BIOMEDICAL RESEARCH METHODS What are biomedical research methods? An integrated approach using ___________________________________________, in vitro tests, whole animal studies and human epidemiological studies and ______________________ is currently the best approach to advance science, ____________________________________, and treat, cure and prevent disease Breaking it down… Chemical, mechanical, mathematical and computer simulations__________________________ in the preliminary stages of research where they can ___________________________________ These are effective research models but they _________________________________________ Computer simulations are an effective research tool because____________________________ ___________________________________________________________. In vitro tests (meaning “in glass”) are __________________________________using tissues or cells. These tests are most useful during _______________________________________ to study a single effect of a substance in isolation. An example of a limitation to in vitro studies would be _________________________________ ____________________________________________________________. In vitro studies are critical to the study of ____________________________________________ _______________________________. Non-human animal models ___________________________________________ on the functioning of a living system, and ____________________________________________ of how humans will react to a new drug or medical procedure. Animals provide ______________________________________________ for humans in the lab Animals share the ________________________________(cells, tissues, organs) as humans People with concerns about animals in research ______________________________________ _____________________________. Human studies _______________________________________________________________ and evaluating them in carefully staged _______________________________ using informed human volunteers. When humans are used in biomedical research studies, ________________________________ 3 Main Phases of Human Clinical Trials In Phase I clinical trials, ________________________________________________, including how it is ___________________________________________________________________ and the likely therapeutic effect. This phase involves a small number of _____________________ and takes approximately one year. Phase II trials ____________________________ that help determine a drug’s effectiveness. These studies involve ___________________________________. Simultaneous animal and human tests ____________________________________________________ as researchers continue to assess the safety of the drug. This phase takes approximately _______________. Phase III are conducted to __________________________________ and further identify any adverse reactions. Clinical testing at this point is extensive, involving__________________ in medical clinics and hospitals. This phase takes ____________________________________. After human clinical trials are completed, firms _________________________________ with the FDA. The NDA is a ______________________________________ on drug structure, the scientific rationale and ____________________________________, pre-clinical animal and other _________________________________, all h from human clinical testing results, drug formulation and production details and _____________________________________. This takes approximately ____________________________. Currently, it takes ____________________________________ from initiation of animal and other laboratory studies through all phases of clinical trials and ________________________ __________________. For each new medicine approved, the cost is ____________________ ___________________________. Epidemiological studies ____________________________________________. These studies look at ________________________________________ May be divided into three general types: __________________________________________ Experimental epidemiology is the _______________________________________providing or withholding a substance to determine its _______________________________. Such studies are greatly limited ____________________________________________ as well as the difficulties involved in _____________________________________________________ . Descriptive epidemiology __________________________________________________ or other conditions in various populations, _________________________________________________. Observational epidemiology uses ______________________________________________. Are Data are evaluated statistically to determine _________________________________ between a particular variable and disease. Strengths: Epidemiological studies offer _______________________________ to study the effects in humans _________________________________________________________. These studies are also useful in ______________________________ in disease or injury distribution. These patterns may be _____________________________________. Limitations: A major disadvantage of epidemiological studies is __________________________ ____________________________before a toxic effect is detectable, ______________________ like cancer that take many years t develop.