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. 2016 Feb 9;36:1–11. doi: 10.1007/s40846-016-0115-2

Table 2.

Clinical trial phases in drug commercialization and motor rehabilitation

Phase Drug commercialization Studies on rehabilitation Purpose
Phase I Checking for safety
(on 10–20 healthy
volunteers)
Consideration-of-concept studies
(on 6–12 patients)
To test concepts and related safety on animals or on a small group of patients
Phase II Checking for efficacy
(on about 200 patients)
Development of Concept Trials
(>15 patients)
To standardize the new intervention and add a control group, randomization, and masked outcomes. To establish the best dose of therapy. To assess sample size
Phase III Confirmation of findings in large patient population
(>1000 patients for detecting rare side effects)
Demonstration of Concept Trials
(on a sample with a properly computed size)
To prove effectiveness and safety of intervention
Phase IV Testing long-term safety
(real life patients)
Proof of concept
(multicenter randomized clinical trials)
To establish generalizable efficacy and safety