Title:Combating Childhood Cancer: Paediatric Patients Living with Neuroblastoma
- Regulatory Ramifications and Roadblocks
Volume: 9
Author(s): Manfred Kurz*
Affiliation:
- Regulatory Affairs Professional, Northwood, HA6 3NJ, UK
Keywords:
Oncology, children, neuroblastoma, PDCO, SIOPEN, COG, COJEC, GPOH, compliance check, PIP, iPSP, EMA, FDA, orphan drug, induction chemotherapy, immunotherapy, paediatrics, RfM.
Abstract: This paper relates to Neuroblastoma (NBL), a rare, solid cancer affecting children and
aims to describe regulatory obligations to adhere to during development, marketing authorisation
application (MAA) and post-authorisation stage. The focus is on European Union (EU) paediatric
legislation, although essential US Food and Drug Administration (FDA) elements are briefly outlined.
Practical regulatory aspects and reporting requirements, players in the therapeutic area as
well as clinical management are described. The feasibility and limitations of future harmonised
clinical development are pointed out.