Stable isotope labeled (SIL) drug methods are compared with standard m
ethods for performing early (phases I and IIa) drug development studie
s (mass balance, bioavailability, single-dose volunteer and patient, m
ultiple-dose volunteer and patient). Sn methods offer considerable red
uction in the cost (>50%) and number of subjects (67%) required for bi
oavailability and multiple-dose patient studies. Moreover, a complete
early drug development program is described for optimally combining SI
L and standard studies, which can reduce cost by 23% and number of sub
jects by 36% compared with a program using standard methods. These red
uctions should result in development time savings of at least one year
.