Clinical Research Phases
Clinical trials follow a specific timeframe, beginning with small-scale phase 1 examinations and progressing to late-stage, large-scale phase 3 studies.
While there are numerous processes involved in the creation of new pharmaceuticals, clinical trials, which comprise clinical research, are the only portion of the process that involves humans.
We define the primary objectives and provide information on the various clinical study phases here.
Preclinical Studies
Before starting a clinical trial, researchers do thorough preclinical investigations in the lab to ensure that their methods (e.g., drug, treatment, preventative measure, or diagnostic) are safe for patients. The level of damage is assessed in terms of toxicity.
Preclinical experiments do not involve human participants. Instead, new medications and cures, as well as the means for administering them, are thoroughly examined in cells, animals, or both before entering human trials.
Preclinical investigations are often of limited size. However, these investigations provide thorough information on dose levels and are necessary before clinical trials begin.
Following preclinical testing, researchers evaluate their findings to determine whether the procedure should be evaluated in humans. If the medication appears to be safe in cells or animals, it moves on to phase 1, in which the possible medical treatment is tested in humans.
Phase 1 Clinical Trial
Once preclinical studies showed that a clinical treatment works and appears safe, it is tested on a small group of healthy volunteers for a few hours or days, up to a few months, or even a year or two. If the clinical trials are looking into cancer or rare disorders, phase 1 trials may include these patients instead of healthy volunteers.
Phase 1 research for new medical treatments or therapies verifies human safety in several aspects, including side effects, how the body absorbs, distributes, and removes the drug, and whether it is safe to use in combination with other medications.
If the research treatment and mode of administration appear safe in healthy persons at the conclusion of phase 1, it will proceed to phase 2, when it will be evaluated on a slightly larger number of patients with the targeted disease. According to the FDA, around 70% of medicines advance from phase 1 to phase 2.
Phase 2 Clinical Trial
Phase 2 clinical trials improve on phase 1 result by evaluating the procedure on volunteers who have the study’s target health condition. For example, phase 2 clinical trials will begin to concentrate on a specific type of cancer, such as acute myeloid leukaemia or glioblastoma, or a specific neurological illness, such as Alzheimer’s.
When a prospective treatment is being tested, participants are continuously monitored to see how successful the treatment is on the targeted health condition and how safe it is for the patient.
Phase 2 study treatments are normally carried out in an outpatient setting, however certain clinical trials may need participants to stay overnight in a hospital or medical centre for additional monitoring.
If phase 2 testing for efficacy, safety, and optimal dosage yields positive results, the medicine can proceed to phase 3 testing in additional individuals for an extended period. Approximately 33% of phase 2 trials progress to phase 3.
However, most clinical trials fail in phase 2 because the research medication is not proven to be helpful in patients with the targeted illness.
Phase 3 Clinical Trial
Phase 3 clinical studies are intended to determine whether the investigational treatment is superior to the standard therapeutic procedure for the specific health problem. Typically, two or more phase 3 studies are done. A randomised, blinded, placebo- or active-controlled trial is the most trustworthy study design for determining if the outcomes are useful.
Phase 3 studies are examined over a longer period than phase 1 or phase 2 studies and include far more patients with the targeted condition, frequently between 300 and 3,000 Researchers can test more subjects with greater confidence to see if the investigational medication has any side effects.
If phase 3 is completed successfully, as is the case in around 25%-30% of such studies1, the novel method or study therapy can be presented to the regulatory agency for approval and eventual usage by the general public. After approval, the new medicine can be marketed in the United States.
Phase 4 Clinical Trials
Phase 4 clinical trials gather data after a treatment has been released into the general population to see how well it works on “real-life patients” in order to determine long-term benefits and dangers.
Phase 4 studies are typically observational in nature, collecting data from real-life patients who are taking medication as prescribed by their doctors. Phase 4 clinical studies are typically carried out by the pharmaceutical or biotechnology businesses who manufacture the study therapy.
Sometimes regulatory agencies, such as the FDA, approve a medication for marketing only after the treatment’s effects are further studied in phase 4 trials. This could occur if previously untested groups of patients have unfavourable reactions to the medication.
These findings are compared to the outcomes of prior trial phases to ensure that the newly approved medication is both safe and effective.
How Spade Health Work
Spade Health is a renowned clinical research organisation (CRO) in India that specialises in offering skilled clinical trial services for Phases 1–4. Spade Health focuses on producing high-quality results and provides a wide range of services such as protocol design, patient recruitment, data administration and analysis, project management, regulatory compliance, and risk management.
Our expert team assures thorough attention to detail and ethical compliance, allowing clinical studies to proceed smoothly while adhering to timetables, budgets, and quality standards. Trust Spade Health to help you grow your clinical development programme and contribute to the advancement of medical knowledge.
To Sum up:
Clinical trials are vital for creating new and improved medications and therapies. Clinical trial data enable doctors and scientists to explore new approaches to disease treatment, management, and prevention.
Following these best practices allows researchers to run clinical trials with integrity, create reliable data, and prioritise participant safety, thereby contributing to the progress of medical knowledge and the discovery of safe and effective therapies.