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Setting up mother-infant pair lactation studies with biobanking for research according to regulatory requirements
Centre for Research Ethics and Bioethics, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden.
Karolinska Institutet, Department of Clinical Science, Intervention and Technology (CLINTEC), Division of Pediatrics, Stockholm, Sweden; Department of Neonatology, Karolinska University Hospital, Astrid Lindgren's Children's Hospital, Stockholm, Sweden.
Örebro University, School of Health Sciences. Dept of Obstetrics and gynecology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-2691-7525
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2025 (English)In: British Journal of Clinical Pharmacology, ISSN 0306-5251, E-ISSN 1365-2125Article in journal (Refereed) Epub ahead of print
Abstract [en]

Within the ConcePTION project we set out to design two mother-infant pair studies collecting breast milk and plasma from the mother and plasma from the infant (for metformin and prednisolone) in order to demonstrate the premises and conditions for investigating potential drug transfer in association with breastfeeding. It is essential that the information from lactation studies is trustworthy and fulfils regulatory standards and requirements for the results to be fit for label. In this paper we describe the premises and conditions for mother-infant pair studies and biobanking for research of collected samples as laid down in regulatory requirements. The studies on metformin are still ongoing. At the time of the study (June 2025), 18 participants had been included in the metformin study and 20 in the prednisolone study. Evidence for the use of medicines in association with breastfeeding is urgently needed, both for already approved and used drugs, and for the development of new drugs. Based on our experiences within the IMI-ConcePTION project, we have described the premises for mother-infant pair studies to be adhered to.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2025.
Keywords [en]
Drug safety, medication safety, patient safety
National Category
Public Health, Global Health and Social Medicine
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URN: urn:nbn:se:oru:diva-122858DOI: 10.1002/bcp.70201ISI: 001550390500001PubMedID: 40817578Scopus ID: 2-s2.0-105013474771OAI: oai:DiVA.org:oru-122858DiVA, id: diva2:1991175
Available from: 2025-08-22 Created: 2025-08-22 Last updated: 2026-01-23Bibliographically approved

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Backman, Helena

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