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.

Select category*

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

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.).

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.

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

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

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Document upload

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)

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Document upload

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 *

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Document upload

References

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

Document upload

Billing Information for Resubmissions

If your initial application was submitted in 2023 or 2024, please note:

Your resubmission for the Prix Galien does not require an application fee
However, attendance at the Prix Galien events is not included with your resubmission
To attend the Forum and Award Ceremony, you must purchase tickets separately
All tickets are tax deductible

Please contact us at contact@galienfoundation.org if you have any questions regarding your resubmission status or event attendance.

Important – Difference between buttons:

SAVE PROGRESS:

Save your work in progress
Allows you to return later to continue
Does not perform validation
Ideal if you need to temporarily interrupt your application

VALIDATE:

Checks that your form is properly filled out
Verifies all required information is present on each page
Upon successful validation, the Final Submission page will appear
Only by accessing the Final Submission page will you be able to complete your application to the Prix Galien and be considered a candidate

Please ensure that you have not exceeded the word count.

Final Submission

You have now validated and submitted your application and are officially a candidate to the Prix Galien usa 2025.

We wish you great success.

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

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Submission Startup Category

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10 additional tickets to the Awards Ceremony

Individual combo ticket to the Awards Ceremony and Forum

Individual Award Ceremony ticket

Individual Forum ticket

Important – Difference between buttons:

SAVE PROGRESS:

VALIDATE:

Final Submission

IMPORTANT

Add User

Community

Recognition & Celebration

Education

Fueling the Debate

Gold Contributor
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Silver Contributor
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Bronze Contributor
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Gold Contributor
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Silver Contributor
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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
Package

Silver Contributor
Package

Bronze Contributor
Package

Submission
Startup Category

Gold Contributor
Package

Silver Contributor
Package

Bronze Contributor
Package

Gold Contributor
Package

Silver Contributor
Package

Bronze Contributor
Package