Proposal for a Clinical Translation Start Trial Project 
(max. 3 Pages, Arial 11 points, 1.0-spaced)

1	Title of Trial	
	[Text]	
2	Applicant(s)* / Institution / Address / Email	
	[Text]	
3	Internal Cooperation Partner* / Participating Institutions	
	[Text]	
4	Medical Condition | Which medical condition will be studied?	
	[Text]	
5	Hypothesis | Specify the hypothesis of the trial that determines sample size calculation.	
	[Text]	
6	Study Population / Participants | Specify the population to be studied.	
	[Text]
Key inclusion criteria: [Text]
Key exclusion criteria: [Text]
	
7	Trial Type   | Please mark which clinical trial type you are applying for.	
	
[…] Feasibility Study (interventional design only)
[…] Interventional Trial
[…] Observational Trial

If you have chosen Observational Trial, please justify your decision briefly:
[Text]
 	
8	Key Elements | Which are the key elements of your trial design?	
	Randomized …
	
9	Treatments / Procedures   | Please detail your trial design by describing treatments/procedures 	
	[Text]

Experimental intervention: 
Control intervention:
Follow-up per patient:
Duration of intervention per patient:	
10	Work program (patient cohorts, experimental design, methods, etc.)	
	Arial 11 points, 1.5-spaced, approx. 1 DIN A4 page! 
[Text]	
11	Own preliminary work of all applicants with selected publications of the last 5 years
 (if not consistent with item 5)	
	Arial 11 points, 1,0-spaced 
[Text]	
12	BBB-Approach | If applicable	
	Arial 11 points, 1,0-spaced 
[Text]	
13	External cooperation (Academia/Industry) with details of the nature of the cooperation	
	Arial 11 points, 1,0-spaced 
[Text]	
14	Previous and current funding for third-party funding of all applicants of the last 5 years (DFG, BMBF and EU; foundations and other peer-reviewed organizations; industry **)	
Principle Investigator	Title of the grant	Funding Organisation and Project No. 	Funding Period
(MM.JJ – MM.JJ)	Amount p.a.	
Name, Initials	Title	DFG, Mu333/3-3	01/2011-12/2012	100.000 €