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Pediatric Drug Development: Regulatory Considerations — Complying With the Pediatric Research Equity Act and Qualifying for Pediatric Exclusivity Under the Best Pharmaceuticals for Children Act

DraftCenter for Drug Evaluation and Research Center for Biologics Evaluation and Research05/17/2023

Description

This guidance is intended to assist industry developing drug products to comply with the pediatric study requirements under the Pediatric Research Equity Act (PREA), and to describe the process for qualifying for pediatric exclusivity and the protections that pediatric exclusivity offers under the Best Pharmaceuticals for Children Act (BPCA). In 2010, the Biologics Price Competition and Innovation Act of 2009 extended provisions of the BPCA to biological products.

Scope & Applicability

Product Classes

5
Biological Products

Requires analytical comparability per ICH Q5E

Nonprescription Drugs

Nonprescription drugs marketed under an approved application may be eligible

Molecularly Targeted Pediatric Cancer Investigation

Specific type of investigation required under PREA; Investigations based on molecular mechanism of action.; investigation designed to yield clinically meaningful data

Orphan Products

Regulatory strategy for pediatric drug development

orphan designation

Exemption from PREA requirements for certain products

Stakeholders

7
Pediatric Review Committee

Committee involved in the review of pediatric studies

Pediatric Advisory Committee

reviews pediatric study reports and makes recommendations

Pediatric Exclusivity Boards

FDA's pediatric exclusivity boards make this determination

PeRC

review by the FDA's internal pediatric review committee (the PeRC) as required before issuance.; requiring review by the PeRC before FDA issues a WR; The Pediatric Review Committee that reviews WRs and deferrals.

Advisory Committee

Convened to provide advice on withdrawal issues

Applicant

Entity submitting development data and knowledge; Entity performing the work process for change

sponsor

responsible for justifying omission of studies

Regulatory Context

Attributes

2
Meaningful Therapeutic Benefit

Criterion for determining if pediatric studies are required

right of reference

sponsor obtains a right of reference to submit the reports of studies.

Related CFR Sections (13)

Related Warning Letters (1)

  • Clinical Investigator

    Americo F. Padilla, M.D.

    2025-03-25

See Also (8)