Notice Intent Publish Funding Opportunity Announcement HEAL Pain Effectiveness Research Network: Clinical Trial Planning Implementation Cooperative Agreement UG3/UH3 Clinical Trial Required) Notice Number: NOT-NS-19-022 Key Dates Release Date:November 27, 2018 Estimated Publication Date Funding Opportunity Announcement: December 18, 2018 First Estimated Application Due Date: February 01, 2019 Earliest Estimated Award Date: June 01, 2019 Earliest Estimated Start Date: July 01, 2019 Related Announcements None Issued National Cancer Institute NCI) National Eye Institute NEI) National Institute Aging NIA) National Institute Alcohol Abuse Alcoholism NIAAA) National Institute Arthritis Musculoskeletal Skin Diseases NIAMS) Eunice Kennedy Shriver National Institute Child Health Human Development NICHD) National Institute Dental Craniofacial Research NIDCR) National Institute Diabetes Digestive Kidney Diseases NIDDK) National Institute Drug Abuse NIDA) National Institute Mental Health NIMH) National Institute Minority Health Health Disparities NIMHD) National Institute Neurological Disorders Stroke NINDS) National Institute Nursing Research NINR) National Center Advancing Translational Sciences NCATS) National Center Complementary Integrative Health NCCIH) Office Behavioral Social Sciences Research OBSSR) Purpose April 2018, National Institutes Health NIH) launched HEAL Helping End Addiction Long-term) Initiative, aggressive, trans-agency effort speed scientific solutions stem national opioid public health crisis. response this initiative, National Institute Neurologic Disorders Stroke the National Center Advancing Translational Sciences, partnership other NIH Institutes Offices, solicit applications propose clinical trials test comparative effectiveness existing therapies effectiveness novel approaches prevention management pain while reducing risk addiction. studies must address questions within mission research interests participating NIH Institutes Centers evaluate preventive strategies interventions including medications, biologics, procedures, medical assistive devices technologies, diagnostic testing, behavioral change, rehabilitation strategies, complementary therapies, integrated approaches, delivery system strategies well controlled trials specific pain conditions. overall goal to inform clinicians the effectiveness interventions management strategies reduce opioid that improve functional outcomes reduce acute chronic pain associated many types diseases conditions, pain presenting a disease itself. Clinical trials be conducted within infrastructure the HEAL Pain Effectiveness Research Network. Notice being provided allow potential applicants sufficient time develop meaningful collaborations responsive projects. FOA expected be published Winter 2018 an expected application due date early 2019 will utilize UG3/UH3 activity code. Details the planned FOA provided below. Research Initiative Details Description planned request applications RFA) support effectiveness clinical trials propose clinical trials test comparative effectiveness existing therapies effectiveness existing novel approaches prevention management pain while reducing risk addiction. overall goal to inform clinicians the effectiveness interventions management strategies reduce opioid that improve functional outcomes reduce pain across continuum acute chronic pain associated many types diseases conditions, pain presenting a disease itself. Notice encourages investigators expertise area clinical research consider applying this planned FOA. Collaborative teams combining expertise pain management large clinical trials be crucial the success the studies. planned initiative encourage UG3/UH3 phased cooperative research applications conduct efficient, large-scale effectiveness trials evaluate non-addictive therapies pain would reduce of opioids. Awards support one-year milestone-driven planning phase UG3), transition an implementation phase UH3) up four years, contingent meeting milestone feasibility requirements the planning phase. UG3/UH3 application must submitted a single application. Overview the HEAL Pain ERN Network Awardees be required conduct studies through NIH HEAL Pain Effectiveness Research Network HEAL Pain ERN), will dedicated pain clinical trial design expertise. HEAL Pain ERN use infrastructure the NCATS Trial Innovation Network TIN) (
https://trialinnovationnetwork.org/ ) provide scientific guidance coordination the HEAL Pain ERN trials. TIN work the broad consortium Clinical Translational Science Awards CTSA) hubs (
https://ctsa.ncats.nih.gov/ ) other sites identified awardees implement studies. TIN investigators work UG3/UH3 awardees during planning implementation phases, will provide clinical coordination center CCC) services, data coordination center DCC) services, recruitment retention services, biostatistical support. Background Reducing burden pain nationwide a significant unmet need, individuals need safe, non-addictive treatments alleviate pain. strength evidence the effectiveness current strategies currently used manage pain often low moderate CDC Guideline Prescribing Opioids Chronic Pain, AHRQ Noninvasive, Nonpharmacological Treatment Chronic Pain - Systematic Review). strategies include non-pharmacologic treatments specific chronic pain conditions, long-term opioid therapy different methods initiate titrate opioids. studies also needed inform evidence-based non-opioid treatments the peri-operative setting . Federal Pain Research Strategy a long-term strategic plan guide federal agencies departments support pain research to advance science better understand pain improve pain care. strategy includes several priority recommendations effectiveness research pain. further information these programs see:
https://www.painconsortium.nih.gov/Funding_Research/Funding_Opportuniti…; Research Objectives planned request applications clinical ldquo;effectiveness” research management pain ways reduce risk addiction. Effectiveness research defined the conduct synthesis research comparing benefits harms different interventions strategies prevent, treat monitor pain conditions ldquo;real world” settings. purpose this research to improve functional health outcomes developing disseminating evidence-based information patients, clinicians, other decision-makers, responding their expressed needs, which interventions most effective which patients under specific circumstances. provide information, comparative effectiveness pain research must assess comprehensive array health-related outcomes diverse patient populations subgroups. Defined interventions be tested controlled trials include medications, biologics, procedures, medical assistive devices technologies, diagnostic testing, behavioral change, complementary approaches, rehabilitation strategies, integrated approaches, deliver system strategies. planned request applications not accept applications propose testing interventions establish initial efficacy drugs, devices biologics approval the FDA. NIH Institutes, Centers Offices share goal alleviate pain through support clinical research develop evaluate interventions approaches alleviate pain ways reduce risk addiction. Applications interest include: Trials address weak evidence the efficacy different classes analgesics manage acute post-operative pain all populations after minor major surgical procedures; Trials establish methods translate efficacious non-opioid interventions management acute chronic pain conditions effective therapies can delivered successfully rural settings; Comparative effectiveness trials mind body approaches specific pain conditions, such low back pain, fibromyalgia, osteoarthritis headache. could include helping individuals manage pain and/or studies assess effective contributions family/caregivers managing pain; Trials prevent treat acute chronic nociceptive neuropathic pain clinical trials designed compare effectiveness non-opioid analgesics devices, either alone in novel combinations; Trials assess effectiveness interventions reduce pain disparities pain management health disparity populations; Trials determine effective interventions persistent pain older adults ways maximize function, minimize pain’s interference life, and/or mitigate pain treatment interactions underlying aging processes, co-occurring conditions, medications; Trials testing methods prevent manage persistent pain ways maximize function minimize pain’s interference life the following conditions: Gynecologic pain syndromes; Acute chronic cancer related pain syndromes caused the disease its treatment; Pain associated diabetic neuropathy, Inflammatory Bowel Disease, pancreatitis, hepatitis, cholecystitis choledocholithiasis, Irritable Bowel Syndrome, functional abdominal pain other functional gastrointestinal disorders, urologic chronic pelvic pain syndrome, kidney stone disease; Pain associated temporomandibular joint disorders TMD), trigeminal neuropathies, burning mouth syndrome, oral cancer, dental pathologies. Chronic sickle cell disease pain. Acute chronic pain children. Acute chronic pain co-occurring mental health symptoms disorders. Trials testing clinical tools and/or interventions designed modify practitioner opioid prescribing behaviors; Funding Information Estimated Total Funding NIH intends fund approximately five awards, corresponding a total 13,800,000 total costs fiscal year 2019 25,800,000 total costs each fiscal year 2020 2023. Expected Number Awards 5 Estimated Award Ceiling TBD Primary CFDA Numbers 93.853 Anticipated Eligible Organizations Public/State Controlled Institution Higher Education Private Institution Higher Education Nonprofit 501(c)(3) IRS Status than Institution Higher Education) Nonprofit without 501(c)(3) IRS Status than Institution Higher Education) Small Business For-Profit Organization than Small Business) State Government Indian/Native American Tribal Government Federally Recognized) County governments City township governments Special district governments Independent school districts Public housing authorities/Indian housing authorities Indian/Native American Tribally Designated Organization Native American tribal organizations than Federally recognized tribal governments) U.S. Territory Possession Indian/Native American Tribal Government than Federally Recognized) Regional Organization Applications not being solicited this time. Inquiries Please direct inquiries to: Linda Porter, Ph.D National Institute Neurological Disorders Stroke NINDS) 301-435-7572
porterl@ninds.nih.gov Institute contacts: Jane C. Atkinson, DDS National Center Advancing Translational Sciences NCATS) Telephone: 301-827-6031 Email:
jatkinso@mail.nih.gov Lanay Mudd, PhD National Center Complementary Integrative Health NCCIH) Telephone: 301-594-9346 Email:
lanay.mudd@nih.gov Diane St. Germain, RN, MS, CRNP National Cancer Institute NCI) Telephone: 240-276-7050 Email:
dstgermain@mail.nih.gov Lisa Onken, PhD National Institute Aging NIA) Telephone: 301-496-3136 Email:
lisa.onken@nih.gov Soundar Regunathan, PhD National Institute Alcohol Abuse Alcoholism National Institutes Health NIAAA) Telephone: 301-443-1192 Email:
soundar.regunathan@nih.gov Chuck Washabaugh, PhD National Institute Arthritis Musculoskeletal Skin Diseases NIAMS) Telephone: 301-594-5055 Email:
washabac@mail.nih.gov Susan Marden, PhD, RN National Center Medical Rehabilitation Research Eunice Kennedy Shriver National Institute Child Health Human Development NICHD) Telephone: 301-435-6838 Email:
mardens@mail.nih.gov Dena Fischer, DDS, MSD, MS National Institute Dental Craniofacial Research NIDCR) Telephone: 301-594-4876 Email:
dena.fischer@nih.gov Jose Serrano MD, PhD National Institute Diabetes Digestive Kidney Diseases NIDDK) Telephone: 301-594-8871 Email:
js362q@nih.gov Eve E. Reider, PhD National Institute Mental Health NIMH) Telephone: 301-827-1496 Email:
ereider@mail.nih.gov Andrew Louden, PhD National Institute Minority Health Health Disparities NIMHD) Telephone: 301.594.9009 Email:
Andrew.louden@nih.gov Jeremy Brown, MD National Institute Neurological Disorders Stroke NINDS) Telephone: 301-827-8375 Email:
Jeremy.brown@nih.com Lois A. Tully, PhD National Institute Nursing Research NINR) Telephone: 301-594-5968 Email:
tullyla@mail.nih.gov