Therapeutic area · PaediatricsUpdated September 28, 2026

EDC for pediatric trials, built for children and families

Children are not small adults: dosing depends on size, consent involves parents and the child, and questionnaires must match age and ability. Capture calculates body surface area at entry, supports parental and witness signatures, and runs age-appropriate questionnaires for children and caregivers.

  • BSA and BMI calculated at entry
  • Parent and child forms
  • Age-appropriate questionnaires

Free sandbox · No credit card · 21 CFR Part 11 aligned

Dosing · Visit 2
Subject 004-0013 · Age 9 yearsDraft

Weight

WEIGHT
31.4kg

Height

HEIGHT
134cm

Body surface area (Mosteller)

BSA
1.08 m² Calculated

BMI

BMI
17.5 kg/m² Calculated
Calculated read-only as the site enters data

What matters in paediatric trials

  • Paediatric development is shaped by regulation: PREA and BPCA in the US, and Paediatric Investigation Plans agreed with EMA in the EU. ICH E11 sets out general principles.
  • Consent involves parental permission and, where the child is able, assent. Plan how both are documented and what happens when a participant reaches adulthood during the study.
  • Doses are often weight- or BSA-based, so height and weight must be accurate at every dosing visit.
  • Questionnaires must match age and ability: observer reports for infants, simplified self-report for young children, standard self-report for adolescents, often alongside parent proxy reports.
  • Blood sampling is limited. European ethical guidance, for example, suggests trial-related blood loss should not exceed about 3% of total blood volume over four weeks or 1% at any one time.

Study design

Age groups change everything

ICH E11 describes age groups from preterm newborns to adolescents, and a single paediatric programme may span several of them. Each group can need different formulations, doses, sampling schedules and outcome measures. A trial enrolling children from 2 to 17 might use observer-reported outcomes for the youngest, a faces pain scale for young children and standard numeric scales for teenagers.

Building this into the study means age-based skip logic and forms that apply to the right participants, with the rule written once and applied the same way at every site. Record the child's age at each visit, because a child who crosses an age boundary during the study may need to switch versions. See the PedsQL template for age-specific versions.

Growth

Height and weight are safety data in children as well as dosing inputs. Record them at every visit with units, and derive growth percentiles or z-scores against reference charts in analysis.

Outcome measures by age group
2 to 45 to 78 to 1213 to 17
Parent proxy quality of life
Child self-report quality of life
Observational pain scale
Faces or numeric pain scale
Assigned by age through skip logic

Dosing

Body surface area and BMI calculated as sites enter data

Calculated fields show BSA (Mosteller and Du Bois), BMI and age from date of birth read-only during entry, so the site does not calculate by hand. Range checks on height and weight raise a query when a value falls outside the limits you set, catching unit errors before they reach a dose.

  • BSA Mosteller and Du Bois.
  • BMI and age from date of birth.
  • Range checks on height and weight.
Vital signs eCRF template
Calculated field

BMI (Body Mass Index)

Auto-derived

Height (cm)

172

Weight (kg)

68.5

Result

23.2 kg/m²

Reference: WHO · shown read-only during data entry

AnthropometryBMIBSA (Mosteller)BSA (Du Bois)Waist-hip ratio
VitalsMAPPulse pressure
RenaleGFR (CKD-EPI 2021)CrCl (Cockcroft-Gault)
CardiacQTc (Bazett)QTc (Fridericia)QTcF from heart rate
DatesAge from DOBMinutes betweenHours between

Build a paediatric study with calculated BSA

Test calculated fields and parent signatures in the free sandbox.

Build your paediatric study free

Regulation

Paediatric frameworks at a glance

FrameworkRegionWhat it does
Pediatric Research Equity Act (PREA)USRequires paediatric assessments for certain applications, unless waived or deferred
Best Pharmaceuticals for Children Act (BPCA)USIncentives, including paediatric exclusivity, for studies requested by FDA
Paediatric Regulation and PIPsEURequires an agreed Paediatric Investigation Plan for new medicines, with possible waivers or deferrals
ICH E11(R1)InternationalPrinciples for clinical investigation of medicines in the paediatric population

Families

Designing for families' real lives

Children go to school and parents work. Visits scheduled during school hours, long questionnaires in the clinic and frequent blood draws all make participation harder. Remote questionnaires completed at home, visit windows that allow flexibility, and sampling schedules designed around the blood volume limits help families stay in the study.

Record who completes each caregiver questionnaire and keep the same reporter where possible. See the parent proxy ePRO template and the Wong-Baker FACES and FLACC template for age-appropriate measures.

Study build

Paediatric study build checklist

Age groups

Forms and measures assigned by age with skip logic.

Consent and assent

Parent permission, child assent and age of majority plan.

Dosing inputs

Height and weight with range checks; BSA calculated.

Blood volume

Sampling schedule within ethical limits.

Reporter recorded

Which caregiver completed each questionnaire.

Regulatory plan

PIP or PREA commitments reflected in the protocol.

FAQ

Questions teams ask before they switch

Something not covered here? Ask us directly.

What is a Paediatric Investigation Plan?

An EU development plan for studying a medicine in children, agreed with EMA before certain applications can be made.

How is consent handled in paediatric trials?

Parents or guardians give permission and, where able, the child gives assent. Both are documented according to local rules.

Can Capture calculate body surface area?

Yes. BSA (Mosteller and Du Bois), BMI and age from date of birth are calculated fields shown during entry.

Can a parent sign eConsent for a child?

Yes. Legally authorised representative signatures are supported, with an optional witness.

How are age-appropriate questionnaires assigned?

With skip logic based on age group, so each participant sees the right version.

Can I try it free?

Yes, in the free sandbox with every feature.

Paediatric trials that work for families

Calculated dosing inputs, parent signatures, age-based forms. Free sandbox.

Build your paediatric study free