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Investigator-Initiated Study (IIS) Program

We are committed to helping patients, fostering relationships with scientists, and nurturing research with scientific merit. As a part of that commitment, we recognize the valuable role that supporting an investigator-initiated study (IIS) plays in reaching our goals. Actelion extends consideration and/or financial support to IIS programs.

Please fill out the form below to submit your request.

*Required field.








Budget Contact (if different than Contracts Administrator)

 

Upload Document
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or

Attachment (max size 5 MB and following file
type(s): docx, pdf, excel, zip)

Applicant, please note, you have the option to upload a single document containing the following items:

  • Study Introduction and Background
  • Rationale
  • Hypothesis
  • Research Design & Methodology
  • Statistical Methods
  • Safety

Upload Document
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or

Attachment (max size 5 MB and following file
type(s): docx, pdf, excel, zip)

Refer to previously uploaded document
(check this box if a previous upload contains
your rationale)


Upload Document
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or

Attachment (max size 5 MB and following file
type(s): docx, pdf, excel, zip)

Refer to previously uploaded document
(check this box if a previous upload contains
your hypothesis)


Selected Study Product:
Upload Document
remove file
or

Attachment (max size 5 MB and following file
type(s): docx, pdf, excel, zip)

Refer to previously uploaded document
(check this box if a previous upload contains
your research design and methodology)




Upload Document
remove file
or

Attachment (max size 5 MB and following file
type(s): docx, pdf, excel, zip)

Refer to previously uploaded document
(check this box if a previous upload contains
your statistical methods)


Upload Document
remove file
or

Attachment (max size 5 MB and following file
type(s): docx, pdf, excel, zip)

Refer to previously uploaded document
(check this box if a previous upload contains
your safety)


 
 
 
 
 



Selected Study Product:

Please submit attachment that includes detailed breakdown of all study-related costs (eg, start up, IRB, data analysis, publication plan).

Upload Document
remove file

Attachment (max size 5 MB and following file
type(s): docx, pdf, excel, zip)

 

Upload Document
remove file
or

Attachment (max size 5 MB and following file
type(s): docx, pdf, excel, zip)




Submission of a proposal does not imply or guarantee approval; all submissions will be reviewed by Actelion US Medical Affairs. Once a proposal is received, the complete protocol may be requested for further review and to ensure that the protocol accurately reflects the received proposal. This full study protocol, as well as other related IIS documents, are essential to reaching an IIS agreement.

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© 2016 Actelion Pharmaceuticals US, Inc. All rights reserved. Last update:11/2016
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Your application has been submitted and our Actelion US Medical Affairs Team may now review your proposal. If endorsed, you may be asked to provide a detailed description of your study. We look forward to reviewing your proposal.