SARC CRC Budget Consult Form

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Adresă de e-mail *

I. Principal Investigator (first author)
a. Email address: *

Co-Principal Investigator (co-first authors)
a. Email address:

II. Concept Title *

III. Study Design

Have you discussed this with a SARC statistician?

Yes

Study Design

Brief study design:

Study Design

Number of patients (in total and by treatment group):

IV. Study Duration

Estimated number of sites:

Study Duration

Estimated duration of accrual:

Study Duration

Estimated number of cycles per patient:

Study Duration

Duration of follow up:

V. Funding Source(s)
*

SARC is a study sponsor and coordinator, similar to a contract research organization (CRO). SARC does not financially support trial conduct.

Please document whether funding is pending or secured.

If you are need a Letter of Support from SARC for grant applications or other funding requests, please make a note here.

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