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Small Vessel VCID Biomarker Validation Consortium Sites (U01)(Clinical Trials Not Allowed)

RFA
Monday, November 23, 2020
Wednesday, March 10, 2021
U01
RFA-NS-21-005

Funding Opportunity Purpose

T?o invite applications to an open competition to be one of up to 7 supported sites in the next phase of the NINDS small vessel vascular contributions to cognitive impairment and dementia (VCID) biomarkers consortium. The original consortium, established under RFA-NS-16-019 and RFA-NS-16-020, pursued initial stages of multi-site validation of 11 candidate imaging-based and fluid-based biomarkers. The primary objective of the next 5 years is to carry out comprehensive multi-site clinical validation of up to six of these 11 biomarkers to be selected by the NINDS in a process separate from this FOA. The focus will be validation in longitudinal studies of diverse all-comers populations that are typical in clinical settings in the United States. The network of sites will provide scientific expertise and experimental infrastructure to pursue these goals synergistically including with the Coordinating Center (RFA-NS-21-004). At the conclusion of clinical validation each biomarker will have a designated category and context of use as defined by the FDA and a finalized public protocol that describes all details needed to utilize the biomarker. The sites will drive the consortium scientifically and contribute administratively to comprehensive rigorous clinical validation of biomarkers for future clinical trials, including in large phase III trials, and for generating scientific breakthroughs in our understanding and treatment of VCID.

Small Vessel VCID Biomarkers Validation Consortium Coordinating Center (U24 Clinical Trial Not Allowed)

RFA
Monday, November 23, 2020
Wednesday, March 10, 2021
U24
RFA-NS-21-004

Funding Opportunity Purpose

The purpose of this funding opportunity announcement (FOA) is to have an open competition to support a Coordinating Center for the next phase of the NINDS small vessel vascular contributions to cognitive impairment and dementia (VCID) biomarkers consortium. The original consortium was established under RFA-NS-16-019 and RFA-NS-16-020. The goal of the next phase, under RFA-NS-20-004 (Coordinating Center) and RFA-NS-20-005 (sites), is to complete clinical validation of biomarkers initially developed during the first 5-year funding cycle of this program. The Coordinating Center will consist of: (i) an Administrative Core responsible for organizing, coordinating and administratively driving Consortium activities; and (ii) a Data Core that will coordinate, receive, collect, and share data, including de-identified clinical data. The Coordinating Center will drive the consortium administratively and contribute scientifically to validation of biomarkers with specified context of use for future clinical trials, including in large phase III trials, with general and diverse populations, and for generating scientific breakthroughs in our understanding and treatment of VCID.

Treatments for Lewy Body Dementias--Exploratory Clinical Trial (U01 Clinical Trial Required)

RFA
Wednesday, October 28, 2020
Wednesday, March 3, 2021
U01
RFA-NS-21-008

Funding Opportunity Purpose

This Funding Opportunity Announcement invites applications from experienced investigators seeking to conduct exploratory clinical trials designed to test new treatments for patients with Lewy Body Dementia (LBD). Applicants may propose to conduct either Phase I or Phase II clinical trials depending on the developmental stage of the potential therapeutic, but all trials must include patients with LBD. Proposed therapies may include novel medications or devices, or existing treatments that are potentially beneficial but not currently approved for use in patients with LBD. Treatments intended to prevent or delay disease progression in LBD patients, as well as therapies to alleviate existing motor or non-motor clinical symptoms, are of interest.

HEAL Initiative: Non-addictive Analgesic Therapeutics Development [Small Molecules and Biologics] to Treat Pain (UG3/UH3 Clinical Trial Optional)

RFA
Wednesday, September 16, 2020
Thursday, September 8, 2022
UG3/UH3
RFA-NS-21-010

Funding Opportunity Purpose

Reissue of RFA-NS-20-010: The purpose of this funding opportunity announcement (FOA) is to support preclinical optimization and development of safe, effective, and non-addictive small molecule and biologic therapeutics to treat pain. The goal of the program is to accelerate the optimization and development of promising small molecule and biologic hits/leads towards clinical trials. Applicants must have a promising hit/lead, robust biological rationale for the intended approach, and identified assays for optimization of the agent. The scope of this program includes optimization and early development activities, IND-enabling studies, and assembly of Investigational New Drug (IND) application. This is a milestone-driven phased cooperative agreement program involving participation of NIH program staff in the development of the project plan and monitoring of research progress.

SBIR/STTR Commercialization Readiness Pilot (CRP) Program Technical Assistance and Late Stage Development (SB1 Clinical Trial Required)

PAR
Friday, July 10, 2020
Wednesday, April 6, 2022
SB1
PAR-20-130

Funding Opportunity Purpose

The purpose of this Funding Opportunity Announcement (FOA) is to encourage applications from small business concerns (SBCs) to the newly re-authorized Commercialization Readiness Pilot (CRP) program. The FOA aims to facilitate the transition of previously or currently funded SBIR and STTR Phase II and Phase IIB projects to the commercialization stage by providing additional support for technical assistance and later stage research and development (R and D) not typically supported through Phase II or Phase IIB grants or contracts. This may include independent replication of key studies, Investigational New Drug (IND)-enabling studies, clinical studies, manufacturing costs, regulatory assistance, or a combination of services. Although a significant amount of the work in a CRP award may be subcontracted to other institutions, the Small Business Concern (SBC) is expected to maintain oversight and management of the R and D throughout the award. This Funding Opportunity Announcement requires that at least 1 clinical trial be proposed. The proposed project must be related to the programmatic interests of one or more of the participating NIH Institutes and Centers (ICs) based on their scientific missions.

