NILO-PD Kit Request System

NILO-PD Biologics Manual (Version 7)

UPDATED 7/17/2018: Updated shipping address for Indiana University laboratory.

NILO-PD Sample Record Summary Form

This form MUST be completed for every biomarker and/or PK collection and must be sent to IU (nilopd@iu.edu) at time of shipment. A copy should also be included in the shipment.

V03 Serum PK Time Point Form

In addition to the NILO-PD Sample Record Summary and Shipment Notification Form, we ask that you complete this form at V03 to submit with the Serum PK samples.

002 - Columbia University Medical Center

Amber Ratel
COLUMBIA UNIVERSITY MEDICAL CENTER
Neurological Institute, Movement Disorders
710 WEST 168 STREET, 3rd Floor, Room 307
NEW YORK NY 10032 USA

Work Phone: 212-305-3938
Fax Number: 212-342-1885
E-mail: ads2178@cumc.columbia.edu

004 - University of Michigan

Angela Stovall
UNIVERSITY OF MICHIGAN
MICHIGAN HOUSE
2301 COMMONWEALTH BLVD
ANN ARBOR MI 48105 USA

Work Phone: 737-647-4787
Fax Number: 734-936-8967
E-mail: astovall@med.umich.edu

005 - Rush University Medical Center

Matthew Johnson
RUSH UNIVERSITY MEDICAL CENTER
1725 W. HARRISON STREET
SUITE 938
CHICAGO IL 60612 USA

Work Phone: 312-942-7054
Fax Number: 312-563-2684
E-mail: Matthew_johnson@rush.edu

006 - Oregon Health and Science University

Brandon Labadie
OREGON HEALTH AND SCIENCE UNIVERSITY
Parkinson Center of Oregon & Movement Disorders Program
3181 SW SAM JACKSON PARK RD.
MAIL CODE OP32
PORTLAND OR 97239 USA

Work Phone: 503-494-7275
Fax Number: 503-494-9059
E-mail: labadie@ohsu.edu

007 - Baylor College of Medicine

Cinthya Perez
BAYLOR COLLEGE OF MEDICINE
7200 CAMBRIDGE ST. 9TH FLOOR
HOUSTON TX 77030 USA

Phone: 713-798-5120
Fax Number: 713-798-6808
E-mail: cinthyap@bcm.edu

011 - University of Virginia

Katie Sullivan
The Parkinson's Disease and Movement Disorders Center
Department of Neurology
The University of Virginia Health System
21 HOSPITAL DRIVE LANE ROAD
LOADING DOCK
Old Medical School, Room 4894
CHARLOTTESVILLE VA 22908 USA

Work Phone: 434-982-6599
Fax Number: 434-243-5417
E-mail: kls8d@virginia.edu

017 - Massachusetts General Hospital

Grace Bwala
MASSACHUSETTS GENERAL HOSPITAL
55 Fruit Street
Warren 801
BOSTON MA 02114 USA

Work Phone: 617-643-0654
Fax Number: 617-726-0473
E-mail: gbwala@mgh.harvard.edu

018 - University of Pennsylvania

Alexandria Oliver
PENN NEUROLOGICAL INSTITUTE
700 Spruce Street
5th Floor, Suite 500
Philadelphia, PA 19107

Work Phone: 215-829-7104
Fax Number: 215-829-6606
E-mail: Alexandria.Oliver@uphs.upenn.edu

019 - University of South Florida

Claudia Rocha
UNIVERSITY OF SOUTH FLORIDA
PD AND MOVEMENT DISORDERS CENTER
4001 E. FLETCHER AVENUE, 6TH FLOOR
TAMPA FL 33613 USA

Work Phone: 813-396-0757
Fax Number: 813-905-9829
E-mail: crocha1@health.usf.edu

021 - University of Nebraska

University of Nebraska Medical Center
ATTN: Carolyn Peterson
601 S. Saddlecreek Rd
Omaha, NE 68106

Work Phone: 402-552-2239
Fax Number: 402-559-9155
E-mail: carolyn.peterson@unmc.edu

