CPDC & adMare Radiopharmaceutical Initiative (CARI Form page)

CARI- Letter of Intent (LOI):

Let us know about your project and how CARI can help accelerate your agent to the next level.

Please submit application based on non-confidential information.

Section A – Applicant Information

Project Title *

Principle Investigator *

(Name, Affiliation, Address, Telephone, Fax, e-mail)

Co- Investigator

(Name, Affiliation, Address, Telephone, Fax, e-mail)

Conflict of Interest? *

Are any of the researchers involved in this project stand to receive a potential personal financial gain (i.e.: ownership of shares in an industry partner, consulting fees with industry partner, etc.) from the results of the proposed research?

Will any company benefit substantially if this application is awarded? If so, please identify the company?

File Upload - Graphs and illustrations may be included (Only one page).

Click or drag a file to this area to upload.

Section B – Project Information

1) Project Introduction

a) What is the medical isotope of interest (Ex. Lu-177, I-131, F-18)? *

(1 to 2 worded answers). If not applicable please insert N/A.

b) What is the probe of interest (ex. Antibody, aptamer, small molecule)? *

(1 to 2 worded answers). If not applicable please insert N/A.

c) What stage of research is that project at (ex. Preclinical, Clinical)? *

(1 to 2 worded answers). If not applicable please insert N/A.

d) What is the likely indication of this agent? *

(1 to 2 worded answers). If not applicable please insert N/A.

2) Project Description

a) Provide background about the project of interest and summarize existing data that demonstrates the promise of the agent in terms of guiding clinical decision making and potential for commercialization (500 words max) *

b) Describe any operational issues that may arise during the course of the proposed work (250 words max) *

File Upload - Graphs and illustrations may be included (Only one page).

Click or drag a file to this area to upload.

3) Services Required

Provide a summary of the services from the program offering list above that will be required to carry out the proposed project (300 words max) *

4) Funding

Describe resources provided by commercial partners (if any), and /or expected sources of external funding (if any). Describe the nature of the funding that led up to this application (200 words max) *

Name

For additional information, please contact:

Stuart Cain
Associate Director, Scientific Evaluation
adMare BioInnovations
scain@admarebio.com

Ghadeer Shubassi
Business Development Manager
The Centre for Probe Development and Commercialization (CPDC)
shubassi@imagingprobes.ca
289.683.0870

Find what you’re looking for:

CARI- Letter of Intent (LOI):

Please submit application based on non-confidential information.

Section A – Applicant Information

Section B – Project Information

1) Project Introduction

2) Project Description

3) Services Required

4) Funding

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