THERAPEUTICS RESEARCH ON AIDS-ASSOCIATED OPPORTUNISTIC INFECTIONS Release Date: July 8, 1999 PA NUMBER: PA-99-124 National Institute of Allergy and Infectious Diseases Application Receipt Dates: January 2, May 1, September 1 THIS PA USES THE "MODULAR GRANT" AND "JUST-IN-TIME" CONCEPTS. IT INCLUDES DETAILED MODIFICATIONS TO STANDARD APPLICATION INSTRUCTIONS THAT MUST BE USED WHEN PREPARING APPLICATIONS IN RESPONSE TO THIS PA. The purpose of this Program Announcement (PA) is to encourage research grant applications aimed at novel approaches to discovery and preclinical development of therapeutic agents against opportunistic infections (OIs) in people with AIDS. The intent of this PA is to seek investigator-initiated grant applications that involve creative and original preclinical research utilizing state-of-the-art technologies necessary to propel advances in new or improved therapies. No clinical trials will be supported under this PA. Although this PA is being issued by NIAID, the National Heart, Lung, and Blood Institute (NHLBI) and the National Institute of Dental and Craniofacial Research (NIDCR) and also have an interest in and support research on opportunistic infections associated with AIDS. Applicants may wish to contact these NIH components listed under INQUIRIES to find out about other funding opportunities. Institutes and Centers at NIH use different grant mechanisms to support their portfolios of research; the components listed here may not use all of the mechanisms specified for this Program Announcement. Applicants for Small Business Innovation Research (SBIR) projects on investigational areas included in this PA should consider applying through NIAID PAR 98-073, published in the NIH Guide for Grants and Contracts on May 22, 1998, which is available on the World Wide Web at: https://grants.nih.gov/grants/guide/pa-files/PAR-98-073.html HEALTHY PEOPLE 2000 The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of "Healthy People 2000," a PHS-led national activity for setting priority areas. This PA, Therapeutics Research on AIDS- Associated Opportunistic Infections, is related to the priority area of human HIV infection. Potential applicants may obtain a copy of "Healthy People 2000" at http://www.crisny.org/health/us/health7.html. ELIGIBILITY REQUIREMENTS Applications may be submitted by domestic and foreign, for-profit and non- profit organizations, public and private, such as universities, colleges, hospitals, laboratories, units of State and local governments, and eligible agencies of the Federal government. Racial/ethnic minority individuals, women, and persons with disabilities are encouraged to apply as Principal Investigators. MECHANISM OF SUPPORT This PA will use the National Institutes of Health (NIH) individual research project grant (R01) and small research grant (R03) mechanisms of support. Responsibility for the planning, direction, and execution of the proposed research for all applicable mechanisms of support will be solely that of the applicant. However, specific application instructions have been modified to reflect "MODULAR GRANT" and "JUST-IN-TIME" streamlining efforts being examined by the NIH. Complete and detailed instructions and information on Modular Grants can be found at https://grants.nih.gov/grants/funding/modular/modular.htm. SBIR applicants should refer to NIAID PAR-98-073 cited above. Applicants for R01 grants will request direct costs in $25,000 modules, up to a total direct cost request of $250,000 per year. A typical modular grant application will request the same number of modules in each year. Applications for R01 grants may request a maximum five years of support. Before preparing an R01 application, the prospective applicant should consult the program official listed under INQUIRIES to determine the responsiveness of the proposed project to this PA. Applicants for R03 grants may request up to $50,000 (direct costs) per year for a period not to exceed three years. Funds and time requested should be appropriate for the research proposed. Before preparing an R03 application, the prospective applicant should consult the program official listed under INQUIRIES to determine the responsiveness of the proposed project to this PA. RESEARCH OBJECTIVES The most notable advance in AIDS-associated opportunistic infections (OIs) has been the decline in their incidence, which is a result of the effect of potent antiretroviral therapy. Recent findings also suggest that although the natural history of OIs in patients with HIV infection is changing, OIs are still an important clinical and pathophysiologic manifestation of HIV disease. For example, HIV-infected patients have an elevated risk of primary or reactivated tuberculosis, and such active infectious processes may enhance HIV replication and increase risk of death. The long-term effectiveness of antiretroviral therapy in developed countries remains unknown, and it is unclear whether the reduced rates of OIs are temporary or permanent. HIV/AIDS continues at an epidemic rate in developing countries where antiretroviral therapy remains unavailable. Significant pathological consequences associated with OIs in AIDS include retinitis (human cytomegalovirus), progressive multifocal leukoencephalopathy (JC virus), tuberculosis (Mycobacterium tuberculosis), and protracted diarrhea (Cryptosporidium