Clinical Trials Inquiries(Patients)

This form is intended for inquiries regarding clinical trials.
Please note that we do not respond to requests for advertising or businesses referrals.

We will respond to inquiries during our working hours. Depending upon the details of the inquiry, an immediate response may not be possible and it may be necessary to respond by a telephone call rather than by e-mail. However, we will strive to respond to all inquiries. If no response is made to an inquiry, this may be due to a system failure, or to a mistake in the inquirer's e-mail address, etc. Our e-mail responses will be sent to the addresses of the individual inquirers. All the copyright of the contents our e-mail responses belong to Chugai Pharmaceutical. Unauthorized duplication is a violation of applicable law.
Indicates items for which entries are required.


Chugai Pharmaceutical collects the above personal information for the legitimate interests of both Chugai website users and our company. The personal information collected is handled appropriately in accordance with the Chugai Pharmaceutical Privacy Policy.

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