Exam 1 Flashcards
Phase 1
a pilot study of a potential drug using a small number of selected, usually healthy human volunteers
Phase 2
a clinical study of a proposed drug by selected physicians using actual patients who have the disorder the drug is designed to treat; patients must provide informed consent
Phase 3
use of a proposed drug on a wide scale in the clinical setting with patients who have the disease the drug is thought to treat
Phase 4
continuous evaluation of a drug after it has been released for marketing
In most cases, the strictest law is the one that prevails.
Pure Food and Drug Act:
Prevented the marketing of adulterated drugs; required labeling to eliminate false or misleading claims
Federal Food, Drug, and Cosmetic Act:
Mandated tests for drug toxicity. Established procedures for introducing new drugs. Gave FDA the power of enforcement.
Durham-Humphrey Amendment:
Tightening control of certain drugs; specified drugs to be labeled “May not be distributed without a prescription”
Kefauver-Harris Acts:
Tightened control over the quality of drugs; gave FDA power over the procedure of drug investigations; stated that efficacy as well as safety of drugs had to be established
Controlled Substances Act:
Defined drug abuse and classified drugs as to their potential for abuse; provided strict controls over the distribution, storage, and use of these drugs.
Orphan Drug Act:
Provided incentives for the development of orphan drugs for treatment of rare diseases
Category A drugs:
Adequate studies in pregnant women have not demonstrated a risk to the fetus in the first trimester of pregnancy, and there is no evidence of risk in later trimesters.
Category B drugs:
Animal studies have not demonstrated a risk to the fetus, but there are no adequate studies in pregnant women, or animal studies have shown an adverse effect, but adequate studies in pregnant women have not demonstrated a risk to the fetus during the first trimester of pregnancy, and there is no evidence of risk in later trimesters.
Category C drugs:
Animal studies have shown an adverse effect on the fetus, but there are no adequate studies in humans; the benefits from the use of the drug in pregnant women may be acceptable despite its potential risks, or there are no animal reproduction studies and no adequate studies in humans.
Category D drugs:
There is evidence of human fetal risk, but the potential benefits from the use of the drug in pregnant women may be acceptable despite its potential risks.
Category X drugs:
Studies in animals or humans demonstrate fetal abnormalities or adverse reactions; reports indicate evidence of fetal risk. The risk of use in a pregnant woman clearly outweighs any possible benefit.