From owner-sci-resources@net.bio.net Sun Nov 01 22:00:00 1992
Path: biosci!KARYON.BIO.NET!kristoff
From: kristoff@KARYON.BIO.NET (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS - 1 November 1992
Message-ID: <CMM.0.88.720726348.kristoff@karyon.bio.net>
Date: 2 Nov 92 17:45:48 GMT
Sender: daemon@net.bio.net
Distribution: bionet
Lines: 3

------------------------------------------------------------------------
            There were no new documents on STIS this week.   
------------------------------------------------------------------------

From owner-sci-resources@net.bio.net Mon Nov 02 22:00:00 1992
Path: biosci!bcm!cs.utexas.edu!swrinde!zaphod.mps.ohio-state.edu!uwm.edu!spool.mu.edu!uunet!timbuk.cray.com!hemlock.cray.com!dudley
From: dudley@fir35.cray.com (Dudley Knappe)
Newsgroups: bionet.sci-resources
Subject: Help needed with reference material - plant growth project
Message-ID: <DUDLEY.92Nov2190006@fir35.cray.com>
Date: 3 Nov 92 01:00:09 GMT
Reply-To: dudley@fir.cray.com
Distribution: bionet
Organization: Cray Research, Inc.
Lines: 21
Nntp-Posting-Host: fir35


	My son is working on a science project involving growing plants in a
gravitationally chaotic environment.  I would appreciate it if someone could
give us references to similar experiments or related material.  It would be
especially helpful if someone knew how we could obtain any abstracts or papers
from NASA zero gravity growth experiments.

	Please e-mail me with responses as I am not a regular reader of this 
group.

	If anyone is interested, I will post a summary of the information I 
receive.

	Thanks in advance for your help.



--
Dudley Knappe, Software Development Division            Cray Research, Inc.
Phone: (612) 683-5529                                   655F Lone Oak Drive
E-mail: dudley@cray.com or uunet!cray!dudley            Eagan, MN 55121

From owner-sci-resources@net.bio.net Tue Nov 03 22:00:00 1992
Path: biosci!RESUNIX.RI.SICKKIDS.ON.CA!jim
From: jim@RESUNIX.RI.SICKKIDS.ON.CA
Newsgroups: bionet.sci-resources
Subject: wiring diagram
Message-ID: <9211041932.AA20897@resunix.ri.sickkids.on.ca>
Date: 4 Nov 92 19:32:15 GMT
Sender: daemon@net.bio.net
Distribution: bionet
Lines: 16


Research Institute Rm 8134
Hospital for Sick Children
555 University Avenue
Toronto, Ontario, M5G 1X8
Canada
Phone:416-813-6429
FAX:  416-813-5085
Hi Netters
	I would appreciate it very much if some one could FAX me a 
supplemental Wiring Diagram (not supplied in the manual) for a New 
Brunswick Air Shaker, G-76D. 
	Thank you.
	James D Friesen (FAX:416-813-5085)



From owner-sci-resources@net.bio.net Wed Nov 04 22:00:00 1992
Path: biosci!agate!stanford.edu!rutgers!utcsri!torn!pulp.cs.laurentian.ca!nickel.laurentian.ca!s1400067
From: s1400067@nickel.laurentian.ca
Newsgroups: bionet.sci-resources
Subject: Material wanted for Ra-226 study
Message-ID: <1992Nov5.125640.1@nickel.laurentian.ca>
Date: 5 Nov 92 17:56:40 GMT
Sender: news@ramsey.cs.laurentian.ca (USENET News System)
Organization: Laurentian University
Lines: 11

I have just recently been exposed to this network, so excuse me if I am
using improper protocol.

I have undertaken a study which examines Ra-226 uptake in Lake Herring. Anyone 
who has any information regarding Ra-226 in fish, alpha- or gamma- spectometry,
effects of Ra-226 in aquatic macroorganisms or any other related articles would
you kindly forward to my email address.

Thank you in advance,
Greg Pyle
S1400067@NICKEL.LAURENTIAN.CA

From owner-sci-resources@net.bio.net Wed Nov 04 22:00:00 1992
Path: biosci!NET.BIO.NET!kristoff
From: kristoff@NET.BIO.NET (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 21, no. 40, pt. 1, 6 November 1992
Message-ID: <CMM.0.90.2.720989188.kristoff@net.bio.net>
Date: 5 Nov 92 18:46:28 GMT
Sender: kristoff@net.bio.net
Distribution: bionet
Lines: 1506


NOTE: The NIH Guide may be split into more than one mail message to
avoid truncation during e-mail distribution.  The first message always
begins with the RFP/RFA summary sections followed by the appended
texts of the full RFP/RFAs.
----------------------------------------------------------------------

$$XID NIHGUIDE 19921106 V21N40 P1O2 ************************************
X-comment: RFAs described: CA-93-06, HD-93-06, DK-93-12

NIH GUIDE - Vol. 21, No. 40 - November 6, 1992

$$INDEX BEGIN *******************************************************

                               NOTICES

$$INDEX N1 **********************************************************

THE ETHICS OF CLINICAL RESEARCH ON HUMAN SUBJECTS:  FACING THE 21st
CENTURY
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX N2 **********************************************************

NATIONAL HUMAN SUBJECT PROTECTIONS WORKSHOPS
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX N3 **********************************************************

WORKSHOP ON MINIMIZING PAIN AND DISTRESS IN LABORATORY ANIMALS
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

                   NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$INDEX R1 01/25/93 *************************************************

DEVELOPMENTAL RESEARCH IN NATIVE PACIFIC POPULATIONS (RFA CA-93-06)
National Cancer Institute
INDEX:  CANCER

$$INDEX R2 04/15/93 *************************************************

NETWORK OF PEDIATRIC PHARMACOLOGY RESEARCH UNITS (RFA HD-93-06)
National Institute of Child Health and Human Development
INDEX:  CHILD HEALTH, HUMAN DEVELOPMENT

$$INDEX R3 05/18/93 *************************************************

RESEARCH USING THE UNITED STATES RENAL DATA SYSTEM (RFA DK-93-12)
National Institute of Diabetes and Digestive and Kidney Diseases
INDEX:  DIABETES, DIGESTIVE, KIDNEY DISEASES

                    ONGOING PROGRAM ANNOUNCEMENTS

$$INDEX P1 **********************************************************

THE IMMUNOLOGY OF AGING (PA-93-014)
National Institute on Aging
National Institute of Allergy and Infectious Diseases
INDEX:  AGING; ALLERGY, INFECTIOUS DISEASES

$$INDEX P2 **********************************************************

PHYSIOLOGICAL ROLE OF THE ADRENAL ANDROGEN, DHEA, IN AGING (PA-93-015)
National Institute on Aging
INDEX:  AGING

This publication is also available electronically to institutions via
BITNET or INTERNET.  Alternative access is through the NIH Grant Line
using a personal computer.  Contact Dr. John James at 301/496-7554 for
details, or send an E-mail message to ZNS@NIHCU.

$$INDEX END *********************************************************

                               NOTICES

$$N1 BEGIN **********************************************************

THE ETHICS OF CLINICAL RESEARCH ON HUMAN SUBJECTS:  FACING THE 21st
CENTURY

NIH GUIDE, Volume 21, Number 40, November 6, 1992

P.T. 42; K.W. 0783005

National Institutes of Health

The National Institutes of Health (NIH) Office for Protection from
Research Risks (OPRR) is co-sponsoring with the University of Texas
Medical Branch, Galveston a conference to discuss the ethical issues
associated with clinical research involving human subjects.  This
conference is open to anyone with an interest in research involving
human subjects and may be of special significance for individuals
serving on Institutional Review Boards.

DATES:  February 28 through March 2, 1993

LOCATION:  San Luis Hotel
5222 Seawall Boulevard
Galveston, TX  77551
Telephone:  1-800-392-5937

SPONSORS:  The University of Texas Medical Branch at Galveston
Galveston, Texas
National Institutes of Health, Office for Protection from Research
Risks, Bethesda, MD

REGISTRATION AND INFORMATION:  Ms. Sharon Goodwin
Institute for the Medical Humanities
301 University Boulevard, M-11
The University of Texas Medical Branch
Galveston, TX  77555-1311
Telephone:  (409) 772-2376

This national/international conference will explore the ethics of
clinical research on human subjects.  The goals of this timely meeting
include:

(1) providing a forward-looking analysis of the major ethical issues
now facing biomedical researchers and institutions;

(2) critically examining research ethics as set forth in the Belmont
Report and other position papers of the two National Commissions;

(3) enabling researchers and research-oriented administrators to plan
effectively for future research initiatives; and

(4) providing a forum for discussion and collaboration between IRB
members and ethicists.

INQUIRIES

Ms. Roberta Sonneborn
Office for Protection from Research Risks
National Institutes of Health
Building 31, Room 5B59
Bethesda, MD  20892
Telephone:  (301) 496-7163

$$N1 END ************************************************************

$$N2 BEGIN **********************************************************

NATIONAL HUMAN SUBJECT PROTECTIONS WORKSHOPS

NIH GUIDE, Volume 21, Number 40, November 6, 1992

P.T. 42; K.W. 0783005

National Institutes of Health
Food and Drug Administration

The National Institutes of Health (NIH) and the Food and Drug
Administration (FDA) are continuing to sponsor a series of workshops on
responsibilities of researchers, Institutional Review Boards (IRBs),
and institutional officials for the protection of human subjects in
research.  The workshops are open to everyone with an interest in
research involving human subjects.  The meetings should be of special
interest to those persons currently serving or about to begin serving
as a member of an IRB.  Issues discussed at these workshops are
relevant to all other Public Health Service agencies.  The current
schedule includes the following:

SOUTHWESTERN WORKSHOP

DATES:  November 16 and 17, 1992

LOCATION:
Wyndham Warwick
5701 Main Street
Houston, TX  77005
Telephone:  (713) 526-1991

SPONSORS:
University of Texas Health Science Center at Houston
Prairie View A&M University

REGISTRATION:
Ms. Paula Knudson
Executive Coordinator
Office of Research Support Committee
University of Texas Health Science Center at  Houston
P.O. Box 20036
Houston, TX  77225
Telephone:  (713) 792-5048

TITLE:  Geriatric Research as an Ethical Mandate:  Politics, Policy,
and Problems

DESCRIPTION:  Expanded life expectancies and expanding technologies are
swelling the ranks of the frail and disabled elderly.  Minimal research
has been carried out to understand the problems this subject group and
their families encounter in finding solutions to their health and
social needs.  The conference will identify key problems that need to
be studied; isolate the risks and benefits associated with behavioral,
clinical, or evaluation research designed to enroll this group as
subjects; and pose solutions that will meet the needs of regulators,
scientists, and the elderly.

The program is designed to be of interest to physicians, nurses,
pharmacists, scientific investigators, and other health care
professionals, clergy, lawyers, medical, nursing, social work students,
psychologists, and IRB members and administrators.  Attention will be
paid to Federal regulations with special emphasis on the assessment of
risks---medical, legal, and psychosocial.  Opportunities will be
available through workshops, question periods, and informal discussions
for participants to exchange ideas and interests with faculty and OPRR
and FDA representatives.

SOUTHEASTERN WORKSHOP

DATES:  January 14 and 15, 1993

LOCATION:
Sheraton Sand Key Resort
1160 Gulf Boulevard
Clearwater Beach, FL  33515
Telephone:  (813) 595-1611

SPONSORS:
University of South Florida
Florida A & M University

REGISTRATION:
Ms. Eileen Highsmith
Executive Secretary
University of South Florida
4202 E. Fowler Avenue (MP.FAO-126)
Tampa, FL  33620-7900
Telephone:  (813) 974-2897

TITLE:  Barriers to Informed Consent:  Language, Age Factors, Trauma,
and Women/Minority Issues

DESCRIPTION:  Today's researchers face numerous barriers to obtaining
an informed consent.  Such issues as age, language, mental capacity,
and sobriety may affect the ability of subjects to give a truly
informed consent.  Many of these barriers oftentimes impact the pool of
subjects which an investigator is willing (or able) to use in a
research project.  In addition, recent legislation from the Congress
was designed to address the issue of inadequate numbers of women and
minorities in research projects.  This conference has been designed to
address three main areas in which barriers to informed consent may
exist:  mental competence, ethnic and gender issues, and research with
children and the elderly.

The conference program is designed to be of value to physicians,
nurses, pharmacists, scientific investigators, and other health care
professionals.  All IRB members, students in health care areas and
administrators will also benefit from the conference.  Attention will
be given to Federal regulations governing research on human subjects,
with special emphasis placed on the assessment of risks---medical,
legal, and psychosocial.  Ample opportunities will be provided to
exchange ideas and interests, through question and answer sessions and
informal discussions.

SOUTHWESTERN WORKSHOP

DATES:  February 12 and 13, 1993

LOCATION:
Sheraton Tempe Mission Palms Hotel
60 East 5th Street
Tempe, AZ  85281
Telephone:  (602) 894-1400

SPONSORS:
Arizona State University
Northern Arizona University

REGISTRATION:
Ms. Carol Jablonski
IRB Coordinator
Office of the Assistant Vice President for Research
Arizona State University
Tempe, AZ  85287-3403
Telephone:  (602) 965-6788

TITLE:  Contemporary Issues in Human Subject Research:  Challenges for
Today's IRBs

DESCRIPTION:  This program is designed to be a practical working
session to explore contemporary issues in human subjects protection
including regulations and assurances, categorization of research
protocols, uses of special populations, experimental design and
scientific merit, fetal tissue research, ethical/legal issues in human
subjects research, and conflict of interest.  As appropriate, topics
will be discussed from the perspective of the clinical researcher and
the behavioral/social science researcher.  Issues will be discussed in
a panel format with ample time for audience questions.  An outstanding
faculty has been assembled.

This program should be of interest to researchers in clinical medicine
and the behavioral and social sciences. Institutional Review Board
members, university and hospital administrators, lawyers, ethicists,
health care practitioners, students, and other persons with interests
in human subject protection issues.

SOUTHWESTERN WORKSHOP

DATES:  February 28 through March 2, 1993

LOCATION:
San Luis Hotel
5222 Seawall Boulevard
Galveston, TX  77551
Telephone:  (800) 392-5937

SPONSORS:
The University of Texas Medical Branch at Galveston

REGISTRATION:
E. Ray Stinson, Ph.D.
Office of Sponsored Programs-Academic
The University of Texas Medical Branch at Galveston
Galveston, TX  77555-1311
Telephone:  (409)-772-3482

TITLE:  The Ethics of Clinical Research on Human Subjects:  Facing the
21st Century

For further information regarding these workshop and future NIH/FDA
National Human Subject Protections Workshops, please contact:

Ms. Darlene Marie Ross
Division of Human Subject Protections
Office for Protection from Research Risks
National Institutes of Health
Building 31, Room 5B59
Bethesda, MD  20892
Telephone:  (301) 496-8101

$$N2 END ************************************************************

$$N3 BEGIN **********************************************************

WORKSHOP ON MINIMIZING PAIN AND DISTRESS IN LABORATORY ANIMALS

NIH GUIDE, Volume 21, Number 40, November 6, 1992

P.T. 42; K.W. 0201011, 1014003

National Institutes of Health

The National Institutes of Health (NIH), Office for Protection from
Research Risks (OPRR), is continuing to sponsor workshops on
implementing the Public Health Service Policy on Humane Care and Use of
Laboratory Animals.  Each of the workshops scheduled for FY 1993 will
focus on a specific theme.

The workshops are open to institutional administrators, members of
Institutional Animal Care and Use Committees, laboratory animal
veterinarians, investigators and other institutional staff who have
responsibility for high-quality management of sound institutional
animal care and use programs.

Opportunities will be available through workshops, question periods,
and informal discussions for participants to exchange ideas and
interests with faculty and OPRR representatives.

DATE:  DECEMBER 3-4, 1992

TOPIC: MINIMIZING PAIN AND DISTRESS IN LABORATORY ANIMALS

LOCATION:
Loews Vanderbilt Plaza
2100 West End Avenue
Nashville, TN  37203
Telephone:  (615) 320-1700
FAX:  (615) 320-5019

SPONSORS:
Vanderbilt University
Meharry Medical College

REGISTRATION:
Ms. Marilyn Dasaro
Division of Continuing Medical Education
Vanderbilt University
D-8211 Medical Center North
Nashville, TN  37232-2337
Telephone:  (615) 322-4030
FAX:  (615) 343-0809

DATE:  JANUARY 21-22, 1993

TOPIC:  TO BE ANNOUNCED

LOCATION:
Sheraton Grande Torrey Pines
10950 N. Torrey Pines Road
La Jolla, CA  92037
Telephone:  (619) 558-1500
FAX:  (619) 558-1131

SPONSORS:
Scripps Clinic and Research Foundation
Salk Institute

REGISTRATION:
Janie Partridge
Scripps Clinic and Research Foundation/MB
10666 North Torrey Pines Road
La Jolla, CA  92037-000
Telephone:  (619) 554-8048
FAX:  (619) 554-8841

DATE:  June 10-11, 1992

TOPIC:  TO BE ANNOUNCED

LOCATION:
Oklahoma City Marriott
3233 Northwest Expressway
Oklahoma City, OK  73112
Telephone:  (405) 842-6633
FAX:  (405) 842-3152

SPONSOR:
University of Oklahoma Health Sciences Center

REGISTRATION:
Ms. Marilyn Perry, Assistant to Director for Compliance
Division of Animal Resources
BMSB/Room 203
University of Oklahoma Health Sciences Center
Telephone:  (405) 271-5185
FAX:  (405) 271-3032

$$N3 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$R1 BEGIN CA-93-06 FULL-TEXT ***************************************

DEVELOPMENTAL RESEARCH IN NATIVE PACIFIC POPULATIONS

NIH GUIDE, Volume 21, Number 40, November 6, 1992

RFA AVAILABLE:  CA-93-06

P.T. 34, FB; K.W. 0715035, 0795003, 0745027

National Cancer Institute

Letter of Intent Receipt Date:  December 4, 1992
Application Receipt Date:  January 25, 1993

THE REQUEST FOR APPLICATIONS (RFA) ANNOUNCED IN THIS NOTICE CONTAINS
ESSENTIAL INFORMATION FOR THE PREPARATION OF AN APPLICATION.  POTENTIAL
APPLICATIONS MAY OBTAIN THE RFA FROM THE CONTACT NAMED IN INQUIRIES,
BELOW.

PURPOSE

The National Cancer Program is mandated to address the unique cancer
prevention, early detection, and treatment needs of all populations
within the U.S. and its territories.  Therefore, the Special
Populations Studies Branch (SPSB) of the Division of Cancer Prevention
and Control (DCPC) of the National Cancer Institute (NCI) invites
applications from various organizations for developmental studies that:
(1) assess cancer control need, (2) determine barriers to cancer
control, and/or (3) validate intervention methods and assessment
instruments in native Pacific populations; i.e., American Samoans,
Guamanians (Chamorros), Palauians, and Northern Marianians.  This
initiative will define the cancer prevention and control needs of
native Pacific populations and those of similar ancestry located in the
Pacific as well as the U.S. mainland.

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 RFA,
Developmental Research in Native Pacific Populations, is related to the
priority area of cancer.  Potential applicants may obtain a copy of
Healthy People 2000 (Full Report:  Stock No. 017-001-00474-0) or
Healthy People 2000 (Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone: 202/783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic (including U.S. Territorial
possessions) public and private, for-profit and non-profit
organizations serving native Pacific populations such as universities,
public health departments, voluntary organizations, research centers,
hospitals, consortia of health providers, units of State and local
governments and eligible agencies of the Federal government.  Teams of
applicants are encouraged.  Among a team of applicants, one institution
must be proposed as the lead institution to serve as the applicant and
to assume responsibility for the conduct and administration of the
project.  Note that awards will not be made to foreign institutions and
that applications from domestic organizations may not include
international components.

MECHANISM OF SUPPORT

The mechanism of support for this RFA will be the National Institutes
of Health (NIH) research project grant (R01).  Responsibility for the
planning, direction, and execution of the proposed research will be
solely that of the applicant.  In addition to the requirements stated
in this RFA, awards will be administered under PHS grants policy as
stated in the Public Health Service Grants Policy Statement, DHHS
Publication No. (OASH) 90-50,000, revised October 1, 1991.  This RFA is
a one-time solicitation.  Future unsolicited competing continuation
applications will compete with all investigator-initiated applications
and be reviewed according to the customary peer review procedures.  It
is anticipated that four awards will be made at approximately $300,000
total costs per year.

FUNDS AVAILABLE

Approximately $1.2 million in total costs per year for three years will
be set-aside to specifically fund applications that are submitted in
response to this RFA.  It is anticipated that up to four awards will be
made.  The total project period of these awards may not exceed three
years.  This level of support is dependent on the receipt of a
sufficient number of applications of high scientific merit.  Although
this program is provided for in the financial plans of the NCI, the
award of a grant pursuant to this RFA is also contingent upon the
availability of funds for this purpose.

RESEARCH OBJECTIVES

Studies conducted under this RFA will seek to define cancer prevention
and control needs/services of the native Pacific population segments
(Phase I).  Studies to test ways in which existing intervention methods
can be used or adapted for the target populations (Phase II); or
studies of new methods designed to be sensitive to the needs of the
target populations (Phase II); or methodologic research on validation
of assessment instruments in target populations (Phase II) are eligible
for consideration under the RFA.  This "developmental cancer control
research" (Phase I and Phase II) is absolutely essential to future
development of cancer prevention and control research for native
Pacific populations.

The following definitions apply for this RFA:

Cancer Control -- Cancer control is defined as the reduction of cancer
incidence, morbidity, and mortality through an orderly sequence from
research on interventions and their impact in defined populations to
the broad, systematic application of the research results.

Phases of Cancer Control -- Cancer control research studies are
classified in the five phases that represent the orderly progression
noted in the above definition:  (I) Hypothesis development; (II)
Intervention methods development and testing; (III) Controlled
intervention trials to establish cause and effect relationships; (IV)
Research in defined human populations; and (V) Demonstration and
implementation studies.

The research of interest in this RFA falls into either Phase I or Phase
II studies.  Hypothesis development (Phase I) studies should focus on
the assessment of cancer prevention and control needs in communities or
organizations within native Pacific populations or studies that
identify barriers to cancer prevention and control within these
indigenous populations.  Methods development and testing studies, Phase
II, should focus on:  (1) validating the use of existing intervention
methods (e.g., dietary modification, health services, tobacco
cessation) applied in the target populations described above; (2)
developing and pilot testing unique methods that are sensitive to the
needs of the target populations described above; or (3) developing and
validating assessment instruments to measure the cancer control related
needs of the target populations or for use in evaluating the
effectiveness of intervention methods in the target populations.

STUDY POPULATIONS

The targeted population of this RFA is the native Pacific populations
and those of similar ancestry located in the Pacific as well as the
U.S. mainland; i.e., American Samoans, Guamanians (Chamorros),
Palauians, and North Marianians.  Applicants responding to this RFA are
expected to successfully access a significant portion of this
population to decrease cancer incidence and mortality, increase cancer
survival, and increase the diagnosis of cancers at earlier stages.

SPECIAL INSTRUCTIONS FOR INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDIES

For projects involving clinical research, NIH requires applicants to
give special attention to the inclusion of women and minorities in
study populations.  If women or minorities are not included in the
study populations for clinical studies, a specific justification for
this exclusion must be provided.  Applications without such
documentation will not be accepted for review.

LETTER OF INTENT

Prospective applicants are asked to submit, by December 4, 1992, a
letter of intent that includes a descriptive title of the proposed
research; the name, address, and telephone number of the Principal
Investigator (PI); the identity of other key personnel and
participating institutions; and the number and title of the RFA in
response to which the application may be submitted.  Although a letter
of intent is not required, is not binding, and does not enter into the
review of a subsequent application, the information that it contains is
helpful in planning for the review of applications.  It allows NCI
staff to estimate the potential review workload and to avoid possible
conflict of interest in the review.  The letter of intent is to be sent
to Dr. George A. Alexander at the address listed under INQUIRIES.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS 398
(rev. 9/91).  These forms are available at most institutional offices
of sponsored research and the Office of Grants Inquiries, Division of
Research Grants, National Institutes of Health, Westwood Building, 5333
Westbard Avenue, Room 449, Bethesda, MD 20892, telephone 301/496-7447.
Applications must be received by January 25, 1993.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed (initially) by the Division
of Research Grants (DRG) for completeness.  Incomplete applications
will be returned to the applicant without further consideration.
Evaluation for responsiveness to the RFA is an NCI program staff
function.  If an application is judged to be non-responsive, the
applicant will be contacted and given an opportunity to withdraw the
application or to have it considered with other unsolicited
applications received by NIH in the next review cycle. Questions
concerning responsiveness to the RFA may be directed to NCI program
staff identified under INQUIRIES.  Those applications that are complete
and responsive will be initially evaluated in accordance with the
review criteria stated within the RFA for scientific/technical merit by
an ad hoc review committee convened by the Division of Extramural
Activities, NCI.  The second level of review will be provided by the
National Cancer Advisory Board.

INQUIRIES

Written and telephone requests for the RFA and the opportunity to
clarify any issues or questions from potential applicants are welcome.
Direct requests for the RFA and inquiries regarding programmatic issues
to:

George A. Alexander, M.D.
Chief, Special Populations Studies Branch
Cancer Control Science Program
Division of Cancer Prevention and Control
National Cancer Institute
Executive Plaza North, Room 240
Bethesda, MD  20892-4200
Telephone:  (301) 496-8589
FAX:  (301) 496-8675

Direct inquiries regarding fiscal issues to:

Crystal Elliott
Grants Management Specialist
National Cancer Institute
Grants Administration Branch
Executive Plaza South, Room 243
Bethesda, MD  20892
Telephone:  (301) 496-7800  Ext. 19

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.399, Cancer Control Science Program.  Awards are made under
authorization of the Public Health Service Act, Title IV, Part A.
(Public Law 78-410, as amended by Public Law 99-158, 42 USC 285) and
administered under PHS grants policies and Federal Regulations 42 CFR
52 and 45 CFR part 74.  This program is not subject to the
intergovernmental review requirements of Executive Order 12372 or
Health Systems Agency review.

$$R1 END ************************************************************

$$R2 BEGIN HD-93-06 FULL-TEXT ***************************************

NETWORK OF PEDIATRIC PHARMACOLOGY RESEARCH UNITS

NIH GUIDE, Volume 21, Number 40, November 6, 1992

RFA AVAILABLE:  HD-93-06

P.T. 34, AA; K.W. 0710100, 0770005, 0403020, 0715006

National Institute of Child Health and Human Development

Letter of Intent Receipt Date:  February 15, 1993
Application Receipt Date:  April 13, 1993

THE REQUEST FOR APPLICATIONS (RFA) ANNOUNCED IN THIS NOTICE CONTAINS
ESSENTIAL INFORMATION FOR THE PREPARATION OF AN APPLICATION.  POTENTIAL
APPLICANTS MAY OBTAIN THE RFA FROM THE CONTACT NAMED BELOW.

PURPOSE

The National Institute of Child Health and Human Development (NICHD)
will support a cooperative network of Pediatric Pharmacology Research
Units (PPRU) to facilitate clinical studies of drug action and
disposition in infants and children.  These studies are to be conducted
by qualified pediatric clinical pharmacologists, either cooperatively
with investigators at other Units in the network, collaboratively with
pharmaceutical companies, or independently with other support.  The
major goal of studies conducted by the PPRU Network is to provide the
clinical data on drugs necessary for U.S. Food and Drug Administration
(FDA) approval for use in children.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention goals of "Healthy People 2000," a
PHS-led national activity for setting priorities.  This RFA, Network of
Pediatric Pharmacology Research Units, is related to the priority areas
of food and drug safety and maternal and infant health.  Copies of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0, or
Summary Report:  Stock No. 017-001-00473-1) are available through the
Superintendent of Documents, Government Printing Office, Washington, DC
20402-9325 (telephone 202-783-3238).

ELIGIBILITY

PPRU cooperative clinical agreement (U10) awards will be made to
children's hospitals or the equivalent, or to educational institutions
with accredited medical schools, within the United States.  The
applicant institution must also meet the standard eligibility
requirements for research grants established in the Public Health
Service Grants Policy Statement #(OASH) 90-50,000, rev. 10/1/90.

There must be at the applicant institution an ongoing program of
excellence in clinical pharmacology, with an emphasis on pediatric
applications.  The quality of this program must be evident from the
receipt by its staff of research support in peer-reviewed competition
or from their consistent record of publication in peer-reviewed
research journals.  In addition, the applicant institution must have
available a sufficient number of eligible research subjects in the
pediatric age groups: newborns, infants, children, pre- adolescents,
and adolescents.

MECHANISM OF SUPPORT

The funding mechanism to be used to assist the scientific community in
undertaking this program of clinical pharmacologic investigation will
be a cooperative clinical agreement (U10) between the participating
units and the NICHD.  The U10 award provides support for laboratory and
administrative resources to assist the research community in carrying
out clinical therapeutic research.  The major difference between a
cooperative agreement and a traditional research grant is the
substantial scientific involvement of NICHD staff beyond the levels
normally required for program stewardship of grants.

FUNDS AVAILABLE

It is expected that up to four applications will be funded, within the
total direct cost limit of $1,000,000 available for the first year.
Therefore, the maximum direct cost request (first year) for individual
applications should not exceed $250,000.  This level of support is
dependent on the receipt of a sufficient number of applications of high
scientific merit.  Although this program is provided for in the
financial plans of the NICHD, awards pursuant to this RFA are
contingent upon the availability of funds for this purpose.

RESEARCH OBJECTIVES

Federal law and the regulations of the FDA require that drugs be tested
for safety and efficacy before they are approved for clinical use.
This testing must take place with all populations with which the drug
will be employed.  Studies must therefore be conducted with infants and
children before a drug can be approved for use with them.

Several practical problems discourage the testing of drugs and medical
devices in children.  These include the unpredictable nature of some of
the clinical responses; the possibility of catastrophic unanticipated
reactions; the threat of adverse effects on growth; the ethical
problems of conducting nontherapeutic research in children; and the
absence of a financial incentive for pharmaceutical companies when
children are a minority of the population for whom the drug might be
prescribed.  The result of these practical problems and the regulatory
requirements is that more than three-quarters of the drugs marketed in
the United States, including many of the most useful agents in modern
therapy, are not approved as safe and effective for use in children.
Since the provision of pediatric care without the use of these agents
would be unacceptable, they are often administered "off-label," meaning
without specific FDA approval.

This dilemma must be resolved if children are to escape the status of
therapeutic orphans and to receive the full benefits of contemporary
therapeutics.  Modern pediatric pharmacology is a sophisticated
clinical discipline capable of carrying out the studies necessary for
the safe and ethical evaluation of drugs in children.  Pursuit of such
studies, however, is limited by the scarcity of available facilities in
which to perform them and the small number of qualified clinical
investigators interested in this problem.

The objective of the PPRU Program is to increase the number and variety
of medications that are FDA-approved for use in children, with the
ultimate goal that all drugs prescribed for children be labeled for
such usage.  This is to be accomplished by providing resources for
pediatric pharmacokinetic and pharmacodynamic research through the
establishment of a network of pediatric pharmacology research units.

Each PPRU will have four specific aims:

(1) To participate with other units in the network and with NICHD staff
assistance in collaborative clinical trials of drugs in children
through protocols determined by consensus;

(2) To provide a locus for the conduct of pre-marketing and
post-marketing clinical trials in children by qualified clinical
pharmacologists working in collaboration with proprietary
pharmaceutical firms;

(3) To conduct independent, investigator-initiated studies on the
pharmacodynamics and pharmacokinetics of drugs in children; and

(4) To provide an environment in which pediatricians and others can
gain supervised experience in pediatric clinical pharmacology.

The PPRU group will be organized through a Network Steering Committee
(NSC), comprising the Principal Investigators (PI) of the funded units,
one NICHD staff member, and appropriate outside advisers.  This
committee will meet at least quarterly to review and select protocols
to be performed collaboratively by the network and to exchange
information on progress.  The NSC will be chaired by a non-NICHD
scientist not affiliated with any of the units.

SPECIAL INSTRUCTIONS FOR INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDIES

For projects involving clinical research, NIH requires applicants to
give special attention to the inclusion of females and minorities in
study populations.  If minorities are not included in the study
populations, a specific justification for this exclusion must be
provided.  Applications without such inclusion or justification will
not be accepted for review.

LETTER OF INTENT

Prospective applicants are asked to submit, by February 15, 1993, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to which
the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains is helpful in planning for the review of applications.
It allows NICHD staff to estimate the potential review workload and to
avoid possible conflict of interest in the review.

The letter of intent is to be sent to:

Ephraim Y. Levin, M.D.
Endocrinology, Nutrition and Growth Branch
Center for Research for Mothers and Children
National Institute of Child Health and Human Development
Executive Plaza North, Room 637
Bethesda, MD  20892
Telephone:  (301) 496-5593

APPLICATION PROCEDURES

Applications are to be submitted on form PHS 398, and must be received
by April 13, 1993.  Potential applicants must request the detailed
information included in the complete RFA before preparing an
application.

REVIEW CONSIDERATIONS

Applications will be reviewed by NICHD staff for responsiveness to the
RFA.  A non-responsive application will be returned to the applicants.
Responsive applications may be subjected to a triage by a peer-review
group to determine the scientific merit relative to the other
applications received in response to this RFA.  The NICHD will withdraw
from competition those applications judged to be noncompetitive and
notify the applicants and institutional business officials.

Applications considered responsive to this RFA will be reviewed for
technical merit by an Initial Review Group convened by the scientific
review staff of the NICHD solely to evaluate these applications.
Criteria for the initial review are described in the RFA.  Following
review by the Initial Review Group, applications will be evaluated by
the National Advisory Child Health and Human Development (NACHHD)
Council for program relevance and policy issues before awards are made.

INQUIRIES

Written and telephone requests for the RFA and the opportunity to
clarify any issues or questions from potential applicants are welcome.

Direct requests for the RFA and inquiries regarding programmatic issues
to:

Ephraim Y. Levin, M.D.
Endocrinology, Nutrition and Growth Branch
Center for Research for Mothers and Children
National Institute of Child Health and Human Development
Executive Plaza North, Room 637
Bethesda, MD  20892
Telephone:  (301) 496-5593

Direct inquiries regarding fiscal matters to:

E. Douglas Shawver
Office of Grants and Contracts
National Institute of Child Health and Human Development
Executive Plaza North, Room 505
Bethesda, MD  20892
Telephone:  (301) 496-1303

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.865, Research for Mothers and Children.  Awards are made under
authorization of the Public Health Service Act, Section 301 (42 USC
421), and 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 Health Systems
Agency review.

$$R2 END ************************************************************

$$R3 BEGIN DK-93-12 FULL-TEXT ***************************************

RESEARCH USING THE UNITED STATES RENAL DATA SYSTEM

NIH GUIDE, Volume 21, Number 40, November 6, 1992

RFA AVAILABLE:  DK-93-12

P.T. 34; K.W. 0785095, 0755018

National Institute of Diabetes and Digestive and Kidney Diseases

Letter of Intent Receipt Date:  April 19, 1993
Application Receipt Date:  May 18, 1993

THE REQUEST FOR APPLICATIONS (RFA) ANNOUNCED IN THIS NOTICE CONTAINS
ESSENTIAL INFORMATION FOR THE PREPARATION OF AN APPLICATION.  POTENTIAL
APPLICANTS MAY OBTAIN THE RFA FROM THE CONTACT NAMED IN INQUIRIES,
BELOW.

PURPOSE

This initiative invites grant applications for biomedical research
utilizing the United States Renal Data System (USRDS) database.

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 RFA,
Research Using the United States Renal Data System, is related to the
priority area of Diabetes and chronic disabling conditions.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0) or Healthy People 2000" (Summary Report:
Stock No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone
202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign organizations,
public and private, such as universities, colleges, hospitals,
laboratories, units of State and local governments, and eligible
agencies of the Federal government.  Minority individuals and women are
encouraged to submit as Principal Investigators.

MECHANISM OF SUPPORT

Support of this program will be through the investigator initiated
research project grant (R01) mechanism.  Each grant award will not be
more than $50,000 total cost (including direct and indirect costs).
Responsibility for the planning, direction, and execution of the
proposed project will be solely that of the applicant.  Awards will be
administered under PHS grants policy as stated in the PHS Grants Policy
Statement.

This RFA is a one-time solicitation.  Generally, future unsolicited
competing continuation applications will compete with all
investigator-initiated applications and be reviewed according to the
customary peer review procedures.  The total requested project period
for each application submitted in response to this RFA may not exceed
two years.  The earliest possible award date will be January 1994.

FUNDS AVAILABLE

It is anticipated that approximately 10 awards will be made.  However,
this funding level is dependent upon the receipt of a sufficient number
of applications of high scientific merit.  Although this program is
provided for in the financial plans of the National Institute of
Diabetes and Digestive and Kidney Diseases (NIDDK), the award of grants
pursuant to this RFA is also contingent upon the availability of funds
designated for this purpose.

RESEARCH OBJECTIVES

The USRDS database contains information on 420,000 Medicare patients
who have had end-stage renal disease (ESRD) therapy at any time since
1976.  For each patient, the database includes information on basic
demographics, the primary medical diagnosis that led to renal failure,
dialysis records, hospital records, transplant information.  In
addition, the database contains details on the 2,492 institutions that
provide ESRD treatment services.  Limited information is available on
non-Medicare funded ESRD patients who are treated by the Department of
Veterans Affairs (no billing record data or social security
information).  The USRDS database is supplemented by data from the U.S.
Census Bureau.

Specific questions that would be considered responsive to this RFA
include but are not limited to the following examples:  the relative
incidence, prevalence, mortality and survival associated with various
comorbid conditions, causes of ESRD, modes of ESRD treatment, or
subgroups of the treated ESRD population in the United States;
examination of the relative burden of disease in various minority
groups; ecologic analyses which relate prevalence of predisposing
diseases to incidence and prevalence of treated and untreated ESRD in
various subgroups of the population.  Creativity in using the data to
develop descriptive, analytic, and hypothesis generating studies is
encouraged.  Questions primarily of an economic focus would not be
considered responsive to this RFA, although such issues may be included
as secondary aims.

The investigator is encouraged to contact the USRDS Project Officer,
Dr. Lawrence Agodoa, (KUH/NIDDK, Westwood Building, Room 3A-06, 5333
Westbard Avenue, Bethesda, Maryland  20892, telephone 301/496-7571), to
discuss the data request and to request a copy of the USRDS Data
Release Policy and the USRDS Agreement for Data Release Form.  The
USRDS database may be contacted at any time. The USRDS process of
reviewing a written request for data, generating the data, and
releasing the data takes approximately three months.

SPECIAL INSTRUCTIONS FOR INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDIES

For projects involving clinical research, NIH requires applicants to
give special attention to the inclusion of women and minorities in
study populations.  If women or minorities are not included in the
study populations for clinical studies, a specific justification for
this exclusion must be provided.  Applications without such
documentation will not be accepted for review.

LETTER OF INTENT

Prospective applicants are asked to submit, by April 19, 1993, a letter
of intent that includes a descriptive title of the proposed research,
the name, address, and telephone number of the Principal Investigator,
the identities of other key personnel and participating institutions,
and the number and title of the RFA in response to which the
application may be submitted.  Although a letter of intent is not
required, is not binding, and does not enter into the review of
subsequent applications, the information that it contains is helpful in
planning for the review of applications.  It allows NIDDK staff to
estimate the potential review workload and to avoid possible conflict
of interest in the review.

The letter of intent is to be sent to:

Chief, Review Branch
Division of Extramural Activities
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 605
Bethesda, MD  20892
Telephone:  (301) 496-7083

APPLICATION PROCEDURES

Applications are to be submitted using form PHS 398 (rev. 9/91),
available in most institutional offices of sponsored research and from
the Office of Grants Inquiries, Division of Research Grants, National
Institutes of Health, 5333 Westbard Avenue, Room 449, Bethesda, MD
20892, telephone 301-496- 7441.  The RFA label available in the PHS 398
application form must be affixed to the bottom of the face page.
Detailed instructions on submission procedures are described in the
RFA.

