There’s a common saying among pediatricians: children are not little adults. You can’t take a drug therapy that works in adults and scale it down to a kid-sized treatment.
Children are actively growing. Their livers metabolize drugs differently, and they have a stage of life called puberty that many of us have long forgotten.
Likewise, pilot studies are not little research studies. Please do not take a poorly funded clinical trial and try to sneak your inadequate sample size through peer review by calling it a pilot.