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Cancer

 Cancer
 Clinical Trial FAQ
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Flower How are clinical trials categorized?
Clinical trials are categorized as Phase III, II or I. Classification depends on the purpose of the study and determines the total number of patients who may receive treatment on that clinical trial. Newly-diagnosed patients are often treated using a Phase III trial.
Phase III studies compare the new treatment to a standard (current, state-of-the-art) treatment. At the beginning of the study, doctors don't know if the new treatment is better than the standard treatment. Phase III trials typically enroll hundreds to thousands of patients, and are carried out in treatment centers nationwide. If a drug successfully completes the Phase III level of testing, the pharmaceutical company that makes it can apply for FDA approval for this use.
In cases when the standard of care or Phase III treatment is not effective, your child's healthcare team may recommend a Phase II trial.
Phase II studies investigate whether the new treatment works for a specific type of cancer. They also continue to evaluate the safety of the treatment. It is important to realize that it is not yet known whether the treatment will be effective against your cancer. Phase II studies generally enroll no more than 100 people.
If the standard, a Phase III or a Phase II treatment does not deliver positive results, your child's primary oncologist may suggest enrolling your child on a Phase I study.

Phase I Studies primarily evaluate:

  • How much of a new drug can be given safely
  • How often the drug needs to be given
  • What the side effects of the new drug are

This is the first level of testing for a new drug or a known drug given in a new way, but is generally based on animal testing or the safe dose of a similar drug given to other people. Very few patients are enrolled on Phase I trials, and they are available only through select programs.
Two important aspects of Phase I trials are that:

  • Medications used in pediatric cancer clinical trials have usually been tested in adult trials before they are used in children. However, because you/your child might be one of the first pediatric patients in the world to receive the new drug, the side effects in children may not be known.
  • Although this drug has shown promise in the laboratory, in animals, or adults, it is not known if it will work against your cancer.

If our physicians recommend enrolling your child on any clinical trial, they will explain its purpose, benefits, possible side effects and answer any questions you or your child have. You and/or your child will also have to sign a consent form before any treatment begins.
Dana-Farber/Children's Hospital Cancer Care
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