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INNOSC Theranostics and
            Pharmacological Sciences                                                  Pediatric drug regulations in India






                                       May: “National Program for the Development of Children in China (2011–2020)” was
                               2011    established by the state council





                                               February: NMPA released “Opinions on continuing the reforms in drug
                                      2013     review and approval and further encouraging pharmaceutical innovation”




                                                   March: NHC issued “Several opinions on ensuring the safety and
                                          2014
                                                   availability of pediatric medications”



                                                    August: “Perspectives on the redesign of review and approval
                                            2015    processes for drugs and medical devices” was released by the
                                                    state council




                                                   August: NHC issued “Notice on further strengthening the use of
                                          2015
                                                   children’ drugs in medical institutions”




                                      2016     February: General offices of the state council released “Instructions for
                                               promoting the health development of the pharmaceutical industry”




                               2018     April: NMPA launched “Measures for the implementation of data protection for drug
                                        trial (Draft for comments)”


            Figure 7. Schedule of modifications to regulations for the advancement of pediatric medications
            Abbreviations: NHC: Neonatal Head Circumference; NMPA: National Medical Product Administration.

              The Clinical Trials Act, established in 2017 and effective   10. Conclusion
            from 2018, along with the Ethical Principles for Medical
            and Health Studies Including Participants, regulates   Regulations governing pediatric drug development
            clinical studies. In addition, the Pharmaceutical Affairs   in India represent a critical step toward ensuring the
            Law and Good Clinical Practice standards govern these   safety and efficacy of medications for children. The
            clinical studies. Following revisions to the Pharmaceutical   establishment of specific guidelines and requirements by
            Affairs Law in 2002, it became possible for doctors and   regulatory authorities such as the Central Drugs Standard
            dentists to act as principal investigators for investigator-  Control Organization has helped streamline the process
            initiated trials (IITs). Instead  of the  sponsor-initiated   of pediatric drug approval and promote the development
            trials (SITs) that firms normally perform, these IITs arise   of  age-appropriate  formulations.  However,  despite  these
            when industries refuse to sponsor studies for novel uses   advancements, several challenges persist, including the
            of pharmaceuticals or medical devices.  The duties of SITs   limited availability of pediatric clinical trial data, ethical
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            and IITs are reported in Table 5.                  considerations in conducting research involving children,

            Volume 7 Issue 4 (2024)                         15                               doi: 10.36922/itps.3831
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