| Sponsor Information The sponsoring organization is the entity with primary responsibility for initiating and conducting the trial(s) to be registered.
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| Registering IND/IDE Trials? |
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| Type
of Organization: |
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| Country: |
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| Organization Name: |
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| Organization Address: |
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| Organization
Abbreviations and Acronyms: |
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Parent
Organizations, if any: |
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| Official
Representative: |
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| Phone: |
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| Email: |
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| Organization
URL (optional): |
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| Funding Organization: |
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| Investigator Information |
| Investigator
Name: |
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| Affiliation
(if not the sponsor): |
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| Investigator
Phone: |
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| Investigator
Email: |
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Regulatory Information: The regulatory authority may be a national or international health authority,
an institutional review board or an ethics committee.
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| Regulatory Authority: |
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| Regulatory Authority Address: |
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| To the best of my knowledge, the above
information is true and correct. Questions about this form and the
Protocol Registration System (PRS) may be sent to register@ClinicalTrials.gov.
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