Severe Asthma Clinical Trial
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  • What is the age of the person with asthma? *
  • What is their sex? *
  • What is their current weight? *
  • When were they diagnosed with asthma (year)? *
  • How many times have they had a severe asthma attack (also know as an exacerbation) in the past year? A severe asthma attack is one that required an emergency room visit, hospitalization, or treatment with steroids. *
  • Are they currently taking any inhaled medications (check all that apply)? *
  • Have they smoked cigarettes in the past? *
  • Do they have any of the following conditions? *
  • In the past 5 years, have they been treated for any of the following cancers? *
  • Study visits will need to take place between the hours of 6 am and 10 am. Can they attend these visits during this time frame? If you would like additional information on this study first, please select "I don't know". *
  • It appears that they may be eligible for this trial!

    Please enter the following contact information and we will get in touch with you.

That's all, folks!

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