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Therapeutic Area Data Collection Form
Please complete the form by providing site information and selecting conditions related to each therapeutic area.
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Location
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Primary PI
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Allergy
Asthma
Biospecimen Collection
Birch Allergies
Cat Allergies
Cow’s Milk Allergies
Dust Mite Allergies
Eye Allergies
Food Allergies
Grass Allergies
Infant Allergy Studies
Nasal Spray Seasonal Allergic Rhinitis
Observational Allergy Studies
Peanut Allergies
Pediatric Allergy Studies
Penicillin Allergies
Perennial Allergic Rhinitis (PAR)
Pollen Allergies
Ragweed Allergies
Rhinoconjunctivitis
Seasonal Allergic Rhinitis (SAR)
Cardiology
Acute Coronary Syndrome
Acute Myocardial Infarction (AMI)
Aneurysms (cardiac)
Angina Pectoris
Anticoagulation
Aortic Valve Stenosis
Arrhythmia
Artherosclerotic Cardiovascular Diseases (ASCVD)
Atrial Fibrillation
Cardiac Catheterization
Cardiac Ischemia
Cardiomyopathies
Cardiovascular Device
Cardiovascular Disease (CVD)
Cholesterol
Chronic Thromboembolic Pulmonary Hypertension (CTEPH)
Congestive Heart Failure (CHF)
Coronary Artery Disease (CAD)
Coronary Devices
Critical Limb Ischemia
Dysrhythmias
Heart Disorders (other)
Heart Failure
Hypertension
Hypercholesterolemia
Hypertriglyceridemia
Infections (CV)
Myocardial Infarction
Neoplasms (CV)
Paroxysmal Supraventricular Tachycardia (PSVT)
Peripheral Artery Disease
Shock-pace makers/defib
Syncope
Tachycardia
Thrombus
Transplants (organs)
Valvular Heart Disease
Vascular Disease
Venous Thromboembolism (VTE)
Dermatology
Acne
Actinic Keratosis
Alopecia
Atopic Dermatitis
Bacterial Infections
Bullous Pemphigoid
Burns
Cellulite
Chronic Spontaneous Urticaria
Complicated Skin Structure Infection
Contact Dermatitis
Dermatomyositis
Facial Filler
Fungal Infections
Hair Disorders
Hidradenitis Suppurativa
Hypohidrotic Ectodermal Dysplasia
Ichthyosis
Impetigo
Lacerations
Molluscum Contagiosum
Notalgia Paresthetica
Onychomycosis
Palmoplantar Pustulosis
Pediculosis Capitis (Head Lice)
Plaque Psoriasis
Prurigo Nodularis
Pruritus
Psoriasis
Rosacea
Scabies
Scleroderma
Seborrheic Dermatitis
Skin & Soft Tissue Disorders
Skin & Soft Tissue Infections
Skin Ulcers
Solar Urticaria
Surgical Wound Healing
Sutures
Tinea Pedis
Urticaria
Venous Leg Ulcers
Viral Infections
Vitiligo
Wrinkles
Other
Endocrinology/Metabolic Systems
Acromegaly
Congenital Adrenal Hyperplasia
Cushing Syndrome
Diabetes Complications
Diabetic Foot Ulcers
Diabetes Mellitus Type 1
Diabetes Mellitus Type 2
Diabetic Nephropathy
Diabetic Peripheral Neuropathy (DPN)
Endocrine/Metabolic Syndrome
Endocrine/Metabolic Neoplasms
Growth Disorders
Hyperlipidemia
Hyperplasia
Hypertriglyceridemia
Hypertriglyceridemia and Atherosclerotic CV
Hypoglycemia