SBIR/STTR Commercialization Readiness Pilot (CRP) Program Technical Assistance and Late Stage Development (SB1, Clinical Trial Not Allowed)

PAR
Friday, July 10, 2020
Wednesday, April 6, 2022
SB1
PAR-20-129

Funding Opportunity Purpose

The purpose of this Funding Opportunity Announcement (FOA) is to encourage applications from small business concerns (SBCs) to the newly re-authorized Commercialization Readiness Pilot (CRP) program. The FOA aims to facilitate the transition of previously or currently funded SBIR and STTR Phase II and Phase IIB projects to the commercialization stage by providing additional support for technical assistance and later stage research and development (R and D) not typically supported through Phase II or Phase IIB grants or contracts. This may include independent replication of key studies, Investigational New Drug (IND)-enabling studies, clinical studies, manufacturing costs, regulatory assistance, or a combination of services. Although a significant amount of the work in a CRP award may be subcontracted to other institutions, the Small Business Concern (SBC) is expected to maintain oversight and management of the R and D throughout the award. Clinical Trials are not accepted under this FOA.

Notice of Special Interest (NOSI) regarding the Availability of Urgent Competitive Revisions and Administrative Supplements for Research on Coronavirus Disease 2019 (COVID-19) in Individuals with Down Syndrome for the INCLUDE Project

Notice of Special Interest
Thursday, June 25, 2020
Tuesday, July 13, 2021
333
NOT-OD-20-129

