Research Methods

Clinical Trial Phases

The sequential stages of clinical drug development: Phase 1 (safety/dosing), Phase 2 (efficacy/safety), Phase 3 (confirmatory efficacy), Phase 4 (post-marketing surveillance).

In Depth

Phase 1 trials (20–80 participants) assess safety, tolerability, pharmacokinetics, and dosing. Phase 2 trials (100–300 participants) provide preliminary efficacy data and further safety information. Phase 3 trials (300–3,000+ participants) are pivotal confirmatory trials required for FDA approval — the Epidiolex approval was based on Phase 3 RCTs. Phase 4 post-marketing studies monitor long-term safety and effectiveness in real-world populations. Most cannabinoid research is at Phase 1–2; few compounds have reached Phase 3.

Related Terms

Further Reading