Evidence map›Paper›PMID 39924475›Full record

ArticleTrials2025

Safety reporting in neonatal clinical trials: reflections towards optimal, globally relevant approaches.

Louise F Hill, Christina W Obiero, Adrie Bekker, Ann Sarah Walker, Julia A Bielicki, Mike Sharland, Francesca Schiavone

Abstract read
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Adverse Drug Reactions in Neonates: How to Detect and Address Signals in the Noise.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025
    Article
  2. Article
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

7 authors.

Louise F HillCentre for Neonatal and Paediatric Infection, University of London, City St George's, London, UK.
Christina W ObieroClinical Research Department, KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Adrie BekkerDepartment of Pediatric and Child Health, Stellenbosch University, Cape Town, South Africa.
Ann Sarah WalkerMRC Clinical Trials Unit at University College London, London, UK.
Julia A BielickiCentre for Neonatal and Paediatric Infection, University of London, City St George's, London, UK.
Mike SharlandCentre for Neonatal and Paediatric Infection, University of London, City St George's, London, UK.
Francesca SchiavoneMRC Clinical Trials Unit at University College London, London, UK. f.schiavone@ucl.ac.uk.ORCID http://orcid.org/0000-0002-8253-9581

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adverse event (AE) collection is a key part of evidence generation in clinical trials and an integral element of safety reporting. AE assessment and documentation is particularly challenging in neonates who are a heterogeneous population with high rates of co-morbidities. Neonatal research is finally gaining the attention of regulators regarding drug development and the need for optimal dosing specific to this population. However, further efforts are necessary to ensure that adverse events (AEs) are adequately collected, allowing for the generation of essential safety data. It is also crucial that the methodology used aligns with the intended trial outcomes to minimise the burden on trial sites. In resource-constrained settings, where pharmacovigilance implementation can be particularly challenging, a pragmatic approach to safety reporting is even more important given the significant public health need for effective drugs. This commentary reflects on some of the challenges and potential areas of improvement in safety reporting that could be addressed in future neonatal-focused trials.

Indexed as

Adverse Drug Reaction Reporting SystemsClinical Trials as TopicDrug-Related Side Effects and Adverse ReactionsResearch DesignHumansInfant, NewbornPharmacovigilanceAdverse eventsClinical trialsNeonatesSafety

Identifiers

PMID39924475
PMCPMC11808976

What OpenQuestion holds

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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.