AQA · GCSE · Combined Science

    Course version: 8464 · Version from Sept 2018

    Clinical trials use healthy volunteers and patients.

    Full specification wording

    Discovery and development of drugs: Clinical trials use healthy volunteers and patients.

    Clinical trials happen after preclinical testing and involve people.

    Checked against the AQA 8464 specification (opens in a new tab) on .

    • Point 10 of 13

    Study notes

    From the checked teaching notes for this specification point.

    The idea

    Clinical trials happen after preclinical testing and involve people. Healthy volunteers are used first, usually in small numbers, to check that the drug is safe and to find out how the body handles it, including any side effects. If the drug seems safe, patients who have the illness are then given it to see whether it actually treats the condition. Some patients may receive a placebo so results can be compared, and trials are often blind or double-blind to reduce bias. The dose is also checked so that the benefits outweigh the risks. This stage is essential because effects in animals do not always match effects in humans, so clinical trials provide evidence that a treatment is safe and effective before it is approved for general use.

    What earns the marks

    • Clinical trials take place after preclinical testing and involve human participants.
    • Healthy volunteers are used first to test safety, side effects and how the body processes the drug.
    • Patients with the illness are then used to test whether the drug actually works as a treatment.
    • Control groups, placebos and blind or double-blind methods may be used to make results valid and reduce bias.
    • Trials help establish a suitable dose and show whether benefits outweigh risks.
    • Clinical trials are needed because animal results do not always predict human responses.

    Common mistakes and how to put them right

    • Saying patients are always tested before healthy volunteers.

      Put it right by stating healthy volunteers come first to check safety.

    • Thinking a placebo is a real medicine.

      Put it right by explaining a placebo contains no active drug and is used for comparison.

    • Assuming clinical trials prove a drug works for everyone.

      Put it right by noting trials provide evidence of safety and effectiveness for a defined group, with possible side effects.

    Exam tips

    • Distinguish clearly between healthy volunteers, used for safety, and patients, used to test effectiveness.
    • Mention placebos or blind trials when asked how bias is reduced, but do not invent exact numbers of participants.
    • Use the order preclinical testing, then clinical trials, then approval when describing drug development.

    Try the lesson

    The start of the Discovery and development of drugs: Clinical trials use healthy volunteers and patients. lesson, made from checked teaching notes for this specification point.

    Have a go first

    Who takes part in clinical trials of a new drug?

    Listen

    Clinical trials happen after preclinical testing and involve people. Healthy volunteers are used first, usually in small numbers, to check that the drug is safe and to find out how the body handles it, including any side effects. If the drug seems safe, patients who have the illness are then given it to see whether it actually treats the condition. Some patients may receive a placebo so results can be compared, and trials are often blind or double-blind to reduce bias. The dose is also checked so that the benefits outweigh the risks. This stage is essential because effects in animals do not always match effects in humans, so clinical trials provide evidence that a treatment is safe and effective before it is approved for general use. A strong answer earns marks for these points. Clinical trials take place after preclinical testing and involve human participants. Healthy volunteers are used first to test safety, side effects and how the body processes the drug. Patients with the illness are then used to test whether the drug actually works as a treatment. Control groups, placebos and blind or double-blind methods may be used to make results valid and reduce bias. A common slip: Saying patients are always tested before healthy volunteers. Instead, stating healthy volunteers come first to check safety. Exam tip: Distinguish clearly between healthy volunteers, used for safety, and patients, used to test effectiveness.

    See it

    A top-down flowchart. Preclinical testing leads to clinical trials. Clinical trials lead to healthy volunteers first, which leads to checking safety, side effects and how the body handles the drug. This leads to patients with the illness, but only if the drug seems safe. The patients stage leads to seeing whether the drug treats the condition. This leads to using a placebo and blind or double-blind methods to reduce bias. This leads to checking the dose so benefits outweigh risks. This leads to evidence that the treatment is safe and effective before approval.
    It shows the order of drug testing, from preclinical testing through clinical trials with healthy volunteers first and then patients, up to evidence for approval.

    Label the diagram

    Some boxes have lost their names. Pick the right name for each number.

    The diagram again, with 3 boxes numbered instead of named. A top-down flowchart. Preclinical testing leads to clinical trials. Clinical trials lead to healthy volunteers first, which leads to checking safety, side effects and how the body handles the drug. This leads to patients with the illness, but only if the drug seems safe. The patients stage leads to seeing whether the drug treats the condition. This leads to using a placebo and blind or double-blind methods to reduce bias. This leads to checking the dose so benefits outweigh risks. This leads to evidence that the treatment is safe and effective before approval.
    • 1Box 1

    • 2Box 2

    • 3Box 3

    0 of 3 labelled

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