Evidence map›Paper›PMID 34180088›Full record

ReviewBritish journal of clinical pharmacology2022

Current knowledge, challenges and innovations in developmental pharmacology: A combined conect4children Expert Group and European Society for Developmental, Perinatal and Paediatric Pharmacology White Paper.

Anne Smits, Pieter Annaert, Giacomo Cavallaro, Pieter A J G De Cock, Saskia N de Wildt, Jenny M Kindblom, Florian B Lagler, Carmen Moreno, Paula Pokorna, Michiel F Schreuder and 8 more

Open access · bronzeAbstract readReviewConsensus Statement
In one paragraph

Review in British journal of clinical pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
11.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 52 citations in OpenAlex.

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  10. What Is New in Psychiatry and Psychopharmacology.Life (Basel, Switzerland) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 16 institutions in 11 countries.

Anne SmitsDepartment of Development and Regeneration, KU Leuven, Leuven, Belgium.ORCID 0000-0002-0710-6698
Pieter AnnaertDrug Delivery and Disposition, Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Belgium.
Giacomo CavallaroNeonatal intensive care unit, Fondazione IRCCS Ca' Grande Ospedale Maggiore Policlinico, Milan, Italy.ORCID 0000-0002-4921-1437
Pieter A J G De CockDepartment of Pediatric Intensive Care, Ghent University Hospital, Ghent, Belgium.
Saskia N de WildtIntensive Care and Pediatric Surgery, Erasmus MC-Sophia Children's Hospital, Rotterdam, the Netherlands.
Jenny M KindblomPediatric Clinical Research Center, Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
Florian B LaglerInstitute for Inherited Metabolic Diseases and Department of Pediatrics, Paracelsus Medical University, Clinical Research Center Salzburg, Salzburg, Austria.
Carmen MorenoInstitute of Psychiatry and Mental Health, Child and Adolescent Psychiatry Department, Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, Madrid, Spain.
Paula PokornaIntensive Care and Pediatric Surgery, Erasmus MC-Sophia Children's Hospital, Rotterdam, the Netherlands.
Michiel F SchreuderDepartment of Pediatric Nephrology, Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Amalia Children's Hospital, Nijmegen, the Netherlands.
Joseph F StandingUCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0002-4561-7173
Mark A TurnerDepartment of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool Health Partners, Liverpool, UK.ORCID 0000-0002-5299-8656
Benedetto VitielloDivision of Child and Adolescent Neuropsychiatry, Department of Public Health and Pediatrics, University of Torino, Torino, Italy.
Wei ZhaoDepartment of Clinical Pharmacy, Key Laboratory of Chemical Biology (Ministry of Education), School of Pharmaceutical Sciences, Cheeloo College of Medicine, Shandong University, China.ORCID 0000-0002-1830-338X
Annelie-Martina WeingbergDepartment of Orthopedics and Traumatology, Medical University of Graz, Graz, Austria.
Raffaella WillmannBiozentrum, University of Basel, Basel, Switzerland.
John van den AnkerIntensive Care and Pediatric Surgery, Erasmus MC-Sophia Children's Hospital, Rotterdam, the Netherlands.
Karel AllegaertDepartment of Development and Regeneration, KU Leuven, Leuven, Belgium.
KU Leuven · BERadboud University Nijmegen · NLChildren's National · USErasmus MC · NLFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITGhent University Hospital · BEHospital General Universitario Gregorio Marañón · ESKarolinska University Hospital · SEMedical University of Graz · ATParacelsus Medical University · ATSahlgrenska University Hospital · SEShandong University · CNSt George's, University of London · GBTorino e-district · ITUniversity of Basel · CHUniversity of Liverpool · GB

Funding

Medical Research Council MR/M008665/1
6 · The paper itself

Abstract

Developmental pharmacology describes the impact of maturation on drug disposition (pharmacokinetics, PK) and drug effects (pharmacodynamics, PD) throughout the paediatric age range. This paper, written by a multidisciplinary group of experts, summarizes current knowledge, and provides suggestions to pharmaceutical companies, regulatory agencies and academicians on how to incorporate the latest knowledge regarding developmental pharmacology and innovative techniques into neonatal and paediatric drug development. Biological aspects of drug absorption, distribution, metabolism and excretion throughout development are summarized. Although this area made enormous progress during the last two decades, remaining knowledge gaps were identified. Minimal risk and burden designs allow for optimally informative but minimally invasive PK sampling, while concomitant profiling of drug metabolites may provide additional insight in the unique PK behaviour in children. Furthermore, developmental PD needs to be considered during drug development, which is illustrated by disease- and/or target organ-specific examples. Identifying and testing PD targets and effects in special populations, and application of age- and/or population-specific assessment tools are discussed. Drug development plans also need to incorporate innovative techniques such as preclinical models to study therapeutic strategies, and shift from sequential enrolment of subgroups, to more rational designs. To stimulate appropriate research plans, illustrations of specific PK/PD-related as well as drug safety-related challenges during drug development are provided. The suggestions made in this joint paper of the Innovative Medicines Initiative conect4children Expert group on Developmental Pharmacology and the European Society for Developmental, Perinatal and Paediatric Pharmacology, should facilitate all those involved in drug development.

Indexed as

Models, BiologicalPharmacologyChildData CollectionHumansInfant, NewbornPharmacokineticsResearch Designdevelopmental pharmacologydrug developmentpaediatrics

Identifiers

PMID34180088
PMCPMC9787161
OpenAlexW3174370779

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.