Funding Opportunity Purpose

Notice Special Interest NOSI) regarding Availability Urgent Competitive Revisions Administrative Supplements Research Coronavirus Disease 2019 COVID-19) Individuals Down Syndrome the INCLUDE Project Notice Number: NOT-OD-20-129 Key Dates Release Date: June 25, 2020 First Available Due Date: July 13, 2020 Expiration Date: July 13, 2021 Related Announcements PA-18-591 Administrative Supplements Existing NIH Grants Cooperative Agreements Parent Admin Supp Clinical Trial Optional) PA-18-935 Urgent Competitive Revision Existing NIH Grants Cooperative Agreements Urgent Supplement - Clinical Trial Optional) NOT-OD-20-017 Notice Special Interest Encourage Development Animal Models Related Biological Materials Research Related Down Syndrome NOT-OD-20-020 Notice Special Interest NOSI): Ruth L. Kirschstein National Research Service Award NRSA) Fellowship Awards Support Training Research Related Down Syndrome Part the INCLUDE Project NOT-OD-20-021 Notice Special Interest NOSI): Mentored Career Development Awards Support Training Research Related Down Syndrome Part the INCLUDE Project NOT-OD-20-022 Notice Special Interest: Administrative Supplements the INCLUDE Investigation Co-occurring Conditions across Lifespan Understand Down syndrome) Project NIH-funded K12 KL2 Institutional Career Development Awards NOT-OD-20-023 Notice Special Interest: Availability Competitive Supplements/Revisions the INCLUDE Investigation Co-occurring Conditions across Lifespan Understand Down syndromE) Project Competitive Supplement/Revision Clinical Trial Optional) NOT-OD-20-024 Notice Special Interest: Availability Administrative Supplements the INCLUDE INvestigation Co-occurring conditions across Lifespan Understand Down syndromE) Project NOT-OD-20-025 Notice Special Interest: NIH Research Project Grants Down Syndrome R01) RFA-OD-20-003 Clinical Trials Development Co-Occurring Conditions Individuals Down syndrome: Phased Awards INCLUDE R61/R33 Clinical Trial Required) RFA-OD-20-004 Nvestigation Co-occurring conditions across Lifespan Understand Down syndromE INCLUDE) Clinical Trial Readiness R21 Clinical Trial Allowed) RFA-OD-20-005 Transformative Research Award the INCLUDE Investigation Co-occurring Conditions across Lifespan Understand Down syndrome) Project R01 Clinical Trial Allowed) RFA-OD-20-006 Small Research Grants Analyses Down Syndrome-related Research Data the INCLUDE Project R03 Clinical Trial Allowed) RFA-OD-20-007 Development the INCLUDE Investigation Co-occurring Conditions across Lifespan Understand Down syndromE) Project Data Coordinating Center U2C) Issued Office The Director, National Institutes Health OD) National Heart, Lung, Blood Institute NHLBI) National Human Genome Research Institute NHGRI) National Institute Aging NIA) National Institute Allergy Infectious Diseases NIAID) National Institute Arthritis Musculoskeletal Skin Diseases NIAMS) Eunice Kennedy Shriver National Institute Child Health Human Development NICHD) National Institute Deafness Other Communication Disorders NIDCD) National Institute Dental Craniofacial Research NIDCR) National Institute Diabetes Digestive Kidney Diseases NIDDK) National Institute Environmental Health Sciences NIEHS) National Institute Neurological Disorders Stroke NINDS) National Institute Minority Health Health Disparities NIMHD) National Center Complementary Integrative Health NCCIH) National Center Advancing Translational Sciences NCATS) Division Program Coordination, Planning Strategic Initiatives, Office Research Infrastructure Programs ORIP) National Cancer Institute NCI) Purpose NIH issuing Notice Special Interest NOSI) highlight urgent need research Severe Acute Respiratory Syndrome Coronavirus 2 SARS-CoV-2) Coronavirus Disease 2019 COVID-19) individuals Down syndrome conjunction the INCLUDE INvestigation Co-occurring conditions across Lifespan Understand Down syndromE) Project. Because people Down syndrome at increased risk having co-occurring medical conditions, such pulmonary disease, cardiac problems, obesity, diabetes, sleep apnea, altered immune function may predispose to severe infection SARS-CoV-2, may particularly vulnerable COVID-19 complications. Combined shared living situations, reduced access testing treatment services due disparities provision resources, impact COVID-19 infection people Down syndrome likely be elevated. overarching goal this NOSI to improve understanding treatment COVID-19 infection individuals Down syndrome reduce COVID-19 associated morbidity mortality this population, may disproportionately affected by, higher infection rates of, and/or at elevated risk adverse outcomes contracting virus. Background Investigation Co-occurring conditions across Lifespan Understand Down syndromE INCLUDE) Project developed response Fiscal Year 2018 2019 Consolidated Appropriations Acts, encouraged NIH expand current efforts Down syndrome common co-occurring conditions also seen the general population while increasing pipeline Down syndromeinvestigators. Information projects were funded 2018 2019, well the INCLUDE Project Research Plan, available the INCLUDE Project website. Individuals Down syndrome face significant changing health challenges have often excluded participation research could improve health outcomes quality life. population understudied even though Down syndrome the most common genetic cause intellectual developmental disabilities IDD) and, the past 25 years, average lifespan doubled 30 60 years. addition intellectual disability, Down syndrome associate an increased prevalence autism epilepsy. 75% individuals Down syndrome experience cognitive decline a syndrome resembles Alzheimers disease, with onset decade two earlier typical Alzheimers disease. Individuals Down syndrome also high rates congenital heart defects, sleep apnea, pulmonary hypertension, obesity, gastrointestinal malformations, thyroid disease, diabetes, leukemia, other autoimmune immune dysregulation disorders. leading causes mortality individuals Down syndrome pneumonias, respiratory failure, dementia. particular, given many interferon receptor genes map chromosome 21, people Down syndrome three copies chromosome 21, result a hyperactive immune system elevated levels inflammatory markers results a baseline cytokine storm status may predispose to infection viruses such SARS-CoV-2, increasing risk severe respiratory tract involvement, respiratory failure mortality this virus. addition, may at increased risk contracting COVID-19 due residence congregate housing settings may experience severe illness death given increased mortality due the infection those IDD. also potential experience health disparities related access diagnostic testing, treatment, interventions. Understanding unique combination risk factors inform testing treatment those Down syndrome may contract COVID-19 infection. Research Objectives order rapidly improve our understanding SARS-CoV-2 COVID-19 infection, NIH encouraging submission applications administrative supplements urgent competitive revisions active NIH grants address pathology, prevention, diagnosis, sequelae, treatment COVID-19 people Down syndrome. funding opportunity intended support applications focus immediate needs help address COVID-19 pandemic a timely manner. Applications should address whether ongoing potential future public health restrictions e.g., closures, physical distancing) might affect research approach, if so, include plan prevent mitigate any effect the proposed study. General Objectives relevant more one Institute Center IC) NIH): Relationships individual factors, including co-existing conditions medications, resilient adverse outcomes SARS-CoV-2 exposure individuals Down syndrome. Studies pre-hospital, emergency, critical care settings improve screening, risk stratification, diagnostic testing, care delivery decisions, resource allocation, clinical outcomes those Down syndrome exposed SARS-CoV-2. Studies prevention practices hand washing, effectively covering cough, social distancing, etc.) factors influence adherence, including individual age differences social network effects populations cognitive impairment such Down syndrome. Evaluation pharmacological health care delivery intervention strategies those Down syndrome after exposure SARS-CoV-2 prevent mitigate morbidity and/or improve post-infection health function. Evaluating strategies used health systems reallocate resources, rapidly train practitioners, communicate preventative practices, maintain adherence public health clinical guidelines, a particular interest those serve high-risk groups e.g., group homes, nursing homes) resulting racial, ethnic, regional disparities access/care. Leveraging longitudinal studies elucidate COVID-19-related changes the social, economic, institutional, policy environments differentially impact health welfare people across life course in vulnerable social groups, such those Down syndrome; comparative studies regional national approaches encouraged. Areas specific interest participating Institutes, Centers, Offices include, are limited to, following: National Cancer Institute NCI): better