lastName%22%3A%22Mann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22G%22%2C%22lastName%22%3A%22Schellong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22C%22%2C%22lastName%22%3A%22Mauz-Koerholz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22U%22%2C%22lastName%22%3A%22Dirksen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22S%22%2C%22lastName%22%3A%22Bielack%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22F%22%2C%22lastName%22%3A%22Berthold%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22N%22%2C%22lastName%22%3A%22Graf%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22S%22%2C%22lastName%22%3A%22Rutkowski%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22G%22%2C%22lastName%22%3A%22Calaminus%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22P%22%2C%22lastName%22%3A%22Kaatsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22U%22%2C%22lastName%22%3A%22Creutzig%22%7D%5D%2C%22abstractNote%22%3A%22In%20Germany%20and%20Austria%2C%20more%20than%2090%25%20of%20pediatric%20cancer%20patients%20are%20enrolled%20into%20nationwide%20disease-specific%20first-line%20clinical%20trials%20or%20interim%20registries.%20Essential%20components%20are%20a%20pediatric%20cancer%20registry%20and%20centralized%20reference%20laboratories%2C%20imaging%20review%2C%20and%20tumor%20board%20assistance.%20The%20five-year%20overall%20survival%20rate%20in%20countries%20where%20such%20infrastructures%20are%20established%20has%20improved%20from%20%3C20%25%20before%201950%20to%20%3E80%25%20since%201995.%20Today%2C%20treatment%20intensity%20is%20tailored%20to%20the%20individual%20patient%27s%20risk%20to%20provide%20the%20highest%20chances%20of%20survival%20while%20minimizing%20deleterious%20late%20effects.%20Multicenter%20clinical%20trials%20are%20internationalized%20and%20serve%20as%20platforms%20for%20further%20improvements%20by%20novel%20drugs%20and%20biologicals.%20Pediatr%20Blood%20Cancer%202013%3B9999%3A1-8.%20%5Cu00a9%202013%20Wiley%20Periodicals%2C%20Inc.%22%2C%22date%22%3A%22Jun%205%2C%202013%22%2C%22language%22%3A%22ENG%22%2C%22DOI%22%3A%2210.1002%5C%2Fpbc.24598%22%2C%22ISSN%22%3A%221545-5017%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22VIA47IEF%22%5D%2C%22dateModified%22%3A%222015-03-28T11%3A35%3A36Z%22%7D%7D%2C%7B%22key%22%3A%22FTF7FH2U%22%2C%22library%22%3A%7B%22id%22%3A5011%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bourgeois%20et%20al.%22%2C%22parsedDate%22%3A%222012-07-23%22%2C%22numChildren%22%3A3%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBourgeois%2C%20Florence%20T.%2C%20Srinivas%20Murthy%2C%20Catia%20Pinto%2C%20Karen%20L.%20Olson%2C%20John%20P.%20A.%20Ioannidis%2C%20and%20Kenneth%20D.%20Mandl.%202012.%20%26%23x201C%3BPediatric%20Versus%20Adult%20Drug%20Trials%20for%20Conditions%20With%20High%20Pediatric%20Disease%20Burden.%26%23x201D%3B%20%3Ci%3EPediatrics%3C%5C%2Fi%3E%2C%20July.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1542%5C%2Fpeds.2012-0139%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1542%5C%2Fpeds.2012-0139%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Pediatric%20Versus%20Adult%20Drug%20Trials%20for%20Conditions%20With%20High%20Pediatric%20Disease%20Burden%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Florence%20T.%22%2C%22lastName%22%3A%22Bourgeois%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Srinivas%22%2C%22lastName%22%3A%22Murthy%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Catia%22%2C%22lastName%22%3A%22Pinto%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Karen%20L.%22%2C%22lastName%22%3A%22Olson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22John%20P.%20A.%22%2C%22lastName%22%3A%22Ioannidis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kenneth%20D.%22%2C%22lastName%22%3A%22Mandl%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%20AND%20OBJECTIVE%3A%20Optimal%20treatment%20decisions%20in%20children%20require%20sufficient%20evidence%20on%20the%20safety%20and%20efficacy%20of%20pharmaceuticals%20in%20pediatric%20patients.%20However%2C%20there%20is%20concern%20that%20not%20enough%20trials%20are%20conducted%20in%20children%20and%20that%20pediatric%20trials%20differ%20from%20those%20performed%20in%20adults.