parvum, Enterocytozoon bieneusi). Limitations of currently available drugs for treatment and prevention of OIs include the static nature of most agents, toxicity, and emergence of resistance. The discovery of more potent and less toxic compounds would provide improved medical management of these AIDS-associated complications. Furthermore, no standard treatments exist for opportunistic pathogens such as JC virus, C. parvum, and E. bieneusi. Research Objectives and Experimental Approaches The goal of this PA is the discovery of agents for treatment of AIDS- associated OIs. Given present advances in molecular biology, the principal objectives of the PA are to stimulate original and innovative preclinical research to (1) identify and characterize new, pathogen-specific molecular targets and (2) develop promising therapeutic approaches based on new targets. Opportunistic pathogens emphasized by this PA are: human cytomegalovirus (HCMV), JC virus, Mycobacterium tuberculosis, Cryptosporidium parvum, and the microsporidia. Areas of study include but are not restricted to the following: o discovery of efficacious new therapeutic agents (chemo- or immuno-based therapeutics) for treatment of AIDS-associated OIs; o identification of molecular targets for therapeutic agents utilizing state- of-the-art molecular genetic technology; o discovery and evaluation of novel, selective chemical entities generated by combinatorial chemistry or combinatorial genomics methodologies; o development of improved delivery systems for therapeutic agents (improved bioavailability, pharmacokinetics); and o development of improved in vitro (cell culture) and in vivo (animal model) systems for drug evaluations. Before preparing an R01 or R03 application, the prospective applicant should consult the program official listed under INQUIRIES to determine the responsiveness of the proposed project to this PA. INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN SUBJECTS It is the policy of the NIH that women and members of minority groups and their subpopulations must be included in all NIH supported biomedical and behavioral research projects involving human subjects, unless a clear and compelling rationale and justification is provided that inclusion is inappropriate with respect to the health of the subjects or the purpose of the research. This policy results from the NIH Revitalization Act of 1993 (Section 492B of Public Law 103-43. All investigators proposing research involving human subjects should read the "NIH Guidelines for Inclusion of Women and Minorities as Subjects in Clinical Research," which was published in the Federal Register of March 28, 1994 (FR 59 14508-14513) and in the NIH Guide for Grants and Contracts, Vol. 23, No. 11, March 18, 1994, available on the web at: https://grants.nih.gov/grants/guide/1994/94.03.18/notice-nih-guideline008.html. INCLUSION OF CHILDREN AS PARTICIPANTS IN RESEARCH INVOLVING HUMAN SUBJECTS It is the policy of NIH that children (i.e., individuals under the age of 21) must be included in all human subjects research, conducted or supported by the NIH, unless there are scientific and ethical reasons not to include them. This policy applies to all initial (Type 1) applications submitted for receipt dates after October 1, 1998. All investigators proposing research involving human subjects should read the "NIH Policy and Guidelines" on the Inclusion of Children as Participants in Research Involving Human Subjects that was published in the NIH Guide for Grants and Contracts, March 6, 1998, and is available at the following URL address: https://grants.nih.gov/grants/guide/notice-files/not98-024.html Investigators also may obtain copies of these policies from the program staff listed under INQUIRIES. Program staff may also provide additional relevant information concerning the policy. APPLICATION PROCEDURES The research grant application form PHS 398 (rev. 4/98) is to be used in applying for these grants, with the modifications noted below. These forms are available at most institutional offices of sponsored research; from the Division of Extramural Outreach and Information Resources, National Institutes of Health, 6701 Rockledge Drive, MSC 7910, Bethesda, MD 20892-7910, telephone 301/710-0267, email: grantsinfo@nih.gov; and on the internet at https://grants.nih.gov/grants/forms.htm Applications must be identified by checking "YES" on line 2 of the face page of the application form, and the number and title of this program announcement must be typed in. BUDGET INSTRUCTIONS The total direct costs must be requested in accordance with the program guidelines and the modifications made to the standard PHS 398 application instructions described below: PHS 398 o FACE PAGE: Items 7a and 7b should be completed, indicating Direct Costs (in $25,000 increments up to a maximum of $250,000) and Total Costs [Modular Total Direct plus Facilities and Administrative (F&A) costs] for the initial budget period. Items 8a and 8b should be completed indicating the Direct and Total Costs for the entire proposed period of support. o DETAILED BUDGET FOR THE INITIAL BUDGET PERIOD - Do not complete Form Page 4 of the PHS 398. It is not required and will not be accepted with the application. o BUDGET FOR THE ENTIRE PROPOSED PERIOD OF SUPPORT - Do not complete the categorical budget table on Form Page 5 of