Clinical Trial Request Form

Clinical Trial Request Form

Thank you for considering UC Davis as your veterinary clinical trials site!
In order to best determine how we can help, please complete the brief form below as thoroughly as possible. Once received, a member of the UC Davis Veterinary Center for Clinical Trials  (VCCT) will contact you for further discussion.  The UC Davis VCCT is dedicated to providing expertise and guidance throughout the lifecycle of a trial, from start-up through close-out.

 

Information about the Requested Clinical Trial

"Client-owned" means privately-owned animals (i.e., pets). These animals are not owned by the university nor are they laboratory (purpose-bred) animals.
Will this drug/product, device, or procedure be destined (at least initially) for use in veterinary or human medicine?
What is the reason for requesting a veterinary clinical trial?
What information do you want to gain from this clinical trial?
How will this trial be primarily funded?
Have you been or are you already in contact with someone at UC Davis about this trial?

Information about the Novel Drug/Product, Device or Procedure

Has the product, device or procedure been examined in or used on live (whole) animals (e.g., such as rodents, dogs, primates)? (NOTE: Beyond use in cell lines)
Do you have any previously collected data for our researchers to review?
Please indicate what type of data you have previously collected.
One file only.
256 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
I heard about UC Davis veterinary clinical trials by:
What is your role or relationship to the proposed study or intervention?