Pediatric GERD Drug Development Guidance
FDA has issued a draft guidance, Pediatric Gastroesophageal Reflux Disease: Developing Drugs for Treatment, to help sponsors in clinical development of drugs for treating gastroesophageal reflux disease (GERD) in the pediatric population of infants, children, and adolescents. Specifically, the document addresses the agency’s current thinking regarding clinical presentation by age and disease, study populations, endpoints, and clinical pharmacology issues affecting dosing. “This draft is intended to serve as a focus for continued discussions among the Division Gastroenterology and Inborn Errors Products, pharmaceutical sponsors, the academic community, and the public,” it says.
Sponsors, the guidance says, are encouraged to discuss the specifics of podiatric programs as early as is feasible with the division on a case-by-case basis because sponsors are required to submit pediatric study plans under the Pediatric Research Equity Act no later than 60 days after an end-of-phase 2 meeting
The guidance covers Background of Pediatric GERD, Drug Development Strategy: Paradigms and Regulatory Considerations, Clinical Trial Design Considerations, and References.