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Pelage PP405-2001 Androgenetic Alopecia

Pelage PP405-2001 Androgenetic Alopecia

We are currently recruiting adults ages 18 to 55 with adult pattern hair loss (androgenetic alopecia) to participate in a Phase 2 clinical trial. The main purpose of this study is to evaluate how safe and effective the investigational drug PP405 is in people experiencing hair loss from androgenetic alopecia. There will be no cost to you for being considered or for taking part in this study.

^* Questions with a red star are mandatory.

Start Questionnaire

Pelage PP405-2001 Androgenetic Alopecia

Step

How did you know about our service?^*

Facebook Instagram Twitter YouTube TikTok Google Radio Television Public transportation (bus, subway, etc.) Newspaper Private clinic Letter sent to your physician

Other:^*

Please select at least one option

Step

1.1 Are you between 18 to 55 years of age? ^*

Yes No

Please select at least one option

Step

2.1 Have you experienced hair loss for at least 6 months? ^*

Yes No I don't know

Please select at least one option

2.2 Please select the image that best represents your type of hair loss - to a greater or lesser extent– Selection of an image does not provide a medical hair loss diagnosis.^*

Please select at least one option

2.3 Have you ever had a surgical procedure for hair loss, including a hair transplant? ^*

Yes No I don't know

Please select at least one option

2.4 If you are a woman, are you at menopause or peri-menopause?^*

Yes No Not applicable (I am not a woman)

Please select at least one option

2.5 Have you been diagnosed with any other form of hair loss besides androgenetic alopecia such as: alopecia areata, scarring alopecia, or other non-AGA forms of alopecia? ^*

Yes No I don't know

Please select at least one option

Step

There are 8 locations for this study

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Dawes Fretzin Clinical Research Group, LLC - Indianapolis

Indianapolis, Indiana, 46250, United States

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Jordan Valley Dermatology Center

South Jordan, Utah, 84095, United States

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Minnesota Clinical Study Center (New Brighton Business Center)

New Brighton, Minnesota, 55112, United States

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California Dermatology & Clinical Research Institute

Encinitas, California, 92024, United States

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Acclaim dermatology

Sugar Land, Texas, 77479, United States

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Vial Health Derm Research

Austin, Texas, 78759, United States

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Virginia Clinical Research, Inc.

Norfolk, Virginia, 23502, United States

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California Dermatology Institute

Thousand Oaks, California, 91320, United States

Step

Consent

You give permission to Clinago, powered by Innovaderm, to use the personal and health information that you include in this form, for the purpose of evaluating your application to participate in this research study.
We will only maintain and process the information you voluntarily provided to us in this form and you authorize Clinago, powered by Innovaderm, to transfer your personal and health information to the clinic you selected on the previous page.
Except for the transfer to the clinic you selected, your personal and health information will not be shared with others without your permission, unless permitted or legally required.
Please note that your consent does not have an expiration date; however you may withdraw it at any time, noting that any use and/or transfer of your personal and health information made before your withdrawal remains legal and valid.
If you want to revoke your consent or if you want to exercise any of your rights (correction, deletion, consulting) or have any inquiry related to our processing of your personal and health information, you must write to: Innovaderm Research Inc., to the attention of its Privacy Officer, at privacy@innovaderm.com.
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