Hypogonadism
Hypoparathyroidism
Lipid Disorders
Nonalcoholic Steatohepatitis (NASH)
Obesity
Diabetic Peripheral Neuropathy
Thyroid Disorders
Triglycerides
Weight Loss
Other
Gastroenterology/Hepatology
Bowel Cleansing Treatments
Carcinoid Syndrome
Celiac Disease
Chronic Idiopathic Constipation (CIC)
Cirrhosis
Clostridium Difficile (C. diff)
Colon Cleansing
Colonoscopy
Crohn's Disease
Diarrhea
Esophagitis
Gall Bladder Disorders
Gastroenteritis
Gastroesophageal Reflux Disease (GERD)
Gastroparesis
GI Hemorrhage
GI Infections
GI Neoplasms
GI Ulcers
H. pylori (Helicobacter pylori)
Inflammatory Bowel Disease (IBD)
Irritable Bowel Syndrome (IBS)
Liver Disorders
Malabsorption
Nonalcoholic Fatty Liver Disease (NAFLD)
Nonalcoholic Steatohepatitis (NASH)
Non-Erosive Reflux Disease
Opioid Induced Bowel Dysfunction
Pancreatic Disorders
Pediatric Chronic Idiopathic Constipation (CIC)
Pediatric Crohn's Disease
Pediatric Ulcerative Colitis
Primary Biliary Cholangitis (PBC)
Progressive Familial Intrahepatic Cholestasis (PFIC)
Short Bowel Syndrome (SBS)
Stomach Disorders
Ulcerative Colitis
Other
Hematology
Alagille Syndrome (ALGS)
Amyloidosis
Anemia
Coagulation Defects
Congenital Afibrinogenaemia
Factor Xa Inhibitor
Gaucher Disease
Hematological Infections
Hematological Neoplasms
Hemoglobin
Hemophilia
Immune (Idiopathic) Thrombocytopenic Purpura (ITP)
Iron Deficiency Anemia (IDA)
Myelofibrosis
Nephropathy
Paroxysmal Nocturnal Hemoglobinuria (PNH)
Platelet Disorders
Polycythemia Vera
RBC Disorders
Sickle Cell Disease
Thrombocytopenia
Venous Thromboembolism
WBC Disorders
Other
Immunology
Autoimmune Diseases
Chronic Fatigue Syndrome
Chronic Rhinosinusitis
Graft-Versus Host Disease
Growth Disorders
Immune Infections
Immune Neoplasms
Immunodeficiency
Immunosuppression
Immunotherapy
Lupus
Mastocytosis
Primary Immune Deficiency Disorder
Psoriasis
Systemic Lupus Erythematosus (SLE)
Urticaria
Other
Infectious Disease
Acute Flu
AIDS
Bacterial
Body Myositis
Chlamydia
Clostridium Difficile (C-diff)
Community Acquired Pneumonia
Coronavirus (COVID-19)
Cytomegalovirus
E. Coli
Gonorrhea
Hepatitis
Herpes Simplex Labialis (Cold Sore)
Herpes Simplex-2
HIV
Hospital Acquired Pneumonia
Human Papilloma Virus (HPV)
Influenza
Lyme Disease
Monkeypox
Oropharyngeal Candidiasis
Pneumonia
Respiratory Syncytial Virus (RSV)
Scabies
Shingles
Staph infection
Streptococcus
Syphilis
Viral Infections
Other
Nephrology
Acute Kidney Injury (AKI)
Autosomal Dominant Polycystic Kidney Disease
Chronic Kidney Disease
Complement-Mediated Glomerular Disease
Diabetic Kidney Disease
Diabetic Nephropathy
End Stage Renal Disease
Focal Segmental Glomerulosclerosis (FSGS)
Hyperkalemia
IgA Nephropathy
Immunoglobulin A Nephropathy
Kidney Disease
Kidney Failure
Lupus Nephritis
Renal Failure
Systemic Lupus Erthrymatosus (SLE)
Wilson’s Disease
Neurology
Adolescent Migraine
Alzheimer's
Analgesia
Angelman Syndrome
