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REQUEST FOR INVESTIGATIONAL PRODUCT INFORMED CONSENT FORM Sunil K. Aggarwal, MD, PhD, FAAPMRTreating Physicians Institute(206) 4201321We are required by law to provide the following information to
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To fill out a request for investigational product, follow these steps:
02
Begin by providing your personal information, including your name, contact details, and any relevant identification or registration numbers.
03
Clearly state the purpose of your request and your justification for needing the investigational product.
04
Specify the type of investigational product you are requesting, including its name, dosage form, strength, and any other relevant details.
05
Provide information about the study or research project for which you require the investigational product.
06
Include details about the intended use of the investigational product, such as the patient population, duration of treatment, and any specific conditions or contraindications.
07
Outline your plan for monitoring and evaluating the safety and efficacy of the investigational product.
08
Mention any previous experience or qualifications you have in conducting research or working with investigational products.
09
Attach any supporting documents or research proposals that are necessary for the evaluation of your request.
10
Finally, review your request for accuracy and completeness before submitting it.
11
Remember to follow any specific guidelines or requirements provided by the regulatory authorities or organizations overseeing investigational product requests.

Who needs request for investigational product?

01
A request for investigational product is typically needed by individuals or organizations involved in clinical research or studies that require the use of experimental or unapproved medications or therapies.
02
This can include medical researchers, clinical trial coordinators, pharmaceutical companies, healthcare professionals, and other individuals or organizations involved in the development or evaluation of new treatments or interventions.
03
The request helps to ensure that the investigational product is obtained and used in a safe and responsible manner, with proper ethical considerations and regulatory oversight.
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A request for investigational product is a formal application submitted to obtain approval to use an investigational product in a clinical trial.
The sponsor or investigator conducting the clinical trial is required to file the request for investigational product.
The request for investigational product must be completed with detailed information about the product, the study protocol, and the reasons for requesting its use.
The purpose of the request for investigational product is to obtain approval to use an investigational product in a clinical trial in compliance with regulatory requirements.
The request for investigational product must include information about the product, its proposed use, the study protocol, and any relevant safety and efficacy data.
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