CINV Study

Use of Medical Cannabis for the treatment of
Chemotherapy Induced Nausea and Vomiting (CINV)

Participants will be asked via the online survey tool, for their subjective response to the cannabis product that they are using, to combat the CINV symptoms that they will be typically experiencing. This questioning will involve the type of cancer with which they have been diagnosed, the timing of whatever chemotherapy that was provided, the timing of any anti-nausea medication that they have been provided, the type, route, and timing of the cannabis product that was used, as well as their subjective response with regard to symptom relief and lifestyle impact.

HIPAA Authorization

How will my information be kept confidential?

Your identity will be protected as required by law and according to any policies described in the Confidentiality section above.  You should be aware that your study records (which include your medical records, your signed consent form, and other identifiable information) will be shared as needed for the purposes of the study.  If this is a sponsored study, researchers may share your information with representatives of the sponsor for the purposes of managing and overseeing the study.  Usually the health information sent to sponsors does not directly identify participants (for example, by name or address).  Instead initials and a code number are used.  Some personal information, such as date of birth, will usually be included but will not be used to identify you.

Additionally, governmental oversight authorities [e.g. the U.S. Food and Drug Administration (FDA) or the Department of Health and Human Services Office for Human Research Protections (OHRP)] may have access to your information.  Representatives of the Institutional Review Board overseeing this study may have access to your data.

Please note that the study doctor or study staff may also share personal information about you if required by law (for example, if the study doctor or study staff suspects that you are going to harm someone or yourself).  If you have questions about this, please ask the study doctor.

How will my information be used and shared for this study?

This section explains who will use and share your health information if you agree to be in this study.  You must authorize this use and sharing of your information by signing this form or you cannot be in the study.

The study principal investigator and study staff will collect, use, and share identifiable health information about you, including any information needed to conduct the study.  Information used and shared may include:

  • information from your medical records related to the research;
  • information collected about you during the research and any follow-up concerning study visits, tests, procedures, outcomes, etc.

Your information may be used and shared for some or all of the following purposes:

  • to conduct this research;
  • to review the study, and to check the safety and results of the study;
  • to seek government approval of an investigational study drug, vaccine, device or product if such was involved in the trial;
  • to facilitate a public health authority that is authorized by law to collect or receive such information for the purpose of preventing or controlling disease, injury, or disability, and conducting public health surveillance, investigations, or interventions.

After your information is shared with the organizations listed above, the law may not require them to protect the privacy of your information.  To maintain the integrity of this research, you might not have access to any health information developed as part of this study until it is completed.  At that point, you generally would have access to your health information.

You can cancel your authorization to use and share your information at any time by writing a letter to the study doctor.  If you cancel your authorization, you will not be able to continue in the study.  If some aspects of the study were optional, you may cancel your authorization for the optional part(s) of the study and still remain in the main study.

If you cancel your authorization, the study doctor and study staff will still be able to use and share your information that has already been collected to maintain the integrity of the study.  No new information will be collected without your permission.  This authorization to use and share your information has no expiration date.  If study information is used for scientific publications or educational purposes, all identifying information will be removed.

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