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A review of paediatric injectable drug delivery to inform the study of product acceptability – An introduction

Ruiz, F; Nunn, A; Gill, A; Clapham, D; Fotaki, N; Salunke, S; Cram, A; (2023) A review of paediatric injectable drug delivery to inform the study of product acceptability – An introduction. European Journal of Pharmaceutics and Biopharmaceutics , 188 pp. 265-270. 10.1016/j.ejpb.2023.04.010. Green open access

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Abstract

Aim: The EMA defines acceptability as “the overall ability and willingness of the patient to use, and their caregiver to administer, the medicine as intended” [1]. This paper seeks to outline issues of acceptability in relation to injectable therapy, namely intravenous (IV), intramuscular (IM) and subcutaneous (SC) administration routes, and to lay a foundation to identify a minimum set of data that would satisfy Regulatory Authorities when discussing the acceptability of an injectable product. In addition, it will alert drug product developers to other factors that might contribute to good practice, alternative administration strategies and overall adherence to achieve successful treatment. Whilst the term ‘parenteral’ means “outside the intestine” [2,3] and so potentially covers a range of administration routes including intranasal and percutaneous administration, this review focuses on IV, IM and SC administration by injection. The use of indwelling canulae or catheters to reduce venepuncture and facilitate prolonged treatment is common and may impact acceptability [4]. This may be influenced by information provided by the manufacturer but is not always in their direct control. Other injectable products suitable for routes such as intradermal, intra-articular, intraosseous and intrathecal, share the requirement to be acceptable but are not specifically covered in this paper [2,5].

Type: Article
Title: A review of paediatric injectable drug delivery to inform the study of product acceptability – An introduction
Location: Netherlands
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.ejpb.2023.04.010
Publisher version: https://doi.org/10.1016/j.ejpb.2023.04.010
Language: English
Additional information: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Acceptability, Injectable, Intramuscular, Intravenous, Paediatric, Parenteral, Subcutaneous
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Pharmaceutics
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10172012
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