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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
                                                                  investigation in children. Br Med J. 2000;320(7227):79-82.
            1.   Rimsza ME, Hotaling AJ, Keown ME, et al. Definition of a
               paediatrician. Pediatrics. 2015;135(4):780-781.     doi: 10.1136/bmj.320.7227.79

            Volume 7 Issue 4 (2024)                         16                               doi: 10.36922/itps.3831
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