Montana Right-to-Try - The First State ETRB

Biotechs can submit post-phase-1 treatments — patients can access experimental therapies
Contact: Infinita’s ETRB
Matt Kaeberlein, Jessica Flanigan, Felipe Sierra, Jamie Justice, Danielle Ruiz

What the ETRB does


Review Investigational Treatments
The ETRB reviews investigational treatment submissions under Montana SB535 from biotechnology companies, treatment sponsors, and clinical partners.

The board evaluates submitted safety data, treatment protocols, and supporting materials for compliance with applicable Montana requirements.

Evaluate Safety & Monitoring Protocols
The ETRB evaluates whether submitted protocols include appropriate safety monitoring, informed consent materials, adverse event procedures, and operational safeguards.

Review focuses on safety standards, disclosure practices, and patient protections associated with investigational treatment use.

Support Structured Clinical Access
The ETRB provides a structured review pathway for investigational treatments that have completed Phase 1 clinical trials or equivalent safety studies.

The board operates through independent expert review and documented submission procedures under Montana law.
Submit Treatment

ETRB Review Process

1 — Submit Application
Sponsors submit investigational treatment materials, including Phase 1 safety data, treatment protocols, informed consent materials, and regulatory documentation.

2 — Administrative Screening
Applications are reviewed for completeness, eligibility requirements, and required supporting documentation under Montana SB535.

3 — Expert Review
ETRB members evaluate:safety evidencemonitoring planstreatment protocolsinformed consent procedurespharmacovigilance plansmanufacturing and quality documentation

4 — Determination
Sponsors receive a formal determination along with any required conditions, clarifications, or additional documentation requests.
Submit Treatment

The Review Board

Matt Kaeberlein, PhD, is a biologist focused on the biology of aging and translational longevity science. He is co-founder of the Dog Aging Project and founding director of the University of Washington Healthy Aging and Longevity Research Institute.
Jessica Flanigan is the Richard L. Morrill Chair in Ethics and Democratic Values at the University of Richmond. Her work focuses on medical ethics, patient autonomy, and public policy.
Jamie Justice, PhD, is Executive Vice President of Health at XPRIZE and Executive Director of the XPRIZE Healthspan Prize. Her research focuses on aging biology, clinical trials, and gerotherapeutic interventions.
James M. Burke, MD, is a Montana-based medical oncologist with more than 30 years of clinical and biotechnology experience, including leadership roles in immuno-oncology and experimental therapeutics.
Danielle Ruiz, MD, is a Montana-licensed physician participating in the board’s clinical review and patient safety oversight activities.
Nicolle Burns, MD, is a Montana-licensed physician contributing clinical expertise and treatment review experience to the board.
Felipe Sierra, PhD, is a scientist focused on the biology of aging and translational geroscience, with extensive leadership experience in aging research initiatives.
Submit Treatment

Submission Requirements

Required Materials
Applicants may be asked to provide:
Phase 1 clinical trial data or equivalent safety evidence
Treatment overview and mechanism of action
Proposed treatment protocol
Safety monitoring and adverse event procedures
Draft informed consent materials
Manufacturing and quality documentation
Regulatory status information
Sponsor and contact information
Submit Treatment

Frequently Asked Questions

What is an ETRB?
An Experimental Treatment Review Board (ETRB) is an independent review body authorized under Montana SB535 to evaluate investigational treatment submissions and associated safety protocols.
Does the ETRB provide medical treatment directly?
No. The ETRB does not administer treatments or provide patient care directly. Treatment administration occurs through participating clinical providers and facilities.
What does the ETRB evaluate?
The ETRB evaluates submitted safety evidence, treatment protocols, informed consent procedures, monitoring plans, and related materials under applicable Montana law.
Are all submissions approved?
No. Applications are evaluated individually based on submitted materials, safety information, protocol quality, and compliance with applicable requirements.
Who can submit a treatment?
Biotechnology companies, treatment sponsors, and authorized partners with investigational treatments that have completed Phase 1 clinical trials or equivalent safety studies may apply for review.
Does ETRB review constitute FDA approval?
No. Investigational treatments reviewed by the ETRB are not approved by the U.S. Food and Drug Administration for general use unless separately authorized by the FDA.
What materials are required for submission?
Submission materials generally include safety evidence, treatment protocols, informed consent materials, manufacturing information, and sponsor documentation. Additional materials may be requested during review.
Submit Treatment

Contact

steve@infinita.city, niklas@infinita.city
Infinita City, Inc. (a Delaware Corporation)
251 Little Falls Drive, Wilmington, DE, 19808

Operating under applicable Montana law including SB535. Investigational treatment review activities conducted pursuant to applicable Montana law.

The ETRB does not provide medical advice or direct patient care. Review determinations do not constitute approval by the U.S. Food and Drug Administration.