How a compound gets from the lab to the pharmacy.
Phase 1: 20–100 healthy volunteers, safety only. Phase 2: a few hundred patients – does it work at all? Phase 3: thousands of patients, compared to placebo or standard care. Only then do regulators like the EMA or FDA review the data. Phase 4 continues after approval. Of 10 candidates entering phase 1, about one makes it.
Useful: “Effective in cell cultures” means the road to the pharmacy is often still ten-plus years.
Source: en.wikipedia.org