Lupus Study

Do you have Lupus and are looking for an investigational treatment option?

Would you like to consider participating in a trial evaluating a potential new medication for Systemic Lupus Erythematosus (SLE) at no cost to you?

Register and see if you pre-qualify and we will notify you of clinical trials in your area that need participants with Systemic Lupus Erythematosus (SLE).

Participants will receive the study medication or a placebo (a pill that looks like the study medication but has no active ingredient) at no cost while enrolled in the study. Additionally, participants will not be responsible for study-related costs such as visits, lab tests and procedures. Participants may also be eligible for reimbursement for some costs, such as travel or transport, depending on location. No health insurance is required to participate in the study

No health insurance is required to participate. The study will involve visits to a research centre in your area.

What happens if I sign up to pre-qualify?

You may be eligible for a Systemic Lupus Erythematosus (SLE) clinical research study, also known as a clinical trial in your area. Someone from the study team or research centre conducting the trial will contact you to explain more about this research study before you make your decision about participating.

Sign Up to Pre-qualify

Fields marked with an * are required.

Do you consent to the processing of your personal data (including information about your health and including disclosure to our Research Partners) for the purpose of recruitment into clinical research studies? If we are unable to process your personal data in this way, we may not be able to include you in clinical research studies. *

Yes

Do you consent to the automated processing of your personal data in order to evaluate your suitability for recruitment into clinical research studies? If we are unable to process your personal data in this way, we may not be able to include you in clinical research studies. *

Yes

First Name *

Last Name *

Phone Number *

Email

Date of Birth DD/MM/YYYY *

Zip Code or Postal Code *

What do you identify your sex as?

Have you been diagnosed by a rheumatologist (specialised doctor for inflammatory diseases) with systemic lupus erythematosus (SLE)? *

Systemic lupus erythematosus (SLE) is an autoimmune disease where the immune system attacks its own tissues, causing widespread inflammation and tissue damage in the affected organs.

When did you receive your systemic lupus erythematosus (SLE) diagnosis? *

Are you currently/regularly taking a prescribed medication for your systemic lupus erythematosus (SLE) treatment? *
This may include immunosuppressant or antimalarial medications such as Imuran® (azathioprine), Purinethol® (6-mercatopurine), methotrexate, Arava® (leflunomide), tacrolimus, mizoribine, CellCept® (mycophenolate mofetil), Myfortic® (mycophenolic acid), Aralen® (chloroquine), Plaquenil® (hydroxychloroquine), or Mepacrine (quinacrine).
*Please note: This is not a full list of available lupus medications.

How long have you been taking the above prescribed medication for your systemic lupus erythematosus (SLE) treatment? *

Have you experienced a heart attack in the last 6 months? *

Have you been diagnosed with cancer in the last 5 years? *

Have you been diagnosed (by a doctor) with any other medical conditions? *

(For example: multiple sclerosis (MS), psoriasis, inflammatory bowel disease, rheumatoid arthritis (RA), scleroderma, mixed connective tissue disease, cancer, tuberculosis (TB), fibromyalgia, chronic fatigue syndrome, chronic pain syndrome, catastrophic antiphospholipid syndrome (CAPS), heart failure)

Please list here or write 'none'.
Please only include conditions which have been diagnosed by a doctor.

Are you taking any medications for your systemic lupus erythematosus (SLE) or other health conditions? *

(For example: topical steroids, Sotyktu™, deucravacitinib, ropsacitinib, brepocitinib, interferon alpha kinoid, cell therapy, Chinese traditional medicine – glucoside of peony, tripterygium glycosides, botanical preparations)

Please list them below or type ‘none’.

If person of childbearing potential, are you currently pregnant, breastfeeding? *

If person of childbearing potential, are you using, or willing to use, birth control for the duration of the study? *

Have you participated in a clinical trial for an investigational drug in the past 12 weeks? *

Which racial or ethnic group(s) do you identify with?
Please select all that apply.

Australian

European

Chinese

Australian Aboriginal

Indian

Mixed ethnicity

Another race or ethnicity

I prefer not to answer

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

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