TRIAL TWO RAPAMYCIN STUDY FORM

The phase 2 rapamycin intervention study is planned to be a long-term study to evaluate the benefits of rapamycin on healthy aging in pet dogs.  This study is intended to last 3-5 years and will hopefully begin enrollment during 2016, pending funding.

At this time, there are no restrictions on geographic location.  We expect this study to include dogs from around the United States and, perhaps, the rest of the world.  There are no restrictions on breed of dog for the phase 2 study.  Dogs must be at least 6 years old, 40 pounds in weight minimum and in good health, without significant pre-existing conditions.

Dogs selected for this study will receive a low dose of rapamycin and be evaluated through regular veterinary exams and activities with their owners.  Several age-associated traits will be followed including cognitive function, cardiac function, immunity, and cancer incidence.

Based on laboratory studies, we anticipate that this regimen of rapamycin treatment could improve healthy longevity of typical pet dogs by 2-5 years.

If you would like to register your interest in participating in the phase 2 rapamycin study, please complete the questionnaire below.

How did you hear about us?

Your Name (required)

Your Email (required)

Your Telephone number (required)

Your Street Address (required)

City (required)

State, if applicable

Province, if applicable

Zipcode (required)

Your Dog's name (required)

Your Dog's birth date (required)

Your Dog's breed (required)

Your Dog's weight (required)

Is your dog (required)

How long has it been since your dog's last visit to the veterinarian? (required)

How often does your dog get exercise, as defined by at least 20 minutes of continuous physical activity? (required)

Is your dog fixed or intact? (required)

Is your dog up to date on immunizations? (required)

Do you understand that this online form is a request for participation only, and that the Dog Aging Project, in consultation with licensed veterinarians, will determine which dogs will be involved in the initial 10 week Rapamycin dosing study (required)

Have you read the material included above and are you willing to have your dog participate as an unpaid volunteer in the ten week rapamycin dosing study through the Dog Aging Project? (required)

Do you understand that, if chosen, you will be asked to sign a waiver and release of liability form prior to beginning the study? (required)

Are you 18 years of age or older? (required)

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