028 - Johns Hopkins University

Nadine Yoritomo
JOHNS HOPKINS UNIVERSITY
Green Springs Fall Concourse
10751 Falls Road, Suite 250
Lutherville, MD 21093

Work Phone: 410-616-2822
Fax Number: 410-616-2810
E-mail: nyorito1@jhmi.edu

037 - Albany Medical School

Sharon Evans
ALBANY MEDICAL COLLEGE
Neurosciences Institute, MC70
47 NEW SCOTLAND AVENUE
ALBANY NY 12208 USA

Work Phone: 518-262-6651
Fax Number: 518-262-6178
E-mail: EvansS@amc.edu

038 - Barrow Neurological Institute

Katherine Delfin
BARROW NEUROLOGICAL MOVEMENT DISORDERS
240 W. THOMAS ROAD, SUITE 301
PHOENIX AZ 85013 USA

Work Phone: 602-406-3719
Fax Number: 602-406-6298
E-mail: mary.harrigan@dignityhealth.org

047 - University of Tennessee Health Science Center

Ellen Fleetwood
UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER
855 MONROE AVE.
SUITE 415
MEMPHIS TN 38163 USA

Work Phone: 901-448-7375
Fax Number: 901-448-7440
E-mail: emesseng@vols.utk.edu

057 - University of Alabama at Birmingham

Courtney Blair
Department of Neurology
The University of Alabama at Birmingham
SPARKS SC360K
1720 7TH STREET SOUTH
Birmingham, AL 35294

Phone: 205-975-2894
E-mail: courtneyblair@uabmc.edu

061 - University of California, Davis

Olga Kishchenko
UC DAVIS
2921 STOCKTON BLVD.
SUITE 1400
SACRAMENTO CA USA

Work Phone: 916-703-9173
Fax Number: 916-703-9113
E-mail: okishchenko@ucdavis.edu

076 - Beth Israel Deaconess Medical Center

Stephanie Burrows
BETH ISREAL DEACONESS MEDICAL CENTER
Movement Disorder Center
330 BROOKLINE AVE SCC 809D
BOSTON MA 02215 USA

Work Phone: 617-667-9885
Fax Number: 617-667-9868
E-mail: sburrows@bidmc.harvard.edu

086 - Beth Israel Medical Center

Laura Ramirez
Department of Neurology - Movement Disorders
Mount Sinai Beth Israel - Icahn School of Medicine at Mount Sinai
10 Union Square East, Suite 5K15
New York, NY 10003

Work Phone: 212-844-6571
Fax Number: 212-844-8461
E-mail: Laura.Ramirez@mountsinai.org

089 - University of Cincinnati

Christina Gruenwald
UNIVERSITY OF CINCINNATI
DEPARTMENT OF NEUROLOGY
260 STETSON ST., SUITE 2300
CINCINNATTI OH 45267-0525 USA

Work Phone: 513-558-6555
Fax Number: 513-558-7015
E-mail: gruenwcm@ucmail.uc.edu

104 - Medical College of Wisconsin

Lynn Wheeler
Department of Neurology
MEDICAL COLLEGE OF WISCONSIN
9200 W. WISCONSIN AVE.
MILWAUKEE WI 53226 USA

Work Phone: 414-805-9307
Fax Number: 414-259-0469
E-mail: lwheeler@mcw.edu

108 - University of Colorado at Denver

Abigail Simpson
UNIVERSITY OF COLORADO School of Medicine
12631 EAST 17TH PLACE
ROOM 5514
AURORA CO 80045 USA

Work Phone: 303-724-3974
Fax Number: 303-724-0985
E-mail: abigail.simpson@ucdenver.edu

110 - University of California, Irvine

Everlyne Gomez
Department of Neurology
University of California, Irvine, School of Medicine
150 Med Surge I
Irvine, CA 92697

119 - Duke University

Lisa Gauger
DUKE UNIVERSITY MEDICAL CENTER
932 MORREENE ROAD ROOM 238
DUKE HEALTH CENTER AT MORREENE ROAD
DURHAM NC 27705 USA

