- Phase 0 trial
- Purpose: Exploratory phase with no therapeutic or diagnostic intent, aimed at gaining insight into pharmacokinetics and pharmacodynamics.
- Only < 1% of the therapeutic dose is used.
- Safety and toxicity are not assessed.
- Study population: Small sample consisting of either healthy individuals or a population with a disease of interest (∼ 10–15).
- Study design: Open-label.
- Phase I trial
- Purpose: Evaluation of pharmacodynamic and pharmacokinetic properties of the drug, safety, and toxicity.
- Evaluation of the maximum tolerated dose.
- Study population: Small number of healthy individuals or patients with a specific disease (∼ 15–30).
- Study design: Open-label.
- Phase II trial
- Purpose: Evaluation of efficacy, optimal dose range, and side effects (especially common and short-term side effects).
- Study population: Moderate number of patients with a specific disease (∼ 10–100).
- Study design: Randomized, Controlled, Anonymized.
- Phase III trial
- Purpose: Final confirmation of safety and evaluation of efficacy against placebo or the current standard of care.
- Study population: Randomized control trial with a large number of patients with a specific disease (∼ 100–1000).
- Study design: Randomized Controlled Trial.
- Phase IV trial
- Purpose: Postmarketing surveillance, comparing real-life efficacy to that described in research studies. Safety studies following approval (especially evaluation of rare and long-term side effects).
- Study population: Large number of patients with a specific disease after drug approval.
- Study design: Open-label.