tBrexa Bio

Project Intake Form

Complete this guided intake so our Business Development team can reach out with the right experts. We focus on non‑GMP R&D today and coordinate GMP via partners when needed.

Section 1: Company Information

Company Name*

Company Website

Point of Contact Name*

Title / Role

Email Address*

Phone Number

Preferred Contact

Company Address

Section 2: Project Overview

Project Name / Code

Stage of Development

Type of Request (select all that apply)

Process Development Cell Line Optimization Analytical Method Development Tech Transfer Prep Data/AI & Process Analytics Regulatory Consulting (IRSG) Clinical/Commercial Manufacturing (Partnered) Other

Brief Description of the Project

Section 3: Technical Details

Molecule Type (select all that apply)

Monoclonal Antibody (mAb) Bispecific Antibody (bsAb) Trispecific Antibody (tsAb) Recombinant Protein Viral Vector (AAV) Viral Vector (Lenti) Cell Therapy (ex vivo) Other

Therapeutic Area

Therapeutic Area — Other

Quantity / Scale Needed

Formulation Needs

Known Stability / Solubility / Handling Requirements

Special Storage / Biosafety (e.g., cold chain, BSL, controlled substances)

Target Product Profile (upload)

Process Description / Data (upload)

Section 4: Regulatory & Quality

Intended Regulatory Market(s)

Existing IND/CTA

Need Regulatory Filing Support?

Quality Standards Required

Section 5: Timeline & Budget

Desired Start Date

Desired Completion Date

Budget Range (USD)

Open to Phased Milestones?

Section 6: Confidentiality & IP

CDA/NDA in Place?

IP Ownership

IP — Other

Section 7: File Uploads (Optional)

Project Brief / Deck

Regulatory Docs (IND, CTA, IMPD)

Section 8: Additional Notes

Section 9: Agreement & Submission

I confirm the information provided is accurate to the best of my knowledge.

I agree to be contacted by tBrexa Bio.

We’ll follow up within 1–2 business days. If you don’t hear from us, email info@tbrexa.com.

Submissions notify our BD team at info@tbrexa.com.

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