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Indiana CTSI Commercialization PDT Intake Form

The Indiana CTSI Commercialization Project Development Teams (Commercialization PDTs) are designed to provide early guidance to academic and clinical investigators interested in advancing their discoveries to the market. The program is open to investigators from Indiana University (IU), Purdue University, or the University of Notre Dame; and includes a pool of advisors across these universities and industry around the state to provide investigators with a wide range of expertise and perspectives.

Please provide the information requested in the survey below. Your responses will be used to identify primary contacts and first steps for your project. However, you should not disclose any potentially confidential details related to your invention this time.

More information can be found on the Drug Discovery to Commercialization PDT and MedTech Commercialization PDT webpages. If you have questions you may contact:

Drug and Biologic projects: Padma Portonovo (pportono@iupui.edu)
Medical Technology and Device projects: Kara Garcia (karagarc@iu.edu)

Please see the schematic below depicting the Commercialization PDT process. Completion of the current survey corresponds to Step 1. Request Help with Innovation.

Please provide a short, non-confidential description (title) for your project.

* must provide value

In general terms, what is your Product?

* must provide value

Drug / Biologic

Device / Medical Technology

Other

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Please explain.

What is your current stage of innovation?

Idea Generation (the process of creating, developing, and communicating abstract, concrete, or visual ideas)

Concept (risks and feasibility, evaluate an idea and measure its potential benefits and problems)

Development (testing an idea with a prototype or pilot test)

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In just a few sentences, please describe the unmet clinical need.

* must provide value

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Please select your primary Indiana CTSI affiliation.

* must provide value

Indiana University

Purdue University

University of Notre Dame

None of these

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Please explain.

Advice and support may be limited for investigators outside IU, Purdue, and Notre Dame.

* must provide value

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Have you disclosed your Product to your patent office?
IU (Innovation Commercialization Office),
Notre Dame (IDEA Center),
Purdue (Office of Technology Commercialization)

* must provide value

Yes

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Do we have permission to reach out to the patent office about your Product?

Yes

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Please provide the email contact of your Tech Commercialization Manager.

Briefly describe the type of support you are seeking.

(eg., help getting started, pilot funds, etc.)

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Has the development of your Product been funded by any grant mechanisms?

* must provide value

Yes

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If yes, please list the funds received so far and describe the relevant phase of product development.

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Email Address:

* must provide value

Last Name

* must provide value

Middle Name

First Name

* must provide value

How did you hear about the Commercialization Project Development Team (formerly Think Tank) Program?

* must provide value

University Commercialization Office

Colleague

Indiana CTSI Newsletter

Other

Please describe

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.