Brain Aneurysm
Brain Disorders
Brain Injuries
Cerebral Palsy
Chronic Inflammatory Demyelinating Polyneuropathy
Concussions
Dementia
Epilepsy
Focal Onset Epilepsy
Essential Tremors
Restless Leg Syndrome
Headaches
Inflammatory Diseases
Migraine Headaches
Mild Cognitive Impairment
Multiple Sclerosis
Multiple Sclerosis Spasticity
Relapsing MS
Myotonic Dystrophy
Myasthenia Gravis
Neuropathy
Post Herpetic Neuralgia
Parkinson's Disease
Seizures
Spinal Cord Injuries
Stroke
Stroke - Acute Ischemic
Tardive Dyskinesia
Tourette's
Other
Oncology
Acute Myelogenous Leukemia
Acute Myeloid Leukemia
Advanced Solid Tumor
AITL
B Cell Lymphoma
Basal Cell Carcinoma
Bladder Cancer
Brain Cancer
Breast Cancer
Cancer Collection
Cancer Screening
Carcinoma
Cervical Cancer
Chronic Lymphocytic Leukemia
Colon Cancer
Colorectal Cancer
Cutaneous Squamous Cell Carcinoma (CSCC)
Diffuse Large B Cell Lymphoma
Effects of Chemotherapy
Esophageal Cancer
Essential Thrombocythemia
Gastric Cancer
Glioblastoma
Glioma
Head and Neck Cancer
Hemophagocytic Lymphohistiocytosis
Hepatocellular Carcinoma
Leukemia
Lung Cancer
Lymphoma
Malignant Melanoma
Melanoma
Multiple Myeloma
Myelodysplastic Syndromes (MDS)
Non-Hodgkin’s Lymphoma
Non-Muscle Invasive Bladder Cancer
Ovarian Cancer
Pancreatic Cancer
Prostate Cancer
Renal Cancer
Solid Tumors
Squamous Cell Carcinoma
Urothelial Carcinoma
Ophthalmology
Age Related Macular Degeneration (AMD)
Blepharitis
Cataracts
Diabetic Macular Edema
Diabetic Retinopathy
Dry Eye
Macular Degeneration
Eye Allergies
Eye Infections
Eye Neoplasms
Glaucoma
Meibomian Gland Dysfunction (MGD)
Neurotrophic Keratitis
Ocular Hypertension
Post-Operative Chronic Ocular Surface Pain (COSP)
Presbyopia
Refractive Error
Retinal Degeneration
Retinal Dystrophy
Retinal Imaging
Uveitis
Visual Acuity
Wet Macular Degeneration
Other
Podiatry
Ankle Sprain
Athlete's Foot (Tinea Pedis)
Bunion
Bunionectomy
Diabetic Foot Infection
Diabetic Foot Osteomyelitis
Diabetic Foot Ulcers
Onychomycosis
Plantar Fasciitis
Plantar Fibromatosis
Symptomatic Neuroma
Venous Leg Ulcers
Warts
Pain & Orthopedics
Abdominal Pain
Adolescent Migraine
Acute Pain
Acute Post-Operative Pain
Analgesia
Ankle Sprain
Anesthesia Post-Op Management
Bone Disorders
Carpal Tunnel Syndrome
Chronic Lower Back Pain
Chronic Pain
Collagen Disease
Complex Regional Pain Syndrome
Degenerative Disc Disease
Fibromyalgia
Hernia
Hyperuricemia
Joint Infection
Knee Pain
Limb Pain
Lower Limb Ischemic
Lumbosacral Radicular Pain
Migraine Headaches
Musculoskeletal Infections
Neuropathic Pain
Osteoarthritis
Osteomyelitis
Pain Syndromes
Pediatric Pain Syndromes
Post Herpetic Neuralgia (PHN)
Post-Operative Pain
Psoriatic Arthritis (PA)
Radiculopathy
Sjogren's Syndrome
Sports Injury/surgery
Sprain/Strain
Surgical Wound Healing
Systemic Sclerosis
Tendonitis
Tennis Elbow (lateral epicondylitis)
Total Hip Replacements
Total Knee Replacements
Other
