Genentech: Submit A Medical Or Clinical Trial Inquiry

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The browser you are using, Internet Explorer 10, is no longer supported.</h2> </div> </div>  <div class="header__spacer "></div> <div class="js-nav-container "> <script type="text/javascript"> var _gaq = _gaq || []; _gaq.push(['_setCustomVar', 1, 'Audience', 'medical professional', 1]); </script> <div class="constrained"> <div style="position: absolute; width: 260px; height: 100%;"> <div class="l-rail-left"> <div class="nav-secondary-container"> <nav class="nav-secondary js-nav-secondary"> <div class="nav-secondary__header "> <a class="nav-secondary__link" href="/contact-us">Contact Us</a> </div> <ul class="nav-secondary__children"> <li class="nav-secondary__child "> <a class="nav-secondary__link" href="/contact-us/call-us">Call Us</a> </li> <li class="nav-secondary__child "> <a class="nav-secondary__link" href="/contact-us/email-us">Email Us</a> </li> <li class="nav-secondary__child "> <a class="nav-secondary__link" href="/contact-us/visit-us">Visit Us</a> </li> <li class="nav-secondary__child current"> <a class="nav-secondary__link" href="/contact-us/submit-medical-inquiry">Submit a Medical Inquiry</a> </li> <li class="nav-secondary__child "> <a class="nav-secondary__link" href="/contact-us/submit-media-inquiry">Submit a Media Inquiry</a> </li> </ul> </nav> </div> </div> </div> </div> <div class="constrained"> <div class="l-grid"> <div class="l-content-container"> <div class="l-content"> <div class="breadcrumbs"> <a href="/contact-us">Contact Us</a> / <a href="/contact-us/submit-medical-inquiry">Submit a Medical Inquiry</a> </div> <div class="block-basic"> <h1>Submit a Medical or Clinical Trial Inquiry</h1> <script type='text/javascript'> window.addEventListener("message", receiveMessage, false); function receiveMessage(event) { if (event.data == "thanks") { document.getElementById("displayInfo").style.visibility="hidden"; document.getElementById("displayInfo").style.position="absolute"; document.getElementById("displayInfo").style.height="0"; document.getElementById("displayInfo").style.width="0"; window.scrollTo(0, 0); } else { document.getElementById("displayInfo").style.visibility="visible"; document.getElementById("displayInfo").style.position="relative"; } } </script> <span id="displayInfo"> <p class="intro">For patients/caregivers, please consult with your physician or submit a question to us using the form below.</p> <p>This site is intended for residents of the United States. For residents outside of the US, please visit <a href="https://www.roche.com/about/business/roche_worldwide.htm">Roche Worldwide</a>.</p> <p>If you do not have appropriate information for a required field, please enter "N/A".</p> </span> </div> <iframe src="https://roche-ssp.my.salesforce-sites.com/synapse/forms/usma" style="width: 100%; border-width: 0px; height: 1750px;"></iframe> </div> <div class="l-rail-right"> <div class="widget-links"> <h2 class="widget-links__heading">Related Information</h2> <div class="widget-links__content"> <ul class="widget-links__items"> <li class="widget-links__item"> <h3 class="widget-links__title"><a href="https://www.genentech-medinfo.com/" target="_blank">Genentech Medical Information Website</a></h3> <p>Our centralized digital medical resource designed to foster scientific exchange and share comprehensive medical and scientific information with US medical professionals.