COLLABORATION
& RESOURCES

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Adverse events and product safety reporting

IIT PROGRAM

a healthcare provider contacting Iveric Bio, an Astellas Company

Iveric Bio, an Astellas Company is accepting applications for investigator-initiated trials (IITs). Some topics of interest include but are not limited to:

Pathogenesis of geographic atrophy (GA)
Progression of GA
Biomarkers that identify high-risk patients and/or outcome of disease progression
Intermediate age-related macular degeneration
Novel imaging techniques to aid in the management of GA

Each request for a research grant must set forth:

A description of the proposed research and research protocol that describes the study objective(s), design, methodology, any statistical considerations, timelines and organization of the study;
A detailed budget showing how the research grant expenditure, if approved, would be spent;
A summary of the plan for meeting applicable regulatory requirements;
Data reporting plan and publication plan (if any);
The name, address and qualifications of the researcher(s) and research entity seeking the funds;
The name, address, and federal tax identification number of the institution(s) with which the research is affiliated

^*Required field

First name *

Last Name *

Credential

Phone Number *

Email Address *

Title

Institution/Practice

Street Address 1

Street Address 2

City

State

Zip

Country

Contact Preference *

Topic *

Executive Summary of Proposal (maximum 5,000 characters) *

Requested Budget *

Activities / Research Start Date *

Activities / Research End Date *

File Attachment (Maximum Size: 10MB)

Request Description (Maximum 5,000 characters) *

I certify that I am a healthcare professional, payer, formulary committee member, or other person involved in the provision or coverage of healthcare services and have made an unsolicited request for medical or scientific information regarding an Iveric Bio, an Astellas Company investigational product(s).

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