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Persistent pharmacokinetic challenges to pediatric drug development

Overview of attention for article published in Frontiers in Genetics, August 2014
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Title
Persistent pharmacokinetic challenges to pediatric drug development
Published in
Frontiers in Genetics, August 2014
DOI 10.3389/fgene.2014.00281
Pubmed ID
Authors

Daniel P. Sage, Christopher Kulczar, Wyatt Roth, Wanqing Liu, Gregory T. Knipp

Abstract

The development of new therapeutic agents for the mitigation of pediatric disorders is largely hindered by the inability for investigators to assess pediatric pharmacokinetics (PK) in healthy patients due to substantial safety concerns. Pediatric patients are a clinical moving target for drug delivery due to changes in absorption, distribution, metabolism and excretion (ADME) and the potential for PK related toxicological (T) events to occur throughout development. These changes in ADMET can have profound effects on drug delivery, and may lead to toxic or sub-therapeutic outcomes. Ethical, economical, logistical, and technical barriers have resulted in insufficient investigation of these changes by industrial, regulatory, and academic bodies, leading to the classification of pediatric patients as therapeutic orphans. In response to these concerns, regulatory agencies have incentivized investigation into these ontogenic changes and their effects on drug delivery in pediatric populations. The intent of this review is to briefly present a synopsis of the development changes that occur in pediatric patients, discuss the effects of these changes on ADME and drug delivery strategies, highlight the hurdles that are still being faced, and present some opportunities to overcome these challenges.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 59 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 2%
Brazil 1 2%
Unknown 57 97%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 12 20%
Researcher 11 19%
Student > Master 10 17%
Other 4 7%
Student > Doctoral Student 4 7%
Other 7 12%
Unknown 11 19%
Readers by discipline Count As %
Pharmacology, Toxicology and Pharmaceutical Science 19 32%
Medicine and Dentistry 13 22%
Agricultural and Biological Sciences 7 12%
Chemistry 3 5%
Biochemistry, Genetics and Molecular Biology 2 3%
Other 4 7%
Unknown 11 19%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 August 2014.
All research outputs
#20,235,415
of 22,761,738 outputs
Outputs from Frontiers in Genetics
#8,555
of 11,758 outputs
Outputs of similar age
#198,209
of 236,468 outputs
Outputs of similar age from Frontiers in Genetics
#113
of 130 outputs
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We're also able to compare this research output to 130 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.