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Clinical Trial Interest Form
Please fill out the form below.
Prostate Cancer | COMBAT Trial
First Name
Middle Name
Last Name
Email
Mobile Phone
How did you find us?
Primary Care
Specialist Care
BAMF Employee
Social Media
Other
Have you been diagnosed with metastatic castration resistant prostate cancer (mCRPC)
Yes
No
Has your disease progressed after androgen deprivation therapy (ADT) such as enzalutamide or abiraterone?
Yes
No
Unknown
Have you had a PSMA PET scan? Was it negative for PSMA expression?
Positive PSMA PET
Negative PSMA Pet
PSMA PET but unsure
No PSMA PET
Please give us any additional details of your disease and current treatment.
Submit