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Drug R&D Process Overview (cont'd)

The Research & Development (or Drug) Pipeline

Figure 1: Drug Pipeline Chart

Discovery Synthesis, isolation, chemical and physical characterization
Biological Testing Initial screening for potential activity, toxicity, and stability
Preclinical or Animal Testing Extensive series of laboratory and animal studies to evaluate safety and biological activity against the targeted disease.
IND Filing A document seeking approval from the FDA to begin clinical trials on human subjects
Clinical Trials Phase I: Studies on 20-80 healthy volunteers to determine safe dosage ranges, absorption, and metabolism.

Phase II: Studies to evaluate efficacy and adverse effects in 100-300 volunteers with the targeted disease.

Phase III: Studies to evaluate efficacy and long term adverse effects in 1,000-3,000 volunteers with the targeted disease.
Preregistration/ NDA Filing A document seeking approval from the FDA to market the product. Often 100,000 pages or more consisting of research findings and other scientific information.
Registration/ Approval The FDA approves a drug for marketing for interstate sales for specific dosage forms and indications.
Post-Marketing Reports to the FDA of any adverse reactions or quality control issues. The FDA may also require Phase IV studies. Possible patent extensions, product recalls or withdrawal from market.

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