REVIEW CONSIDERATIONS

Applications that are complete and responsive to the RFA will be
evaluated by an appropriate peer review group convened by the NIDDK in
accordance with the usual NIH peer review procedures.  Following
initial review, the applications will be given a secondary review
unless not recommended for further consideration by the initial review
group.  Applications that are incomplete or unresponsive to the RFA
will be returned to the applicant or held until the next regular
receipt date and reviewed by the Division of Research Grants.  Review
criteria are given in the RFA.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
Inquiries regarding programmatic issues, and requests for the RFA may
be directed to:

Camille A. Jones, M.D., M.P.H.
Director, Epidemiology Program
Division of Kidney, Urologic, and Hematologic Diseases
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 3A-06
5333 Westbard Avenue
Bethesda, MD  20892
Telephone:  (301) 496-7571

Inquiries regarding fiscal matters may be directed to:

Ms. Trude McCain
Grants Management Specialist
Division of Extramural Activities
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 649
5333 Westbard Avenue
Bethesda, MD  20892
Telephone:  (301) 496-7467

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.849.  Awards are made under authorization of the Public Health
Service Act, Title IV, Part A (Public Law 78-410, as amended by Public
Law 99-158, 42 USC 241 and 285) and administered under PHS grants
policies and Federal Regulations 42 CFR 52 and 45 CFR Part 74.  This
program is not subject to the intergovernmental review requirements of
Executive Order 12372 or Health Systems Agency review.

$$R3 END ************************************************************

                    ONGOING PROGRAM ANNOUNCEMENTS

$$P1 BEGIN PA-93-014 ************************************************

THE IMMUNOLOGY OF AGING

NIH GUIDE, Volume 21, Number 40, November 6, 1992

PA NUMBER:  PA-93-014

P.T. 34; K.W. 0710010, 0710070, 0705040, 0765035

National Institute on Aging
National Institute of Allergy and Infectious Diseases

PURPOSE

It has been well established that overall immune function declines with
advancing age.  However, because the immune system is highly complex,
it is essential to understand the multi-faceted nature of this
age-related loss of immune function and to identify the primary changes
in immune mechanisms leading to this decline in the immune responses.
It has been proposed that the decline and/or dysregulation of the
immune system may be a primary cause of aging or perhaps a pace-setter
of the aging process.  The possibility that changes in the immune
system may be a fundamental predisposing factor in the aging process is
also an appropriate field of scientific inquiry.  Research is also
indicated into the pathological consequences of age-related changes in
the immune system, such as decreased resistance to infection with
pathogens and an increased tendency toward autoimmunity and
immunopathology.

The Biology of Aging Program (BAP) of the National Institute on Aging
(NIA) has responsibility for supporting extramural research and
training in the fundamental studies of immunology as related to aging.
The Geriatrics Program (GP) has responsibility for supporting clinical
studies of the immune competence of aging humans, the transfer of
promising immunological interventions, and the delivery of effective
vaccines to geriatric populations.  The Division of Allergy,
Immunology, and Transplantation (DAIT) of the National Institute of
Allergy and Infectious Diseases (NIAID) is responsible for promoting
research into the basic mechanisms of the immune system and the changes
that occur in the immune system that initiate or contribute to disease.
The two institutes share the goal of achieving a better understanding
of the behavior of the immune system and the specific deficits of
various components of the immune system that occur during aging to
permit intervention and prevent or reverse the immunologic deficits of
aging.

ELIGIBILITY REQUIREMENTS

Applications may be submitted by foreign and domestic, for-profit and
non-profit, public and private organizations, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.
Applications from minority individuals and women are encouraged.
Applicants for K and F awards must be U.S. citizens, non citizen
nationals, or have been lawfully admitted for permanent residence at
the time of award.  Applications related to the health of women and
minorities are particularly encouraged.

MECHANISMS OF SUPPORT

o  Research grant (R01)

o  Program Project grant (P01)

o  First Independent Research Support and Transition (FIRST) award
(R29)

o  Career grants, which include:  Research Career Development Award
(K04); Clinical Investigator Award (K08); Physician Scientist Award
(individual K11)

o  Training grants (T32)

o  Fellowships (F32, F33)

Deadlines for applications are as follows:

F-series and T-series grants:        Jan 10, May 10, Sep 10
New R, K, and P-series:              Feb 1, Jun 1, Oct 1
Competing continuation and revised:  Mar 1, Jul 1, Nov 1

Foreign institutions are not eligible to apply for T32 Awards, Program
Project (P01) Awards, or FIRST Awards (R29).

RESEARCH OBJECTIVES

The NIA and the NIAID invite investigators to submit applications for
research and research training in all areas of immunology that relate
to fundamental processes of aging.  Applications to study the aging of
the immune system in humans, animals, or cell culture systems are
welcome.  Applications that might lead to successful interventions in
the aging of the immune system are particularly encouraged.

The following topics are illustrative of appropriate research areas
covered by this Program Announcement.  However, applications need not
be limited to the issues listed below.

o  Age related changes in the functions of lymphoid organs (thymus,
spleen, lymph nodes, gut-associated lymphoid tissue)

o  The roles of changes in bone marrow cell production and thymic
involution in the aging immune response.  The possible role, source and
mechanism of extrathymic T cell repopulation

o  Age-related changes in the genetic and ontogenic control of T and B
cell production.  Selection and deletion of involved cell types.  The
nature and function of different T and B cell subtypes (naive, memory,
helper, and cytotoxic T cells)

o  Age-related changes in the mechanisms of antigen sequestration,
transport, processing, and presentation, including the accessory cells
involved (Langerhans cells, macrophages, dendritic cells, B cells)

o  Age-related changes in molecules involved in specific antigen
recognition (B-cell and T-cell receptors, MHC-encoded molecules) and in
lymphocyte and macrophage activation

o  Age-related changes in biochemical processes leading to lymphocyte
and macrophage activation

o  Age-related changes in the production of lymphokines and other
cytokines (and their receptors) involved in the immune response

o  The role of hormones and neuroendocrine factors in the regulation of
T and B cell activity and in age-related changes in immune function.

o  Age-related changes in the regulation of the immune response (e.g.,
regulatory cells, immunoglobulin isotypes, the idiotypic network).
Changes in the nature of the antibody repertoire with aging.

o  Immune responses to infectious agents and to vaccines in senescence;
development of vaccine delivery systems.

o  Immunologic tolerance, autoimmunity, and immunopathology in
senescence

o  The interrelationship between disease and immune function in the
aging process

o  The role of nutrition and caloric restriction in the potentiation or
prevention of age-associated deficits in immune function

o  Immune surveillance in aged individuals

o  Generalized immunosuppression due to viral, protozoal, and bacterial
infections in aged individuals

o  Attempts to prevent or reverse the immunologic deficits of aging by
immunotherapy (e.g., development of techniques for immune augmentation,
biological response modifiers, hormonal treatment)

o  Attempts to prevent or reverse the immunologic deficits of aging
through cellular or genetic engineering

o  Effects of drugs on the immune system of older individuals

o  Gender-related differences in any of the above areas of research.

The Geriatrics Program of the NIA also supports research in the
clinical aspects of several of the preceding topics, particularly those
regarding immune responses to infectious agents in senescence and the
development and delivery of effective vaccines.  Inquiries considered
more appropriate for the Geriatrics Program will be referred to them.

STUDY POPULATIONS

SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH
POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements are required to include minorities and women in
study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder or condition under study;
special emphasis must be placed on the need for inclusion of minorities
and women in studies of diseases, disorders and conditions which
disproportionately affect them.  This policy is intended to apply to
males and females of all ages. If women or minorities are excluded or
inadequately represented in clinical research, particularly in proposed
population-based studies, a clear compelling rationale must be
provided.

The composition of the proposed study population must be described in
terms of gender and racial/ethnic group.  In addition, gender and
racial/ethnic issues should be addressed in developing a research
design and sample size appropriate for the scientific objectives of the
study. This information must be included in the form PHS 398 in
Sections 1-4 of the Research Plan AND summarized in Section 3,
Recruitment of Individuals from Underrepresented Racial/Ethnic Groups,
and Section 5, Human Subjects.  Applicants are urged to assess
carefully the feasibility of including the broadest possible
representation of minority groups. However, NIH recognizes that it may
not be feasible or appropriate in ALL research projects to include
representation of the full array of United States racial/ethnic
minority populations (i.e., Native Americans including American Indians
or Alaskan Natives), Asian/Pacific Islanders, Blacks, Hispanics). The
rationale for studies on single minority population groups must be
provided.

For the purpose of this policy, clinical research is defined as human
biomedical and behavioral studies of etiology, epidemiology, prevention
and preventive strategies), diagnosis, or treatment of diseases,
disorders or conditions, including but not limited to clinical trials.

The usual NIH policies concerning research on human subjects also
apply.  Basic research or clinical studies in which human tissues
cannot be identified or linked to individuals are excluded.  However,
every effort should be made to include human tissues from women and
racial/ethnic minorities when it is important to apply the results of
the study broadly, and this should be addressed by applicants.

For foreign awards, the policy on inclusion of women applies fully;
since the definition of minority differs in other countries, the
applicant must discuss the relevance of research involving foreign
population groups to the United States' populations, including
minorities.  If the required information is not contained within the
application, the review will be deferred until the information is
provided.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies. If the representation of
women or minorities in a study design is inadequate to answer the
scientific question(s) addressed AND the justification for the selected
study population is inadequate, it will be considered a scientific
weakness or deficiency in the study design and will be reflected in
assigning the priority score to the application.

All applications for clinical research submitted to NIH are required to
address these policies.  NIH funding components will not award grants
or cooperative agreements that do not comply with these policies.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS 398
(rev. 9/91) and will be accepted at the standard application deadlines
as indicated in the application kit. The receipt dates for applications
for AIDS-related research are found in the PHS 398 instructions.
National Research Service Award (NRSA) (F32, F33) applications must be
submitted on grant application Form PHS 416 (rev. 10/91).

Application kits are available at most institutional offices of
sponsored research and may be obtained from the Office of Grants
Inquiries, Division of Research Grants, National Institutes of Health,
Westwood Building, Room  449, Bethesda, MD 20892, telephone
301/496-7441.  The title and number of the announcement must be typed
in Section 2a on the face page of the application.

Applications from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research Resources
may wish to identify the GCRC as a resource for conducting the proposed
research.  In such a case, a letter of agreement from either the GCRC
program director or Principal Investigator could be included with the
application.

The completed original application and five legible copies must be sent
or delivered to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD 20892**

REVIEW PROCEDURES

Other institutes may also have interest in several of the topics
mentioned here.  All applications in response to this Program
Announcement will be assigned to an Initial Review Group and reviewed
by the usual Public Health Service Peer Review (Study Section)
procedures.  They will also be given appropriate primary and secondary
Institute assignments in accordance with established PHS Referral
Guidelines.  The review criteria are the traditional criteria
appropriate to each mechanism.  In accordance with the standard NIH
peer review procedures, research project grant (R01 and R29)
applications, fellowships  (F32, F33) and research career development
awards (K04) will be reviewed for scientific and technical merit by an
appropriate study section in the Division of Research Grants.  All
other applications will be reviewed by review groups of the appropriate
funding component.  Following the Study Section review, the
applications will receive a second-level review by the appropriate
advisory council.  Funding decisions will be based on the above
evaluations and on the availability of funds.

AWARD CRITERIA

Applications compete for available funds on the basis of scientific
merit.  The following will be considered in making funding decisions:

o  Quality of the proposed project as determined by peer review
o  Availability of funds
o  Program balance among research areas of the announcement

INQUIRIES

Researchers considering an application in response to this announcement
are strongly encouraged to discuss their project, and the range of
grant mechanisms available with NIA and/or NIAID staff.  This can be
done either through a telephone conversation or a brief letter.

Correspondence and inquiries may be directed to:

Dr. David Lavrin, Immunology Program Administrator
Biology of Aging Program
National Institute on Aging
Gateway Building, Room 2C231
7201 Wisconsin Avenue
Bethesda, MD  20892
Telephone:  (301) 496-6402
FAX:  (301) 402-0010

Dr. Joseph Albright
Program Administrator, Division of Allergy, Immunology and
Transplantation
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4A20
Bethesda, MD  20892
Telephone:  (301) 496-7985
FAX:  (301) 402-0175

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
Nos. 93.866 and 93.855.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45 CFR
Part 74.  This program is not subject to the intergovernmental review
requirements of Executive Order 12372 or Health Systems Agency review.

$$P1 END ************************************************************

$$P2 BEGIN PA-93-015 ************************************************

PHYSIOLOGICAL ROLE OF THE ADRENAL ANDROGEN, DHEA, IN AGING

NIH GUIDE, Volume 21, Number 40, November 6, 1992

PA NUMBER:  PA-93-015

P.T. 34; K.W. 0710010, 0705030, 0705040, 0760025

National Institute On Aging

PURPOSE

The National Institute on Aging (NIA) has responsibility for extramural
programs of research and training in immunology and endocrinology
related to aging.  This support has resulted in a better understanding
of the behavior of, and specific changes in, various components of the
immune and endocrine systems in aging.

It is well recognized that changes in the immune and endocrine systems
during aging have profound influences on homeostatic mechanisms of the
body.  Some of these changes may be a result of "normal aging;" others
may be due to environmental factors, such as stress and disease.
Steroid, peptide, and eicosenoid hormones secreted from endocrine
tissues are known to influence the immune system.  Conversely, some
cytokines, interferons and interleukins, modulators of immune system
function, have profound regulatory effects on the endocrine system.
Since both the immune and some components of the endocrine systems
decline with advancing age, it is of interest to explore and delineate
regulatory interactions between the immune and endocrine systems in the
aging mammal.

The purpose of this program announcement is to focus on the
physiological role of the adrenal steroidal androgen precursor,
dehydroepiandrosterone (DHEA), in aging.  DHEA, and its sulfated form,
DHEAS, decrease steadily with age in both animals and humans.  This
decline may represent a biomarker of biological aging.  DHEA/DHEAS
levels have also been found to be depressed in a number of disease
states (eg., systemic lupus erythematosis (SLE), AIDS, cancer,
diabetes, cardiovascular disease) and during stress and trauma (e.g.,
burns, surgery).  Administration of DHEA has been shown to inhibit the
development of obesity and to protect against carcinogenesis in mice.
Recent research has demonstrated that the administration of physiologic
doses of DHEA/DHEAS to aged mice may reverse the age-related
immunological anergy by permitting the production of antibody and
cellular responses at levels comparable to those of fully
immunocompetent mature adult mice.  The pattern of the lymphokine
production was also restored to that of normal mature mice.  DHEAS
administration also has been shown to counteract the inflammatory

From owner-sci-resources@net.bio.net Wed Nov 04 22:00:00 1992
Path: biosci!NET.BIO.NET!kristoff
From: kristoff@NET.BIO.NET (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 21, no. 40, pt. 2, 6 November 1992
Message-ID: <CMM.0.90.2.720989448.kristoff@net.bio.net>
Date: 5 Nov 92 18:50:48 GMT
Sender: kristoff@net.bio.net
Distribution: bionet
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$$XID NIHGUIDE 19921106 V21N40 P2O2 ************************************
production of Interleukin-6 and the effects of corticosteroids
following stress and trauma.

ELIGIBILITY REQUIREMENTS

Applications may be submitted by foreign and domestic, 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.
Applications from minority individuals and women are encouraged.
Applicants for K- and F-series awards must be U.S. citizens, non-
citizen nationals, or have been lawfully admitted for permanent
residence at the time of award.

MECHANISMS OF SUPPORT

o  Research grant (R01)

o  Program Project grant (P01)

o  First Independent Research Support and Transition (FIRST) award
(R29)

o  Career grants, which include:  Research Career Development Award
(K04); Clinical Investigator Award (K08); Physician Scientist Award
(individual K11)

o  Fellowships (F32, F33)

Deadlines for applications are as follows:

F-series grants:                     Jan 10, May 10, Sep 10
New R, K, and P-series:              Feb 1, Jun 1, Oct 1
Competing continuation and revised:  Mar 1, Jul 1, Nov 1

Foreign institutions are not eligible to apply for Program Project
(P01) awards, or FIRST awards (R29).

RESEARCH OBJECTIVES

The NIA invites researchers to submit applications for research grants,
career development awards, and postdoctoral fellowships for studies on
the role of DHEA/DHEAS and their metabolic products as they interface
with fundamental aging.  Of particular interest is the pathway of
action and its possible role as a biomarker of aging, including the
decline of the immune system and the propensity for increased disease
in aging.  Of interest also are potential intervention methods to delay
and control the aging process with respect to the susceptibility to
diseases of the immune, endocrine, and other physiologic systems.

Although the interaction of DHEA/DHEAS and their metabolic products and
analogs with components of the immune system and various
pathophysiologic processes is of primary interest in this Program
Announcement, other relevant areas of investigation exploring the
communication between the immune and endocrine systems in aging mammals
are also of interest and are included within the scope of this Program
Announcement.

STUDY POPULATIONS

SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH
POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements are required to include minorities and women in
study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder or condition under study;
special emphasis must be placed on the need for inclusion of minorities
and women in studies of diseases, disorders and conditions which
disproportionately affect them.  This policy is intended to apply to
males and females of all ages. If women or minorities are excluded or
inadequately represented in clinical research, particularly in proposed
population-based studies, a clear compelling rationale must be
provided.

The composition of the proposed study population must be described in
terms of gender and racial/ethnic group.  In addition, gender and
racial/ethnic issues should be addressed in developing a research
design and sample size appropriate for the scientific objectives of the
study. This information must be included in the form PHS 398 in
Sections 1-4 of the Research Plan AND summarized in Section 3,
Recruitment of Individuals from Underrepresented Racial/Ethnic Groups,
and Section 5, Human Subjects.  Applicants are urged to assess
carefully the feasibility of including the broadest possible
representation of minority groups. However, NIH recognizes that it may
not be feasible or appropriate in ALL research projects to include
representation of the full array of United States racial/ethnic
minority populations (i.e., Native Americans  including American
Indians or Alaskan Natives), Asian/Pacific Islanders, Blacks,
Hispanics). The rationale for studies on single minority population
groups must be provided.

For the purpose of this policy, clinical research is defined as human
biomedical and behavioral studies of etiology, epidemiology, prevention
and preventive strategies), diagnosis, or treatment of diseases,
disorders or conditions, including but not limited to clinical trials.

The usual NIH policies concerning research on human subjects also
apply. Basic research or clinical studies in which human tissues cannot
be identified or linked to individuals are excluded. However, every
effort should be made to include human tissues from women and
racial/ethnic minorities when it is important to apply the results of
the study broadly, and this should be addressed by applicants.

For foreign awards, the policy on inclusion of women applies fully;
since the definition of minority differs in other countries, the
applicant must discuss the relevance of research involving foreign
population groups to the United States' populations, including
minorities.

If the required information is not contained within the application,
the review will be deferred until the information is provided.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies. If the representation of
women or minorities in a study design is inadequate to answer the
scientific question(s) addressed AND the justification for the selected
study population is inadequate, it will be considered a scientific
weakness or deficiency in the study design and will be reflected in
assigning the priority score to the application.

All applications for clinical research submitted to NIH are required to
address these policies. NIH funding components will not award grants or
cooperative agreements that do not comply with these policies.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS 398
(rev. 9/91) and will be accepted at the standard application deadlines
as indicated in the application kit.  The receipt dates for
applications for AIDS-related research are found in the PHS 398
instructions.  National Research Service Award (NRSA) (F32, F33)
applications are to be submitted on grant application Form PHS 416
(rev. 10/91).

Application kits are available at most institutional offices of
sponsored research and may be obtained from the Office of Grants
Inquiries, Division of Research Grants, National Institutes of Health,
Westwood Building, Room  449, Bethesda, MD 20892, telephone
301/496-7441.  The title and number of this announcement must be typed
in Section 2a on the face page of the application.

Applications from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research Resources
may wish to identify the GCRC as a resource for conducting the proposed
research.  In such a case, a letter of agreement from either the GCRC
program director or Principal Investigator could be included with the
application.

The completed original application and five legible copies must be sent
or delivered to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

REVIEW PROCEDURES

All applications in response to this Program Announcement will be
assigned to Initial Review Groups on the basis of the PHS Referral
Guidelines and reviewed by the usual Public Health Service Peer Review
(Study Section) procedures.  They will also be given appropriate
primary and secondary Institute assignments in accordance with
established PHS Referral Guidelines.  The review criteria are the
traditional criteria appropriate to each mechanism.  In accordance with
the standard NIH peer review procedures, research project grant (R01
and R29) applications, fellowships (F32, F33) and research career
development awards (K04) will be reviewed for scientific and technical
merit by appropriate study sections in the Division of Research Grants.
All other applications will be reviewed by review groups of the
appropriate Institute.  Following the Study Section review, the
applications will receive a second-level review by appropriate advisory
councils.  Funding decisions will be based on the above evaluations and
on the availability of funds.

AWARD CRITERIA

Applications compete for available funds on the basis of scientific
merit with other applications.  The following will be considered in
making funding decisions:

o  Quality of the proposed project as determined by peer review

o  Availability of funds

o  Program balance among research areas of the announcement

INQUIRIES

Researchers considering an application in response to this announcement
are strongly encouraged to discuss the projects and the range of grant
mechanisms available, with NIA staff.  This can be done either through
a telephone conversation or a brief letter. Applications related to the
health of women and minorities are particularly encouraged.

Correspondence and inquiries may be directed to:

Dr. David Lavrin
Immunology Program Administrator
Biology of Aging Program
National Institute on Aging
Gateway Building, Room 2C231
Bethesda, MD  20892
Telephone:  (301) 496-6402

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.855.  Awards are made under authorization of the Public Health
Service Act, Title IV, Part A (Public Law 78-410, as amended by Public
Law 99-158, 42 USC 241 and 285) and administered under PHS grants
policies and Federal Regulations 42 CFR 52 and 45 CFR Part 74.  This
program is not subject to the intergovernmental review requirements of
Executive Order 12372 or Health Systems Agency review.

$$P2 END ************************************************************


$$XID RFA DK9312 DK-93-12 P1O1 *****************************************

RESEARCH USING THE UNITED STATES RENAL DATA SYSTEM

NIH GUIDE, Volume 21, Number 40, November 6, 1992

RFA:  DK-93-12

P.T. 34; K.W. 0785095, 0755018

National Institute of Diabetes and Digestive and Kidney Diseases

Letter of Intent Receipt Date:  April 19, 1993
Application Receipt Date:  May 18, 1993

PURPOSE

The purpose of this initiative is to invite grant applications for
biomedical research questions that can be answered using the United
States Renal Data System (USRDS) database.  Awarded funds will be used
to generate the data file through the USRDS Coordinating Center and to
support the investigator's analysis of the data.

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 Request
for Applications (RFA), Research Using the United States Renal Data
System, is related to the priority area of diabetes and chronic
disabling conditions. Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0) or
Healthy People 2000" (Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign organizations,
public and private, such as universities, colleges, hospitals,
laboratories, units of State and local governments, and eligible
agencies of the Federal government.  Minority individuals and women are
encouraged to submit as Principal Investigators.

MECHANISM OF SUPPORT

Support of this program will be through the investigator initiated
research project grant (R01) mechanism.  Each grant award will not be
more than $50,000 total cost (including direct and indirect costs).
Responsibility for the planning, direction, and execution of the
proposed project will be solely that of the applicant.  Awards will be
administered under PHS grants policy as stated in the PHS Grants Policy
Statement.

This RFA is a one-time solicitation.  Generally, future unsolicited
competing continuation applications will compete with all
investigator-initiated applications and be reviewed according to the
customary peer review procedures.  The total requested project period
for each applications submitted in response to this RFA may not exceed
two years.  The earliest possible award date will be January 1994.

FUNDS AVAILABLE

It is anticipated that approximately ten awards will be made; however,
this funding level is dependent upon the receipt of a sufficient number
of applications of high scientific merit.  Although this program is
provided for in the financial plans of the National Institute of
Diabetes and Digestive and Kidney Diseases (NIDDK), the award of grants
pursuant to this RFA is also contingent upon the availability of funds
designated for this purpose.

RESEARCH OBJECTIVES

End-stage renal disease (ESRD) treatment is costly, and the number of
patients being treated has been increasing steadily in this country
since 1977.  The total number of patients with treated ESRD in 1989 was
190,862.  The 1989 estimated federal Medicare payments for ESRD
patients averaged $30,900 per patient.  The estimated total 1989 direct
medical payments for ESRD by public and private payers is $5.99
billion.

The USRDS database, designed to serve as a resource to the academic and
clinical medicine communities, has been operational since 1988.  The
USRDS database contains information on approximately 420,000 Medicare
patients who have had ESRD therapy at any time since 1976.  For each
patient, the database includes information on basic demographics, the
primary medical diagnosis that led to renal failure, dialysis records,
hospital records, and transplant information.  In addition, the
database contains details on the 2,492 institutions that provide ESRD
treatment services.  Limited information is available on non-Medicare
funded ESRD patients who are treated by the Department of Veterans
Affairs (excluding billing data and social security information).  The
USRDS database is supplemented by data from the U.S. Census Bureau.

Since 1989, the USRDS Coordinating Center has produced an annual data
report containing descriptive and analytic epidemiologic data on ESRD
patients.  However, as yet, few investigators outside of the USRDS
Coordinating Center have utilized the database to answer biomedical
research questions.  It is the purpose of this RFA to solicit
applications that will pose and answer questions relevant to ESRD in
the United States.

Specific questions that would be considered responsive to this RFA
include, but are not limited to, the following examples:

o  the relative incidence, prevalence, mortality and survival
associated with various comorbid conditions, causes of ESRD, modes of
ESRD treatment, or subgroups of the treated ESRD population in the
United States;

o  examination of the relative burden of disease in various minority
groups;

o  ecologic analyses that relate prevalence of predisposing diseases to
incidence and prevalence of treated and untreated ESRD in various
subgroups of the population.

Creativity in using the data to develop descriptive, analytic, and
hypothesis generating studies is encouraged.  Questions primarily of an
economic focus would not be considered responsive to this RFA, although
such issues may be included as secondary aims.

The USRDS data release policy includes the following provisions:  The
sole purpose of providing the data is the conduct of legitimate
biomedical research by the Principle Investigator (PI).  The
investigator will not use the data to identify individuals on the file.
The investigator will not combine or link the data provided with any
other collection or source of information that may contain information
specific to individuals on the file, except specific, written
authorization has been obtained through the approval process.  The
investigator will not use the data for purposes that are not related to
biomedical research.  The investigator will not publish or otherwise
disclose the data in the file to any person unless the data have been
aggregated (that is, combined into groupings of data such that the data
are no longer specific to any individual within each grouping) and no
cells (aggregates of data) contain information on fewer than 10
individuals.  A copy of any aggregation of data intended for
publication will be submitted to the USRDS Project Officer for review
prior to publication; if the publication is not in conformity with the
Privacy Act, it will not be published until revised to adhere to the
Privacy Act provisions.  Appropriate administrative, technical,
procedural, and physical safeguards shall be established by the
investigator to protect the confidentiality of the data and to prevent
unauthorized access to it.  The safeguards will provide a level of
security outlined in OMB Circular No. A-130, Appendix III-- "Security
of Federal Automated Information Systems," which sets forth guidelines
for security plans for automated information systems in Federal
agencies.

The investigator is encouraged to contact the USRDS Project Officer,
Dr. Lawrence Agodoa, (KUH/NIDDK, Westwood Building, Room 3A-06, 5333
Westbard Avenue, Bethesda, MD 20892, telephone 301/496-7571), to
discuss the data request and to request a copy of the USRDS Data
Release Policy and the USRDS Agreement for Data Release Form.  The
USRDS database may be contacted at any time.  The USRDS process of
reviewing a written request for data, generating the data, and
releasing the data takes approximately three months.

STUDY POPULATIONS

It is NIH policy that women and minorities must be included in clinical
study populations unless there is a good reason to exclude them.  The
study design must seek to identify any pertinent gender or minority
population differences.

SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH
POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements are required to include minorities and women in
study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder or condition under study;
special emphasis must be placed on the need for inclusion of minorities
and women in studies of diseases, disorders and conditions which
disproportionately affect them.  This policy is intended to apply to
males and females of all ages.  If women or minorities are excluded or
inadequately represented in clinical research, particularly in proposed
population-based studies, a clear compelling rationale must be
provided.

The composition of the proposed study population must be described in
terms of gender and racial/ethnic group.  In addition, gender and
racial/ethnic issues must be addressed in developing a research design
and sample size appropriate for the scientific objectives of the study.
This information must be included in the form PHS 398 (rev. 9/91) in
Item 4 (Research Design and Methods) of the Research Plan AND
summarized in Item 5, Human Subjects.  Applicants are urged to assess
carefully the feasibility of including the broadest possible
representation of minority groups.  However, NIH recognizes that it may
not be feasible or appropriate in all research projects to include
representation of the full array of United States racial/ethnic
minority populations; i.e., Native Americans (including American
Indians or Alaskan Natives), Asian/Pacific Islanders, Blacks,
Hispanics.  The rationale for studies on single minority population
groups should be provided.

For the purpose of this policy, clinical research is defined as human
biomedical and behavioral studies of etiology, epidemiology, prevention
[and preventive strategies], diagnosis, or treatment of diseases,
disorders or conditions, including but not limited to clinical trials.
The usual NIH policies concerning research on human subjects also
apply.  For foreign awards, the policy on inclusion of women applies
fully; since the definition of minority differs in other countries, the
applicant must discuss the relevance of research involving foreign
population groups to the United States' populations, including
minorities.

If the required information is not contained within the application,
the application will be returned without review.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies.  If the representation of
women or minorities in a study design is inadequate to answer the
scientific question(s) addressed AND the justification for the selected
study population is inadequate, it will be considered a scientific
weakness or deficiency in the study design and reflected in assigning
the priority score to the application.  All applications for clinical
research submitted to NIH are required to address these policies.  NIH
funding components will not award grants or cooperative agreements that
do not comply with these policies.

LETTER OF INTENT

Prospective applicants are asked to submit, by April 19, 1993, a letter
of intent that includes a descriptive title of the proposed research,
the name, address, and telephone number of the Principal Investigator,
the identities of other key personnel and participating institutions,
and the number and title of the RFA in response to which the
application may be submitted.  Although a letter of intent is not
required, is not binding, and does not enter into the review of
subsequent applications, the information that it contains is helpful in
planning for the review of applications.  It allows NIDDK staff to
estimate the potential review workload and to avoid possible conflict
of interest in the review.

The letter of intent is to be sent to the Chief, Review Branch,
Division of Extramural Activities at the address provided below.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  The form is available from most
institutional offices of sponsored research and from the Office of
Grants Inquiries, Division of Research Grants, National Institutes of
Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892, telephone
301/496-7441.

The RFA label available in the PHS 398 application form must be affixed
to the bottom of the face page.  Failure to use this label could result
in delayed processing of the application such that it may not reach the
review committee in time for review.  In addition, the RFA title and
number must be typed on line 2a of the face page of the application
form and check the YES box.

Submit a signed, typewritten original of the application, including the
Checklist, and three signed, exact photocopies, in one package to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At time of submission, two additional copies of the application must
also be sent under separate cover to:

Chief, Review Branch
Division of Extramural Activities
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 605
5333 Westbard Avenue
Bethesda, MD  20892

Applications must be received by May 18, 1993.  If an application is
received after that date, it will be returned to the applicant.  The
Division of Research Grants (DRG) will not accept any application in
response to this announcement that is essentially the same as one
currently pending initial review, unless the applicant withdraws the
pending application.  However, it is allowable to submit the same
project as both an R01 and as a component project of a program project.
The DRG 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 previously reviewed.  Such
applications must not only include an introduction addressing the
previous critique but also be responsive to this RFA.

REVIEW CONSIDERATIONS

Upon receipt, applications will be initially reviewed by the DRG for
completeness. Incomplete applications will be returned to the applicant
without further consideration.  Evaluation for responsiveness to the
program requirements and criteria stated in the RFA is an NIDDK staff
function.  If the application is not responsive to the RFA, NIDDK staff
will return it to the applicant.

Those applications that are complete and responsive will be evaluated
in accordance with the criteria stated below for scientific/technical
merit by an appropriate peer review group convened by the NIDDK.
Applications may be subjected to triage by an NIDDK peer review group
to determine their scientific merit relative to other applications
received in response to this RFA.  If the number of applications is
large compared to the number of awards to be made, a preliminary
scientific peer review may be conducted and applications withdrawn from
further competition when they are not competitive for the award.  The
NIDDK will notify the applicant and institutional official of this
action.

Those applications judged to be competitive will be reviewed for
scientific and technical merit in accordance with the usual NIH peer
review procedures by an initial review group specifically convened for
this RFA.  Following this review, the applications may be given a
second level review by the NIDDK Advisory Council unless not
recommended for further consideration by the initial review group.

Review criteria for this RFA are as follows:

o  Scientific/medical significance of the proposed research.

o  Appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research.

o  Requested data elements are already contained in the database.  (New
data collection and purchase of equipment will not be covered by this
RFA.)

o  Realistic cost estimates for generating and analyzing the data.

o  Availability of resources necessary to perform the research.

o  Appropriateness of the proposed budget and duration in relation to
the proposed research.

o  Qualifications and research experience of the Principal Investigator
and staff in doing epidemiologic analyses.

o  If the researcher is from a foreign country, the uniqueness of
research such that it can only be performed outside of the United
States must be demonstrated.

AWARD CRITERIA

The anticipated date of award is January 1994.

Applications will compete for available funds with all other
applications recommended by the initial review group.  The following
will be considered in making funding decisions:

o  Quality of the proposed project as determined by peer review.

o  Availability of funds.

o  Programmatic balance among the studies recommended for funding.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
Direct inquiries regarding programmatic issues to:

Camille A. Jones, M.D., M.P.H.
Director, Epidemiology Program
Division of Kidney, Urologic, and Hematologic Diseases
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 3A-06
5333 Westbard Avenue
Bethesda, MD  20892
Telephone:  (301) 496-7571

Inquiries regarding fiscal matters may be directed to:

Ms. Trude McCain
Grants Management Specialist
Division of Extramural Activities
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 649
5333 Westbard Avenue
Bethesda, MD  20892
Telephone:  (301) 496-7467

Schedule

Letter of Intent:     April 19, 1993
Application Receipt:  May 18, 1993
Initial Review:       October - November 1993
Second Level Review:  January 1994
Anticipated Award:    January 1994

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.849.  Awards are made under authorization of the Public Health
Service Act, Title IV, Part A (Public Law 78-410, as amended by Public
Law 99-158, 42 USC 241 and 285) and administered under PHS grants
policies and Federal Regulations 42 CFR 52 and 45 CFR Part 74.  This
program is not subject to the intergovernmental review requirements of
Executive Order 12372 or Health Systems Agency review.


$$XID RFA CA9306 CA-93-06 P1O1 *****************************************

DEVELOPMENTAL RESEARCH IN NATIVE PACIFIC POPULATIONS

NIH GUIDE, Volume 21, Number 40, November 6, 1992

RFA:  CA-93-06

P.T. 34, FB; K.W. 0715035, 0795003, 0745027

National Cancer Institute

Letter of Intent Receipt Date:  December 4, 1992
Application Receipt Date:  January 25, 1993

PURPOSE

The National Cancer Program is mandated to address the unique cancer
prevention, early detection, and treatment needs of all populations
within the U.S. and its territories.  An excerpt from the FY 1992
Committee on Appropriations to the U.S. Department of Health and Human
Services stated:

"The Committee also urges NCI to expand its efforts to develop an
appropriate response to the needs of American Samoans.  Access to
timely treatment intervention is especially important for this native
American population...."   (Senate Report No. 102-104, page 86)

Therefore, the Division of Cancer Prevention and Control (DCPC) of the
National Cancer Institute (NCI) invites applications from various
organizations for developmental studies that:  (1) assess cancer
control need, (2) determine barriers to cancer control, and/or (3)
validate intervention methods and assessment instruments in native
Pacific populations; i.e., American Samoans, Guamanians (Chamorros),
Palauians, and Northern Marianians.  This initiative will define the
cancer prevention and control needs of native Pacific populations and
those of similar ancestry located in the Pacific as well as the U.S.
mainland.

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 Request
for Applications (RFA), Developmental Research in Native Pacific
Populations, is related to the priority area of cancer.  Potential
applicants may obtain a copy of Healthy People 2000 (Full Report:
Stock No. 017-001-00474-0) or Healthy People 2000 (Summary Report:
Stock No. 017-001- 00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone
202/783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic (including U.S. Territorial
possessions) public and private, for-profit and non-profit
organizations serving native Pacific populations such as universities,
public health departments, voluntary organizations, research centers,
hospitals, consortia of health providers, units of State and local
governments and eligible agencies of the Federal government.  Teams of
applicants are encouraged.  Among a team of applicants, one institution
must be proposed as the lead institution to serve as the applicant and
to assume responsibility for the conduct and administration of the
project.  Note that awards will not be made to foreign institutions and
that applications from domestic organizations may not include
international components.

MECHANISM OF SUPPORT

The mechanism of support for this RFA will be the National Institutes
of Health (NIH) research project grant (R01).  Responsibility for the
planning, direction, and execution of the proposed research will be
solely that of the applicant.  In addition to the requirements stated
in this RFA, awards will be administered under PHS grants policy as
stated in the Public Health Service Grants Policy Statement, DHHS
Publication No. (OASH) 90-50,000, revised October 1, 1991.  This RFA is
a one-time solicitation.  Future unsolicited competing continuation
applications will compete with all investigator-initiated applications
and be reviewed according to the customary peer review procedures.  It
is anticipated that four awards will be made at approximately $300,000
total costs per year.

FUNDS AVAILABLE

Approximately $1.2 million in total costs per year for three years will
be set-aside to specifically fund applications that are submitted in
response to this RFA.  It is anticipated that up to four awards will be
made.  The total project period of these awards may not exceed three
years.  This level of support is dependent on the receipt of a
sufficient number of applications of high scientific merit.  Although
this program is provided for in the financial plans of the NCI, the
award of a grant pursuant to this RFA is also contingent upon the
availability of funds for this purpose.

RESEARCH OBJECTIVES

Background

The National Cancer Program is mandated to address the unique cancer
prevention, early detection, and treatment needs of all populations
within the U.S. and its territories.  The cancer control objectives for
the nation are aimed at (1) reducing the cancer death rates for all
Americans and (2) eliminating differentials in cancer rates between
population segments.  The means to obtain these objectives include the
development and implementation of cancer control and prevention
strategies directed at the general U.S. population and targeted
initiatives directed at minority and medically underserved populations
that are differentially affected by cancer.  These populations include
those who experience high cancer incidence/mortality rates or low
survival rates, or who are underserved in terms of cancer prevention
and control programs that include the native Pacific populations.

The paucity of data on effective cancer prevention and control
intervention methods in the target populations reflect both a dearth of
such programs and of validated instruments to evaluate their
effectiveness.  The need for the development of sensitive intervention
methods and assessment instruments has to be established in many areas
of health (e.g., mental health, cardiovascular diseases) and other
sectors (e.g., education).

In recent years, the Division of Cancer Prevention and Control (DCPC)
has carried out intervention research initiatives directed at the
American Indian/Alaska Native, Black, Native Hawaiian, and Hispanic
populations.  These experiences, combined with information gathered
through external working groups and experts in the cancer prevention
and control needs of minority and medically underserved populations and
extensive conversations with experienced investigators, has clarified
the need for Phase I and Phase II cancer control studies for native
Pacific populations.  It is clear that the concepts of health and
healing vary significantly, and this diversity is not captured by a
single design, method, or instrument.

Studies conducted under this RFA will seek to define cancer prevention
and control needs/services of the native Pacific population segments
(Phase I). Studies to test ways in which existing intervention methods
can be used or adapted for the target populations (Phase II); studies
of new methods designed to be sensitive to the needs of the target
populations (Phase II); and methodologic research on validation of
assessment instruments in target populations (Phase II) are eligible
for consideration under the RFA.  This "developmental cancer control
research" (Phase I and Phase II) is absolutely essential to future
development of cancer prevention and control research for native
Pacific populations.

The following definitions apply to this RFA:

1.  Native Pacific Populations -- The term "native Pacific populations"
refers to those population segments indigenous to the Pacific region
and/or populations of similar ancestry located within the U.S.
mainland, such as American Samoan populations.

2.  Cancer Control -- Cancer control is defined as the reduction of
cancer incidence, morbidity, and mortality through an orderly sequence
from research on interventions and their impact in defined populations
to the broad, systematic application of the research results.

3.  Phases of Cancer Control -- Cancer control research studies are
classified in the five phases that represent the orderly progression
noted in the above definition:  (I) Hypothesis development; (II)
Intervention methods development and testing; (III) Controlled
intervention trials to establish cause and effect relationships; (IV)
Research in defined human populations; and (V) Demonstration and
implementation studies.

The research of interest in this RFA falls into either Phase I or Phase
II studies.  Hypothesis development (Phase I) studies should focus on
the assessment of cancer prevention and control needs in communities or
organizations within native Pacific populations, or studies that
identify barriers to cancer prevention and control within these
indigenous populations.  Methods development and testing studies, Phase
II, should focus on:  (1) validating the use of existing intervention
methods (e.g., dietary modification, health services, tobacco
cessation) as applied in the target populations described above; (2)
developing and pilot testing unique methods that are sensitive to the
needs of the target populations described above, or (3) developing and
validating assessment instruments to measure the cancer control related
needs of the target populations or for use in evaluating the
effectiveness of intervention methods in the target populations.

It is the interest of this RFA that the projects should be
multidisciplinary in design.  Applicable disciplines may include
epidemiology, oncology, public health, pathology, health services
research, behavioral, and social sciences.  The research team should
include individuals with knowledge of the culture and language of the
native Pacific populations.

Because validation and intervention studies may depend on the review of
case records, investigators should assure in the application that a
mechanism to access pertinent records has been identified.

A.  Goals and Objectives

The goals of this program initiative are to identify cancer control
needs, to determine barriers to cancer control, and to validate
intervention methods and assessment instruments.  The objectives
relating to Phases I and II are described below:

Phase I Studies

1.  Assess cancer prevention and control needs/services in communities
with native Pacific populations.

2.  Identify barriers to cancer prevention and control in native
Pacific population communities.

Phase II Studies

1.  Validate the use of existing intervention methods (e.g., dietary
modification, health services, tobacco cessation) applied in the target
populations.