Psychiatry/Psychology
Adolescent ADHD
Adult ADHD
Alcohol Dependence/Alcohol Use Disorder
Anxiety Disorders
Autism
Binge Eating Disorder
Bipolar Disorder
Borderline Personality Disorder
Depression
Major Depressive Disorder (MDD)
Mental Disorders
Mild Cognitive Impairment (MCI)
Mood Disorders
Obsessive-Compulsive Disorder (OCD)
Opioid Use Disorder
Panic Disorder
Pediatric ADHD
Pediatric Bipolar Depression
Pediatric Major Depressive Disorder (MDD)
Pediatric Schizophrenia or Bipolar Disorder
Post-Traumatic Stress Disorder (PTSD)
Psychosis
Schizophrenia
Smoking Cessation
Somatoform & Dissociative Disorder
Social Anxiety Disorder (SAD)
Stress
Substance Abuse/Addiction/Dependence
Suicidal Ideation
Treatment-Resistant Depression (TRD)
Other
Pulmonology/Respiratory
Acute Bronchospasm
Acute Respiratory Distress Syndrome (ARDS)
Adolescent Asthma
Asthma
Bronchiectasis
Bronchitis
Chronic Cough
Chronic Obstructive Pulmonary Disease (COPD)
Cystic Fibrosis
Emphysema
Eosinophilic Asthma
Idiopathic Pulmonary Fibrosis (IPF)
Laryngitis
Non-Cystic Fibrosis Bronchiectasis
Nontuberculous Mycobacteria (NTM)
Pediatric Asthma
Pneumonia
Pulmonary Arterial Hypertension
Pulmonary Fibrosis
Pulmonary Hypertension
Pulmonary Sarcoidosis
Respiratory Infections
Refractory Chronic Cough
Respiratory Syncytial Virus (RSV)
Respiratory Tract Infection
Rhinitis
Sarcoid-Associated Pulmonary Hypertension (SAPH)
Sinusitis
Tonsilitis
Other
Rheumatology
Adhesive Capsulitis (Frozen Shoulder)
Ankylosing Spondylitis
Arthritis
Axial Spondyloarthritis
Cutaneous Lupus Erythematous
Fibromyalgia
Gout
Lupus
Myasthenia Gravis
Osteoarthritis
Rheumatoid Arthritis
Sjogren's Syndrome
Spondyloarthritis
Systemic Lupus Erythematosus (SLE)
Sleep Medicine
Daytime Sleepiness
Hypersomnia
Idiopathic Hypersomnia
Insomnia
Narcolepsy
Nocturnal Leg Cramps
Restless Leg Syndrome (RLS)
Sleep Headband
Sleep Apnea
Snoring
Urology
Benign Prostate Hyperplasia
Bladder Disorders
Bladder Pain
Calculi
Complicated UTI
Hyperoxaluria
Interstitial Cystitis Syndrome
Neoplasms (Male)
Overactive Bladder
Renal Failure
Renal Insufficiency
Sexual Disorders
Sexual Dysfunction (Male)
Testicular Disorders
Urinary Incontinence
Urinary System Infections
Urinary System Neoplasms
Other
Vaccines
COVID-19 Adult
COVID-19 Pediatric
E. Coli
Epstein Barr Virus
Meningitis
Influenza
Norovirus
Pneumonia
RSV
RNA Flu Vaccine
Streptococcus
Viral Infections
Women’s Health
Anemia
Bone Density
Complicated UTI
Contraception
Dysmenorrhea
Dyspareunia
Endometriosis
Fibrocystic Breast Pain
Hormone Replacement
Infections (Female)
Menopause
Menstrual Problems
Neoplasms (Female)
Osteoporosis
Ovarian Disorders
Pituitary Disorders
Pelvic Organ Prolapse
Perimenopausal Depression
Postpartum Depression
Sexual Disorders
Sexual Dysfunction (Female)
Urogynecology
Uterine Disorders
Vaginal Disorders
Vasomotor Symptoms
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