Screener | Mirum Clinical Trials

*How old is the potential participant?

Please enter a valid number.

*Have you or the potential participant ever been diagnosed with the following conditions?

Primary Sclerosing Cholangitis (PSC)

Primary Biliary Cholangitis (PBC)

Not diagnosed

Please select an option

*Do you or the potential participant currently suffer from itch?

Yes

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Please enter your contact information to discuss potential eligibilty.

*First name

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*Last name

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*Email address

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*Phone number

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*ZIP code

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How did you hear about this study?

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*Consent

This website is supported by Mirum, a pharmaceutical company, or “sponsor.” Mirum will not have access to your personal information. The Clinical Research Organization (CRO), “a third party,” that works with Mirum will keep your personal data confidential. Your data will be handled in accordance with applicable law, including applicable privacy law.

By checking this box, I have read, understood and accept the Privacy Policy and I authorize the sponsor of the clinical study and its contracted third parties to process my personal and health information as described.

*This is a required field.

Completing this survey does not obligate you to participate in this study.

By submitting your information, you agree to receive communications including electronic or text messages from the study representatives about this clinical study. You may unsubscribe from these electronic and text communications at any time. For more information, please visit our privacy policy.

Am I eligible?