SIGNATURE 
Your signature below indicates that you have read this 
document, understand its meaning, have had a chance to ask 
questions; have these questions answered to your satisfaction; 
and consent to your participation in this study program. 
You hereby give your consent for yourself to be treated 
according to this clinical study program. You have been given a 
signed copy of this consent form. 
(Patient) (Physician) 
(Witness) (Date) 
(Witness) 
(Translator, if applicable) 
Recombinant DNA Research, Volume 17 
[847] 
