TaNeDSEurope Application Proposal (2017)
Research Interest / Please see “Our Research Interests” at the bottom of this pageContact Information
Name(First, Last)
Mailing Address
Applicant Organization
Position Title
City
Postal Code
Country
Phone Number
Email Address
Web Page Link
Additional Organization Information / Size :
o Academia: Numbers of researchers (e.g. postdocs, students and technicians) in the laboratory
o Company: Numbers of researchersand total employees
Years in operation:
Submission Terms
By placing an “X” in the box below, I verify that I am submitting only non-confidential information.
I verify that I am submitting only non-confidential informationGrant type
Type: A ( )Type B ( )
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Our Research Interests
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- Oncology
a. Small Molecules
b. Biologics
2. Pain/Sensory Neuron
a. Pain
b. Sensory Neuronal Systems
3.End-Organ Diseases
a. Heart Disease
b. Stroke
c. VascularDysfunction
d. KidneyDiseases
e. LiverDysfunction
f. Gastrointestinal Disorder
g. Fibrotic Diseases
4. Other Diseases
a. Rare Diseases
b. Anaemia
c. GutMicrobiome-Related Disease
5. Cell Therapy
a. SSCs/PCs or PSC-DCs
b. Adoptive T cell therapy
6. Technology
a. Oncology
b. Engineering for Protein Therapeutics
c. Nucleic Acid Therapeutics (NATs) and
Gene Vaccines
d. Gene Therapy
e. Drug Metabolism and Pharmacokinetics
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Project Title
Executive Summary
Graphical Summary
Research Plan
■ Specific Aims, Background and Significance■ResearchDesign and Methods (including Figures & Tables)
Literature Cited
Relevant References from your own studies
Please include academic papers, conference papers, and patent applicationsdirectly related to the proposal.(Regarding to patent applications, please describe the number or the application condition of the related patents.)
Research Grants from Governments, Public Institutions, Private Foundations or Companies
■Grant program’s name; Title; Period (Duration)■If your proposal is involved with a competing public research or collaborative research company, Daiichi Sankyo reserves the right to refuse your application.
Education & Professional Experience
■ Education (Ph.D./M.D./M.S./B.S.):Begin with baccalaureate or other initial professional education. (e.g. Ph.D. in Biophysics,Technische Universität München, June 2003)■ Professional Experience: (e.g. Research Scientist, Max-Planck-Institut für Biochemie, April 2007 to present)
Collaborator’s Contact Information (Optional)
Name(First, Last)
Affiliation
/Institution
Position Title
Mailing Address
City
Postal Code
Country
Phone Number
Email Address
Web Page Link
Additional Organization Information / Size :
o Academia: Numbers of researchers (e.g. postdocs, students and technicians) in the laboratory
o Company: Numbers of researchersand total employees
Years in operation:
Collaborators’ Experience
■Selected articles/journal publications, patents directly related to the proposalImportant Notes
Information and documents will be reviewed by select members of Daiichi Sankyo. Your application information will only be used for our open innovation activities.
Please do not include confidential research information in the application form.
Please use 10.5 point font, or larger.
Please paste figures and tables in this application form. Do not send figures and tables as separate files.
Please enroll collaborators’ names in the application form if you plan to collaborate with other researchers.
Please convert this document (Word file) to PDF, then, upload the PDF on TaNeDS website. If you cannotconvert it to PDF, you can still upload the Word file.
There is no word count or page limit for the application file. However, a 1MB (megabytes) or smaller PDF is preferred.
Please name this document as “[Your Last Name]_[Category number and letterin Our Research Interests].pdf”. (e.g. Hoffmann_1b, or Chirac_3g) Please check the first page of this file for “the category number and letter”.
You don’t need to include budget information in this application. It will be asked at the next evaluation stage.
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