RDC Clinical
  • About
  • Trials
  • Articles
    • Weight Loss and Healthy Eating
  • FAQ
  • Previous Research
  • Contact
    • Privacy Policy
Select Page

LEVESS Screening Script

PEA Long Term Safety Study and Participant Details

"*" indicates required fields

This is a 12 month study looking to assess the long term safety of Palmitoylethanolamide (PEA).
PEA is currently approved by the therapeutic goods administration (TGA) for use for up to 21-days. This is because to date, specific safety studies on the long-term use (longer than 21-days) of PEA have not been conducted. Therefore, the aim of the current study is to assess the safety of long-term (12 months) use of PEA.
PEA has previously been studied for its pain-relieving and anti-inflammatory effects. It has been shown to help modulate the inflammatory response and reduce pain. PEA is found in various foods, including egg yolk, peanuts, and soybeans. It can also be synthesized and is available as a dietary supplement.

We are looking to enrol 200 generally healthy adults willing to consume 2 capsules of study product daily for 12-months.

As this is a placebo controlled study, you will have a 50% chance of being allocated to the PEA group, and a 50% chance to being allocated to the placebo group. During the study period, neither you nor the study investigators will know the product you have been allocated. However, if it is necessary for your health, we can find out which product you have been allocated.

To determine your suitability for this study, we will start by asking you some questions over the phone today. As part of the screening process, you will need to attend an SNP pathology centre for a blood test. Once we have checked your results against our eligibility criteria, we'll then schedule a time for you to attend will a physical health assessment with our trial doctor at the RDC clinic in fortitude valley.

If you are found to be suitable for the study after all the screening measures have been completed, you will attend a baseline appointment where you will complete some questionnaires, basic measures and be allocated your study product.
It may be possible to complete your baseline appointment immediately after your health assessment with the trial doctor.

Once you have started the study product, you will need to return to the RDC clinic every 3 months for a follow up appointment and blood test.
We will also be in regular contact with you throughout the study with monthly check in calls.

You will be eligible for a payment/reimbursement of up to $500 for your time and travel expenses .
Do you have any questions about the study?

Participant still interested after study summary?*

Screening Questions

Gender?
Are you aged over 18?
Not Eligible
Accepted range - BMI 18.5 - 35kg/m2
Not Eligible
Have consumed any PEA or products that contain PEA over the last 2 weeks?
Not Eligible
Are you currently taking Coumadin (Warfarin), Heparin, Dalteparin, Enoxaparin or other anticoagulation therapy?
low dose aspirin (under 300 mg/day) is ok
Not Eligible
Have you participated in any other clinical trial during the past month?
Not Eligible
Do you agree not to participate in any other clinical trials whilst enrolled in this one?
Not Eligible
Do you agree not change your current diet, exercise frequency or exercise intensity during the study period?
Not Eligible
Do you suffer from any type of unstable or serious illness? (eg. mood disorders such as depression disorder, anxiety disorder or bipolar disorder, neurological disorders such as MS, kidney disease, liver disease, heart conditions, uncontrolled diabetes or thyroid gland dysfunction).
excluded - Serious diagnosed mood disorders such as clinical depression, clinical anxiety or bipolar disorder, neurological disorders such as MS, kidney disease, liver disease or heart conditions.

serious illness is a condition that carries a risk of mortality, negatively impacts quality of life and daily function and/or is burdensome in symptoms and/or treatments.

An unstable illness is any illness that is currently not being treated with a stable dose of medication or is fluctuating in severity.
Not Eligible
Are there any medications or supplements that you take or use regularly?
Excluded:
Coumadin (Warfarin), Heparin, Dalteparin, Enoxaparin or other anticoagulation therapy
Please list any medications or supplements below
Name
Dose
Frequency
Reason
Prescribed? (Y/N)
 
Have you had or been treated for cancer in the last 2 years?
non-melanoma (e.g. BCC) skin cancers not requiring radiation or chemotherapy are OK
Not Eligible
Do you abuse drugs or substances? (illicit or prescription)
Not Eligible
Do you regularly drink more than 14 standard alcoholic drinks a week (or have you regularly in the past)?
Not Eligible
Do you have any known allergies to any of the ingredients in the Study Products?
PEA, Levagen, Microcrystalline cellulose
Are you currently attempting conception, pregnant or breastfeeding?
Please note that your initial blood test will include a Pregnancy test
Not Eligible
It is a requirement of this study that all females of childbearing potential use a prescribed form of birth control, are you of child bearing potential? (If yes - what kind of contraception are you using?)
Not Eligible
Screening Result?
Have you informed the participant that we have other studies recruiting that they may be eligible for?
Did they seem interested in any other studies?
If person fails screening or is not interested, please just type xxxx. Do NOT put the actual participant ID in this field unless they have PASSED screening.

Participant Details

Are you currently following any particular diet, such as vegetarian etc.
If other, please provide details:

Do you exercise regularly?
Thank you for your time on the phone. We will now email out a consent form for you to read through and sign. Please get that back to us as soon as possible so we can send out your referral form for SNP.
Once you have been for your blood test, please let us know so we can keep an eye out for your results and schedule in your screening and baseline clinic appointments.

Do you have any questions?
Before we sign off, I just want to check I have the correct email address for you on file. Is your email ___________?*

Quick Links

  • Home
  • About RDC Clinical
  • Trials
  • Articles
  • Previous Research
  • Contact

We are proud members of the following professional associations.


  • Facebook
© Copyright 2018. RDC Clinical | Privacy Policy