CORT125134 Pre-screener

See if you are eligible:

1. How old are you?

2. What is your sex?

Male

Female

3. Have you been diagnosed with Cushing syndrome?

Yes

3a. Did your doctor tell you that your diagnosis

resulted from the body making too much cortisol?

resulted from taking steroid medication?

I don't know

3b. Are you currently being treated for Cushing syndrome?

Yes

4. Do you have high blood pressure?

Yes

Not sure

4a. Are you taking medication for your high blood pressure?

Yes

Not sure

5. Have you been told by a doctor that you have a high blood glucose (sugar) level?

Yes

Not sure

6. Have you been diagnosed with type 2 diabetes?

Yes

Not sure

7. Do you have severe kidney disease?

Yes

Not sure

Please select the most convenient location for you to attend study visits.

US locations:

US – East Coast

US – West Coast

US – Midwest

US – Southeast

Additional Required Information:

First Name

Last Name

Email Address

City

State

Zip