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Submission Deadline Extended: June 26th, 2023

Please note that all entries will be fully editable on this platform until the final submission deadline.
As of the deadline, submissions can no longer be edited or retracted.

2023 Prix Galien USA Awards Ceremony
October 26, 2023
American Museum of Natural History
200 Central Park West, New York, NY

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Prix Galien StartUp 2023 Application Form

General Information

Drug / Device Name Product/Solution Name

Compound/ Tech Name Trade Name

Date of Approval

Indications Therapeutic Categories

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Background information and need for drug/device Background information and need for solution/product

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History of the development of the drug/device History of the development of the solution/product

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

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Please provide appropriate references (ie Pubmed links)

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Please note that only complete submissions will qualify for judging. Your submission will be available for editing from the dashboard until the date of submission closure.