Att 22 CumulativeInclusionEnrollmentReport.docx

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Attached to
National Institute of Allergy and Infectious Diseases (NIAID) Clinical Data and Safety Management Center (CDSMC)
Solicitation number
RFP-75N93020R00011
Issued by

About this file

This document includes a solicitation for a clinical data and safety management center contract opportunity. The National Institute of Allergy and Infectious Diseases seeks offers to support clinical research data management, safety monitoring, and pharmacovigilance for clinical trials and studies of immune-mediated diseases. Required services include data management for clinical research networks studying allergic diseases and asthma, autoimmune disorders, transplantation, and primary immune deficiencies. Safety and regulatory management is needed for studies conducted by the Immune Tolerance Network, Atopic Dermatitis Research Network, Consortium for Food Allergy Research, Inner City Asthma Consortium, Autoimmunity Centers of Excellence, and clinical trials networks focused on transplantation. Offerors should have experience providing centralized data and safety management for multi-site clinical research. The period of performance and award amounts will be determined upon contract award.

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Amend 4.pdf PDF
Attach 25 Emp sep checklist.pdf PDF
Amend 3 .pdf PDF
RFP 20R00011-2.pdf PDF
RFP 20R00011-1.pdf PDF
RFP 20R00011_OA 06012020.pdf PDF

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Cumulative Inclusion Enrollment Report This report format should NOT be used for collecting data from study participants.

Study Title:
Comments:

Ethnic Categories

Racial Categories
Not Hispanic or Latino
Hispanic or Latino
Unknown/Not Reported Ethnicity
Total
Female
Male
Unknown/Not Reported
Female
Male
Unknown/

Not Reported

Female
Male
Unknown/Not Reported
American Indian/ Alaska Native
0
Asian
0
Native Hawaiian or Other Pacific Islander
0
Black or African American
0
White
0
More Than One Race
0
Unknown or Not Reported
0
Total
0
0
0
0
0
0
0
0
0
0
PHS 398 / PHS 2590 (Rev. 08/12 Approved Through 8/31/2015)OMB No. 0925-0001/0002
PageCumulative Inclusion Enrollment Report

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