Work Phone: 919-668-1538
Fax Number: 919-681-4935
E-mail: lisa.gauger@duke.edu

120 - Cleveland Clinic

Yvette Pitchford
CLEVELAND CLINIC
Center for Neurological Restoration
9500 EUCLID AVENUE U2-309
CLEVELAND OH 44195 USA

Work Phone: 216-444-7513
Fax Number: 216-636-2448
E-mail: ellisy@ccf.org

160 - University of Florida

Derek Ridgeway
University of Florida
3450 Hull Rd, 4th Floor
Gainesville Florida 32607

Phone: 352-273-9194
Fax: 352-627-4373
Email: derek.ridgeway@neurology.ufl.edu

172 - University of Kentucky

Renee Wagner
UNIVERSITY OF KENTUCKY Movement Disorders Program
KENTUCKY CLINIC J401
740 SOUTH LIMESTONE STREET
LEXINGTON KY 40536-0284 USA

Work Phone: 859-323-0028
Fax Number: 859-323-2623
E-mail: renee.wagner@uky.edu

182 - Medical University of South Carolina

Shonna Jenkins
Department of Neurology
MUSC Movement Disorders Program
MEDICAL UNIVERSITY OF SOUTH CAROLINA
208 B RUTLEDGE AVE
MSC 108
CHARLESTON SC 29403 USA

Work Phone: 843-792-9115
Fax Number: 843-792-1751
E-mail: jenkisho@musc.edu

186 - Michigan State University

Doozie Russell
MICHIGAN STATE UNIVERSITY
Department of Neurology, A212 Clinical Center
804 SERVICE ROAD
EAST LANSING MI 48824 USA

Work Phone: 517-884-2274
Fax Number: 517-884-8821
E-mail: doozie.russell@hc.msu.edu

311 - Cleveland Clinic, Las Vegas

Milagros Fomoso
LOU RUVO CENTER FOR BRAIN HEALTH
CLEVELAND CLINIC (Nevada)
888 W. BONNEVILLE AVE.
LAS VEGAS NV 89106 USA

Work Phone: 702-462-6804
Fax Number: 702-483-6028
E-mail: fomosm@ccf.org

361- Inland Northwest Research

Melissa Bixby
Inland Northwest Research
610 South Sherman Street, Suite 208
Spokane, WA 99202

Phone: (509) 960-2818
Fax: (509) 228-3115
E-mail: mbixby@inwresearch.com

362 - Wesley Neurology

Dr. Mark LeDoux
WESLEY NEUROLOGY
8000 Centerview Parkway
Suite 305
Cordova TN 38018

Phone: 901-237-3561
Fax number: 901-259-2201
Email: mark.ledoux@gmail.com

Each kit shipment for a newly enrolled subject contains:

ONE Blood Biomarker Kit:
1 - Discard tube (3 ml)
1 - Serum tube (10 ml)
1 - Sodium heparin tube (10 ml)
2 - K3 EDTA tubes (10 ml)
1 - K2 EDTA tube (6 ml)
3 - Red-capped cryovials (2 ml)
6 - Purple-capped cryovials (2 ml)
2 - Clear-capped cryovials (2 ml)
2 - Centrifuge tubes (15 ml)
2 - Disposable transfer pipets (1 ml)
3 - Disposable transfer pipets (3 ml)
1 - Cardboard cryobox, 25 cell
1 - Shipping Instruction Sheet
1 - Biohazard bag w/ absorbent sheet
1 - Small ambient mailing kit
1 - FedEx UN3373 ClinPak
1 - Insulated shipper
2 - FedEx Airbill
3 - DOT shipping labels

ONE CSF Kit:
1 - LP tray with 24G OR 22G Sprotte needle
1 - Screw-top centrifuge tube (sterile, 50 ml)
1 - Screw-top centrifuge tube (50 ml)
2 - Screw-top centrifuge tube (15 ml)
12- Cryogenic vials (2 ml) - clear cap
1 - Cryogenic vials (2 ml) - purple cap
1 - Cryogenic vials (4 ml)
2 - Transfer pipet (3 ml)

TWO PK Serum Kits:
1 - Discard tube (3 ml)
1 - Gold-top SST (3.5 ml)
2 - Clear-capped cryovials with yellow label (2 ml)
1 - Disposable transfer pipets (1 ml)
1 - Shipping Instruction Sheet
1 - Biohazard bag w/ absorbent sheet
1 - Small insulated shipper
1 - FedEx Airbill
3 - DOT shipping labels

Please refer to the kit schedule when ordering your kits

If you have difficulty viewing the kit schedule above, you can download the image here.

