Paediatric medicines: Overview

The European Medicines Agency has a number of important tasks and responsibilities relating to the development of paediatric medicines. These responsibilities, granted through the European Union (EU) Paediatric Regulation, enable the Agency to stimulate research into the uses of medicines in children and to lead to their authorisation in all age groups.

Before the Paediatric Regulation came into effect in 2007, many medicines authorised in Europe were not studied adequately or authorised in children. This caused difficulties for prescribers and pharmacists treating children, as well as for their patients and carers.

The Regulation introduced sweeping changes into the regulatory environment for paediatric medicines, designed to better protect the health of children in the EU. The main change was the creation and operation of the Paediatric Committee to provide objective scientific opinions on paediatric investigation plans (PIPs), development plans for medicines for use in children.



This section of the website provides information for companies or individuals wishing to develop a paediatric medicine and requiring guidance for the approval of a PIP, together with other information relating to paediatric medicines.

Paediatric medicines in the product lifecycle

Research and developmentMarketing authorisationPost-authorisation
Funding for paediatric studies  
Needs for paediatric medicines
Paediatric clinical trials
Paediatric investigation plans
Rewards and incentives for paediatric medicines
 Paediatric requirements for marketing-authorisation applications
Paediatric-use marketing authorisations
 Annual reports on deferrals
Deadlines for placing paediatric medicines on the market
Paediatric requirements for variations and extensions to marketing authoriations
Submitting results of paediatric studies


Action plan for supporting development of medicines for children

In October 2018, EMA and the European Commission published a joint action plan to support the development of medicines for children in Europe:

The action plan aims to increase efficiency of paediatric regulatory processes in the current legal framework and boost availability of medicines for children. It contains actions in five key areas, including:

  • identifying paediatric medical needs;
  • strengthening cooperation between decision makers;
  • ensuring timely completion of paediatric investigation plans (PIPs);
  • improving the handling of PIP applications;
  • increasing transparency around paediatric medicines.

    The action plan addresses challenges identified by the European Commission’s ten-year report on the implementation of the Paediatric Regulation. It also takes into account the ideas on How to better apply the Paediatric Regulation to boost the development of medicines for children collected during the multi-stakeholder workshop organised by EMA and the European Commission in March 2018.

    European collaboration

    The European Network of Paediatric Research at the European Medicines Agency (Enpr-EMA) is a network of research networks, investigators and centres with recognised expertise in performing clinical studies in children.

    Enpr-EMA's main objective is to facilitate studies in order to increase availability of medicines authorised for use in the paediatric population. It provides access to European and international specialty and multi-specialty networks who can help developing a PIP and recruiting patients for clinical trials.

    Working with international partners

    The Agency works closely with its international partners on medicines for children:

    Seeking the views of children and young people

    cover for principles on the involvement of u=young patients/consumers within EMA activities The Agency acknowledges that it may be helpful to consult children and young people as part of the Committee's work. It has therefore established principles for the involvement of young patients, consumers, and their carers, including identifying in which situations it may be helpful to seek their input and defining what is expected from them when they are consulted.

    This follows a public consultation on the PDF iconconcept paper on the involvement of children and young people at the Paediatric Committee .

    More information


    How useful was this page?

    Add your rating
    1 rating
    1 rating