Study Title and Categorization
Study Number* | AUEG ID | ||||
Finance Management (Geography) | Global or Local Funding | ||||
Study Title | Global or Local Study Execution | ||||
Product | Indication |
Strategy Alignment
Evidence Generation (EG) Data Gap | EG Data Gap, Additional Details | |||
Evidence Generation (EG) Area of Focus | EG Area of Focus, Additional Details | |||
Intended Audience | If External Audience, Select From List: | |||
Intent to Publish | Physicians-Primary care |
Study Design
Primary Objective | Primary Endpoints | |||
Phase 0-4, Other | # of Arms | |||
Placebo Controlled? | Randomized? | |||
New Indication? | # of Subjects OR Sample Size |
Funding
Baseline LOS (In Local Currency) | Local Currency Code | |||
Baseline LOS (In USD) | Cost of Drug Supply (USD) | |||
Latest LOS (In Local Currency) | Latest LOS (In USD) | |||
Latest LOS – from LE | Is Co-funded? | |||
Name of Participating Party(ies) | Portfolio Governance Review Required? |