lecture 5 Flashcards
clinical trials
what is a clinical study
using human volunteers, intending to add medical knowledge, can be interventional or observational
how is a clinical trial different to a clinical study
its purely interventional (potential treatment)
benefit of a randomised control trial
treat effectiveness while minimising bias
experimental group
intervention is being tested on them
placebo group (control group)
has an alternative, dummy, or no intervention at all
cohort study
group with similar characteristics followed over time
case control study
aim to find possible cause of a condition, compare those with and without the condition
cross sectional study
snapshot observation of a set of people, aim to describe variable rather than measure it
ecological study
aim to understand relationship between outcome and exposure at a population level where groups have shared characteristics
pre clinical phases
aim to model desired effect of the drug to predict efficacy, characterise toxicities
phase I
20-80 people, safety and side effects, several months, success rate 52%
phase II
100-300 people, effectiveness, obtain priliminary data on if drug works on people with certain disease, 1-4 years, success 30%
phase III
1,000-3,000, bring in different population and dosages and other drugs, success 58%
FDA approval
new drug application submitted after 3 phases, approved for clinical use, monitoring continues, 25-30%