Can I participate in the
InnovAATe Study

The innovAATe study is recruiting eligible participants.

Send your details to evaluate your potential eligibility.

1. Have you been diagnosed with Alpha-1 Antitrypsin Deficiency?

Yes

This field is required

2. Are you an adult over the age of 18?

Yes

This field is required

3. Choose a study location

This field is required

4. Indicate your genetic type of AATD?

Pi(ZZ)

Pi(Z/Null)

Pi(Null/Null)

Don’t know

Other

This field is required

5. What was your recent lung function result (FEV1%)?

<40%

40%-80%

>80%

Don’t know

This field is required

6. Are you currently smoking, or have you smoked in the past year?

Yes

This field is required

7. How many times were you treated for flare ups of your lung disease in the past year?

More than 2

Don’t know

This field is required

8. Any other questions or information you wish to disclose?

This field is required

9. How did you hear about the InnovAATe study?

Physician

Another Patient

Patient group

Other

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10. Enter your email address (mandatory) and phone number (optional)

This field is required

11. Phone number

This field is required

12. Accept

I agree that my input will be collected and shared with the medical team at my chosen location for the purpose of evaluating my potential eligibility to participate in the study, as described in the Privacy Policy

This field is required

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Can I participate in the InnovAATe Study

The innovAATe study is recruiting eligible participants.

Can I participate in the
InnovAATe Study