Inspire Pharmaceuticals, Inc. - Business Development-Submit Your Discovery

If you would like to submit your discovery online, please complete the form below.

* Indicates required fields

First Name*
Last Name*
Suffix / Degree
Company or Institution Name*
Address 1*
Address 2
City*
State*
Zip
Country*
Phone(s)*	work cell
Fax
E-mail *

Proposal Title*
Describe in non-confidential terms the nature of this opportunity.
Goals of proposed collaborative program:

Main scientific and technology approaches pursued:

Phase of development:

Therapeutic area / method of use:

General information about molecular target or MOA:

Available data (preclinical, toxicology, clinical, etc.):

Patent situation (protected, regions covered, etc.):

Geographies available for licensing:

By submitting this information, the submitter is agreeing to the following terms and conditions: "I represent and warrant that I have the authority to disclose information to Inspire. I acknowledge that I make this submission voluntarily. I agree that no confidential relationship is established or implied by Inspire's acceptance or evaluation of the submitted material, and that Inspire shall have the right to retain any such material. Inspire shall not be obligated to specify the reasons for any decision it makes regarding the idea or to reveal any past or present activities that relate to the idea."

If you would like to fill out a hard copy and mail it to us, print the Printer Friendly version of this form and mail your proposal to:

US Mail:

Vice President, Business Development and Strategic
Planning
Inspire Pharmaceuticals, Inc.
4222 Emperor Boulevard, Suite 200
Durham, NC 27703 USA

Page last updated: 03-Jan-2008