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Challenges and Lessons From Conducting A Paediatric Clinical Trial in Sub-Saharan Africa: The Case of the Praziquantel Oral Dispersible Tablets Phase II Study in Côte d'Ivoire.
- Source :
-
Advances in parasitology [Adv Parasitol] 2019; Vol. 103, pp. 75-89. Date of Electronic Publication: 2018 Oct 22. - Publication Year :
- 2019
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Abstract
- The importance of implementing paediatric clinical trials for neglected tropical diseases (NTDs) in compliance with the Good Clinical Practices of the International Conference of Harmonisation (ICH-GCP) and other applicable regulatory and ethics guidelines is increasingly being recognised as an essential pathway to provide safe and effective medicines for millions of untreated children living in sub-Saharan Africa (SSA). This paper describes the learnings and challenges faced by the Pediatric Praziquantel Consortium team during the implementation of an industry-sponsored Phase II clinical study in pre-school-aged children infected with schistosomiasis, conducted in remote rural settings in Côte d'Ivoire. The importance of close interactions with the ethics committee, the regulatory and administrative authorities and the rural communities are highlighted. The difficulties faced included obtaining a valid informed consent from the child's parent or guardian, the collection of blood samples from children during the study while respecting cultural beliefs as well as the weak medical research infrastructure. The paper illustrates how a public-private collaborative partnership can promote capacity-building and high-quality NTD paediatric clinical research in SSA.<br /> (Copyright © 2019 Elsevier Ltd. All rights reserved.)
- Subjects :
- Administration, Oral
Anthelmintics administration & dosage
Child, Preschool
Clinical Trials, Phase II as Topic ethics
Cote d'Ivoire
Humans
Informed Consent
Rural Population
Tablets administration & dosage
Clinical Trials, Phase II as Topic standards
Praziquantel administration & dosage
Schistosomiasis drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 2163-6079
- Volume :
- 103
- Database :
- MEDLINE
- Journal :
- Advances in parasitology
- Publication Type :
- Academic Journal
- Accession number :
- 30878059
- Full Text :
- https://doi.org/10.1016/bs.apar.2018.09.002