DSG Study ID: 573050
Disease Site Group
Please select the Disease Site Group that should evaluate this study for 1st stage review of scientific merit, feasibility, and potential competition. More information related to JCCC DSG review can be found here.
Principal Investigator Name
Principal Investigator Email Address
System-generated emails relevant to DSG review will be sent to PI email address exactly as provided.
Name of Regulatory Support Person or Project Manager for Start-Up Anyone who should receive DSG review information regarding this study.
Email Address of Regulatory Support Person or Project Manager for Start-Up
System-generated emails relevant to DSG review will be sent to Regulatory Support email address exactly as provided. Separate multiple emails with commas, not semicolons.
Sponsor Name If more than one sponsor, list primary sponsor only.
Sponsor Protocol ID The ID entered here will be used to identify this study in all DSG correspondence and in the DSMB/ISPRC application. List a number or phrase that will help you identify this study. If the study has a sponsor-assigned protocol ID, it must be entered here. ID entered here should be 15 characters or less.
Study Title If a study title is not available, you may repeat the sponsor protocol ID in this field.