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. 2022 Oct 17;63(2 Suppl 3):E267–E278. doi: 10.15167/2421-4248/jpmh2022.63.2S3.2769

Tab. II.

Phases of a randomized controlled trial of a drug.

Phases Aim Number of participants
Phase 0 To check the
  1. capacity of a new drug to modulate its intended target in humans

  2. metabolisation of a drug

a few volunteers
Phase I To check
  1. safety and unexpected effects

  2. safe dose

  3. absorption and elimination by the body

20-80 healthy volunteers or patients in an advanced stage of disease
Phase II To assess
  1. safety and effects in a broader population

Hundreds of volunteers
Phase III To
  1. assess efficacy

  2. check for collateral effects

  3. compare with pre-existing treatments

  4. determine whether approval and commercialization are possible

Hundreds to thousands of volunteers
Phase IV To collect more information on
  1. risk

  2. benefits

  3. potential uses of an existing drug

Hundreds of thousands of volunteers