Clinical Trials: An Overview
Clinical trials are scientific studies of the safety and efficacy of a new medical drug or other treatment, co🌄nducted on human vꦕolunteers.
In the U.S., the results of the studies are a key component of a pharmaceutical or biotechnology company's application for approval from the 澳洲幸运5官方开奖结果体彩网:Food and Drug Administration (FDA) to introduce the drug to the market.
Key Takeaways
- Clinical trials, which are conducted in three phases, are a key component of the drug approval process.
- Clinical trials determine whether a new treatment is both safe and effective for use on humans.
- Only about 5% of all new treatments pass all three hurdles, leading biotech and drug stocks to be highly risky but also potentially highly rewarding to investors.
Clinical Trials In Depth
Clinical trials are undertaken to evaluate drugs, devices, and procedures. T🐽he studies are evidence that a tr✨eatment is helpful or harmful, and that it is more effective or less effective than an existing treatment or a placebo.
Drugs normally undergo three phases of clinical trials. In the first phase, a drug’s delivery method, dosage, and safety is tested on a small group of people. The second phase uses a larger test group. Most treatments fail in one o꧒f these phases.
There are several types of clinical trials. A single-arm trial has no comparison group. A randomized controlled trial (RCT) has two🍸 groups of patients, each of which may receive either the test treatment or a harmless placebo. Depending on the tꦡrial design, the allocation of the drug vs. the control may not be 50/50, often with the real drug being given to up to two-thirds of trial participants, especially at later phases.
If it is a double-🌳blind trial, neither the patients nor the doctors know which group is which until the study is over. This type of study is designed to elimiꦦnate bias in both the patient and the observer, and the random assignment of drug vs. placebo is done via a computer program.
Phase 1 Trials
Phase 1 is the initial introduction of an experimental drug or therapy to humans. This phase is the first step in the clinical research process involved in testing new or experimental drugs. The main goal of phase 1 studies is to establish the new drug’s 澳洲幸运5官方开奖结果体彩网:side effects, as well as its 🎀metabolic and pharmacologic action. This is achieved by administering increasing doses of the experimental drug to trial participants. Researchers subsequently perform detailed research and analysis on various aspects of the drug, including the body’s response to it, the method of absorption, how it is metabolized and excreted, and safe dosage levels.
Phase 2 Trials
Phase 2is the second phase of clinical trials or studies for an experimental new drug, in which the focus of the drug is on its effectiveness. Phase 2 trials typically involve hundreds of patients who have the disease or condition that the drug candidate seeks to treat. The main objective of Phase 2 trials is to obtain data on whether the drug actually wo♎rks in treating a disease or indication, which i🔯s generally achieved through controlled trials that are closely monitored, while safety and side-effects also continue to be studied.
Phase 3 Trials
If a drug or other treatment reaches phase 3 of the trial, it will be tested on a larger group. Phase 3 trials are used to obtain additional information about the new drug’s effectiveness and safety to assess the benefit versus risk ofꦗ the therapy and to use this information in the drug’s labeling, if it is approved by the FDA. These trials are large-scale studies that involve the participation of several hundred to several thousand patients across multiple study locations. The average duration of Phase 3 trials ranges from one year to four years, and only betwe🦋en 25–30 percent of tested medications make it through this final stage of testing.
The Investor View
Only about five percent of all drugs that are developed pass all three phases o♊f clinical trials and are eventually approved for sale.
Investors in pharmaceutical and biotechnology stocks follow drug trials closely. This is not an investment choice for the faint-hearted, as a single failure could set a promising treatmen🐭t back for years or forever. If a drug does succeed, it can be a huge boon for the company and its investors. If a drug 🎃fails at any stage in the clinical trials process it can sink a stock. As a result, drug stocks can be quite volatile and headline-driven.
The Drug Approval Process
Statistical analysis is a key component of evaluating the results of a clinical trial. The 🌸primary question is whether the treatment was𝔉 proven to be more effective than a chance outcome.
That can be difficult to determine. The test subjects may generally be healthier or unhealthi♚er than the patients who would actually use the treatment being tested. That is why a larger test group is preferred to a smal⛎l one.
The FDA Approval Process
If a drug succeeds in the trials in the United States, a 澳洲幸运5官方开奖结果体彩网:New Drug Application (NDA) is submitted to the FDA. This is the formal final step taken by a drug sponsor and seeks approval to market the new drug in the U.S. An NDA is a comprehensive document with 15 sections that include data and analyses on animal and human studies, the drug’s pharmacology, tᩚᩚᩚ𒁃ᩚᩚᩚᩚᩚᩚ𒀱ᩚᩚᩚoxicology, and dosage, and the process used to manufacture it.
Once a drug reaches the NDA stage, the probability of it receiving FDA approval and being marketed in the U.S. exceeds 80%.
Filing of an NDA typically does not result in a substantial increase in the share price of a publicly held sponsor company. Most of the speculation about the promising new treat꧒ment is likely to have already occurred as it moved through the successive phases of its clinical trials.
An 澳洲幸运5官方开奖结果体彩网:Abbreviated New Drug Application (ANDA)🌊 is a written request to the U.S. Food and Drug Administration (FDA) to manufacture and market a generic drug in the United States. Abbreviated New Drug Applications are “abbreviated” since they do not require the applicant toꩵ conduct clinical trials and require less information than a New Drug Application.