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Introduction to
Clinical Research
Dr. Rajendra Dhande
What is Clinical Research?
• Branch of healthcare science
• Determines the safety and effectiveness (efficacy)
• Evaluate medication, devices and diagnostic
products
• Conducted in humans at clinical setups
2
Types of Clinical Research
• Treatment Research
• Prevention Research
• Screening Research
• Quality of Life Research
• Genetic studies
• Epidemiological studies
3
Phases of Clinical Trials
Safety
Phase I
n=20-80
Safety and
Efficacy
Phase III
n=300-3000
Post
Approval
Surveillance
Phase IV
n >10000
Safety and
Dosing
Phase II
n=100-300
Drug submitted
for FDA approval
Drug approved for
testing in human
F
D
A
R
e
v
i
e
w
Drug
approved
4
Phases of Clinical Trials: Phase I
• First time NCE administered in human
• Conducted in healthy volunteers
• Included small group of volunteers
• Primary objective is safety and kinetics
• Safe dose and adverse effect identified
• Many NCEs/ molecules evaluated
5
Phases of Clinical Trials: Phase II
• Efficacy tested in diseased subjects (patients)
• Large number of subjects included
• Number of NCEs are limited
• Further evaluation of safety
6
Phases of Clinical Trials: Phase III
• Confirmation of efficacy and safety
• Treatment administered in large population
• Compared the effect and side effect
• This phase is multi-centric trial
• Various ethnic groups are studied
• Special population studies are conducted
7
Phases of Clinical Trials: Phase IV
• Post-marketing studies
• Conducted after drug approved for use
• Provide additional information about drug
• Risks/ benefits studied in huge population
8
Thanking you…
9

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Introduction to Clinical Trials_Dr. Rajendra Dhande

  • 2. What is Clinical Research? • Branch of healthcare science • Determines the safety and effectiveness (efficacy) • Evaluate medication, devices and diagnostic products • Conducted in humans at clinical setups 2
  • 3. Types of Clinical Research • Treatment Research • Prevention Research • Screening Research • Quality of Life Research • Genetic studies • Epidemiological studies 3
  • 4. Phases of Clinical Trials Safety Phase I n=20-80 Safety and Efficacy Phase III n=300-3000 Post Approval Surveillance Phase IV n >10000 Safety and Dosing Phase II n=100-300 Drug submitted for FDA approval Drug approved for testing in human F D A R e v i e w Drug approved 4
  • 5. Phases of Clinical Trials: Phase I • First time NCE administered in human • Conducted in healthy volunteers • Included small group of volunteers • Primary objective is safety and kinetics • Safe dose and adverse effect identified • Many NCEs/ molecules evaluated 5
  • 6. Phases of Clinical Trials: Phase II • Efficacy tested in diseased subjects (patients) • Large number of subjects included • Number of NCEs are limited • Further evaluation of safety 6
  • 7. Phases of Clinical Trials: Phase III • Confirmation of efficacy and safety • Treatment administered in large population • Compared the effect and side effect • This phase is multi-centric trial • Various ethnic groups are studied • Special population studies are conducted 7
  • 8. Phases of Clinical Trials: Phase IV • Post-marketing studies • Conducted after drug approved for use • Provide additional information about drug • Risks/ benefits studied in huge population 8