Neuren Clinical Trial: Travel Support

If you participated, please note that the reimbursement cutoff date is June 30, 2024. All receipts will need to be turned in before this date.

Thank you for your interest in participating in the Neuren NNZ-2591 Clinical Trial for Pitt Hopkins syndrome. Our foundation will be helping to administer funds to support families for their participation in this study. The funds will be determined on a case-by-case basis by Neuren and the PHRF. Reasonable costs associated with the five clinic visits are eligible for reimbursement.

In order to ensure that we’re able to support future families in this trial, it may not be possible to approve 100% of your estimated expenses, but we will do our best to meet your needs.

Questions you may have:

• How does the process work?

Families will submit an estimate of likely expenses upfront, which will be reviewed by Neuren and the PHRF. Any feedback will be given at this time, regarding the associated costs and any questions there may be. A sample of an estimated expenses form can be found here. At the end of the study, families will turn in all approved itemized receipts for reimbursement.

Please include the following information in your email:

• Subject Number (given at the clinic): _____________

• Age and gender of participant: _________________

• Home location (Town, State, Zip Code): __________

• Clinic site location attended: ___________________

• Number of caregivers traveling with participant (up to 2 allowed): ______

• Dates of travel (for each visit listed separately): ____________

• Dates seen in the clinic (for each visit listed separately): ____________

• Receipts — Each visit will need to be identified in the name of the file. (Example: Visit 1 – Food Receipt 1; Visit 1 – Food Receipt 2; Visit 2 – Food Receipt 1; Visit 2 – Hotel Receipt; Visit 3 – Flight Receipt Patient; Visit 3 – Flight Receipt Caregiver; etc)

Be sure to keep track of all itemized receipts associated with expenses for each visit, they are required for reimbursement.

• What is reimbursable? 

Reasonable travel expenses including travel (gas, airfare, taxi), lodging and food. Some guidance below:

• Travel for 1 patient + 1-2 caregivers.
• One hotel room at maximum $200/night.
• Food limit of a maximum $70 per day on-site for food per person.
• Gas (based on receipts), or mileage ($0.22/mile).

All costs submitted must have relevant itemized receipts attached and dates match days traveling/days in the clinic.

• When will I be reimbursed?

Reimbursement will happen at the end of the study, once the receipts have all been turned in and approved. The reimbursement will come via check from the PHRF. If you need to make different arrangements, please contact us for special circumstances.

Please reach out with any additional questions you have. You can email the PHRF at information@pitthopkins.org.

Thank you for your understanding and dedication to advancing research for Pitt Hopkins Syndrome!

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