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ACRP Key Terms for CCRC exam, CCRC Exam, ACRP CCRC EXAM PREP, CCRC Exam Prep, ACRP CCRC, *CCRC Study Set 3.4.21

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Human Pharmacology Study -Assess Tolerance -Define/Describe pharmacokinetics and pharmacodynamics -explore drug metabolism and drug interactions -estimate activity Human Pharmacology Study Examples: -dose tolerance studies -single and multiple does pharmacokinetics and pharmacodynamic studies -drug interaction studies Therapeutic Exploratory Study -explore use for the targeted indication -estimate dosage for subsequent studies -provide basis for confirmatory study design, endpoints, methodologies Therapeutic Exploratory Study Examples: -earliest trials of relatively short duration in well-defined narrow pt. populations, using surrogate or phamalogical endpoints -does-response exploration studies Therapeutic Confirmatory Study -demonstrate/confirm efficacy (the ability to produce a desired or intended result). -establish safety profile -provide an adequate basis for assessing the benefit/risk relationship to support licensing -establish dose-response relationship Therapeutic Confirmatory Study Examples: -adequate and well controlled studies to establish efficacy -randomized parallel dose-response studies -clinical safety studies - studies of mortality/morbidity outcomes -large simple trials -comparative studies Therapeutic Use Study -refine understanding of benefit/risk relationship in general or special populations/environments -identify less common adverse reactions -refine dosing recommedation Therapeutic Use Study Examples: -comparative effectiveness studies -studies of mortality/morbidity outcomes -studies of additional endpoints -large simple trials -pharmacoeconomic studies Phase I Study -most typical kind study-human pharm. -usually have non-therapeutic objectives and may be conducted in healthy volunteer subjects or certain types of pts. involve one or more of: estimation of initial safety and tolerability, pharmacokinetics, assessment of pharmacodynamics, and early meausrment of drug activity Pharmacokinetics Study -PI -assess the clearance of the drug and to anticipate possible accumulation of parent drug or metabolites and potential drug-drug interactions Assessment of pharmacodynamics Study -PI -may be conducted in healthy volunteer subjects or pt's with the target disease -can provide early estimates of activity and potential efficacy and may guide dosage and does regiment in later studies Phase II Study -most typical kind of study in therapeutic exploratory -start with the initiation of studies in which the primary objective is to explore therapeutic efficacy in pt's -pt's selected by narrow criteria -Goal: determine does and regimen for PIII trials - Doses are usually less than the highest dose used in PI studies Phase III Study -most typical kind of study-therapeutic confirmatory study -confirm preliminary evidence accumulated in PII that a drug is safe and effective for use in intended indication and recipient population -provide an adequate basis for marketing approval Phase IV Study -all studies performed after drug approval and related to the approval indicatio

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ACRP Key Terms for CCRC exam, CCRC Exam,
ACRP CCRC EXAM PREP, CCRC Exam Prep,
ACRP CCRC, *CCRC Study Set 3.4.21
Human Pharmacology Study
-Assess Tolerance
-Define/Describe pharmacokinetics and pharmacodynamics
-explore drug metabolism and drug interactions
-estimate activity

Human Pharmacology Study
Examples:
-dose tolerance studies
-single and multiple does pharmacokinetics and pharmacodynamic studies
-drug interaction studies
Therapeutic Exploratory Study
-explore use for the targeted indication
-estimate dosage for subsequent studies
-provide basis for confirmatory study design, endpoints, methodologies

Therapeutic Exploratory Study
Examples:
-earliest trials of relatively short duration in well-defined narrow pt. populations, using surrogate
or phamalogical endpoints
-does-response exploration studies
Therapeutic Confirmatory Study
-demonstrate/confirm efficacy (the ability to produce a desired or intended result).
-establish safety profile
-provide an adequate basis for assessing the benefit/risk
relationship to support licensing
-establish dose-response relationship


Therapeutic Confirmatory Study
Examples:
-adequate and well controlled studies to establish efficacy
-randomized parallel dose-response studies
-clinical safety studies
- studies of mortality/morbidity outcomes
-large simple trials
-comparative studies

, Therapeutic Use Study
-refine understanding of benefit/risk relationship in general or special
populations/environments
-identify less common adverse reactions
-refine dosing recommedation

Therapeutic Use Study
Examples:
-comparative effectiveness studies
-studies of mortality/morbidity outcomes
-studies of additional endpoints
-large simple trials
-pharmacoeconomic studies

Phase I Study
-most typical kind study-human pharm.
-usually have non-therapeutic objectives and may be conducted in healthy volunteer subjects or
certain types of pts.
involve one or more of: estimation of initial safety and tolerability, pharmacokinetics, assessment
of pharmacodynamics, and early meausrment of drug activity

Pharmacokinetics Study
-PI
-assess the clearance of the drug and to anticipate possible accumulation of parent drug or
metabolites and potential drug-drug interactions

Assessment of pharmacodynamics Study
-PI
-may be conducted in healthy volunteer subjects or pt's with the target disease
-can provide early estimates of activity and potential efficacy and may guide dosage and does
regiment in later studies

Phase II Study
-most typical kind of study in therapeutic exploratory
-start with the initiation of studies in which the primary objective is to explore therapeutic
efficacy in pt's
-pt's selected by narrow criteria
-Goal: determine does and regimen for PIII trials
- Doses are usually less than the highest dose used in PI studies

Phase III Study
-most typical kind of study-therapeutic confirmatory study
-confirm preliminary evidence accumulated in PII that a drug is safe and effective for use in
intended indication and recipient population
-provide an adequate basis for marketing approval

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