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| Thử nghiệm lâm sàng Giai đoạn I× | Giai đoạn III Thử nghiệm lâm sàng× | |
|---|---|---|
| Lĩnh vực | Dịch tễ học | Dịch tễ học |
| Họ | Process / pipeline | Process / pipeline |
| Năm ra đời≠ | 1960s (formal regulatory framework established ~1963–1970s) | 1962 (Kefauver-Harris Amendment formalised phased drug development) |
| Người khởi xướng≠ | Regulatory and clinical pharmacology community; formalized in U.S. FDA IND regulations (1963) and ICH guidelines | FDA regulatory framework / ICH guidelines |
| Loại≠ | Interventional clinical study design | Confirmatory randomised controlled trial |
| Công trình gốc≠ | Storer, B. E. (1989). Design and analysis of phase I clinical trials. Biometrics, 45(3), 925–937. DOI ↗ | 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 |
| Tên gọi khác | Phase 1 trial, first-in-human study, FIH study, dose-escalation study | Phase 3 trial, confirmatory trial, pivotal trial, Phase III RCT |
| Liên quan | 6 | 6 |
| Tóm tắt≠ | A Phase I clinical trial is the first stage of human testing for a new drug, biologic, or intervention. Its primary objective is to evaluate safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) rather than therapeutic efficacy. Small cohorts of participants — typically healthy volunteers or patients with advanced disease — receive sequentially increasing doses to identify the maximum tolerated dose (MTD) and the dose-limiting toxicities (DLTs) that define the boundary for subsequent trials. | 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. |
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