Microbicide Trials Network

MTN-014 Study Implementation Materials

DescriptionDateSize
Avery Label Macro2013-Apr-03280 KB
Baseline Medical History Questions Sheet2012-Nov-2026.12 KB
Eligibility Checklist - Bronx-Lebanon CRS2013-Sep-03485.05 KB
Eligibility Checklist - CAPRISA eThekwini CRS2013-Sep-03480.46 KB
Enrollment Visit LDMS Specimen Tracking Sheet2013-Sep-11393.17 KB
Follow Up Visit LDMS Specimen Tracking Sheet2013-Sep-11396.79 KB
MTN-014 Appointment Card2013-May-2919.66 KB
MTN-014 Enrollment Behavioral Eligibility Worksheet2013-Sep-0320.27 KB
MTN-014 Financial Disclosure Form2014-Aug-0722.02 KB
MTN-014 Financial Disclosure Form - Protocol Chair2014-Aug-0721.92 KB
MTN-014 Sample IC Coversheet2013-Jan-1815.8 KB
MTN-014 Screening Behavioral Eligibility Worksheet2013-Sep-0324.78 KB
Protocol Safety Review Team Query Form2013-Jan-2861 KB
Rectal Gel Use Instructions2012-Nov-15244.01 KB
Response Code List2013-Aug-2819.78 KB
Screening and Enrollment Informed Consent Comprehension Checklist2013-May-1060.5 KB
Screening Visit LDMS Specimen Tracking Sheet2013-Sep-11345.88 KB
Small Gram Stain Label Macro2013-Apr-03331.5 KB
Vaginal Gel Use Instructions2012-Nov-15236.23 KB
Visit Calendar Tool2013-Sep-0527.38 KB
Visit Checklists
01: Visit 1 Screening2013-Sep-0975.5 KB
02: Visit 2 Enrollment2013-Sep-0994 KB
03: Study Product Admin Visits2013-May-2969 KB
04: Visit 16 Period 1 End2013-Sep-0978.5 KB
05: Visit 17 Washout2013-May-2969.5 KB
06: Visit 18 Initiate Period 22013-May-2989 KB
07: Visit 32 Period 2 End2013-Sep-0981 KB
08: Safety Phone Call2013-May-2921.88 KB
09: Genital Exam2013-Sep-0976.5 KB