Welcome to YourAsthmaStudy.com

This website is for a medical research study to evaluate and compare the safety and efficacy of two approved asthma medications, budesonide and Symbicort®. Budesonide is an inhaled corticosteroid, which helps treat and prevent swelling of the lungs. Symbicort® is the combination of budesonide and formoterol (a long acting beta agonist, or LABA).


Participating cities:

Alaska Anchorage Arkansas Fort Smith Little Rock California Long Beach Sacramento San Diego San Jose Stockton Colorado Denver Thornton Connecticut Waterbury District of Columbia Washington Florida Altamonte Springs Clearwater Lehigh Acres Miami Ocala Opa Locka Indiana Evansville Kentucky Lexington Louisiana Shreveport Maryland Lanham Michigan Bay City Kalamazoo Southfield Ypsilanti Minnesota Duluth Edina Mississippi Vicksburg Missouri Chesterfield Kansas City St. Louis Nebraska Bellevue Grand Island Omaha New Jersey Princeton New York Brooklyn Great Neck New York Rochester North Carolina Charlotte Greensboro Winston-Salem Oklahoma Oklahoma City Pennsylvania Abington Altoona Wyomissing Puerto Rico Levittown-Toa Baja South Carolina Charleston Fort Mill Greenville Texas Houston McKinney Spring Sugar Land Waco Vermont South Burlington Virginia Danville Virginia Beach Washington Bellevue Tacoma Wisconsin Greenfield

Send site to a friend or family member:

Fill out the form below to send a link to this site to a friend or family member.

Your name

Friend/Family member’s email address


* We do not record any information you submit.

What is a Medical Research Study?

Pre-Qualifying Questionnaire:

To see if you may qualify for this medical research study,
please complete this Pre-Qualifying Questionnaire.

If you are under the age of 18 and are interested in this research study, please have your parent or guardian complete this questionnaire.

Except for those under the age of 18, these questions are to be answered by the person who would be enrolled in the research study if they qualify. Unless you are the parent or guardian of someone under the age of 18 who may be interested in this research study, if you are visiting this website for someone else, please provide this website link to them so that they may complete the questionnaire.

As used in these questions, “you” or “your” refers to the person who would be enrolled in the research study if they qualify.

1.

How did you hear about this research study?

2.

Please enter your home or work zip code. This zip code will be used to locate a study clinic near you. Please provide the zip code that would be most convenient to you.

Enter 5-digit zip code

3.

What is your date of birth?

Month
Day
Year	ex. 1954

4.

Are you male or female?

Male Female

5.

Has a physician or other health care professional said that you have asthma?

Yes No Unsure

6.

Has a healthcare professional ever diagnosed you with any of the following conditions or diseases?
(If none apply, choose “None of these apply.” At least one box must be checked.)

	Chronic Obstructive Pulmonary Disease
	Emphysema
	Idiopathic Pulmonary Fibrosis
	Bronchiectasis
	Any other breathing airway or lung disease other than asthma
	None of these apply

7.

Have you been diagnosed with cancer in the last 5 years (other than basal cell carcinoma)?

Yes No Unsure

8.

Are you currently taking any medication for asthma?

Yes No Unsure

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Privacy Policy: If you pre-qualify for this research study, you will be given a choice to submit your contact information, along with your answers to the questionnaire, to a study clinic conducting this research study. If you make the choice to submit your contact information, your contact information will only be shared with those involved with conducting the medical research study and will not be shared or provided to any other person or business not related to this particular research study. Except as noted above, no contact information will be taken from you and your answers will remain confidential. We will not use your information for any purpose other than to screen you for potential participation in this research study. If you provide your or a friend’s/family member’s email address, the email address will not be provided to anyone other than the person to whom the email was sent as specified in this website. The person in charge of privacy for this website is the Privacy Officer, who may be contacted at 6207 Bee Cave Road, Suite 288, Austin, Texas 78746 or privacy@tprausa.com to make any updates to your information or to have your information removed.

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