PPMI New Project Request Form

The PPMI New Project Request Form must be completed for any new project that is proposed or has received PPMI Executive Steering Committee approval for inclusion in the PPMI Program. The information in this form is utilized to determine the project classification (e.g., sub-study, companion study, ancillary study) and direct the subsequent project management operational activities. If there is unknown information at the time of submission, we will work with the requester to obtain the necessary information to operationalize the project. You will receive an acknowledgement of your request within 3 to 5 business days.

Additionally including the following elements, as applicable

  • Specific goals / purpose of project
  • Background / significance and rationale of project
  • Preliminary data supporting the proposal
  • Research plan, including estimated sample size, eligibility criteria, assessments to be conducted, and frequency of visits
  • Data analysis plan
  • Copy of the project protocol and/or schedule of activities if available (excluded from 2-page limit)
  • Reference (excluded from 2-page limit)
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Has Funding Been Secured for this Project?*
Has a contract with MJFF been completed?*
Has the project been presented to the PPMI Executive Steering Committee?*

Has the project/proposal received approval by PPMI Scientific Leadership?*

(Timeline to be confirmed by IND Project Manager)

Is this study active/currently enrolling?*
Are any third party vendors required to implement the project?*
If yes, have vendor contracts been initiated with respective vendor(s)*

(select all that apply)

(select all that apply)

(select all that apply)

Describe plan methods of recruitment. (e.g., in clinic, email outreach). Additional recruitment methods may be available, which will be presented following assessment of the proposal. If unknown at time of submission of proposal, please indicate as such in the text box.

Can participants be dually enrolled in PPMI Clinical protocol and this project?*

Select all that apply

Will translation of project materials be required?*

(e.g., consent, assessments)

Will any licensed assessments be used?*

All data generated from this project are required to be deposited at the Laboratory of Neuro Imaging (LONI) along with a document detailing the experimental methods, unless PPMI leadership otherwise determines the data may be sequestered. Briefly describe how data will be collected and shared with the PPMI data repository at LONI, such as use of PPMI ID, data collection in PPMI EDC system, data collection in non PPMI EDC system such as REDCap, data transfer process to LONI. If unknown at time of submission of proposal, please indicate as such in the text box.

Is this project being conducted at any PPMI clinical sites?*

If unknown at time of submission of proposal, please indicate as such in the text box.

Were site payment costs included in the project budget?*
Will participants be compensated for their time in the study?*
Was this amount included in the project budget?*
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