Side effects are carefully assessed and recorded. Patients are also observed closely for anticancer effects by repeated measurement of the cancer sites present at the beginning of the trial. If those sites shrink appreciably, the patient is said to have responded to the treatment. Phase I treatments may produce anticancer effects and some patients have been helped by them. • Phase II These studies determine the effect of a research treatment on various types of cancer. Usually, groups of 30 to 40 patients with one type of cancer—breast cancer that has become resistant to standard therapy, for example—receive a Phase II treatment. Side effects are assessed and, since more people receive the treatment than in Phase I, there is more chance to observe less common side effects. Patients are closely observed for anticancer effects, and response rates are determined. If at least one-fifth of the patients respond, the treatment is judged to be active against the tumor type. A treatment that shows activity against cancer in this phase moves to Phase III. • Phase III Trials in this phase require large numbers of patients—some trials enroll thousands—who are divided into groups. One group, called the "control" group, may receive the standard accepted treatment so the new treatment can be directly compared to it. The control group may receive the chemotherapy usually given for a certain type of cancer, for example, while another group receives the new treatment to see if it improves survival. All patients in Phase III trials are monitored closely for side effects, and treatment is discontinued if the side effects are too severe.