Letter of Intent for Mesothelioma Samples
Primary Investigator: __________________________________________________________ Position: _____________________________________________________________________ Institution: ___________________________________________________________________ Address (Post and E-Mail): ______________________________________________________ ______________________________________________________________________________ Telephone: ___________________________________________________________________ Co-Investigators:_______________________________________________________________ Title of the Study:______________________________________________________________ I. Specific Aim(s):
II. Background and Hypothesis:
III. Technical approach and methods:
IV. Approximate number and types of cases required:
V. Justification for sample size and proposed statistical analysis:
VI. Assurance that the technique(s) can be applied to paraffin-embedded, DNA, or blood samples:
VII. Clinical (Demographic and Epidemiologic) and/or Outcome and Follow-up data required:
Submit your Letter of Intent to: Nancy B. Whelan Project Coordinator Pittsburgh Cancer Institute UPMC Cancer Pavilion, Room 301 Pittsburgh, PA 15232 Phone: 412-576-0300 Fax: 412-623-3201 e-mail: whelannb@upmc.edu
04-05-2007