Small trials, big impact.
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Pediatric drug development consulting

Pediatric drug development, guided by experience.

Goodwater Pediatric Trials provides pediatric drug development consulting to biopharma, investors and patient organizations. We combine clinical experience in pediatric care with industry experience leading pediatric programs, and we deliver the work itself, from pediatric study plans to trial strategy.

Child running through a sunlit river, Goodwater Pediatric Trials
Clinical and industry experiencePediatric nephrology and pharma clinical program leadership
Deliverables, not just advice
From the clinicPediatric nephrologist who knows sites, patients and families
From industryExperience leading pediatric programs in large pharma
Delivers the documentsPIPs, pediatric study plans and summaries
Aligns stakeholdersFamilies, advocates, investigators, vendors and regulators
Our philosophy

Small trials,
big impact.

Pediatric trials are often small: one study, a limited number of children. Designed well, that one trial can meet pediatric regulatory requirements, earn added exclusivity and support the value of the entire asset. Pediatrics is where the ripple starts.

Stone skipping across a calm lake at dusk, Goodwater Pediatric Trials
One pediatric trial

One trial, many ripplesA well-designed pediatric trial creates value for children, families and sponsors alike. Select any ring to see how far it reaches.

Who we work with

Pediatric development support for each stakeholder.

Select your organization type to see how we typically support teams like yours.

As adult development advances, pediatric obligations follow. For sponsors and CRO partners, we provide pediatric expertise and the documents that support it.

What we deliver

  • Pediatric development strategy
  • iPSP and PIP drafting
  • Protocol and feasibility review
  • Agency meeting preparation
  • Pediatric depth for CRO proposals
  • Investigator and site matching
Discuss your program →
A clinical team reviewing a study protocol

Pediatric obligations and opportunities can affect the value of an asset. We provide a clear, timely assessment to inform investment decisions.

What we deliver

  • Pediatric due diligence reports
  • PREA and PIP obligation review
  • Pediatric exclusivity assessment
  • Feasibility and timeline reality check
  • Endpoint and trial design review
  • Advisory support for new ventures
Discuss a review →
Two professionals reviewing a regulatory report and timeline charts

Patient organizations and foundations are increasingly advancing therapies themselves. We provide the regulatory and development expertise to support that work.

What we deliver

  • Therapeutic development roadmaps
  • Regulatory strategy and FDA readiness
  • Trial readiness and registry planning
  • Partner, vendor and site selection
  • Engagement with sponsors and regulators
  • Patient input into trial design
Contact us →
Parents and advocates meeting around a table
A pediatrician sharing a high-five with a smiling child as his mother looks on
Clinical and industry perspectives, together in one team.
Our approach

Pediatric trial design informed by clinical and industry experience.

1

Clinical perspective

Experience caring for children and families informs designs that are feasible for sites and families.

2

Industry experience

Familiarity with the development and regulatory requirements needed to bring a medicine to children.

3

Deliverables, not only advice

We prepare pediatric study plans, PIPs and strategy documents, rather than only reviewing them.

4

Stakeholder alignment

Families, advocates, investigators, vendors and regulators, aligned around a shared plan.

Deliverables

Pediatric regulatory strategy, written and delivered.

Scope a deliverable →

Defined deliverables for your development team, leadership or regulators.

Strategy

Pediatric development plan

Timing, age cohorts, extrapolation and sequencing alongside your adult program.

FDA · PREA

Pediatric study plan (iPSP / PSP)

Drafted, refined and ready for submission after your End-of-Phase 2 meeting.

EMA

Paediatric investigation plan (PIP)

Built to the EU template, with deferral and waiver strategy where they apply.

FDA · BPCA

Written request strategy

Proposed pediatric studies positioned for added exclusivity.

Clinical

Protocol & synopsis review

Endpoints, dosing, blood volumes, visit burden and assent, reviewed by a pediatric clinician.

Operations

Feasibility & site assessment

Patient availability, site capability and the support sites will need to enroll.

Regulatory

Agency meetings & conferences

Briefing documents and preparation for FDA and EMA discussions, with pediatric expertise in the room at your agency meetings, advisory boards and scientific conferences.

Investment

Pediatric due diligence report

Obligations, risks and opportunities in a pediatric program, clearly summarized.

Pediatric requirements

FDA and EMA pediatric requirements start earlier than most programs expect.

Phase 1is when a PIP takes shapeEU PIPs are generally expected by the end of adult pharmacokinetic studies.
60 daysafter End-of-Phase 2An initial pediatric study plan is due to FDA within 60 days of the End-of-Phase 2 meeting under PREA.
6 monthsof added exclusivityCompleting studies under a BPCA written request can earn six months of pediatric exclusivity.
Pediatric Review Committee. FDA's PeRC reviews iPSPs and their agreed changes.
Deferrals and waivers. Each needs a justified request and a plan to defend it.
Age-appropriate formulations. Liquids, mini-tablets and palatability can drive timelines.
Extrapolation. How much adult efficacy data can carry over, and what bridges the gap.
Juvenile animal studies. Nonclinical safety for the youngest ages may be needed.
Blood volume limits. Sampling must fit within child-specific limits.
Consent and assent. Parents consent and children assent, at every age group.
Long-term follow-up. Growth and development safety often runs for years.
End of study. Labeling, submissions and expanded access considerations.
Summary for orientation only. Requirements depend on the product and program. Contact us to discuss your program.
Pediatric clinical trial design

Deep expertise where children need it most.

Pediatric nephrology clinical trials are our flagship. Our approach to small population clinical trials reaches across pediatrics.

Jennifer McKenzie, MD, pediatric nephrologist and founder of Goodwater Pediatric Trials
Board certified in pediatric nephrology & general pediatrics
Our people

Jennifer McKenzie, MD, FAAP, FASN

Founder & President

Dr. McKenzie brings both clinical and industry perspectives to pediatric drug development. Double board certified in pediatric nephrology and general pediatrics, she practiced as both a pediatric nephrologist and a pediatric hospitalist. In industry she was a clinical development lead at GSK, and at Boehringer Ingelheim she led several successful clinical trials, including the pediatric EMPA-KIDNEY Kids trial.

Double board certified in pediatric nephrology and general pediatrics
Clinical practice as a pediatric nephrologist and pediatric hospitalist
Former Senior Clinical Program Leader, Boehringer Ingelheim, leading several successful trials including EMPA-KIDNEY Kids
Former Clinical Development Lead, GSK
Kidney Health Initiative board member; works with FDA and pediatric research networks
2026 nominee, The Unicorn Award by TrialHub, recognizing clinical trial professionals making trials work for real patients
Our team is expanding with experienced pediatric specialists.
A stone landing in calm water with ripples spreading outward
In their words
“Jen from Goodwater understands clinical development from every angle: the clinician’s, the trial’s and the regulator’s. She also has a deep connection to the patient experience. She is a tremendous asset to this community and cares deeply about bringing new therapies to patients.”
Vincent KoVincent KoFounder & Executive Director, KidneyFuture (formerly CAKUT Foundation)

Discuss your pediatric program.

Share where your program stands, and we will follow up to discuss how Goodwater can support it.

Emailteam@goodwaterpeds.comEmail us →
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