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Christian Medical College Ludhiana Society (Regd.)Ludhiana Punjab India,
Hospitals & Health Networks, Hospitals for a Healthy Environment, LifeCare
Hospital
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Phases of a clinical trial |
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Phase 0 |
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Phase 0 clinical trials are
human
studies and are
intended to speed up the development of promising drugs or imaging
agents by verifying (early in the phase trials) whether the drug
or agent behaves in human subjects as was expected from
preclinical studies. Distinctive features of Phase 0 trials
include the administration of single
doses of the study drug to a small number of
subjects (10 to 15) to gather preliminary data on how the body
processes the drug (pharmacokinetics) and how the drug works in
the body
.
A Phase 0 study does not supply data on safety or efficacy,
because by definition, these studies use doses that are too low to
cause any
effect.
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Phase I |
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Phase I trials are the first
stage of testing in human subjects. Normally, a small (20-80)
group of healthy volunteers will be selected. This phase includes
trials designed to assess the safety
,
,
, and
of a drug. These
trials are often conducted in an in-patient clinic, where the
subject can be observed by full-time staff. The subject who
receives the drug is usually observed until several
of the drug have passed.
Phase I trials also normally include dose-ranging, also called
, studies so that the
appropriate dose for therapeutic use can be found. The tested
range of doses will usually be a fraction of the dose that causes
harm in animal testing.
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Phase II |
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Once the initial safety of the
study drug has been confirmed in Phase I trials, Phase II trials
are performed on larger groups (20-300) and are intended to assess
how well the drug works, in addition to the continuation of Phase
I safety assessments in a larger group of volunteers and patients.
When the development process for a new drug fails, this usually
occurs during Phase II trials when the drug is discovered not to
work as planned, or to have toxic effects. |
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Phase II studies are sometimes divided into: |
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Phase IIA - specifically designed to evaluate
dosing requirements (how much drug should be given) |
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Phase IIB - specifically designed to study efficacy
(how well the drug works at the prescribed dose(s)). |
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Some trials combine Phase I and Phase II, and test both
efficacy and toxicity. |
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