Posting study information on the DBSA
web site is free and is meant to serve as a resource. Posting study information does not imply any endorsement
by DBSA of the study, the treatment(s) it
is studying, its sponsors, or funders. Patients are encouraged to speak to
their doctors before making any decisions about participating in research .
Please submit the form below after reviewing our site. Once viewed and
accepted, information will typically be placed on the site within five business
days and will be posted until the deadline for enrollment. If study information needs to be removed before the
deadline, please submit request in writing. Information will be removed within
five business days. If you have any additional questions please contact webmaster@dbsalliance.org .
You may also submit your study free of charge for posting on We Search Together , a searchable database that connects qualified study participants to your mood disorder study.
* 1.
Question - Required -
Date of Trial Submission:
Please provide the following contact information for the person submitting this trial posting:
* 2.
Question - Required -
Name:
* 3.
Question - Required -
Title:
* 4.
Question - Required -
Organization:
5.
Question - Not Required -
Street Address:
6.
Question - Not Required -
Street Address (2nd line):
7.
Question - Not Required -
City:
8.
Question - Not Required -
State/Province:
9.
Question - Not Required -
Zip/Postal Code:
10.
Question - Not Required -
Country:
* 11.
Question - Required -
Daytime Phone:
12.
Question - Not Required -
FAX:
* 13.
Question - Required -
Email:
Please provide the following information regarding this trial:
* 14.
Question - Required -
Trial Name:
(Maximum response 255 chars, approx. 5 rows of text)
* 15.
Question - Required -
Trial Sponsor:
(Maximum response 255 chars, approx. 5 rows of text)
* 16.
Question - Required -
Funder(s) of Trial:
(Maximum response 255 chars, approx. 5 rows of text)
* 17.
Question - Required -
Contact person for enrolling in or for
information on trial:
* 18.
Question - Required -
Contact Phone:
* 19.
Question - Required -
Contact Email:
20.
Question - Not Required -
City/State the trial will take place
(Maximum response 255 chars, approx. 5 rows of text)
21.
Question - Not Required -
Trial Web Information:
* 22.
Question - Required -
Deadline for Enrollment:
* 23.
Question - Required -
Trial Enrollment Closing Date (date
announcement will be removed from site):
* 24.
Question - Required -
Please provide a brief description in the
space below.
* 25.
Question - Required -
Would participants be restricted from receiving any other treatments while participating in the study? If yes, please describe.
(Maximum response 255 chars, approx. 5 rows of text)
* 26.
Question - Required -
Would some participants be assigned to a placebo or no-treatment group? If yes, please describe the chance of receiving placebo/no-treatment and how long that would last?
(Maximum response 255 chars, approx. 5 rows of text)
* 27.
Question - Required -
Please indicate illness that trial relates to:
Depression Bipolar Disorder Other Studies
* 28.
Question - Required -
What institutional review board or ethics committee reviewed and approved this study?
(Maximum response 255 chars, approx. 5 rows of text)
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