Page 43 - Terminology-Clinical-Research
P. 43

the subset of subjects who complied with the protocol   researching, assessing and evaluating information from
        sufficiently to ensure that these data would be likely to   healthcare providers and patients on the adverse effects of
        exhibit the effects of treatment according to the underlying   medications, biological products, herbalism and traditional
        scientific model.                                      medicines with a view to identify new information about
                                                               hazards associated with medicines and preventing harm to
        Personnel (research): Includes undergraduate and       patients.
        graduate students, postdoctoral fellows, research assistants,
        research associates, technicians, programmers, analysts,   Phase: One in a set of successive stages in a progression or
        etc., who may contribute to the research activities of an   sequence such as 1. a step in the progression of a therapy
        independent researcher.                                from initial experimental use in humans to postmarket
                                                               evaluation. 2. a stage in the conduct of a clinical trial.
        Pharmaceutical form: A dosage form is the physical form   Note: Clinical trials are generally categorized into four
        of a dose of medication, such as a capsule or injection. The   (sometimes five) phases. A therapeutic intervention may be
        route of administration is dependent on the dosage.    evaluated in two or more phases simultaneously in different
                                                               trials, and some trials may overlap two different phases.
        Pharmacodynamics: Branch of pharmacology that studies
        reactions between drugs and living structures, including the   Phase 0: First-in-human trials, in a small number of
        physiological responses to pharmacological, biochemical,   subjects, that are conducted before Phase 1 trials and are
        physiological, and therapeutic agents.                 intended to assess new candidate therapeutic and imaging

                                                               agents. The study agent is administered at a low dose for
        Pharmacoeconomics: Branch of economics that applies    a limited time, and there is no therapeutic or diagnostic
        cost-benefit, cost-utility, cost-minimization, and cost-  intent. Note: FDA Guidance for Industry, Investigators,
        effectiveness analyses to assess the utility of different
        pharmaceutical products or to compare drug therapy to   and Reviewers: Exploratory IND Studies, January 2006
        other treatments.                                      classifies such studies as Phase 1. Note: A Phase 0 study
                                                               might not include any drug delivery but may be an
        Pharmacogenetic test: An assay intended to study       exploration of human material from a study (e.g., tissue
        interindividual variations in DNA sequence related to drug   samples or biomarker determinations).
        absorption and disposition or drug action.
                                                               Phase 1: The initial introduction of an investigational new
        Pharmacogenetics: Study of the way drugs interact with   drug into humans. Phase 1 studies are typically closely
        genetic makeup or the study of genetic response to a drug.  monitored and may be conducted in patients or normal
                                                               volunteer subjects. Note: These studies are designed to
        Pharmacogenomic test: An assay intended to study       determine the metabolism and pharmacologic actions
        interindividual variations in whole genome or candidate   of the drug in humans, the side effects associated with
        gene maps, biomarkers, and alterations in gene expression   increasing doses, and, if possible, to gain early evidence on
        or inactivation that may be correlated with pharmacological  effectiveness. During Phase 1, sufficient information about
        function and therapeutic response.                     the drug’s pharmacokinetics and pharmacological effects
                                                               should be obtained to permit the design of well-controlled,
        Pharmacogenomics: Science that examines inherited      scientifically valid Phase 2 studies. The total number of
        variations in genes that dictate drug response and explores   subjects and patients included in Phase 1 studies varies with
        the ways such variations can be used to predict whether a   the drug, but is generally in the range of 20 to 80. Phase 1
        person will respond favorably, adversely, or not at all to an   studies also include studies of drug metabolism, structure–
        investigational product.                               activity relationships, and mechanism of action in humans,
                                                               as well as studies in which investigational drugs are used as
        Pharmacokinetics: Study of the processes of bodily     research tools to explore biological phenomena or disease
        absorption, distribution, metabolism, and excretion    processes.
        (ADME) of medicinal products.
                                                               Phase 2: Controlled clinical studies conducted to evaluate
        Pharmacology: The study of how drugs interact with     the effectiveness of the drug for a particular indication
        living organisms to produce a change in function.      or indications in patients with the disease or condition
        Pharmacology deals with how drugs interact within      under study and to determine the common short term side
        biological systems to affect function.
                                                               effects and risks associated with the drug. Note: Phase 2
        Pharmacovigilance: The science of collecting, monitoring,   studies are typically well controlled, closely monitored, and


                                             TERMINOLOGY CLINICAL RESEARCH                                        43
   38   39   40   41   42   43   44   45   46   47   48