Development of Antihypertensive Therapies for Use in Pediatric Patients

July 15-16 2026

Background and Synopsis:

Treatment of chronic hypertension in pediatric patients, particularly children from birth to under 6 years of age, remains an area of unmet medical need, with limited FDA-approved therapies for use in this age group. Products are also being developed for the treatment of uncontrolled and/or resistant hypertension in adults. This public workshop will bring together key stakeholders, including clinicians, academicians, regulators, industry, and patients/caregivers, to discuss the similarities and differences in disease pathophysiology and drug response across age groups, determine the extent to which efficacy can be extrapolated, identify development priorities for both initial therapy and uncontrolled hypertension, and explore feasible strategies to generate evidence for the  safe and effective use of antihypertensive treatment(s) in pediatric patients with hypertension.
 

Day 1 Workshop Details | July 15, 2026 

Welcome and Introduction 

Workshop Moderators:     

Lily Mulugeta, PharmD 
Associate Director for Policy and Research
Division of Pediatrics and Maternal Health (DPMH), U.S. Food and Drug Administration (FDA)

Kirtida Mistry, MD
Medical Officer, Division of Cardiology and Nephrology (DCN), FDA

9 AM – 9:10 AM

Welcome and Introduction

Speaker: John Alexander, MD, MPH
Deputy Director, Division of Pediatrics and Maternal Health (DPMH), FDA

 

9:10 AM – 9:20 AM

Keynote Ta

Speaker: 

Keynote Talk
Hylton Joffe, MD
Director, Office of Cardiology, Hematology, Endocrinology, and Nephrology, F

 

 Presentation (PDF)  

 

9:10 AM – 9:05 AM

Pediatric Formulations: What is Needed?

Speaker: John Alexander, PhD
Supervisory Physician, DPMH, ORDPURM, OND, CDER, FDA

 Presentation (PDF)

9:05 AM – 9:35 AM

The Evolution of Pediatric Product Development: Progress, Remaining Gaps, and Future Directions 

Joanna Koziara, PhD Executive Director, Technical Development Strategy and Operations, Gilead; Co-chair IQ Pediatric Working Group

 Presentation (PDF)

9:35 AM – 9:40 AM

Speaker Introductions

Speaker: Mona Khurana, MD
Lead Physician, DPMH, ORDPURM, OND, CDER, FDA

 

9:40 AM – 10:10 AM

Pediatric Patient and Family Perspective

Speaker: International Children’s Advisory Network (ICAN) 

 Presentation (PDF)  

 Presentation (PDF)

10:10 AM – 10:30 AM

Compounding 101: A Regulatory Framework

Speaker: Dominic E. Markwordt, JD, MBA Regulatory Counsel, OCQC, OC, CDER, FDA

 Presentation (PDF)
10:30 AM – 10:45 AM Break  Break 

10:45 AM  – 11:05 AM

Pediatric Compounded Medication Safety: Examining Error-Related and Spontaneous Adverse Event

SpeakerShannon Glueck, PharmD
Branch Chief, DC II, Branch 6, OCQC, OC, CDER, FDA

Presentation (PDF)

11:05 AM – 11:25 AM

Welcome to the Jungle: Real World Challenges with Pediatric Dosage Forms

SpeakerRachel Meyers, PharmD
Clinical Professor, Ernest Mario School of Pharmacy, Rutgers University, Cooperman Barnabas Medical Center

Presentation (PDF)

11:25 AM – 12:00 PM

Panel Discussion

Moderator:
Trupti Dixit, PhD, MBA 
Workshop Program Chair, Independent Consultant, Dixit Consulting

Mona Khurana, MD
Lead Physician, DPMH, ORDPURM, OND, CDER, FDA

Panelists:

Patient and Family Representatives 
International Children’s Advisory Network (ICAN)

Dominic E. Markwordt, JD, MBA
Regulatory Counsel, OCQC, OC, CDER, FDA

Shannon Glueck, PhD
Branch Chief, CB 6, DC II, OCQC, OC, CDER, FDA

Rachel Meyers, PharmD
Clinical Professor, Ernest Mario School of Pharmacy, Rutgers University; Pediatric Clinical Pharmacist, Cooperman Barnabas Medical Center

Alyssa Hager, PharmD, BCPPS
Department of Pharmacy Informatics, Children’s National Hospital

Video 
12:00 PM – 1:00 PM  Lunch Lunch 

Session 2A:  Formulation and Analytical Aspects of a Pediatric Dosage Form Mini Tablets

Session Leads: Ms. Elizabeth Galella, Dr. David Tan

Scope: This session will focus on key aspects of developing mini tablets as a dosage form for pediatrics. This session will provide a forum to discuss acceptability of mini tablets across pediatric age groups, inconsistencies in nomenclature, manufacturing and packaging challenges and limitations, and strategies for identifying appropriate food vehicles.

