The workshop was intended for relevant stakeholders, including representatives from academia, government, non-profit organizations, and industry, to discuss similarity of heart failure between adults and pediatric patients, trial design considerations, and use of innovative statistical and modeling approaches. 
Additional Training
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Slides (PDF) are linked where available. Audio of the full-day workshop is available online, via Adobe Connect.
 

Friday, October 27th

 

 

8:00 a.m.

PDF iconWelcome and Introduction

Lynne Yao, M.D. (FDA)

8:10 - 8:25 a.m.

Introductory Remarks

Robert Temple, M.D. (FDA)

8:20 - 8:35 a.m.

PDF iconOpening presentation: General landscape of extrapolation of efficacy in pediatric drug development

Lily Mulugeta, Pharm.D. (FDA)

8:35 - 8:50 a.m.

PDF iconDrug Development in Pediatric Heart Failure—EMA Perspective

Dobromir Penkov, M.D. (European Medicines Agency)

 

Pediatric Heart Failure: Current State of Knowledge

 

8:50 - 9:20 a.m.

"Disease" Natural History in Adults and Children, and "Grouping" of Different Causes of Pediatric HF for Clinical Trials - Clinical Perspective

Joseph Rossano, M.D. (Children's Hospital of Philadelphia)

9:20 - 9:50 a.m.

Management of Pediatric Heart Failure - Clinical Perspective


Daphne Hsu, M.D. (Montefiore Medical Center)

9:50 - 10:10 a.m.

Break

 

10:10 - 10:40 a.m.

Role of Research Networks in Understanding the Natural History of the Disease and in Facilitating Clinical Trials— the Pediatric Heart Network perspective

Kristin Burns, M.D. (National Heart, Lung, and Blood Institute)

10:40 - 10:45 a.m.

Patient Perspective

Callie Tansill-Suddath

10:45 - 11:30 a.m.

Q&A and Moderated Panel Discussion
Moderators: Shari Targum, Lily Mulugeta

Skip (Robert) Nelson, M.D.; Joseph Rossano, M.D.; Daphne Hsu, M.D.; Kristin Burns, M.D.; Steven Lipshultz, M.D.; Callie Tansill-Suddath; Preston Dunnmon; Dobromir Penkov, M.D.; Gilbert Burckart

11:30 - 12:30 p.m.

Lunch

 

 

Trial Design Considerations in Pediatric Heart Failure

 

12:30 - 1:00 p.m.

Biomarkers and Endpoint Selection and the Role of Registries

Steven Lipshultz, M.D. (Wayne State)

1:00 - 1:20 p.m.

Methodological and Statistical Considerations for Using External Controls in Clinical Trials

Ruthanna Davi, Ph.D. (Medidata

1:20 - 1:40 p.m.

The Use of Quantitative Tools Including Systems Pharmacology for Study Planning and Design Optimization

Jeffrey Barrett, Ph.D. (Sanofi)

1:40 - 2:00 p.m.

The Role of Bayesian Decision-Making in Pediatric Drug Development: Case Examples

Andrew Thomson (European Medicines Agency)

 

Case Examples in Pediatric Heart Failure

 

2:00 - 2:30 p.m.

Current Approach When Limited Confidence in Inference from Existing Adult Efficiency Data: Case Example (Entresto)

Fabian Chen, M.D. (Novartis)

2:30 - 2:45 p.m.

Break

 

2:45 - 3:15 p.m.

Considerations for Trial Design When There is Greater Level of Certainty That Adult Data Can Be Considered for Extrapolation to Pediatric Patients


Lisa Bollinger, M.D. (Amgen – Product developed and pediatric studies conducted by Servier)
 

3:15 - 4:15 p.m.

Moderated Panel Discussion
Moderator: Lynne Yao, M.D.


Robert Temple, M.D.; Christoph Hornik; Joga Gobburu, Ph.D.; Andrew Thompson; Jeffrey Barrett; Fabian Chen; Lisa Bollinger; Norman Stockbridge, M.D.; Dobromir Penkov; Christoph Hornik, M.D.

4:15 - 4:30

Closing Remarks & Future Direction

Lynne Yao, M.D. (FDA)

 


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