Gout Study

Do you suffer from Gout flare-ups?

Would you like to try a new investigational medication designed for the treatment of Gout pain? 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 patients with Gout.

Volunteers who take part in the study will be compensated for their time and travel in the study.

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 in your location that needs patients who suffer from Gout or notify you when one becomes available. They will contact you and you will then have the opportunity to participate.

Sign Up

Fields marked with an * are required.

First Name *

Last Name *

Phone Number *

ZIP or Postal Code *

Date of Birth MM/DD/YYYY *

Have you been diagnosed with Gout by a doctor? *

Do you have one or more of the following? *

red/swollen/painful joints due to chronic gouty arthritis
1 or more tophus (nodules under the skin)
a history of 3 or more gout flares in the past 18 months

Have you ever taken medication for your gout? *

Have you been diagnosed with any other medical conditions? *
Please list here or write 'none'

Do you have a history of cancer in the past 5 years – excluding skin cancer? *

In the past 6 months, have you experienced a heart attack, heart disease, unstable angina (chest pains) or class 3 or 4 congestive heart failure? *

Have you ever had a severe allergic reaction to a medication (i.e. an episode of anaphylaxis)? *

Have you taken any of the following medications? *

pegloticase (Krystexxa)
rasburicase (Elitek, Fasturtec)
pegadricase

Have you received any vaccinations in the past 6 months, or are you planning to receive a vaccination during the study? *

If female, are you post-menopausal (2 years without a menstrual cycle) or have you had a hysterectomy?

Are you willing to request, or have the study physician request, your medical records from your primary care physician? *

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 are providing here will only be used to match you or a loved one to a clinical research study in the potential participant’s area and contact you to see if you or a loved one would like to participate. Please note the information you enter will be kept private, except when ordered by law, and only accessible to our Clinical Research Partners and 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, please contact us at info@autocruitment.com.

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