2.  Develop and pilot test unique intervention methods sensitive to the
needs of the target populations.

3.  Develop and validate assessment instruments (e.g., dietary intake,
risk factor surveys) to measure the cancer control related needs of the
target populations and to evaluate the effectiveness of intervention
methods in the target populations.

B.  Project Approach

It is important that applicants describe fully and in detail all
aspects of the proposed project in the application, including cancer
sites to be studied, the target population for which the research is
being conducted, available population data bases, hypotheses to be
considered, the planned intervention approaches, methods of assessment
and validation, and the overall research design approach to the
proposed study.  It is essential to select and justify in the
application, cancer sites on the basis of the significance in the
target population and the potential for reduction of mortality rates.
It is also essential that the population for which the study(ies) will
be carried out be specified and characterized using population-based
estimates of the demographic characteristics of the target population.
All collaborative arrangements that are planned should be described in
detail, including areas of responsibility, coordinating, decision-
making authority, and financial relationships.  Letters of commitment
from each participating organization should be included in the
application.

C.  Research Plan

The applicant should include a detailed protocol outlining the proposed
project methods for determining outcome effects.  The protocol should
detail the research project as conceived and should provide the
complete methodological approach to the problem under investigation.
The design for the project should provide enough information to
determine an adequate "test" of the concepts, whether validation or
intervention outcomes.  It is important that the design permits
statistically valid results to be achieved within the period of award.

D.  Options in Project Design

Applicants must choose from the three types of projects described
below:

o  Type One - Validation study of an existing intervention method for
use in a native Pacific population group.

o  Type Two - Develop and pilot test a "unique" intervention method
that is sensitive to the needs of the target population.

o  Type Three - Develop and validate needs assessment instruments or
assessment instruments that could be used to measure effectiveness of
cancer control methods in the target population.

Applicants must specify which type they have selected in the first line
of section 2(a), "Specific Aims", in the application.

E.  Time Schedule

A detailed time schedule should be presented in the application.  This
schedule is important because it will provide the milestones against
which progress will be validated.

SPECIAL REQUIREMENTS

Awardees should include in the proposed budgets travel to the NCI for
up to two persons to attend two meetings of Principal Investigators and
NCI program staff to discuss such issues as the validation of stated
hypotheses, determination of population characteristics/size relative
to the intervention specified, research progress, and results.  These
meetings will be held approximately three months prior to the scheduled
completion of years 01 and 03, respectively.

Awardees should anticipate that NCI staff may conduct a site visit as
a part of program management in order to assure that projects are
proceeding according to the plans specified in the application.  This
anticipated site visit is not intended to reduce the requirements for
the customary detailed progress report in accordance with the
instructions appearing in form PHS 2590.

STUDY POPULATIONS

The targeted population intended under this RFA is the native Pacific
populations and those of similar ancestry located in the Pacific as
well as the U.S. mainland; i.e., American Samoans, Guamanians
(Chamorros), Palauians, and North Marianians.  Applicants responding to
this RFA are expected to successfully access a significant portion of
this population to decrease cancer incidence and mortality, increase
cancer survival, and increase the diagnosis of cancers at earlier
stages.

SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH
POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements will be required to include minorities and women
in study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder or condition under study;
special emphasis should be placed on the need for inclusion of
minorities and women in studies of diseases, disorders, and conditions
which disproportionately affect them.  This policy is intended to apply
to males and females of all ages.  If women or minorities are excluded
or inadequately represented in clinical research, particularly in
proposed population-based studies, a clear compelling rationale should
be provided.

The composition of the proposed study population must be described in
terms of gender and racial/ethnic group.  In addition, gender and
racial/ethnic issues should be addressed in developing a research
design and sample size appropriate for the scientific objectives of the
study.  This information should be included in the form PHS 398 in
Sections 1-4 of the Research Plan AND summarized in Section 5, Human
Subjects.  Applicants are urged to assess carefully the feasibility of
including the broadest possible representation of minority groups.
However, NIH recognizes that it may not be feasible or appropriate in
all research projects to include representation of the full array of
United States racial/ethnic minority populations (i.e., Native
Americans [including American Indians or Alaska Natives], Asian/Pacific
Islanders, Blacks, Hispanics).

The rationale for studies on single minority population groups should
be provided.

For the purpose of this policy, clinical research includes biomedical
and behavioral studies of etiology, epidemiology, prevention (and
preventive strategies), diagnosis, or treatment of diseases, disorders
or conditions, including but not limited to clinical trials.

The usual policies concerning research on human subjects also apply.
Basic research or clinical studies in which human tissues cannot be
identified or linked to individuals are excluded.  However, every
effort should be made to include human tissues from women and
racial/ethnic minorities when it is important to apply the results of
the study broadly, and this should be addressed by applicants.

If the required information is not contained within the application,
the application will be returned.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies.  If the representation of
women or minorities in a study design is inadequate to answer the
scientific question(s) addressed AND the justification for the selected
study population is inadequate, it will be considered a scientific
weakness or deficiency in the study design and reflected in assigning
the priority score to the application.

All applications for clinical research submitted to NIH are required to
address these policies.  NIH funding components will not award grants
or cooperative agreements that do not comply with these policies.

LETTER OF INTENT

Prospective applicants are asked to submit, by December 4, 1992, a
letter of intent that includes a descriptive title of the proposed
research, the name and address of the Principal Investigator, the
identities of other key personnel and participating institutions, and
the number and title of the RFA in response to which the application
may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains is extremely helpful in planning for the review of
applications.  It allows NCI staff to estimate the potential review
workload and to avoid possible conflict of interest in the review.

In addition, if it appears that the potential applicant has
misunderstood the objectives of the RFA or opted for an inappropriate
funding mechanism, NCI staff will respond to such letters.  The NCI
would like to emphasize the benefits to the applicant and to staff of
having a Principal Investigator submit a letter of intent.  The letter
establishes communication between the potential applicant and program
staff initiating the RFA.  Program staff may be able to assist
prospective applicants in several areas, i.e., scientific content and
objectives of an application, size and focus of a research program,
organization of an application, and appropriate use of core components
and consultants.

The letter of intent is to be sent to:

George A. Alexander, M.D.
Chief, Special Populations Studies Branch
Division of Cancer Prevention and Control
National Cancer Institute
Executive Plaza North, Room 240
Bethesda, MD  20892-4200
Telephone:  (301) 496-8589
FAX:  (301) 496-8675

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research and from the Office of
Grants Inquiries, Division of Research Grants, National Institutes of
Health, 5333 Westbard Avenue, Room 449, Bethesda, Maryland 20892;
telephone 301/496-7441.

The RFA label available in the application form PHS 398 must be affixed
to the bottom of the face page.  Failure to use this label could result
in delayed processing of the application such that it may not reach the
review committee in time for review.  In addition, the RFA title and
number should be typed on line 2a of the face page of the application
form and the YES box must be marked.

Submit a signed, typewritten original of the application, including the
Checklist, and three signed, exact photocopies in one package to the
Division of Research Grants at the address below.  The photocopies must
be clear and single-sided.

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies of the application
must also be sent to:

Ms. Toby Friedberg, Referral Officer
Division of Extramural Activities
National Cancer Institute
Westwood Building, Room 838
5333 Westbard Avenue
Bethesda, MD  20892

Applications must be received by January 25, 1993.  If an application
is received after that date, it will be returned to the applicant
without review. The Division of Research Grants (DRG) will not accept
any application in response to this announcement that is essentially
the same as one currently pending initial review, unless the applicant
withdraws the pending application.  The DRG will not accept any
application that is essentially the same as one already reviewed.  This
does not preclude the submission of a substantial revision of an
application already reviewed, but the revised application must include
an introduction addressing the previous critique.

REVIEW CONSIDERATIONS

Review Procedures

Upon receipt, applications will be reviewed (initially) by the DRG for
completeness.  Incomplete applications will be returned to the
applicant without further consideration.  Evaluation for responsiveness
to the RFA is an NCI program staff function.  If an application is
judged to be non-responsive, the applicant will be contacted and given
an opportunity to withdraw the application or have it considered with
other unsolicited applications received by NIH in the next review
cycle.  Questions concerning responsiveness to the RFA may be directed
to NCI program staff listed under INQUIRIES.

If the number of applications submitted is large compared to the number
of awards to be made, the NCI may conduct a preliminary scientific peer
review to eliminate those that are clearly not competitive.  The NCI
will remove from competition those applications judged to be
noncompetitive for award and notify the applicant and institutional
business official.

Those applications that are complete and responsive will be initially
evaluated in accordance with the review criteria stated below for
scientific/technical merit by an ad hoc review committee convened by
the Division of Extramural Activities, NCI.  The second level of review
will be provided by the National Cancer Advisory Board.

Responsiveness Criteria

Applicants must be responsive to this RFA in the sense of being
directed towards the attainment of the stated programmatic goals.  Five
considerations are of paramount importance to this RFA:

1.  Descriptions of the cancer problem with justification for the
selection of specific cancer site(s) in terms of potential for
reduction of mortality rates, cancer control intervention strategy,
research method, procedures, analysis plans, and time schedule must be
clearly delineated.

2.  Studies must be limited to Phase I and/or Phase II only.

3.  Assurance of access to a community with characteristics appropriate
for the proposed intervention: written documentation must be included.

4.  The target population must be a native Pacific population
indigenous to the U.S. Pacific territorial region, i.e., American
Samoa, Guam, Palau, Northern Marianas; or of similar ancestry located
in Hawaii and the U.S. mainland, i.e., American Samoans.

5.  Agreements with communities, organizations, agencies, or
institutions that are critical to ensure access to appropriate records
and to the implementation of the research plan must be included.

Review Criteria

Each application will be reviewed on its own merit.  All applicants
must clearly define the target population and geographic location where
the program efforts will be demonstrated as well as the project team's
ability to access the target population.  All applicants should include
in the application a succinct discussion of previous relevant efforts
and plans to meet the terms of award.

Applicants are encouraged to submit and describe the approach that they
think would best meet the goals of this RFA and to identify in-kind
contributions and/or co-sponsors for specific personnel, activities,
and facilities.  Each application will be reviewed according to the
following criteria:

1.  Scientific merit of the research approach, design, and methodology.

2.  Scientific and technical significance and originality of the
proposed research.

3.  Experience (research or clinical or service) and/or competence of
the Principal Investigator and staff.

4.  Adequacy of time (effort) that the Principal Investigator and staff
would devote to the proposed project.

5.  Characterization of the native Pacific population to be used
(cultural, spiritual or language considerations) in the proposed project.

6.  Adequacy of the approaches to produce valid assessment instruments
for use in larger community intervention studies for cancer control.

7.  Likelihood of intervention (Phase II studies) to be readily
accepted and feasible in terms of cost.

8.  Potential for generalizability of the findings and adaptability of
the intervention approaches and assessment instruments in other
communities with similar cancer control problems.

9.  Adequacy of the plans for inclusion of women.

The ad hoc review group will recommend an appropriate budget for each
approved application.

AWARD CRITERIA

The anticipated date of award is July 1, 1993.  Applicants will compete
for funding based on the quality and merit of the proposed research
study as determined by peer review, availability of funds, and
programmatic priorities, as well as geographic location.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The
opportunity to clarify any issues or questions from potential
applicants is
welcome.

Direct inquiries regarding programmatic issues to:

George A. Alexander, M.D.
Chief, Special Populations Studies Branch
Division of Cancer Prevention and Control
National Cancer Institute
Executive Plaza North, Room 240
Bethesda, MD  20892-4200
Telephone:  (301) 496-8589

Direct inquiries regarding fiscal issues to:

Crystal Elliott
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 243
Bethesda, MD  20892
Telephone:  (301) 496-7800 Ext. 19

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.399, Cancer Control Science Program.  Awards are made under
authorization of the Public Health Service Act, Title IV, Part A.
(Public Law 78-410, as amended by Public Law 99-158, 42 USC 285) and
administered under PHS grants policies and Federal Regulations 42 CFR
52 and 45 CFR part 74.  This program is not subject to the
intergovernmental review requirements of Executive Order 12372 or
Health Systems Agency review.

From owner-sci-resources@net.bio.net Wed Nov 04 22:00:00 1992
Path: biosci!NET.BIO.NET!kristoff
From: kristoff@NET.BIO.NET (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 21, no. 40, pt. 3, 6 November 1992
Message-ID: <CMM.0.90.2.720989525.kristoff@net.bio.net>
Date: 5 Nov 92 18:52:05 GMT
Sender: kristoff@net.bio.net
Distribution: bionet
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$$XID RFA HD9306 HD-93-06 P1O1 *****************************************

NETWORK OF PEDIATRIC PHARMACOLOGY RESEARCH UNITS

NIH GUIDE, Volume 21, Number 40, November 6, 1992

RFA:  HD-93-06

P.T. 34, AA; K.W. 0710100, 0770005, 0403020, 0715006

National Institute of Child Health and Human Development

Letter of Intent Receipt Date:  February 15, 1993
Application Receipt Date:  April 13, 1993

PURPOSE

The National Institute of Child Health and Human Development (NICHD)
plans to support a cooperative Network of Pediatric Pharmacology
Research Units (PPRU) to serve as a resource for studies of drug action
and disposition in infants and children.  These studies will be
conducted by pediatric clinical pharmacologists, either cooperatively
with investigators at other units in the network, collaboratively with
pharmaceutical companies, or independently with other support.  The
ultimate goal of studies conducted by the network is to provide the
clinical data on drugs necessary for U.S. Food and Drug Administration
(FDA) approval for use in children.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention goals of "Healthy People 2000," a
PHS-led national activity for setting priorities.  This Request for
Applications (RFA), Network of Pediatric Pharmacology Research Units,
is related to the priority areas of food and drug safety and maternal
and infant health.  Copies of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0, or Summary Report:  Stock No.
017-001-00473-1) are available through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone
202-783-3238).

ELIGIBILITY REQUIREMENTS

PPRU cooperative clinical agreement (U01) awards will be made to
children's hospitals or their equivalent or to educational institutions
with accredited medical schools, within the United States.  Each PPRU
must become an identifiable unit within its institution, its Principal
Investigator reporting to the chief of pediatrics or the chairperson of
the pediatrics department.  The applicant institution must also meet
the standard eligibility requirements for research grants established
in the Public Health Service Grants Policy Statement #(OASH) 90-50,000,
Rev. 10/1/90.

There must be at the applicant institution an ongoing program of
excellence in clinical pharmacology, with an emphasis on pediatric
applications.  The quality of this program must be evident from the
receipt by its staff of research support in peer-reviewed competition,
or from their consistent record of publication in peer-reviewed
research journals.  In addition, the applicant institution must have
available a sufficient number of eligible research subjects in the
pediatric age groups:  newborns, infants, children, pre-adolescents,
and adolescents.  This is an essential component of the network and
must be spelled out in detail in the application.

MECHANISM OF SUPPORT

The funding mechanism to be used to assist the scientific community in
undertaking this program of research in clinical pharmacology will be
a cooperative clinical agreement (U10) between the participating units
and the NICHD.  The U10 award will provide support for laboratory and
administrative resources to assist the research community in carrying
out clinical therapeutic research protocols.  The major difference
between a cooperative agreement and a traditional research grant is the
substantial scientific involvement of NICHD staff beyond the levels
normally required for program stewardship of grants.

Cooperative clinical agreements (U01) are assistance mechanisms and are
subject to the same administrative requirements as grants.

FUNDS AVAILABLE

It is expected that up to four applications will be funded, within the
total direct cost limit of $1,000,000 available for the first year.
Therefore, the maximum direct cost request (first year) for individual
applications should not exceed $250,000.  This level of support is
dependent on the receipt of a sufficient number of applications of high
scientific merit.  Although this program is provided for in the
financial plans of the NICHD, awards pursuant to this RFA are
contingent upon the availability of funds for this purpose.

RESEARCH OBJECTIVES

Background

Federal law and the regulations of the FDA require that drugs be tested
for safety and efficacy before they are approved for clinical use.
This testing must take place in all populations in which the drug will
be employed.  Since both the qualitative and quantitative aspects of
pharmacodynamics and pharmacokinetics are different in immature
individuals, studies must be conducted in infants and children before
a drug can be approved for use with them.  For the purposes of this
RFA, the term children is used to mean human beings during their
prenatal and postnatal stages of development, from fetal life through
adolescence.

Several practical problems discourage the testing of drugs in children.
These include the unforeseeable nature of some clinical responses in
immature individuals; the possibility of catastrophic unanticipated
reactions; the threat of effects on growth or health long after
completion of the drug administration; the difficulty in predicting
efficacious blood levels by extrapolation from data obtained in adults;
the ethical problems of conducting nontherapeutic research in children;
the awkwardness of procedures for obtaining informed consent or assent
in older children; the lack of a suitable infrastructure for the
conduct of pediatric pharmacology research; the high cost of pediatric
studies; and the absence of a financial incentive for the
pharmaceutical industry to conduct pediatric pharmaceutical trials if
children are a minority of the population for which the drug might be
prescribed.

The result of these practical problems and the regulatory requirements
is that more than three-quarters of the drugs marketed in the United
States, including many of the most useful agents in modern therapy, are
not approved as safe and effective for use in children.  Since the
provision of pediatric care without the use of these agents would be
unacceptable, they are commonly administered "off-label" (without
specific FDA approval) by pediatricians, anesthesiologists, general
practitioners, surgeons, and others.  Under these conditions the child
is at risk of an inadequate therapeutic response or some unanticipated
adverse reaction.  Physicians can face medicolegal actions as a result
of such accidents, but they can also risk suit for failure to utilize
an effective drug for a child's illness, even if that drug does not
have specific FDA approval for use in children.

This dilemma must be resolved if children are to receive the full
benefits of contemporary therapeutics.  Modern pediatric pharmacology
is a sophisticated clinical discipline capable of carrying out the
studies necessary for the safe and ethical evaluation of drugs in
children.  Pursuit of such studies, however, is limited by the scarcity
of available facilities in which to follow children receiving drugs and
collect data in a systematic way, as well as the small number of
qualified clinical investigators interested in this problem. In order
to assist the pediatric community in carrying out these needed studies,
the NICHD is issuing this RFA.

Objectives and Scope

The objective of the PPRU Program is to increase the number and variety
of medications that are FDA-approved for use in children, with the
ultimate goal that all drugs prescribed for children be labeled for
such usage.  This is to be accomplished by providing resources for
pediatric pharmacokinetic and pharmacodynamic research through the
establishment of a Network of Pediatric Pharmacology Research Units
(PPRU).

Each PPRU will have four specific aims:

(1) To participate with other units in the network and with NICHD staff
assistance in collaborative clinical trials of drugs in children
through protocols determined by consensus;

(2) To provide a locus for the conduct of pre-marketing and
post-marketing clinical trials in children by qualified clinical
pharmacologists working in collaboration with proprietary
pharmaceutical firms;

(3) To conduct independent, investigator-initiated studies on the
pharmacodynamics and pharmacokinetics of drugs in children; and

(4) To provide an environment in which pediatricians and others can
gain supervised experience in pediatric clinical pharmacology.

It is expected that most of the studies conducted in the PPRU network
will be clinical and pediatric.  Nevertheless, pre-clinical studies may
sometimes be conducted (with other support) in a Unit's core laboratory
if these are important as preliminaries or adjuncts to clinical
projects.  Similarly, limited clinical studies in adults may sometimes
justify PPRU support if they are necessary for adapting existing
protocols to children.

Components of a PPRU

A.  Principal Investigator and Administrative Staff

The Principal Investigator (PI) of a PPRU must be an established
pediatric clinical pharmacologist, preferably holding independent
peer-reviewed grant or contract support, actively publishing in the
field, and familiar with academic and proprietary research in
pharmacology and pharmacokinetics.  The PI is responsible for
developing and maintaining the PPRU as an institutional and national
resource and for general oversight, appointing the members of the
institutional advisory committee (see below) and (with advisory
committee advice) the associate clinical pharmacologist and other
members of the Unit staff.  It is expected that the PI will be active
in conducting research within the Unit and in negotiating support from
proprietary pharmaceutical organizations.  The PI will assist other
investigators in conducting PPRU research protocols.  The PI will
attend the meetings of the Network Steering Committee (see below) and
participate in its deliberations.  The PI may be supported for up to 25
percent time and effort in the program, and may be assisted by a
part-time secretary (25 percent time and effort).

The PI is expected to hold final authority and responsibility for the
care of PPRU patients, reporting only to the chief of pediatrics or the
chairperson of the pediatrics department, even though the regular care
of the patients may be in the hands of other investigators or house
officers.  The PI must therefore be state-licensed as a physician and
board-certified in pediatrics.

B.  Local Advisory Committee

This group will play an important part in the operations of the PPRU
program. It should comprise from three to five members of the host
institution faculty in addition to the PI, either users or non-users of
the Unit, appointed for defined terms.  Members should all be sensitive
from experience or training to the special needs of children
participating in research.  They should all be qualified for the
committee's principal activities, evaluating protocols to be conducted
on the Unit for scientific merit and recommending to the PI priorities
for the use of unit resources.  The committee also has the
responsibility of examining the qualifications of candidates for the
associate clinical pharmacologist and other PPRU positions and
reporting their recommendations to the PI.

C.  Clinical Facility

A designated physical site where the clinical research is to be
performed is required.  To allow optimal opportunities for
collaboration among units in the network, it is desirable that each
PPRU have both an inpatient and an outpatient capability.  These could
be provided by a pediatric metabolic ward and outpatient clinic, a
General Clinical Research Center (GCRC) funded by the NIH National
Center for Research Resources and suitable for admitting children and
caring for them as outpatients, or some other unit similarly equipped
for conducting pediatric clinical research.

Applicant institutions that wish to identify the GCRC as a site for
conducting PPRU research should include with the application a letter
of agreement from the GCRC program director or PI.

D.  Core Laboratory

A funded PPRU may include a core laboratory dedicated to performing
specialized analyses and/or data management functions for studies
conducted in the Unit.  This should not include procedures routinely
performed for a fee in institutional laboratories or available in the
laboratories of the investigators utilizing the unit.  Each proposed
protocol should end with an estimate of staff time and required
hospital ancillary costs that will be made necessary by pursuit of the
protocol.  (These costs should not be included in the overall requested
Unit budget, since they will be distributed over all the network
participants in that protocol.)  For studies performed in collaboration
with pharmaceutical firms, those firms should pay the fees for
research-related clinical determinations.   For investigator-initiated
studies in which pharmaceutical firms do not participate, these costs
must be supported from sources other than the PPRU funding.

The core laboratory may be staffed by a PPRU-supported doctoral-level
core laboratory director (maximum 25 percent time and effort) and a
core laboratory technician (maximum 50 percent time and effort), if the
science proposed so warrants. Core laboratory consumable expenses and
equipment maintenance costs, up to a maximum of $20,000 annually, may
be supported if justified.

The core laboratory director, who reports to the PI, should have
responsibility for quality control in that laboratory.  The time and
effort of the PI may also be devoted to developing new methods for
protocols being conducted with PPRU support and to standardizing
procedures to be carried out for PPRU network collaborative protocols.
In addition, the core laboratory director is responsible for the care
and maintenance of the laboratory equipment, and will cooperate with
the PI in assisting other investigators in their use of the Unit.

The equipment used in the core laboratory should be primarily that
available to the investigators or obtainable from institutional
resources.  Nevertheless, new equipment up to a maximum cost of $50,000
over the first four years of the award may be requested in a PPRU
cooperative agreement application, with appropriate justification.

As an occasional courtesy, determinations that are available in the
core laboratory  may be performed for non-PPRU protocols, at the
discretion of the PI and core laboratory director.  For consistent or
recurrent non-PPRU usage, or for drug company-initiated protocols being
pursued on the units, there should be appropriate reimbursements from
non-PPRU sources for core laboratory equipment maintenance, supplies,
and personnel time, as well as for data management costs.  These
reimbursements, which must be used to offset unit costs, should be
reported as grant-related income.

E.  Investigators

Any person with pediatric privileges at the grantee institution is
eligible to utilize the PPRU resources for studies of drug efficacy or
metabolism, supported from independent research funds, if the protocols
have been approved and prioritized by the local PPRU Advisory
Committee.  These individual investigator protocols must not delay or
interfere with pursuit of the collaborative studies that are the Units
primary responsibility.  For investigators inexperienced in clinical
pharmacology, the PI is expected to provide advice and guidance.
Clinical pharmacists are encouraged to participate in PPRU research in
collaboration with physicians who bear the responsibility for patient
care.

F.  Research Plan

The scientific program at each PPRU should comprise three areas of
investigation.  The first priority will be the collaborative protocols
agreed upon by the Network Steering Committee (see below); the second
will be protocols performed for and with pharmaceutical companies; and
the third will be the Unit's own investigator-initiated research
protocols.

For the inter-PPRU collaborative work, applicant institutions are asked
to provide one or two examples of drug evaluation studies that they
would propose to the Network Steering Committee (see below).  These
examples should be drafts (up to 1,500 words) for consideration by
other participants in the program, but should include enough detail
(proposal, rationale, significance, procedures, resources required, end
points, power calculations, and discussion of feasibility) to allow
reviewers of the application to evaluate them for scientific merit.

For the collaborative work with industry, each applicant may include
one or two examples of previous studies conducted with pharmaceutical
organizations on the development of drugs for use in children.
Alternatively, a protocol proposed for pursuit with industry
participation may be presented, if a letter of interest from the
proprietary organization is included.

For the independent investigator work, each PPRU application should
include one or two examples of research protocols on pharmacokinetics
or pharmacodynamics in children that participating investigators intend
to pursue if the PPRU is funded.  These protocols should be presented
in fewer than 1,500 words.  Each should include a clearly identified
hypothesis, brief background information, and a narrative of the
procedures to be employed. They should include details of statistical
design and enough additional specific material as necessary for a fair
scientific review.  In addition, each protocol should provide a brief
justification of its need for PPRU resources.

G.  Nurse Coordinator

A qualified nurse coordinator is one of the most important assets of a
PPRU.  The nurse coordinator reports to and takes direction from the
PI, whether or not he or she is a member of the institution's nursing
service.  The nurse coordinator (in cooperation with the associate
clinical pharmacologist) carries out as many parts of the research
protocols as possible, dovetailing schedules for maximum efficiency and
instructing and supervising the other nursing staff in those operations
or procedures for which he or she is unavailable.  He or she is
responsible for data collection and organization, unless the latter
responsibility is assigned to a data coordinator (see below).  One or
more individuals may be supported in the nurse coordinator position, at
a total of one full-time equivalent (100 percent time and effort).

H.  Associate Clinical Pharmacologist

Units may request support for salaries and fringe benefits for this
position (maximum 50 percent time and effort).  The associate clinical
pharmacologist may be a physician who is fully trained in pediatrics,
has completed subspecialty training, and wishes to gain experience in
the conduct of pediatric pharmacology research under the guidance and
supervision of the PI or some other appropriate person.  Alternatively,
the associate clinical pharmacologist may be a non-physician holding
the Pharm.D. degree who has had special training in pediatric
pharmacology and wishes to obtain additional supervised clinical
experience.  Support for the associate clinical pharmacologist from the
PPRU is for research time and effort only, except that if this person
is a licensed physician he or she may assist the PI in supervising
patient care in the Unit.  A qualified individual may be supported for
up to two years as an associate clinical pharmacologist at a PPRU.

I.  Data Coordinator

Each PPRU application should include information about the data
management system to be used in the unit.  The system must be
satisfactory not only for support of local PPRU activities, but also
for participation in collaborative studies being performed by the
network, since each PPRU will serve in turn as the data coordinating
center for collaborative protocols.  If justified by the volume of work
expected, a data coordinator may be supported (up to 25 percent time
and effort) by a PPRU grant.  This person will organize the data in
preparation for transmission to other PPRUs when appropriate.  These
functions are critical to the success of the network.

SPECIAL REQUIREMENTS

Terms and Conditions of Awards

The following terms and conditions of award are in addition to, and not
in lieu of, otherwise applicable OMB administrative guidelines, HHS
grant administration regulations at 45 CFR Part 74, and other HHS, PHS,
and NIH grant administration policies and procedures.  The specific
terms and conditions pertaining to the nature and scope of the
interaction between NICHD staff and the participating PPRUs will be
incorporated into the Notice of Grant Award and will be in addition to
the customary programmatic and financial negotiations that occur in the
administration of grants.

Awardee Responsibilities

Each PI will have primary responsibility to define objectives and
approaches and to plan, conduct, analyze, and publish results,
interpretations, and conclusions of his/her studies.  For network
collaborative protocols, this responsibility will be shared with other
network members and the project coordinator.  The awardees retain
custody of and primary rights to the data developed under those awards,
subject to government rights of access, consistent with current HHS,
PHS, and NIH policies.  Awardees must be willing to participate and
collaborate with other awardees and with NICHD staff.

NICHD Responsibilities

The Project Coordinator (Medical Officer, Endocrinology, Nutrition and
Growth Branch, NICHD) will assist in the identification of important
areas for study; in the development of collaborative protocols; in the
review and evaluation of each stage of study protocols before
subsequent stages are started; and in the reporting of results to the
scientific community.

Network Steering Committee Responsibilities

The Network Steering Committee (NSC) will consist of the PIs of the
funded units and the Project Coordinator, NICHD, and will be chaired by
an (non-voting) outside chairperson selected by the members.  The
committee will meet at least quarterly to review and select protocols
to be performed collaboratively by the network and to exchange
information on progress.

The Steering Committee will collaboratively establish rules governing
publication, analysis and inter-unit sharing of data.

Arbitration Procedures

Whenever agreement between an awardee and NICHD staff cannot be reached
on programmatic and scientific issues that arise after the award, an
arbitration panel will be formed.  The panel will consist of one person
selected by the PI, one person selected by the NICHD Project
Coordinator, and a third person selected by these two members.  The
decision of the arbitration panel, by majority vote, will be binding.
These special arbitration procedures in no way affect the awardee's
right to appeal an adverse action in accordance with PHS regulations at
42 CFR Part 50, Subpart D, and HHS regulations at 45 CFR Part 16.

Other Application Requirements

A Safety Monitoring Committee will monitor the data from each ongoing
collaborative clinical trial and advise on the safety of its
continuation. This committee, to be selected by the Steering Committee,
will include expertise in clinical trial design, pharmacology,
epidemiology, statistics, and medical ethics.

The availability of a pharmacy capable of supporting clinical research
activities and experienced in the preparation of materials for
randomized clinical trials should be documented.

An explicit statement of the applicants' preparedness to participate in
PPRU network clinical trials according to the terms of the RFA should
be in the application, and evidence of a long-term institutional
commitment to the needs of the PPRU is required.  This may take various
forms, including (but not limited to) the waiver of facility fees or
bed costs for use of an outpatient clinic or research ward for patients
on protocol; equipment and space for a core laboratory; released time
for faculty to perform clinical pharmacology research in children;
and/or funding for support personnel.

Allowable Budgetary Items and Supportable Activities

Allowable costs in NIH cooperative agreements are governed by rules set
forth in the Public Health Service Grants Policy Statement and as
stated on the Notice of Grant Award.  Under these rules the PI may
exercise flexibility to meet unexpected requirements by rebudgeting or
requesting approval to rebudget among categories within the total
direct cost budget of the PPRU (as shown on the Notice of Grant Award),
within the ceilings set in these guidelines.

PPU grants are for five years, at a maximum level of $250,000 in direct
costs for the first year, with annual increments of 4 percent
thereafter.  They are renewable through competing continuation
applications, provided funds are available.  Items supportable through
a PPRU cooperative agreement award may include:

1.  Administration.  Personnel:  Principal investigator (maximum 25
percent time and effort); secretary (maximum 25 percent time and
effort).  Administrative Support Services:  supplies, duplication
costs, telephone.  Travel:  PI to meetings of the NSC.

2.  Core Laboratory.  Personnel:  Core laboratory director (maximum 25
percent time and effort); core laboratory technician (maximum 50
percent time and effort).  Equipment:  Maximum of $50,000 total cost,
distributed over the first four years of the award.  Supplies:
Appropriate for unit participation in collaborative protocols and for
support of specialized analyses for investigator-initiated studies on
the Unit

Other:  Maintenance costs on equipment purchased by the award or
otherwise dedicated to Unit use.

The maximum allowable total annual amount for supplies plus other in
the core laboratory is $20,000.

3.  Research Services Core.  Personnel:  Nurse Coordinator (maximum 100
percent time and effort); Associate
Clinical Pharmacologist (maximum 50 percent time and effort); Data
Coordinator
(maximum 25 percent time and effort).

The following items are not fundable through a PPRU grant:

Costs of clinical care, such as patient bed costs, outpatient visit
fees, and clinical laboratory determinations.  These costs must be paid
by the pharmaceutical companies for protocols performed on their
initiative or by third-party carriers or other sources for
investigator-initiated protocols. For Network protocols for which
necessary ancillary costs cannot be paid from other sources, the NICHD
will provide administrative supplements.

Travel to scientific meetings or for any other purpose except for the
PI to attend meetings of the NSC.

Laboratory costs (outside the core laboratory) for projects being
performed by
investigators using the Unit.

STUDY POPULATIONS

SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH
POLICIES CONCERNING INCLUSION OF FEMALES AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements are required to include minorities and females
in study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder or condition under study.
Special emphasis must be placed on the need for inclusion of minorities
and females in studies of diseases, disorders and conditions which
disproportionately affect them.  This policy is intended to apply to
males and females of all ages.  If females or minorities are excluded
or inadequately represented in clinical research, particularly in
proposed population-based studies, a clear compelling rationale must be
provided.

The composition of the proposed study population must be described in
terms of gender or racial/ethnic group, together with a rationale for
its choice.  In addition, gender and racial/ethnic issues must be
addressed in developing a research design and sample size appropriate
for the scientific objectives of the study.  This information must be
included in the form PHS 398 in Sections 1-4 of the Research Plan and
summarized in Section 5, Human Subjects.  Applicants are urged to
assess carefully the feasibility of including the broadest possible
representation of minority groups.  However, NIH recognizes that it may
not be feasible or appropriate in all research projects to include
representation of the full array of United States racial/ethnic
minority populations (i.e., Native Americans [including American
Indians or Alaskan Natives], Asian/Pacific Islanders, Blacks,
Hispanics).

The rationale for studies on single minority population groups should
be provided.

For the purpose of this policy, clinical research is defined as human
biomedical and behavioral studies of etiology, epidemiology, prevention
(and preventive strategies), diagnosis, or treatment of diseases,
disorders or conditions, including but not limited to clinical trials.

The usual NIH policies concerning research on human subjects also
apply. Basic research or clinical studies in which human tissues cannot
be identified or linked to individuals are excluded.  However, every
effort should be made to include human tissues from women and
racial/ethnic minorities when it is important to apply the results of
the study broadly, and this should be addressed by applicants.

If the required information is not contained within the application,
the application will be returned.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies.  If the representation of
females or minorities in a study design is inadequate to answer the
scientific question(s) addressed and the justification for the selected
study population is inadequate, it will be considered a scientific
weakness or deficiency in the study design and reflected in assigning
the priority score to the application.

All applications for clinical research support submitted to NIH are
required to address these policies.  NIH funding components will not
award cooperative agreements that do not comply with these policies.

LETTER OF INTENT

Prospective applicants are asked to submit, by February 15, 1993, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to which
the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains is helpful in planning for the review of applications.
It allows NICHD staff to estimate the potential review workload and to
avoid possible conflict of interest in the review.

The letter of intent is to be sent to:

Ephraim Y. Levin, M.D.
Endocrinology, Nutrition and Growth Branch
Center for Research for Mothers and Children
National Institute of Child Health and Human Development
Executive Plaza North, Room 637
Bethesda, MD  20892
Telephone:  (301) 496-5593

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research and from the Office of
Grants Inquiries, Division of Research Grants, National Institutes of
Health, Westwood Building, Room 449, Bethesda, MD 20892, telephone
301/496-7441.

The RFA label available in the PHS 398 application form must be affixed
to the bottom of the face page of the application.  Failure to use this
label could result in delayed processing of the application such that
it may not reach the review committee in time for review.  In addition,
the RFA title and number must be typed on line 2a of the face page of
the application form and the YES box must be marked.

Applicants should follow the instructions included with PHS Form 398
except where these are at variance with instructions in this RFA.
Since the generic guidelines were not prepared specifically to be used
for PPRU cooperative agreement applications, considerable flexibility
in application format will be tolerated.  Applicants should take care,
however, that adequate information is provided to allow reviewers to
evaluate the application on the basis of the review criteria listed
below.  Since applicants will be proposing at least two research plans,
the individual and the collaborative, the standard 25-page limit will
not apply.  For questions related to application format, applicants may
contact one of the individuals under INQUIRIES.

Submit a signed, typewritten original of the application, including the
Checklist, and three signed photocopies in one package to:

Division of Research Grants
National Institutes of Health
Room 240, Westwood Building
Bethesda, MD  20892**

In addition to the application and copies mailed to the Division of
Research Grants, two copies of the application must also be sent to:

Susan Streufert, Ph.D.
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 5E01
Bethesda, MD  20892

Applications must be received by April 13, 1993.  If an application is
received after that date, it will be returned to the applicant.

REVIEW CONSIDERATIONS

Applications will be reviewed by the Division of Research Grants for
completeness and by NICHD staff for responsiveness to the RFA.  An
incomplete or non-responsive application will be returned to the
applicant.  Responsive applications may be subjected to a triage by a
peer-review group to determine the scientific merit relative to the
other applications received in response to this RFA.  The NICHD will
withdraw from competition those applications judged to be
noncompetitive and notify the applicants and institutional business
officials.

Applications considered responsive to this RFA will be reviewed for
technical merit by an Initial Review Group convened by the scientific
review staff of the NICHD solely to evaluate these applications.
Criteria for the initial review are described below.  Following review
by the Initial Review Group, applications will be evaluated by the
National Advisory Child Health and Human Development (NACHHD) Council
for program relevance and policy issues before awards are made.

REVIEW CRITERIA

The following are the review criteria for the evaluation of PPRU
applications:

Qualifications of the core of experienced investigators in clinical
pharmacology who have independent competitively-earned research
support, a record of research productivity, and a demonstrated interest
in pharmacological research in children.

An explicitly stated willingness by these investigators to generate
protocols to perform on the unit, propose protocols to the NSC for
collaborative pursuit, and collaborate with pharmaceutical firms in
testing useful drugs in children is required.

Suitability of the proposed clinical locus for the Unit in the
applicant institution or its affiliated hospital, such as a pediatric
metabolic ward and outpatient clinic, a GCRC with staff accustomed to
conducting studies in children, or some unit similarly staffed and
equipped.

Availability of a suitable population to participate as research
subjects in PPRU studies.

Qualifications of the PI for the duties described in this RFA.

Scientific quality and relevance of the sample protocols proposed for
pursuit in the Network and in the local PPRU.

Evidence of previous successful research collaborations with industry
or of efforts to arrange future collaborations.

Nature, facilities, functions, and probable value to the research of
any proposed core laboratory.

Adequacy of data management resources available to support PPRU
protocols.

Evidence of institutional commitment to the long-term activities of the
PPRU network.

Composition of the proposed local advisory committee and its proposed
procedures for evaluating protocols, monitoring ongoing research on the
Unit, and recommending candidates for the associate clinical
pharmacologist and other PPRU positions.

Qualifications of the nurse coordinator proposed for support from the
Unit and/or the criteria to be used in selecting a person for this
position.

Qualifications of the associate clinical pharmacologist (if any)
proposed for support from the Unit and/or the criteria to be used in
selecting a person for this position.

AWARD CRITERIA

The anticipated date of award is September 30, 1993.  Awards will be
made on scientific merit as determined by peer review.  The
availability of appropriate study populations, the extent of
investigator experience, adequacy of equipment and facilities, and
program balance will also be taken into account.

Timetable

Letter of Intent Receipt Date:  February 15, 1993
Application Receipt Date:       April 13, 1993
Initial Review Date:            July 1993
Review by NACHHD Council:       September 1993
Earliest Possible Award Date:   September 30, 1993

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Direct inquiries regarding programmatic issues to:

Ephraim Y. Levin, M.D.
Endocrinology, Nutrition and Growth Branch
Center for Research for Mothers and Children
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 637
Bethesda, MD  20892
Telephone:  (301) 496-5593

Direct inquiries regarding fiscal matters to:

E. Douglas Shawver
Supervisory Grants Management Specialist
Office of Grants and Contracts
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 505
Bethesda, MD  20892
Telephone:  (301) 496-1303

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.865, Research for Mothers and Children.  Awards are made under
authorization of the Public Health Service Act, Section 301 (42 USC
421), and 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 Health Systems
Agency review.

