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Clinical Trial Trends: Rare Pediatric

Clinical Trial Trends: Rare Pediatric

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

 

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

 

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
  1. 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.
  2. 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.
  3. Citeline Trialtrove.