This Multicenter Clinical Trial Collaboration Agreement (“Agreement”) is made and entered into as of (“Effective Date”) by and between:
| Party | Details |
|---|---|
| Sponsor |
Name: Address: |
| Coordinating Center |
Name: Address: |
| Participating Site(s) |
Name: Address: |
IN WITNESS WHEREOF, the Parties hereto have caused this Agreement to be executed by their duly authorized representatives as of the Effective Date.
| Party | Name / Title | Signature | Date |
|---|---|---|---|
| Sponsor | |||
| Coordinating Center | |||
| Participating Site |