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- • Phase I About 20 human patients are treated with the same drug. There is no assurance or certainty that a
- significant tumor response will occur, although, again, every single anticancer drug now useful in therapy was
- initially a Phase I agent.
- Patients selected for these trials are almost always in cancer research centers and have already received all
- known effective anticancer therapy. After the proposed treatment is explained to them, they may volunteer to
- receive the new treatment. There is, therefore, no moral objection to giving this new treatment. Since there is
- "nothing to lose," it is hoped that a specific new agent may in fact prove effective.
- This phase is completed when no unusual problems or toxic effects have been found and the dose necessary
- to produce a biologic effect has been determined. The study can then move to the next phase.
- • Phase II Ten to 20 patients are treated, each with various types of tumors known to be responsive to
- chemotherapy . These might include lymphomas, breast cancer or colon cancer. Since these tumor types are
- known to be responsive, the patients will be those who have already received all standard forms of therapy
- that seem reasonable. The use of a Phase II trial does not deprive anyone of any therapy known to be effective.
- If a significant number of patients with each type of tumor respond to the therapy, the trial moves to the next
- level.
- • Phase III In this phase the new therapy is compared with standard treatment to see if there is an improvement
- in the response or if the same response rate is achieved but with less-toxic side effects.