PRIX GALIEN MEDSTARTUP APPLICATION FORM

2016-2017


MEDSTARTUP 2016 Joint Application Form
Thank you for your interest in MEDSTARTUP 2016, an initiative to encourage, reward and support Franco-American healthcare partnerships. To apply, please address the following questions by 11:59 PM EST, May 31, 2017. The application form has to be send to
This form does NOT have a 'return' feature, so you are required to submit all materials at once or your inputs will be lost.
Please note:
1) To be eligible, each application must be submitted by at least one French entity and one American one.
2) An application can include an unlimited number of partners.
3) One entities can submit an unlimited number of project
4) All the partners have to be registered on the BtoB Medstartup platform: opened until December 1st 2016
5) Check out the evaluation criteria:
For Judging Panel Review:
Market potential (10%): Describe your target market segment and your competitors.
Innovation (30%): Howis your project innovative?
Business Model (10%): Describe your project's business model
Financial forecasts (10%): In what way is your project realistic and economically viable?
Social benefit (10%): What impact in societywould your project have?
Strength of partnership (10%): What additional scientific or economic value would be attained in developing an international partnership versus maintaining a domestic focus?
Project summary (10%): Why are you interested in joiningMedStartUp?
Global assessment :
Clair and synthetic proposal (5%)
Realistic proposition (5%)
Award Information
For Medstartup 2017, there are four distinct types of awards:
  1. Best Collaboration with Academia Leading to a Breakthrough Therapy
  2. Best Innovative Trial Design Leading to Quicker and Better Therapeutic Outcome
  3. Best Use of Patient Engagement Technologies
  4. Best Collaboration or Partnership Leading to a Breakthrough Therapy or
Diagnosis dedicated to the in-developing countries
We look forward to your application!
The Medstartup Team
General Information: Innovator Co-Applicant
One line Project Description
What award category are you applying for?* (Highlight in Yellow 1 CATEGORY)
Best Collaboration with Academia Leading to a Breakthrough Therapy
Best Innovative Trial Design Leading to Quicker and Better Therapeutic Outcome
Best Use of Patient Engagement Technologies
Best Collaboration or Partnership Leading to a Breakthrough Therapy or Diagnosis dedicated to the in-developing countries
entity #1
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Entity #2
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Title:Cliquez ici pour taper du texte.
phone number:Cliquez ici pour taper du texte. / E-mail:Cliquez ici pour taper du texte.
  1. Market Analysis: Describe your target market characteristics.

What problem are you solving? How to define your target market need? What is your customers target profile? What is the size of your target market? Who are your main competitors?

(250 words + Please fill in the SWOT below)

STRENGTH / WEAKNESSES
OPPORTUNITIES / THREATS
  1. Innovation:how your project is innovative?

What type of innovation is your project (incremental, disruptive, etc.)? Does your project include innovativeness of the technology? What new approaches do you use? How are you combining existing approaches in a new way? Have you developed a new application for an existing method, or instrumentation, or clinical intervention?

(250 words)

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  1. Business Model:Describe your project’s business model

What will be your marketing and sales strategy (prospection method? Distribution channels?) How are you going to sale your products? (BtoB, BtoBtoC…Online, Stores…) What would be your approximated sale price?

How you are going to reach your target audience? (250 words)

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  1. Financial plan:Is your project financially feasible?

What will be your operational costs (Define the human, financial and material resources you will need to implement your project?)? Estimating revenue? What are the capital requirements? How will the project be financed? (Self-financing, Investors, etc.) What are the potential difficulties and risks you may encounter during your project? What will be your needs & costs in term of regulation (FDA accreditation, etc.)? (250 words)

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  1. Potential of Impact on society:What impact has your project on society?

Includes potential impact on the creation of health technology or life sciences jobs. Includes existing jobs or plans for presence in the USA or France with regards to the number of employees, office space, or potential for growth.

(250 words)

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  1. Strength of partnership:What additional scientific or economic value would be attained in developing an international partnership versus maintaining a domestic focus?

What are the added values brought by the French interveners? (250 words)

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  1. MOTIVATION: why do you apply to the MEDSTARTUP competition?

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