Middlemore Clinical Trials
Private Bag 93311 New Zealand,
+64 9 270 9758
http://www.middlemoretrials.nz
Resveratrol
Thank you for your interest in participating in a clinical trial with Middlemore Clinical Trials. This is simply a quick check to see if a study may be suitable for you. Please answer the following questionnaire and enter some information about yourself or call us on 0800 27 27 84. One of our research team will be in touch within 24 hours (weekdays only) to provide you with more details. As a health provider, we comply with the Health Information Privacy code (2020), so the information you send will be stored securely and will not be shared other than as required for trial purposes. By sending us this information you will be registered on our participant list, so that we can review your medical records, and to be contacted about future trial opportunities and relevant trial information. You will be asked to confirm you agree to this when the research team contact you. The information you provide will be retained on our database.
Please answer the following questions:
Question
Answer
Are you 18 years or older?
Yes
No
Have you been diagnosed with bronchiectasis within the last 5 years?
Yes
No
Have you had pulmonary exacerbation requiring antibiotics in the last 12 months?
Yes
No
Do I pre-qualify?
Go Back to the Study List
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