Lamellar Ichthyosis Clinical Research Study | Therapeutics Clinical Research Survey

Therapeutics Clinical Research is conducting a clinical research study evaluating an investigational topical medication for lamellar ichthyosis.

Lamellar ichthyosis is a rare genetic condition that affects the skin. People with lamellar ichthyosis typically have large, dark, plate-like scales on their skin.

We are looking for participants who are:
• Male or non-pregnant female, age 18 or older
• Living with lamellar ichthyosis
• In good health without any major medical conditions

Qualified participants receive:
• Study-related skin examinations by a board-certified study doctor
• All study visits and study medications at no cost
• Compensation up to $627 for time and travel

Study Involves:
• A time commitment of 26 weeks
• Up to 11 visits into our research clinic

Strictly Confidential.
No Insurance Necessary.

In order to determine if you pre-qualify for the lamellar ichthyosis research study, we will ask you a few questions about your condition. You may stop answering at any time and you do not need to answer any questions that make you feel uncomfortable.

All information you provide will be kept strictly confidential and will not be shared without your permission, except as required by law. Please feel free to call us for more information at (858) 571-6800.

By providing your contact information, you agree to receive phone calls, emails and/or texts from Therapeutics Clinical Research.

1.Personal Information(Required.)

Name

Phone Number

2.Are you 18 years of age or older?(Required.)

Yes

3.If female, are you currently pregnant, nursing, or planning to be pregnant?(Required.)

I am pregnant, nursing, or planning to be pregnant

I am NOT pregnant, nursing or planning to be pregnant

Not applicable

4.Have you been diagnosed with lamellar ichthyosis?(Required.)

Yes

No, but I believe I have lamellar ichthyosis

I do not have lamellar ichthyosis

5.Do you have dark, plate-like scales in any of the following areas (check all that apply)?(Required.)

Chest/abdomen

Back

Arms

Legs

6.Are you able to make a time commitment of up to 26 weeks, and are you able to come to our clinic in Kearny Mesa for up to 11 study visits?(Required.)

Yes

7.Do you have any major medical conditions such as heart disease, cancer, HIV, hepatitis, or uncontrolled diabetes?(Required.)

Yes

No (please list medical conditions)

9.Would you like to be added to our email list to be the first to hear about new studies?(Required.)

Yes

Not at this time

Thank you for completing the survey. We will review your information and contact you shortly. If you would like additional information or would like to speak to a staff member directly, please feel free to call us at (858) 571-6800.

9025 Balboa Avenue Suite 105

San Diego, CA 92123