C. Diff

Do you suffer from recurrent C. diff?

Would you like to try a new investigational medication for C. diff? All study related medication and study‐related care will be provided at no cost to you.

Sign up and we will notify you of clinical trials in your area that need adults with C. diff.

Volunteers who take part in the study may be compensated up to $350 for travel to study visits.

No health insurance is required to participate. All study related medication and study‐related care will be provided at no cost to you. The study will involve visits to a study site in your area.

What happens if I sign up?

We will match you to a clinical trial site in your location that needs adults who suffer from recurrent C. diff or notify you when one becomes available. They will contact you and you about participating in the trial.

Sign Up

Fields marked with an * are required.

Are you filling out this screener on behalf of someone or for yourself? *

First Name *

Last Name *

Country *

Phone Number (including area code) *

Date of Birth MM/DD/YYYY *

ZIP or Postal Code *

Have you experienced an episode of C. diff in the past? *

Do you believe you currently have C. diff or are experiencing CDI symptoms? *

Are you experiencing any of the following symptoms? *
Please select all that apply. Hold down CTRL to select more than one.

Have you taken antibiotics or been in the hospital within the last 6 months? *

Was this previous episode confirmed by a healthcare professional? *

Have you been diagnosed with or suffer from any other conditions? *
If ‘yes’, please use the space provided below to list them.

If female, are you currently pregnant or breastfeeding?

Would you like to be contacted about taking part in a Clinical Trial? *

Yes

What is the best day/time to reach you via telephone (we know you are busy)? *

The information you provide here will only be used to match you or a loved one to a clinical research study location in your area. Please note the information you enter here will be kept private, except when ordered by law, and only accessible to our Clinical Research Partners, affiliates, and applicable regulatory agencies. If you have any questions regarding the handling of the information you have provided to autocruitment.com, or if you would like to make any changes to information you provided, please contact us at info@autocruitment.com.

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