%20Our%20objective%20was%20to%20measure%20the%20prevalence%20of%20pediatric%20studies%20among%20clinical%20drug%20trials%20and%20compare%20trial%20characteristics%20and%20quality%20indicators%20between%20pediatric%20and%20adult%20drug%20trials.%5CnMETHODS%3A%20For%20conditions%20representing%20a%20high%20burden%20of%20pediatric%20disease%2C%20we%20identified%20all%20drug%20trials%20registered%20in%20ClinicalTrials.gov%20with%20start%20dates%20between%202006%20and%202011%20and%20tracked%20the%20resulting%20publications.%20We%20measured%20the%20proportion%20of%20pediatric%20trials%20and%20subjects%20for%20each%20condition%20and%20compared%20pediatric%20and%20adult%20trial%20characteristics%20and%20quality%20indicators.%5CnRESULTS%3A%20For%20the%20conditions%20selected%2C%2059.9%25%20of%20the%20disease%20burden%20was%20attributable%20to%20children%2C%20but%20only%2012.0%25%20%28292%5C%2F2440%29%20of%20trials%20were%20pediatric%20%28P%20%3C%20.001%29.%20Among%20pediatric%20trials%2C%2058.6%25%20were%20conducted%20without%20industry%20funding%20compared%20with%2035.0%25%20of%20adult%20trials%20%28P%20%3C%20.001%29.%20Fewer%20pediatric%20compared%20with%20adult%20randomized%20trials%20examined%20safety%20outcomes%20%2810.1%25%20vs%2016.9%25%2C%20P%20%3D%20.008%29.%20Pediatric%20randomized%20trials%20were%20slightly%20more%20likely%20to%20be%20appropriately%20registered%20before%20study%20start%20%2846.9%25%20vs%2039.3%25%2C%20P%20%3D%20.04%29%20and%20had%20a%20modestly%20higher%20probability%20of%20publication%20in%20the%20examined%20time%20frame%20%2832.8%25%20vs%2023.2%25%2C%20P%20%3D%20.04%29.%5CnCONCLUSIONS%3A%20There%20is%20substantial%20discrepancy%20between%20pediatric%20burden%20of%20disease%20and%20the%20amount%20of%20clinical%20trial%20research%20devoted%20to%20pediatric%20populations.%20This%20may%20be%20related%20in%20part%20to%20trial%20funding%2C%20with%20pediatric%20trials%20relying%20primarily%20on%20government%20and%20nonprofit%20organizations.%22%2C%22date%22%3A%222012-07-23%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1542%5C%2Fpeds.2012-0139%22%2C%22ISSN%22%3A%220031-4005%2C%201098-4275%22%2C%22url%22%3A%22http%3A%5C%2F%5C%2Fpediatrics.aappublications.org%5C%2Fcontent%5C%2Fearly%5C%2F2012%5C%2F07%5C%2F18%5C%2Fpeds.2012-0139%22%2C%22collections%22%3A%5B%22FW4IXGTS%22%2C%225VNA5HRG%22%2C%22ZIM93FRK%22%2C%22WM6BUJT2%22%5D%2C%22dateModified%22%3A%222014-02-27T07%3A44%3A54Z%22%7D%7D%5D%7DExpert group on clinical trials for the implementation of Regulation (EU) No 536/2014 on clinical trials on medicinal products for human use. 2017. “Ethical Considerations for Clinical Trials on Medicinal Products Conducted with Minors.”
https://ec.europa.eu/health/medicinal-products/eudralex/eudralex-volume-10_en.
“The European Roadmap to Horizon 2020 for Children and Adolescents with Cancer - A Long Term Sustainable Strategy.” 2015. SIOPE - the European Society for Paediatric Oncology. March 20, 2015.
https://www.siope.eu/2015/03/20/the-european-roadmap-to-horizon-2020-for-children-and-adolescents-with-cancer-a-long-term-sustainable-strategy/.
European Medicines Agency. 2017. “10-Year Report to the European Commission - General Report on the Experience Acquired as a Result of the Application of the Paediatric Regulation.”
https://ec.europa.eu/health/sites/health/files/files/paediatrics/docs/paediatrics_10_years_ema_technical_report.pdf.
Nuffield Council on Bioethics. 2015. “Children and Clinical Research.” Nuffield Bioethics. May 2015.
http://nuffieldbioethics.org/project/children-research/.
Rössig, C, H Juergens, M Schrappe, A Moericke, G Henze, A von Stackelberg, D Reinhardt, et al. 2013. “Effective Childhood Cancer Treatment: The Impact of Large Scale Clinical Trials in Germany and Austria.”
Pediatric Blood & Cancer 60 (10): 1574–81.
https://doi.org/10.1002/pbc.24598.
Bourgeois, Florence T., Srinivas Murthy, Catia Pinto, Karen L. Olson, John P. A. Ioannidis, and Kenneth D. Mandl. 2012. “Pediatric Versus Adult Drug Trials for Conditions With High Pediatric Disease Burden.”
Pediatrics, July.
https://doi.org/10.1542/peds.2012-0139.