Clinical Trial Information Form

Let PALS help you inform patients about pancreatic cancer clinical trials. If you are conducting clinical trials, we want to know about your studies! Simply tell us a little about your trial using the following form or call 877-272-6226 and speak with Porsha James, Manager of Research and Clinical Trials. Thank you and we look forward to working with you!
 

*PI Name:

*PI Institution:

*Protocol Title:

*Protocol ID #:

*Trial Sponsor:

*Who may we contact for more information about this trial? (please include name and
affiliation to trial)

*Contact Email:

*Contact Phone:

Comments:

*Indicates a required field. Your information will not be shared or sold.

If you experience problems submitting this form, please contact webmaster@pancan.org or by calling toll-free 877-272-6226. You will receive a response within one business day.