Committed to You
Chronic Low Back Pain

Protenium Clinical Research is currently conducting a 19-week research study to evaluate if an investigative medication can help improve moderate to severe chronic low back pain.

Qualified participants will receive all study-related care and study medication at no cost, and may be compensated for time and travel to our Hurst location.

You may qualify if you:
- Are 18 years of age or older
- Suffer from moderate to severe chronic low back pain
- Currently take a prescription pain medication for chronic low back pain
- Other screening criteria will apply . . .

To receive more information about this study, please take a moment to complete our online survey or you may call us directly at 817-281-4156.

Study volunteers are not required to complete this online survey in order to be considered for participation in this study. The purpose of this online survey is to collect your contact information as well as a brief medical history to help determine your eligibility.

All information provided will be considered confidential and will not be shared outside of Protenium Clinical Research. For your protection, all patient health information may be destroyed at your request if you do not qualify for this study

Name
Phone Number
Email
Are you 18 years of age or older?


Have you experienced moderate to severe chronic low back pain for at least the past 3 months?


Have you been taking a prescription pain medication for your chronic low back pain for at least the last 4 weeks?


Are you taking a prescription pain medication due to cancer related pain?


Have you been treated with injections of any kind for your chronic low back pain during the last 3 months?


Have you undergone surgical procedures of any kind for your chronic low back pain during the last 6 months?


Do you plan to undergo surgical procedures or receive injections for your chronic low back pain during the next 6 months?


How did you learn about us?









Please select one of the two options regarding how Protenium Clinical Research should manage your information should you NOT qualify for this study.
All patient health information is considered confidential and will not be shared outside of Protenium Clinical Research.


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