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Conference Documentation: Paediatric Clinical Trials

Published by: SMI Publishing, Ltd

Published: Jan. 24, 2007


Table of Contents


Day 1




8.30 Registration & Coffee

9.00 Chairman's Opening Remarks

Keith Wesnes, Chief Executive, Cognitive Drug Research.

9.00 THE CHALLENGES OF FORMULATING PAEDIATRIC SPECIFIC MEDICINES

Developing paediatric products

Designing studies to test existing adult drugs in children

How can you identify the problem areas in drug formulation?

Issues with dose testing, efficacy and specificity

Strategies to deal with taste, swallowing, dosing regimes and compliance

Dr John Bolodeoku, Senior Director, Medical Affairs & Health Economics, Europe, Astellas Pharma EU Ltd.

9.50 THE SUCCESSFUL ENROLMENT OF CHILDREN INTO CLINICAL TRIALS

The rate limiting step

Designing and implementing viable recruitment plans

What are the challenges facing the recruitment process?

Methods of finding and recruiting patients

Enrolment incentives and informed consent on entering a trial

What are the common oversights and how can recruitment be improved?

Elizabeth Moench, President & Chief Executive Officer, MediciGroup Inc.

10.30 Morning Coffee

10.50 PATIENT RETENTION IN PAEDIATRIC CLINICAL TRIALS

A fundamental element of ensuring your trial success

Evaluation of why patients leave before the end of a trial

What are the effects on

The study

The patient

How can you prevent a patient from leaving a study before completion and what incentives can they legally be offered

Stephen Lockhart, Assistant Vice President & Head, Bacterial Clinical Research, Wyeth Vaccines Research.

Susan Tansey, Associate Director, Wyeth Research.

11.30 BEST PRACTICES IN PAEDIATRIC PATIENT RECRUITMENT & CLINICAL TRIAL MANAGEMENT

Overcoming the challenges

Patient recruitment strategies and tactics

The relevance of qualitative research (focus groups) for study strategy

Increased study efficiency through measurement - a case study

The future of paediatric participation in clinical trials

Kathleen Drennan, Senior Vice President & Managing Director, Iris Global Clinical Trial Solutions.

12.10 CONDUCTING PAEDIATRIC CLINICAL TRIALS FOR RARE DISEASES

Congenital protein deficiencies

How do you recruit and retain paediatric patients with a rare disease?

Overcoming the challenges of finding enough participants

Designing and conducting clinical trials for rare disease

Decision making - outsouring and site management

Study outcomes and lessons learned

Hartwig Gajek, Medical Director, Europe, Baxter BioPharmaceuticals.

12.50 Networking Lunch

2.20 CONSENT AND ASSENT IN PAEDIATRIC CLINICAL TRIALS

Practical considerations and enhancing parental consent

The guideline and regulations for consent

Informed consent and ensuring effective, consistent conveyance of accurate and complete information

Consent documentation design

Implications of the consent process on enrolment of children into a study

Evaluating the level of patient and parent understanding

Renate Gilbert, GPRD Clinical Training Manager, Abbott GmbH & Co KG.

3.00 ETHICAL CHALLENGES AND CONCERNS

Facing the ethical issues head on

An overview of the principles of medical ethics

What are the ethical issues that are unique to children?

Balancing the risk and the benefits of conducting a paediatric clinical trial

Human subject protection

What are the common and not so common ethical issues that impact on paediatric clinical trial design and implementation?

Francis Crawley, Director General, Good Clinical Practice Alliance.

3.40 Afternoon Tea

4.00 THE PUBLIC PERCEPTION OF PAEDIATRIC TRIALS

Consent vs assent challenges

Effective and appropriate visual and written information for recruitment and retention - the teen/child divide

Case studies

Linda Capsey, , Fast4wd Ogilvy.

4.40 THE ASSESSMENT OF COGNITIVE FUNCTION IN PAEDIATRIC CLINICAL TRIALS

How, why and when?

What cognitive domains should be measured?

The validation of tests in children

Large trials of cognitive function in school children

Year by year changes in performance from 4 to 18 years - the need for closely controlling for age

The sensitivity, reliability and utility of automated tests of cognitive function in children

Epilepsy and cognitive function in children

Keith Wesnes, Chief Executive, Cognitive Drug Research.

5.20 Chairman’s Closing Remarks and Close of Day One




Day 2




8.30 Registration & Coffee

9.00 Chairman's Opening Remarks

Francis Crawley, Director General, Good Clinical Practice Alliance.

9.10 ASSESSING THE BENEFITS AND DISADVANTAGES OF PAEDIATRIC DRUG DEVELOPMENT

Is it worthwhile?

The most important considerations in deciding which drugs to develop

Developing adult drugs into paediatric drugs vs new paediatric drugs

Financial considerations and time constraints

Epidemiological factors

Tim Higenbottam, Principal Research Physician & Senior Principal Scientist, AstraZeneca R&D.

9.50 SOME SPECIAL CHALLENGES IN PAEDIATRIC DRUG DEVELOPMENT

The moving target(s) - there isn't just one paediatric age group

Child friendly formulations and studies with them

Research infrastructure

Albert Allen, Medical Director, Eli Lilly.

