PGUSA 2025 Submissions (Preview)

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You are submitting to the Prix Galien USA Awards. If you are interested in submitting in another country, kindly make your choice in the selection drop-down from the login screen.

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Prix Galien StartUp 2023 Application Form

General Information

Company Name *

Number of employees *

Turnover and/or Funding

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Sub-Category *

Product/Solution Name *

Compound/Tech Name*

Trade Name *

Corporate Name *

Date of Approval *

Indications *

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Therapeutic Areas *

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Document upload

*Clearly label your files with asset name followed by product and company name.
Please ensure uploaded files are in PDF format.
Kindly ensure file size does not exceed 10mb.

Overview (Up to 500 words)
Provide key information about the company, including its origins, mission, and core philosophy. Describe the solution, impact, and sector focus (e.g., water management, renewable energy, circular economy, waste management, sustainable agriculture, net-zero initiatives, etc.).

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Climate Health & Alignment with UN SDGs / National Policy Guidelines (500 words)
Please explain how your innovation mitigates or adapts to climate-related health risks and aligns with the United Nations Sustainable Development Goals (SDGs) and national climate policies.

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Measurable Impact (300 words)
Explain how you benchmark success and impact using scientific validation and quantifiable metrics where possible (e.g., peer-reviewed publications, Life Cycle Assessment (LCA) data, partnerships, net-zero targets, CO₂ reduction, resource efficiency, waste diversion rates, improved health outcomes, etc).

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Current Stage & Market Potential (500 words)
Describe the current stage and potential for scaling your solution to new markets, industries, or geographies. If any, include details on market demand, regulatory considerations, barriers to scale, adoption strategy and long-term sustainability.

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Staff and Advisors (500 words)
Describe your team’s expertise (e.g., academic standing, intellectual property contributions, research collaborations, and professional communications). Highlight the team’s role in innovation, policy influence, and industry leadership.

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Financial Structure. (500 words)
Describe how your innovation is funded and sustained (e.g., key investors, funding sources, financial stakeholders, royalties, grants, revenue-sharing agreements, strategic partnerships such as academic institutions, equity groups, corporate alliances, and angel investors, etc.).

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Regulatory Compliance & Certifications (Optional Uploads)
If appropriate, provide any regulatory approvals, environmental certifications, or compliance documents demonstrating adherence to sustainability standards (e.g., ISO 14001, B Corp Certification, LEED, WELL, SBTi commitments, REACH, USDA, etc.).

*Clearly label your files with asset name followed by product and company name.
Please ensure uploaded files are in PDF format.
Kindly ensure file size does not exceed 10mb.

Community & Social Impact (500 words)
Explain how your innovation benefits local communities, underserved populations, or public health (e.g., job creation, social equity, environmental justice, improved quality of life, tourism, etc.).

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Document Uploads: Supporting Data & Evidence and References
Include letters of support, endorsements, or formal commitments from third parties, such as pilot partners, policymakers, academic institutions, news articles, or industry leaders, validating your approach and impact.
Provide quantifiable metrics, case studies, third-party assessments, or regulatory approvals to support your application. Please label all files with your company name and asset name.

*Clearly label your files with asset name followed by product and company name.
Please ensure uploaded files are in PDF format.
Kindly ensure file size does not exceed 10mb.

Background information and need for drug / device
(please be as specific as possible in your description; limit 500 words)

words remaining :

Focus
(please be as specific as possible in your description; limit 500 words)

words remaining :

Document upload

*Clearly label your files with asset name followed by product and company name.
Please ensure uploaded files are in PDF format.
Kindly ensure file size does not exceed 10mb.

Development & Clinical Or Preclinical Evidence (500 words)

History of the development of the solution/product *
(please be as specific as possible in your description; 500 words)

words remaining :

Document upload

*Clearly label your files with asset name followed by product and company name.
Please ensure uploaded files are in PDF format.
Kindly ensure file size does not exceed 10mb.

Impact / Metrics to measure Success *

Innovation (500 words)

Why this drug or device is innovative, the broad implications for future research, and/or how it will improve the human condition *

words remaining :

Document upload

*Clearly label your files with asset name followed by product and company name.
Please ensure uploaded files are in PDF format.
Kindly ensure file size does not exceed 10mb.

References

Please provide appropriate references (PubMed, Abstract, Website) *

Document upload

*Clearly label your files with asset name followed by product and company name.
Please ensure uploaded files are in PDF format.
Kindly ensure file size does not exceed 10mb.

Submission Validation

Please review before validating your submission to be an official contender for the Prix Galien. Submission validation allows you to amend text and uploaded documents until the submission closure date posted in your dashboard but not to withdraw your submission.

Submission Startup Category	Product Entry 1 Seat at the Awards Ceremony 2 Forum Tickets	$5,500
Gold Contributor Package	Product Entry Dedicated Table of 10 at the Awards Ceremony 5 Tickets to the Galien Forum	$23,000
Silver Contributor Package	Product Entry 5 Tickets to the Awards Ceremony 3 Tickets to the Galien Forum	$14,000
Bronze Contributor Package	Product Entry 2 Tickets to the Awards Ceremony 2 Tickets to the Galien Forum	$7,000

	10 additional tickets to the Awards Ceremony		EARLY BIRD - LIMITED 06/15/2025 ~~$17,000~~ $13,000
	Individual combo ticket to the Awards Ceremony and Forum		EARLY BIRD - LIMITED 06/15/2025 ~~$2,450~~ $1,900
	Individual Award Ceremony ticket		EARLY BIRD - LIMITED 06/15/2025 ~~$1,950~~ $1,500
	Individual Forum ticket		EARLY BIRD - LIMITED 06/15/2025 ~~$780~~ $600

Bank Name:	JP Morgan Chase Bank
Branch Name:	Broadway Morris Exchange 294
Address:	42 Broadway, New York, NY 10004
ABA/routing number:	021000021
Account number:	515907223
Account name:	The Galien Foundation

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Submission Best Pharmaceutical Product Category

Submission Best Biotechnology Product Category

Submission Best Product for Orphan/Rare Diseases Category

Gold Contributor Package

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Bronze ContributorPackage

Submission Startup Category

Gold Contributor Package

Silver ContributorPackage

Bronze ContributorPackage

Gold Contributor Package

Silver ContributorPackage

Bronze ContributorPackage

10 additional tickets to the Awards Ceremony

Individual combo ticket to the Awards Ceremony and Forum

Individual Award Ceremony ticket

Individual Forum ticket

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Submission
Best Pharmaceutical Product Category

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Best Biotechnology Product Category

Submission
Best Product for Orphan/Rare Diseases Category

Gold Contributor
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Silver Contributor
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Bronze Contributor
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Submission
Startup Category

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Silver Contributor
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