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This page will help you learn more about clinical trials in general.
Clinical research is medical research. It studies people to better understand health and disease. Clinical research helps improve the way doctors treat and prevent illness. Through clinical research, researchers learn:
The goal is to use science to improve people’s health care and health over time. The participants who join and take part in clinical research studies may or may not get any benefit for themselves.
A sponsor oversees a study and may be:
The sponsor may have another organization carry out the study on their behalf. The person leading a research study is called the principal investigator (PI). The PI is usually a medical doctor or another type of scientist. The PI typically works for the sponsor and leads a team of research staff that could include doctors, nurses, researchers, and technicians. The team of research staff may work at sites around the U.S. and other countries to carry out the research.
There are two main types of clinical research:
Both may try to learn more about an intervention, which may be a drug, behavior, or medical device. The main difference is clinical trial participants are assigned to get an intervention, but observational study participants are not assigned to get an intervention.
Clinical trials are research studies in which researchers assign participants to get one or more interventions. Then, they test what happens to the participants. Because of this, clinical trials are also called interventional studies. Often, the intervention is investigational, which means it is not approved for doctors to prescribe to people.
In some clinical trials, researchers assign participants to interventions randomly. This means that researchers assign the participants by chance. Usually, participants (or their doctors) don't choose what intervention they will get when they join a clinical trial.
Observational studies are research studies in which researchers simply collect information (called data) from participants or look at data that was already collected. The data may be about participants’ health, habits, or environments. In observational studies, researchers do not assign participants to get an intervention. If there is an intervention, participants were already using it as part of their regular health care or daily life.
Often, researchers use observational studies to look at (observe) the different ways people behave and how it affects their health. Some observational studies use patient registries. A patient registry is an organized collection of data that patients agree to give. Researchers can use a patient registry to quickly access data provided by hundreds, or thousands, of similar patients.
Compare the two types of clinical research
The image below compares clinical trials and observational studies:
Participants may or may not get any benefit from joining a clinical research study. In clinical trials, researchers often don’t know if the intervention will be helpful, harmful, or the same as regular health care.
Some people volunteer to join clinical research to:
Researchers look for people who fit a certain description, called eligibility criteria. These criteria give details on who can and cannot join a study and could include:
Researchers use eligibility criteria to keep participants safe and enroll the right participants to collect the data they need to answer the research question. There are many kinds of research studies, all with different types of eligibility criteria.
1. Before clinical research begins
Clinical research relies on people who join. People who are thinking about joining a study get information about the study to help them decide. Research staff are available to answer their questions. This process is called informed consent. It’s the main way people get study information before deciding whether or not to join a study.
Informed consent is a process that includes a document that has important information about taking part in the study, including:
Other ways people can get information about a study may include:
If someone has discussed the study with the research staff, has had their questions answered, and agrees to join the study, they sign the informed consent form. Even if they sign the informed consent, they can leave the study at any time and for any reason. If they decide to leave, they can talk to the research staff to do so safely.
2. During clinical research
Clinical research happens in many ways, depending on the type of study. Studies can take place at hospitals, clinics, research centers, universities, over the phone, or on the internet. They may take a few days, weeks, or even years.
Researchers may assign participants into different groups. This happens in studies that compare an intervention to something else. For example, researchers may:
Often in clinical trials, researchers assign participants into the groups at random (by chance). These participants may not know what group (or intervention) they have been assigned, and the staff may not know either. This is called "masking" or "blinding." This ensures that participants and research staff do not know what intervention each participant receives to help make sure the results are looked at fairly.
In other types of clinical trials, all the participants get the intervention being studied.
In most studies, participants can keep seeing their regular doctors. If needed, the research staff will work with participants’ doctors to make sure that being in the study will not cause problems. In some studies, participants may have to change or limit their usual health care, such as stopping other medicines they take.
Research staff will explain what to do if participants have health problems during the study. Usually, research staff ask participants to report health problems to them right away. Research staff include doctors and nurses who will work with participants and the participants’ regular doctors to address the problem.
A group of experts may also oversee what is happening in the study. If they have a safety concern, they contact the researchers right away.
If very serious health problems happen to participants during the study, the researchers may stop the study.
Participants can choose to leave the study at any time and for any reason, called "withdrawal." If they decide to leave, they can talk to the research staff to do so safely.
During the study, researchers collect data from participants to help answer their research question. They do this in different ways, such as:
Researchers may need to collect data from participants many times or only a few times.
Researchers analyze (study) the data they collect from participants based on the research plan to answer their research questions. Different countries have different rules about how researchers can use each type of data. The informed consent form describes what researchers plan to do with participants’ data.
All studies involve some level of risk or harm to participants. Because of this, there are people and systems in place to look out for participants’ safety.
The possible risks of taking part in clinical research include:
All clinical research involves some risk. Different kinds of studies have different amounts of risk to participants. For example, the amount of risk may be the same or different as participants’ regular health care.
In most clinical research studies, researchers use a group of experts, called an ethics review committee or Institutional Review Board (IRB), to make sure the amount of risk to participants is acceptable and as low as possible. They compare the study risks to the study benefits that participants or others in the future may receive to improve their health. For example, the IRB may decide that a clinical trial with a higher risk can proceed because the trial is testing a new drug that could help people who have no other treatment options.
Some studies that take place in the U.S. or are funded by the U.S. government must follow rules set by other U.S. agencies to help manage risk. These agencies include the Office for Human Office for Human Research Protections (OHRP) and the Food and Drug Administration (FDA). Other countries may have their own rules, agencies, or offices to help manage risk.
Many clinical trials for new drugs or medical devices move in a series of steps (called phases) to keep risk to participants as low as possible and answer different research questions. Each phase is designed to test the drug or device in as few participants as possible to answer the research question. Some clinical trials are considered more than one phase.