HEADER

SUBHEADER

CONTENT
Submit a New Application
Continue an Application

Submit a New Application

Please provide your email address and enter a 6 digit PIN.
This will allow you to retrieve the information you have entered if you leave this page and return at a later time.

Continue

Continue an Application

To retrieve the information you entered previously for this application, please enter your email address and 6 digit PIN.

Continue

IIS Concept Form

Phone Number:
Along with this Concept Form, I am submitting (check all the apply):

Outline Of Proposed Research

Resources And Plan

If one is required, do you have experience preparing and submitting INDs?
Do you have research staff that can assist with IND preparation and ensure compliance with IND requirements (e.g, safety and status reporting)?
Is your governing Institutional Review Board local or central?
Do you have an experienced research team that can support this study (e.g.,patient scheduling and evalution, data collection/management, statistical analysis, regulatory and records oversight)?
Approximately how long (in months) do you expect this research to take from first patient enrolled to final report?*
Are you requesting financial support from Avadel for this study? If Yes, approximately how much (ballpark; if your proposal is accepted, a detailed budget will be requested)?
Are you requesting drug product from Avadel for this study?

Please confirm you are not a bot and try again.

Submit