Custom Immunoassay Development Request Form

Please complete the information requested in the form below so that our assay development team can assess your specific needs and contact you regarding development of your custom assay. You will typically be contacted in 1-2 business days following submission of your information. Prices will vary depending upon the scope of your request. We will provide you with a quote once your needs have been assessed by our custom services project management team.

Customer Information: Your privacy is important to us. We will not share your contact information with any third party.

First Name: *
Last Name: *
E-mail Address: *
Title:
Company/Institution: *
Phone: *
Division/Department:
Address 1: *
Address 2:
Building/Room #:
City: *
State/Province: *
Zip/Country Code: *
Country: *
Desired Platform (Indicate ELISA 96 well, ELISA 384 well, Multiplex Flow Cytometry Bead or Other):
Desired Detection System (Indicate colorimetric, fluorescent, chemiluminescent, fluorescence polarization, or Other):
Analyte(s) of interest (specific small molecule, peptide, protein, etc.; include post- translational modifications):
What do you know about the heterogeneity and post-translational modifications of the target analyte?
Is there reference standard available that is representative of the endogenous analyte?
What are the endogenous levels of the analyte, and are they expected to go up or down with disease/treatment?
What are the sensitivity and dynamic concentration range requirements for your assay?
Are antibodies and analytes available commercially? Y/N Have you tested any? Y/N If yes, please specify.
What system, if any, do you currently use to produce the analyte of interest (recombinant expression systems, purify from culture, purify from serum/plasma, etc.)?
Are you currently using an alternative assay to detect the analyte of interest?
What is the host species of your analyte?
In what sample type(s) will you be detecting your target analyte? Please be as specific as possible:
Please describe any specific extraction requirements (e.g., buffers, protocols) required for your assay:
Approximately how many samples do you plan to screen using the assay?
By what date do you need the assay developed and validated?
* Required