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INNOSC Theranostics and
Pharmacological Sciences Pediatric drug regulations in India
Table 5. In performing clinical studies, the duties of sponsor‑initiated clinical trials (SITs) and investigator‑initiated trials (IITs)
Responsibilities IITs SITs
Responsibility holder Principal investigators conduct their own clinical studies Pharma Industries
IB, protocol, and SOP before clinical studies Principal investigators conduct their own clinical studies Pharma Industries
Production or importation of IP IP Supplier (Pharma Industries ) Pharma Industries
Clinical study center Hospital Hospital
When conducting clinical studies reaction to the regulatory agency Principal investigators conduct their own clinical studies Pharma Industries
throughout as well as after studies (notice of clinical trials submitted,
safety reports)
Monitoring/audit Principal investigators conduct their own clinical studies (or Pharma Industries
the individual to whom they allocate)
Records (data management, statistical analysis, CSR) Principal investigators conduct their own clinical studies Pharma Industries
NDA Pharma Industries Pharma Industries
Abbreviations: CSR: Corporate social responsibility; IB: Investigator’s brochure; IP: Investigational product; NDA: New drug application; SOP: Standard
operating procedure; SIT: Sponsor-initiated clinical trial; IIT: Investigator-initiated trial.
and the need for greater collaboration between regulatory doi: 10.1542/peds.2015-0056
agencies, health-care providers, and pharmaceutical 2. Domingues C, Jarak I, Veiga F, Dourado M, Figueiras A.
companies. However, we have covered a comparison Pediatric drug development: Reviewing Challenges
between countries such as the US, EU, Japan, and China and opportunities by tracking innovative therapies.
and the need for pediatrics regulations in India. Pharmaceutics. 2023;15(10):2431.
Acknowledgments doi: 10.3390/pharmaceutics15102431
3. Richey RH, Shah UU, Peak M, et al. Manipulation of drugs
None. to achieve the required dose is intrinsic to paediatric practice
but is not supported by guidelines or evidence. BMC Pediatr.
Funding 2013;13(1):81.
None. doi: 10.1186/1471-2431-13-81
Conflict of interest 4. Kayitare E, Vervaet C, Ntawukulilyayo JD, Seminega B,
Bortel V, Remon JP. Development of fixed dose combination
The authors declare they have no competing interests. tablets containing zidovudine and lamivudine for paediatric
applications. Int J Pharm. 2009;370(1-2):41-46.
Author contributions
doi: 10.1016/j.ijpharm.2008.11.005
Conceptualization: Swati Jadhav 5. Fontan JE, Mille F, Brion F, et al. L’administration
Writing – original draft: Mangesh Tatar, Swati Jadhav, Lisha des médicaments à l’enfant hospitalise. Arch Pediatr.
Wadhava 2004;11(10):1173-1184.
Writing – review & editing: Aman Upaganlawar, doi: 10.1016/j.arcped.2004.06.024
Chandrashekhar Upasani
6. Richey RH, Craig JV, Shah UU, et al. The manipulation of
Ethics approval and consent to participate drugs to obtain the required dose: Systematic review. J Adv
Nurs. 2012;68(9):2103-2112.
Not applicable.
doi: 10.1111/j.1365-2648.2011.05916.x
Consent for publication 7. Dawson LM, Nahata MC. Guidelines for compounding
Not applicable. oral medications for pediatric patients. J Pharm Technol.
1991;7(5):168-175.
Availability of data doi: 10.1177/875512259100700507
Not applicable. 8. Conroy S, Choonara I, Impicciatore P, et al. Survey of
unlicensed and off label drug use in paediatric wards
References in European countries. European network for drug
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