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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.
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.
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.
Patient organizations and foundations are increasingly advancing therapies themselves. We provide the regulatory and development expertise to support that work.
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.
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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.
Pediatric nephrology clinical trials are our flagship. Our approach to small population clinical trials reaches across pediatrics.
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.
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 KoFounder & Executive Director, KidneyFuture (formerly CAKUT Foundation)
Thought leadership
Contributing to the science of pediatric drug development.
Invited talks and recent publications on pediatric trial design, endpoints and regulatory pathways.