Multicenter Clinical Trial Collaboration Agreement

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:

1. Purpose

2. Definitions

3. Responsibilities

A. Sponsor

B. Coordinating Center

C. Participating Sites

4. Study Conduct

5. Data Management and Sharing

6. Publication

7. Confidentiality

8. Term and Termination

9. Indemnification and Liability

10. Miscellaneous

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