STUDY TITLE

Title TitleDrMrMrsMissOther

First Name

Last Name

Degree(s)

Affiliation

Email Address

Phone

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PLANNED TERM FOR STUDY

START DAY

END DATE

Hypothesis - Up to 300 words

Specific aims - Up to 300 words

Patient eligibility population

Geographical regions of interest Geographical regions of interestFranceGermanyItalySpainUKUSA

CMT subtypes of interest CMT subtypes of interest 1A Other Type 1 subtypes 2 3 4 5

PRO data of interest PRO data of interest EQ-5D-5L WLQ BFI PROMIS pain intensity and interference Cramp PROMIS sleep disturbance 8a FES-I LEFS QuickDash

Other data domains Other data domains Demographics CMT symptoms and diagnosis Medical team Pharmacological treatments Non-pharmacological treatments Impact on work/study Lifestyle

Insert any additional text here - Up to 300 words

Study design/Statistical analysis plan - Up to 300 words

Proposed timelines (start date, critical deadlines, FDA dates) - Up to 300 words