What Are Clinical Trials For?

Clinical trials are a product of the Food and Drughow a particular condition affects the body and come
Administration of the United States government. Theup with a chemical structure that could combat the
FDA is in charge of regulating and approving all of theproblem. That is the intended effect of the drug.
drugs that come to market in the US. In order to doHow well it performs that effect is the efficacy of
that, it has created an approval process that takesthe drug.
up to a decade for many drugs. What does thisBut scientists also have to study how the drug
mean for you, the average consumer? It means thatinteracts with other drugs in the body. No human
if a cure for AIDS were discovered today, it couldexists in a vacuum, and so a drug must both be safe
not be proscribed by your doctor for years.for use, and also not cause harmful reactions with
At first glance, that seems like a travesty. After all,other medications or even food. This is the first part
people are dying of AIDS every day, and thousandsof the safety testing.
or more would die in the US alone in the next year.The second part of a clinical trial's test for safety
However, the precautions taken by the FDA areinvolves the long term effects of a drug. While
better than the unregulated alternative that we couldscientists can accurately predict how a drug will
be dealing with. The reason is simple safety. Whataffect the cells it is targeting, it is much more difficult
good would a drug that cured AIDS really do us if itto gauge how the drug will interact with bodily
turns out that 2 years down the line, it causessystems over a long period of time. After it is used,
massive congestive heart failure in seventy percenthow is it processed by the kidneys or liver? How
of its takers?does a medication for blood pressure affect the
That scenario is exactly what clinical trials areclotting ability of a person? How does a cholesterol
supposed to prevent. They are designed to checkblocker interfere with your glandular bodily control?
two aspects of a drug's existence: its safety and itsThese are the types of questions that can only be
efficacy. Safety seems fairly straightforward, but it isanswered through controlled testing, and that is why
much more complex than it looks at first brush. First,clinical trials exist: to make sure that the drugs we
you have to know how the drug interacts chemicallytake do what they are supposed to, and don't
with the different cells in the human body. This is theinadvertently harm us by doing it.
first stage of drug research, where scientists identify