understand impact SARS-CoV-2 infection its impact disease progression, response therapy, care delivery, survivorship infants children Down syndrome co-occurring cancer, such leukemia. particular interest studies take advantage unique cancer model systems analytical tools study consequences SARS-CoV-2 infection COVID-19 disease progression. Supported research expected inform future efforts diagnose, prevent, mitigate, treat viral infection children Down syndrome have leukemia transient myeloproliferative disorder pre-cancer), undergoing treatment cancer, are remission. National Heart, Lung, Blood Institute NHLBI): elucidate clinical trajectory cardio-respiratory illness, response therapy, outcomes individuals Down syndrome COVID-19, including, not limited to, sudden death, respiratory insufficiency progressing failure, arrhythmias, myocardial dysfunction, coagulation disorders including, not limited to, predisposition venous thromboembolism),and pulmonary hypertension; also individuals Down syndrome co-existing conditions such obstructive sleep apnea, obesity, congenital heart disease pre- post-surgery). assess refine approaches the management critically ill individuals Down syndrome COVID-19 including, not limited to, assessment optimization different ventilatory strategies acute respiratory distress syndrome ARDS), risks benefits prone positioning management these individuals considering habitus airways, their susceptibility and/ resilience end-organ damage a consequence profound hypoxemia. better understand pathogenesis pneumonia the basic mechanisms cytokine surge COVID-19 closely-coupled and/or specific Down syndrome, e.g., gamma-interferon mediated mechanisms, the goal identifying druggable biological pathways these mechanisms. understand effect COVID-19 central ventilatory control response hypoxemia individuals Down syndrome. assess clinical trajectory response therapies people Down Syndrome presenting the recently described Multisystem Inflammatory Syndrome Children MIS-C) left ventricular dysfunction and/or coronary artery aneurysms. National Human Genome Research Institute NHGRI): Develop novel methods using genomic techniques identify signatures infection, prognosis, and/or severity disease individuals Down syndrome a medical setting. of electronic health information, other relevant clinical, environmental, demographic social determinants health data, accompanying genomic data, aid tracking understanding genetic epidemiology SARS-CoV-2, the individual susceptibility resistance infection disease severity those Down syndrome. Studies addressing ethical, legal, social implications the of genetic genomic information technologies diagnose, track, monitor, treat, triage SARS-CoV-2 COVID-19 infected individuals populations Down syndrome clinical public health settings. National Institute Aging NIA): Studies the role inflammation immune senescence adults Down syndrome increased susceptibility SARS-CoV-2 infection subsequent progression more severe disease, including lung pathology ARDS. Studies how host factors, including existing co-occurring conditions such respiratory, cardiac, other conditions, predispose older individuals Down syndrome acquire SARS-CoV-2 infections and/or develop severe COVID-19 disease, such ARDS. Studies mechanisms underlying SARS-CoV-2 neurological symptoms pathology older individuals Down syndrome COVID-19; research the role brain barriers preventing SARS-CoV-2 gaining access the neural tissues mechanisms through SARS-CoV-2 compromises such barriers propagates the central nervous system CNS); neuropathological studies COVID-19 the contribution brain tissue damage SARS-CoV-2 the morbidity mortality COVID-19 those Down syndrome. Studies neurological neurocognitive symptoms COVID-19 sequelae SARS-CoV-2 infection related the development aggravation such symptoms adults Down syndrome, e.g., delirium early alterations sensory function; studies the susceptibility people Down syndrome Alzheimer's disease Alzheimer's disease-related dementias AD/ADRD) COVID-19. Evaluation strategies minimize spread COVID-19 among adults Down syndrome their care providers, particularly within congregate housing facilities those cognitive impairment such group homes, including telemedicine remote medicine strategies. Studies how social distancing requirements impact care well-being vulnerable adult Down syndrome populations cognitive impairment and/or AD/ADRD, may dependent care providers. National Institute Allergy Infectious Diseases NIAID): Studies understand critical aspects viral infection pathogenesis individuals Down syndrome. development SARS-CoV-2 infection Down syndrome animal models suitable therapeutic candidate and/or pathogenesis studies. Identification evaluation the innate, cellular, humoral immune responses SARS-CoV-2 infection and/or candidate vaccines, individuals Down syndrome. National Institute Arthritis Musculoskeletal Skin Diseases NIAMS): Research SARS-CoV-2 COVID-19 the Down syndrome population relevant the areas arthritic other rheumatic), musculoskeletal, skin anomalies disorders. Eunice Kennedy Shriver National Institute Child Health Human Development NICHD): Research whether children Down syndrome more susceptible Multisystem Inflammatory Syndrome Children MIS-C) associated COVID-19 infection. Studies understand whether infection SARS-CoV-2 more severe children Down syndrome underlying health conditions such congenital heart disease, pulmonary hypertension, frequent respiratory infections in those without such co-occurring conditions. Studies determine whether past infection vaccination, available, SARS-CoV-2 provides lasting immunity children Down syndrome. Research determine COVID-19 infection adolescents young adults impacts risk cognitive decline, behavioral mental health conditions, and/or regression. Incorporation COVID-19 elements existing registries the purpose tracking testing, diagnosis, and/or treatment the infection people Down syndrome. National Institute Deafness Other Communication Disorders NIDCD): Research SARS-CoV-2 COVID-19 the Down syndrome population relevant the areas hearing, balance, taste, smell, voice, speech, language. Specific impacts communication those Down syndrome the context a pandemic enforced social distancing, including impacts services interventions. National Institute Dental Craniofacial Research NIDCR): Topics would of immediate high impact protect ensure safety personnel dental practices their patients comprised individuals Down syndrome: Modifications dental practice and/or treatment space prevent aerosol droplet pathogen transmission Determination the extent which viral pathogens transmitted via aerosol droplet routes during treatment dental settings Design implementation strategies achieve Centers Disease Control Prevention CDC) second-tier Transmission-Based Precautions dental practice Implementation disinfection processes ensure treatment spaces equipment devoid transmissible viral pathogens Development interventions protect health care workers, front-line professionals, patients viral transmission Assessment the impact dental care delivery delays upon oral health needs access care, especially vulnerable Down syndrome populations those affected health disparities. Development implementation strategies triage manage those Down syndrome have oral care needs, including via remote virtual means. Examination the role oral/nasal microbiota ACE2 receptor SARS-CoV-2 infectivity carriage oral fluids nasal secretions the Down syndrome population, gateways the spread infection the respiratory tract via proof principle studies. Pilot testing existing therapeutic modulators oral microbiota may limit infectivity SARS-CoV-2 those Down syndrome. Performance research conducted within National Dental Practice-Based Research Network PBRN), supports clinical research studies dental practices dental practitioners their consenting patients well survey studies practitioners and/or patients include individuals Down syndrome. Potential applicants strongly encouraged review process potential grant applicants interact and utilize National Dental PBRN resources. Implementation FDA-approved detection screening tests SARS-CoV-2 virus antibodies improve triage early disease management strategies those Down syndrome. National Institute Minority Health Health Disparities NIMHD): Including individuals Down syndrome NIH-designated health disparity populations Blacks/African Americans, Hispanics/Latinos, American Indians/Alaska Natives, Asians, Native Hawaiians Other Pacific Islanders, socioeconomically disadvantaged populations, underserved rural populations, sexual gender minorities) existing clinical community-based studies sufficient number study: Intersectional stigma discrimination their impact health healthcare utilization. Coping strategies, social support, other protective factors related chronic disease risk outcomes. Access and quality healthcare, including primary, specialty, behavioral health care. Evaluating transition child adult healthcare other service systems. National Institute Neurological Disorders Stroke