Industry Representatives Application

Industry Representatives Application
We want to hear from the full range of industry that develop and distribute products and services for people with urea cycle disorders as we work to develop a new research roadmap. Please help us by completing this form:
What is your company name?
What is your job title or role in the company?
For which UCD subtype(s) is your company developing a therapy? (select all that apply)

NAGSCPS1OTCASA/ASL (argininosuccinic lyase deficiency)ASS (citrullinemia 1)AG (arginase deficiency)HHHLPICitrin deficiency (formerly known as citrullinemia type 2)
Which type(s) of UCD therapy is your company developing? (select all that apply)

Ammonia scavengerGene therapyGene editingmRNAInnovative pre-clinical deviceOther
If you selected "other" therapy type, please specify here:
At what stage is the UCD therapy your company is developing? (select all that apply)

Drug discoveryPre-clinicalPhase I clinical trialPhase 2 clinical trialPhase 3 clinical trialApproved for marketing by FDAOther
If you selected "other" development stage, please specify here:
Your Demographics

We are collecting this information about you as a potential Partner Network member to help ensure we select a diverse sample of the UCD community, allowing us to capture a range of experiences. All information will be kept strictly confidential.
Which best describes your gender?*
What year were you born?*
Please select what you consider your race to be (you can select more than one)*

WhiteBlack or African AmericanHispanic or LatinoAmerican Indian and Alaska NativeAsianNative Hawaiian and Other Pacific Islander
In which country do you currently reside?*
In which state do you currently reside?
Are you able to participate in an English language focus group?*

YesNo
Your Contact Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number (needed in case our emails don't reach you)*
Please enter a valid phone number.
I agree that you may contact me via text messaging (msg and data rates may apply)*

YesNo
Please verify that you are human*
Thank you for your interest in joining the NUCDF Partner Network project. We will be reaching out to selected network members in Fall 2025. To follow news about this project, please subscribe to our newsletter at https://nucdf.org.
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Industry Representatives Application

We want to hear from the full range of industry that develop and distribute products and services for people with urea cycle disorders as we work to develop a new research roadmap. Please help us by completing this form:

Your Demographics

Your Contact Information

Thank you for your interest in joining the NUCDF Partner Network project. We will be reaching out to selected network members in Fall 2025. To follow news about this project, please subscribe to our newsletter at https://nucdf.org.