From owner-sci-resources@net.bio.net Thu Nov 05 22:00:00 1992
Path: biosci!agate!ames!saimiri.primate.wisc.edu!usenet.coe.montana.edu!news.u.washington.edu!ogicse!das-news.harvard.edu!husc-news.harvard.edu!husc8.harvard.edu!mlevin
From: mlevin@husc8.harvard.edu (Michael Levin)
Newsgroups: sci.bio,bionet.sci-resources
Subject: looking for a supplier of bio-related posters
Message-ID: <1992Nov6.154326.17169@husc3.harvard.edu>
Date: 6 Nov 92 20:43:26 GMT
Distribution: usa
Organization: Harvard University Science Center
Lines: 10
Xref: biosci sci.bio:674 bionet.sci-resources:532
Nntp-Posting-Host: husc8.harvard.edu


    Does anyone know of a mail-order place to get posters of
bio-related stuff? For example, I saw a poster someone had of a
electron-micrograph of a drosophila head. I amm looking for posters of
weird creatures, embryos, cells dividing, microphotographs, labelled
neurons (like they have on the covers of develompental bio books), etc. 
If anyone knows of a place that sells posters of this sort of thing,
please email to mlevin@husc8.harvard.edu.

Mike Levin

From owner-sci-resources@net.bio.net Mon Nov 09 22:00:00 1992
Path: biosci!uwm.edu!caen!destroyer!cs.ubc.ca!utcsri!torn!csd.unb.ca!mikemac
From: mikemac@jupiter.sun.csd.unb.ca (Mike MacDonald)
Newsgroups: sci.chem,sci.bio,sci.engr.biomed,bionet.sci-resources
Subject: Looking for info on aldehydes
Message-ID: <1992Nov10.021344.5627@jupiter.sun.csd.unb.ca>
Date: 10 Nov 92 02:13:44 GMT
Sender: Michael MacDonald <mikemac@unb.ca>
Followup-To: mikemac@unb.ca
Organization: University of New Brunswick
Lines: 20
Xref: biosci sci.chem:784 sci.bio:716 sci.engr.biomed:61 bionet.sci-resources:533

I have a close friend who has been quite ill lately, it appears that it may
be related to a low level exposure to one or more of the following aldehydes.

   1) propionaldehydes
   2) acetaldehydes	
   3) 2-methylbuteraldehydes
   4) 2-methylpentaldehydes

She is keenly interested in talking to someone (telephone style) who knows 
anything about the long term low level exposure to any and/or all of the above.

Michael J. MacDonald
Senior Systems Specialist
Faculty of Computer Science
University of New Brunswick
P.O. Box 4400 
Fredericton NB Canada E3B 5A3

Phone (506) 453 4566
Fax   (506) 453 3466

From owner-sci-resources@net.bio.net Mon Nov 09 22:00:00 1992
Path: biosci!NET.BIO.NET!kristoff
From: kristoff@NET.BIO.NET (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS - 8 November 1992
Message-ID: <CMM.0.90.2.721434475.kristoff@net.bio.net>
Date: 10 Nov 92 22:27:55 GMT
Sender: kristoff@net.bio.net
Distribution: bionet
Lines: 80


                     ** NEW DOCUMENTS ON STIS **

Document Type: General Publication

   Title: NSF92-99 - Gateway to Diversity in the Scientific and Technological Workforce
               File size (bytes):       266693
               STIS Filename:           nsf9299   

Document Type: Program Guideline

   Title: NSF 92-111 - Human Resource Development for Minorities in Science and Engineering
               File size (bytes):       179276
               STIS Filename:           nsf92111   

   Title: NSF 92-120 - CISE Postdoctoral Research Associates in Computational Science and Engineering CISE Postdoctoral Research Associates in Experimental Science
               File size (bytes):       13914
               STIS Filename:           nsf92120   

Document Type: Recruit

   Title: Director, Division of Polar Programs
               File size (bytes):       6947
               STIS Filename:           vep9216a   

   Title: Dep. Dir., Div of International Programs
               File size (bytes):       6670
               STIS Filename:           vep931   

   Title: Physicist  EX92-60
               File size (bytes):       3437
               STIS Filename:           vex9260   

Document Type: Report

   Title: NSF 92-112 - The Multinational Coordinated Arabidopsis thaliana Genome Research Project
               File size (bytes):       107051
               STIS Filename:           nsf92112   

------------------------------------------------------------------------
                       ** FOR YOUR REFERENCE **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS

The above files can be retrieved in electronic form using the STIS
system.  If you don't know how to use STIS, send an E-mail message to
stisinfo@nsf.gov (Internet) or stisinfo@NSF (BITNET).  You will receive
a copy of the STIS flyer via E-mail.

If you are already using STIS, you can use the information above to retrieve
these files:

Documents via E-mail:

     Send a message to stisserv@nsf.gov (Internet) or stisserv@NSF
     (BITNET).  Use the "STIS Filename" shown above in the "get" command.
     For example, to retrieve nsf92112, the text of your message should be 
     as follows:
                       get nsf92112

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve nsf92112, you would
     enter:
                       ftp> get nsf92112

WAIS or Gopher:

     Do a word search on the filename as shown in the summary.

If you want a *printed* copy of a document:

     Send your name and postal mailing address, and the document title
     and number to "pubs@nsf.gov" (Internet) or "pubs@nsf" (BITNET).

If you have problems with the above procedures:

     Send a message to "stis@nsf.gov" (Internet) or "stis@NSF"
     (BITNET).  

From owner-sci-resources@net.bio.net Wed Nov 11 22:00:00 1992
Path: biosci!NET.BIO.NET!kristoff
From: kristoff@NET.BIO.NET (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 21, no. 41, pt. 2a, 13 November 1992
Message-ID: <CMM.0.90.2.721592233.kristoff@net.bio.net>
Date: 12 Nov 92 18:17:13 GMT
Sender: kristoff@net.bio.net
Distribution: bionet
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$$XID NIHGUIDE 19921113 V21N41 P3O3 ************************************
Investigator or program director, as well as any participating
investigators, will plan, direct, and perform the research.  Applicants
for program project grants should contact the NINDS representative
listed below as early as possible in the planning stages.

RESEARCH OBJECTIVES

Background

Millions of Americans suffer from recurrent headaches.  For many, the
headaches are of such severity that they are disabling.  In addition to
the profound effects on the quality of life for these people, the
economic consequences are enormous.  Some estimates are that headache
sufferers seek medical care through over eight million visits to
physicians or emergency rooms each year.  Other estimates of the impact
of this condition are that migraineurs alone lose over sixty million
workdays a year.  A major research goal of the NINDS, which is the
responsible agency for neurological research in the Federal Government,
is to understand the basic pathophysiology of headaches and to use this
understanding to improve methods for treatment and prevention of
recurrence.

Headaches can be classified as vascular headaches, muscle contraction
headaches, tension headaches, or inflammatory headaches, to mention but
a few.  Vascular headaches are thought to involve abnormal function of
the brain's blood vessels or vascular system.  The most common type of
vascular headache is migraine headache, the cause of which is still not
known.  Migraine headaches are frequently characterized by severe pain
on one or both sides of the head, nausea, and extreme sensitivity to
light and noises.  The two most prevalent types of migraine headache
are the classic migraine and the common migraine.  The major difference
between these two types of migraine is that the victim of a classic
migraine experiences an aura about 10 to 30 minutes before the onset of
headache.  This aura is the major prodromal neurological symptom and
warning of the imminent onset of the classic migraine.  The pain of a
migraine headache is described as an intense, throbbing, or pounding
pain in the forehead, temple, ear, jaw, or around the eye; these pains
may continue for several days.  The common migraine is not preceded by
an aura; however, some people who are subject to the common migraine
exhibit a variety of vague symptoms before the onset of the headache,
such as mood shifts, fatigue, and abnormal retention of fluids.  The
pain of common migraine can also last several days, during which the
victim may have nausea or vomiting.

Research Goals and Scope

Examples of investigator-initiated research grant applications for
basic and clinical studies related, in the broadest sense, to the
etiology, prevention, and treatment of recurrent headache, especially
migraine headache, may include, but should not necessarily be limited
to:

o  precise elucidation of the cellular and molecular events that cause
or lead to headaches;

o  development of more specific clinical interventions for both
prevention and treatment of migraine headaches, such as anti-platelet
clumping drugs; more efficacious anti-serotonin drugs or other means of
preventing or reducing the constriction of arteries; and site-specific
anti-prostaglandins;

o  development of methods for precisely identifying the sequence of
alterations in blood flow or vascular reactivity that may be an
initiating factor for migraine;

o  identification of risk factors, or events, that predispose the
migraineur to an attack, such as stress, allergies, diet, sleeping
patterns, neuroses, personality type, and behavioral characteristics
such as excitability and compulsiveness;

o  control of risk factors in relation to the prevention of a migraine
headache;

o  longitudinal epidemiology of the distribution and inter-relation
between risk factors and the predisposition to an attack of migraine
headache;

o  determination of whether or not genetic factors predispose to
migraines, and, if so, identification of the genetic locus with a view
toward understanding the causative or contributory mechanisms and
developing a means of preventing migraine headache; and

o  determination of the relation between hormones and migraine.

POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements will be required to include minorities and women
in study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder, or condition under study;
special emphasis should be placed on the need for inclusion of
minorities and women in studies of diseases, disorders, and conditions
that disproportionately affect them.  This policy is intended to apply
to males and females of all ages.  If women or minorities are excluded
or inadequately represented in clinical research, particularly in
proposed population-based studies, a clear compelling rationale should
be provided.

The composition of the proposed study population must be described in
terms of gender and racial or ethnic group. In addition, gender and
racial or ethnic issues should be addressed in developing a research
design and sample size appropriate for the scientific objectives of the
study.  This information should be included in the form PHS 398 in
Sections 1-4 of the Research Plan AND summarized in Section 5, Human
Subjects.  Applicants are urged to assess carefully the feasibility of
including the broadest possible representation of minority groups;
however, the NIH recognizes that it may not be feasible or appropriate
in all research projects to include representation of the full array of
Unites States racial or ethnic minority populations:  Native Americans
(including American Indians or Alaska Natives), Asian or Pacific
Islanders, Blacks, and Hispanics).  The rationale for studies on single
minority population groups should be provided.

For the purpose of this policy, clinical research includes human
biomedical and behavioral studies of etiology, epidemiology, prevention
(and prevention strategies), diagnosis, or treatment of diseases,
disorders, or conditions, including, but not limited to, clinical
trials.

The usual NIH policies concerning research on human subjects also
apply.  Basic research or clinical studies in which human tissues
cannot be identified or linked to individuals are excluded; however,
every effort should be made to include human tissues from women and
racial or ethnic minorities when it is important to apply the results
of the study broadly.  This directive should be addressed by
applicants.

For foreign awards, the policy on inclusion of women applies fully.
Since the definition of minority differs in other countries, the
applicant must discuss the relevance of research involving foreign
population groups to the United States' population, including
minorities.

If the required information is not contained within the application,
the review will be deferred until the information is provided.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies.  If the representation of
women or minorities in a study design is inadequate to answer the
scientific question(s) addressed AND the justification for the selected
study population is inadequate, it will be considered a scientific
weakness or deficiency in the study design and will be reflected in
assigning the priority score to the application.

All applications for clinical research submitted to the NIH are
required to address these policies.  NIH funding components will not
award grants or cooperative agreements that do not comply with these
policies.

APPLICATION AND REVIEW PROCEDURES

Applications are to be submitted on the grant application form PHS 398
(rev. 9/91) according to the instructions included in the application
package.  These application packages are available at the offices of
sponsored research of most institutions eligible to receive Federal
grants and from the Office of Grants Inquiries, Division of Research
Grants, National Institutes of Health, Westwood Building, Room 449,
Bethesda, MD 20892, telephone (301) 496-7441.

Applicants for program project grants should request, from the address
below, a copy of the NINDS Guidelines: Program Project and Research
Center Grants (rev. June 1992). Receipt dates for new research project
grant applications and FIRST Awards (R01 and R29, respectively) and for
program project and center grant applications (P01 and P50,
respectively) are February 1, June 1, and October 1.

FIRST award applications must include at least three sealed letters of
reference attached to the face page of the original application.  FIRST
award applications submitted without the required number of reference
letters will be considered incomplete and will be returned without
review.

On page 1 of form PHS 398, check "yes" in Item 2a, enter the number of
this Program Announcement in the space provided, and provide the name
of this Program Announcement (Neurological Basis of Recurrent
Headaches, Especially Migraine) in the blank space labeled "Title."

Use the mailing label provided in the application package to mail the
signed original and five exact copies to the Division of Research
Grants.  If the application is for a program project or center grant,
please send the original and three copies to the Division of Research
Grants.  An additional two copies of the program project or center
grant application sent to the address below would be useful for
expediting the processing of these applications for multidisciplinary
efforts.

REVIEW CONSIDERATIONS

Research project grant applications and FIRST award applications (R01
and R29, respectively) will be reviewed for scientific and technical
merit by an appropriate study section in the Division of Research
Grants.  Program project grant and center grant applications (P01 and
P50, respectively) will be reviewed according to the practice of the
Institute to which the application is assigned.  The second level of
review will be by the appropriate National Advisory Council.  The
standard review criteria will be used to assess the scientific merit of
applications.

AWARD CRITERIA

Applications will compete for available funds with all other
applications. The following will be considered when making funding
decisions:

o  quality of the proposed projects as determined by peer review
o  availability of funds
o  program balance among research areas

INQUIRIES

Questions concerning scientific aspects of this PA may be addressed to:

Dr. George N. Eaves
Division of Stroke and Trauma
National Institute of Neurological Disorders and Stroke
Federal Building, Room 8A13
Bethesda, MD  20892
Telephone:  (301) 496-4226
FAX:  (301) 480-1080

Questions concerning fiscal aspects of this PA may be addressed to:

Ms. Kathleen Howe
Division of Extramural Activities
National Institute of Neurological Disorders and Stroke
Federal Building, Room 1004
Bethesda, MD  20892
Telephone:  (301) 496-9231
FAX:  (301) 402-0219

AUTHORITY AND REGULATIONS

This program is described in the Catalogue of Federal Domestic
Assistance, No. 93.853, Clinical Research Related to Neurological
Disorders, and 93.854, Biological Basis Research in the Neurosciences.
Grants will be awarded under the authority of the Public Health Service
Act, Title IV, Section 301 (Public Law 78-410, as amended:  42 USC 241)
and administered under PHS grants policies and Federal Regulations 42
CFR Part 52 and 45 CFR 74.  This program is not subject to Health
Services Agency review of the intergovernmental review requirements of
Executive Order 12372.

$$P5 END ************************************************************

$$P6 BEGIN PA-93-020 ************************************************

SMALL INSTRUMENTATION GRANTS PROGRAM

NIH GUIDE, Volume 21, Number 41, November 13, 1992

PA:  PA-93-020

P.T. 34; K.W. 0735000, 1002024, 0735015, 1014001

National Institutes of Health

Application Receipt Date:  February 10, 1993

PURPOSE

The National Institutes of Health (NIH) has supported a Small
Instrumentation Grants Program (SIP) since FY 1987 in response to
several studies indicating that the state of biomedical research
instrumentation had seriously eroded over the recent past and that this
situation is retarding the progress of biomedical research.  The most
significant need identified in these studies is for the relatively low-
cost pieces of equipment in the price range of approximately $5,000 to
$60,000.

Approximately $6 million will be available from the NIH in FY 1993 for
the SIP.  (As of October 1, 1992, the NIH was expanded to include the
National Institute on Alcohol Abuse and Alcoholism, the National
Institute on Drug Abuse, and the National Institute of Mental Health
and these three institutes will participate in this program.)

ELIGIBILITY REQUIREMENTS

Eligible organizations or organizational components are those domestic,
non-profit organizations that:  (1) received at least three NIH
(including the three Institutes indicated above) research grants in the
research grants base (defined below) totaling between $200,000 and
$2,924,000 in FY 1992, and (2) have active NIH research grant support.
The "research grants base" is defined as those grants awarded with the
following activity codes:  K01, K02, K04, K05, K06, K08, K11, K12, K14,
K15, K16, K20, K21, P01, P40, P41, P42, P50, P60, R01, R03, R10, R21,
R22, R23, R24, R29, R35, R37, R55, S06, S14, U01, U10, U24, U41, U42,
and U54.

MECHANISM OF SUPPORT

The mechanism of support for this program will the small
instrumentation program (S15).  Applicants will be responsible for
identifying and purchasing the equipment requested for use on active
NIH research grants.

APPLICATION PROCEDURES

Only those organizations or organizational components receiving a
LETTER OF INVITATION TO APPLY are eligible for a SIP award.  These
letters, which will contain application instructions, will be mailed on
or about November 25, 1992.

Only one application may be submitted from each eligible organization
or organizational component, which may establish its own procedures for
identifying equipment requests.

Investigators interested in participating in their organization's or
organizational component's application should contact the official
responsible for completing the application.  Those officials who expect
to be involved in preparing an application should publicize the
availability of SIP funds, so that investigators in need of small
research instruments are provided the opportunity to indicate their
needs for such equipment.

The SIP award will be restricted to the purchase of equipment costing
between $5,000 and $60,000.  Awards will be made on or before September
1, 1993.  The amount of the award will be based
on a percentage of the organization's or organizational component's
research grants base for FY 1992 or $5,000, whichever is greater.
Organizations or organizational components will be notified of the
maximum amount for which they may apply.

Completed applications must be received by February 10, 1993.

REVIEW CONSIDERATIONS

Applications will be assigned to individual NIH Institutes and Centers
for administrative review of the completeness of the application in
accordance with the application instructions.
Incomplete applications will be returned to the applicant without
further consideration.
Specific funding decisions will depend on available funds and the
appropriateness of the request in relation to active NIH research grant
support.

INQUIRIES

Issues NOT ADDRESSED in the application instructions may be addressed
to:

Research Training and Special Programs Office
Office of Extramural Research
National Institutes of Health
Building 31, Room 5B44
Bethesda, MD  20892
Telephone:  (301) 496-1968
FAX:  (301) 496-0166

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.337, Biomedical Research Support.  Grants will be
available under the authority of and administered in accordance with
the PHS Grants Policy Statement and Federal regulations at 42 CFR 52
and 42 USC 241.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

$$P6 END ************************************************************

                               ERRATUM

$$E1 BEGIN P3 19921016 APPEND PAR-93-008 BOTH **************************

ACADEMIC AWARD IN VASCULAR DISEASE

NIH GUIDE, Volume 21, Number 41, November 13, 1992

PAR NUMBER:  PAR-93-008

P.T. 34; K.W. 0715040

National Heart, Lung, and Blood Institute

This change is issued for PAR-93-008, Academic Awards in Vascular
Disease which was published in the NIH Guide for Grants and Contracts,
Vol. 21, No. 37, October 16, 1992).  The fifth sentence under the
section ELIGIBILITY REQUIREMENTS should read:

"An individual institution may submit an application for a systemic
vascular program OR an application for a pulmonary vascular program for
a given receipt date."

The NHLBI will accept only one application per institution, and will
make only one award per institution.

$$E1 END ************************************************************


$$XID RFA HL9310 HL-93-10 P1O1 *****************************************

ASTHMA ACADEMIC AWARD

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFA:  HL-93-10-L

P.T. 34; K.W. 0715013, 0502024, 0785035

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  December 15, 1992
Application Receipt Date:  February 17, 1993

PURPOSE

The primary objective of this program is to stimulate the development
and/or improvement of the quality of medical curricula,
physician/patient/and community education, and clinical practice for
the prevention, management, and control of asthma in the United States.

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 Request
for Applications (RFA), Asthma Academic Award, is related to the
priority areas of diabetes and chronic disabling diseases.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary Report:
Stock No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone:
202-783-3238).

ELIGIBILITY REQUIREMENTS

Institutions

Applications may be submitted by domestic universities or schools of
medicine.  Minority institutions and urban institutions from areas with
high rates of morbidity of asthma that have the necessary resources and
facilities and a commitment to providing the awardee with the time to
develop and implement plans consistent with the goals of this
announcement are encouraged to sponsor candidates for these awards.

Candidates

A candidate for an award must:

o  be an established physician and medical faculty member in an
accredited school of medicine or osteopathy in the United States, its
territories or possessions, and have competence in the management of
asthma, and;

o  be employed by a school of medicine or osteopathy that is located in
an area with high asthma morbidity, such as an institution located in
an inner city;

o  have sufficient clinical training, research, and teaching experience
in pulmonary medicine to develop and implement a high quality
curriculum in asthma encompassing current knowledge and methods
applicable to the control of asthma in individuals of all ages and to
provide leadership in applied research in control of asthma;

o  be a citizen or non-citizen national of the United States or have
been lawfully admitted to the United States for permanent residence at
the time of application;

Individuals who have held another National Institutes of Health (NIH)
career development award (K series) are eligible to apply for the
Asthma Academic Award.  Applications from minority individuals and
women are encouraged.

MECHANISM OF SUPPORT

This RFA is part of the Academic Award Program (K07) of the National
Heart, Lung, and Blood Institute (NHLBI).  Responsibility for the
planning, direction, and execution of the proposed project will be
solely that of the applicant.  The total project period may not exceed
five years and is non-renewable.  It is anticipated that support for
this program will begin September 1993.

A maximum of $50,000 for the salary of the awardee, plus applicable
fringe benefits, a maximum of $20,000 for technical support, and
indirect costs not to exceed eight percent may be requested.

FUNDS AVAILABLE

The estimated funds (total costs) for the first year of support for the
entire program will be $300,000.  It is anticipated that three to four
grants will be awarded each year for five years under this program.
The specific number, however, will depend upon the merit and scope of
the applications received and the availability of funds.

RESEARCH OBJECTIVES

Background

Asthma is a serious chronic condition, affecting approximately 10
million Americans.  People with asthma experience over 100 million days
of restricted activity annually, and costs for asthma care exceed $4
billion a year.  Asthma morbidity and mortality rates are increasing.
>From 1980 to 1987, the prevalence of asthma in the U.S. increased 29
percent, and the number of asthma deaths increased by 31 percent.
Recent reports indicate that mortality from asthma has been rising
since about 1968 in all age groups.  In 1987, the overall death rate
from asthma was 1.9/100,000 people with females slightly higher than
males.  Many of these deaths were considered to be largely preventable.
The largest increase in asthma-related mortality has been among blacks,
women, and persons over 65 years of age.  Additionally, since about
1950 there has been a widening gap in the death rate from asthma
between blacks and whites.  The asthma mortality rate has been three
times higher in black compared to white males and twice as high in
black than in white females.

Reduction of asthma morbidity has been identified as a new objective in
the U.S. Health Objectives for the Year 2000.  Considerable national
attention is being directed at this problem, including the following
major efforts.  Considerable behavioral and education research has been
conducted in the area of patient/family self management to complement
and enhance medical treatment regimens, and these have yielded several
effective educational programs for patients and their families.  With
representation from 30 governmental, professional, and voluntary health
organizations, a National Asthma Education Program has been initiated
to educate patients, the public, and health care providers about the
disease.  A major early accomplishment of this Program was the
preparation and dissemination of the Guidelines for the Diagnosis and
Management of Asthma.

Yet, although asthma is a disease that generally can be controlled with
expert medical treatment and self-management, many patients are not
receiving state-of-the-art medical care and/or are not following the
prescribed treatment plans.  Special programs are needed to reach
health care providers in areas remote from major medical centers and to
reach minority and lower socioeconomic level patients in both inner
city and rural areas.  Multidimensional research conducted by
multidisciplinary teams will be required to improve clinical practice
and patient evaluation.  Therefore, the aim of this program is to
stimulate the development and/or improvement of the quality of medical
education, patient and community education, research programs, and
clinical practice focused on the control of asthma.

Objectives

The objectives of the Asthma Academic Award are to:

o  encourage the development of high quality curricula in schools of
medicine that will significantly increase the opportunities for
students, house staff, and others, to learn the principles and practice
of preventing, managing, and controlling asthma;

o  develop and implement interdepartmental programs with common goals
and standardize diagnostic and therapeutic approaches;

o  promote communication among specialists in primary care, allergy,
and obstetrics and gynecology to ensure appropriate treatment of
pregnant women with asthma;

o  encourage applied research in the control of asthma;

o  promote the development of a faculty capable of providing
appropriate instruction in asthma;

o  provide for outreach programs from medical centers to health
practitioners in the community to enhance optimal care, especially in
areas of high asthma morbidity, such as inner city minority
communities;

o  promote an institutional environment that facilitates an interchange
of information and educational evaluation techniques about new
diagnostic, therapeutic and prevention measures in asthma in both
children and adult populations;

o  investigate coordinated clinical approaches to the care of patients
of various ages and ethnic groups who have asthma, such as minorities,
young children, and the elderly;

o  facilitate an interchange of ideas among awardees and institutions;
and

o  contribute to the public health efforts to control asthma in the
United States.

Of particular interest are programs targeted to inner city populations
and to rural areas that may be in need of education about asthma and
among physicians who are or who will be caring for medically
underserved populations.

SPECIAL REQUIREMENTS

Awardee Salary

The salary requested for the awardee must not exceed the actual
institutional salary rates, and must not exceed $50,000 plus fringe
benefits.  A candidate must spend at least 30 percent time on this
award.

An awardee may devote up to a total of 100 percent effort as an
Academic Awardee and as Principal or participating Investigator on any
other NIH-supported grant(s) or contract(s) and may receive
remuneration from such grant(s) or contract(s) accordingly.

Technical Support

Technical support will be provided up to a maximum of $20,000 per year
for the following:

o  personnel other than the awardee if required for the development of
the program.  Salaries will be allowable for technical and support
staff and consultants.  Student stipends are allowable for students
conducting projects directly related to the award;

o  equipment costs are not allowable;

o  consumable supplies essential to the proposed program;

o  funds for educational development to enable the awardee to develop
educational skills and to meet with other awardees to exchange ideas,
methods, and program evaluations.

Awardees may be requested to meet as a group up to two times a year.
These meetings will promote collaborative efforts, provide for some
needed technical support, and encourage an exchange of ideas among the
awardees.  Funds should be allocated for travel for the Principal
Investigator to a midpoint in the country and the principal
investigator must agree to participate in these meetings.

Indirect Costs

Awards will be provided for the reimbursement of actual indirect costs
at a rate up to, but not exceeding, eight percent of the total direct
costs of each award, exclusive of tuition, fees, and expenditures of
equipment.

Conditions of the Award

Institutions may apply for awards on behalf of named individuals
meeting the criteria for this award.  Awards will be limited to one
from each eligible school over the life of the award.  After the first
year, grants will be renewed for a maximum of four years on a
non-competitive basis depending upon progress being made in meeting the
program's objectives.  An annual report will be required that
summarizes activities relevant to curriculum development at the
institution and other elements of the program plan and outlines future
plans.  This report will serve as the principal basis for renewal of
the grant.

The grant will be made annually for each of the five annual budget
periods.  Awards may not be transferred from one institution to
another.  If an awardee moves to another institution, the award will
continue at the original institution only upon approval by the Division
of Lung Diseases of a suitable replacement proposed by the grantee
institution.  Such a replacement will not lengthen the overall term of
the award.

STUDY POPULATIONS

SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH
POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

Although the Asthma Academic Award is not primarily a mechanism to
support research, some awardees may implement some research as a part
of the overall Academic Award program.  If any clinical research is
proposed under this program, the policies of the NIH regarding
inclusion of women and minority apply.

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements are required to include minorities and women in
study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder or condition under study;
special emphasis must be placed on the need for inclusion of minorities
and women in studies of diseases, disorders and conditions which
disproportionately affect them.  This policy is intended to apply to
males and females of all ages.  If women or minorities are excluded or
inadequately represented in clinical research, particularly in proposed
population-based studies, a clear compelling rationale must be
provided.

The composition of the proposed study population must be described in
terms of gender and racial/ethnic group.  In addition, gender and
racial/ethnic issues must be addressed in developing a research design
and sample size appropriate for the scientific objectives of the study.
This information must be included in the form PHS 398 in Sections 1-4
of the Research Plan AND summarized in Section 5, Human Subjects.
Applicants are urged to assess carefully the feasibility of including
the broadest possible representation of minority groups.  However, NIH
recognizes that it may not be feasible or appropriate in all research
projects to include representation of the full array of United States
racial/ethnic minority populations (i.e., Native Americans [including
American Indians or Alaskan Natives], Asian/Pacific Islanders, Blacks,
Hispanics).  The rationale for studies on single minority population
groups should be provided.

For the purpose of this policy, clinical research is defined as human
biomedical and behavioral studies of etiology, epidemiology, prevention
(and preventive strategies), diagnosis, or treatment of diseases,
disorders or conditions, including but not limited to clinical trials.

The usual NIH policies concerning research on human subjects also
apply.  Basic research or clinical studies in which human tissues
cannot be identified or linked to individuals are excluded.  However,
every effort should be made to include human tissues from women and
racial/ethnic minorities when it is important to apply the results of
the study broadly, and this should be addressed by applicants.

If the required information is not contained within the application,
the application will be returned.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies.  If the representation of
women or minorities in a study design is inadequate to answer the
scientific question(s) addressed AND the justification for the selected
study population is inadequate, it will be considered a scientific
weakness or deficiency in the study design and reflected in assigning
the priority score to the application.

All applications for clinical research submitted to NIH are required to
address these policies.  NIH funding components will not award grants
or cooperative agreements that do not comply with these policies.

LETTER OF INTENT

Prospective applicants are asked to submit, by December 15, 1992, a
letter of intent that includes the name, address, and telephone number
of the Principal Investigator, the identities of other key personnel
and participating institutions, and the number and title of the RFA in
response to which the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains is helpful in planning for the review of applications.
It allows NHLBI staff to estimate the potential review workload and to
avoid conflict of interest in the review.

The letter of intent is to be sent to:

James C. Scheirer, Ph.D.
Division of Extramural Affairs
National Heart, Lung, and Blood Institute
Westwood Building, Room 548B
Bethesda, MD  20892
Telephone:  (301) 496-7383

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS 398
(rev. 9/91).  Application kits are available at most institutional
offices of sponsored research and may be obtained from the Office of
Grants Inquiries, Division of Research Grants, National Institutes of
Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892, telephone
(301) 496-7441.  The title and number of the request for grant
application must be typed on Line 2a of the face page of the
application form and the "YES" box must be marked.

Submit a signed, typewritten original of the application, including the
checklist, and three signed photocopies, in one package to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies of the application
must also be sent to:

James C. Scheirer, Ph.D.
Division of Extramural Affairs
National Heart, Lung, and Blood Institute
Westwood Building, Room 548B
Bethesda, MD  20892

Applications must be received by February 17, 1993.  If an application
is received after that date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not accept
any application in response to this announcement that is essentially
the same as one currently pending initial review, unless the applicant
withdraws the pending application.  The DRG 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.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed by NIH staff for
completeness and responsiveness.  Incomplete applications will be
returned to the applicant without further consideration.  If the
application is not responsive to the RFA, NHLBI staff will contact the
applicant to determine whether to return the application to the
applicant or submit it for review in competition with unsolicited
applications at the next review cycle.

The review includes an assessment of the written application and the
letters of reference, and may be followed by an interview with the
candidate in Bethesda, MD.  Travel expenses for this interview must be
paid by the applicant institution.  The initial review will be
conducted by a Special Review Committee, managed by the Division of
Extramural Affairs, National Heart, Lung, and Blood Institute.  The
secondary review will be by the National Heart, Lung, and Blood
Advisory Council.

Applications for this Asthma Academic Award will be evaluated in terms
of the following criteria:

o  the overall merit of the proposed five-year plan for improving the
institution's interdepartmental curricula in asthma control;

o  access to a population with high incidence of asthma;

o  the qualifications and background of the candidate, including
experience in teaching, curriculum development, and research;

o  the institution's commitment to implement the proposed curriculum
and to continue a program in education about asthma control after the
termination of the award;

o  the involvement of appropriate disciplines in the development,
implementation, and evaluation of the program;

o  design and evaluation of educational interventions for health care
providers and for patients with asthma, especially in areas with high
morbidity from asthma, such as inner city minority communities;

o  plans for communication and cooperation between specialists in adult
and pediatric pulmonary medicine, family practice, internal medicine,
community medicine, and other specialties;

o  plans for collaborative projects with other organizations that have
responsibility for and interest in asthma control, for example, health
departments, medical and nursing associations, and voluntary health
agencies;

o  the potential for the program making an impact on the control of
asthma among populations served;

o  the potential for replication or adaptation of the program at other
sites.

AWARD CRITERIA

The anticipated date of award is September 30, 1993.  Factors that will
be taken into consideration in making awards include the scientific
merit of the proposed program, as evidenced by the priority score, and
the availability of funds.  Subject to the availability of necessary
funds and consonant with the objectives of the Asthma Academic Award,
the Division of Lung Diseases will provide funds for a project period
up to five years.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Direct inquiries regarding programmatic issues to:

Joan M. Wolle, Ph.D., M.P.H.
Division of Lung Diseases
National Heart, Lung, and Blood Institute
Westwood Building, Room 640
Bethesda, MD  20892
Telephone:  (301) 496-7668

Direct inquiries regarding fiscal matters to:

Raymond L. Zimmerman
Grants Operations Branch
National Heart, Lung, and Blood Institute
Westwood Building, Room 4A17
Bethesda, MD  20892
Telephone:  (301) 496-4970

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.838.  Grants are made under the authorization of the Public
Health Service Act, Title III, Section 301 (Public Law 78-410, as
amended by Public Law 99-158, 42 US 241 and 285) and administered under
PHS grants policies and Federal Regulations 42 CFR 52 and 45 CFR Part
74.  This program is not subject to the intergovernmental review
requirements of Executive Order 12372 or Health Systems Agency review.

From owner-sci-resources@net.bio.net Wed Nov 11 22:00:00 1992
Path: biosci!NET.BIO.NET!kristoff
From: kristoff@NET.BIO.NET (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 21, no. 41, pt. 5, 13 November 1992
Message-ID: <CMM.0.90.2.721592299.kristoff@net.bio.net>
Date: 12 Nov 92 18:18:19 GMT
Sender: kristoff@net.bio.net
Distribution: bionet
Lines: 985


$$XID RFA HL9309 HL-93-09 P1O1 *****************************************

TUBERCULOSIS ACADEMIC AWARD

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFA:  HL-93-09-L

P.T. 34; K.W. 0715165, 0502024, 0785035

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  December 15, 1992
Application Receipt Date:  February 17, 1993

PURPOSE

The primary objective of this program is to stimulate the development
and/or improvement of the quality of medical curricula,
physician/patient/and community education, and clinical practice for
the prevention, management, and control of Mycobacterial tuberculosis
(TB) in the United States.

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 Request
for Applications (RFA), Tuberculosis Academic Award, is related to the
priority areas of immunization and infectious diseases and HIV
infection.  Potential applicants may obtain a copy of "Healthy People
2000" (Full Report:  Stock No. 017-001-00474-0) or "Healthy People
2000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington, DC
20402-9325 (telephone: 202-783-3238).

ELIGIBILITY REQUIREMENTS

Institutions

Applications may be submitted by domestic universities or schools of
medicine.  Minority institutions and urban institutions from areas with
high rates of incidence of TB that have the necessary resources and
facilities and a commitment to providing the awardee with the time to
develop and implement plans consistent with the goals of this
announcement are encouraged to sponsor candidates for these awards.

Candidates

A candidate for an award must:

o  be an established physician and a medical faculty member in an
accredited school of medicine or osteopathy in the United States, its
territories or possessions, and have competence in tuberculosis and;

o  be employed by a school of medicine or osteopathy that is located in
an area with high TB rates;

o  have sufficient clinical training, research, and teaching experience
in the control of TB to develop and implement a high quality curriculum
in TB encompassing current knowledge and methods applicable to the
control of tuberculosis in individuals of all ages and to provide
leadership in applied research in control of TB;

o  be a citizen or non-citizen national of the United States or have
been lawfully admitted to the United States for permanent residence at
the time of application;

Individuals who have held another NIH career development award (K
series) are eligible to apply for the Tuberculosis Academic Award.
Applications from minority individuals and women are encouraged.

MECHANISM OF SUPPORT

This RFA is part of the Academic Award Program (K07) of the National
Heart, Lung, and Blood Institute (NHLBI).  Responsibility for the
planning, direction, and execution of the proposed project will be
solely that of the applicant.  The total project period may not exceed
five years and is non-renewable. It is anticipated that support for
this program will begin September 1993.

FUNDS AVAILABLE

The estimated funds (total costs) for the first year of support for the
entire program will be $300,000.  It is anticipated that three to four
grants will be awarded each year for five years under this program.
The specific number, however, will depend upon the merit and scope of
the applications received and the availability of funds.

A maximum of $50,000 for the salary of the awardee, plus applicable
fringe benefits, a maximum of $20,000 for technical support, and
indirect costs not to exceed eight percent may be requested.

RESEARCH OBJECTIVES

Background

Despite major advances in our understanding of the pathogenesis,
detection and treatment of tuberculosis, nearly 28,000 cases have been
reported in the United States since 1984, the year when the lowest
number of cases were reported.  Currently, TB is spreading rapidly,
especially in some population groups.  From 1985 through 1990, the
number of TB cases increased by 44 percent in the 25-44 year old age
group. There was a 12 percent increase among Asians, a 25 percent
increase among non-Hispanic whites, a 55 percent increase among blacks,
and a 77 percent increase among Hispanics.

There is also a high prevalence of TB among HIV infected patients.  It
is estimated that about 12 percent of all AIDS cases develop TB.
HIV-associated TB has occurred in virtually all age groups, both men
and women, all race/ethnic groups, and in all HIV-transmission
categories, although the largest numbers of cases have occurred in
intravenous drug users and homosexual/bisexual men.

Other groups at high risk for TB include persons living or working in
group or institutional settings such as hospitals and correctional
facilities.  More recently, there have been outbreaks of multi-drug
resistant TB.  These outbreaks are a dramatic manifestation of serious
underlying problems in public and private efforts to control TB.

Although considered "curable" since the development of effective
chemotherapy in 1950, the TB problem has not been dealt with
adequately.  This has been attributed to a lack of sufficient awareness
of the problem and inadequate resources, as well as clinical management
errors and patient non-adherence to treatment regimens.  The management
errors include failing to diagnose and treat the cases in a timely
manner, relying heavily on Isoniazide (INH) therapy even in patients
likely to have INH-resistant organisms, using a single drug therapy,
prescribing inappropriate drug dosages, and failing to isolate patients
appropriately with infectious TB, thereby missing opportunities to
prevent the spread of the disease.  Surveillance has often been slow or
incomplete.  Noncompliance with treatment regimens for chronic diseases
has been a major problem with approximately 50 percent not taking their
medicine.  A study in 1988 in New York City reported 89 percent of the
patients at one hospital failed to complete therapy, more than half
failed to keep their first clinic appointment, and within twelve months
of discharge 27 percent of the patients had been readmitted at least
once with confirmed active TB.

The concept for this initiative originated with the Tuberculosis
Education Planning Committee convened by the NHLBI in December 1991,
which emphasized the need for increased efforts to educate health care
workers, patients, and the public on tuberculosis, and recommended that
public health officials identify populations and geographic areas in
the community where tuberculosis screening programs should be
intensified and conduct public education campaigns targeted to high
risk populations to encourage symptomatic patients to seek prompt
treatment.  In addition, in 1987 the Department of Health and Human
Services established an Advisory Committee (Council) for the
Elimination of TB (ACET), and in 1992 a "National Action Plan to Combat
Multidrug Resistant Tuberculosis" was published to complement and
supplement the "Strategic Plan for the Elimination of Tuberculosis."
These plans indicate the urgency to improve the control of TB in the
United States.

In summary, TB is spreading in the U.S., despite major advances in our
ability to diagnose, treat, and prevent this disease, largely due to
inadequate education of health professionals, patients and their
families, and the community.

Objectives

The objectives of the Tuberculosis Academic Award are to:

o  encourage the development of high quality curricula in schools of
medicine that will significantly increase the opportunities for
students, house staff, and others, including practicing physicians, to
learn the principles and practice of preventing, managing, and
controlling TB;

o  encourage applied research in the control of TB;

o  encourage the development of a faculty capable of providing
appropriate instruction in TB;

o  contribute to updating the knowledge and skills of practicing
physicians and other health care providers in the community;

o  enhance the awareness of health care providers of the unique ethnic,
cultural, socioeconomic, and medical dimensions of TB;

o  coordinate and collaborate with other community organizations to
control TB in areas with high incidence of TB;

o  facilitate an interchange of ideas and methods among awardees and
institutions; and

o  contribute to public health efforts to control TB in the United
States.

SPECIAL REQUIREMENTS

Awardee Salary

The salary requested for the awardee must not exceed the actual
institutional salary rates, and must not exceed $50,000 plus fringe
benefits.

An awardee may devote up to a total of 100 percent effort as an
Academic Awardee and as principal or participating investigator on any
other NIH supported grant(s) or contract(s) and may receive
remuneration from such grant(s) or contract(s) accordingly.

Technical Support

Technical support will be provided up to a maximum of $20,000 per year
for the following:

o  personnel other than the awardee when required for the development
of program.  Salaries will be allowable for technical and support staff
and consultants.  Students stipends are allowable for students
conducting projects directly related to the award;

o  equipment costs are not allowable;

o  consumable supplies essential to the proposed program;

o  funds for educational development to enable the awardee to develop
educational skills and to meet with other awardees to exchange ideas,
methods, and program evaluations.

Awardees may be requested to meet as a group up to two times a year.
These meetings will promote collaborative efforts, provide for some
needed technical support, and encourage an exchange of ideas among the
awardees.  Funds should be allocated for travel for the Principal
Investigator to a midpoint in the country and the Principal
Investigator must agree to participate in these meetings.