</p></li> <li class="widget-links__item"> <h3 class="widget-links__title"><a href="https://medically.gene.com/" target="_blank">MEDICALLY</a></h3> <p>Visit Medically to access the latest developments in clinical research and data from Roche and Genentech conference presentations.</p></li> <li class="widget-links__item"> <h3 class="widget-links__title">Report an Adverse Event</h3> <p><i>Phone:</i> (888) 835-2555<br> <i>Hours:</i> 24 hrs/day, 7 days/week</p> </li> <li class="widget-links__item"> <h3 class="widget-links__title">Report a Product Complaint</h3> <p><i>Phone:</i> (800) 334-0290<br> <i>Hours:</i> Monday - Friday, 5am - 5pm PT</p> </li> <li class="widget-links__item"> <h3 class="widget-links__title">Medical Communications</h3> <p><i>Phone:</i> (800) 821-8590<br> <i>Hours:</i> Monday - Friday, 5am - 5pm PT</p> </li> <li class="widget-links__item"> <h3 class="widget-links__title">Clinical Trial Information</h3> <p><i>Phone:</i> (888) 662-6728<br> <i>Hours:</i> Monday - Friday, 5am - 5pm PT</p> </li> <li class="widget-links__item"> <h3 class="widget-links__title">Compassionate Use Information</h3> <p><i>Phone:</i> (844) 287-3783 (CU-REQUEST)<br> <i>Hours:</i> Monday - Friday, 5am - 5pm PT</p> </li> <li class="widget-links__item"> <h3 class="widget-links__title">Find Open Clinical Trials</h3> <p> Search <a href="https://www.clinicaltrials.gov/ct2/results/refine?lead=genentech+OR+Hoffmann-La+Roche&cntry1=NA%3AUS" target="_blank">clinicaltrials.gov</a> to find out if a clinical trial exists for a specific medicine for a particular disease. </p> </li> <li class="widget-links__item"> <h3 class="widget-links__title"> <a href="https://www.gene.com/about-us/compliance/sunshine-act" class="widget-links__link">Sunshine聽Track</a> </h3> <p>Learn about our secure online portal that allows HCPs to review聽reportable payments.</p> </li> </ul> </div> </div> </div> </div> </div> </div> </div> <script>window.GeneJs = window.GeneJs || {};GeneJs.currentNode = {"rootNode":{"id":"421c91f9-cf85-4e09-a6b3-2118ca5cfe39","parent_id":"0","title":"Contact Us","node_type":"code","request_path":"contact-us","lang_id":"en","source_translation_id":"86b731ba-f08c-11ed-a19a-0242ac150003","target_id":null,"target_path":"","meta_description":"Contact US","url_suffix":"","position":18,"prefix":null,"show_in_secondary_navigation":true,"show_in_header":0,"show_in_footer":1,"secondary_navigation_dynamic_children":false,"include_css":null,"include_js":null,"added_date":"2019-12-19T08:00:00.000000Z","added_by":"admin","updated_date":"2024-04-18T15:09:59.000000Z","header_image":"Genentech-SSF-Campus-V4.jpg","body_html":"<div class=\"block-basic\">\r\n <h1>Contact Us<\/h1>\r\n\r\n \r\n \r\n\r\n <div class=\"arrow-button-nav\">\r\n <a target=\"_parent\" href=\"\/contact-us\/call-us\" class=\"arrow-button-nav__arrow-button\">\r\n <div class=\"arrow-button-nav__icon-container\">\r\n <svg><use xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" 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<div class=\"widget-links__content\">\r\n <ul class=\"widget-links__items\">\r\n <li class=\"widget-links__item\">\r\n <h3 class=\"widget-links__title\">Patient Resource Center<\/h3>\r\n <p>Our patient resource center is dedicated to getting patients and caregivers to the right resources.<br>\r\n <i>Phone:<\/i> <a href=\"tel:877-436-3683\">1 (877) GENENTECH (436-3683)<\/a><br>\r\n <i>Hours:<\/i> Monday - Friday, 6am - 5pm PST<\/p>\r\n <\/li>\r\n <li class=\"widget-links__item\">\r\n <h3 class=\"widget-links__title\">Report an Adverse Event<\/h3>\r\n <p>Report a side effect or harmful experience while taking a Genentech medicine.