Moderna Site Registry


Thank you for your interest in participating in Moderna-sponsored clinical research. Please complete all fields in this form for consideration. This information will be securely stored in Moderna’s principal investigator registry, which is managed by TrialScope, and may be shared with Moderna’s CRO partners.

Clinical Areas of Expertise (select all that apply)
























Diversity in clinical trials is an important consideration to ensure the findings from the research studied are generalizable to the populations most at risk. Please provide the demographic breakdown of your patient population (in percentages):

Race/Ethnicity:

Age: