Investigator Registration Form / Investigator Initiated Clinical Trial Request
 

Nitric Bio Therapeutics is actively seeking qualified investigators and research sites to conduct clinical research trials.   If you are an experienced investigator, interested in conducting clinical research trials or have an investigator initiated trial project you would like considered, you may fill out and submit the automated investigator registration form (IRF) below, which will automatically enter your information into our investigator database, and prompt a call from a Nitric Bio representative.

 

Information such as your medical specialty, subspecialty, study type and diseases of interest, is critical to Nitric Bio when we are in the process of recruiting investigators for new and ongoing clinical trials.  Further, it helps ensure you are only contacted for trials in which you have an interest.

 

If you prefer not to submit an online IRF form, you may manually send in a copy of Investigator Registration Form (Adobe Acrobat) to 215-788-6345.

 

You may also use this form to update your information already in our investigator database by simply contacting us.

Study Site:   Principal Investigator:    Title:

Institution or Organization:    Center Type: 

Address: 

City:    State:   Zip:    Country

Telephone Number:    Alternate Number:    Fax Number

Email Address:    Contact Preference: 

Specialty:    Sub-Specialties: 

What area of research are you interested in? 

What Type of Trials Are You Interested In? 

Number of clinical trials undertaken in the last 5 years? 

Current or previous involvement in key clinical trials? 

Number of Publications? 

Experienced with investigator initiated or multi-center studies? 

Catchment area (Population x 1000): 

 

Please Fax a copy of your CV to 215-788-6345 or email a copy to info@nitricbio.com

 

Thank you for your information and we look forward to speaking with you.