Phase 0: A trial before trials
By BSG on Mar 11, 2008 in Proteomics and Medicine
A new concept these days in experimental drug development is ‘Phase 0.’ Simply put it means a small trial in a limited number of subjects or patients who are highly controlled to get an assessment of the pharmacological activity for compounds. The hope is to created innovative ways to establish proof-of –concept for new mechanisms by exploring clinical models that could yield better, faster, and more cost-effective ways to prioritize drug development. Biotech companies and experts have a number of nick names for such type of early small-sample sized experiments, pre-Phase I. The aim of this exploratory INDs is to push more promising drugs into clinical trials and increase the odds of success. However, IT and bioinformatics-as always- will play a vital role in achieving this and help with data organization, comparison and analysis. The information obtained from Phase 0 trials could provide vital information on pharmacokinetics, risk-benefit ratio, and the need for compound modification before moving on to more expensive and larger experimental models. Thus, Phase 0 is not just another clinical trial or here to replace animal studies but an opportunity to develop a biomarker that can get promising drugs into clinical trials faster, reject doomed drugs sooner, and invigorate the pharmaceutical pipelines once more.
