| Phase
1 Studies: In a Phase 1 study, humans
are given a new drug for the first time. Usually,
healthy people are enrolled in Phase 1 studies.
Sometimes people with a certain disease may also
be enrolled. Phase 1 studies help find out how
a drug is broken down in the human body and how
it interacts with the human body. Phase 1 studies
reveal some of the side effects associated with
a new drug. Information from Phase 1 studies is
used to develop Phase 2 studies. Phase 1 studies
can involve two groups, one group of people who
get the new drug and another group which gets
an inactive sugar-pill (placebo). About 20
to 80 people are included in a typical
Phase 1 study, which lasts on the order of days
to weeks.
Phase
2 Studies: In a Phase 2 study, a new
drug is tested to see if it helps improve a particular
illness. Researchers give the drug to people with
the disease under study at the doses, and on the
schedule, found to be safe in Phase 1 trials.
During Phase 2, researchers collect additional
data on the safety and efficacy of a drug, including
short-term side effects and risks, and collect
additional information about the proper dose and
dosing schedule. Phase 2 studies often have at
least two groups, people who get the new drug
and people who get placebo; sometimes a standard
treatment is also included for comparison. About
100 to 250 people are included
in a typical Phase 2 study, which lasts on the
order of weeks.
Phase
3 Studies: In a Phase 3 study, research
is expanded to longer, larger trials, after Phase
1 and Phase 2 studies have shown that the risk
of side effects from a new drug is generally outweighed
by its being helpful for the illness under study.
However, since Phase 1 and Phase 2 studies include
only a few hundred patients total, Phase 3 studies
gather additional information needed to evaluate
the overall benefit-risk relationship of a drug.
Researchers collect additional information about
drug-related side effects, including less common
side effects. Several hundred to several thousand
participants may be enrolled. Phase 3 studies
commonly have at least two groups, people who
get the new drug and people who get placebo, as
well as a standard treatment group included for
comparison. At the conclusion of a properly designed
Phase 3 trial, the new drug will be found to be
inferior, equivalent, or superior to placebo and/or
the standard treatment. About 300 to 3,000
people are included in a typical Phase
3 study, which lasts on the order of weeks to
months.
Phase
4 Studies: The intent of Phase 4, or
post-marketing studies, is to learn more about
the drug after it has been approved by government
authorities. In Phase 4 studies, researchers gather
information about an approved drug's risks, benefits,
and best uses in ‘real-life’ conditions.
These studies can also include trials of different
doses or schedules of administration, other stages
of disease or other disease and age groups, cost
studies, quality-of-life studies, or use of the
drug over a longer period of time.
Blinded
Studies: In a single-blind trial, the
researcher knows the details of the treatment
but the patient does not. Because the patient
does not know which treatment is being administered
(the new treatment or another treatment) there
should be no placebo effect. In practice, since
the researcher knows, it is possible for them
to treat the patient differently or to subconsciously
hint to the patient important treatment-related
details, thus influencing the outcome of the study.
Double
Blinded Studies: In a double-blind trial,
one researcher allocates a series of numbers to
'new treatment' or 'old treatment'. The second
researcher is told the numbers, but not what they
have been allocated to. Since the second researcher
does not know, they cannot possibly tell the patient,
directly or otherwise, and cannot give in to patient
pressure to give them the new treatment. In this
system, there is also often a more realistic distribution
of sexes and ages of patients. Therefore double-blind
(or randomized) trials are preferred, as they
tend to give the most accurate results.
|