Indirect Costs

Awards will be provided for the reimbursement of actual indirect costs
at a rate up to, but not exceeding, eight percent of the total direct
costs of each award, exclusive of tuition, fees, and expenditures of
equipment.

Conditions of the Award

Institutions may apply for awards on behalf of named individuals
meeting the criteria for this award.  Awards will be limited to one
from each eligible school over the life of the award.  After the first
year, grants will be renewed for a maximum of four years on a
non-competitive basis depending upon progress being made in meeting the
program's objectives.  An annual report will be required that
summarizes activities relevant to curriculum development at the
institution and other elements of the program plan and outlines future
plans.  This report will serve as the principal basis for renewal of
the grant.

The grant will be made annually for each of the five annual budget
periods.  Awards may not be transferred from one institution to
another.  If an awardee moves to another institution, the award will
continue at the original institution only upon approval by the Division
of Lung Diseases of a suitable replacement proposed by the grantee
institution.  Such a replacement will not lengthen the overall term of
the award.

STUDY POPULATIONS

SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH
POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

Although the TB Academic Award is not primarily a mechanism to support
research, some awardees may implement research as part of the overall
Academic Award Program.  If any clinical research is proposed under the
program, the policies of the NIH regarding inclusion of women and
minorities apply.

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements are required to include minorities and women in
study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder or condition under study;
special emphasis must be placed on the need for inclusion of minorities
and women in studies of diseases, disorders and conditions which
disproportionately affect them.  This policy is intended to apply to
males and females of all ages.  If women or minorities are excluded or
inadequately represented in clinical research, particularly in proposed
population-based studies, a clear compelling rationale must be
provided.

The composition of the proposed study population must be described in
terms of gender and racial/ethnic group.  In addition, gender and
racial/ethnic issues must be addressed in developing a research design
and sample size appropriate for the scientific objectives of the study.
This information must be included in the form PHS 398 in Sections 1-4
of the Research Plan AND summarized in Section 5, Human Subjects.
Applicants are urged to assess carefully the feasibility of including
the broadest possible representation of minority groups.  However, NIH
recognizes that it may not be feasible or appropriate in all research
projects to include representation of the full array of United States
racial/ethnic minority populations (i.e., Native Americans [including
American Indians or Alaskan Natives], Asian/Pacific Islanders, Blacks,
Hispanics).  The rationale for studies on single minority population
groups should be provided.

For the purpose of this policy, clinical research is defined as human
biomedical and behavioral studies of etiology, epidemiology, prevention
(and preventive strategies), diagnosis, or treatment of diseases,
disorders or conditions, including but not limited to clinical trials.

The usual NIH policies concerning research on human subjects also
apply.  Basic research or clinical studies in which human tissues
cannot be identified or linked to individuals are excluded.  However,
every effort should be made to include human tissues from women and
racial/ethnic minorities when it is important to apply the results of
the study broadly, and this should be addressed by applicants.

If the required information is not contained within the application,
the application will be returned.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies.  If the representation of
women or minorities in a study design is inadequate to answer the
scientific question(s) addressed AND the justification for the selected
study population is inadequate, it will be considered a scientific
weakness or deficiency in the study design and reflected in assigning
the priority score to the application.

All applications for clinical research submitted to NIH are required to
address these policies.  NIH funding components will not award grants
or cooperative agreements that do not comply with these policies.

LETTER OF INTENT

Prospective applicants are asked to submit, by December 15, 1992, a
letter of intent that includes the name, address, and telephone number
of the Principal Investigator, the identities of other key personnel
and participating institutions, and the number and title of the RFA in
response to which the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains is helpful in planning for the review of applications.
It allows the Institute staff to estimate the potential review workload
and to avoid conflict of interest in the review.

The letter of intent is to be sent to:

C. James Scheirer, Ph.D.
Division of Extramural Affairs
National Heart, Lung, and Blood Institute
Westwood Building, Room 548B
Bethesda, MD  20892
Telephone:  (301) 496-7363

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS 398
(rev. 9/91).  Application kits are available at most institutional
offices of sponsored research and may be obtained from the Office of
Grants Inquiries, Division of Research Grants, National Institutes of
Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892, telephone
(301) 496-7441.  The title and number of the request for grant
application must be typed on Line 2a of the face page of the
application form and the "YES" box must be marked.

Submit a signed, typewritten original of the application, including the
checklist, and three signed photocopies, in one package to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies of the application
must also be sent to:

C. James Scheirer, Ph.D.
Division of Extramural Affairs
National Heart, Lung, and Blood Institute
Westwood Building, Room 548B
Bethesda, MD  20892

Applications must be received by February 17, 1993.  If an application
is received after that date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not accept
any application in response to this announcement that is essentially
the same as one currently pending initial review, unless the applicant
withdraws the pending application.  The DRG 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.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed by NIH staff for
completeness and responsiveness.  Incomplete applications will be
returned to the applicant without further consideration.  If the
application is not responsive to the RFA, NHLBI staff will contact the
applicant to determine whether to return the application to the
applicant or submit it for review in competition with unsolicited
applications at the next review cycle.

The review includes an assessment of the written application and the
letters of reference, and may be followed by an interview with the
candidate in Bethesda, MD.  Travel expenses for this interview must be
paid by the applicant institution.  The initial review will be
conducted by a Special Review Committee, managed by the Division of
Extramural Affairs, National Heart, Lung, and Blood Institute.  The
secondary review will be by the National Heart, Lung, and Blood
Advisory Council.

Applications for this Tuberculosis Academic Award will be evaluated in
terms of the following criteria:

o  the overall merit of the proposed five-year plan for improving the
institution's interdepartmental curricula in tuberculosis control;

o  the qualifications and background of the candidate, including
experience in teaching, curriculum development, and research;

o  the institution's commitment to implement the proposed curriculum
and to continue a program in education about tuberculosis control after
the termination of the award;

o  the involvement of appropriate disciplines in the development,
implementation, and evaluation of the program;

o  design and evaluation of educational interventions for health care
providers and for patients with tuberculosis in areas with high
incidence of TB;

o  plans for communication and cooperation between specialists in adult
and pediatric pulmonary medicine, infections, and community medicine to
ensure optimal treatment;

o  plans for collaborative projects with other organizations that have
responsibility for and interest in tuberculosis control, for example,
health departments, medical and nursing associations, and voluntary
health agencies;

o  the potential of the program for making an impact on the control of
tuberculosis among populations served; and

o  the potential for replication or adaptation of the program at other
sites.

AWARD CRITERIA

The anticipated date of award is September 30, 1993.  Factors that will
be taken into consideration in making awards include the scientific
merit of the proposed program as evidenced by the priority score and
the availability of funds.  Subject to the availability of necessary
funds and consonant with the objectives of the Tuberculosis Academic
Award, the Division of Lung Diseases will provide funds for a project
period up to five years.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Direct inquiries regarding programmatic issues to:

Joan M. Wolle, Ph.D., M.P.H.
Division of Lung Diseases
National Heart, Lung, and Blood Institute
Westwood Building, Room 640
Bethesda, MD  20892
Telephone:  (301) 496-7668

Direct inquiries regarding fiscal matters to:

Raymond L. Zimmerman
Grants Operations Branch
National Heart, Lung, and Blood Institute
Westwood Building, Room 4A17
Bethesda, MD  20892
Telephone:  (301) 496-4970

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.838.  Grants are made under the authorization of the Public
Health Service Act, Title III, Section 301 (Public Law 78-410, as
amended by Public Law 99- 158, 42 US 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45 CFR
Part 74.  This program is not subject to the intergovernmental review
requirements of Executive Order 12372 or Health Systems Agency review.


$$XID RFA DK9306 DK-93-06 P1O1 *****************************************

EXPLORATORY GRANTS FOR CENTERS OF EXCELLENCE IN MOLECULAR HEMATOLOGY

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFA:  DK-93-06

P.T. 34; K.W. 0785070, 1002058, 0780015, 1002045, 0760020, 1016003

National Institute of Diabetes and Digestive and Kidney Diseases

Letter of Intent Receipt Date:  January 31, 1993
Application Receipt Date:  March 15, 1993

PURPOSE

The National Institute of Diabetes and Digestive and Kidney Diseases
(NIDDK) invites applications for Exploratory Grants for Centers of
Excellence in Molecular Hematology, to be awarded competitively in
Fiscal Year 1993.

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 Request
for Applications (RFA), Exploratory Grants for Centers of Excellence in
Molecular Hematology, is related to the priority areas of diabetes and
chronic disabling conditions.  Potential applicants may obtain a copy
of "Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0) or
"Healthy People 2000" (Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC  20402-9325 (telephone 202/783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted from domestic, for-profit and non-profit
organizations, public and private, such as universities, colleges,
hospitals, or medical centers.  Applications from foreign institutions
are ineligible for the center program mechanism.  Applicant
institutions must demonstrate an established research base in areas
related to the RFA.  Minority individuals and women are encouraged to
submit as Principal Investigators.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH National Center for Research Resources
may wish to identify the GCRC as a resource for conducting the proposed
research.  If so, a letter of agreement from the GCRC Program Director
must be included with the application.

MECHANISM OF SUPPORT

Support of this program will be through the NIH grant-in-aid
Exploratory Grant (P20) award.  Responsibility for the planning,
direction, and execution of the proposed project will be solely that of
the applicant.  Awards will be administered under PHS grants policy as
stated in the PHS Grants Policy Statement and in this announcement.
Requests for support must be limited to no more than $20,000 in direct
costs.  Any application exceeding this amount will be returned to the
applicant. Under certain circumstances, a no-cost extension of up to
another 12 months can be requested.

FUNDS AVAILABLE

The NIDDK anticipates awarding five Exploratory Grants in Fiscal Year
1993 on a competitive basis, the awards will be for one year duration
and contingent upon the availability of appropriated funds.  It is
anticipated that approximately $150,000 in FY 93 funds will be
available for funding these awards.

RESEARCH OBJECTIVE

The objective of Exploratory Grants (P20) is to provide partial funding
for the cost of planning and developing meritorious Centers of
Excellence in Molecular Hematology.  The anticipated awards for full
scale Centers of Excellence in Molecular Hematology (P50) will be made
in Fiscal Year 1994 or Fiscal Year 1995, contingent upon authorization
and appropriation of funds, and will involve a separate nation-wide
competition.

It is important to note that the award of an Exploratory Grant does not
imply a commitment by the National Institute of Diabetes and Digestive
and Kidney Diseases to future funding of a Center of Excellence in
Molecular Hematology planned with the support of an Exploratory Grant.
Center applications will be reviewed on the basis of their own merit.
A future announcement will be made for applications for Centers of
Excellence in Molecular Hematology.  At that time, any eligible
institution may apply; funding decisions will not be based on previous
award of an Exploratory Grant.

Guidelines are available from the NIDDK that describe the Centers of
Excellence in Molecular Hematology (P50), and the anticipated
application process for the Centers.  These guidelines should be
requested from the program administrator identified in INQUIRIES before
applying for an Exploratory Grant.

Background

Exploratory Grants are intended to provide partial support for the
planning phase of a Center of Excellence in Molecular Hematology.
Successful applicants thus would be better prepared to formulate
appropriate programs in response to a later announcement by the NIDDK
of a full-scale Centers (P50) announcement.

The planning phase may consist of, but is not limited to:

a. departmental and interdepartmental planning to integrate a broad
spectrum of molecular hematology related activities;

b. planning the establishment of specialized resources and facilities;

c. feasibility surveys to identify special problems and opportunities;

d. use of consultants to assist in developing plans for Center
activities and core resources.

Centers of Excellence in Molecular Hematology will allow development of
the broad range of technologies involved in the investigation of
genetic diseases and genetic therapy to be brought together in a
unified effort.  These technologies will draw on knowledge of viruses,
cell culture, bone marrow cells, growth factors, animal models, and the
molecular basis of genetic diseases.

During the past two decades, major advances have been made in
understanding the molecular basis for inherited diseases.  The clinical
and biochemical effects of diseases have been clarified, and, in an
ever-increasing number of genetic disorders, the molecular defects have
been described.  Notable examples of this new knowledge are the genes
for Cooley's anemia, sickle cell disease, and hemophilia.  Application
of sensitive biochemical and molecular techniques has made molecular
diagnosis of these disorders a reality.  Now, with these important
diagnostic achievements in hand, even greater efforts must be directed
toward development of technologies to formulate specific therapies for
these debilitating disorders.

The development of Centers as an organizational mechanism will promote
the joint efforts both of basic scientists and clinical researchers
toward the study of gene structure and function, the structural biology
of proteins and the complex biochemistry of protein interaction, the
cell and molecular regulation of blood cell formation, and clinical
research to test the efficacy and safety of therapeutic strategies
derived from basic investigation.  These studies will have as their
ultimate goal the development of somatic gene therapy or other means of
treatment of genetic diseases.  Concentration of efforts into the
Center format will allow economies of scale and will generate
technologies that can be applied by other investigators.  The
capability to design and implement strategies for clinical application
of molecular genetic knowledge will be essential for the Centers.
However, Center funds will not be available for full-scale clinical
trials, and investigators will be encouraged to apply for support of
clinical trials by alternative mechanisms.

Due to the breadth of expertise in a variety of disciplines needed for
successful application of molecular genetic technologies to genetic
diseases, it is anticipated that such expertise may not be available at
any one institution.  Therefore, applicants are encouraged to propose
consortium arrangements with other suitable institutions with needed
expertise.  Such consortia may include geographic separation, if
acceptable plans for effective collaboration are proposed.  Where
appropriate, applicant institutions are strongly encouraged to develop
relationships with traditionally minority institutions and
investigators.

SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH
POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements will be required to include minorities and women
in study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder, or condition under study;
special emphasis should be placed on the need for inclusion of
minorities and women in studies of diseases, disorders, and conditions
which disproportionately affect them.  This policy is intended to apply
to males and females of all ages.  If women or minorities are excluded
or inadequately represented in clinical research, particularly in
proposed population-based studies, a clear compelling rationale should
be provided.

The composition of the proposed study population must be described in
terms of gender and racial/ethnic group.  In addition, gender and
racial/ethnic issues must be addressed in developing a research design
and sample size appropriate for the scientific objectives of the study.
This information must be included in the form PHS 398 (rev. 09/91) in
Item 4 (Research Design and Methods) of the Research Plan AND
summarized in Item 5, Human Subjects.  Applicants are urged to assess
carefully the feasibility of including the broadest possible
representation of minority groups.  However, NIH recognizes that it may
not be feasible or appropriate in all research projects to include
representation of the full array of United States racial/ethnic
minority populations; i.e., Native Americans (including American
Indians or Alaskan Natives), Asian/Pacific Islanders, Blacks, and
Hispanics.

The rationale for studies on single-minority population groups should
be provided.

For the purpose of this policy, clinical research is defined as human
biomedical and behavioral studies of etiology, epidemiology, prevention
[and preventive strategies], diagnosis, or treatment of diseases,
disorders, or conditions, including but not limited to clinical trials.

The usual NIH policies concerning research on human subjects also
apply.  Basic research or clinical studies in which human tissues
cannot be identified or linked to individuals are excluded.  However,
every effort should be made to include human tissues from women and
racial/ethnic minorities when it is important to apply the results of
the study broadly, and this should be addressed by applicants.

If the required information is not contained within the application,
the application will be returned without review.

LETTER OF INTENT

Potential applicants are strongly encouraged to submit a letter of
intent no later than January 31, 1993.  The letter of intent is to
include:  (1) name of the Principal Investigator/program director and
principal collaborators, (2) descriptive title of the potential
application, (3) identification of the organization(s) involved, and
(4) reference to RFA DK-93-06.  The letter of intent is to be sent to
the Chief, Review Branch, NIDDK, at the address noted below.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains is helpful in planning the review of applications.  It
allows NIDDK staff to estimate the potential review workload and to
avoid conflict of interest in the review.

APPLICATION PROCEDURES

Applications are to be submitted on the form PHS 398 (rev. 09/91)
available at most institutional  offices of sponsored research and from
the Division of Research Grants, National Institute of Health, 5333
Westbard Avenue, Room 449, Bethesda, MD 20892, (301) 496-7441.  For
item 2a of the face page of the application, applicants should enter
RFA:  Hematology Exploratory Grants, RFA number DK-93-06.  The RFA
label available in the form PHS 398 must be affixed to the bottom of
the face page.  Failure to use this label could result in delayed
processing of the application to the extent that it may not reach the
review committee in time for review.

Applications must be received by close of business March 15, 1993.  If
an application is received after this date, it will be returned to the
applicant.  The original and three copies of the application must be
sent or delivered to:

Application Receipt Office
Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies of the application
must also be sent to:

Robert D. Hammond, Ph.D.
Chief, Review Branch, DEA
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 605
5333 Westbard Avenue
Bethesda, MD  20892

The Division Research Grants (DRG) will not accept any application in
response to this announcement that is essentially the same as one
currently pending initial review, unless the applicant withdraws the
pending application.  Nor will the DRG 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.

Special Application Instructions

The written application is the basis for the merit review.  Particular
attention should be given to the format of the application.  The
standard instructions provided with the PHS 398 are designed primarily
for applications for single research projects.  Exploratory Grant
applications require additional information as outlined below.  Page
limitations presented in the PHS 398 instructions should be followed
closely unless otherwise noted.

Program Narrative (PHS 398, Continuation Pages)

The narrative must provide a description and plan of the Exploratory
Grant program, and how the applicant intends to prepare for developing
a Center program.  The narrative must include an overall description of
the envisioned Center as well as a description of each of the Center
components.

Appendices

Follow instructions on page 24 of PHS Form 398.

Budgetary Considerations - Allowable Costs

Unless otherwise indicated, allowable costs and policies governing the
research grant programs of the NIH will prevail.  Overlapping support
between the Exploratory Grant and other NIH grants and contracts to the
applicant institution will be administratively reviewed and, if
appropriate, will be adjusted to avoid duplication of funding.

Support may be requested for salaries of professional, technical, and
support personnel who contribute to allowable activities under the
Exploratory Grant.

The salaries derived from the Exploratory Grant will depend on the
effort provided and institutional salary policies.  Salaries of
personnel engaged in administrative and planning activities are
allowable cost items.  Stipends for research fellows/trainees are not
allowable.  No overlap of time or effort between the Exploratory Grant
and other, separately funded projects is permitted.

Support for secretarial and administrative staff may be provided to the
extent that their activities relate to administrative management of the
Exploratory Grant activities, providing these costs have not been
included in the institution's indirect cost pool.

Expenditures for major equipment under this RFA will not be considered.
General purpose equipment needs may be included and justified only
after surveying the availability of such items within the institution.

Consumable supplies directly related to the operation of the
Exploratory Grant are allowed.  These supplies principally will include
office materials (if not included in the indirect cost pool).

Research patient care costs are not required for Exploratory Grant
purposes, and will not be provided.

Domestic travel costs of Exploratory Grant personnel directly related
to administrative and planning activities is allowable.  Foreign travel
will not be allowed except under unusual and compelling circumstances,
and will require prior approval by the awarding agency.

Costs for consultant services (consultation fees, per diem, travel) may
be included.  Costs associated with consultation or scientific or
technical assistance, evaluation of planning activities, and
development of new organizational arrangements and consortia  are
allowable.

Costs for telephone, photocopying, and computer time are permitted.

REVIEW CONSIDERATIONS

Upon receipt, applications will be examined initially by the DRG for
completeness.  Incomplete applications will be returned to the
applicant without further consideration.  Evaluation of responsiveness
to the program requirements and criteria stated in this RFA is an NIDDK
staff function.

Those applications that are complete and responsive will be evaluated
in accordance with the criteria stated below and in the Centers of
Excellence in Molecular Hematology Guidelines for Scientific/Technical
Merit by an appropriate peer review group convened by the NIDDK.  It is
essential that the written application be in a form that can be
reviewed on its own merit, since no site visit is anticipated.

If the number of applications is large compared to the number of awards
to be made, the NIDDK may conduct a preliminary scientific peer review
to eliminate those applications that are clearly not competitive. The
NIDDK will withdraw administratively from competition those
applications judged to be noncompetitive, and will so notify the
applicant and the institutional business official.  Those applications
judged to be both competitive and responsive to the RFA will be
evaluated further, according to the review criteria stated below.

Following initial merit review, the applications will be given a
second-level review by the National Diabetes and Digestive and Kidney
Diseases Advisory Council.

The review of the Exploratory Grant applications will focus on
scientific merit.  Additionally, the component parts of the Exploratory
Grant will be reviewed for their synergism and contribution to the
future development of a Center.

The evaluation will include the following review criteria:

1.  Overall Program

o  The scientific merit of the program as a whole.  The significance of
the overall program goals and the development of a well-defined central
focus.

o  The potential of the identified participants to develop
interdisciplinary research programs of high merit as evidenced by
previous accomplishments.

o  The balance of administrative and planning expenses.

2. Administration and Planning

o  The scientific and administrative leadership ability and experience
of the Exploratory Grant Principal Investigator and his/her commitment
and ability to devote adequate time to the effective management of the
Center planning.

o  Maintenance of internal communication and cooperation among the
investigators involved in planning for a Center.

o  Adequacy of the Advisory Committee to assess the scientific merit of
the proposed Center plans.

o  Inclusion of an adequate mechanism for reviewing the proposed uses
of Center funds.

o  Appropriateness and adequacy of plans for collaboration among the
members of the proposed Center.

o  Appropriateness of the budget for the various components of the
Exploratory Grant.

3. Scientific Expertise of Participants

o  Quality and appropriateness of expertise available at the applicant
institution.

o  Nature and degree of interdisciplinary approach proposed to promote
the collaboration of scientists with expertise in hematology with
scientists in other disciplines.

o  Qualifications, experience, and evidence of commitment of the
investigators within the applicant institution, and their willingness
to interrelate with other elements proposed for the proposed Center.

o  Quality and appropriateness of collaborating institutions and
research staff.

o  Proposed plans to recruit new expertise to the proposed Center.

4. Institutional Commitment

o  The institutional commitment to the program, including lines of
responsibility for a Center and the institution's contribution to the
management capabilities of a Center.

o  The degree of institutional contributions for administrative and
planning activities.

o  The academic research environment and resources in which the
activities would be conducted, including the availability of space,
equipment, and facilities, and the potential for interaction with
scientists from other departments and institutions.

o  The institutional commitment to any newly-recruited individuals
responsible for conducting essential planning functions and activities.

AWARD CRITERIA

Applications will compete for available funds with all other
applications submitted in response to this RFA and recommended by peer
review.  The following will be considered in making funding decisions:

o  Quality of the application as determined by peer review

o  Availability of funds

o  Overall program balance represented by the applications recommended
by peer review

Schedule

Letter of Intent:     January 31, 1993
Application Receipt:  March 15, 1993
Initial Review:       June-July 1993
Second Level Review:  September 1993
Anticipated Award:    September 30, 1993

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.

Direct inquiries regarding programmatic issues to:

David G. Badman, Ph.D.
Hematology Program Director
Division of Kidney, Urologic and Hematologic Diseases
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 3A-05
Bethesda, MD  20892
Telephone:  (301) 496-7458

Direct inquiries regarding fiscal matters to:

Ms. Nancy Dixon
Grants Management Officer
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 637
Bethesda, MD  20892
Telephone:  (301) 496-7467

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.849 for DKUHD.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45 CFR
Part 74.  This program is not subject to the intergovernmental review
requirements of Executive Order 12372 or Health Systems Agency review.

From owner-sci-resources@net.bio.net Wed Nov 11 22:00:00 1992
Path: biosci!NET.BIO.NET!kristoff
From: kristoff@NET.BIO.NET (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 21, no. 41, pt. 3, 13 November 1992
Message-ID: <CMM.0.90.2.721592069.kristoff@net.bio.net>
Date: 12 Nov 92 18:14:29 GMT
Sender: kristoff@net.bio.net
Distribution: bionet
Lines: 1080


$$XID RFA AI9212 AI-92-12 P1O1 *****************************************

WOMEN'S INTERAGENCY HIV STUDY

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFA:  AI-92-12

P.T. 34, II; K.W. 0715008, 0740075, 0411005, 0403004, 0785035

National Institute of Allergy and Infectious Diseases

Letter of Intent Receipt Date:  January 11, 1993
Application Receipt Date:  February 18, 1993

PURPOSE

The Vaccine Trials and Epidemiology Branch (VTEB) of the Division of
AIDS (DAIDS) of the National Institute of Allergy and Infectious
Diseases (NIAID) invites applications for cooperative agreements for
the establishment of a Women's Interagency HIV Study (WIHS) to
investigate the clinical, laboratory, and psychosocial impact of human
immunodeficiency virus (HIV) infection in women.  The WIHS will use a
multi-site, prospective study design to gather data on the clinical,
immunological and behavioral aspects of HIV infection and disease in
women.  This study will investigate the full spectrum of clinical
disease caused by HIV infection in women.  It also will seek to
determine the immunological factors and the cofactors which may be
associated with HIV disease progression in women.

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 Request
for Applications (RFA), Women's Interagency HIV Study, is related to
the priority area of HIV infection.  Potential applicants may obtain a
copy of "Healthy People 2000" (Full Report:  Stock No.017-001-00474-0)
or "Healthy People 2000" (Summary Report:  Stock No. 017-001-10473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic non-profit and for-profit
research institutions; public and private organizations such as
universities, colleges, hospitals or laboratories; units of State and
local governments; and eligible agencies of the Federal government.
Applications from minority individuals and women are encouraged.

Applicants must demonstrate the capability to recruit and maintain a
minimum of 300 HIV-infected women and 75 HIV seronegative women with
high risk behaviors for HIV; the proposed study cohort should reflect
the socioeconomic, racial, and ethnic female populations infected with
HIV in the US.

MECHANISM OF SUPPORT

Successful applicants funded under this RFA will be supported through
Cooperative Agreements (U01).  This type of funding mechanism is used
when it is desired to encourage investigator-initiated research
projects in areas of special importance to the NIAID and when
programmatic assistance and involvement of NIAID staff would be
beneficial to attain the desired research goals.  This RFA represents
a single competition with a specified deadline for receipt of
applications.  Reissuance of this RFA will be dependent on the state of
science and findings at the completion of this cooperative agreement as
well as the availability of funds.

It is estimated that the total annual cost for an awardee with a study
population of 300 HIV-seropositive women and 75 HIV-seronegative women
could approach $1,000,000.  It may be advantageous for applicants
(including institutional consortia) to recruit significantly more than
the minimum number of women when it would be cost effective.  Awards
will be made annually for a period of up to four years. Continuation of
funding for each new annual budget period will be contingent on
availability of funds, and will be based on satisfactory performance in
recruitment and retention, success in protocol performance, and
scientific productivity.  Annual progress reports will be required and
will include reports on recruitment, retention, and scientific
productivity.  Funding adjustments may be made based on study
performance and changing NIAID research priorities.

FUNDS AVAILABLE

Approximately $5,000,000 will be available for funding the total costs
of the WIHS during its initial year.  The earliest possible award date
is July 1993.

The NIAID anticipates making two to five awards as a result of this
RFA.  The final number of awards to be made is dependent upon receipt
of a sufficient number of applications of high scientific merit and the
continuing availability of funds.

RESEARCH OBJECTIVES

Background

The number of cases of Acquired Immunodeficiency Syndrome (AIDS)
diagnosed in women has increased rapidly since 1985. As of December
1991, more than 21,000 cases of AIDS in women had been reported to the
Centers for Disease Control (CDC) in sharp contrast to the
approximately 1,100 women reported by the end of 1985.  Approximately
100,000 American women are estimated to be infected with HIV-1.  These
numbers are expected to continue to increase throughout the 1990s.

Major deficiencies remain in understanding the clinical, immunological,
and virological spectrum of HIV disease and AIDS in women.
Gynecological manifestations of HIV infection have not been
sufficiently studied despite early results indicating their importance.
There is also a growing body of evidence that other female genital and
reproductive tract infections, such as vaginal candidiasis, pelvic
inflammatory disease (PID), syphilis, herpes simplex virus-2 (HSV-2),
and other sexually transmitted infections, are more severe and/or more
common in women with HIV-induced immune dysfunction than in comparable
groups of HIV-negative women.  The rate and pattern of decline of CD4+
cells and factors which affect immune function in HIV-infected women
have not been well-characterized.  On the basis of these early reports,
women-specific disease outcomes have been identified suggesting the
need for a large-scale prospective study of HIV infection and disease
in women to address the multiplicity of research questions within a
single research design.  Such information is critically important in
designing and interpreting medical intervention research including
trials of therapeutic interventions and vaccines. These data will be
important in designing programs to improve access to and use of medical
services by HIV-infected women.

The primary purpose of this RFA is to develop a cooperative multi-site
prospective epidemiologic study of the clinical, immunologic, virologic
and behavioral aspects of HIV disease progression in women.  The NIAID
and CDC have jointly developed an organizational working arrangement
for the HERS and for the transition phase incorporating the
NIAID-funded WIHS sites.  This organizational structure of an Executive
Committee and Working Groups is intended to enable the NIAID WIHS sites
expedite implementation of their cooperative agreements, while
protecting the autonomy implicit in an assistance mechanism.  The NIAID
continues to play an active role in facilitating the HERS.

The CDC and the NIAID have initiated the initial phase of this
interagency prospective study of HIV-infected and uninfected women
through the CDC's 1991 program announcement #115 (Federal Register,
vol. 56, no. 65, Thursday, April 4, 1991), the HIV Epidemiology
Research Study (HERS).  Cooperative agreements have been awarded by the
CDC to four clinical sites.  For purposes of clarity in this RFA
AI-92-12, the HERS sites will be referred to as the "CDC HERS sites",
though it should be understood that they are part of the WIHS
initiative.  Accordingly, awardees of this RFA will be referred to as
the "NIAID WIHS sites," and will be named by the WIHS Principal
Investigators themselves after the cooperative agreements are awarded.

A pilot study manual for this phase of the study has been developed by
the CDC, NIAID, the four currently funded clinical sites, and an
interim data center.  Pilot studies of draft data collection
instruments and procedures have been initiated including:  (1) study
subject identification and enrollment; (2) patient sociodemographic and
health history; (3) physical examination; and (4) laboratory specimen
collection and procedures.  The current version of these materials will
be provided to potential applicants upon written request to Dr. Sandra
Melnick, Division of AIDS, NIAID (see INQUIRIES for address and FAX
numbers).  A Request for Proposals (RFP) for a Statistical and Clinical
Coordinating Center (SACCC), which will support WIHS and other NIAID
prospective studies, has recently been announced.  So that applicants
for cooperative agreements under this WIHS RFA are aware of the
services to be provided by the SACCC, each prospective applicant will
also be provided with a copy of the statement of work from the SACCC
RFP.

When new sites are awarded under this RFA, the awardees will review the
study protocols to arrive at data collection procedures and instruments
compatible with those of the HERS sites, and contribute to the
development of new studies and procedures.  The final study design
could be a modular study design that may include both standardized
modules (separate study protocols on a particular topic, consisting of
standardized physical exam procedures and a questionnaire) to be used
at all CDC HERS sites and NIAID WIHS sites, as well as separate modules
for CDC HERS sites that differ from those modules used by the NIAID
WIHS sites.  During the course of the four-year study period, there may
also be modules carried out at a single site. Plans for such
site-specific modules are encouraged in this application (see
Site-Specific Research Studies).

Sample Size Goal

The goal of the entire WIHS research effort is 2,500 HIV-seropositive
women and a comparison group of 775 HIV-seronegative women who engage
in activities that place them at high risk of acquiring HIV.  The
following table shows the sample size goals for the NIAID WIHS sites
and the CDC HERS sites.

NIAID WIHS sites     CDC HERS sites        Total

1,700 HIV(+) women   800 HIV(+) women      2,500

375 HIV(-)           400 HIV(-)              775
high risk women      high risk women

2,075 women          1,200  women          3,275

RESEARCH OBJECTIVES

The overall objectives of WIHS are to:

o  Determine the spectrum and course of the clinical manifestations of
HIV infection in women, including those affecting the genital tract and
oral cavity.

o  Determine the pattern and rate of decline of CD4+ cells in women and
the relationship of CD4+ changes to other immunologic and virologic
parameter, and to the clinical manifestations of HIV.

o  Investigate factors (e.g., infectious, treatment-related,
nutritional, socioeconomic, drug-use related) that may delay or
accelerate HIV-induced immune dysfunction and specific manifestations
of HIV-associated clinical disease.

o  Study the factors influencing the length of survival and quality of
life of women with HIV infection.

Although the emphasis of this study is not on HIV transmission,
follow-up of the initially seronegative group of women will be
important to:

o  Determine the rate of incident HIV seroconversion and identify the
factors that may increase the risk of incident HIV infection among a
smaller cohort of high-risk women who are HIV-antibody negative at the
time of study enrollment.

o  Access the feasibility of HIV vaccine trial initiation in high-risk
HIV-seronegative women by assessing willingness to participate in
vaccine efficacy trials.

All applicants should provide plans and other evidence describing their
capability to participate in this multicenter collaborative study.  The
Research Plan should be based on the approaches the applicant would
take to participate in the WIHS including recommendations to refine the
draft HERS procedures being provided to applicants.  The Research Plan
should address separately three components of WIHS:

1.  Cohort Studies including

o  Recruitment, Retention, and Service Linkages.

o  Study Visits and Data Collection Including Interviews, Medical
Histories, and Physical Examinations.

o  Laboratory Specimen Collection, Testing, and Storage.

2.  WIHS Organization, Management, and Communications

3.  Site-Specific Research Studies

Each WIHS component is discussed separately in the following
paragraphs.

Cohort studies

o  Recruitment, Retention, and Service Linkages

The applicant should provide a recruitment and retention plan with
information regarding their access to, and ability to enroll and
retain, a minimum of 300 HIV-infected women and 75 HIV-uninfected but
high risk women into a prospective study of HIV-related disease
outcomes.  Adolescents (ages 15 to 18) may be recruited depending on
local Institutional Review Board (IRB) requirements and applicable
State laws. The suggested enrollment ratio of HIV-infected women to
uninfected high risk women is five to one.  Uninfected women should
meet criteria for high-risk of acquiring HIV infection including
current or recent injection drug or crack cocaine use and/or engaging
in high risk sex (e.g., as a commercial sex worker, as a sexual partner
to an injection drug user, and/or engaging in frequent heterosexual
encounters that are not for money).  Applicants should demonstrate
their capability to enroll at least 300 HIV infected women and 75
uninfected high risk women by 18 months.  At least 50 percent of the
HIV infected women should be in later stages of HIV disease.  The
applicant's recruitment and retention plan should address the following
elements:

o   Plans for community outreach, screening for cohort enrollment, HIV
testing and counseling, and informed consent.

o   Evidence of capability to work with women who have substance abuse
problems.

o   Identification of sources of study subjects, e.g., inpatient or
outpatient units providing primary care or substance abuse treatment,
HIV clinics and testing sites, referrals from community-based
physicians or agencies, sexually transmitted disease clinics, and
community-based clinics.

o   Description of procedures for assistance with and referral for
non-protocol-related care.  A strategy for interaction with community
health care providers or agencies to handle referral of HIV-infected
women in this study should be incorporated into the application.  The
cultural, ethnic, and language expertise of the staff to interact with
community-based organizations and with women in their communities, or
alternatively, the ability of the staff to interact with
community-based organizations and with women in a culturally sensitive
manner, should be described.

o   Provision of a detailed and specific plan for retention of study
subjects, including, for example, a patient advocate or study nurse who
provides continuity of care at visits, a small cash award, or
reimbursement/vouchers for transportation expenses, on-site child care
arrangements, culturally sensitive research staff, etc. Collaboration
with community-based organizations is strongly encouraged to facilitate
retention of women, particularly from socioeconomically disadvantaged
backgrounds.

All applicants should describe how clinical care will be provided to
study participants, and describe the amount of primary care, if any,
that will be provided by the research study staff to the study
population.  Clinical care costs directly associated with the WIHS
protocols can be paid for under this award, when these are not covered
by other sources.  Proposed clinical facilities should have
demonstrated experience in providing services to, or effective referral
services for low-income cultural and ethnic minority groups and
chemically dependent women.

Applicants are encouraged to form linkages with other AIDS-related
studies and services.  Applications should include letters of agreement
in the application that should be co-signed by the Principal
Investigator of the applicant institution and each cooperating site.
All letters should be explicit as to the intended purpose and role of
the collaborating site or organization.  See Appendices 5-13 for
listings of contacts for AIDS-related services and studies, including:

Contact List                                        Appendix

AIDS Clinical Trial Units (ACTUs),
which comprise the AIDS Clinical Trials Group (ACTG)       5

Community Programs for Clinical Research on AIDS (CPCRA)   6

General Clinical Research Centers (GCRCs)                  7

Research Centers at Minority Institutions (RCMIs)          8

Centers for AIDS Research (CFAR)                           9

National Institute on Drug Abuse (NIDA)
  Cooperative Agreement Awardees                          10

American Foundation for AIDS Research (AmFAR)
  Community-based Clinical Trials Network                 11

AIDS Vaccine Evaluation Units (AVEUs) which comprise
  the AIDS Vaccine Evaluation Group (AVEG)                12

Health Resource and Services Administration (HRSA)
  Ryan White CARE Act Titles I & II Grantees              13

Applicants should describe plans for establishing, within two months of
award, a Community Advisory Board (CAB).  The purpose of the CAB is to
foster interaction between the WIHS staff and HIV-infected women in the
community, health care and other service providers, and other related
community-based groups.  (If an appropriate CAB is already in place, it
is not necessary to establish a separated CAB for this project).
Applications should describe the role and relationship of the CAB to
the applicant institution. Applications should also specify the
composition of the CAB, functions it will perform for the WIHS, and a
proposed meeting schedule.  Inclusion on the CAB of women, particularly
those representing minority populations, to reflect the demographics of
HIV-infected women in the catchment area may ensure representation of
concerns of community members and patient advocates.

o  Study Visits and Data Collection including Interviews, Medical
Histories, and Physical Examinations

The applicant should submit a plan for initial and follow-up study
visits.  As stated above, the enrollment goal is at least 300
HIV-infected women and 75 uninfected women in the first 18 months of
the study.  The applicant should assume that the final WIHS procedures
and data collection forms will be completed by the WIHS Executive
Committee and Working Groups (see "2.  WIHS Organization, Management,
and Communication" below) within the first nine months after award of
the WIHS cooperative agreements.

The applicant's plan should be based on (1) the six WIHS objectives
stated above and the associated suggested areas for study-wide data
collection stated in Appendix 2 to this RFA and (2) a review the HERS
study visit procedures and data collection instruments.  The
applicant's plan should address each of the six objectives and should
include the applicant's recommendations for refinement of these HERS
procedures and data collection instruments.

Based on the HERS pilot study materials and possible refinements, a
typical initial study visit could entail: (1) an interview;  (2) a
physical examination; (3) laboratory specimen collection;  and (4)
medical record extraction.  The applicant should address their plans
for conducting these initial visits as efficiently as possible.

The applicants should base their plans for follow-up visits on the
following considerations:  (1) follow-up visits should be conducted
every six months for all study participants;  and (2) additional
contacts (which may be short visits or phone calls) should be made to
collect data on major clinical events between the regular 6-month
visits for women who (a) have fewer than 350 CD4+ cells/ul at their
last 6-month visit, (b) have AIDS-related clinical conditions, and/or
(c) are pregnant.  The applicant should discuss potential approaches to
obtaining data between the regular six month visits.

In preparing their plans and budgets for study visits, the applicants
should consider possible attrition rates, reasons for attrition, and
the implications for the study and study budgets.

The applicant should assume that no study visits will be conducted
during the final six months of the four year award period; that six
month period will be devoted to ensuring that all study data have been
completed, validated, and submitted to the SACCC.

o  Laboratory Specimen Collection, Testing, and Storage

Applicants should submit a plan and budget for the collection and
processing of WIHS study specimens.  Certain specimens may be analyzed
at the clinical research site and funded through this cooperative
agreement.  Other specimens may be obtained and shipped to central
laboratories to establish consistency across sites.  Applicants should
review the draft HERS Laboratory Procedures and Data Collection
Instruments and two appendices to this RFA: Appendix 3 for suggested
components of the Laboratory Protocol and Appendix 4 for local and
central processing of specimens (Appendix 4 is a summary of information
from Appendix 3).  Awardee laboratories will be required to participate
in a quality assurance (QA) program.

Funds are not available in this RFA for new laboratory equipment or for
the expansion of facilities.  Applicants are encouraged to make
arrangements with other institutions if necessary to have adequate
laboratory capabilities.  The laboratory studies plan should provide
documentation of the following:  (1) prior experience with each
proposed laboratory procedure; (2) facilities available for performance
of laboratory procedures; (3) current quality assurance programs; (4)
experience with multi-institutional prospective studies; and (5)
facilities and processes for the storage and shipment of study
specimens.

The applicant's budget should be based on the information in RFA
Appendices 3 and 4 and in the HERS draft procedures and data collection
instruments.  The applicant should address possible changes or
improvements in the laboratory efforts that could be incorporated into
WIHS with the approval of the WIHS Executive Committee.

