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:
  • Alabama
    •  Birmingham
    •  Dothan
    •  Huntsville
  • Alaska
    •  Anchorage
  • Arizona
    •  Gilbert
    •  Glendale
    •  Mesa
    •  Tucson
  • Arkansas
    •  Fort Smith
    •  Little Rock
  • California
    •  Anaheim
    •  Arvin
    •  Buena Park
    •  Costa Mesa
    •  Downey
    •  Encinitas
    •  Glendale
    •  Inglewood
    •  Long Beach
    •  Los Angeles
    •  Newport Beach
    •  Northridge
    •  Orange
    •  Palmdale
    •  Poway
    •  Riverside
    •  Sacramento
    •  San Diego
    •  San Jose
    •  Santa Ana
    •  Stockton
    •  Tustin
    •  Victorville
    •  Walnut Creek
  • Colorado
    •  Denver
    •  Thornton
  • Connecticut
    •  Norwalk
    •  Waterbury
  • District of Columbia
    •  Washington
  • Florida
    •  Altamonte Springs
    •  Clearwater
    •  DeLand
    •  Fort Myers
    •  Ft. Lauderdale
    •  Gainesville
    •  Hialeah
    •  Jacksonville
    •  Kissimmee
    •  Leesburg
    •  Lehigh Acres
    •  Lynn Haven
    •  Miami
    •  Miami Gardens
    •  Ocala
    •  Ocoee
    •  Opa Locka
    •  Orlando
    •  Pembroke Pines
    •  Port Richey
    •  Royal Palm Beach
    •  Tampa
  • Georgia
    •  Calhoun
    •  Conyers
    •  Decatur
    •  Savannah
  • Idaho
    •  Hayden Lake
    •  Meridian
  • Illinois
    •  Kenilworth
    •  Springfield
  • Indiana
    •  Anderson
    •  Evansville
    •  Michigan City
  • Iowa
    •  Ames
    •  Council Bluffs
  • Kentucky
    •  Fort Mitchell
    •  Hawesville
    •  Lexington
    •  Madisonville
    •  Owensboro
  • Louisiana
    •  Bossier City
    •  Lafayette
    •  Lake Charles
  • Massachusetts
    •  Boston
    •  Watertown
  • Michigan
    •  Kalamazoo
    •  Madison Heights
    •  Port Huron
    •  Southfield
    •  Sterling Heights
    •  Ypsilanti
  • Minnesota
    •  Duluth
    •  Edina
    •  Minneapolis
  • Mississippi
    •  Biloxi
    •  Jackson
    •  Vicksburg
  • Missouri
    •  Bridgeton
    •  Chesterfield
    •  Kansas City
    •  Springfield
    •  St. Louis
  • Nebraska
    •  Bellevue
    •  Fremont
    •  Grand Island
    •  Omaha
  • New Jersey
    •  Brick
    •  Neptune
    •  Verona
  • New York
    •  Bronx
    •  Great Neck
    •  Hopewell Junction
    •  New York
    •  Rochester
    •  Rockville Centre
    •  Watertown
  • North Carolina
    •  Cary
    •  Chapel Hill
    •  Charlotte
    •  Greensboro
    •  Wilmington
    •  Winston-Salem
  • North Dakota
    •  Fargo
  • Ohio
    •  Cincinnati
    •  Miamisburg
  • Oklahoma
    •  Oklahoma City
  • Oregon
    •  Bend
  • Pennsylvania
    •  Abington
    •  Collegville
    •  Pittsburgh
    •  Tipton
    •  Wyomissing
  • Puerto Rico
    •  Caguas
    •  Levittown-Toa Baja
    •  San Juan
  • Rhode Island
    •  Warwick
  • South Carolina
    •  Charleston
    •  Greenville
    •  Greer
  • Tennessee
    •  Knoxville
  • Texas
    •  Austin
    •  Baytown
    •  Dallas
    •  Fort Worth
    •  Georgetown
    •  Houston
    •  Killeen
    •  McKinney
    •  Pharr
    •  Plano
    •  San Antonio
    •  Sealy
    •  Spring
    •  Sugar Land
    •  Sugarland
    •  Waco
  • Utah
    •  Layton
  • Vermont
    •  South Burlington
  • Virginia
    •  Vienna
    •  Virginia Beach
  • Washington
    •  Seattle
    •  Spokane
    •  Tacoma
  • Wisconsin
    •  Greenfield
    •  La Crosse
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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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