Trial Participation

If your child is between the ages 7-11 and are concerned he/she may be suffering from depression, feel free to complete the questionnaire or call our office to find out more information about our clinical trial for children who have depression.

Frequently asked questions about participating in a clinical trial:

Why to clinical trials exist?

The United States Food and Drug Administration (FDA) require that all prescription medications be evaluated for safety and efficacy before they are marketed to the public. So before a new medication can be made available, it must undergo extensive testing. Clinical trials are part of this testing process.

Why are pediatric clinical studies conducted?

  • To see if a study medication or therapy is safe and effective for children use
  • To find a new treatment and improve upon existing treatments for children
  • To compare existing treatments
  • To determine the appropriate dosages for children

What are some of the possible benefits of my child’s participation?

  • Your child will have access to potentially new study medications or therapies that are not otherwise available
  • Your child will receive study-related medical care for the condition being studied
  • You and your child will be helping other children be contributing to medical research and treatment advances

Does it cost anything to participate in the study?

  • There is no monetary cost to you to participate in this study. Nor do you have to pay for the study drug, visits, or procedures that are a part of the clinical trial.

 

Some key questions to ask the clinical staff before your child participates in a study

  • What is the purpose of this specific study?
  • Will my child receive any follow up care after the study has ended?
  • What are the obligations and expectations of me and my child as a volunteer?
  • How many visits to the clinic are required?

What are my other options if I choose not to have my child participate in this study?




Questionnaire:


Please let us know which of the following symptoms you’ve noticed your child has experienced.

 Feeling sad, grumpy Mood swings Loss or gain of weight Feeling tired or having little energy Feeling worthless or guilty Lack of energy or becoming withdrawn Thinks about death or suicide a lot NONE

Has your child been treated with depression before?
 Yes No

Is your child currently receiving treatment for depression?
 Yes No

Does your child have a history of any of the following?

 Seizure Disorder Stroke Head Injury Brain Tumor Cancer NONE

What is the Child's Gender?
 Male Female

How old is your child?

Parent's Name (First and Last):

Child's Name (First and Last):

Phone:

Email Address:

Is the child a resident of Washington State?

Zip Code:

What is the best time to contact you?

How did you hear about us?
 TV Radio Referral Flyer/Brochure Internet Search Web Advertisement Facebook Previous Patient Parent Map Seattle’s Child School PTA

Please enter any questions or comments in the space below.

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