the PHS 398. It is not required and will not be accepted with the application. o NARRATIVE BUDGET JUSTIFICATION - Use a Modular Grant Budget Narrative page. (See https://grants.nih.gov/grants/funding/modular/modular.htm for sample pages). At the top of the page, enter the total direct costs requested for each year. o Under Personnel, List key project personnel, including their names, percent of effort, and roles on the project. No individual salary information should be provided. For Consortium/Contractual costs, provide an estimate of total costs (direct plus facilities and administrative) for each year, each rounded to the nearest $1,000. List the individuals/organizations with whom consortium or contractual arrangements have been made, the percent effort of key personnel, and the role on the project. Indicate whether the collaborating institution is foreign or domestic. The total cost for a consortium/contractual arrangement is included in the overall requested modular direct cost amount. Provide an additional narrative budget justification for any variation in the number of modules requested. o BIOGRAPHICAL SKETCH - The Biographical Sketch provides information used by reviewers in the assessment of each individual's qualifications for a specific role in the proposed project, as well as to evaluate the overall qualifications of the research team. A biographical sketch is required for all key personnel, following the instructions below. No more than three pages may be used for each person. A sample biographical sketch may be viewed at: https://grants.nih.gov/grants/funding/modular/modular.htm - Complete the educational block at the top of the form page; - List current position(s) and any honors; - Provide information, including overall goals and responsibilities, on research projects ongoing or completed during the last three years. - List selected peer-reviewed publications, with full citations; o CHECKLIST - This page should be completed and submitted with the application. If the F&A rate agreement has been established, indicate the type of agreement and the date. All appropriate exclusions must be applied in the calculation of the F&A costs for the initial budget period and all future budget years. o The applicant should provide the name and phone number of the individual to contact concerning fiscal and administrative issues if additional information is necessary following the initial review. Submit a signed, typewritten original of the application and five signed, photocopies, in one package to: CENTER FOR SCIENTIFIC REVIEW NATIONAL INSTITUTES OF HEALTH 6701 ROCKLEDGE DRIVE, ROOM 1040, MSC 7710 BETHESDA, MD 20892-7710 BETHESDA, MD 20817 (for express/courier service) The Center for Scientific Review (CSR) will not accept any application in response to this PA that is essentially the same as one currently pending initial review, unless the applicant withdraws the pending application. The CSR will not accept any application that is essentially the same as one already reviewed. This does not preclude the submission of substantial revisions of applications already reviewed, but such applications must include an introduction addressing the previous critique. Applicants from institutions that have a General Clinical Research Center (GCRC) funded by the NIH National Center for Research Resources (NCRR) may wish to identify the Center as a resource for conducting the proposed research. If so, a letter of agreement from the GCRC Program Director must be included in the application material. REVIEW CONSIDERATIONS Review Procedures Applications will be assigned on the basis of established PHS referral guidelines. Upon receipt, applications will be reviewed for completeness by the NIH Center for Scientific Review. Incomplete applications will be returned to the applicant without further consideration. Applications will be reviewed for scientific and technical merit in accordance with the standard NIH peer review procedures. As part of the initial merit review, all applications will receive a written critique and undergo a process in which only those applications deemed to have the highest scientific merit, generally the top half of the applications under review, will be discussed, assigned a priority score, and receive a second level review by the appropriate national advisory council. Review Criteria The goals of NIH-supported research are to advance our understanding of biological systems, improve the control of disease, and enhance health. The reviewers will comment on the following aspects of the application in their written critiques in order to judge the likelihood that the proposed research will have a substantial impact on the pursuit of these goals. Each of these criteria will be addressed and considered by the reviewers in assigning the overall score weighting them as appropriate for each application. Note that the application does not need to be strong in all categories to be judged likely to have a major scientific impact and thus deserve a high priority score. For example, an investigator may propose to carry out important work that by its nature is not innovative but is essential to move a field forward. 1) Significance. Does this study address an important problem? If the aims of the application are achieved, how will scientific knowledge be advanced? What will be the effect of these studies on the concepts or methods that drive this field? 