About clinical trials
What are clinical trials and what does it mean to take part in one?
- Introduction
- What
- How
- Why
What are clinical trials?
- Clinical trials allow us to learn more about the effects of an investigational drug in people, but only after it has gone through extensive testing in the laboratory
- Joining a clinical trial means you can be part of helping medical advancement. This is vital in the development of potential new treatments
- All drugs must be tested in clinical trials (also known as clinical research studies) before they can be approved and made available for use
- Without people like you willing to volunteer their time for medical research, it would not be possible to evaluate investigational drugs for medical conditions. Clinical trial volunteers are vital to making the difference in medical advances
- Most clinical trials use an investigational drug and also a placebo to test the effects of the investigational drug. To get more accurate results participants will not know which they will be getting. Find out more below
What is a placebo?
A placebo looks exactly like the investigational drug but does not contain any active drug ingredient. Both look the same and are taken in the same way.
In some clinical trials it is given to a group of people instead of the active (real) investigational drug. These are called placebo controlled clinical trials and participants do not know whether they are taking the investigational drug or the placebo. This helps scientists to measure any effects, and make sure that they are due to the investigational drug and not something else.

How are clinical trials staged?
Phase 1
20-80 participants
This is the first time an investigational drug will be tested in people and will usually involve a small group of healthy volunteers (around 20-80 people). Safety tests will be the primary aim of this phase.

How are clinical trials staged?
Phase 2
100-300 participants
Having been tested in Phase 1 on healthy volunteers, Phase 2 will test how safe and potentially effective an investigational drug is for people with the relevant condition and begin to establish dosing levels. To ensure the results are assessed objectively, it will generally be tested against a placebo. It usually involves 100-300 participants who have the condition.

How are clinical trials staged?
Phase 3
1000-3000 participants
If Phase 2 shows that the investigational drug has encouraging results in a small group of people it moves to Phase 3. Phase 3 expands the patient numbers. These clinical trials usually involve 1000-3000 participants and are essential for testing the safety and effectiveness of an investigational drug. It may also investigate how it compares to any existing standard of care, suitable dosing levels and any side effect issues.

How are clinical trials staged?
Phase 4
These involve use of the drug in the ‘real world’, rather than the closely controlled conditions of Phase 1-3 clinical trials, after the drug has been approved, to evaluate its long-term effects.
- Phase 1
- Phase 2
- Phase 3
- Phase 4
Note: This information is about clinical trials in general – it is not specific to AFFINITY, but AFFINITY does follow these steps as all clinical trials are closely regulated.
The safety of participants is always the first priority of any clinical study.
Why take part in a clinical trial?
All eligible clinical trial participants will receive:

Study drug (investigational drug or placebo)
All eligible clinical trial participants may receive:

Trial-related care i.e. more health-related monitoring and assessments while in the study and consultation with a study doctor
All eligible clinical trial participants will receive:

Trial-related visits and health assessments

Taking part is completely voluntary and you can decide to leave at any time.
You may experience unwanted side effects. These are listed in full in the informed consent form, although we can never predict them all.

By taking part you could be helping provide future MS patients with potential new treatment options