1:00 PM – 1:05 PM

Speaker Introductions

Elizabeth Galella, MS
Associate Director, Oral Product Development, Bristol-Myers Squibb

 Video

1:05 AM – 1:25 PM
Minitablets and Drug Product Nomenclature

Speaker: Stuart Charlton, PhD
Director, Oral Product Development, Bristol Myers Squibb, UK

 Presentation (PDF)

1:25 PM – 1:45 PM

Mini Tablet Manufacturing Challenges

Speaker: Dosage Form Nomenclature
LCDR Jibril Abdus-Samad, PharmD         
Nomenclature and Labeling Policy Lead, COSS, OPPQ, OPQ, CDER, FDA

 Presentation (PDF)

1:45 PM – 2:05 PM

Minitablet (Granule) Development and Manufacturing Considerations

Speaker: Katie Metzler, MS
Director, Vertex Pharmaceuticals

 Presentation (PDF) 

2:05 PM – 2:25 PM 

Precision Packaging for Pediatric Drug Products

Speaker: Kirsten O’Brien, BS
Director, Packaging Development, Gilead Sciences

 Presentation (PDF)

2:25 PM – 2:45 PM                                  

Food Selection, Compatibility and Testing Strategies

Speaker: Anna Externbrink, PhD
Associate Principal Scientist, Analytical R&D, Merck

 Presentation (PDF)

2:45 PM – 3:05 PM

Oral Drug Product Administration via Enteral Feeding Tubes:  In Vitro Testing

SpeakerYemin Liu, PhD
Senior Principal Research Scientist, AbbVie Inc

Presentation (PDF)

3:05 PM  – 3:25 PM

Will Children Actually Take It?  User Perspectives on Acceptability of Minitablet vs Conventional Small Tablet

Speaker: Smita Salunke, PhD
Chief Scientific Officer, EuPFI
Presentation (PDF)
3:25 PM – 3:40 PM Break Break 

3:40 PM – 4:40 PM 

Panel Discussion 

Moderators:

Elizabeth Galella, MS
Associate Director, Oral Product Development, Bristol-Myers Squibb

David Tan, PhD
Senior Director, Vertex Pharmaceuticals Inc.

Panelists:

Stuart Charlton, PhD
Director, Oral Product Development, Bristol Myers Squibb, UK

Katie Metzler, MS
Director, Vertex Pharmaceuticals

Kirsten O’Brien, BS
Director, Packaging Development, Gilead Sciences

LCDR Jibril Abdus-Samad, PharmD
Nomenclature and Labeling Policy Lead, COSS, OPPQ, OPQ, CDER, FDA

Anna Externbrink, PhD
Associate Principal Scientist, Analytical R&D, Merck

Yemin Liu, PhD
Senior Principal Research Scientist, AbbVie Inc.

Smita Salunke, PhD
Chief Scientific Officer, EuPFI

Video 
4:40 PM – 5:00 PM  Day 1 Summary   
5:00 PM – 6:30 PM  Networking / Posters 

Predicting Weight Variability in Mini-Tablets: Impact of Particle Size and Tablet Punch Size

Development of a Novel Paediatric Belumosudil Oral Suspension

Advancing Pediatric Patient Care Through Oral Thin Film Compounding

Sensory Analysis of 160 Investigational Drugs:
A Framework for Assessing Taste-Masking Difficulty

Machine Learning-Driven Quality by Design Framework for Predicting Dose Recovery in Enteral Feeding Tube Administration

Co-designing MATE (Medicines Administered Through Enteral Tube)- Industry & Regulatory Perspectives

MATE for Safer Medication Administration via Enteral Feeding Tubes to Children. Part I – Healthcare Professional Viewpoint


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