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	Sperimentazione Clinica di Fase III	Studio di Fase IV
Campo	Epidemiologia	Epidemiologia
Famiglia	Process / pipeline	Process / pipeline
Anno di origine	1962 (Kefauver-Harris Amendment formalised phased drug development)	Formalised 1970s–1990s (ICH E3 guideline 1994)
Ideatore	FDA regulatory framework / ICH guidelines	Regulatory agencies and pharmaceutical industry (ICH, FDA, EMA frameworks)
Tipo	Confirmatory randomised controlled trial	Post-marketing observational or interventional study
Fonte seminale	Friedman, L. M., Furberg, C. D., DeMets, D. L., Reboussin, D. M., & Granger, C. B. (2015). Fundamentals of Clinical Trials (5th ed.). Springer. ISBN: 978-3319185385	International Conference on Harmonisation (ICH). (1994). ICH Harmonised Tripartite Guideline: Structure and Content of Clinical Study Reports E3. ICH Secretariat.
Alias	Phase 3 trial, confirmatory trial, pivotal trial, Phase III RCT	post-marketing surveillance study, post-approval study, Phase 4 study, PMS study
Correlati	6	5
Sintesi	A Phase III clinical trial is a large-scale, confirmatory randomised controlled trial designed to establish the efficacy and safety of an intervention in the target patient population before regulatory submission. It builds on the signal identified in Phase II, tests the intervention at its proposed dose under controlled conditions, and provides the primary evidence base for marketing authorisation or guideline adoption.	A Phase IV study is a post-marketing surveillance study conducted after a drug, device, or intervention has received regulatory approval. Its primary purpose is to monitor long-term safety, detect rare adverse events, assess effectiveness in routine clinical practice, and explore new indications or populations not adequately represented in earlier trials. Phase IV evidence accumulates continuously throughout a product's commercial life.