GERD (Acid Reflux)

We are currently enrolling qualified applicants into a study of an investigational medication for adults 18 and older with GERD (Acid Reflux). The primary goal for this study is to assess the effectiveness of the investigational medication in reducing symptoms of Acid Reflux. The investigational medication is an add-on medication that participants will take in conjunction with their current Acid Reflux therapy.

Your first visit to the research clinic will be a screening visit. During this visit you will meet with a study coordinator to fully review study details. If you decide to participate, a more in depth assessment of your health will take place to determine your final eligibility. If you are eligible and choose to enroll, you will be required to return to our research clinic various times for treatment and follow-up visits.

Space in the study is limited. Health insurance is not required. All clinical visits, medications, and physical exams are provided to you at no cost. Compensation for time and travel may be provided.

Please complete the form below to see if you pre-qualify for the study.

Disclaimer: Not all individuals that complete the on-line questionnaire will qualify for the study. An in-depth study and medical evaluation must be completed in person in order to qualify for the study.

Study Questionnaire

First Name (required)
Last Name (required)
Email Address
Male or Female ?
Address/Street Name
Date of Birth (DD-MM-YYYY)(required)
Primary Phone (required)

Other Phone
Best Time to Call:
Have you participated in a clinical research study at Aspen before?
Referral Source
Referral Name
Have you experienced heartburn or regurgitation an average of 4 or more times
per week over the past 8 week? (required)
Have you been taking a PPI Medication (i.e. Prilosec, Yosprala, etc.) to treat GERD
over the past 8 weeks? (required)
Please list the name, dose, and frequency of any medications you are currently taking:

Are you interested in learning more about other studies?

Before an individual can participate in a clinical research
study, Aspen Clinical Research is required to receive study participants medical
records from their primary care physician. Would you like to expedite this
process by taking 2-3 minutes to fill out the HIPAA (Privacy Act) form after clicking
the "Send" button below? (required)

Type the following in the input box