Hidradenitis Suppurativa (HS) Clinical Trial Prescreening

1

Participants who qualify receive:

Study treatment at no cost
Compensation for their time and travel expenses
Uber transportation to and from study visits, if needed

2

Do you have hidradenitis suppurativa (HS), or have you had repeated painful boils, cysts, or lumps in your often but not always in your armpits, groin, buttocks, or private area?* This field is required.

Yes

No

3

Have you had hidradenitis suppurativa (HS) or these recurring boils, cysts, or lumps for at least 6 months?* This field is required.

Yes

No

4

Have you ever been diagnosed with hidradenitis suppurativa (HS) by a doctor or other healthcare provider?* This field is required.

Yes

No

5

To qualify for this study, you need to have at least 5 painful cysts, bumps or nodules in at least 2 different body areas (such as both armpits, an armpit and the groin, or the groin and buttocks). Do you currently have at least 5 painful bumps or nodules in 2 or more of these areas?* This field is required.

Yes

No

I'm not sure

6

Could you come to study visits about twice a month for the first few months, and then about once a month after that? The office is located at 📍 16100 NE 16th Ave, North Miami Beach, FL 33162* This field is required.

Yes

No

7

Calculation (DO NOT DELETE)

8

Thank you very much for participating in this survey. Based on your answers, we believe that you may be ineligible for this clinical trial. However, if you would like a staff member to contact you, please provide your best contact information below.

9

Full Name* This field is required.

First Name

Last Name

10

Email Address* This field is required.

example@example.com

11

Cell Phone Number* This field is required.

Please enter a valid phone number.

12

Best Time to Contact You* This field is required.