Department of Pediatrics, Division of Hematology/Oncology, Baylor College of Medicine, Houston, Texas.
Texas Children's Cancer and Hematology Centers, Houston, Texas.
Pediatr Blood Cancer. 2021 Mar;68(3):e28871. doi: 10.1002/pbc.28871. Epub 2020 Dec 31.
The scarcity of adequate pediatric drug labeling information has long been problematic in the pediatric population, which may place children at risk for adverse drug effects. The ontogeny of infants, children, and adolescents over the course of the first two decades of life pose complex pharmacokinetic, dosing, administration, effectiveness, and toxicity-related questions that require specific investigation. Here, we review the history that led to the passage of the Best Pharmaceuticals for Children Act (BPCA) and Pediatric Research Equity Act (PREA), and provide commentary on issues relevant to pediatric oncology now and in the future.
长期以来,儿科人群中适当的儿科药物标签信息稀缺一直是个问题,这可能使儿童面临药物不良反应的风险。在生命的头二十年中,婴儿、儿童和青少年的个体发育带来了复杂的药代动力学、剂量、给药、疗效和毒性相关问题,需要进行专门的研究。在这里,我们回顾了导致《最佳儿童药物法案》(BPCA)和《儿科研究公平法案》(PREA)通过的历史,并就当前和未来儿科肿瘤学的相关问题进行了评论。