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June 4, 2026

Expert Advice November 4, 2017 5 mins read

2017 Drug Safety Updates

Expert Advice ı By Marina Noble MD, MPH

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Marina Noble MD – Investigative Story

Consumers are often confident when taking products off the shelf, that they are not harmful, but it is not always like this. Availability of safe drug in the market is of great importance. This applies all over the world. Drug testing is incredibly important and yet complicated process. It is necessary for all products before the sale of the drug begins. Before drug testing became compulsory, many people suffered the side effects. Also, many people lost their lives as a result of harmful substances contained in new products released to the public.

What are the requirements for drug testing?

For a new product or drug to be available to the general public, it requires vast amounts of research as well as adequate testing to ensure it is safe to use. This has been set out by the Food and Drug Administration of the US, in the Federal Food, Drug and Cosmetic Act of 1938 which requires that food, cosmetics and drugs be tested for safety before making them available for human consumption or use.

The Testing Process

Any drug that we place on the market must go through a rigorous, multi-phase battery of tests. Drugs need to be tested for not only their safety but also for efficacy and ability to effectively treat the ailments they aim to treat.

Phase I

The first phase of testing takes place in the laboratory where the drugs undergo extensive studies, both chemical and animal. This gives us an idea of how the drug will work. This phase can take a number of years to complete in order to ensure the drug is safe enough for humans.

Phase II

During the second phase of testing, we test the drug on a small group of human subjects. The subjects that we test on here are all healthy, human volunteers. Once deemed safe for human use, we test the drug on a second group made up of patients with the targeted condition.

Phase III

Once the drug successfully passes through the first two testing phases, we are able to conduct more advanced clinical trials. These are also known as Phase III studies, where the drug is administered to a much larger group of patients with the targeted condition. This phase allows us to evaluate the efficacy of the drug as well as dosage requirements and the side effects, if any. If the drug passes this phase, an application is made to FDA for review. Once we have received approval from the FDA that a drug is safe as well as effective, it receives FDA approval and can now be marketed and sold to the general public.

Phase IV

We use this phase to evaluate the long-term effects of the new drug. This phase spans a much longer length of time and involves a much larger group of patients. This phase is important to continuously evaluate the drug to uncover new information about its safety, side effects and efficacy. This phase also helps to uncover how the drug works amongst various demographic groups. We also examine it to know how the drug interacts with other drugs that patients may be taking. This phase is extremely intensive and highly important for the continued production and use of the drug.

Global Operation for Protection

It is highly important that we protect consumers from drugs that have not gone through these phases and passed the rigorous testing. Recently, the FDA together with international agencies for regulation and law enforcement have taken action to shut down over 500 websites that were found to be illegally selling a variety of prescription medications that have failed to be approved by the FDA. These medications included antibiotics, opioids as well as injectable epinephrine.

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Marina Noble MD, MPH
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Marina Noble MD, MPH

Marina Noble, MD, MPH is an expert in drug safety and testing and an advocate for public health. Dr. Noble was awarded the U.S. Congress’s Freedom Support Act Graduate Fellowship. Initially an OB/GYN in Armenia, she began public service with MSF (Doctors Without Borders), educating women about reproductive health, STIs and HIV/AIDS. Dr. Noble received her MPH at the Boston University School of Public Health and has since focused on safety of medicines.

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