To check your eligibility for clinical studies conducted by GSK on Chronic Obstructive Pulmonary Disease. The Sponsor has engaged us, Pharmaceutical Product Development, LLC and its affiliated companies, to conduct recruitment activities on the Sponsor’s behalf. To help determine whether you may be eligible for the study, we will ask you a few personal and health-related questions through a short questionnaire.
If you agree, your personal information will be retained to assess your suitability for this research study and to recontact you using the contact methods you provide via the contact form (e.g., SMS, phone calls, and/or emails).
If you pre-qualify for one of these studies, we will collect and share your name and contact details with the medical center involved and the contracted service providers. Under applicable data protection laws, GSK is responsible for protecting your information and ensuring you can exercise your rights. For more information on how your personal information is used and your rights, please read the GSK US Privacy Notice.
All the information requested in this pre-qualification questionnaire is necessary to determine your pre-qualification for these studies. If you do not provide the requested information or do not agree to the processing of your information, you may not be able to pre-qualify for the studies. Please confirm that we have your permission to process your personal information as described above and in GSK US Privacy Notice.
You have the right to withdraw your consent to the processing of your information at any time by sending an email to CRGComplianceContact@thermofisher.com. If you withdraw your consent, it does not affect the processing of your information before your withdrawal.
I consent to the processing of my personal information as described above.