Clinical trials in children
Clinical trials in children have improved outcomes in areas such as neonatology2,3 and HIV.45 Trials in paediatric oncology are certainly notable for achieving high degrees of participation, yet trials in children infected with HIV have also been successful despite great obstacles. HIV carries, for...
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Veröffentlicht in: | The Lancet (British edition) 2004-12, Vol.364 (9452), p.2176-2177 |
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description | Clinical trials in children have improved outcomes in areas such as neonatology2,3 and HIV.45 Trials in paediatric oncology are certainly notable for achieving high degrees of participation, yet trials in children infected with HIV have also been successful despite great obstacles. HIV carries, for example, considerable stigma, and cultural and language barriers are common because of the ethnic origin of many children with HIV and their families. Children are often unaware of their diagnosis, thus issues of parental consent and the child's assent are complex. Furthermore, as HIV is fairly rare in Western Europe, trials should be multicentre and international, increasing the complexity of approval processes and drug distribution. Nevertheless, collaboration by the Paediatric European Network for the Treatment of AIDS (PENTA), for instance, has resulted in six completed clinical trials since the network was founded in 1991, with three more trials ongoing and two just launched (http://www.pentatrials.org). An important factor for the sustainability of PENTA has been ownership by participating paediatricians and other activities undertaken by the network, including training, exchange of personnel, writing guidelines, and developing links with cohort studies. |
doi_str_mv | 10.1016/S0140-6736(04)17581-8 |
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HIV carries, for example, considerable stigma, and cultural and language barriers are common because of the ethnic origin of many children with HIV and their families. Children are often unaware of their diagnosis, thus issues of parental consent and the child's assent are complex. Furthermore, as HIV is fairly rare in Western Europe, trials should be multicentre and international, increasing the complexity of approval processes and drug distribution. Nevertheless, collaboration by the Paediatric European Network for the Treatment of AIDS (PENTA), for instance, has resulted in six completed clinical trials since the network was founded in 1991, with three more trials ongoing and two just launched (http://www.pentatrials.org). 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HIV carries, for example, considerable stigma, and cultural and language barriers are common because of the ethnic origin of many children with HIV and their families. Children are often unaware of their diagnosis, thus issues of parental consent and the child's assent are complex. Furthermore, as HIV is fairly rare in Western Europe, trials should be multicentre and international, increasing the complexity of approval processes and drug distribution. Nevertheless, collaboration by the Paediatric European Network for the Treatment of AIDS (PENTA), for instance, has resulted in six completed clinical trials since the network was founded in 1991, with three more trials ongoing and two just launched (http://www.pentatrials.org). An important factor for the sustainability of PENTA has been ownership by participating paediatricians and other activities undertaken by the network, including training, exchange of personnel, writing guidelines, and developing links with cohort studies.</description><subject>Child</subject><subject>Child Welfare</subject><subject>Children</subject><subject>Children & youth</subject><subject>Clinical trials</subject><subject>Clinical Trials as Topic</subject><subject>European Union</subject><subject>HIV Infections - drug therapy</subject><subject>Humans</subject><subject>Medical research</subject><subject>Pediatrics</subject><issn>0140-6736</issn><issn>1474-547X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkEtLxDAQgIMo7rr6C0RZFEQP1Zk2z5PI4gsWPKjgLbRpilm6rSat4L83-0BBEOcyMHzz-gg5QDhHQH7xCEgh4SLjp0DPUDCJidwgQ6SCJoyKl00y_EYGZCeEGQBQDmybDJBxBKH4kOxPatc4k9fjzru8DmPXjM2rq0tvm12yVcWS3VvnEXm-uX6a3CXTh9v7ydU0MRRll7ASaaUqJqoCs1IKKaiRUJUFgEwVo6YSmWDG2LIQgqWS5TKzKjcZVdTa0mYjcrKa--bb996GTs9dMLau88a2fdBcoFRCpRE8_gXO2t438TadAhcxIMNIHf1FoVKAaQY8QmwFGd-G4G2l37yb5_5TI-iFYL0UrBf2NFC9FKxl7DtcD--LuS1_utZGI3C5Amw09uGs18E428Tvnbem02Xr_lnxBTNxhxQ</recordid><startdate>20041218</startdate><enddate>20041218</enddate><creator>Menson, Esse N</creator><creator>Walker, A Sarah</creator><creator>Gibb, Diana M</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TT</scope><scope>0TZ</scope><scope>0U~</scope><scope>3V.</scope><scope>7QL</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8C2</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>KB~</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20041218</creationdate><title>Clinical trials in children</title><author>Menson, Esse N ; Walker, A Sarah ; Gibb, Diana M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-5d14f9f57fb13d87874c80fdb0082954cf7375ccedb775285a83e9ac3494eede3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Child</topic><topic>Child Welfare</topic><topic>Children</topic><topic>Children & youth</topic><topic>Clinical trials</topic><topic>Clinical Trials as Topic</topic><topic>European Union</topic><topic>HIV Infections - 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Academic</collection><jtitle>The Lancet (British edition)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Menson, Esse N</au><au>Walker, A Sarah</au><au>Gibb, Diana M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical trials in children</atitle><jtitle>The Lancet (British edition)</jtitle><addtitle>Lancet</addtitle><date>2004-12-18</date><risdate>2004</risdate><volume>364</volume><issue>9452</issue><spage>2176</spage><epage>2177</epage><pages>2176-2177</pages><issn>0140-6736</issn><eissn>1474-547X</eissn><coden>LANCAO</coden><abstract>Clinical trials in children have improved outcomes in areas such as neonatology2,3 and HIV.45 Trials in paediatric oncology are certainly notable for achieving high degrees of participation, yet trials in children infected with HIV have also been successful despite great obstacles. HIV carries, for example, considerable stigma, and cultural and language barriers are common because of the ethnic origin of many children with HIV and their families. Children are often unaware of their diagnosis, thus issues of parental consent and the child's assent are complex. Furthermore, as HIV is fairly rare in Western Europe, trials should be multicentre and international, increasing the complexity of approval processes and drug distribution. Nevertheless, collaboration by the Paediatric European Network for the Treatment of AIDS (PENTA), for instance, has resulted in six completed clinical trials since the network was founded in 1991, with three more trials ongoing and two just launched (http://www.pentatrials.org). An important factor for the sustainability of PENTA has been ownership by participating paediatricians and other activities undertaken by the network, including training, exchange of personnel, writing guidelines, and developing links with cohort studies.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>15610796</pmid><doi>10.1016/S0140-6736(04)17581-8</doi><tpages>2</tpages></addata></record> |
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subjects | Child Child Welfare Children Children & youth Clinical trials Clinical Trials as Topic European Union HIV Infections - drug therapy Humans Medical research Pediatrics |
title | Clinical trials in children |
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