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INNOSC Theranostics and
            Pharmacological Sciences                                                  Pediatric drug regulations in India



                                                               on the BPCA-WR procedure, and there is also availability
                                                               for a 1999 advisory document that is currently undergoing
                                                               revision.

                                                                 Based on an individual initiative or a request from a
                                                               stakeholder, the FDA can issue a WR. To accelerate the
                                                               FDA’s issuing of a WR, sponsors are strongly advised to
                                                               submit a PPSR to ensure pediatric exclusivity. Sponsors
                                                               are advised to refer to the “Guidelines for Industries
                                                               Qualifying for Pediatric Exclusion within Section 505A of
                                                               the Federal Food, Drug, and Cosmetic Act” for guidance
                                                               on what should be included in the PPSR. We are at the
                                                               moment  revising  this  policy  document. Sponsors must
                                                               make sure that their PPSR is submitted with adequate
                                                               time (about 120 days) for both FDA review and Pediatric
                                                               Review Committee discussion. 50

                                                               7.2.3. Variations in documentation submission
                                                               When comparing PIP and PSP, the section titles in the PSP
                                                               template closely resemble those of the EU PIP model for
                                                               intellectual documents (parts B to E), even appearing in
                                                               the same order.
                                                                 The FDA generally requires less detailed background
                                                               information on aspects such as a product’s characteristics
                                                               and its development in adults, as their technical review
                                                               divisions handle all studies and data related to both mature
                                                               and juvenile patient development from the opening of an
                                                               investigational NDA by the sponsor. Conversely, when
                                                               sponsors reach out to EMA with a PIP application in the
                                                               EU, they may need to provide more detailed information
                                                               since it is often their first interaction with them.
                                                                 Despite this difference, both regions expect concise,
             Figure 5. Guidelines for the development and study of pediatric medications 63  stand-alone applications: In the EU, it is suggested that each
            Abbreviations: EMA: European Medical Agency; FDA: Food and Drug   scientific document for a PIP application should not exceed
            Administration.
                                                               40 pages per condition, whereas PSP applications submitted
            7.2. US                                            within the US should include between 12 and 60 pages. 51
            This information on the advancement of medications   7.3. The initial submission of relationships with
            for pediatrics can be found on the FDA website under   regulations
            “Pediatric Product Development.”
                                                               7.3.1. EU
            7.2.1. Pediatric study plans                       EMA has been providing free early pediatric interaction

            Furthermore, by consulting the preliminary guideline   sessions with sponsors since June 2015 to encourage timely
            paper entitled “Content of and Procedure for Submitting   conversations about pediatric advancement and the timing
            iPSP and Amended iPSP,” sponsors can receive assistance in   and substance of PIP submission. Before submitting a PIP,
            accomplishing the initial PSP applications. A preliminary   this new initiative seeks to enable discussion regarding
            PSP template that is similar to the PIP application template   addressing  pediatric necessities relating to a  particular
            is also included in this document.                 product. In addition, to guarantee a quick validation
                                                               procedure at the time of application, a professional initial
            7.2.2. WR                                          submission discussion can be set up several months before
            A frequently asked question (FAQ) concerning the   applying for a PIP or waiver. The PIP/waiver application
            pediatric exclusivity process is accessible to offer details   questions and answers offer guidance.


            Volume 7 Issue 4 (2024)                         11                               doi: 10.36922/itps.3831
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