For each item that you are requesting, indicate the quantity.

Each Screening Visit 2 (SC2) Kit Contains:

1 - LP tray with 24G OR 22G Sprotte needle
1 - Screw-top centrifuge tube (sterile, 50 ml)
1 - Screw-top centrifuge tube (50 ml)
2 - Screw-top centrifuge tube (15 ml)
12- Cryogenic vials (2 ml) - clear cap
1 - Cryogenic vials (2 ml) - purple cap
1 - Cryogenic vials (4 ml)
2 - Transfer pipet (3 ml)

Each Baseline (BL) Visit Kit Contains:

1 - Discard tube (3 ml)
1 - Serum tube (10 ml)
1 - Sodium heparin tube (10 ml)
2 - K3 EDTA tubes (10 ml)
1 - K2 EDTA tube (6 ml)
3 - Red-capped cryovials (2 ml)
6 - Purple-capped cryovials (2 ml)
2 - Clear-capped cryovials (2 ml)
2 - Centrifuge tubes (15 ml)
2 - Disposable transfer pipets (1 ml)
3 - Disposable transfer pipets (3 ml)
1 - Cardboard cryobox, 25 cell
1 - Shipping Instruction Sheet
1 - Biohazard bag w/ absorbent sheet
1 - Small ambient mailing kit
1 - FedEx UN3373 ClinPak
1 - Insulated shipper
2 - FedEx Airbill
3 - DOT shipping labels

Each V01, V02, SV2, SV3, and SV4 Kit Contains:

1 - Discard tube (3 ml)
1 - Gold-top SST (3.5 ml)
2 - Clear-capped cryovials with yellow label (2 ml)
1 - Disposable transfer pipets (1 ml)
1 - Shipping Instruction Sheet
1 - Biohazard bag w/ absorbent sheet
1 - Small insulated shipper
1 - FedEx Airbill
3 - DOT shipping labels

Each Visit 3 (V03) Kit Contains:

Biomarker and shipping components:
1 - Discard tube (3 ml)
1 - Serum tube (10 ml)
1 - Sodium heparin tube (10 ml)
2 - K3 EDTA tubes (10 ml)
1 - K2 EDTA tube (6 ml)
3 - Red-capped cryovials (2 ml)
6 - Purple-capped cryovials (2 ml)
2 - Clear-capped cryovials (2 ml)
2 - Centrifuge tubes (15 ml)
2 - Disposable transfer pipets (1 ml)
3 - Disposable transfer pipets (3 ml)
1 - Cardboard cryobox, 25 cell
1 - Shipping Instruction Sheet
1 - Biohazard bag w/ absorbent sheet
1 - Small ambient mailing kit
1 - FedEx UN3373 ClinPak
1 - Insulated shipper
2 - FedEx Airbill
3 - DOT shipping labels

CSF Components:
1 - LP tray with 24G OR 22G Sprotte needle
1 - Screw-top centrifuge tube (sterile, 50 ml)
1 - Screw-top centrifuge tube (50 ml)
2 - Screw-top centrifuge tube (15 ml)
12- Cryogenic vials (2 ml) - clear cap
1 - Cryogenic vials (2 ml) - purple cap
1 - Cryogenic vials (4 ml)
2 - Transfer pipet (3 ml)

PK Components:
2 - Discard tube (3 ml)
2 - Gold-top SST (3.5 ml)
4 - Clear-capped cryovials with yellow label (2 ml)
2 - Disposable transfer pipets (1 ml)

