Before a vaccine is approved, it must undergo a clinical study to determine its safety and effectiveness. Preclinical testing that may comprise high throughput screening and choosing the best antigen to elicit an immune response is the first step in identifying a vaccine candidate medication. Depending on how long it takes for the patients to respond to the vaccination and produce the necessary antibodies, some vaccine studies may take months or years to complete. The vaccine candidate is introduced in the Phase I research in order to evaluate its safety in healthy individuals. In a vaccine Phase I study, healthy volunteers who are in good health are treated with either the candidate vaccine or a "control" therapy, usually a placebo, an adjuvant-containing cocktail, or an existing vaccination. The main goal of the observation is to look for signs of an immune response and safety (lack of an adverse event). The passage from Phase I to Phase II is dependent on the immunogenic and toxicological findings in a small cohort of healthy volunteers. A larger number of healthy volunteers from the vaccination target demographic (hundreds of people) will make up Phase II in order to assess responses in a wider range of persons and test various schedules.
Similarly. Phase III studies keep a much closer eye on SAEs, immunogenicity, and toxicity. Before being submitted for approval and subsequently put into mass manufacturing, the vaccine must be proven to be secure and effective under conditions of a real disease. The Food and Drug Administration (FDA) is in charge of authorising vaccinations in the US. After a vaccine is approved and commercialised, phase IV trials are often used as monitoring phases to gather data continually on vaccination consumption, side effects, and long-term protection.
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