NINDS): Studies understand biologic effects SARS-CoV-2 infection the brain, spinal cord, nerves individuals Down syndrome. includes acute neurological symptoms, symptoms ranging the relatively mild anosmia dysgeusia) the extreme encephalitis, ataxia, seizures, cerebrovascular events such stroke). also includes potential delayed effects COVID-19, such post-viral complications e.g., acute disseminated encephalomyelitis Guillain-Barre syndrome). Establishment maintenance a database designed collect clinical information the neurological manifestations SARS-CoV-2 individuals Down syndrome. Such database should address objectives outlined NOT-NS-20-046 align centralized NINDS data collection efforts. Studies using telemedicine the diagnosis treatment neurological symptoms individuals Down syndrome. National Center Complementary Integrative Health NCCIH): in vivo animal models Down syndrome, conduct assessments natural product therapeutic candidates repurposed existing candidate natural product therapeutics initially developed other indications against SARS-CoV-2, study mechanisms action the candidates treatment prevention COVID-19, such suppressing virus transmission, infection loading, entry, fusion), replication; and/or regulating innate, adaptive, cellular, humoral immune systems including immune-mediated pathologies host interactions molecular pathways, cytokine storms, free radicals, etc.). Office Research Infrastructure Programs ORIP): ORIP interested supporting projects aimed enhancing existing creating new animal models Down syndrome studying mechanisms underlying COVID-19 the context Down syndrome. Preference be given applications develop informative animal models demonstrate potential investigating multiple phenotypic features COVID-19 the context Down syndrome, rather focusing a specific phenotype the disease. Note ORIP only consider applications submitted under PA-18-591 subsequent reissued equivalents. Considerations maximize comparisons across datasets studies, facilitate data integration collaboration, researchers funded through NOSI strongly encouraged use following resources: Data Harmonization Social Determinants Health via PhenX Toolkit: Investigators involved human-subject studies strongly encouraged employ common set tools resources will promote collection comparable data social determinants health SDOH) across studies. particular, human-subject studies should incorporate SDOH measures the Core Specialty collections are available the Social Determinants Health Collection the PhenX Toolkit www.phenxtoolkit.org). NIH encouraging researchers explore use the HL7 FHIR Fast Healthcare Interoperability Resources) standard capture, integrate, exchange clinical data research purposes to enhance capabilities share research data NOT-OD-19-122). FHIR resources be particularly useful the development computational tools used COVID-19 research data sharing. Additional emerging data terminologies, ontologies, standards should considered describing semantic content data metadata COVID-19 research e.g., LOINC, SNOMED, ICD-10, others described here: https://covid.cd2h.org/forms_and_standards). trans-NIH working group making existing COVID-19 survey items investigator contact information publicly available through NIH-supported platforms: NIH Public Health Emergency Disaster Research Response DR2) https://dr2.nlm.nih.gov/] the PhenX Toolkit https://www.phenxtoolkit.org/index.php]. Researchers addressing COVID-19 questions, whether population-based for clinical research, strongly encouraged consider COVID-19 specific survey item repositories select existing survey items protocol modules currently being fielded. Additionally, researchers funding through NOSI be strongly encouraged share survey items make public other researchers consider submitting surveys NIHCOVID19Measures@nih.gov. Projects propose recruit subjects Down syndrome encouraged promote enrollment research subjects the Down syndrome patient registry supported NIH,DS-Connect. other data biospecimens human genetic non-genetic studies, awardees encouraged use biorepositories designated INCLUDE staff meet requirements broad sharing. addition the review criteria described PA-18-591 PA-18-935, as applicable the project proposed, reviewers also evaluate: what extent does application address goals the INCLUDE Project? relevant the proposed research regard addressing key areas identified priorities COVID-19 research Down syndrome? likely it the investigators have immediate access the necessary resources e.g., patient samples, isolates, test kits, laboratory access, etc.) achieve aims the proposed research? strong the proposed plans the execution the proposed work laboratory access limited restricted due the COVID-19 pandemic? likely it the proposed research generate unique resources data could impact public health response? adequate the resource sharing plan? Review Selection Process: Applications both PA-18-591 PA-18-935 be evaluated scientific technical merit an appropriate internal review panel convened staff the NIH INCLUDE Project Team, accordance the stated review criteria any additional review criteria specified. Application Submission Information Application Due Dates: July 13, 2020, November 12, 2020, March 12, 2021, July 12, 2021 5:00 PM local time applicant organization. Applications this initiative must submitted electronically using of following target opportunities their subsequent reissued equivalents: PA-18-591 Administrative Supplements Existing NIH Grants Cooperative Agreements Parent Admin Supp Clinical Trial Optional) PA-18-935 Urgent Competitive Revision Existing NIH Grants Cooperative Agreements Urgent Supplement - Clinical Trial Optional) NIH anticipates most applications response this NOSI be expanding scope the parent award will submitted response PA-18-935. definition scope be found the NIH Grants Policy Statement. funding instrument, activity code, be same the parent award. Applicants must follow instructions the SF424 R&R) Application Guide in selected target funding opportunity announcement PA-18-591 PA-18-935), the following additions: Budget: applications targeting PA-18-591 Administrative Supplement), application budgets limited no than amount the current parent award 1,000,000 direct costs, whichever less, must reflect actual needs the proposed project. applications targeting PA-18-935 Urgent Competitive Revision), application budgets limited no than 1,000,000 direct costs, must reflect actual needs the proposed project. Exceptions these budget limits be with NIH pre-approval will only approved under very rare circumstances where work immediately impact public health. Project Period: Applicants request budget period only year support that year must align the existing parent award. parent award must active the supplement application submitted e.g. within originally reviewed approved project period), regardless the time remaining the current project. Abstract: Abstract section should describe proposed supplement. Research Strategy: Research Strategy section should provide summary abstract the funded parent award project describe relevance the proposed project the funded parent award the INCLUDE project. Describe component(s) any IC-specific priorities the supplement addressing. Research Strategy limited 6 pages Applicants should address whether ongoing potential future public health restrictions e.g., closures, physical distancing) might affect research approach and, so, include plan prevent mitigate any effect the proposed study. Administrative supplement applications PA-18-591must the application form package theCompetition ID contains FORMS-F-ADMINSUPP." addition, process forStreamlined Submissions using eRA Commons cannot used this initiative. Competitive revision applications PA-18-935 must the application form package the Competition ID contains FORMS-F-COMP-REV." applications including those multi-project activity codes) must submitted electronically using single-project application form package. funding consideration, applicants must include NOT-OD-20-129 the Agency Routing Identifier field Box 4.b) the SF 424 R&R) Form. Applications without information Box 4b not considered this initiative. Pre-award costs be incurred January 20, 2020 through public health emergency period prior the date the federal award. process Streamlined Submissions using eRA Commons cannot used this initiative. INCLUDE Program Office not consider applications fail meet terms this NOSI. Applicants strongly encouraged notify program contact the Institute supporting parent award a request been submitted response this FOA order facilitate efficient processing the request. NOSI expires July 13, 2021. application submitted response this NOSI is received on/after expiration date be withdrawn. Inquiries Please direct inquiries the contact the Institute, Center Office supporting parent award indicated the funding page the INCLUDE Project website. Financial/Grants Management Contact(s) Ryan Talesnik Eunice Kennedy Shriver National Institute Child Health Human Development Telephone: 301-435-6976 Email: talesnikr@mail.nih.gov

