Adolescents are overlooked in clinical trials

To avoid unpredictable pharmacological responses among adolescents, this population should be more actively recruited into clinical trials, according to a new Commentary in Clinical Pharmacology & Therapeutics.

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Adolescents are overlooked in clinical trials
DOI: 10.1038/clpt.2008.191

To avoid unpredictable pharmacological responses among adolescents, this population should be more actively recruited into clinical trials, according to a new Commentary in Clinical Pharmacology & Therapeutics.

In addition to physical changes, adolescents are susceptible to psychosocial factors that can affect taking the drug as directed, and place them at risk for additional disorders. Mood disorders experienced by adolescents, as well as their reactions to marketing campaigns and incentives can also affect adherence to medications. Bill G. Kapogiannis and Donald R Mattison explore how adolescents are considered during drug development. They focus on the influence of inherent psychosocial, biological, ethical and regulatory issues on their recruitment and participation in clinical studies leading to drug licensing. Using the aggressive marketing campaign of Gardasil, a vaccine against human papillomavirus, as an example, the authors argue that marketing of such important drugs should be planned more carefully to encourage support from key stakeholders.

The Commentary appears in a special adolescent pharmacology themed issue, organized by guest editor Dr. Gregory Kearns. A web focus on the topic of Adolescent Medicine, containing a variety of free articles from Nature Publishing Group publications, is also available at http://www.nature.com/clpt/webfocus/adolescentmed

Author contact:
Bill G Kapogiannis (National Institute of Child Health and Human Development, Bethesda, MD, USA)
Tel: +1 301 402 0698; E-mail: [email protected]

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Ruth Francis (Head of Press, Nature London)
Tel: +44 20 7843 4562; E-mail: [email protected]

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Published: 16 Nov 2008

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Clinical Pharmacology & Therapeutics