2) Approach. Are the conceptual framework, design, methods, and analyses adequately developed, well integrated, and appropriate to the aims of the project? Does the applicant acknowledge potential problem areas and consider alternative tactics? 3) Innovation. Does the project employ novel concepts, approaches or method? Are the aims original and innovative? Does the project challenge existing paradigms or develop new methodologies or technologies? 4) Investigator. Is the investigator appropriately trained and well suited to carry out this work? Is the work proposed appropriate to the experience level of the principal investigator and other researchers (if any)? 5) Environment. Does the scientific environment in which the work will be done contribute to the probability of success? Do the proposed experiments take advantage of unique features of the scientific environment or employ useful collaborative arrangements? Is there evidence of institutional support? The initial review group will also examine: the appropriateness of proposed budget and duration; the adequacy of plans to include children and both genders and minorities and their subgroups as appropriate for the scientific goals of the research and plans for the recruitment and retention of subjects; the provisions for the protection of human and animal subjects; and the safety of the research environment. The personnel category will be reviewed for appropriate staffing based on the requested percent effort. The direct costs budget request will be reviewed for consistency with the proposed methods and specific aims. Any budgetary adjustments recommended by the reviewers will be in $25,000 modules. The duration of support will be reviewed to determine if it is appropriate to ensure successful completion of the requested scope of the project. AWARD CRITERIA Applications will compete for available funds with all other favorably recommended applications. The following will be considered when making funding decisions: quality of the proposed project as determined by peer review, program balance among research areas of the announcement, and availability of funds. INQUIRIES Written and telephone inquiries are encouraged. The opportunity to clarify any issues or questions from potential applicants is welcome. Inquiries regarding programmatic (research scope and eligibility) issues may be directed to: Chris Lambros, Ph.D. Division of AIDS National Institute of Allergy and Infectious Diseases 6003 Executive Boulevard, Room 2C40, MSC 7620 Bethesda, MD 20892-7620 Telephone: 301-435-3769 FAX: 301-402-3171 Email: clambros@niaid.nih.gov Direct inquiries regarding fiscal matters to: Ms. Linda Shaw Division of Extramural Activities National Institute of Allergy and Infectious Diseases 6003 Executive Boulevard, Room 4B33, MSC 7610 Bethesda, MD 20892-7610 Telephone: 301-402-6611 FAX: 301-480-3780 Email: lshaw@niaid.nih.gov The National Heart, Lung, and Blood Institute (NHLBI) has an interest in supporting research on the pulmonary, cardiovascular and hematologic aspects of opportunistic infections associated with HIV infection. Therefore, applications of mutual interest are likely to be given a secondary assignment to NHLBI in accordance with the NIH referral guidelines. Inquiries regarding NHLBI programmatic issues may be directed to: Hannah H. Peavy, M.D. Division of Lung Diseases National Heart, Lung, and Blood Institute 6701 Rockledge Drive, Suite 10018, MSC 7952 Bethesda, MD 20892-7952 Telephone: 301-435-0222 FAX: 301-480-3557 Email: hannah_peavy@nih.gov The National Institute of Dental and Craniofacial Research (NIDCR) has an interest in opportunistic infections in the oral cavity. Therefore, applications of mutual interest are likely to be given a secondary assignment to NIDCR in accordance with the NIH referral guidelines. Inquiries regarding NIDCR programmatic issues may be directed to: Dennis F. Mangan, Ph.D. Division of Extramural Research National Institute of Dental and Craniofacial Research Building 45, Room 4AN-32F, MSC 6402 Bethesda, MD 20892-6402 Telephone: 301-594-2421 FAX: 301-480-8318 Email: dennis.mangan@nih.gov AUTHORITY AND REGULATIONS This program is supported under authorization of the Public Health Service Act, Sec. 301 (c), Public Law 78-410, as amended. The Catalogue of Federal Domestic Assistance Citations are Sec. 93.856, Microbiology and Infectious Diseases Research, and No. 93.855 - Immunology, Allergy, and Transplantation Research. Awards will be administered under PHS grants policies and Federal Regulations 42 CFR Part 52 and 45 CFR Part 74. This program is not subject to the intergovernmental review requirements of Executive Order 12372 or Health Systems review. The PHS strongly encourages all grant and contract recipients to provide a smoke-free workplace and promote the non-use of all tobacco products. In addition, Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in certain facilities (or in some cases, any portion of a facility) in which regular or routine education, library, day care, health care or early childhood development services are provided to children. This is consistent with the PHS mission to protect and advance the physical and mental health of the American people.
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