Get Involved
Donate
Your Impact
News & Events
Patient Stories
Leave a gift in your will
Become a Volunteer
Clinical Trials
Research
Research Themes
Queensland Spatial Biology Centre
Biobank
2023 Clinical Grant Round
Student Projects
Our People
About Us
Annual Reports
Our Board
Executive Team
Contact Us
Donate
close
Donate
Now
Clinical Trial Brief
Home
>
Clinical Trial Brief
Clinical Trial Details
Study Type
(Required)
Investigator Initiated
Clinical trial
Research project
Biobank project
Funding Type
(Required)
WRI grant
Industry-sponsored
External funding
Internal funding
Funding source (if applicable)
Add
Remove
Authorised to approve this brief
(Required)
Select an area
clinicaltrials@wesleyresearch.org.au
research@wesleyresearch.org.au
biobank@wesleyresearch.org.au
olivia.fisher@wesleyresearch.org.au
anuj.sehgal@wesleyresearch.org.au
arutha.kulasinghe@wesleyresearch.org.au
Research Area
(Required)
Select an area
Cancer
Cardiovascular and Critical Care
Coeliac Disease and Immune Health
Health Services Research
Neurology
Orthopaedics
Other
Rare Diseases
Surgical Specialties
If other, please complete
(Required)
Title - Plain English
(Required)
Title - Scientific
(Required)
Total participants in trial
(Required)
Clinical Trial Coordinators
(Required)
Add
Remove
Research Team
Add
Remove
Lead Investigators
(Required)
Add
Remove
Research Project Status
(Required)
Active
Completed
Patient Recruitment Status
(Required)
Open for recruitment
Closed for recruitment
Recruitment Sites
(Required)
Wesley Research Institute
The Wesley Hospital
St Andrew’s War Memorial Hospital
Other
Patient Group
(Required)
[plain English; not duplicating information captioned above. For the purpose of patients seeking trial involvement]
Participants at this site
(Required)
Trial Registration Information
(Required)
[hyperlink to registration page]
Clinical Trial Phase
(Required)
Phase I
Phase II
Phase III
Phase IV
Other
Please specify the phase
Trial Registration Information
(Required)
About this clinical trial
(Required)
Eligibility
Register your interest form required?
(Required)
Yes
No
Register Your Interest
Which fields would you like on the form?
(Required)
Name
Email Address
Phone
Street Address
Suburb
State
Postcode
Country
Date of Birth
Gender
Contact Consent
Additional Notes
Select All
Which of these fields need to be mandatory?
Name
Email Address
Phone
Street Address
Suburb
State
Postcode
Country
Date of Birth
Gender
Contact Consent
Additional Notes
Select All
Additional Fields Required
Example Field Name:
Do you have a diagnosis from a biopsy?
Example Field Value:
Yes / No
Field Name
Field Value
Add
Remove
Additional Information
Video URL
File Attachments
Drop files here or
Select files
Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB, Max. files: 10.
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.
close
arrow-circle-o-down
bars
ellipsis-v
linkedin
facebook
pinterest
youtube
rss
twitter
instagram
facebook-blank
rss-blank
linkedin-blank
pinterest
youtube
twitter
instagram