Notice of Special Interest (NOSI): Common Fund ALS-related Transformative Research Award (R01 Clinical Trial Optional)

Notice of Special Interest
Wednesday, June 17, 2020
Sunday, January 1, 2023
R01
NOT-RM-20-019

Funding Opportunity Purpose

Notice Special Interest NOSI): Common Fund ALS-related Transformative Research Award R01 Clinical Trial Optional) Notice Number: NOT-RM-20-019 Key Dates Release Date: June 17, 2020 Related Announcements RFA-RM-20-013 - NIH Director’s Transformative Research Awards R01 Clinical Trial Optional) Issued Office Strategic Coordination Common Fund) National Institute Aging NIA) National Institute Environmental Health Sciences NIEHS) National Institute General Medical Sciences NIGMS) National Institute Neurological Disorders Stroke NINDS) Purpose purpose this Notice to inform potential applicants the special interest the Office Strategic Coordination Common Fund), National Institute Neurological Disorders Stroke NINDS), National Institute Aging NIA), National Institute Environmental Health Sciences NIEHS), National Institute General Medical Sciences NIGMS) supporting exceptionally innovative research the basic biology Amyotrophic Lateral Sclerosis through NIH Director’s Transformative Research Award initiative. Background: Amyotrophic lateral sclerosis ALS) a devastating disease no known cure. is neurodegenerative disease causes death motor neurons control voluntary muscles. results weakness ultimately loss voluntary muscle function. ALS rapidly progressive always fatal. people die within 3-5 years developing symptoms. cause ALS unknown likely involves combination genetic environmental risk factors. 5 – 10% cases familial the remaining cases considered be sporadic. Hampered the unknown etiology ALS despite extensive efforts, only drugs been developed are FDA approved these drugs extend life just few months do improve symptoms. Thus, development effective ALS therapeutics benefit tremendously investing basic ALS research tests highly novel concepts, brings together researchers different scientific perspectives, applies powerful emerging technologies a variety disciplines. Though such highly innovative research be inherently risky, potential payoff our understanding ALS warrant risk. solicit support such high-risk, high-reward ALS-related research, Accelerating Leading-edge Science ALS ALS2) being created. ALS2 use existing NIH Director’s Transformative Research Award initiative receive review applications. initiative part the NIH Common Fund’s High-Risk, High-Reward Research HRHR) Program. HRHR program offers time-tested, powerful approach sparking innovation impact. Transformative Research Award initiative a particularly well-suited initiative within HRHR program supporting interdisciplinary teams scientists proposing combine expertise pursue highly innovative ideas. Transformative Research Award applications not require preliminary data a detailed experimental plan. Rather, emphases unusually high magnitude potential impact, exceptional degree innovation, a highly compelling logic the approach. note, anonymized review process the Transformative Research Award applications being piloted year help maintain focus these emphases. Large budgets exceeding 500,000 direct costs any given year) acceptable without pre-approval must commensurate the scope the project. Objective objective this Notice to advance dramatically our understanding the complex biology ALS. Thus, applications use or of following elements encouraged: Adapt emerging tools technologies neuroscience, cell biology other disciplines identify causes ALS how disease progresses, forming basis new potential therapeutic strategies. Attract new talent a range scientific disciplines, including cell biology, bioengineering, chemistry, biophysics, environmental health sciences, computational science, initiate new interdisciplinary collaborations. Explore potential similarities between ALS other neurodegenerative disorders beyond, including, not limited to, frontotemporal dementia, chronic traumatic encephalopathy, Kennedy’s disease, spinal muscular atrophy, primary lateral sclerosis, aging-induced neuromuscular degeneration. Application, Review, Funding Information Applications must submitted response FOA RFA-RM-20-13. instructions the FOA must followed. addition, applications must indicate “NOT-RM-20-019” without quotation marks) the Agency Routing Identifier field Box 4b) the SF424 R&R) Form. Applications without information Box 4b not considered support the ALS2 program. receipt date September 30, 2020. Applications be reviewed using same review process for other Transformative Research Award applications described RFA-RM-20-013. Funding applications submitted through Notice be considered separately other TRA applications will based the results peer review programmatic priorities. Inquiries Please direct inquiries to: Amelie K. Gubitz, Ph.D. National Institute Neurological Disorders Stroke NINDS) Telephone: 301-496-5680 Email:gubitza@ninds.nih.gov Ravi Basavappa Office the Director OD) Telephone: 301-435-7204 Email:Transformative_Awards@mail.nih.gov Lisa Opanashuk, Ph.D. National Institute Aging NIA) Telephone: 301-82705422 Email: lisa.opanashuk@nih.gov Jonathan A. Hollander, Ph.D. National Institute Environmental Health Sciences NIEHS) Telephone: 984-287-3269 Email: jonathan.hollander@nih.gov Oleg Barski, Ph.D. National Institute General Medical Sciences NIGMS) Telephone: 301-496-1511 Email: oleg.barski@nih.gov

Notice of Special Interest (NOSI): Research to Improve the Interpretation of Patient-Reported Outcomes at the Individual Patient Level for Use in Clinical Practice

Notice of Special Interest
Tuesday, March 24, 2020
Saturday, January 8, 2022
NOT-OD-20-079