10.30 Morning Coffee

11.00 KEYNOTE ADDRESS - IMPLICATIONS OF THE NEW EU LEGISLATION

Necessary changes to the design and implementation of paediatric clinical trials

How have these new laws affected the pharmaceutical industry?

Will they benefit the industry in the long run?

The financial impact of putting these laws into action

Will these laws protect the patient further?

EU vs US legislation

Charles Bouchard, Director, European Government Affairs, Merck.

11.40 THE ROLE OF PHARMACOGENOMICS AND DEVELOPMENTAL BIOLOGY IN THE PRODUCTION OF PAEDIATRIC DRUGS

Incorporating these differences into the design of clinical trials in oncology

How children differ in rates of absorption, distribution, metabolism and excretion, compared to adults

Age-associated differences in drug clearance

Incorporating this knowledge into the design of the clinical trial

Methods of observation to track these differences with the study

Iman El-Hariry, Senior Director, Oncology Medicines Centre, GlaxoSmithKline.

12.20 Networking Lunch

1.50 PAEDIATRIC ASSESSMENT AND SPECIALISED TRAINING

Improving paediatric competencies

- Challenges in the assessment of paediatric patient - Age-dependence of paediatric measures - Choosing appropriate outcomes for paediatric clinical trials - Multidisciplinary approach to paediatric assessment - Training opportunities

Christoph Male, Associate Professor of Pediatrics, Medical University Of Vienna.

2.30 DESIGNING CLINICAL TRIALS IN THE EARLY INFANCY

Ethical demands and standards

Placebo paediatric trials - the bronchiolitis case study

Drug safety and efficacy in formulations that are not prepared for children

Drug research in children - new drugs, old drugs, dosages and method of administration

Overcoming practical problems in drug therapy - case studies in respiratory diseases; how early, what dose, how long?

Clinical trials in neonates and during pregnancy

Zorica Zivkovic, Liason Officer, CESP.

3.10 Afternoon Tea

3.40 CLINICAL TRIAL DESIGN

Assessing the evidence

Phase III trials. Deciding what the important questions are - what do we know at present?

Systematic reviews - finding them, what do they tell us and how reliable are they?

Doing a systematic review

Including other types of evidence

Paediatric issues

Sue Richards, Senior Research Fellow, Oxford University.

4.20 MEASURING OUTCOME IN CNS PAEDIATRIC CLINICAL TRIALS

Issues and challenges

Age-associated differences in brain function

When to use child-specific vs altered adult measurement tools?

Issues with repeated assessment of children

How to analyse paediatric outcomes data

Paul Maruff, Chief Scientific Officer, Cogstate Ltd.

5.00 Chairman’s Closing Remarks and Close of Day Two

Abstract

The EU Commission is soon to implement a new legislative system to drive the development and market release of drugs specifically designed for children. Due to pharmacogemonic and biological development differences, paediatric therapeutics must differ significantly from those given to adults.

To address this, The SMi Group proudly presents our Paediatric Clinical Trials Conference. Falling two months after the new legislation is due to be realized, you will hear from key players in the industry about how they will contend with these changes.

Hear contributions from leading industry experts, including:
  • Dr Charles Bouchard, Director, European Government Affairs, Merck
  • Dr Iman El-Hariry, Group Director, Oncology MDC Europe, GlaxoSmithKline
  • Dr Albert Allen, Medical Director, Neuroscience Global Brand Development, Eli Lilly
  • Dr Hartwig Gajek, Medical Director, Europe, Baxter BioPharmaceuticals
  • Dr Francis P Crawley, Executive Director, Good Clinical Practice Alliance - Europe & Member, Ethics Working Group, Confederation of European Specialists in Paediatrics (CESP)
  • Dr Susan Tansey, Associate Director, Wyeth Vaccines Research Professor
  • Tim Higenbottam, Principal Research Physician & Senior Principal Scientist, Respiratory & Inflammation Therapy Area, AstraZeneca
  • Dr Renate Gilbert, GPRD Clinical Training Manager, Abbott
  • Kathleen Drennan, Senior Vice President & Managing Director, Iris Global Clinical Trial Solutions
Hear international case studies and expert perspectives on:
  • REGULATORY AFFAIRS: Learn how to comply to the new legislation and overcome the pitfalls
  • PAEDIATRIC RECRUITMENT & RETENTION: Discover strategies and best practices in the recruitment of children into clinical trials and how to reduce drop out rates
  • PAEDIATRIC DRUG DEVELOPMENT: Learn about the challenges in developing drugs designed for children and how to overcome them
  • CLINICAL TRIAL DESIGN AND METRICS: Gain an insight into the key drivers and problems facing trial design and analysis and hear practical solutions to overcome them
  • ETHICS & CONSENT: Listen to the ethical considerations behind paediatric studies and how to gain parental consent, ensuring their full understanding
  • INDUSTRY EXPERTS: Network with influential experts from leading pharmaceutical companies and learn from their experiences and expertise.


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