PTSD Clinical Trial

Do you have symptoms of Post-Traumatic Stress Disorder (PTSD)?

Would you like to try an investigational drug to treat unwanted flashbacks, fear, anxiety and feelings of isolation from family and friends as a result of witnessing or experiencing a traumatic event, at no cost to you?

Sign up and we will notify you of clinical trials in your area that need participants experiencing PTSD.

Volunteers who take part in the study may be compensated for travel.

No health insurance is required to participate. All study-related visits, tests, and drugs may be provided at no cost. In addition, reimbursement for study-related travel may be provided. The study will involve visits to a study site in your area.

What happens if I sign up?

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

Sign Up

Fields marked with an * are required.

First Name *

Last Name *

Phone Number *

Date of Birth MM/DD/YYYY *

ZIP or Postal Code *

Are you Male or Female?

Do you experience Post Traumatic Stress Disorder, also known as PTSD (unwanted memories, flashbacks, fear or anxiety related to a prior trauma)? *

Have you experienced or witnessed a traumatic event where you felt your life was in danger, saw someone die, suffered serious bodily injury or sexual violence, or experienced the sudden unexpected death of someone close to you within the past 9 years? *

Do you now have unwanted memories, flashbacks, struggle with fear, anxiety and isolation from loved ones, and avoid situations that remind you of the trauma? *

When did the initial traumatic event, which led to these unwanted symptoms, occur? *

Please list the symptoms you are suffering with as a result of the initial traumatic event and approximately how long you have been experiencing these symptoms? *

How old were you when the initial traumatic event occurred? *

Do you have ongoing contact with your assailant/abuser? *

Are legal matters related to the initial traumatic event still ongoing? *

Are you receiving disability payments because of PTSD or any other psychiatric disorder that could be discontinued if there is an improvement in symptoms as an outcome of participating in this study? *

Have you been diagnosed by a Physician with any of the following? *
Please select all that apply.
Please only select those that have been diagnosed by a physician.

In the past 4 months, have you been diagnosed with alcohol/substance dependency? *
This does not include nicotine or marijuana.

Have you been diagnosed by a Physician with any other medical conditions? *
Please list here or write 'none'
Please only include conditions you have been diagnosed by a physician.

Are you currently taking antidepressants for your PTSD? *

Have you ever been prescribed or taken Rexulti (Brexpiprazole)? *

Are you taking medications for Post-Traumatic Stress Disorder (PTSD) or other health conditions? *
Please list them below or write ‘none’.

Are you willing to refrain from the use of cannabis or cannabis products (prescribed or unprescribed) during the study period? (For example: CBD oil, hemp products, creams, bars, sprays, ingestible products, etc.) *
Please note: An answer of ‘Yes’ is required to participate in the study.

Are you willing to limit your consumption of alcohol during the study period (i.e., 2 drinks/day for men; 1 drink/day for women)? *
Please note: An answer of ‘Yes’ is required to participate in the study.

Please, select your height from the dropdown below. *

How much do you weigh in Lbs (pounds)? *

If female, are you currently pregnant, breastfeeding, or planning to become pregnant in the next 4 months?

If female, are you willing to use birth control while participating in the research study? *

Are you currently enrolled or have you participated in a research study within the last 60 days? *

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

Would you like to be contacted about taking part in a clinical research study (also known as a clinical trial)? *

Yes

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.