Submit a clinical trial

Please fill in the following form with as many specific details as possible so your research trial can be placed on this website for the general public to view.

Thank you for your interest in having your research project or clinical trial posted on the Diabetes Canada website. Diabetes Canada will review the information provided here and, if the project or clinical trial is suitable and aligns with our mission, will post the information on our website.

Please note that the posting of the information submitted here does not constitute Diabetes Canada’s endorsement of the research project or clinical trial. Diabetes Canada assumes no responsibility for participant involvement in or the outcome of the clinical trial.

_{Your participation in this survey is completely voluntary. If you decide to participate, you consent to Diabetes Canada collecting and using the information you provide to us for the purposes of developing and improving our programs, services, and initiatives. We will not share your personal information with third parties, other than with our affiliates who perform services on Diabetes Canada’s behalf. You can learn more about how we handle your personal information by reading our Privacy Policy.}

_{By providing your contact information, you consent to Diabetes Canada contacting you for participation in diabetes research.}

All fields are required unless otherwise indicated

Project details

Name of Research Project or Clinical Trial:

Investigators Involved:

Institutions Involved:

Brief Abstract/Description of the Research Project or Clinical Trial:

Funding Source:

Project Start Date:

Project End Date:

Inclusion Criteria/Eligibility:

Identify any benefits/incentives to the participant for participating in this research project or clinical trial:

Identify any potential risks to the participants of this research project or clinical trial:

Brief description of who will be managing participant’s care during the research project or clinical trial:

Brief description of how the participant’s safety and privacy will be protected:

Ethics Approval

Clinical Trial Registration (if applicable):

Website URL for project or clinical trial (if applicable). Note: if you would like Diabetes Canada to link directly to your website instead of posting the above details, please indicate this.:

Contact Information

First Name

Last Name

Phone

Email Address

reCAPTCHA