Site-specific research studies

Access to significant numbers of clinical specimens from
well-characterized study subjects will be a important resource for the
support of research studies of HIV and AIDS-related issues.  Applicants
should propose site-specific research studies that will investigate
issues associated with one or more of the major objectives of WIHS
(stated above) and the associated suggested areas for study-wide data
collection presented in Appendix 2 of this RFA.  These proposed
research studies should take advantage of samples and data generated
under the WIHS protocols.  Research that does not require the use of
WIHS samples, WIHS data, or WIHS study subjects will not be supported
by this RFA; applicants for such research are encouraged to seek
funding through other funding sources and mechanisms.

SPECIAL REQUIREMENTS

Terms and conditions

Special Requirements Under the Cooperative Agreement

Successful applicant(s) funded under this RFA will be supported through
Cooperative Agreements.  Within a cooperative agreement, a partnership
relationship exists between the recipient of the award and the NIAID.
Each party to this partnership within the WIHS will have rights and
responsibilities as well as a defined working relationship.

Awardee Rights and Responsibilities

The WIHS Principal Investigators will be responsible for directing the
research efforts of the WIHS, as well as the conduct of the studies
performed at their respective clinical sites.  As a group (the
Executive Committee), WIHS investigators will identify scientific
objectives and research hypotheses, arrive at mutually-agreed upon data
collection instruments and physical exam protocols, and verify that the
data collection instruments will meet the objectives and produce high
quality data. Investigators will implement the protocols and the data
collection instruments, and be responsible for ensuring patient
accrual.  WIHS investigators will hold leadership positions in the
Executive Committee, on the Working Groups, and ad hoc committees,
thereby providing the direction for the study. These responsibilities
will also include overseeing study design, data analyses, and
presentation of results according to Executive Committee policies.
WIHS site performance during each budget period will determine the
subsequent budget awards.

Applicant institutions are reminded that adequate protection for human
subjects in research is an essential requirement for the NIH.  Awardee
institutions, each subordinate entity to the Awardee, and each
performance site, whether institutions or independent investigators,
should agree that the rights and welfare of human subjects involved in
research under this cooperative agreement shall be protected in
accordance with 45 CFR 46.  As a condition of award, not as a condition
of application, applicants and affiliated performance sites are
required to designate an Institutional Review Board (IRB) and possess
an applicable assurance of compliance which has been approved by the
Office for Protection from Research Risks (OPRR) of the NIH. Applicants
will be notified if additional information is required on this matter.

NIAID Rights and Responsibilities

The NIAID staff will assist the WIHS Principal Investigators through a
Program Official who will be designated by the Chief of the Vaccine
Trials and Epidemiology Branch of NIAID's Division of AIDS.  The NIAID
Program Official will have overall responsibility to assure the
scientific and technical integrity of the project on behalf of the
Institute.  It is again emphasized that the role of NIAID will be to
act as a facilitator and not to direct the activities of the WIHS
investigators.  It is anticipated that decisions aimed towards
achieving the research objectives of the WIHS project will be made by
the Executive Committee.

NIAID staff will assist the WIHS awardees by

o  Providing scientific and technical assistance in the development of
research plans, data collection methods, analyses and reporting.

o  Providing technical support in areas including statistical and data
collection, analysis, and publication through the SACCC.

o  Providing logistical and other support services for meetings of the
Executive Committee and Working Groups.

o  Preventing duplication of efforts among WIHS sites, other WIHS
grantees, and other related NIAID projects by overseeing efforts of all
the sites, and other NIAID projects.

o  Coordinating research reagents and technologies used by WIHS sites
to achieve standardization.

The NIAID will establish an arbitration process to resolve any
difference of opinion between the awardee and the NIAID with regard to
programmatic decisions on scientific-technical matters.  An arbitration
panel, composed of one WIHS awardee designee, one NIAID designee, and
a third designee with expertise in the relevant area and chosen by the
other two, will be formed to review any scientific or programmatic
issue that is significantly restricting progress.  While the decisions
of the Arbitration Panel are binding, these special arbitration
procedures will in no way affect the awardee's right to appeal an
adverse action in accordance with PHS regulations at 42 CFR Part 50,
subpart D, and HHS regulations at 45 CFR Part 16.

Cooperative Agreements are subject to the administrative requirements
outlined in OMB circulars.  All pertinent HHS, PHS, and NIH grant
regulations, policies and procedures, with particular emphasis on PHS
regulations at 42 CFR Part 52 and HHS regulations at 45 CFR Parts 74
and 92, are applicable.  These special terms and conditions pertaining
to the scope and nature of the interaction between NIAID and the
investigators will be incorporated in the Notice of Grant Award.
However, these terms will be in addition to, not in lieu of, the
customary programmatic and financial negotiations which occur in the
administration of cooperative agreements.

WIHS Organization, Management, and Communication

The planned organizational structure for WIHS and the current
organizational structure for HERS are presented in Appendix 1 to this
RFA.  In that appendix, the roles of the Executive Committees and
Working Groups for both WIHS and HERS are outlined.

Executive Committee.  To ensure that the WIHS addresses questions of
the highest scientific priority and to provide leadership and direction
for the study, WIHS Principal Investigators, and the NIAID WIHS Program
Official will be members of the Executive Committee with voting
privileges. The Principal Investigator from the SACCC and one program
official from each Federal agency contributing funds to the project
will participate as ex officio members of the Executive Committee.
This organizational structure of an Executive Committee and Working
Groups is intended to enable the NIAID WIHS sites to expedite
implementation of their cooperative agreements while protecting the
autonomy implicit in an assistance mechanism.

The Executive Committee will develop general WIHS policies concerning:
subcommittee or Working Group structure and membership; publications;
access to data; interim data monitoring; agendas for group meetings;
protocol and questionnaire development; evaluation of WIHS performance;
and schedule and content of WIHS meetings.  Most importantly, the
Executive Committee will be charged with the establishment of overall
scientific priorities.

Working Groups.  Within this cooperative framework, clinical staff may
participate in study-wide Working Groups and contribute to the broader
study goals outside of the sphere of their own clinical center.  These
Working Groups will have responsibility for the development of a
research agenda for specific topic areas, for developing and modifying
modules (specific clinical physical examination and laboratory specimen
collection procedures) to address that agenda, assess the progress in
specific topic areas, and publish the results of collaborative study
findings.  These activities will be conducted according to procedures
and standards developed and/or overseen by the Executive Committee.
While the CDC HERS sites and NIAID WIHS sites will each have their own
Executive Committee, it is the intention of NIAID and CDC Program
Officials to encourage the merger of the two Executive Committees, or
develop other collaborative arrangements, as soon as is practical and
desirable.

Applicants should review the material in Appendix 1 with particular
reference to the Working Groups which have been established for the
HERS study.  Given the objectives and scope of WIHS, applicants are
requested to recommend Working Groups for WIHS, to state why these
specific Working Groups will be needed, and to identify which proposed
staff would be recommended as members of each Working Group.

Applicants are also asked to recommend an approach which could be taken
during the first nine months after the award of WIHS to use the
Executive Committee and Working Groups structure to develop final data
collection procedures and instruments.

Study-wide data management issues

Data Management and Study Coordination

The WIHS will be assisted by the SACCC, contracted by the NIAID, to
provide extensive technical and logistical support.  This contract
will:  1) provide statistical expertise and data analysis, in
conjunction with the Executive Committee; 2) establish and administer
an effective and responsive data management system; and 3) assist with
the design and implementation of educational and training activities
involving data quality assurance, including clinical training for the
staff performing physical examinations at the WIHS clinical sites.
Each applicant will be sent a copy of the work statement from the
Request for Proposals (RFP) for the SACCC so that the applicant can be
aware of the full range of services to be provided by the SACCC.

Applicants may plan for either:

o   On-site data entry, using a data entry module that will be
developed by the SACCC.  Computer tapes or diskettes containing files
of the data entered on site will be sent to the SACCC.

       OR

o    Central data entry by photocopying and retaining copies of
completed data collection instruments on site, and sending the
originals to the SACCC for data entry.

Inconsistencies discovered by the SACCC and reported to the sites will
be the responsibility of the sites to resolve regardless of whether
they elect on-site or central data entry.  Selection of either option
does not preclude the participation of the site investigators in any of
the above activities, including statistical analyses of their own data.

At a minimum, applicants should have equipment available for
computer-to- computer electronic mail communications and report
generation.  This equipment should be dedicated for WIHS-related
operations, and should include:

o  IBM compatible 386/33 microcomputer.
o  Monochrome or color VGA display.
o  Minimum of 40 megabyte hard disk, 2 megabyte memory, (dual 3.5" and
5" drives are recommended).
o  Hayes compatible 9600 baud modem.
o  Hewlett-Packard IIIP or comparable laser printer.
o  WordPerfect word processing software, version 5.1.
o  ProComm Plus or compatible communications software.

Reporting Requirements, Access to Data, and Publication of Research
Findings

In addition to the reporting requirements currently in existence for
awardees of traditional NIH research project grants, the following
apply:

o  Site-Specific Data

WIHS awardee institutions will generate data that will be submitted to
the SACCC as explained above.  In most cases, these institutional data
will represent a subset of the total database for a given protocol.
These data may have limited value or may have substantial independent
scientific value for specific research questions.  The WIHS Executive
Committee may establish policies encouraging or limiting publication of
such site-specific institutional data as appropriate for a given
circumstance.  These institutional data will remain the property of the
awardee.

o  Study-Wide Data

The total database for the WIHS core protocol will come from all funded
sites, including the HERS sites.  While physically located at the
SACCC, the use and publication of the data will be governed by policies
established by the Executive Committee.  Working groups will be
established to define research questions of interest, coordinate data
analyses, and determine publication policies and dissemination of
findings.

NIAID Program staff, in collaboration with the EC, (or Program staff
from other Federal funding agencies) may have access to data generated
under this cooperative agreement.  Information obtained from the data
may be used by NIAID for the preparation of internal reports on WIHS
activities.  However, the awardees will retain rights to the data.
Publication policies will be established by the Executive Committee.
Publication of major findings is the responsibility of the Executive
Committee in accordance with these policies.  Publication or oral
presentation of work performed under this agreement will require
appropriate acknowledgement of NIAID support.

Specific instructions

This section supplements the instructions for preparing a grant
application, form PHS 398 (rev. 9/91).  Additional information is
provided on the organization of the application to accommodate a
multi-component studies.  The cooperative agreement application should
be assembled and paginated as one complete application.

Research Plans

Separate research plans are required for each of the three WIHS
components:  (1) Cohort Studies; (2) WIHS Organization, Management, and
Communications; and (3) Site-Specific Research Studies.

o  Component 1 - Cohort Studies.  As part of items 1-4 of the Research
Plan section of the PHS 398 form, applicants should present their plans
for the required cohort studies including: (a) recruitment, retention,
and service linkages; (b) study visits and data collection; and (c)
laboratory specimen collection, testing, and storage (see pages 14-18
of the RFA).  This section may not exceed 20 pages in length.  A
separate PHS 398 page 2, titled "Component 1 - Cohort Studies", should
precede this section.

o  Component 2 - WIHS Organization, Management, and Communications.  In
place of items 1-4 of the Research Plan section of the PHS form 398,
applicants should present their plans for participation in central WIHS
activities (see RFA pages 21-22.  This section may not exceed five
pages in length.  A separate PHS 398 page 2, titled "Component 2 - WIHS
Organization, Management, and Communications" should precede this
section.

o  Site-Specific Research Studies.  For each proposed research study,
the applicant should complete the Research Plan section of the PHS 398
(see RFA page 18).  Items 1-4 of the Research Plan should be limited to
10 pages with emphasis on "1.  Specific Aims" and  "4.  Research Design
and Methods" since much of the background and significance will be
discussed in the cohort studies section of the application.  A separate
PHS 398 page 2, with the title of each proposed research study, should
precede each proposed study.

Budgets

An overall composite budget for all components of WIHS must be
submitted by the applicant on pages 4 and 5 of the PHS 398 form.  The
composite budget must be the sum of separate itemized budgets for each
component of WIHS; the itemized budgets for each component should
immediately follow the composite budget.  A separate itemized budget
(PHS 398 form pages 4 and 5, renumber appropriately) must be completed
for the following components of WIHS:

o  Cohort Studies.  The budget for the cohort studies should be based
on (a) the applicants proposed number of study subjects including
estimated retention rates; (b) the visits, exams, and laboratory
studies presented in the draft HERS protocols; (c) supplies to carry
out the study activities; and (d) computer equipment.

NOTE:  Budget justification should include a breakdown of laboratory
costs (i.e., cost per test).  On-site laboratory costs charged to this
grant must be the actual cost of the test.  Applicants must include
cost of shipping those tests that will be processed at a central
laboratory (see Appendix 4).

NOTE:  Although applicants are encouraged to recommend refinements in
the HERS protocols, the budget should be based on the current HERS
design.

o  WIHS Organization, Management, and Communications.  The budget for
this component should address personnel involved in carrying out study
activities, and travel/meeting information should be based on the
assumptions presented on pages 26 and 27 of the RFA.  Travel costs for
meetings other than those related to the conduct of the WIHS will not
be covered by this award.

o  Site-Specific Research Studies.  A separate budget must be prepared
for each proposed research study, using pages 4 and 5 of the PHS 398
kit (renumbered appropriately).

For budget purposes, applicants should assume the following:

Executive Committee.  While the actual number and scheduling of the
Executive Committee will be determined by the Principal Investigators,
for budgetary purposes, assume there will be two one-day meetings per
year of the Executive Committee during the first nine months of WIHS to
develop, review, and make final WIHS policies and procedures prior to,
or during the initial phase of, enrollment of the study subjects.
Assume that there will be a third one-day meeting of the Executive
Committee at the end of the first year of WIHS.   Assume that three of
the meetings will be held in Bethesda, MD and two will be held in
Atlanta, GA.  Assume that participants from each awardee will include
the Principal Investigator and one other senior staff member.

For the second through fourth years of WIHS study, assume there will be
three one-day Executive Committee meetings per year.  Assume that two
of the meetings will be held in Bethesda, MD and one in Atlanta, GA.

These meetings are intended to provide a forum for the Executive
Committee(s) and working groups (see below) to review research
findings, define research activities, and discuss and resolve issues.
Meetings will include the Principal Investigator and one other senior
staff member from each funded site.

Assume that the Executive Committee will also hold conference calls
twice monthly for the duration of the project.

Working Groups.  While the actual number and content of the Working
Groups will be decided by the Executive Committee, assume there will be
seven Working Groups.   Assume that each awardee will have one staff
member from his/her clinical sites on each Working Group.

During the first nine months of the WIHS awards, assume that each
Working Group will meet two times for two-day meetings; one meeting to
be held in Bethesda, MD and one meeting to be held in Atlanta, GA.
Although the purposes of these meetings will be specifically determined
by the Executive Committee,  the general goal will be to provide a
forum to review and discuss refinements and changes to the protocols
for approval by the Executive Committee.  Assume an additional two-day
meeting will take place at the end of the first year of the WIHS in
Bethesda, MD.

During the second through fourth years of the WIHS study, assume there
will be three two-day meetings annually of each Working Group.  In
addition, assume all working groups will hold conference calls twice
monthly.

STUDY POPULATIONS

SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH
POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements will be required to include minorities and women
in study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder or condition under study;
special emphasis should be placed on the need for inclusion of
minorities and women in studies of diseases, disorders and conditions
which disproportionately affect them.  This policy is intended to apply
to adult males and females.  If women or minorities are excluded or
inadequately represented in clinical research, particularly in proposed
population-based studies a clear compelling rationale should be
provided.

The composition of the proposed study population should be described in
terms of racial/ethnic group.  In addition, racial/ethnic issues should
be addressed developing a research design and sample sizes appropriate
for the scientific objectives of the study.  This information should be
included in the form PHS 398 in Sections 1-4 of the Research Plan AND
summarized in Section 5, Human Subjects.  Applicants are urged to
assess carefully the feasibility of including the broadest possible
representation of minority groups.  However, NIH recognizes that it may
not be feasible or appropriate in all research projects to include
representation of the full array of United States racial/ethnic
minority populations (i.e., Asian and Pacific Islanders, African
Americans/Blacks, Hispanics/Latinos, and Native Americans, which
includes American Indians and Alaskan Natives).  The rationale for
studies on single minority population groups should be provided.

For the purpose of this policy, clinical research includes human
biomedical and behavioral studies of etiology, epidemiology, prevention
(and preventive strategies), diagnosis, or treatment of diseases,
disorders or conditions, including but not limited to clinical trials.

The usual NIH policies concerning research on human subjects also
apply.  Basic research or clinical studies in which human tissues
cannot be identified or linked to individuals are excluded.  However,
every effort should be made to include tissues from racial/ethnic
minorities when it is important to apply the results of the study
broadly, and this should be addressed by applicants.

If the required information is not contained within the application,
the application will be returned without further review or
consideration by the NIH.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies. If the representation of
minorities in a study design is inadequate to answer the scientific
question(s) addressed AND the justification for the selected study
population is inadequate, it will be considered a scientific weakness
or deficiency in the study design and will be reflected in assigning
the priority score to the application.

All applications for clinical research submitted to NIH are required to
address these policies.  NIH funding elements will not award grants or
cooperative agreements that do not comply with these policies.

NOTE:   This study fully meets the requirements for inclusion of women
because it is exclusively comprised of female subjects.

LETTER OF INTENT

Prospective applicants are asked to submit, by January 11, 1993, a
letter of intent that includes a descriptive title of the proposed
research and the name, address, and telephone number of the Principal
Investigator; the identities of other key personnel and participating
institutions; and the number and title of the RFA in response to which
the application may be submitted.  The letter of intent is requested in
order to provide an indication of the number and scope of applications
to be reviewed.  The letter of intent does not commit the sender to
submit an application, nor is it a requirement for submission of an
application.

The letter of intent is to be sent to:

Dr. Sandra L. Melnick
Vaccine Trials and Epidemiology Branch
Division of AIDS
National Institute of Allergy and Infectious Diseases
Solar Building Room 2A28
6003 Executive Boulevard
Bethesda, MD  20892

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these cooperative agreements.  These forms are
available from the Office of Grants Inquiries, Division of Research
Grants, National Institutes of Health, 5333 Westbard Avenue, Room 449,
Bethesda, Maryland, 20892, telephone 301/496-7441.

The RFA label available in the PHS 398 application form must be affixed
to the bottom of the face page of the application.  Failure to use this
label could result in delayed processing of the application such that
it may not reach the review committee in time for review.  In addition,
WOMEN'S INTERAGENCY HIV STUDY, RFA AI-92-12 should be typed on line 2a
of the face page of the application form and the "YES" box should be
marked.

Submit a signed, typewritten original of the application, including the
checklist, and three signed, identical single-sided photocopies, in one
package, to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
5333 Westbard Avenue
Bethesda, MD  20892**

At the time of submission, two additional copies must also be sent
directly to:

Dr. Dianne Tingley
Division of AIDS
Division of Extramural Activities
National Institutes of Allergy and Infectious Diseases
Solar Building, Room 4C16
6003 Executive Boulevard
Bethesda, MD  20892

Applications must be received by both the Division of Research Grants
(DRG) and Dr. Tingley by February 18, 1993. Applications received after
February 18, 1993 will be returned to the applicant without review.
The DRG will not accept any application in response to this
announcement that is virtually identical to one currently pending
initial review, unless the applicant withdraws the pending application.
The DRG will not accept any application that is essentially the same as
one already reviewed.  This does not preclude, however, the submission
of substantial revisions of previously reviewed applications which are
suitably tailored to the guidelines and requirements expressed in this
RFA.

Applications that are not received as a single package from the
principal investigator will be judged non-responsive and will be
returned to the applicant.  Applications must also conform to the
instructions contained in PHS 398 (rev. 9/91), with the exceptions that
the research plan and page length limitations for the usual grant
applications are modified as stated in the RFA.

Applications that do not follow the prescribed font sizes outlined in
form 398 will be judged non-responsive and will be returned to the
applicant.  Applicants should use standard, easily readable
printer/typewriter fonts; it is not in the self-interest of an
applicant to submit an application that is hard to read or that exceeds
the above page length limitations.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed DRG for completeness and by
NIAID review staff for responsiveness.  Incomplete applications will be
returned to the applicant without further consideration.  If the
application is complete, but is judged not responsive to the RFA, it
will be returned to the applicant without further consideration, though
the applicant may then submit a revision, within page length
limitations of PHS 398 (rev. 9/91), for review as unsolicited,
investigator-initiated research at the next DRG review cycle.  A triage
may be performed by a peer review group to determine relative
competitiveness of applications responding to this RFA.  The NIH will
withdraw from further competition those applications judged to be
non-competitive for award and notify the applicant Principal
Investigator and institutional official.  Those applications judged to
be competitive for award will be evaluated in accordance with the
criteria stated below for scientific/technical merit by an appropriate
peer review group convened by the NIAID.  The second level of review
will be provided by the National Advisory Allergy and Infectious
Disease Council in June 1993.  The earliest possible award date is July
1993. The following criteria will be considered in the review of the
applications:

o  Demonstration of the applicant's willingness and capability to
participate in this multicenter study.

o  Adequacy of applicant's plan for achieving the recruitment and
retention goals.

o  Adequacy of the plans for linkages with and utilization of other
AIDS-related studies and services, including the requisite plans for
establishing or utilizing a Community Advisory Board.

o  Adequacy of applicant's plan for refining and implementing HERS
study visit procedures and data collection forms.

o  Adequacy of applicant's plan for collecting and distributing or
analyzing laboratory specimens.

o  Adequacy of applicant's plan for participation in central WIHS
activities (Executive Committee and Working Groups).

o  Adequacy of applicant's plan for any site-specific studies.
Applicant must demonstrate that each proposed site-specific research
study will use WIHS study participants, specimens, or data, alone or in
some combination.

o  The professional qualifications and the scientific experience of the
Principal Investigator and key personnel responsible for various
aspects of the clinical and research investigations proposed.

o  Adequacy of the administrative and organizational structure that
facilitates attainment of the objectives of the program, including
arrangements for internal quality control, allocation of funds,
day-to-day management, internal communications, and cooperation among
the investigators, contractual agreements, and replacement of the
Principal Investigator on an interim or permanent basis.

INQUIRIES

Direct inquiries pertaining to programmatic issues and for copies of
HERS materials and the statement of work from the SACCC RFP, and the
Appendices of the RFA to:

Dr. Sandra Melnick
Vaccine Trials and Epidemiology Branch
Division of AIDS
National Institute of Allergy and Infectious Diseases
Solar Building, Room 2A28
6003 Executive Boulevard
Bethesda, MD  20892
FAX:  (301) 402-1506

Direct inquiries pertaining to fiscal and policy matters to

Ms. Jane Unsworth
Chief, AIDS Grants Management Section/GMB/DEA
National Institutes of Allergy and Infectious Diseases
Solar Building, Room 4B25
6003 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 496-7075
FAX:  (301) 480-3780

Direct inquiries pertaining to the review process and review
requirements to

Dr. Dianne Tingley
Division of AIDS
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4C16
6003 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 496-0818
FAX:  (301) 402-2638

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.856, Microbiology and Infectious Disease Research and No. 93.855
Immunology, Allergic and Immunologic Diseases Research.  Awards are
made under authorization of the Public Health Service Act, Title IV,
Part A (Public Law 78-410, as amended by Public Law 99-158, 42 USC 241
and 285) and administered under PHS grants policies and Federal
Regulations 42 CFR 52, 45 CFR Part 74, and 45 CFR Part 92.  This
program is not subject to the intergovernmental review requirements of
Executive Order 12372 or Health Systems Agency review.

From owner-sci-resources@net.bio.net Wed Nov 11 22:00:00 1992
Path: biosci!NET.BIO.NET!kristoff
From: kristoff@NET.BIO.NET (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 21, no. 41, pt. 2, 13 November 1992
Message-ID: <CMM.0.90.2.721592026.kristoff@net.bio.net>
Date: 12 Nov 92 18:13:46 GMT
Sender: kristoff@net.bio.net
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$$XID NIHGUIDE 19921113 V21N41 P2O3 ************************************
stated in this RFA, awards will be administered under PHS grants policy
as stated in the Public Health Service Grants Policy Statement, DHHS
Publication No. (OASH) 90-50,000, revised October 1, 1990.

This RFA is a one-time solicitation.  However, if it is determined that
there is a sufficient continuing program need, the NCI will invite
recipients of awards under this RFA to submit competitive continuation
cooperative agreement applications for review according to the
procedures described in Review Considerations, Part A.

FUNDS AVAILABLE

Approximately $1,500,000 in total costs per year for four years will be
committed to specifically fund applications submitted in response to
this RFA.  It is anticipated that six to nine individual awards will be
made to one to three consortia.  This funding level is dependent on the
receipt of a sufficient number of applications of high scientific
merit.  The total project period for applications submitted in response
to the present RFA may not exceed four years.  Although this program is
provided for in the financial plans of the NCI, the award of
cooperative agreements pursuant to this RFA is also contingent upon the
continuing availability of funds for this purpose.

RESEARCH OBJECTIVES

The primary goal of this initiative is to stimulate clinical research
in the treatment of primary CNS malignancies in adult patients by
providing support for consortia of institutions to perform Phase I and
II clinical evaluations of promising new chemotherapeutic or biologic
agents.  A secondary goal is to utilize the consortia as a mechanism
for sharing human brain tumor specimens among investigators conducting
laboratory studies relevant to the biology, clinical behavior, or
therapy of CNS tumors, particularly malignant gliomas.

Clinical trials will take advantage of new developments in drug and
radiation resistance, radiation sensitization, biological response
modification, immune modulation, induction of apoptosis,
differentiation induction, therapeutic irradiation techniques,
induction or suppression of specific gene function, or other innovative
approaches.  Each CNSC will be formed for the purpose of:  (1) sharing
expertise of researchers in multiple disciplines; (2) conducting joint
phase I and II clinical trials to provide adequate patient populations
and timely completion; and (3) sharing of tumor specimens and data
useful in the conduct of clinical pharmacologic and correlative
laboratory studies.  Participant institutions in the proposed
consortium may be involved in clinical trials and/or laboratory
studies.

It is anticipated that one to three consortia will be established,
comprising three to nine institutions.  Each CNSC will select the
specific agents to be tested in accord with their scientific interest
and expertise and will develop a series of appropriate Phase II or
Phase I trials with supporting protocol documents.  Each applicant CNSC
should submit as examples one or more draft clinical protocols as
supplements to the Central Operations Office/Coordinating Center
(Project Leader) and the participant institution applications.  The
CNSC, along with the assistance of the NCI Program Director, will
develop a plan for prioritization of investigational trials.  The NCI
may provide NCI-sponsored IND agents or provide assistance to the
awardee(s) by sponsoring or cross-referencing INDs for selected agents.
Each CNSC must have documented numbers of patients with CNS tumors and
a history of accrual of patients to clinical trials adequate for
two-six phase I or II trials (60-180 patients) per year.  It is
expected that all of the CNSC institutions together will be able to
complete approximately six phase I or phase II trials (180 patients)
per year.  In addition, proposed consortia must have: (1) adequate
radiotherapy support for clinical trials utilizing radiation in
combination with other modalities; (2) adequate central data collection
and processing capabilities as well as biostatistical expertise; (3)
adequate pathology support for both institutional tumor classification
and central neuropathology review and for banking and distribution of
tumor tissues for concurrent and future laboratory studies; (4)
mechanisms to collect and store patient specimens for laboratory
studies being conducted by institutions in the CNSC; (5) expertise in
antineoplastic drug pharmacology/pharmacokinetics.

The correlative laboratory research program in a CNSC should address at
least one field of research into the biology of human malignant gliomas
with some potential for future clinical relevance.  Examples of
research fields for laboratory studies include:  molecular genetics and
cytogenetics, gene function and expression, signal transduction
pathways, radiobiology, growth regulation, metabolism, differentiation
and gene modulation by investigational agents, intracellular
metabolism, mechanisms of drug resistance in tumor cells, CNS
pharmacokinetics, invasion and spread, cytokine production or
interactions, immune function and antigen expression, or other aspects
that may have clinical implications or lead to new therapeutic
approaches.  Investigators are not limited to the above areas of
laboratory experimentation.

Correlative laboratory studies need not be directly related to
individual clinical Phase I/II trials but should attempt to utilize the
large clinical database that will be generated by the consortium to
identify potential correlates of tumor behavior, and laboratory studies
should be based on strong and testable hypotheses.  A clear rationale
should be given for the experimental design and technological
methodologies selected.  Preliminary data from appropriate tumor models
or analysis of patient specimens should be provided to support the
feasibility of each study.  The laboratory assays must utilize tumor
specimens from patients and there should be an established plan for
prioritization of specimen distribution to collaborating laboratories.
Participating institutions primarily involved in laboratory studies may
accrue patients on CNSC clinical trials if the minimum clinical
resources are in place (See ELIGIBILITY REQUIREMENTS).

The cooperative approach outlined in this RFA allows for interactions
among successful applicants, with the assistance of NCI extramural
staff, to perform Phase I and Phase II trials of anticancer agents and
ancillary laboratory studies.  This mechanism retains the
decision-making prerogatives of the Principal Investigator and his/her
colleagues, but at the same time, permits the active participation of
NCI in research activities.  (See TERMS OF COOPERATION)

SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH
POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

For projects involving clinical research, NIH requires applicants to
give special attention to the inclusion of women and minorities in
study populations.  If women or minorities are not included in the
study populations for clinical studies, a specific justification for
this exclusion must be provided. Applications without such
documentation will not be accepted for review.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies.  If the representation of
women or minorities in a study design is inadequate to answer the
scientific question(s) addressed AND the justification for the selected
study population is inadequate, it will be considered a scientific
weakness or deficiency in the study design and will be reflected in
assigning the priority score to the application.

All applications for clinical research submitted to NIH are required to
address these policies.  NIH funding components will not award grants
or cooperative agreements that do not comply with these policies.

LETTER OF INTENT

Prospective applicants are asked to submit, by January 15, 1993, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Project
Leader, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to which
the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
is helpful in planning for the review of applications.  It allows NCI
staff to estimate the potential review workload and to avoid conflict
of interest in the review.

The letter of intent is to be sent to Dr. Richard Kaplan at the address
listed under INQUIRIES.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for cooperative agreements.  These forms are available at
most institutional offices of sponsored research; from the Office of
Grants Inquiries, Division of Research Grants, National Institutes of
Health, Room 449, Westwood Building, 5333 Westbard Avenue, Bethesda, MD
20892, telephone (301) 496-7441; and from the NCI Program Director
named below.

The Central Operations Office/Coordinating Center as lead institution
should submit a research grant application in which they should list
the anticipated participant institutions, and include proposed clinical
protocols in the Appendix.  (The Central Operations Office/Coordinating
Center application must be a separate document from any application
from a participant institution; if a single institution will be
applying for both participation in clinical and/or laboratory studies
and as the Central Operations Office/Coordinating Center, two
applications will be necessary.)  Each participant institution should
submit an individual research grant application and should indicate the
Central Operations Office/Coordinating Center of the CNSC consortium in
which they intend to participate.  Participant institutions conducting
clinical trials should include copies of the proposed CNSC clinical
protocols in the Appendix.  The grant application should describe the
nature of their participation and justify budget requests for the
protocols.

Applications must be received by March 10, 1993.  If an application is
received after that date, it will be returned.  The Division of
Research Grants (DRG) will not accept any application in response to
this announcement that is essentially the same as one currently pending
initial review, unless the applicant withdraws the pending application.
The DRG 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.

REVIEW CONSIDERATIONS

Review Procedures

Upon receipt, applications will be reviewed for completeness by DRG and
responsiveness by the NCI.  Incomplete applications will be returned to
the applicant without further consideration.  Applications that are
judged non-responsive will be returned by the NCI.  An application
judged to be non-responsive to this RFA may be submitted as an
investigator initiated regular research grant (R01) or program project
grant (P01) at the next receipt date.  The application would require
modification in accordance with either the R01 or P01 guidelines.  The
new application would not be considered an application for a
Cooperative Agreement, nor would it be considered a response to an RFA.
Questions concerning the relevance of proposed research to the RFA may
be directed to program staff as described in the INQUIRIES section
below.

Applications may be triaged by an NCI peer review group on the basis of
relative competitiveness.  The NCI will withdraw from further
competition those applications judged to be noncompetitive for award
and notify the applicant and institutional business official.  Those
applications judged to be both competitive and responsive will be
further evaluated, using the review criteria stated below, for
scientific and technical merit by an appropriate peer review group
convened by the Division of Extramural Activities, NCI.  The second
level of review will be provided by the National Cancer Advisory Board.

AWARD CRITERIA

The anticipated date of award is September 1993.  In addition to the
technical merit of the application, NCI will consider how well the CNSC
and participant institutions met the goals and objectives of the
program as described in the RFA.

INQUIRIES

Written and telephone inquiries concerning the objectives and scope of
this RFA and inquiries about whether or not specific proposed research
would be responsive are strongly encouraged and may be directed to
program staff listed below.  The program staff welcome the opportunity
to clarify any issues or questions from potential applicants.

Direct inquiries regarding programmatic issues and requests for the RFA
to:

Dr. Richard Kaplan, Senior Investigator
Cancer Therapy Evaluation Program
National Cancer Institute
Executive Plaza North, Room 734
Bethesda, MD  20892
Telephone:  (301) 496-8866
FAX:  (301) 480-4663

Direct inquiries regarding fiscal matters to:

Ms. Katharine Schulze
National Cancer Institute
Executive Plaza South, Room 242
Bethesda, MD  20892
Telephone:  (301) 496-7800, ext. 16
FAX:  (301) 496-8601

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No 93.395, Cancer Treatment Research.  Awards are made under the
authorization of the Public Health Service Act, Title IV Sections 301,
410, and 411, Part A (Public Law 78-410, 42 USC 241 as amended, Public
Law 99-158, 42 USC 285a) and administered under PHS grants policies and
Federal Regulations at 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 Agency review.

$$R8 END ************************************************************

$$R9 BEGIN DK-93-06 FULL-TEXT ***************************************

EXPLORATORY GRANTS FOR CENTERS OF EXCELLENCE IN MOLECULAR HEMATOLOGY

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFA AVAILABLE:  DK-93-06

P.T. 34; K.W. 0785070, 1002058, 0780015, 1002045, 0760020, 1016003

National Institute of Diabetes and Digestive and Kidney Diseases

Letter of Intent Receipt Date:  January 31, 1993
Application Receipt Date:  March 15, 1993

THE REQUEST FOR APPLICATIONS (RFA) ANNOUNCED IN THIS NOTICE CONTAINS
ESSENTIAL INFORMATION FOR THE PREPARATION OF AN APPLICATION.  POTENTIAL
APPLICANTS MAY OBTAIN THE RFA FROM THE CONTACT NAMED IN INQUIRIES,
BELOW.

PURPOSE

The National Institute of Diabetes and Digestive and Kidney Diseases
(NIDDK) invites applications for Exploratory Grants for Centers of
Excellence in Molecular Hematology, to be awarded competitively in
Fiscal Year 1993.

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 RFA,
Exploratory Grants for Centers of Excellence in Molecular Hematology,
is related to the priority areas of diabetes and chronic disabling
conditions.  Potential applicants may obtain a copy of "Healthy People
2000" (Full Report:  Stock No. 017-001-00474-0) or "Healthy People
2000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington, DC
20402-9325 (telephone 202/783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted from domestic, for-profit and non-profit
organizations, public and private, such as universities, colleges,
hospitals, or medical centers.  Minority individuals and women are
encouraged to submit as Principal Investigators.  Applications from
foreign institutions are ineligible to apply.

MECHANISM OF SUPPORT

Support of this program will be through the NIH grant-in-aid
Exploratory Grant (P20) award.  Responsibility for the planning,
direction, and execution of the proposed project will be solely that of
the applicant.  Except as otherwise stated in this announcement, awards
will be administered under PHS grants policy as stated in the PHS
Grants Policy Statement.  The anticipated awards will be for one year
duration.  Requests for support must be limited to no more than $20,000
in direct costs.  Any application exceeding this amount will be
returned to the applicant.

FUNDS AVAILABLE

The NIDDK anticipates awarding five Exploratory Grants in Fiscal Year
1993 on a competitive basis, contingent upon the availability of
appropriated funds.  It is anticipated that approximately $150,000 in
FY 93 funds will be available for funding these awards.

RESEARCH OBJECTIVES

The objective of Exploratory Grants (P20) is to provide partial funding
for the cost of planning and developing meritorious future Centers of
Excellence in Molecular Hematology.  Centers of Excellence in Molecular
Hematology will allow development of the broad range of technologies
involved in investigation of genetic diseases and genetic therapy to be
brought together in a unified effort.  These technologies will draw on
knowledge of viruses, cell culture, bone marrow cells, growth factors,
animal models, and the molecular basis of genetic diseases.

During the past two decades, major advances have been made in
understanding the molecular basis for inherited diseases.  Application
of sensitive biochemical and molecular techniques has made molecular
diagnosis of a significant number of genetic disorders a reality.  Now,
with these important diagnostic achievements in hand, even greater
efforts must be directed toward development of technologies to
formulate specific therapies for these debilitating disorders.

The development of Centers as an organizational mechanism will promote
the joint efforts both of basic scientists and clinical researchers
toward the study of gene structure and function, the structural biology
of proteins and the complex biochemistry of protein interaction, the
cell and molecular regulation of blood cell formation, and clinical
research to test the efficacy and safety of therapeutic strategies
derived from basic investigation.  These studies will have as their
ultimate goal the development of somatic gene therapy or other means of
treatment of genetic diseases.

STUDY POPULATIONS

It is NIH policy that women and minorities must be included in clinical
study populations unless there is a good reason to exclude them, and
the study design must seek to identify any pertinent gender or minority
population differences.

SPECIAL INSTRUCTIONS FOR INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDIES

For projects involving clinical research, NIH requires applicants to
give special attention to the inclusion of women and minorities in
study populations.  If women or minorities are not included in the
study populations for clinical studies, a specific justification for
this exclusion must be provided.  Applications without such
documentation will not be accepted for review.

LETTER OF INTENT

Potential applicants are strongly encouraged to submit a letter of
intent no later than January 31, 1993.  The letter of intent is to
include:  (1) name of the Principal Investigator/program director and
principal collaborators, (2) descriptive title of the potential
application, (3) identification of the organization(s) involved, and
(4) reference to RFA DK-93-06.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains is helpful in planning the review of applications.  It
allows NIDDK staff to estimate the potential review workload and to
avoid conflict of interest in the review.

The letter of intent is to sent to:

Chief, Review Branch
Division of Extramural Activities
National Institute of Diabetes and Digestive and Kidney Disease
Westwood Building, Room 605
Bethesda, MD  20892
Telephone:  (301) 496-7083

APPLICATION PROCEDURES

Applications are to submitted using form PHS 398 (rev. 9/91), available
in the business or grants offices of most academic or research
institutions and from the Office of Grants Inquiries, Division of
Research Grants, National Institutes of Health, 5333 Westbard Avenue,
Room 449, Bethesda, MD 20892, telephone 301-496-7441.  The RFA label
available in the PHS 398 application form must be affixed to the bottom
of the face page.  Detailed instructions on submission procedures are
described of the RFA.

REVIEW CONSIDERATIONS

Applications that are complete and responsive to the RFA will be
evaluated by an appropriate peer review group convened by the NIDDK in
accordance with the usual NIH peer review procedures.  Following
review, the applications will be given a secondary review by the NIDDK
Advisory Council unless not recommended for further consideration by
the initial review group.  Applications that are incomplete or
unresponsive to the RFA will be returned to the applicant.

AWARD CRITERIA

The anticipated date of award is September 30, 1993.  The criteria to
be used in the review of applications and the award of grants are
discussed in the RFA.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
Direct inquiries about programmatic issues and request for copies of
the RFA to:

David G. Badman, Ph.D.
Hematology Program Director
Division of Kidney, Urologic and Hematologic Diseases
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 3A-05
Bethesda, MD  20892
Telephone:  (301) 496-7458

Direct inquiries regarding fiscal matters to:

Ms. Nancy Dixon
Grants Management Officer
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 637
Bethesda, MD  20892
Telephone:  (301) 496-7467

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.849 for DKUHD.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45 CFR
Part 74.  This program is not subject to the intergovernmental review
requirements of Executive Order 12372 or Health Systems Agency review.

$$R9 END ************************************************************

                    ONGOING PROGRAM ANNOUNCEMENTS

$$P1 BEGIN PA-92-111 ************************************************

MINORITY HIGH SCHOOL STUDENT RESEARCH APPRENTICE PROGRAM

NIH GUIDE, Volume 21, Number 41, November 13, 1992

PA NUMBER:  PA-92-111

P.T. 34, FF; K.W. 0710030, 0720005

National Center for Research Resources

Application Receipt Date:  December 1, 1992

PURPOSE

The National Center for Research Resources (NCRR), National Institutes
of Health (NIH), currently plans to continue and expand the Minority
High School Student Research Apprentice Program (MHSSRAP) in 1993.  The
purpose of the program is to provide minority high school students with
a meaningful experience in various aspects of health-related research
in order to stimulate their interest in careers in science.