Funding Opportunity Purpose

Notice Special Interest NOSI): Research Improve Interpretation Patient-Reported Outcomes the Individual Patient Level Use Clinical Practice Notice Number: NOT-OD-20-079 Key Dates Release Date: March 24, 2020 First Available Due Date: June 05, 2020 Expiration Date: January 08, 2022 Related Announcements None Issued Office Behavioral Social Sciences Research OBSSR) National Human Genome Research Institute NHGRI) National Institute Aging NIA) National Institute Alcohol Abuse Alcoholism NIAAA) National Institute Arthritis Musculoskeletal Skin Diseases NIAMS) National Institute Deafness Other Communication Disorders NIDCD) National Institute Mental Health NIMH) National Institute Neurological Disorders Stroke NINDS) National Institute Nursing Research NINR) National Institute Minority Health Health Disparities NIMHD) National Center Complementary Integrative Health NCCIH) National Cancer Institute NCI) applications this funding opportunity announcement should fall within mission the Institutes/Centers. following NIH Offices co-fund applications assigned those Institutes/Centers. Division Program Coordination, Planning Strategic Initiatives, Office Disease Prevention ODP) Office Research Women's Health ORWH) Purpose patient-reported outcome PRO) defined any report a person’s health status including symptoms, function well-being, is gathered directly a patient, without interpretation that report a clinician, observer, anyone else. PROs critical the support patient-centered care, they provide information the patient’s perspective, offer important information improve patient-clinician communication, decision-making, care delivery. PROs increasingly being used clinical stakeholders e.g., providers, care delivery systems, payers regulators) characterize individual patients’ symptoms functional status the change outcomes over time. Thus, PROs becoming important piece information clinical decision-making, including shared decision-making. purpose this Notice Special Interest NOSI) to stimulate research contributes the evidence base precise accurate PRO score interpretation the individual patient level use clinical practice. Background National Institutes Health NIH) made considerable investments the development testing PROs provide research community robust tools monitor evaluate patient health. validity, reliability, utility PRO measures been studied extensively a variety clinical conditions among diverse populations use interpretation group level differences. Given efficiency greater accessibility PROs via electronic health record EHR) systems, clinicians increasingly interested using well-validated PROs inform individual treatment care decisions their patients. are existing PRO systems widely use clinical settings. few examples include are certainly limited to: HealthMeasures is comprised the Patient Reported Outcomes Measurement Information System(R) PROMIS(R)), NIH Toolbox Assessment Neurological Behavioral Function NIH Toolbox); Neurology Quality Life Measurement System Neuro-QoL), The Adult Sickle Cell Quality Life Measurement Information System ASCQ-Me); EQ-5D EQ-5D-Y; SF-36; QuoLO™. Research support use these measures interpreting individual level differences within between individuals various clinical contexts, sparse. some assessment tools, interpretive thresholds, reference values, minimally important differences informing clinical care been developed. However, thresholds empirically derived group-level data. Thus, value interpreting scores making clinical decisions predictions individual patients unclear. Furthermore, measurement error, along intra-individual variability, confound interpretation scores the individual patient level. Sensitivity specificity critical PRO measures employed clinical decision-making. Given both underdiagnosis overdiagnosis result adverse outcomes, research needed better understand appropriate clinical interpretation PRO scores individual patients a variety disease healthcare contexts. Thus, is vital the of PROs guide clinical decision-making at individual level be supported a robust evidence base. NIH NOSI encourages grant applications research develops evidence needed support interpretation existing, well-validated PROs use clinical care settings. focus this NOSI on self-report PRO) measures that: a) already developed and validated use clinical research and strong, demonstrated psychometric properties, b) currently being used, could utility, clinical practice. Specifically, Notice calls methodological studies provide meaningful interpretation PRO scores collected acted upon the individual patient level use clinical decision-making. NOSI is not intended encourage development, testing, validation new PRO measures to study methods electronic PRO data capture the presentation PRO summaries clinicians patients. Research questions responsive this NOSI include are limited to: Improving Understanding Interpretation PRO Scores Individual Patients score level, combination score levels, signal need clinical action individual patients? score differences over time indicate worsening vs. improvement, onset resolution health problems an individual patient? what clinical contexts ecological momentary assessment EMA) methods interpretable surveillance, diagnosis, determination individual treatment benefit? should PROs interpreted differently individuals specific clinical conditions, those multiple conditions, other high-risk contextual factors? these interpretations dependent different disease phases treatment trajectories? should PRO scores interpreted individuals within specific healthcare settings e.g., acute, outpatient, primary, specialty, community, rehabilitation settings) where PRO scores be used inform actions e.g., hospital discharge, additional assessments, referral services)? group-level information such current reference values) used accurately inform individual-level care? any modifications transformations needed apply information validly individual e.g., covariate adjustment, precise score range reference values define worsening improvement)? might clinically relevant information e.g., comorbidity, age, sex, social support, self-management, social determinants health, minority population status) affect interpretation individual PROs clinical practice, how should clinically relevant information incorporated the interpretation PROs clinical practice? is relationship between PROs other clinical indicators such laboratory tests, biomarkers, imaging? should PRO data integrated these clinical indicators improve sensitivity specificity PROs individual decision-making diverse patient populations clinical settings? using PRO measures routine surveillance, are relationships between frequency assessment, intra-individual variability, measure precision individual-level reliability? Understanding Bias, Variance, Error can ceiling floor effects sub-populations accounted when applying scores specific individuals? are sources bias error are introduced amplified interpreting individual scores based co-calibrations crosswalks PROs measuring same construct e.g., cutoffs scores one PRO used the cutoffs a co-calibrated cross-walked PRO)? are effects measurement invariance interpreting scores individual patients, how these effects accounted for? levels validity, reliability, responsiveness needed interpretation the individual level? Does recall period influence such interpretations? is relationship between scaling, precision, accuracy a measure its suitability a specific purpose e.g. screening versus responder definition) specific clinical settings serving diverse patient populations? Example Study Questions might include, are limited to: can individual PRO scores e.g., pain, fatigue, physical function) used screen for, diagnose conditions, diseases treatment-related symptoms functional impairments, order identify need specific care? PRO score threshold slope change over time indicates need immediate triage clinical intervention? example, threshold slope increased symptom severity e.g., pain severity, nausea/vomiting, diarrhea) an individual patient diagnosed a particular medical condition disease indicate need phone in-person follow-up)? are sensitivity specificity such PRO indicators? the sensitivity specificity vary based the treatment regimen individual patients, particularly patients high risk populations? what contexts PRO measures sensitive specific are performance-based measures capturing worsening/improvement physical functioning over time? Recovery: PRO score improvement physical functioning pain over time indicates achievement clinical benefit the individual patient level after major surgery medical treatment? Worsening: score reduction physical functioning the first 2 weeks after surgery represents decline an individual patient requires clinical intervention? these thresholds clinical deterioration moderated baseline age functional status? do individual PRO scores predict short-term 3-6 month) longer-term 1-2 year) worsening improvement chronic disease management indicators risk factors, functional outcomes e.g., work, school, family, leisure)? magnitude slope change individual PRO scores predicts improvement chronic disease management? does clinically relevant information e.g., age, preoperative functional status, comorbid conditions such depression, of multiple medications, social determinants health) affect interpretation PROs determine appropriate treatment options any given diagnosis? should information incorporated the interpretation PROs making clinical decisions individual patients? can individual’s PRO score/s e.g., diabetes distress, depression, fear hypoglycemia) guide treatment decisions such referral behavioral health, medication intensification, regimen simplification, engagement chronic disease management education support? do ldquo;action” prompting scores vary based other individual characteristics, type chronic condition, and/or comorbidities? PRO-based values e.g., continuous score, categorical value such above below age-matched cut point, slope change over time) best predict functional outcomes the individual patient level 1 year following particularly intensive invasive disease treatments e.g., cancer-directed therapies such stem cell transplantation, combined modality treatment)? might PRO data integrated clinical indicators inform individual prevention treatment recommendations. an example, individual A1C data used along PRO data help tailor improve diabetes prevention treatment recommendations shared decision-making processes? Does vary individual characteristics, high risk social determinants variables, type diabetes, and/or comorbidities? should PROs interpreted individuals more one chronic medical condition? Should PRO scores thresholds interpreted same for different populations? example, threshold scores developed age overall health status inform care specific populations e.g., older adults, children complex medical needs, pregnant women, women severe maternal morbidity at high risk maternal mortality) stages care e.g., prevention post-surgical complications, post-partum care)? Application Submission Information IC Specific Application Submission Information: submissions should indicate they in response NOT-OD-20-079 Field 4.b the SF 424 form. Prior submission, investigators strongly encouraged contact IC scientific contacts listed this Notice advice alignment program priorities polices. following funding opportunity announcements FOAs) their reissued equivalents must used submissions this initiative. Although NCI NINDS not listed a Participating Organization all FOAs listed below, applications this initiative be accepted provided the NOSI listed Field 4.b the SF 424. Applications nonresponsive terms this NOSI be withdrawn consideration this initiative. Activity Code FOA R01 PA-19-056 - NIH Research Project Grant Parent R01 Clinical Trial Allowed) R21 PA-19-053 - NIH Exploratory/Developmental Research Grant Program Parent R21 Clinical Trial Allowed) Although NCI NINDS not listed a Participating Organization all FOAs listed above, applications this initiative be accepted. Applications nonresponsive terms this NOSI be withdrawn consideration this initiative. nbsp; Inquiries Please direct inquiries to: Scientific/Research Contact(s) Ashley Wilder-Smith, Ph.D., MPH National Cancer Institute NCI) Telephone: 240-276-6714 Email: smithas@mail.nih.gov Dave Kaufman, Ph.D. National Human Genome Research Institute NHGRI) Telephone: 301-594-6907 Email: dave.kaufman@nih.gov Molly Wagster, Ph.D.National Institute Aging NIA) Telephone: 301-496-9350 Email: wagsterm@nia.nih.gov Jonathan King, Ph.D.National Institute Aging NIA)Telephone: 301-402-4156Email: kingjo@mail.nih.gov Mariela C. Shirley, Ph.D.National Institute Alcohol Abuse Alcoholism NIAAA) Telephone: 301-402-9389 Email: shirleym@mail.nih.gov Stephanie M. George, PhD, MPH, MANational Institute Arthritis Musculoskeletal Skin Diseases NIAMS)Telephone: 301-594-4974Email: stephanie.george@nih.gov Lana Shekim, Ph.D.National Institute Deafness Other Communication Disorders NIDCD) Telephone: 301-496-5061Email:  shekiml@nidcd.nih.gov Claudia Moy, Ph.D. National Institute Neurological Disorders Stroke NINDS) Telephone: 301-496-9135 Email:  cm384s@nih.gov Jenni Pacheco, Ph.D. National Institute Mental Health NIMH) Telephone: 301-443-3645 Email: jenni.pacheco@nih.gov Martha Matocha, Ph.D. National Institute Nursing Research NINR) Telephone: 301-594-2775 Email: matocham@mail.nih.gov Larissa Avilés-Santa, M.D., M.P.H. National Institute Minority Health Health Disparities NIMHD)Telephone: 301-827-6924 Email: avilessantal@nih.gov Lanay M. Mudd, Ph.D. National Center Complementary Integrative Health NCCIH) Telephone: 301-594-9346 Email:lanay.mudd@nih.gov Elizabeth Ginexi, Ph.D. NIH Office Behavioral Social Sciences Research OBSSR) Telephone: 301-594-4574 Email: LGinexi@mail.nih.gov Margaret Bevans, PhD, RN, FAANNIH Office Research Women’s Health ORWH) Telephone: 301-496-3934 Email: Margaret.Bevans@nih.gov Kay L. Wanke, PhD, MPHNIH Office Disease Prevention ODP)Telephone: 301-451-1856Email: kay.wanke@nih.gov