Each Visit 4 (V04) Kit Contains:

Biomarker and shipping components:
1 - Discard tube (3 ml)
1 - Serum tube (10 ml)
1 - Sodium heparin tube (10 ml)
2 - K3 EDTA tubes (10 ml)
1 - K2 EDTA tube (6 ml)
3 - Red-capped cryovials (2 ml)
6 - Purple-capped cryovials (2 ml)
2 - Clear-capped cryovials (2 ml)
2 - Centrifuge tubes (15 ml)
2 - Disposable transfer pipets (1 ml)
3 - Disposable transfer pipets (3 ml)
1 - Cardboard cryobox, 25 cell
1 - Shipping Instruction Sheet
1 - Biohazard bag w/ absorbent sheet
1 - Small ambient mailing kit
1 - FedEx UN3373 ClinPak
1 - Insulated shipper
2 - FedEx Airbill
3 - DOT shipping labels

PK Components:
1 - Discard tube (3 ml)
1 - Gold-top SST (3.5 ml)
2 - Clear-capped cryovials with yellow label (2 ml)
1 - Disposable transfer pipets (1 ml)

Each Visit 5 (V05) Kit Contains:

Biomarker and shipping components:
1 - Discard tube (3 ml)
1 - Serum tube (10 ml)
1 - Sodium heparin tube (10 ml)
2 - K3 EDTA tubes (10 ml)
1 - K2 EDTA tube (6 ml)
3 - Red-capped cryovials (2 ml)
6 - Purple-capped cryovials (2 ml)
2 - Clear-capped cryovials (2 ml)
2 - Centrifuge tubes (15 ml)
2 - Disposable transfer pipets (1 ml)
3 - Disposable transfer pipets (3 ml)
1 - Cardboard cryobox, 25 cell
1 - Shipping Instruction Sheet
1 - Biohazard bag w/ absorbent sheet
1 - Small ambient mailing kit
1 - FedEx UN3373 ClinPak
1 - Insulated shipper
2 - FedEx Airbill
3 - DOT shipping labels

CSF Components:
1 - LP tray with 24G OR 22G Sprotte needle
1 - Screw-top centrifuge tube (sterile, 50 ml)
1 - Screw-top centrifuge tube (50 ml)
2 - Screw-top centrifuge tube (15 ml)
12- Cryogenic vials (2 ml) - clear cap
1 - Cryogenic vials (2 ml) - purple cap
1 - Cryogenic vials (4 ml)
2 - Transfer pipet (3 ml)

Each Premature Withdrawal (PW) Kit Contains:

Biomarker and shipping components:
1 - Discard tube (3 ml)
1 - Serum tube (10 ml)
1 - Sodium heparin tube (10 ml)
2 - K3 EDTA tubes (10 ml)
1 - K2 EDTA tube (6 ml)
3 - Red-capped cryovials (2 ml)
6 - Purple-capped cryovials (2 ml)
2 - Clear-capped cryovials (2 ml)
2 - Centrifuge tubes (15 ml)
2 - Disposable transfer pipets (1 ml)
3 - Disposable transfer pipets (3 ml)
1 - Cardboard cryobox, 25 cell
1 - Shipping Instruction Sheet
1 - Biohazard bag w/ absorbent sheet
1 - Small ambient mailing kit
1 - FedEx UN3373 ClinPak
1 - Insulated shipper
2 - FedEx Airbill
3 - DOT shipping labels

CSF Components:
1 - LP tray with 24G OR 22G Sprotte needle
1 - Screw-top centrifuge tube (sterile, 50 ml)
1 - Screw-top centrifuge tube (50 ml)
2 - Screw-top centrifuge tube (15 ml)
12- Cryogenic vials (2 ml) - clear cap
1 - Cryogenic vials (2 ml) - purple cap
1 - Cryogenic vials (4 ml)
2 - Transfer pipet (3 ml)

PK Components:
1 - Discard tube (3 ml)
1 - Gold-top SST (3.5 ml)
2 - Clear-capped cryovials with yellow label (2 ml)
1 - Disposable transfer pipets (1 ml)