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Table 1 Target Product Profile for pediatric praziquantel

From: Developing a comprehensive response for treatment of children under 6 years of age with schistosomiasis: research and development of a pediatric formulation of praziquantel

Description

Praziquantel pediatrica

Indication

Treatment of schistosomiasis (Schistosoma mansoni and. Haematobium)

Target population

Children (3–6 months to 6 years) with proven schistosomiasis infection able to take oral medication and not receiving co medication for other diseases.

Dosage and administration

Orally disintegrating tablet (taste masked) administered orally (as intact tablet or dissolved in water) as a single dose treatment (in mg/kg of body weight).

Target efficacy

Minimum case scenario: Cure rate in phase III trial is between 60-75%

Base case scenario: Cure rate in phase III trial is 75%

High case scenario: Cure rate in phase III trial is above 75%

Target safety

A safety and tolerability profile equal or better than that of current praziquantel tablets.

Stability in WHO zone IVB climatic conditions (hot, humid climate, 30 °C/75% RH)

Minimum case scenario: stable for 18–24 months

Base case scenario: Stable for 24–36 months.

High case scenario: Stable for >36 months

Packaging

Primary packaging: HDPE bottles with or without desiccant (low bulk weight and volume packaging material) if feasible. Package sizes that allow optimal use under public health program conditions. Approx. 50–100 units per bottle

Key statement

The new formulation will be suitable for pediatric use in Sub-Saharan Africa, Brazil and other endemic countries. It will be appropriate for use in both case management administration and community directed mass treatment (i.e. large-scale preventive chemotherapy). This will require further post regulatory approval field studies to assess effectiveness.

  1. aThe current development plan is evaluating the L-Praziquantel and the racemic mixture