Blueprint Neurotherapeutics Network (BPN): Small Molecule Drug Discovery and Development for Disorders of the Nervous System (U44 Clinical Trial Optional)

PAR
Tuesday, March 3, 2020
Monday, May 8, 2023
U44
PAR-20-111

Funding Opportunity Purpose

Reissue of PAR-18-541. The Blueprint Neurotherapeutics Network (BPN) encourages applications from small businesses seeking support to advance their small molecule drug discovery and development projects into the clinic. Participants in the BPN are responsible for conducting all studies that involve disease- or target-specific assays, models, and other research tools and receive funding for all activities to be conducted in their own laboratories. In addition, applicants will collaborate with NIH-funded consultants and can augment their project with NIH contract research organizations (CROs) that specialize in medicinal chemistry, pharmacokinetics, toxicology, formulations development, chemical synthesis including under Good Manufacturing Practices (GMP), and Phase I clinical testing. Projects can enter either at the Discovery stage, to optimize promising hit compounds through medicinal chemistry to the Development stage, to advance a single development candidate through Investigational New Drug (IND)-enabling toxicology studies and phase I clinical testing. Alternatively, projects can enter at the Development stage and progress in a shorter period to IND enabling toxicology studies and phase I clinical testing. Projects that enter at the Discovery stage and meet their milestones may continue on through Development. BPN awardee institutions retain their assignment of IP rights and gain assignment of IP rights from the BPN contractors (and thereby control the patent prosecution and licensing negotiations) for drug candidates developed in this program.

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