IMPORTANT:
Non-confidential
information

Only include non-confidential information in this application. In order to assess your application’s commercial and diagnostic merit MRCT reserves the right to share the information you provide with its industrial and pharmaceutical partners.

TITLE: Dr/Ms etc

FIRST NAME:

SURNAME:

ORGANISATION:

DEPT

EMAIL:

TELEPHONE NO:

PRINCIPAL INVESTIGATOR?
 Yes No

MRC EMPLOYEE?
 Yes No

PROJECT NAME:

DIAGNOSTIC TARGET NAME:

TYPE OF DIAGNOSTIC: (single option selectable)

DISEASE AREA/S: (multi options selectable)

Clinical Need:

Please comment on the clinical need of your diagnostic assay. (For example, how the diagnostic assay will improve healthcare).

Maximum 100 words.

Biological Rational:

What is the biological rationale that detection of the target analyte can lead to an improved clinical outcome? Please include supporting peer reviewed publications, including your own.

Maximum 200 words.

Technology Readiness:

Describe the technology readiness of your diagnostic assay. Include a brief description of the assay, associated technology and reagents. (For example, describe if you have a working assay and how much testing has been carried out to date).

Maximum 200 words.

Published Literature:

What published literature is there on the diagnostic target or its clinical utility? This may include your published data and other pertinent citations.

Maximum 100 words.

Reagents Available:

Comment on what reagents you currently have available or could be readily produced. (For example, peptides, proteins, antibodies, RNA, DNA, standards or controls).

Maximum 150 words.

Staffing details:

Provide details of the level of resources committed to the project to date including the number of staff currently working on the project.

Maximum 100 words.

Intellectual property:

Do you have any IP in the area and is there any competing IP/research? Briefly detail and if appropriate give patent number(s), priority date(s) and status.

Maximum 100 words.

Status & Stage:

What is the current status and next stage of the project? How will a collaboration with MRC Technology support the development of the project?

Maximum 200 words.

WHAT WILL THE ASSAY BE USED FOR/AS? (multi options selectable)

IN WHICH SETTING/S WILL THE TEST BE PERFORMED? (multi options selectable)