Who can participate in the Study?

  • Women who were treated with at least 1 dose of nifurtimox during their pregnancy which includes the time starting on day one of your last menstrual cycle, through the end of the pregnancy.
  • Women can be actively pregnant or have a known outcome of the pregnancy and were exposed during the defined pregnancy window.

Why should I participate in this Study?

Your participation is voluntary but will provide important information that may eventually be used by healthcare providers and future pregnant women. The success of the study is dependent upon the participation of eligible women and healthcare providers. Thank you for your time and consideration.

Will my privacy be protected?

All personal and medical information will be kept strictly confidential. Information about your health while you are enrolled in the Lampit® Pregnancy Registry will be kept anonymous and any identifying information will not be used.

How can I learn more?

BY PHONE - Call the Lampit® Pregnancy Registry at 877-899-1393

ONLINE - LampitPregnancyRegistry.com

By providing your contact information, someone from the Pregnancy Coordinating Center will contact you to confirm the necessary information to complete the registration. You may also ask your healthcare provider to report your pregnancy.

If you are eligible and would like to participate, you will be asked to provide written consent to acknowledge your understanding of the study. This provides your permission for your personal or infant's healthcare information to be collected. After consent is received, a study representative will contact your healthcare provider to confirm your personal health information.

DOWNLOAD

Informed Consent Form (ICF)

DOWNLOAD

Medical Information Release Form (MIR)

What will my participation involve once I provide consent?

Your participation in the study may last throughout your pregnancy and up to one year after your delivery date. You will be contacted once per trimester, at the estimated date of delivery, and when your baby is 3, 6, 9, and 12 months of age to provide basic information about your pregnancy and your infant's health. At each timepoint you will be asked to confirm your contact information.

You can be actively pregnant or have a known outcome of the pregnancy.