CONSENT TO PARTICIPATE IN A RESEARCH STUDY
YOU ARE BEING ASKED TO TAKE PART IN A RESEARCH STUDY

You do not have to take part. You should only agree to participate after reading this consent form and discussing it with the study team. You may also discuss this with your family, friends, health care providers or others before you make a decision.

THE PURPOSE OF THIS STUDY

Is to determine whether an investigational drug (to be named, herein referred to by its chemical compound identifier LP-265) is effective in a wide patient population.

Why would you want to take part in this study?

By participating you may help to understand the mechanism of LP-265. In this study, by chance (like flipping a coin) half of subjects will be assigned to receive LP-265 and the other half will receive placebo. Even if you do not receive LP-265, the information gained by your participation may help others in the future.

Terms and confidentiality

All information relating to LP-265, its mechanism, its utility, all study results and any correspondence you have with the study team during this trial are the property of Labrynth Pharmaceutical. We expect your discretion when speaking with anyone about your experience during this trial.

Your identity and health records will be held in strict confidence by the Sponsor and the Principal Investigator.

This document is intended solely for the named recipient. Unauthorized distribution is prohibited.