Drug studies are known as clinical trials. The
FDA needs conclusive information that a drug will do what it claims
to do, before it is sanctioned for public use. These trials are
often long, tedious and often fail. Drug studies are common and
studies of every kind are ongoing. Yet drug studies are the most
demanding, more imporant, and are the most watched of all clinical
trials.
Some are privately supported, while others are government
supported. How do they work? They take a step by step -- phase by
phase-- approach to test the drug before it is released to the
public. Lots of studies are done before humans ever get involved,
and this done for their safety.
Step one with human volunteers begins with a study to see how the
overall effect of the drug is on healthy humans. Usually twenty, or
maybe a hundred, will be participating in the study. Usually, there
is pay involved. The investigators will want to know how the drug
absorbed, how the body metabolizes it, and how the body eliminates
it. In this phase, the side effects are first seen.
The next step or phase is testing the drug on those who have the
disease. This is to find out if it does what it claims to do. Over
a period of time, sometimes up to two years, and including maybe a
hundred or two hundred patients, information on how the drug deals
with the disease is sought. Studies are often blind, with one half
getting the real drug, and the other half getting a placebo.
Not all drugs started on these trials finish. About one third of
those started get past these first two clinical trials. The third
stage is more random, yet often still blind, and most likely
thousands of patients will be involved. This shows the
effectiveness of the drug. After that is known, the drug company
then requests approval from the FDA.