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Who is the person interested in participating in this study?
Myself
A loved one
Is this person at least 18 years old?
Yes
No
Has this person been diagnosed with anaplastic astrocytoma?
Yes
No
Don't Know
Has this person been treated with radiation and a chemotherapy drug called temozolomide (also known as Temodar®)?
Yes
No
Don't Know
Has this person's tumor recurred (come back) or progressed (grown or changed) within the past 6 months?
Yes
No
Don't Know
Has this person completed radiation therapy more than 6 months ago?
Yes
No
Don't Know
Country:
—
United States
Canada
Belgium
France
Germany
Italy
Netherlands
United Kingdom
Best time to contact you by phone:
8am - Noon
Noon - 2pm
2pm - 5pm
Approximate distance willing to travel:
Up to 150 miles
Up to 500 miles
Greater than 500 miles
Yes, please contact me.
I hereby agree to the electronic collection, processing, and forwarding of my personal information/data to study centers by Orbus Therapeutics Inc. and I agree Orbus Therapeutics Inc. and/or research study center employees may contact me by phone and by email.
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