PGUSA2026 - Submissions

Logout

Welcome

Start a new submission

My support tickets Add user

My Submissions

Submission

My Support Tickets

My Dashboard

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

words remaining :

Sub-Category *

Product/Solution Name *

Compound/Tech Name*

Trade Name *

Corporate Name *

Date of Approval *

Indications *

words remaining :

Therapeutic Areas *

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.

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.).

words remaining :

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.

words remaining :

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).

words remaining :

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.

words remaining :

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.

words remaining :

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.).

words remaining :

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.).

words remaining :

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.

EARLY BIRD - 10% until March 30

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	$6,855
Bronze Contributor Package	Product Entry 2 Tickets to the Awards Ceremony 2 Tickets to the Galien Forum	$8,755
Silver Contributor Package	Product Entry 5 Tickets to the Awards Ceremony 3 Tickets to the Galien Forum	$17,455
Gold Contributor Package	Product Entry Dedicated Table of 10 at the Awards Ceremony 5 Tickets to the Galien Forum	$26,455

Submission EcoHealth Solution Category	Product Entry 1 Seat at the Awards Ceremony 2 Forum Tickets	$6,855
Bronze Contributor Package	Product Entry 2 Tickets to the Awards Ceremony 2 Tickets to the Galien Forum	$8,755
Silver Contributor Package	Product Entry 5 Tickets to the Awards Ceremony 3 Tickets to the Galien Forum	$17,455
Gold Contributor Package	Product Entry Dedicated Table of 10 at the Awards Ceremony 5 Tickets to the Galien Forum	$26,455

PATIENT FIRST Contributor Package	Product Entry 2 Seats at the Awards Ceremony 1 Galien Patient Summit Ticket	$5,855
Bronze Contributor Package	Product Entry 2 Tickets to the Awards Ceremony 2 Tickets to the Galien Patient Summit	$7,755
Silver Contributor Package	Product Entry 5 Tickets to the Awards Ceremony 3 Tickets to the Galien Patient Summit	$16,455
Gold Contributor Package	Product Entry Dedicated Table of 10 at the Awards Ceremony 5 Tickets to the Galien Patient Summit	$26,455

	10 additional tickets to the Awards Ceremony		$18,000
	Individual Ticket to the Awards Ceremony		$2,000
	Individual Ticket to the Galien Patient Summit		$550
	Individual Ticket to the Galien Patient Summit (Non-Profit/PAG)		$100
	Individual Combi Ticket Awards Ceremony & Patient Summit		$2,350

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

My Submissions

My Support Tickets

Select category*

Bronze ContributorPackage

Silver ContributorPackage

Gold Contributor Package

Submission Startup Category

Bronze ContributorPackage

Silver ContributorPackage

Gold Contributor Package

Submission EcoHealth Solution Category

Bronze ContributorPackage

Silver ContributorPackage

Gold Contributor Package

PATIENT FIRST Contributor Package

Bronze ContributorPackage

Silver ContributorPackage

Gold Contributor Package

10 additional tickets to the Awards Ceremony

Individual Ticket to the Awards Ceremony

Individual Ticket to the Galien Patient Summit

Individual Ticket to the Galien Patient Summit (Non-Profit/PAG)

Individual Combi Ticket Awards Ceremony & Patient Summit

Submission Validation

Add User

Bronze Contributor
Package

Silver Contributor
Package

Gold Contributor
Package

Submission
Startup Category

Bronze Contributor
Package

Silver Contributor
Package

Gold Contributor
Package

Submission
EcoHealth Solution Category

Bronze Contributor
Package

Silver Contributor
Package

Gold Contributor
Package

Bronze Contributor
Package

Silver Contributor
Package

Gold Contributor
Package