In FY 1993, the program is expanding the science teacher initiative to
include not only in-service elementary, middle, junior, and senior high
school teachers, but also potential K-12 science teachers in
pre-service education programs.  Eligible teachers will still be those
who are members of a minority group or who teach a significant number
of minority students.  Teachers may participate in the program for a
second year.  The hands-on summer research project must be structured
to update the teachers' knowledge and skills in modern research tools
and techniques as well as to strengthen their teaching skills.  The
experience should provide teachers the opportunity to bring back to the
classroom a sense of the excitement of research that would stimulate
students to pursue scientific careers.  A longer range goal is to
establish year round linkages between pre-service and in-service
science teachers, elementary and secondary school students, and
biomedical researchers.

Please note, however, that expansion of the program in FY 1993 is
contingent on the availability of appropriated funds.  Thus,
allocations may be reduced below the amount requested in the
application.  Upon recommendation of the National Advisory Research
Resources Council, the NCRR will give preference in making awards to
those institutions that can support a summer program having a "critical
mass" of at least five or six students.

ELIGIBILITY REQUIREMENTS

Eligible institutions are those that were eligible for a Biomedical
Research Support Grant award in FY 1992 or are awardees of the Minority
Biomedical Research Support (MBRS) Program.  ALL ELIGIBLE INSTITUTIONS,
INCLUDING THOSE NOT CURRENTLY OR PREVIOUSLY FUNDED UNDER THE MHSSRAP,
ARE STRONGLY ENCOURAGED TO APPLY.  Only one application for the
Apprentice Program may be submitted by a component of an institution
that is BRSG-eligible in FY 1992 and the recipient of an MBRS award.

Under-represented minority students and teachers are defined as
individuals who identify themselves as Black, Hispanic, Native
American, Pacific Islander, or any particular ethnic or racial group
which has been determined by the grantee institution to be
under-represented in biomedical or behavioral research.

Participants eligible for support must be U.S. citizens or have a
permanent visa.  Eligible students are those who are enrolled in high
school during the 1992-1993 academic year.  (Students who will graduate
from high school in 1993 are eligible, as is a student who participated
in a previous year provided he/she is still enrolled at the high school
level.)

MECHANISM OF SUPPORT

The mechanism of support for this program will be the NIH grant-in-aid
(S03).

Awards will be for one year beginning March 1, 1993, contingent upon
availability of appropriated funds.  Support will be provided at a
level of $2,000 for each student apprentice, $3,000 for each
pre-service teacher, and $5,000 for each in-service science teacher.
Applications may request both students and teachers or students only.
No indirect costs will be paid.  Direct support must be as salary;
stipends are not allowed.  Funds allocated may also be utilized for
supplies, extending the research experience, or if adequate funds
exist, for the addition of a student apprentice.  However, funds from
these grants may only be used for the costs of the apprentice program.
The Program Director is responsible for the recruitment and selection
of the apprentices and science teachers and assignment of each to an
appropriate investigator.

Students.  Recruitment and selection of students must emphasize factors
including the student's motivation, ability, scholastic aptitude, and
accomplishments.  In addition, consideration must be given to science
teachers' recommendations and, whenever possible, the degree of
parental commitment.  Assignments must be made to investigators
involved in health-related research who are committed to increasing the
high school student's understanding of research and the technical
skills needed.

Teachers.  Recruitment and selection criteria for in-service teachers
must include:  experience and teaching responsibilities, level of
interest in participating in a research program, expected impact on
their teaching programs, ability to stimulate minority students to
pursue scientific careers, and future plans for continued interaction
with the research institution.  Potential teachers should be enrolled
in pre-service programs and have an expressed interest in teaching life
sciences at the K-12 level.

APPLICATION PROCEDURES

The application consists of  (a) a letter stating the justification for
the number of student and teacher positions requested (preference will
be given to those institutions with a demonstrated commitment and a
documented history of encouraging students to pursue scientific
careers) and (b) the original and one signed and completed copy of the
face page, page 4 "Detailed Budget for First 12-Month Budget Period
Direct Costs Only," and checklist page of the grant application form
PHS 398 (rev. 9/91).  The required pages of the PHS 398 application
form must be completed according to instructions provided in the PHS
398 (rev. 9/91) kit except for the following:

Face Page

Item 1 - Leave blank.

Items 2a and 2b - Check the box marked "YES" and type in the number and
title of this Program Announcement.

Items 4 and 5 - Not applicable; do not complete.

Item 6, Dates of entire proposed project period - Enter 03-01-93
through 02-28-94.

Item 7 and 8 - Insert the total dollar amount of the request, which is
the sum, from application page 4, of the number of student positions
requested times $2,000 per student; the number of pre-service teachers
requested times $3,000; and the number of in-service teachers times
$5,000.  No indirect costs will be provided; thus the direct and total
costs will be the same.

Item 14, Organizational component to receive credit towards a
Biomedical Research Support Grant - Use this space to enter the code on
which eligibility for this MHSSRAP application is based (no credit will
be given for the S03 application).  Also use this space to enter the
BRSG and/or MBRS grant number(s) if available.

Page 4, "Detailed Budget for First 12-Month Budget Period Direct Costs
Only" - Using ONLY the Other Expenses category, enter on separate lines
the number of students requested at $2,000 per student; the number of
pre-service teachers requested at $3,000 per teacher; and the number of
in-service science teachers requested at $5,000 per teacher.

Enter the sum of the amounts requested for each under the "TOTALS"
column for the Other Expenses category and under "Total Direct Costs
for First 12-Month Budget Period" at the bottom of the page.

The original and one copy of the student and teacher report(s), signed
by the Program Director, must be submitted with the renewal application
by December 1 so that the data contained in these reports can be used
by NCRR to decide about policies and future funding for the MHSSRAP.

These reports must also be submitted at the same time even if renewal
support is not requested.  All reports, including the Financial Status
Report, must be submitted to the NIH by the grantee institution no
later than May 31, 1993, unless an extension of the budget period end
date has been authorized in writing.

Applications must be received by December 1, 1992 by:

Office of Grants and Contracts Management
National Center for Research Resources
Westwood Building, Room 849
5333 Westbard Avenue
Bethesda, MD  20892

(Do NOT mail the application to the Division of Research Grants, NIH.)

INQUIRIES

Written and telephone inquiries are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Marjorie A. Tingle, Ph.D.
Director, Biomedical Research Support Program
National Center for Research Resources
Westwood Building, Room 10A-11
5333 Westbard Avenue
Bethesda, MD  20982
Telephone:  (301) 496-6743.

Direct inquiries regarding fiscal matters to:

Ms. Mary V. Niemiec
Office of Grants and Contracts Management
National Center for Research Resources
Westwood Building, Room 849
5333 Westbard Avenue
Bethesda, MD  20982
Telephone:  (301) 496-9840

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.337, Biomedical Research Support.  Grants will be
awarded under the authority of the Public Health Service Act, Section
301 (a)(3); Public Law 78-410 (42 USC 241) as amended, and administered
under PHS grants policies and Federal Regulations 45 CFR 74 and the
Guidelines for Minority High School Student Research Apprentice
Program.  This program is not subject to the intergovernmental review
requirements of Executive Order 12372 or Health Systems Agency review.

$$P1 END ************************************************************

$$P2 BEGIN PA-93-016 ************************************************

MOLECULAR AND CELLULAR BIOLOGY OF METASTATIC TUMOR CELLS

NIH GUIDE, Volume 21, Number 41, November 13, 1992

PA:  PA-93-016

P.T. 34; K.W. 0715035, 1002004, 1002008

National Cancer Institute

PURPOSE

The National Cancer Institute (NCI) invites exploratory/developmental
grant applications to study the molecular and cellular biology of
metastatic tumor cells.  This special initiative is designed to promote
collaborations and facilitate scientific interchange between
investigators, one with experience in the biology of metastasis and the
other in a more basic scientific discipline such as molecular or
cellular biology, or biochemistry.  Therefore, prospective Principal
Investigators need to identify a research collaborator.

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 Program
Announcement (PA), Molecular and Cellular Biology of Metastatic Tumor
Cells, is related to the priority area of cancer. Potential applicants
may obtain a copy of "Healthy People 2000" (Full Report: Stock No.
017-001-00474-0) or "Healthy People 2000" (Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325  (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by foreign and domestic, 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.
Applications from minority individuals and women are encouraged.

MECHANISM OF SUPPORT

Support of this program will be through the National Institutes of
Health (NIH) exploratory/development research grant (R21).  Applicants
will be responsible for the planning, direction, and execution of the
proposed project.  Awards will be administered under PHS policy as
stated in the Public Health Service Grants Policy Statement, DHHS
Publication No. (OASH) 90-50,000, revised October 1, 1990 and in this
PA.

The Exploratory/Developmental Research Grants program (R21) provides
limited funds for short-term research projects.  These grants provide
an opportunity for initiating studies that may be preliminary in
nature.  Research investigators in relevant fields are invited to apply
for these grants in order to develop preliminary data that could form
the basis of future research project grant (R01) applications.

The Principal Investigator must be accountable to the recipient
organization officials for the proper conduct of the project.  The
research collaborator must be named and time and effort listed on the
budget page.  The recipient organization is legally responsible and
accountable to the PHS for performance and financial aspects of the
grant-supported activity.

FUNDS AVAILABLE

The direct costs per year for each application funded by the NCI must
not exceed $50,000.  The total project period for applications
submitted in response to this PA may not exceed two years and is not
renewable.  Applicants are advised to contact other relevant funding
components regarding their funding policies.

RESEARCH OBJECTIVES

The goal of this initiative is to provide funds for preliminary
research projects that will form the basis of future R01 applications
to investigate metastasis.  The intent is to (1) foster collaborative
research between investigators with basic molecular and cellular
biological and biochemical research experience, and those with
experience in metastasis research, and (2) increase the number of
laboratories and investigators addressing issues of metastasis.

The scope of the research may encompass the application of any aspect
of molecular and cellular biology and biochemistry to the investigation
of metastasis biology.  Applications should be for preliminary data
gathering or pilot feasibility studies, and should be founded on the
combined research experience of the Principal Investigator and his/her
collaborator.  The application should specifically address how the
application meets the intent of the initiative, e.g., the development
of a new collaboration between an investigator with basic molecular and
cellular biological and biochemical research experience and one with
experience in metastasis research.  Furthermore, the research
collaborator should address how the proposed research will relate to
and integrate with other ongoing research in his/her laboratory.  Just
as the initiative is intended to foster a research collaboration, the
application itself should clearly be the product of in-depth
discussions and input from both the research collaborator and the
Principal Investigator.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  Applications will be accepted at the
three regular application deadlines as indicated in the application
kit.  These forms are available at most institutional offices of
sponsored research; from the Office of Grant Inquiries, Division of
Research Grants (DRG), National Institutes of Health, Room 449,
Westwood Building, 5333 Westbard Avenue, Bethesda, MD 20892, telephone
301/496-7441; from the NCI Program Director named below.  The title and
number of the PA must be typed in section 2a on the face page of the
application.

The completed original application and five exact copies must be sent
or delivered to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892

REVIEW PROCEDURE

Upon receipt, applications will be reviewed by the DRG for
completeness.  Incomplete applications will be returned to the
applicant without further consideration.  Those applications judged to
be complete will be further evaluated for scientific and technical
merit by study sections of the DRG.  Following the scientific and
technical review, the applications will receive a second level of
review by the appropriate national advisory council.

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications.  The following factors will be considered when making
funding decisions:

o  Quality of the proposed project as determined by peer review
o  Availability of funds
o  Program balance among research areas of the PA.

The following additional factors will be considered for applications
assigned to the NCI:

o  In order to increase the number of laboratories and investigators
with potential for a long-term commitment to metastasis research,
preference in funding will be given to those investigators that are
early in their research careers

o  The extent to which the proposed research develops collaborations
that address the purpose of the initiative

o  How the proposed research relates to and integrates with other
ongoing research in the research collaborator's laboratory

INQUIRIES

Written and telephone inquiries are encouraged.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Dr. Suresh Mohla
Chief, Cancer Biology Branch
National Cancer Institute
Executive Plaza South, Room 630
Bethesda, MD  20892
Telephone:  (301) 496-7028
FAX:  (301) 402-1037

Direct inquiries regarding fiscal and administrative issues to:

Robert Hawkins
Grants Management Branch
National Cancer Institute
Executive Plaza South, Room 243
Bethesda, MD  20892
Telephone:  (301) 496-7800 ext. 13

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No.93.396, Cancer Biology.  Awards are under authorization of the
Public Health Service Act, Title, IV, Part A (Public Law 78-410, as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grant policies and Federal Regulations 42 CFR 52 and 45 CFR
Part 74.  This program is not subject to the intergovernmental review
requirements of Executive order 12372 or Health Systems Agency review.

$$P2 END ************************************************************

$$P3 BEGIN PA-93-017 ************************************************

OXIDATIVE DAMAGE, ANTIOXIDANT DEFENSE, AND AGING

NIH GUIDE, Volume 21, Number 41, November 13, 1992

PA:  PA-93-017

P.T. 34; K.W. 0710010, 0765035, 0760070, 0765025

National Institute on Aging

PURPOSE

Free radical damage has long been believed to be a risk factor for the
degenerative processes that accompany aging in a variety of animal
species ranging from insects to humans.  The free radical theory of
aging was proposed by Denham Harman in 1956, and much research since
then has been directed towards establishing correlations among
oxidative damage, antioxidant defense systems, aging and life span.
Although a few modest correlations have been observed, efforts to move
beyond correlative evidence, e.g., using antioxidant manipulations in
animal and cell culture models to attempt to extend maximum life spans,
have yielded few definitive results.  Nevertheless, evidence continues
to accumulate about the ubiquity of free radicals and their
considerable destructive potential in living tissues.  It is plausible
that an improved understanding of free radical processes will lead to
the discovery of interventions (dietary, pharmacological or genetic) to
improve health and increase life spans.  Research is needed to
establish the critical relationships among free radical sources,
protective systems and aging phenomena that may be amenable to
intervention.

ELIGIBILITY REQUIREMENTS

Applications may be submitted by foreign and domestic, for-profit and
non-profit, public and private organizations, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.
Applications from minority individuals and women are encouraged.

Foreign institutions are not eligible to apply for career awards (K04,
K08, K11) or First Independent Research Support and Transition (FIRST)
(R29) awards, and can apply for National Research Service Training
Awards (F32, F33) only if the applicant is a U.S. citizen.  Applicants
for F32, F33, K04, K08, and K11 awards must be U.S. citizens or
resident aliens.

MECHANISMS OF SUPPORT

The primary mechanisms for support of this program are:

o  Research grant (RO1)
o  FIRST award (R29)
o  Career grants, which include:  Research Career Development Award
(K04); Clinical Investigator Award (K08); Physician Scientist Award,
individual (K11)
o  Fellowships (F32, F33)

Deadlines for applications are as follows:

F-series grants:                            Jan 10, May 10, and Sep 10
New R and K-series grants:                  Feb 1, Jun 1, and Oct 1
Competing continuation and revised grants:  Mar 1, Jul 1, and Nov 1

RESEARCH OBJECTIVES

The National Institute on Aging (NIA) invites investigators to submit
applications for research on oxidative damage and pathobiology as
related to aging and the aging process.  Priority will be given to
research projects that are likely to provide critical insights into
these relationships other than correlative data.  Also, it is
recognized that the National Cancer Institute (NCI) has an interest in
the role of oxidative damage in cancer and the carcinogenesis process,
the National Institute of Environmental Health Sciences (NIEHS) has an
interest in toxic environmental agents, and the National Institute of
Diabetes and Digestive and Kidney Diseases (NIDDK) has an interest in
the role of oxidative damage due to saturated and unsaturated lipids on
normal and abnormal metabolic processes in high eukaryotes and humans.
Applications will be given an institute assignment based on the
Referral Guidelines for Funding Components of PHS.

The following areas of research are of particular interest to the NIA,
but applications need not be limited to the areas listed below.

1.  Improved methods for measuring any of the following in biological
tissues suitable for aging studies: levels of antioxidants in both the
oxidized and reduced state; rate of production of superoxide, hydrogen
peroxide and hydroxyl radical; levels and/or identification of oxidized
products in macromolecules, such as DNA, protein and lipids; rate of
repair of oxidized macromolecules in vivo.

2.  Identification of which enzyme activities involved in antioxidant
defense are rate-limiting, with particular emphasis on age-related
changes.

3.  The role of heavy metal ions, whether bound or free, in age-related
accumulation of oxidative damage in vivo.

4.  Development of interventions that reduce oxidative damage through
either neutralization of oxygen free radicals, reduction of the rate of
production of oxygen free radicals, repair of oxidative damage, or
improvement of antioxidant defense systems, coupled with a
demonstration that this reduced oxidative stress is associated with a
change in age-associated biological processes and/or diseases.

5.  The role of mitochondrial dysfunction in cellular oxidative damage
due to normal metabolism, and how this changes with age.

6.  Elucidation of how genes involved in antioxidant defense systems
are regulated in vivo, with particular emphasis on how the regulation
is altered during aging.

7.  The mechanism of attenuation of oxidative damage by spin trapping
compounds and other chemical and dietary interventions.

8.  Determination of whether and/or how caloric restriction reduces
oxidative damage, and whether or not this is related to life span
extension.

9.  The relationship between oxidative damage and the eventual
development of age-related disease states.

10.  Development of animal model systems, particularly transgenic
animals, to test the effect of altering
oxidative damage or antioxidant defense systems on aging and/or life
span.

STUDY POPULATIONS

SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH
POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements are required to include minorities and women in
study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder or condition under study;
special emphasis must be placed on the need for inclusion of minorities
and women in studies of diseases, disorders and conditions which
disproportionately affect them. This policy is intended to apply to
males and females of all ages.  If women or minorities are excluded or
inadequately represented in clinical research, particularly in proposed
population-based studies, a clear compelling rationale must be
provided.  The composition of the proposed study population must be
described in terms of gender and racial/ethnic group.  In addition,
gender and racial/ethnic issues should be addressed in developing a
research design and sample size appropriate for the scientific
objectives of the study.  This information must be included in the form
PHS 398 (rev. 9/91) in Sections 1-4 of the Research Plan AND summarized
in Section 3, Recruitment of Individuals from Under represented
Racial/ethnic Groups, and Section 5, Human Subjects.  Applicants are
urged to assess carefully the feasibility of including the broadest
possible representation of minority groups.

However, NIH recognizes that it may not be feasible or appropriate in
ALL research projects to include representation of the full array of
United States racial/ethnic minority populations (i.e., Native
Americans including American Indians or Alaskan Natives, Asian/Pacific
Islanders, Blacks, Hispanics).  The rationale for studies on single
minority population groups must be provided.

For the purpose of this policy, clinical research is defined as human
biomedical and behavioral studies of etiology, epidemiology, prevention
and preventive strategies, diagnosis, or treatment of diseases,
disorders or conditions, including but not limited to clinical trials.

The usual NIH policies concerning research on human subjects also
apply.  Basic research or clinical studies in which human tissues
cannot be identified or linked to individuals are excluded.  However,
every effort should be made to include human tissues from women and
racial/ethnic minorities when it is important to apply the results of
the study broadly, and this should be addressed by applicants.

For foreign awards, the policy on inclusion of women applies fully;
since the definition of minority differs in other countries, the
applicant must discuss the relevance of research involving foreign
population groups to the United States' populations, including
minorities.

If the required information is not contained within the application,
the review will be deferred until the information is provided.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies.  If the representation of
women or minorities in a study design is inadequate to answer the
scientific question(s) addressed AND the justification for the selected
study population is inadequate, it will be considered a scientific
weakness or deficiency in the study design and will be reflected in
assigning the priority score to the application.  All applications for
clinical research submitted to NIH are required to address these
policies.  NIH funding components will not award grants or cooperative
agreements that do not comply with these policies.

APPLICATION PROCEDURES

Applications for R01, R29, and K Awards are to be submitted on the
grant application form PHS 398 (rev.9/91) and will be accepted at the
standard application deadlines indicated in the application kit.
Applications for F32 and F33 awards are to be submitted on form PHS 416
(rev. 10/91).

Application kits are available at most institutional offices of
sponsored research and may be obtained from the Office of Grants
Inquiries, Division of Research Grants, National Institutes of Health,
Westwood Building, Room 449, Bethesda, MD 20892, telephone (301)
496-7441.  The title and number of the announcement must be typed in
Section 2a on the face page of the application.

The completed original application and five legible copies of PHS 398
or two copies of PHS 416 must be sent or delivered to:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

To expedite the application's routing within the NIH, please check the
box on the face page of the application indicating that the application
is in response to this announcement and type (next to the checked box)
"Oxidative Damage and Aging."

Applications for F32, F33 and R29 awards must include at least three
letters of reference attached to the face page of the original
application.  Applications submitted without the required number of
reference letters will be considered incomplete and will be returned
without review.

REVIEW CONSIDERATIONS

The review criteria are the traditional considerations underlying
scientific merit.  Applications will be assigned on the basis of
established Public Health Service referral guidelines.  For information
on the special review criteria for the FIRST (R29) award, research
career awards (K series), and fellowships (F32, F33) contact the
program staff listed under INQUIRIES.  Applications will be assigned on
the basis of established PHS referral guidelines.  In accordance with
the standard NIH peer review procedures, research project grant (RO1
and R29) applications, fellowships (F32, F33) and research career
development awards (K04) will be reviewed for scientific and technical
merit by an appropriate study section in the Division of Research
Grants.  Other applications (K08 and K11) will be reviewed by an
appropriate institute review group.  Following scientific/technical
review, the applications will receive a second-level review by the
appropriate advisory council.

AWARD CRITERIA

There are no set-aside funds for funding these applications.
Applications compete for available funds on the basis of scientific
merit with all other applications.  The following will be considered in
making funding decisions:

o  Quality of the proposed project as determined by peer review
o  Availability of funds
o  Program balance among research areas of the announcement

INQUIRIES

Researchers considering an application in response to this announcement
may discuss their project and the range of grant mechanisms available
with NIA staff in advance of formal submission.  This can be done
either through a telephone conversation or a brief letter giving the
descriptive title of the proposed project and identifying the Principal
Investigator and, when known, other key participants.  Applications
related to the health of women and minorities are particularly
encouraged.  Correspondence and inquiries may be directed to:

Huber R. Warner, Ph.D.
Biology of Aging Program
National Institute on Aging
Gateway Building, Room 2C231
7201 Wisconsin Avenue
Bethesda, MD  20892
Telephone:  (301) 496-6402
FAX:  (301) 402-0010

or

Pamela Starke-Reed, Ph.D.
Geriatrics Program
National Institute on Aging
Gateway Building, Room 3E327
7201 Wisconsin Avenue
Bethesda, MD  20892
Telephone:  (301) 496-6761
FAX:  (301) 402-1784

Direct inquiries regarding fiscal matters to:

Joseph Ellis
Grants and Contracts Management Officer
National Institute on Aging
Gateway Building, Room 2N212
Bethesda, MD  20892
Telephone:  (301) 496-1472

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.866.  Awards are made under authorization of the Public Health
Service Act, Title IV, Part A (Public Law 78-410, as amended by Public
Law 99-158, 42 USC 241 and 285) and administered under PHS grants
policies and Federal Regulations 42 CFR 52 and 45 CFR Part 74.  This
program is not subject to the intergovernmental review requirements of
Executive order 12372 or Health Systems Agency review.

$$P3 END ************************************************************

$$P4 BEGIN PA-93-018 ************************************************

NEURAL REGENERATION AND PLASTICITY AFTER SPINAL CORD INJURY

NIH GUIDE, Volume 21, Number 41, November 13, 1992

PA:  PA-93-018

P.T. 34; K.W. 0715027, 0705055, 1002030, 0760015

National Institute of Neurological Disorders and Stroke

PURPOSE

The Division of Stroke and Trauma (DST), National Institute of
Neurological Disorders and Stroke (NINDS), invites applications for
support of research that will increase our knowledge of the mechanisms
underlying the neuronal regeneration and plasticity that can follow
spinal cord injury.

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 Program
Announcement (PA), Neural Regeneration and Plasticity after Spinal Cord
Trauma, is related to the priority area of unintentional injuries:
spinal cord injury.  Potential applicants may obtain a copy of "Healthy
People 2000" (Full Report:  Stock No. 017-001-00474-0) or "Healthy
People 2000" (Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington, DC
20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by foreign and domestic institutions,
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.
Applications from minority institutions, minority individuals, and
women are particularly encouraged.

MECHANISMS OF SUPPORT

The support mechanism for grants in this area will be the traditional
investigator-initiated research project grant (R01).  The Principal
Investigator will plan, direct, and, along with any co-investigators,
perform the research.  Applicants are encouraged to contact the NINDS
representative listed below as early as possible in the planning
stages.

RESEARCH OBJECTIVES

Background

Injury to the spinal cord tragically affects hundreds of thousands of
victims in the United States, with approximately 10,000 new traumatic
injuries each year.  Early treatment and improved hospital care have
increased survival, but at great cost.  The estimated yearly cost of
long term, specialized care for paralyzed patients exceeds $2 billion.
The personal costs to patients and their families is beyond
calculation: planned education, career, marriage, and independence are
interrupted and often never regained.

The spinal cord, as part of the central nervous system (CNS),
coordinates movement and sensation for the entire body below the head.
Specialized cell populations within the cord are the substrates for
these functions.  Large motoneurons extend long axons peripherally to
innervate skeletal muscle.  Extensive arborizations of these
motoneurons receive information via descending tracts from the brain.
The long fibers of dorsal root ganglion cells connect peripheral
sensory receptors to spinal interneurons, to motoneurons, and to brain
centers.  This complex neuronal circuitry of the spinal cord is
supported by the glia of the CNS.  Radial glia enclose the cord like
the rim and spokes of a wheel, defining compartments for ascending and
descending fiber systems.  Astrocytes contribute to the blood-spinal
cord barrier and provide a wide variety of support functions.
Oligodendrocytes myelinate axons.

Traumatic injury disrupts all of these cell types and changes their
functions.  Axons degenerate, neurons die, astrocytes proliferate and
become reactive, radial glia enclose large cysts, and oligodendrocytes
cannot remyelinate damaged areas.  The anatomy of an injured spinal
cord shows profound pathology, but also reveals the sprouting of
uninjured fibers, the regeneration of damaged populations, the
reorganization of glia, and clearing away of debris.

Enhancement of these beginnings of regeneration and reorganization is
necessary.  Several trophic factors are known to affect survival of
neurons and extension of neurites.  Likewise, naturally occurring
substances may enhance supportive glial functions.  Components of the
extracellular matrix can support the growth of axons.  The growing
knowledge of cellular mechanisms of repair within the injured spinal
cord offers the hope of treatment for this devastating disorder.

Research Goals and Scope

Examples of investigator-initiated research grant applications for
basic, applied, and clinical studies related to the understanding and
enhancement of regeneration in the injured spinal cord may include, but
should not necessarily be limited to:

o  identification of the tissues, cells, and substrates critical to the
regenerative process;

o  behavioral, chemical, functional, and structural correlates of
restored or remodeled neural circuits;

o  gene and protein expression in neurons and support cells during
regeneration;

o  development of cellular transplants to augment or support
regeneration, restore lost function, or replace damaged cells;

o  immune responses to implants of neural tissues, cell lines, or
cellular products; and

o  pharmacological or biochemical approaches to prolong or enhance
regeneration.

Applicants are encouraged to develop and use new or refined
methodologies, instrumentation, and procedures that will reveal
mechanistic details of the regenerative process.  Basic, applied, or
clinical studies on interventions or manipulations to improve regrowth
of fibers, prevent pathophysiological changes, or aid in functional
recovery are welcome.

POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements will be required to include minorities and women
in study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder, or condition under study;
special emphasis should be placed on the need for inclusion of
minorities and women in studies of diseases, disorders, and conditions
that disproportionately affect them.  This policy is intended to apply
to males and females of all ages.  If women or minorities are excluded
or inadequately represented in clinical research, particularly in
proposed population-based studies, a clear compelling rationale should
be provided.

The composition of the proposed study population must be described in
terms of gender and racial or ethnic group.  In addition, gender and
racial or ethnic issues should be addressed in developing a research
design and sample size appropriate for the scientific objectives of the
study.  This information should be included in the form PHS 398 in
Sections 1-4 of the Research Plan AND summarized in Section 5, Human
Subjects.  Applicants are urged to assess carefully the feasibility of
including the broadest possible representation of minority groups;
however, the NIH recognizes that it may not be feasible or appropriate
in all research projects to include representation of the full array of
Unites States racial or ethnic minority populations:  Native Americans
(including American Indians or Alaska Natives), Asian or Pacific
Islanders, Blacks, and Hispanics).  The rationale for studies on single
minority population groups should be provided.

For the purpose of this policy, clinical research includes human
biomedical and behavioral studies of etiology, epidemiology, prevention
(and prevention strategies), diagnosis, or treatment of diseases,
disorders, or conditions, including, but not limited to, clinical
trials.

The usual NIH policies concerning research on human subjects also
apply.  Basic research or clinical studies in which human tissues
cannot be identified or linked to individuals are excluded; however,
every effort should be made to include human tissues from women and
racial or ethnic minorities when it is important to apply the results
of the study broadly.  This directive should be addressed by
applicants.

For foreign awards, the policy on inclusion of women applies fully.
Since the definition of minority differs in other countries, the
applicant must discuss the relevance of research involving foreign
population groups to the United States' populations, including
minorities.

If the required information is not contained within the application,
the review will be deferred until the information is provided.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies.  If the representation of
women or minorities in a study design is inadequate to answer the
scientific question(s) addressed AND the justification for the selected
study population is inadequate, it will be considered a scientific
weakness or deficiency in the study design and will be reflected in
assigning the priority score to the application.

All applications for clinical research submitted to the NIH are
required to address these policies.  NIH funding components will not
award grants or cooperative agreements that do not comply with these
policies.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS 398
(rev. 9/91) according to the instructions included in the application
package.  These application packages are available at the business
offices of most institutions eligible to receive Federal grants and
from the Office of Grants Inquiries, Division of Research Grants,
National Institutes of Health, Westwood Building, Room 449, Bethesda,
MD 20892, telephone 301/496-7441.

Receipt dates for new research project grant applications (R01) are
February 1, June 1, and October 1.

On page 1 of form PHS 398, check "yes" in Item 2a, enter the number of
this Program Announcement in the space provided, and provide the name
of this Program Announcement, Neural Regeneration and Plasticity after
Spinal Cord Injury in the blank space labeled "Title."

Use the mailing label provided in the application package to mail the
signed original and five exact copies of it to:

Division of Research Grants.
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

REVIEW CONSIDERATIONS

Applications will be reviewed for scientific and technical merit by an
appropriate study section in the Division of Research Grants.  The
second level of review will be by the appropriate national advisory
council.  The standard review criteria will be used to assess the
scientific merit of applications.

AWARD CRITERIA

Applications will compete for available funds with other applications
assigned to an Institute or Center.  The following will be considered
when making funding decisions:

o  quality of the proposed projects as determined by peer review
o  availability of funds
o  program balance among research areas.

INQUIRIES

Questions concerning scientific aspects of this Program Announcement
may be addressed to:

Dr. Mary Ellen Michel
Division of Stroke and Trauma
National Institute of Neurological Disorders and Stroke
Federal Building, Room 8A13
Bethesda, MD  20892
Telephone:  (301) 496-4226
FAX:  (301) 480-1080

Questions concerning fiscal aspects of this Program Announcement may be
addressed to:

Mr. King P. Bond, Jr.
Division of Extramural Activities
National Institute of Neurological Disorders and Stroke
Federal Building, Room 1004
Bethesda, MD  20892
Telephone:  (301) 496-9231
FAX:  (301) 402-0219

AUTHORITY AND REGULATIONS

This program is described in the Catalogue of Federal Domestic
Assistance No. 93.853, Clinical Research Related to Neurological
Disorders, and No. 93.854, Biological Basis Research in the
Neurosciences.  Grants will be awarded under the authority of the
Public Health Service Act, Title IV, Section 301 (Public Law 78-410, as
amended: 42 USC 241) and administered under PHS grants policies and
Federal Regulations 42 CFR Part 52 and 45 CFR 74.  This program is not
subject to Health Services Agency Review of the intergovernmental
review requirements of Executive Order 12372.

$$P4 END ************************************************************

$$P5 BEGIN PA-93-019 ************************************************

NEUROLOGICAL BASIS OF RECURRENT HEADACHE, ESPECIALLY MIGRAINE

NIH GUIDE, Volume 21, Number 41, November 13, 1992

PA:  PA-93-019

P.T. 34; K.W. 0715138, 0765035, 0760025, 0755030, 0745027, 0411005

National Institute of Neurological Disorders and Stroke

PURPOSE

The Division of Stroke and Trauma (DST), National Institute of
Neurological Disorders and Stroke (NINDS), invites applications for
support of research that will increase our understanding of the causes
of, and add to our ability to treat and prevent, recurrent headache,
especially migraine.

ELIGIBILITY REQUIREMENTS

Applications may be submitted by foreign and domestic institutions,
for-profit and non-profit organizations, public or private, such as
universities, colleges, hospitals, laboratories, units of state and
local governments, and eligible agencies of the Federal government.
Foreign institutions are eligible to apply for research project grants
(R01) only.  Foreign institutions are not eligible for First
Independent Research Support and Transition (FIRST) (R29) awards.
Applications from minority institutions, minority individuals, and
women are particularly encouraged.

MECHANISMS OF SUPPORT

The support mechanisms for grants in this area will be the traditional
investigator-initiated research project grant (R01), the FIRST award
(R29), the program project grant (P01), and the center grant (P50).  As
consistent with the aforementioned mechanisms, the Principal

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Subject: NIH Guide, vol. 21, no. 41, pt. 1, 13 November 1992
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NOTE: The NIH Guide may be split into more than one mail message to
avoid truncation during e-mail distribution.  The first message always
begins with the RFP/RFA summary sections followed by the appended
texts of the full RFP/RFAs.
----------------------------------------------------------------------

$$XID NIHGUIDE 19921113 V21N41 P1O3 ************************************
X-comment: RFAs described: HL-93-09, HL-93-10, AI-92-12, CA-93-03, DK-93-06

NIH GUIDE - Vol. 21, No. 41, November 13, 1992

$$INDEX BEGIN *******************************************************

                               NOTICES

$$INDEX N1 **********************************************************

NATIONAL HUMAN SUBJECT PROTECTIONS WORKSHOPS
National Institutes of Health
Food and Drug Administration
INDEX:  NATIONAL INSTITUTES OF HEALTH; FOOD AND DRUG ADMINISTRATION

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$INDEX R1 **********************************************************

LABORATORY FOR ASSESSMENT OF MUCOSAL IMMUNE RESPONSES INDUCED BY AIDS
VACCINES IN CLINICAL TRIAL VOLUNTEERS (RFP NIAID-DAIDS-93-18)
National Institute of Allergy and Infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

$$INDEX R2 **********************************************************

BIOCHEMICAL SCREENS FOR AGENTS EFFECTIVE AGAINST AIDS-RELATED
OPPORTUNISTIC INFECTION (RFP NIAID-DAIDS-93-19)
National Institute of Allergy and Infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

$$INDEX R3 **********************************************************

GENETIC SEQUENCE VARIABILITY OF HIV-1 AND RELATED LENTIVIRUSES (RFP
NIAID-DAIDS-93-22)
National Institute of Allergy and Infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

$$INDEX R4 **********************************************************

CLINICAL TRIALS CENTER FOR ANTIHYPERTENSIVE AND LIPID-LOWERING
TREATMENT TO PREVENT HEART ATTACK TRIAL (RFP NHLBI-HC-93-44)
National Heart, Lung, and Blood Institute
INDEX:  HEART, LUNG, BLOOD

$$INDEX R5 02/17/93 *************************************************

TUBERCULOSIS ACADEMIC AWARD (RFA HL-93-09-L)
National Heart, Lung, and Blood Institute
INDEX:  HEART, LUNG, BLOOD

$$INDEX R6 02/17/93 *************************************************

ASTHMA ACADEMIC AWARD (RFA HL-93-10-L)
National Heart, Lung, and Blood Institute
INDEX:  HEART, LUNG, BLOOD

$$INDEX R7 02/18/93 *************************************************

WOMEN'S INTERAGENCY HIV STUDY (RFA AI-92-12)
National Institute of Allergy and Infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

$$INDEX R8 03/10/93 *************************************************

THERAPEUTIC STUDIES OF PRIMARY CENTRAL NERVOUS SYSTEM MALIGNANCIES IN
ADULTS (RFA CA-93-03)
National Cancer Institute
INDEX:  CANCER

$$INDEX R9 03/15/93 *************************************************

EXPLORATORY GRANTS FOR CENTERS OF EXCELLENCE IN MOLECULAR HEMATOLOGY
(RFA DK-93-06)
National Institute of Diabetes and Digestive and Kidney Diseases
INDEX:  DIABETES, DIGESTIVE, KIDNEY DISEASES

                    ONGOING PROGRAM ANNOUNCEMENTS

$$INDEX P1 **********************************************************

MINORITY HIGH SCHOOL STUDENT RESEARCH APPRENTICE PROGRAM (PA-92-111)
National Center for Research Resources
INDEX:  RESEARCH RESOURCES

$$INDEX P2 **********************************************************

MOLECULAR AND CELLULAR BIOLOGY OF METASTATIC TUMOR CELLS (PA-93-016)
National Cancer Institute
INDEX:  CANCER

$$INDEX P3 **********************************************************

OXIDATIVE DAMAGE, ANTIOXIDANT DEFENSE, AND AGING (PA-93-017)
National Institute on Aging
INDEX:  AGING

$$INDEX P4 **********************************************************

NEURAL REGENERATION AND PLASTICITY AFTER SPINAL CORD INJURY (PA-93-018)
National Institute of Neurological Disorders and Stroke
INDEX:  NEUROLOGICAL DISORDERS, STROKE

$$INDEX P5 **********************************************************

NEUROLOGICAL BASIS OF RECURRENT HEADACHE, ESPECIALLY MIGRAINE
(PA-93-019)
National Institute of Neurological Disorders and Stroke
INDEX:  NEUROLOGICAL DISORDERS, STROKE

$$INDEX P6 **********************************************************

SMALL INSTRUMENTATION GRANTS PROGRAM (PA-93-020)
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

                               ERRATUM

$$INDEX E1 **********************************************************

ACADEMIC AWARD IN VASCULAR DISEASE (PAR-93-008)
National Heart, Lung, and Blood Institute
INDEX:  HEART, LUNG, BLOOD

This publication is also available electronically to institutions via
BITNET or INTERNET.  Alternative access is through the NIH Grant Line
using a personal computer.  Contact Dr. John James at 301/496-7554 for
details, or send an E-mail message to ZNS@NIHCU.

$$INDEX END *********************************************************

                               NOTICES

$$N1 BEGIN **********************************************************

NATIONAL HUMAN SUBJECT PROTECTIONS WORKSHOPS

NIH GUIDE, Volume 21, Number 41, November 13, 1992

P.T. 42; K.W. 0783005

National Institutes of Health
Food and Drug Administration

The National Institutes of Health (NIH) and the Food and Drug
Administration (FDA) are continuing to sponsor a series of workshops on
responsibilities of researchers, Institutional Review Boards (IRBs),
and institutional officials for the protection of human subjects in
research.  The workshops are open to everyone with an interest in
research involving human subjects.  The meetings should be of special
interest to those persons currently serving or about to begin serving
as a member of an IRB.  Issues discussed at these workshops are
relevant to all other Public Health Service agencies.  The current
schedule includes the following:

SOUTHWESTERN WORKSHOP

DATES:  November 16 & 17, 1992

LOCATION:
Wyndham Warwick
5701 Main Street
Houston, TX  77005
Telephone:  (713) 526-1991

SPONSORS:
University of Texas Health Science Center at Houston
Prairie View A&M University

REGISTRATION:
Ms. Paula Knudson
Executive Coordinator
Office of Research Support Committee
University of Texas Health Science Center at  Houston
P.O. Box 20036
Houston, TX  77225
Telephone:  (713) 792-5048

TITLE:  Geriatric Research as an Ethical Mandate:  Politics, Policy,
and Problems

DESCRIPTION:  Expanded life expectancies and expanding technologies are
swelling the ranks of the frail and disabled elderly.  Minimal research
has been carried out to understand the problems this subject group and
their families encounter in finding solutions to their health and
social needs.  The conference will identify key problems that need to
be studied; isolate the risks and benefits associated with behavioral,
clinical, or evaluation research designed to enroll this group as
subjects; and pose solutions that will meet the needs of regulators,
scientists, and the elderly.

The program is designed to be of interest to physicians, nurses,
pharmacists, scientific investigators, and other health care
professionals, clergy, lawyers, medical, nursing, social work students,
psychologists, and IRB members and administrators.  Attention will be
paid to Federal regulations with special emphasis on the assessment of
risks---medical, legal, and psychosocial.  Opportunities will be
available through workshops, question periods, and informal discussions
for participants to exchange ideas and interests with faculty and OPRR
and FDA representatives.

