Volunteer Recruitment for Clinical Studies
The Research Administration Office has devoted a section of their website to providing information to the
general public about active clinical trials, for the purpose of recruiting participants. All studies will be
listed. Please complete this form for each new study and return a word version to Danielle Doll at
dolld@upstate.edu .
PI:
CRA:
Category – Check those that apply
Addictive Behavior
Aging
Arthritis
Asthma/Allergies
Blood Disorders
Bone/Muscle/Joint Disorders
Cancer
Cholesterol
Diabetes
Diet & Obesity
Healthy Volunteers
IRB #
Hearing/Ear Disorders
Heart Disease
Hypertension
Infectious/Immune Disorders
Kidney Diseases
Liver Problems
Men’s Health
Mental Health
Movement Disorders
Neurological/NerveDisorders
Pain Management
Study/Protocol ID:
Pediatrics
Skin Disorders
Stomach/GI Disorders
Stroke
Surgical
Urology
Vaccine/Immunization
Vision
Women’s Health
Other
ClinicalTrials.gov ID:
Study Title:
Purpose:
Study Phase:
Patient Age Group:
Adults
Children
Study Status:
Active/Recruiting
Not yet recruiting
Adults and Children
Closed, protocol in use
Number of participants enrolled:
Deactivated
Study Dates:
Information for Trial Participants (Optional)
Who is eligible?(Leave blank if NCTNUM/ClinicalTrials.Gov ID is available):
Duration:
Study Location:
Provide Transportation Allowance?
Provide Parking Allowance?
Procedures/Tests:
Other:
7/10/2014
Yes
Yes
No
No