<br>\r\n <i>Phone:<\/i> <a href=\"tel:888-835-2555\">(888) 835-2555<\/a><br>\r\n <i>Hours:<\/i> Monday - Friday, 5am - 5pm PST<\/p>\r\n <p><i>Mail:<\/i> Genentech US Drug Safety<br>\r\n 1 DNA Way Mailstop 258A<br>\r\n South San Francisco, CA 94080<\/p>\r\n <p><i>Fax:<\/i> (650) 225-4630<\/p>\r\n <\/li>\r\n <li class=\"widget-links__item\">\r\n <h3 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information about Genentech products.<br>\r\n <i>Phone:<\/i> <a href=\"tel:800-821-8590\">(800) 821-8590<\/a><br>\r\n <i>Chat with a nurse:<\/i> <a href=\"\/patients\/medicine-information-support?chat=true\">Click here to chat<\/a> <br>\r\n <i>Hours:<\/i> Monday - Friday, 5am - 5pm PT<\/p>\r\n <\/li>\r\n <li class=\"widget-links__item\">\r\n <h3 class=\"widget-links__title\">Clinical Trial Information<\/h3>\r\n <p>Information and support about Genentech sponsored Trials.<br>\r\n <i>Phone:<\/i> <a href=\"tel:800-662-6728\">(888) 662-6728<\/a>\r\n <br>\r\n \r\n <i>Hours:<\/i> Monday - Friday, 5am - 5pm PT<\/p>\r\n <\/li>\r\n <li class=\"widget-links__item\">\r\n <h3 class=\"widget-links__title\">Compassionate Use Information<\/h3>\r\n <p>Call to learn about pre-approval access (PAA) options and eligibility for any ongoing clinical trials.<br><i>Phone:<\/i> <a href=\"tel:844-287-3783\">(844) 287-3783 (CU-REQUEST)<\/a><br>\r\n <i>Hours:<\/i> Monday - Friday, 5am - 5pm PT<\/p>\r\n <\/li>\r\n <\/ul>\r\n <\/div>\r\n <\/div>\r\n\r\n <div class=\"widget-links\">\r\n <h2 class=\"widget-links__heading\">Other Frequently asked Questions<\/h2>\r\n <div class=\"widget-links__content\">\r\n <ul class=\"widget-links__items\">\r\n <li class=\"widget-links__item\">\r\n <a href=\"\/careers\/find-a-job\" title=\"Careers\">What are the open jobs at Genentech?<\/a>\r\n <\/li>\r\n <li class=\"widget-links__item\">\r\n <a href=\"\/careers\" title=\"Careers\">How can I apply for a job at Genentech?<\/a>\r\n <\/li>\r\n <li class=\"widget-links__item\">\r\n <a href=\"\/patients\/investigational-medicines\" title=\"Register for a clinical trial\">How can I register for clinical trials?<\/a>\r\n <\/li>\r\n <li class=\"widget-links__item\">\r\n <a href=\"\/about-us\/partnering\" title=\"Partnering\">How do I partner with Genentech?<\/a>\r\n <\/li>\r\n <li class=\"widget-links__item\">\r\n <a href=\"\/good\/grants\/philanthropic-charitable-support\" title=\"Philanthropic Donations and 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US","url_suffix":"","position":18,"prefix":null,"show_in_secondary_navigation":true,"show_in_header":0,"show_in_footer":1,"secondary_navigation_dynamic_children":false,"include_css":null,"include_js":null,"added_date":"2019-12-19T08:00:00.000000Z","added_by":"admin","updated_date":"2024-04-18T15:09:59.000000Z","header_image":"Genentech-SSF-Campus-V4.jpg","body_html":"<div class=\"block-basic\">\r\n <h1>Contact Us<\/h1>\r\n\r\n \r\n \r\n\r\n <div class=\"arrow-button-nav\">\r\n <a target=\"_parent\" href=\"\/contact-us\/call-us\" class=\"arrow-button-nav__arrow-button\">\r\n <div class=\"arrow-button-nav__icon-container\">\r\n <svg><use xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#icon-phone\"><\/use><\/svg>\r\n <\/div>\r\n\r\n <div class=\"arrow-button-nav__text-container\">\r\n <div class=\"arrow-button-nav__title\">Call Us<\/div>\r\n <div class=\"arrow-button-nav__subtext\">We're ready to help<\/div>\r\n <\/div>\r\n\r\n <svg class=\"arrow-button-nav__arrow\"><use 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