Anaclim - CRO, Contract Research Organization Application

Investigator

Become an Investigator

We are looking to work with investigators with a minority patient pool that are interested in participating in clinical trials. We encourage those investigators with access to minority patients but little or no clinical research experience to contact us. Anaclim is committed to provide the training and support necessary so that our investigators are well prepared to conduct high quality and valuable clinical research. If you are interested in becoming an Anaclim investigator, please fill out the form below and we will contact you with more information.

Please read the following authorization agreement:

Investigator Data Protection Authorization

Anaclim is committed to respecting the privacy of its clinical research investigators.  We recognize that when you choose to provide us with information about yourself, you trust Anaclim to act in a responsible manner.  Anaclim has enacted internal procedures, that are reviewed and monitored from time to time to ensure that your information is used responsibly and in accordance with applicable law.   These procedures require that the processing of personal data, both automated and manual, meet with the following data protection principles:

• be processed fairly and lawfully
• be obtained only for specified and lawful purposes, and not be processed in any incompatible manner
• be adequate, relevant and not excessive
• be accurate and, where necessary, kept up-to-date
• not be kept for longer than is necessary
• be processed in accordance with the rights of data subjects
• be protected by appropriate security measures
• not be transferred to third parties unless adequate level of data protection exist.

Data Processing

All processing of personal data is, by consent, for the purposes listed above and under the control of the data controller.  Individuals have the right to:

• copies of their data
• correct their data
• prevent processing for direct marketing
• withdraw consent to processing with its consequential effects
• prevent non-core purpose disclosures and
• prevent trans-border disclosures to third parties where there are inadequate data protection arrangements.

Trans-border data flows

Anaclim may transfer personal data to third parties as required for the conduct of clinical studies.  Personal data will only be transferred to third parties following receipt of assurance that the recipient will provide adequate data protection arrangements.

By clicking on "ACCEPT" below, I agree that the following information about myself may be retained by Anaclim in the global investigator database and individual study files, as required.

• investigator name and contact information
• office/practice location, type, amenities and research staff
• medical specialty and patient population information
• affiliation with a site management organization (SMO) and SMO information
• historical and current information regarding participation in Anaclim projects
• other relevant information to allow selection for appropriate clinical trials in the future
• select financial information to allow for reimbursement of investigator grants

I understand that the above data will be used for the purpose of conducting clinical trials and may be transferred to the clinical trial sponsor, FDA or other regulatory bodies.

I hereby consent to Anaclim, LLC the use, processing and transmission of information relating to me obtained by Anaclim.

By selecting this box and the "Submit Form" button, I agree to the investigator data protection Authorization.