Drug Discovery Project Application Form
Title of Research Project & Applicant Contact Details
Title of the Project
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Max. 20 words.
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Name of Principal Researcher (PI)
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First Name
Last Name
Degrees
University Affiliation
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Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Tech Transfer Officer contact info
Include name, email & phone (if available)
Terms and Conditions
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Project Summary
Target or Pathway
Project Title, Name or Drug Target. Max. 50 words
Therapeutic Area
Cardiovascular
Exploratory
Immunology
Infectious diseases
Inflammation
Metabolism
Neurological disorders
Oncology
Rare disease
Regenerative medicine
Other
Therapeutic Hypothesis
Max. 100 words
Type of Technology
*
Stage of the project
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Please Select
Technology Proof of Concept
Assay Development
Hit ID/Screening
Hit Validation
Hit-2-Lead
Hit Validation
Lead Optimization
Preclinical Development
Biomarker Proof of Concept
Other
Differentiation from Existing Approaches
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Patent Filed
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Yes
No
Novel NME
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Yes
No
Partnering Goals
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