Notice Intent Publish Reissuance a Funding Opportunity Announcement Biological Measures Prognosing Monitoring Persistent Concussive Symptoms Early Middle Adolescents: Center Without Walls U54) Notice Number: NOT-NS-20-014 Key Dates Release Date: October 10, 2019 Estimated Publication Date Funding Opportunity Announcement: December 20, 2019 First Estimated Application Due Date: March 23, 2020 Earliest Estimated Award Date: September 15, 2020 Earliest Estimated Start Date: September 15, 2020 Related Announcements RFA-NS-19-022 Issued National Institute Neurological Disorders Stroke NINDS) Purpose Notice to inform research community The National Institute Neurological Disorders Stroke NINDS) intends reissue Funding Opportunity Announcement FOA) RFA-NS-19-022 "Biological Measures Prognosing Monitoring Persistent Concussive Symptoms Early Middle Adolescents: Center Without Walls PCS-EMA CWOW)." reissued, FOA continue utilize U54 grant mechanism. research priorities remain same will include points clarification. Modifications this FOA include addition research cores a reduction the number required research projects three projects a single research project. the initial FOA, reissued FOA solicit applications research discovering performing initial clinical validation biological measures be used prognosing monitoring recovery adolescents either clinically present or at risk developing prolonged/persistent concussive symptoms following exposure concussion and/or repetitive head impacts. biological measures should be incorporated risk stratification algorithms inform clinical care patient stratification future clinical trials. key component this FOA be broad sharing clinical, neuroimaging, physiological, biospecimen data further advance research the area persistent concussive symptoms early middle adolescent EMA; ages 11-17 years old) populations. Notice being provided allow potential applicants sufficient time develop meaningful collaborations an appropriate project design. FOA expected be published Winter 2019 an expected application due date Spring 2020. FOA utilize NIH Specialized Center Cooperative Agreement U54) activity code. Details the planned FOA provided below. Research Initiative Details Notice encourages investigators expertise insights this area Traumatic Brain Injury TBI) begin consider applying this reissued FOA. addition, collaborative investigative teams combining expertise pediatrics, rehabilitation, biomarker development, proteomics, neuroimaging, risk assessment, / clinical outcomes research be encouraged, these investigators should also begin considering applying this FOA. U54 Center Without Walls CWOW) cooperative agreement mechanism employed this FOA support multi-site, multidisciplinary, research teams work synergistically discover, characterize, validate combination biological measures prognosis and/or monitoring recovery persistent concussive symptoms enrollment multiple points care e.g., Emergency Departments, urgent care clinics, primary care, concussion/sports medicine clinics, other specialty clinics) participants a variety injury mechanisms e.g., falls, sports, abusive head trauma, automobile accidents). Biological measures are responsive include, are limited to, neuroimaging, electroencephalography, oculomotor control, vestibular function, measures auditory processing speech production, autonomic responses, metabolomics, proteomics other biofluid-based assays. Analysis plans should include potential mediating factors such medication the type amount post-injury treatment rehabilitation provided participants. Components the U54 expected include following:(1) Administrative Core management reporting, establishing milestones, organizing communications among sites, resolving disputes; 2) Data Coordinating Core will responsible data curation, quality, submission the FITBIR informatics platform be able coordinate the NINDS biomarker repository BioSEND; 3) Research Cores will responsible maintaining data acquisition standard operating procedures specialized data analytics; 4) single research project will used address list research areas interest; 5) overall component describes overall structure, function, goals the CWOW. scientific project be expected include both 1) discovery / internal validation a 2) cross-site clinical validation stage. discovery stage should focus discovery biological measures persistent concussive symptoms. During internal validation stage, project be expected determine selectivity sensitivity a unique individual set biological measures prognosing / monitoring persistent concussive symptoms an EMA population across variety injury mechanisms. the cross-site clinical validation stage, biological markers have internally validated should collected, a new cohort participants, determine selectivity sensitivity these measures across multiple sites in multiple clinical contexts. Following validation, risk stratification algorithm prognosing and/or monitoring recovery persistent concussive symptoms an EMA population should developed. is expected the RFA require incorporation the NINDS Core TBI pediatric common data elements CDEs) appropriate Core CDEs the NINDS Sports Concussion CDE set. Additionally, RFA expected require use the NINDS CDEs both outcome non-outcome measures including, not limited demographics, medical injury history, history abusive injury, family history, medications, neuroimaging, rehabilitation strategy, standardized outcome assessments) described the NINDS CDE Project. FOA require data sharing schedule is consistent NINDS's TBI data submission policy NOT-NS-17-029. Further, ensure maximal value the project, data sharing plan require sharing a limited" clinical data set e.g., clinical assessment amp; outcome measures, symptom lists, mechanism injury, demographics, etc.) be available FITBIR a limited access public” state more 1-year after collection. FOA expect all biological specimens banked the NINDS BioSEND Biomarkers Repository. Note costs collection NOT included a component the NINDS BioSEND Biomarkers Repository award. Therefore, most costs the biospecimen banking borne the grantees utilizing resource NOT-NS-15-046) should budgeted in application. Funding Information Estimated Total Funding NINDS intends commit 2,000,000 direct costs per year Expected Number Awards NINDS intends fund to 1 award Estimated Award Ceiling 2,000,000 direct costs per year. Primary CFDA Numbers TBD Anticipated Eligible Organizations Public/State Controlled Institution Higher Education Private Institution Higher Education Nonprofit 501(c)(3) IRS Status than Institution Higher Education) Small Business For-Profit Organization than Small Business) State Government Applications not being solicited this time. Inquiries Please direct inquiries to: Patrick S. Frost Bellgowan, Ph.D. National Institute Neurological Disorders Stroke NINDS) 301-496-1447
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