Rare diseases are a global issue. While each rare disease impacts fewer than 50 people in 100,000, over 9000 have been identified.1 Taken in total, this means that 1 in 16 people are affected by a known rare disease. Of these, roughly 70-75% present in childhood, with 2 out 3 appearing before the child turns two. Some 30% will die before the age of 5.2
In this overview, we explore the clinical trials currently underway for rare pediatric disorders, examining their distribution by phase, status, country, and patient populations.
Exploring the Rare Pediatric Clinical Trial Landscape
Despite the advent of new therapies, rare pediatrics continues to present significant challenges, necessitating detailed clinical studies to forge effective treatments.
Rare Pediatric Clinical Trials by Status
Analysis of Citeline data reveals that rare pediatric conditions are the subject of roughly 4,500 active clinical trials, from early to late stages, reflecting a broad spectrum of research activity.3
Rare Pediatric Trials by Status
Citeline Trialtrove® – 30JUN2024
Rare Pediatric Trials by Start Date
Yearly analysis of rare pediatric trial start dates indicates growing research momentum, with an increase in trial starts each year.
Planned & Ongoing Rare Pediatric Trials by Start Date
Citeline Trialtrove® – 30JUN2024
Rare Pediatric Trials by Country
Clinical trials for rare pediatrics extend across 147 countries, with a high concentration of studies the United States and China, illustrating the truly global nature of this research.
Planned & Ongoing Rare Pediatric Trials by Site Country: Top 20
Country |
Trial Count |
United States |
1552 |
China |
1233 |
United Kingdom |
484 |
France |
447 |
Canada |
401 |
Italy |
388 |
Germany |
374 |
Spain |
374 |
Australia |
292 |
Japan |
270 |
Netherlands |
259 |
India |
245 |
Belgium |
203 |
Poland |
182 |
Israel |
169 |
South Korea |
140 |
Denmark |
139 |
Sweden |
128 |
Brazil |
125 |
Switzerland |
125 |
Citeline Trialtrove® – 30JUN2024
Rare Pediatric Trials by Indication
The scope of patient care in rare pediatric trials is wide, encompassing a wide range of therapeutic areas. Blood cancers top the list.
Top Planned & Ongoing Rare Pediatric Trials by Indication
Disease | Count |
Oncology: Leukemia, Acute Lymphocytic |
514 |
Oncology: Lymphoma, Non-Hodgkin's |
403 |
Oncology: Leukemia, Acute Myelogenous |
362 |
Oncology: Soft Tissue Sarcoma |
224 |
Oncology: CNS, Glioblastoma |
160 |
Autoimmune/Inflammation: Transplantation/GVHD |
148 |
Oncology: Lymphoma, Hodgkin's |
146 |
Oncology: Unspecified Solid Tumor |
138 |
Oncology: Osteosarcoma |
133 |
Oncology: Neuroblastoma |
130 |
Metabolic/Endocrinology: Sickle Cell Disease |
127 |
Oncology: Myelodysplastic Syndrome |
127 |
Cardiovascular: Hemostasis/Hemophilia |
107 |
Metabolic/Endocrinology: Thalassemia |
99 |
Oncology: CNS, Brain Stem Glioma |
97 |
CNS: Epilepsy |
96 |
CNS: Muscular Dystrophy |
84 |
Oncology: Leukemia, Chronic Lymphocytic |
84 |
Oncology: Leukemia, Chronic Myelogenous |
79 |
Oncology: CNS, Medulloblastoma |
78 |
Citeline Trialtrove® – 30JUN2024
Rare Pediatric Trials by Phase
Early-phase clinical trials dominate the rare pediatric landscape, with 731 Phase 1, 559 Phase 1-2, and 1,277 Phase 2 trials, aimed at establishing a solid foundation for future efficacy studies.
Planned & Ongoing Rare Pediatric Trials by Phase
Citeline Trialtrove® – 30JUN2024
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Rare Diseases - Clinical Trials - Clinical Trial Strategy
Rare Disease Clinical Trials in Pediatric Populations: Lessons Learned
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Precision's Expertise in Rare Pediatric Research
Our track record in rare pediatrics includes 54 clinical trials, reflecting our deep scientific expertise and strategic research focus.
Rare Pediatric Trial Starts
Since 2019, Precision for Medicine has overseen the start of 21 new clinical trials in rare pediatric research.
Precision for Medicine's Rare Pediatric Trials by Start Date
Citeline Trialtrove® – 30JUN2024
Precision's Reach in Rare Pediatric Research
Precision for Medicine’s rare pediatric trials reach across 55 countries, engaging a wide range of healthcare systems.
Precision for Medicine's Rare Pediatric Trials by Site Country
Citeline Trialtrove® – 30JUN2024
Rare Pediatric Trials by Phase
Our experience in rare pediatric research includes a range of trial phases, including 28 early phase trials and 24 late phase studies.
Precision for Medicine's Rare Pediatric Trials by Phase
Citeline Trialtrove® – 28MAY2024
Precision's Experience by Indication
Precision for Medicine’s trials in rare pediatrics cover various indications, including Pulmonary Hypertension and Rett Syndrome most notably.
Precision for Medicine's Rare Pediatric Trials by Indication
Disease | Number of trials |
Cardiovascular: Pulmonary Hypertension |
7 |
CNS: Rett Syndrome |
5 |
Oncology: Leukemia, Acute Myelogenous |
5 |
CNS: Muscular Dystrophy |
4 |
CNS: Ataxia |
2 |
Cardiovascular: Hereditary Angioedema (HAE) |
2 |
Oncology: Leukemia, Acute Lymphocytic |
2 |
Oncology: Lung, Non-Small Cell |
2 |
Oncology: Lymphoma, Non-Hodgkin's |
2 |
Oncology: Myelodysplastic Syndrome |
2 |
Oncology: Neuroblastoma |
2 |
Oncology: Osteosarcoma |
2 |
Oncology: Renal |
2 |
Oncology: Soft Tissue Sarcoma |
2 |
Oncology: Unspecified Solid Tumor |
2 |
Autoimmune/Inflammation: Cystic Fibrosis |
1 |
Autoimmune/Inflammation: Infant Respiratory Distress Syndrome |
1 |
CNS: Epilepsy |
1 |
CNS: Fragile X Syndrome |
1 |
CNS: Pain (neuropathic) |
1 |
Citeline Trialtrove® – 30JUN2024
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Regulatory - Rare Diseases - Clinical Trials - Clinical Trial Strategy
FDA Guidance on Pediatric Drug Development
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Conducting Rare Pediatric Trials with Precision
Rare pediatric diseases span every therapeutic area and there are currently trials taking place in almost half of all the countries in the world. In this article, we discussed the clinical trial landscape around this space and detailed some of our recent work, highlighting phases, site locations, and indications.
Moving forward, Precision for Medicine is dedicated to playing a critical role in this research and the hope it brings. Visit our rare disease CRO services page to learn more about how we are working to create a healthier world.
References
- Pollard S, Weymann D, Dunne J, et al. Toward the diagnosis of rare childhood genetic diseases: what do parents value most? [published correction appears in Eur J Hum Genet. 2021 Oct;29(10):1589. doi: 10.1038/s41431-021-00925-7]. Eur J Hum Genet. 2021;29(10):1491-1501. doi:10.1038/s41431-021-00882-1.
- Muntañola, A.C. (2021). Rare Diseases in the Pediatric Population. In: Huml, R.A. (eds) Rare Disease Drug Development. Springer, Cham. https://doi.org/10.1007/978-3-030-78605-2_15.
- Citeline Trialtrove.