ContractClinical Trial Agreement • October 21st, 2016
Contract Type FiledOctober 21st, 2016CLINICAL TRIAL AGREEMENT This CLINICAL TRIAL AGREEMENT (the“Agreement”) is concluded according to both s269, par.2, Act 513/1991 Coll., Commercial Code (in force) and Act 378/2007 Coll., Pharmaceuticals (in force) and is effective the date of last signature hereof (the “Effective Date”), by and between Fakultní nemocnice u sv. Anny v Brně located at Pekařská 53, 656 91 Brno, Czech republic, Company ID No.: 00159816, acting by, director (the “Institution”) and Pharmaceutical Research Associates CZ, s.r.o. located at Jankovcova 1569/2c, 170 00 Prague 7, Czech Republic, IČ (Company ID number): 27636852, represented by MUDr. Andrea Klč, proxy (“PRA”), acting as an independent contractor for TEVA PHARMACEUTICAL INDUSTRIES LTDlocated at 5 Basel Street, Petach Tiqva, 49131, Israel (the “Sponsor”). PRA has agreed to accept certain obligations and duties of PRA UK in respect of the conduct of the clinical trial in Czech Republic; and , born on th, domiciled at, who shall serve as the “Investiga