SOUTHEASTERN WORKSHOP

DATES:  January 14 & 15, 1993

LOCATION:
Sheraton Sand Key Resort
1160 Gulf Boulevard
Clearwater Beach, FL  33515
Telephone:  (813) 595-1611

SPONSORS:
University of South Florida
Florida A & M University

REGISTRATION:
Ms. Eileen Highsmith
Executive Secretary
University of South Florida
4202 E. Fowler Avenue (MP.FAO-126)
Tampa, FL  33620-7900
Telephone:  (813) 974-2897

TITLE:  Barriers to Informed Consent:  Language, Age Factors, Trauma,
and Women/Minority Issues

DESCRIPTION:  Today's researchers face numerous barriers to obtaining
an informed consent.  Such issues as age, language, mental capacity,
and sobriety may affect the ability of subjects to give a truly
informed consent.  Many of these barriers oftentimes impact the pool of
subjects which an investigator is willing (or able) to use in a
research project.  In addition, recent legislation from the Congress
was designed to address the issue of inadequate numbers of women and
minorities in research projects.  This conference has been designed to
address three main areas in which barriers to informed consent may
exist:  mental competence, ethnic and gender issues, and research with
children and the elderly.

The conference program is designed to be of value to physicians,
nurses, pharmacists, scientific investigators, and other health care
professionals.  All IRB members, students in health care areas and
administrators will also benefit from the conference.  Attention will
be given to Federal regulations governing research on human subjects,
with special emphasis placed on the assessment of risks---medical,
legal, and psychosocial.  Ample opportunities will be provided to
exchange ideas and interests, through question and answer sessions and
informal discussions.

For further information regarding these workshop and future NIH/FDA
National Human Subject Protections Workshops, please contact:

Ms. Darlene Marie Ross
Division of Human Subject Protections
Office for Protection from Research Risks
National Institutes of Health
Building 31, Room 5B59
Bethesda, MD  20892
Telephone:  (301) 496-8101

$$N1 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$R1 BEGIN RFP NIAID-DAIDS-93-18 ************************************

LABORATORY FOR ASSESSMENT OF MUCOSAL IMMUNE RESPONSES INDUCED BY AIDS
VACCINES IN CLINICAL TRIAL VOLUNTEERS

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFP AVAILABLE:  NIAID-DAIDS-93-18

P.T. 34; K.W. 0715008, 0740075, 0755010, 0710070

National Institute of Allergy and Infectious Diseases

The National Institute of Allergy and Infectious Diseases (NIAID), NIH,
has a requirement to provide for the centralized performance of
immunological assays to evaluate HIV-specific humoral and cellular
mucosal immune responses in support of clinical trials of prototype
AIDS vaccines.  The purpose of this contract is to support the NIAID in
its mission to stimulate research towards discovery and testing of
prototype vaccines for the acquired immunodeficiency syndrome (AIDS).
The NIAID requires a Mucosal Immunology Laboratory to evaluate
reproductive tract, gut, blood, and other mucosal specimens from
vaccine clinical trial volunteers for humoral and cellular mucosal
immune responses induced by immunization with prototype AIDS vaccines.
This effort will support the research of AIDS investigators, including
the AIDS Vaccine Evaluation Group (AVEG), the National Cooperative
Vaccine Evaluation Groups (NCVDG), and other programs initiated by
NIAID.

Specifically, the selected Contractor shall be responsible for:  (1)
performing specific immunological assays for detection of HIV-specific
antibody and cellular responses in mucosal site and blood specimens
from AIDS vaccine recipients; (2) developing standard protocols for the
collection, processing, and storage of mucosal specimens at the vaccine
trial sites; (3) receiving, cataloging, tracking, coding, storing, and
maintaining an inventory of vaccinee specimens arriving for evaluation;
and (4) maintaining a test result database and transferring data
electronically to the AIDS Vaccine Clinical Trials Network (AVCTN) Data
Coordinating and Analysis Center (DCAC).

This is an announcement for an anticipated Request for Proposals (RFP).
RFP:  NIH-NIAID-DAIDS-93-18 will be issued on or about November 13,
1992 with a closing date tentatively set for January 5, 1993.  It is
expected that one (1) contract will be awarded as a result of this
solicitation.  It is expected that the contract will have a five-year
period of performance, and a completion type cost-reimbursement
contract is anticipated.

INQUIRIES

Requests for the RFP may be directed in writing to:

Lawrence Butler, Contracting Officer
Contract Management Branch
National Institute of Allergy and Infectious Diseases
Solar Building, Room 3C-07
6003 Executive Boulevard
Bethesda, MD  20892

Please provide this office with three self-addressed mailing labels.
Telephone
inquiries will not be honored and all inquiries must be in writing.  A
short-form version of the RFP will be provided first, which includes
only the statement of work and the Evaluation Criteria to be used for
selection of the awardee.

After examining this, a full-text version of the RFP must be requested
in writing by those offerors interested in responding.  FAX requests
are acceptable for the full-text version of the RFP only (FAX:
301-402-0972).  All proposals from responsible sources will be
considered by the NIAID.  This advertisement does not commit the
Government to award a contract.

$$R1 END ************************************************************

$$R2 BEGIN RFP NIAID-DAIDS-93-19 ************************************

BIOCHEMICAL SCREENS FOR AGENTS EFFECTIVE AGAINST AIDS-RELATED
OPPORTUNISTIC INFECTION

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFP:  NIAID-DAIDS-93-19

P.T. 34; K.W. 0755010, 0715008, 0755060, 0760013

National Institute of Allergy and Infectious Diseases

The Developmental Therapeutics Branch, Basic Research and Development
Program, Division of AIDS, National Institute of Allergy and Infectious
Disease (NIAID), NIH has a requirement to apply established
biochemically-based enzymatic or non-enzymatic assays to screen agents
for inhibition of one or more steps in the metabolism of
AIDS-associated opportunistic pathogens.  These biochemical prescreens
are considered particularly useful for rapid testing of compounds.
Examples of such assays may include, but not be limited to:  protein
synthesis, dihydrofolate reductase, and dihydropteroate synthase. The
major effort of this contract will involve the screening of a large
number of compounds.  A secondary focus of this contract will be
development/modification of automated biochemical assays and their
application to drug testing against opportunistic infections in AIDS.
It is anticipated that some assays will require isolation of enzymes
from relevant microorganisms or cloning to obtain the protein.
However, most of the enzymes and recombinant proteins required for the
development of assays in this project will be provided by the AIDS
Reference and Reagent Repository.  Other non-enzymatic assays may be
developed /used to evaluate drug activities in vitro.  At the present
time, NIAID has one contract that is scheduled to end in 1993 to screen
agents in enzymatic assays.

This NIAID sponsored project will take approximately three years to
complete.  A level-of-effort, cost reimbursement contract is
anticipated.  It is expected that one award will be made.

This is an announcement for an anticipated Request for Proposal (RFP).
RFP NIH-NIAID-DAIDS-93-19 will
be issued on or about November 12, 1992, with a closing date
tentatively set for January 15, 1993.

INQUIRIES

Requests for the RFP may be directed in writing to:

Cyndie Cotter
Contract Management Branch
National Institute of Allergy and Infectious Diseases
Solar Building, Room 3C07
6003 Executive Boulevard
Bethesda, MD  20892

To receive a copy of the RFP, please supply this office with three
self-addressed mailing labels.  Telephone inquiries will not be honored
and all inquiries must be in writing.  A short- form version of the RFP
will be provided first, which includes only the Statement of Work and
the Evaluation Criteria to be used for selection of the awardee.  After
examining this, a full-text version of the RFP must be requested, in
writing, for those offerors interested in responding.  FAX requests are
acceptable for the full-text version only (FAX:  301-402-0972).  All
proposals from responsible sources will be considered by the NIAID.
This advertisement does not commit the Government to award a contract.

$$R2 END ************************************************************

$$R3 BEGIN RFP NIAID-DAIDS-93-22 ************************************

GENETIC SEQUENCE VARIABILITY OF HIV-1 AND RELATED LENTIVIRUSES

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFP:  NIH-NIAID-DAIDS-93-22

P.T. 34; K.W. 1215018, 0755018

National Institute of Allergy and Infectious Diseases

The National Institute of Allergy and Infectious Diseases (NIAID), NIH,
has a requirement for a contractor to receive samples infected with
HIV-1 or related lentiviruses, to amplify virus-specific genetic
sequences from these samples, and to clone and sequence these amplified
fragments.  The Contractor will be required to design gene
amplification primers for distinct regions of the virus genome and for
diverse viral isolates.  The Contractor will be required to amplify and
clone sizable genomic fragments (>1500 base pairs), and carry out
large-scale genetic sequencing (approximately 200,000 bases/year).

Specifically, the selected contractor shall be responsible for:  (1)
amplifying, cloning and sequencing HIV-1 and related
lentivirus-specific gene fragments from samples derived from
HIV-infected individuals provided through the Project Officer; (2)
compiling and analyzing genetic sequence data, and transferring data to
the HIV Genetic Sequence Database and Analysis Unit at the Los Alamos
National Laboratory; (3) receiving, cataloging, processing, storing
samples, and distributing samples to other investigators; and (4)
providing an Inventory and Database Management System.

This is an announcement for an anticipated Request for Proposals (RFP).
RFP NIH-NIAID-DAIDS-93-22 will be issued on or about November 9, 1992,
with a closing date tentatively set for January 5, 1993.  One contract
will be awarded as a result of this solicitation.  It is expected that
the contract will have a five-year period of performance.  A
level-of-effort cost-reimbursement contract is anticipated.

INQUIRIES

Requests for the RFP are to be directed in writing to:

Kristiane E. Hofacker, Contract Specialist
Contract Management Branch
National Institute of Allergy and Infectious Diseases
Solar Building, Room 3C07
Bethesda, MD  20892

Please provide this office with three self-addressed mailing labels.
Telephone inquiries will not be honored and all inquiries must be in
writing.  A short-form version of the RFP will be provided first, this
includes only the Statement of Work and the Evaluation Criteria to be
used for selection of the awardee.  After examining this, a full-text
version of the RFP must be requested, in writing, for those offerors
interested in responding.  FAX requests are acceptable for full-text
versions of the RFP only (FAX: 301/402-0972).  All proposals from
responsible sources will be considered by the NIAID.  This
advertisement does not commit the Government to award a contract.

$$R3 END ************************************************************

$$R4 BEGIN RFP NHLBI-HC-93-44 ***************************************

CLINICAL TRIALS CENTER FOR ANTIHYPERTENSIVE AND LIPID-LOWERING
TREATMENT TO PREVENT HEART ATTACK TRIAL

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFP AVAILABLE:  NHLBI-HC-93-44

P.T. 34; K.W. 0715115, 0755015, 0740025

National Heart, Lung, and Blood Institute

The primary purpose of this program is to select a Clinical Trials
Center to conduct a practice-based, randomized clinical trial of
antihypertensive pharmacologic treatment and, in a specific subset,
lipid-lowering, in a factorial design.  The purpose of the
antihypertensive trial is to determine whether or not the combined
incidence of fatal coronary heart disease (CHD) and non-fatal
myocardial infarction differs between diuretic-based and alternative
antihypertensive pharmacologic treatment in patients broadly
representative of the U.S. hypertensive population, including at least
55 percent African-Americans.  The purpose of the lipid-lowering trial
is to conduct, in a subset of this population and in a factorial
design, a placebo-controlled randomized clinical trial to determine
whether or not lowering serum cholesterol in older, moderately
hypercholesterolemic men and women with a 3-hydroxymethylglutaryl
coenzyme A (HMG CoA) reductase inhibitor will reduce the combined
incidence of fatal CHD and non-fatal myocardial infarction.  Rather
than using independently funded clinics, patients will be recruited
through office-based practices and hypertension clinics that will be
reimbursed by the Clinical Trials Center on a per-patient basis.  The
study will consist of a vanguard phase and a full-scale trial phase.
Six hundred patients will be entered into the vanguard phase;
approximately 30,000 patients will be enrolled in the full-scale trial.

This is not a Request for Proposals (RFP).  RFP NHLBI-HC-93-44 will be
released on or about November 6, 1992 with proposals due on or about
January 15, 1993.  One incrementally funded contract is anticipated to
be awarded for nine years.  Written requests must include three
self-addressed mailing labels and must cite RFP NHLBI-HC-93-44.

Requests for copies of the RFP are to be sent to:

Kristee M. Camilletti, Contracting Officer
HLVD Contracts Section, Contracts Operations Branch, DEA
National Heart, Lung, and Blood Institute
Federal Building, Room 4C04
Bethesda, MD  20892

$$R4 END ************************************************************

$$R5 BEGIN HL-93-09 FULL-TEXT ***************************************

TUBERCULOSIS ACADEMIC AWARD

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFA AVAILABLE:  HL-93-09-L

P.T. 34; K.W. 0715165, 0502024, 0785035

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  December 15, 1992
Application Receipt Date:  February 17, 1993

THE REQUEST FOR APPLICATIONS (RFA) ANNOUNCED IN THIS NOTICE CONTAINS
ESSENTIAL INFORMATION FOR THE PREPARATION OF AN APPLICATION.  POTENTIAL
APPLICANTS MAY OBTAIN THE RFA FROM THE CONTACT NAMED IN INQUIRIES,
BELOW.

PURPOSE

The primary objective of this program is to stimulate the development
and/or improvement of the quality of medical curricula,
physician/patient/and community education, and clinical practice for
the prevention, management, and control of Mycobacterial tuberculosis
(TB) in the United States.

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 RFA,
Tuberculosis Academic Award, is related to the priority areas of
immunization and infectious diseases and HIV infection.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary Report:
Stock No. 017- 001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone:
202-783-3238).

ELIGIBILITY REQUIREMENTS

Institutions

Applications may be submitted by domestic universities or schools of
medicine.  Minority institutions and urban institutions from areas with
high rates of incidence of TB that have the necessary resources and
facilities and a commitment to providing the awardee with the time to
develop and implement plans consistent with the goals of this
announcement are encouraged to sponsor candidates for these awards.

Candidates

A candidate for an award must:

o  be an established physician and a medical faculty member in an
accredited school of medicine or osteopathy in the United States, its
territories or possessions, and have competence in tuberculosis and;

o  be employed by a school of medicine or osteopathy that is located in
an area with high TB rates;

o  have sufficient clinical training, research, and teaching experience
in the control of TB to develop and implement a high quality curriculum
in TB encompassing current knowledge and methods applicable to the
control of tuberculosis in individuals of all ages and to provide
leadership in research in control of TB;

o  be a citizen or non-citizen national of the United States or have
been lawfully admitted to the United States for permanent residence at
the time of application;

Individuals who have held another NIH career development award (K
series) are eligible to apply for the Tuberculosis Academic Award.
Applications from minority individuals and women are encouraged.

MECHANISM OF SUPPORT

This RFA is part of the Academic Award Program (K07) of the National
Heart, Lung, and Blood Institute (NHLBI).  Responsibility for the
planning, direction, and execution of the proposed project will be
solely that of the applicant.  The total project period may not exceed
five years and is non-renewable.  It is anticipated that support for
this program will begin September 1993.

FUNDS AVAILABLE

The estimated funds (total costs) for the first year of support for the
entire program will be $300,000.  It is anticipated that three to four
grants will be awarded each year for five years under this program.
The specific number, however, will depend upon the merit and scope of
the applications received and the availability of funds.

A maximum of $50,000 for the salary of the awardee, plus applicable
fringe benefits, a maximum of $20,000 for technical support, and
indirect costs not to exceed eight percent may be requested.

OBJECTIVES

The objectives of the Tuberculosis Academic Award are to:

o  encourage the development of high quality curricula in schools of
medicine that will significantly increase the opportunities for
students, house staff, and others, including practicing physicians, to
learn the principles and practice of preventing, managing, and
controlling TB;

o  encourage research in the control of TB;

o  encourage the development of a faculty capable of providing
appropriate instruction in TB;

o  contribute to updating the knowledge and skill of practicing
physicians and other health care providers in the community;

o  enhance awareness of health care providers of the unique ethnic,
cultural, socioeconomic, and medical dimensions of TB;

o  coordinate and collaborate with other community organizations to
control TB in areas with high incidence of TB;

o  facilitate an interchange of ideas and methods among awardees and
institutions;

o  cooperate and collaborate with other organizations that have
responsibility for and interest in TB control, for example, health
departments, medical and nursing associations, and voluntary health
agencies; and

o  contribute to public health efforts to control TB in the community.

Of particular interest are programs targeted to inner city populations
and to rural areas that may be in need of education about TB and among
physicians who are or who will be caring for medically underserved
populations.

STUDY POPULATIONS

SPECIAL INSTRUCTIONS FOR INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDIES

For projects involving clinical research, NIH requires applicants to
give special attention to the inclusion of women and minorities in
study populations.  If women or minorities are not included in the
study populations for clinical studies, a specific justification for
this exclusion must be provided.  Applications without such
documentation will not be accepted for review.

LETTER OF INTENT

Prospective applicants are asked to submit, by December 15, 1992, a
letter of intent that includes the name, address, and telephone number
of the Principal Investigator, the identities of other key personnel
and participating institutions, and the number and title of the RFA in
response to which the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains is helpful in planning for the review of applications.
It allows the Institute staff to estimate the potential review workload
and to avoid conflict of interest in the review.

The letter of intent is to be sent to:

C. James Scheirer, Ph.D.
Division of Extramural Affairs
National Heart, Lung, and Blood Institute
Westwood Building, Room 548B
Bethesda, MD  20892
Telephone:  (301) 496-7363

APPLICATION PROCEDURES

Applications must be received by February 17, 1993.

Applications are to be submitted on the grant application form PHS 398
(rev. 9/91).  Application kits are available at most institutional
offices of sponsored research and may be obtained from the Office of
Grants Inquiries, Division of Research Grants, National Institutes of
Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892, telephone
301-496-7441.

REVIEW CONSIDERATIONS

Applications for this Tuberculosis Academic Award will be evaluated in
terms of the following criteria:

o  the overall merit of the proposed five-year plan for improving the
institution's interdepartmental curricula on tuberculosis;

o  the qualifications and background of the candidate, including
experience in teaching, curriculum development, and research;

o  the institution's commitment to implement the proposed curriculum
and to continue a program in education about tuberculosis control after
the termination of the award;

o  the involvement of appropriate disciplines in the development,
implementation, and evaluation of the program;

o  design and evaluation plans for educational interventions for health
care providers and for patients with tuberculosis, especially in areas
with high incidence of TB;

o  plans for communication and cooperation between specialists in adult
and pediatric pulmonary medicine, infections, and community medicine to
ensure optimal treatment;

o  plans for collaborative projects with other organizations that have
responsibility for and interest in tuberculosis control, for example,
health departments, medical and nursing associations, and voluntary
health agencies;

o  the potential of the program for making an impact on the control of
tuberculosis among populations served;

o  the potential for replication or adaptation of the program at other
sites.

Of particular interest are programs targeted to inner city populations
and to rural areas that may be in need of education about TB and among
physicians who are or who will be caring for medically underserved
populations.

INQUIRIES

Guidelines for this RFA are available from the person named below.
Written and telephone inquiries concerning this announcement are
encouraged.  The opportunity to clarify any issues or questions from
potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Joan M. Wolle, Ph.D., M.P.H.
Division of Lung Diseases
National Heart, Lung, and Blood Institute
Westwood Building, Room 640
Bethesda, MD  20892
Telephone:  (301) 496-7668

Direct inquiries regarding fiscal matters to:

Raymond L. Zimmerman
Grants Operations Branch
National Heart, Lung, and Blood Institute
Westwood Building, Room 4A17
Bethesda, MD  20892
Telephone:  (301) 496-4970

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.838.  Grants will be awarded under the authorization of the
Public Health Service Act, Title III, Section 301 (Public Law 78-410,
as amended by Public Law 99-158, 42 US 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CAR 52 and 45 CAR
Part 74.  This program is not subject to the intergovernmental review
requirements of Executive Order 12372 or to a review by a Health
Systems Agency.

$$R5 END ************************************************************

$$R6 BEGIN HL-93-10 FULL-TEXT ***************************************

ASTHMA ACADEMIC AWARD

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFA AVAILABLE:  HL-93-10-L

P.T. 34; K.W. 0715013, 0502024, 0785035

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  December 15, 1992
Application Receipt Date:  February 17, 1993

THE REQUEST FOR APPLICATIONS (RFA) ANNOUNCED IN THIS NOTICE CONTAINS
ESSENTIAL INFORMATION FOR THE PREPARATION OF AN APPLICATION.  POTENTIAL
APPLICANTS MAY OBTAIN THE RFA FROM THE CONTACT NAMED IN INQUIRIES,
BELOW.

PURPOSE

The primary objective of this RFA is to stimulate the development
and/or improvement of the quality of curricula, physician/patient/and
community education, and clinical practice for the prevention,
management, and control of asthma in the United States.

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 RFA,
Asthma Academic Award, is related to the priority areas of diabetes and
chronic disabling diseases.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0) or
"Healthy People 2000" (Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone: 202-783-3238).

ELIGIBILITY REQUIREMENTS

Institutions

Applications may be submitted by domestic universities or schools of
medicine.  Minority institutions and urban institutions from areas with
high rates of morbidity of asthma that have the necessary resources and
facilities and a commitment to providing the awardee with the time to
develop and implement plans consistent with the goals of this
announcement are encouraged to sponsor candidates for these awards.

Candidates

A candidate for an award must:

o  be an established physician and medical faculty member in an
accredited school of medicine or osteopathy in the United States, its
territories or possessions, and have competence in the management of
asthma, and;

o  be employed by a school of medicine or osteopathy that is located in
an area with high asthma morbidity, such as an institution located in
an inner city;

o  have sufficient clinical training, research, and teaching experience
in pulmonary medicine to develop and implement a high quality
curriculum in asthma encompassing current knowledge and methods
applicable to the control of asthma in individuals of all ages and to
provide leadership in applied research in control of asthma;

o  be a citizen or non-citizen national of the United States or have
been lawfully admitted to the United States for permanent residence at
the time of application;

Individuals who have held another NIH career development award (K
series) are eligible to apply for the Asthma Academic Award.
Applications from minority individuals and women are encouraged.

MECHANISM OF SUPPORT

This RFA is part of the Academic Award Program (K07) of the National
Heart, Lung, and Blood Institute (NHLBI).  Responsibility for the
planning, direction, and execution of the proposed project will be
solely that of the applicant.  The total project period may not exceed
five years and is non-renewable.  It is anticipated that support for
this program will begin September 1993.

A maximum of $50,000 for the salary of the awardee, plus applicable
fringe benefits, a maximum of $20,000 for technical support, and
indirect costs not to exceed eight percent may be requested.

FUNDS AVAILABLE

The estimated funds (total costs) for the first year of support for the
entire program will be $300,000.  It is anticipated that three to four
grants will be awarded each year for five years under this program.
The specific number, however, will depend upon the merit and scope of
the applications received and the availability of funds.

OBJECTIVES

The objectives of the Asthma Academic Award are:

o  to encourage the development of high quality curricula in schools of
medicine that will significantly increase the opportunities for
students, house staff, and others to learn the principles and practice
of preventing, managing, and controlling asthma;

o  to develop and implement interdepartmental programs with common
goals and standardize diagnostic and therapeutic approaches;

o  to promote communication among specialists in primary care, allergy,
and obstetrics and gynecology to ensure appropriate treatment of
pregnant women with asthma;

o  to encourage research in the control of asthma;

o  to promote the development of a faculty capable of providing
appropriate instruction in asthma;

o  to promote an institutional environment that facilitates an
interchange of information and educational evaluation techniques about
new diagnostic, therapeutic and prevention measures in asthma in both
children and adult populations;

o  to investigate coordinated clinical approaches to the care of
patients of various ages and ethnic groups who have asthma, such as
minorities, young children, and the elderly;

o  to provide for outreach programs from medical centers to health
practitioners in the community to enhance optimal care, especially in
areas of high asthma morbidity, such as inner city minority
communities;

o  to facilitate an interchange of ideas among awardees and
institutions;

o  to contribute to public health efforts to control asthma in the
United States.

Of particular interest are programs targeted to inner city populations
and to rural areas that may be in need of education about asthma and
among physicians who are or who will be caring for medically
underserved populations.

STUDY POPULATIONS

SPECIAL INSTRUCTIONS FOR INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDIES

For projects involving clinical research, NIH requires applicants to
give special attention to the inclusion of women and minorities in
study populations.  If women or minorities are not included in the
study populations for clinical studies, a specific justification for
this exclusion must be provided.  Applications without such
documentation will not be accepted for review.

LETTER OF INTENT

Prospective applicants are asked to submit, by December 15, 1992, a
letter of intent that includes the name, address, and telephone number
of the Principal Investigator, the identities of other key personnel
and participating institutions, and the number and title of the RFA in
response to which the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
that it contains is helpful in planning for the review of applications.
It allows the Institute staff to estimate the potential review workload
and to avoid conflict of interest in the review.

The letter of intent is to be sent to:

C. James Scheirer, Ph.D.
Division of Extramural Affairs
National Heart, Lung, and Blood Institute
Westwood Building, Room 548B
Bethesda, MD  20892
Telephone:  (301) 496-7383

APPLICATION PROCEDURES

Applications must be received by February 17, 1993.

Applications are to be submitted on the grant application form PHS 398
(rev. 9/91).  Application kits are available at most institutional
offices of sponsored research and may be obtained from the Office of
Grants Inquiries, Division of Research Grants, National Institutes of
Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892, telephone
301/496-7441.

REVIEW CONSIDERATIONS

Applications for this Asthma Academic Award will be evaluated in terms
of the following criteria:

o  the overall merit of the proposed five-year plan for improving the
institution's interdepartmental curricula in asthma control;

o  the qualifications and background of the candidate, including
experience in teaching, curriculum development, and research;

o  the institution's commitment to implement the proposed curriculum
and to continue a program in education about asthma control after the
termination of the award;

o  the involvement of appropriate disciplines in the development,
implementation, and evaluation of the program;

o  design and evaluation plans for educational interventions for health
care providers and for patients with asthma, especially in areas with
high morbidity from asthma, such as inner city minority communities;

o  plans for communication and cooperation between specialists in adult
and pediatric pulmonary medicine, family practice, internal medicine,
community medicine, and other specialties;

o  plans for collaborative projects with other organizations that have
responsibility for and interest in asthma control, for example, health
departments, medical and nursing associations, and voluntary health
agencies;

o  the potential of the program for making an impact on the control of
asthma among populations served;

o  the potential for replication or adaptation of the program at other
sites.

INQUIRIES

Guidelines for this RFA are available from the person named below.
Written and telephone inquiries concerning this announcement are
encouraged.  The opportunity to clarify any issues or questions from
potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Joan M. Wolle, Ph.D., M.P.H.
Division of Lung Diseases
National Heart, Lung, and Blood Institute
Westwood Building, Room 640
Bethesda, MD  20892
Telephone:  (301) 496-7668

Direct inquiries regarding fiscal matters to:

Raymond L. Zimmerman
Grants Operations Branch
National Heart, Lung, and Blood Institute
Westwood Building, Room 4A17
Bethesda, MD  20892
Telephone:  (301) 496-4970

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.838.  Grants are made under the authorization of the Public
Health Service Act, Title III, Section 301 (Public Law 78-410, as
amended by Public Law 99-158, 42 US 241 and 285) and administered under
PHS grants policies and Federal Regulations 42 CAR 52 and 45 CAR Part
74.  This program is not subject to the intergovernmental review
requirements of Executive Order 12372 or Heath Systems Agency review.

$$R6 END ************************************************************

$$R7 BEGIN AI-92-12 FULL-TEXT ***************************************

WOMEN'S INTERAGENCY HIV STUDY

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFA AVAILABLE:  AI-92-12

P.T. 34, II; K.W. 0715008, 0740075, 0411005, 0403004, 0785035

National Institute of Allergy and Infectious Diseases

Letter of Intent Receipt Date:  January 11, 1993
Application Receipt Date:  February 18, 1993

THE REQUEST FOR APPLICATIONS (RFA) ANNOUNCED IN THIS NOTICE CONTAINS
ESSENTIAL INFORMATION FOR THE PREPARATION OF AN APPLICATION.  POTENTIAL
APPLICANTS MAY OBTAIN THE RFA FROM THE CONTACT NAMED IN INQUIRIES,
BELOW.

PURPOSE

The Vaccine Trials and Epidemiology Branch (VTEB) of the Division of
AIDS (DAIDS) of the National Institute of Allergy and Infectious
Diseases (NIAID) invites applications for cooperative agreements for
the establishment of a Women's Interagency HIV Study (WIHS) to
investigate the clinical, laboratory, and psychosocial impact of human
immunodeficiency virus (HIV) infection in women.  The WIHS will use a
multi-site, prospective study design to gather data on the clinical,
immunological, virological, and behavioral aspects of HIV infection and
disease in women.  This study will investigate the full spectrum of
clinical disease caused by HIV infection in women.  It also will seek
to determine other cofactors that may be associated with HIV disease
progression in women.

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 RFA, for
the Women's Interagency HIV Study, is related to the priority area of
HIV infection.  Potential applicants may obtain a copy of "Healthy
People 2000" (Full Report:  Stock No. 017-001-00474-0) or "Healthy
People 2000" (Summary Report:  Stock No. 017-001-10473-1) through the
Superintendent of Documents, Government Printing Office, Washington, DC
20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic non-profit, and for-profit
research institutions; public and private organizations such as
universities, colleges, hospitals or laboratories; units of State and
local governments; and eligible agencies of the Federal government.
Applications from minority individuals and women are encouraged.

Applicants must demonstrate the capability to recruit and maintain a
minimum of 300 HIV-seropositive women and 75 HIV-seronegative women who
engage in activities that put them at high risk of acquiring HIV
infection; the proposed study population should reflect the
socioeconomic, racial, and ethnic female populations infected with HIV.

MECHANISM OF SUPPORT

Applications funded under this RFA will be supported through the
National Institutes of Health (NIH) cooperative agreement (U01).
Cooperative agreements are awarded to institutions when it is desired
to encourage investigator-initiated research in areas of special
importance to the NIH and where substantial programmatic involvement by
NIH staff is anticipated.  The interaction of NIAID staff with the
investigators is expected to assist and facilitate the research.  This
RFA represents a single competition with a specified deadline for
receipt of applications.  Reissuance of this RFA will be dependent on
the state of science and findings at the completion of this cooperative
agreement, as well as the availability of funds.

FUNDS AVAILABLE

Approximately $5,000,000 will be available for funding the total costs
of the WIHS during its initial year.  The earliest possible award date
is July, 1993.  The NIAID anticipates making two to five awards as a
result of this RFA.  The final number of awards to be made is dependent
upon receipt of a sufficient number of applications of high scientific
merit and the continuing availability of funds.

BACKGROUND

The number of cases of Acquired Immunodeficiency Syndrome (AIDS)
diagnosed in women has increased rapidly since 1985. As of June 1992,
more than 24,000 cases of AIDS in women had been reported to the
Centers for Disease Control (CDC); in sharp contrast to the
approximately 1,100 women reported by the end of 1985.  Approximately
100,000 American women are estimated to be infected with HIV-1.  These
numbers are expected to continue to increase throughout the 1990s.
Major deficiencies remain in understanding the clinical, immunological,
and virological spectrum of HIV disease and AIDS in women.
Gynecological manifestations of HIV infection have not been
sufficiently studied despite early results indicating their importance.
On the basis of these early reports, women-specific disease outcomes
have been identified, suggesting the need for a large-scale prospective
study of HIV infection and disease in women to address the multiplicity
of research questions within a single research design.

The primary purpose of this RFA is to develop a cooperative multi-site
prospective epidemiologic study of the clinical, immunologic, and
virologic and behaviorally-associated aspects of HIV disease
progression in women.  The CDC and NIAID have initiated the initial
phase of this interagency prospective study of HIV-infected and
uninfected women through the CDC's 1991 program announcement No. 115
(see Federal Register, vol. 56, no. 65, Thursday, April 4, 1991), the
HIV Epidemiology Research Study (HERS).  The data collection
instruments (medical history intake questionnaires, physical exam
protocols, and laboratory specimen collection forms) for this phase of
the study are being developed collaboratively between the CDC, NIAID,
the four currently funded clinical sites, and an interim data center.
The data collection instruments developed for the HERS are available on
request by faxing your request to Dr. Sandra Melnick at (301) 402-1506.
When new sites are awarded under this RFA awardees will collaborate
with the investigators from the CDC HERS sites to review the study data
collection instruments and physical examination protocols, to arrive at
compatible data collection procedures.

RESEARCH OBJECTIVES

The overall objectives of this project are to:

o  Describe the spectrum and course of the clinical manifestations of
HIV infection in women, including those which may occur in the genital
tract and oral cavity.

o  Describe the pattern and rate of decline of CD4+ cells in women and
its relationship to other immunologic and virologic parameters, and to
the clinical manifestations of HIV.

o  Investigate factors (e.g., infectious, treatment-related,
nutritional, socioeconomic, drug-use related) which may delay or may
accelerate HIV-induced immune dysfunction and specific manifestations
of HIV-associated clinical disease.

o  Study the length of survival and quality of life of women living
with HIV infection.

Although the emphasis of this study is not on transmission of HIV, it
will still be important to follow the initially HIV-seronegative women
to:

o  Determine the rate of incident HIV seroconversion and factors that
may increase the risk of incident HIV infection among a smaller cohort
of women who are HIV-antibody negative at the time of study enrollment.
Such factors may include age, race, and ethnicity.

o  Assess the feasibility of HIV vaccine trial initiation in
HIV-seronegative women by assessing willingness to participate in
vaccine efficacy trials.

STUDY POPULATIONS

SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH
POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements will be required to include minorities and women
in study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder or condition under study;
special emphasis should be placed on the need for inclusion of
minorities and women in studies of diseases, disorders and conditions
which disproportionately affect them.  This policy is intended to apply
to males and females of all ages.  If women or minorities are excluded
or inadequately represented in clinical research, particularly in
proposed population-based studies, a clear compelling rationale should
be provided.

The composition of the proposed study population must be described in
terms of gender and racial/ethnic group.  In addition, gender and
racial/ethnic issues should be addressed in developing a research
design and sample size appropriate for the scientific objectives of the
study.  This information should be included in the form PHS 398 in
Sections 1-4 of the Research Plan AND summarized in Section 5, Human
Subjects.

Applicants are urged to assess carefully the feasibility of including
the broadest possible representation of minority groups.  However, NIH
recognizes that it may not be feasible or appropriate in all research
projects to include representation of the full array of United States
racial/ethnic minority populations (i.e., Native Americans (including
American Indians or Alaskan Natives), Asian/Pacific Islanders, Blacks,
Hispanics).

The rationale for studies on single minority population groups should
be provided.

For the purpose of this policy, clinical research includes human
biomedical and behavioral studies of etiology, epidemiology, prevention
(and preventive strategies), diagnosis, or treatment of diseases,
disorders or conditions, including but not limited to clinical trials.

The usual NIH policies concerning research on human subjects also
apply.  Basic research or clinical studies in which human tissues
cannot be identified or linked to individuals are excluded.  However,
every effort should be made to include human tissues from women and
racial/ethnic minorities when it is important to apply the results of
the study broadly, and this should be addressed by applicants.

For foreign awards, the policy on inclusion of women applies fully;
since the definition of minority differs in other countries, the
applicant must discuss the relevance of research involving foreign
population groups to the United States' populations, including
minorities.

If the required information is not contained within the application,
the application will be returned.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies.  If the representation of
women or minorities in a study design is inadequate to answer the
scientific question(s) addressed AND the justification for the selected
study population is inadequate, it will be considered a scientific
weakness or deficiency in the study design and will be reflected in
assigning the priority score to the application.

All applications for clinical research submitted to NIH are required to
address these policies.  NIH funding components will not award grants
or cooperative agreements that do not comply with these policies.

NOTE:  This study fully meets the requirements for inclusion of women,
in that it is exclusively comprised of female subjects.

LETTER OF INTENT

Prospective applicants are asked to submit, by January 11,1993, a
letter of intent that includes a descriptive title of the proposed
research the name, address and telephone number of the Principal
Investigator; the identities of other key personnel and participating
institutions; and the number and title of the RFA in response to which
the application may be submitted.  The letter of intent is requested to
provide an indication of the number and scope of applications to be
reviewed.  The letter of intent does not commit the sender to submit an
application, nor is it a requirement for submission of an application.

The letter of intent is to sent to

Dr. Sandra Melnick
Vaccine Trials and Epidemiology Branch
Division of AIDS
National Institute of Allergy and Infectious Diseases
Solar Building, Room 2A28
6003 Executive Boulevard
Bethesda, MD  20892

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91)is to used in
applying for these cooperative agreements.

These forms are available from the institutional offices of sponsored
research and Office of Grants Inquiries, Division of Research Grants,
National Institutes of Health, 5333 Westbard Avenue, Room 449,
Bethesda, Maryland 20892, telephone 301/496-7441.

The RFA label available in the PHS 398 application form must be affixed
to the bottom of the face page of the application.  Failure to use this
label could result in delayed processing of the application such that
it may not reach the review committee in time for review.  In addition,
"WOMEN'S INTERAGENCY HIV STUDY", RFA AI-92-12 should be typed on line
2a of the face page of the application form and the "YES" box should be
marked.

Submit a signed, typewritten original of the application, including the
checklist, and three signed, identical single-sided photocopies, in one
package, to

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies must be sent directly
to

Dr. Dianne Tingley
AIDS RRS/SRB/DEA
National Institute of Allergy and Infectious Diseases
6003 Executive Boulevard, Room 4C16
Bethesda, MD  20892

Applications must be received by both the Division of Research Grants
(DRG) and Dr. Tingley by February 18, 1993.  Applications received
after February 18, 1993 will be returned to the applicant without
review.

REVIEW CONSIDERATIONS

This application must be directed toward the objectives identified in
the RFA.  The primary factors that will be considered in the review of
the application will be the demonstrated ability or potential to
achieve the recruitment and retention goals, scientific merit of the
research plans, and the capability to participate in this multicenter
study.  The RFA contains important additional information about review
procedures and criteria.

AWARD CRITERIA

Scientific merit and technical proficiency, based on priority scores
assigned by the scientific review group, will be the predominant
criteria for determining funding priorities.  However, after
applications have been approved by the National Advisory Allergy and
Infectious Diseases Council, NIAID staff reserves the right to consider
the demographic features of the nationwide HIV epidemic among women and
study cost-efficiency.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcomed.  Direct inquiries regarding programmatic issues
and requests for the RFA to:

Dr. Sandra Melnick
Vaccine Trials and Epidemiology Branch
Division of AIDS
National Institute of Allergy and Infectious Diseases
Solar Building Room 2A28
6003 Executive Boulevard
Bethesda, MD  20892
FAX:  (301) 402-1506

Direct inquiries regarding fiscal matters to:

Ms. Jane Unsworth
Chief, AIDS Grants Management Section/DEA
National Institute of Allergy and Infectious Diseases
Solar Building Room 4B25
6003 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 496-7075
FAX:  (301) 480-3780

Direct inquiries concerning the review process and requirements to:

Dr. Dianne Tingley
AIDS RRS/SRB
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building Room 4C16
Bethesda, MD  20892
Telephone:  (301) 496-0818
FAX:  (301) 402-2638

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.856, Microbiology and Infectious Disease Research and No.
93.855, Immunology, Allergic and Immunologic Diseases Research.  Awards
are made under authorization of the Public Health Service Act, Title
IV,Part A (Public Law 78-410, as amended by Public Law 99-158,42 USC
241 and 285) and administered under PHS grants policies and Federal
Regulations 42 CFR 52, 45 CFR Part 74,and 45 CFR Part 92.  This program
is not subject to the intergovernmental review requirements of
Executive Order 12372 or Health Systems Agency review.

$$R7 END ************************************************************

$$R8 BEGIN CA-93-03 FULL-TEXT ***************************************

THERAPEUTIC STUDIES OF PRIMARY CENTRAL NERVOUS SYSTEM MALIGNANCIES IN
ADULTS

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFA AVAILABLE:  CA-93-03

P.T. 34; K.W. 0715035, 0705055, 0740015, 0740020

National Cancer Institute

Letter of Intent Receipt Date:  January 15, 1993
Application Receipt Date:  March 10, 1993

THE REQUEST FOR APPLICATIONS (RFA) ANNOUNCED IN THIS NOTICE CONTAINS
ESSENTIAL INFORMATION FOR THE PREPARATION OF AN APPLICATION.  POTENTIAL
APPLICANTS MAY OBTAIN THE RFA FROM THE CONTACT NAMED IN INQUIRIES,
BELOW.

PURPOSE

The Cancer Therapy Evaluation Program (CTEP) and the Radiation Research
Program (RRP) of the Division of Cancer Treatment (DCT) at the National
Cancer Institute (NCI) invite applications for cooperative agreements
(U01) from consortia of institutions to perform Phase I and II clinical
evaluations of promising new chemotherapeutic or biologic agents for
the treatment of primary central nervous system (CNS) malignancies and
to perform ancillary laboratory studies of aspects of CNS tumor biology
with potential clinical implications.  Integrated packages of
individual applications are encouraged, with the lead institution of a
proposed consortium indicating which participating institutions will
provide organizational support, scientific leadership, laboratory
capabilities, and/or patient resources.  Each consortium of
institutions will be referred to as a CNS Consortium (CNSC) for the
purpose of this RFA.

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 RFA,
Therapeutic Studies of Primary Central Nervous System Malignancies in
Adults, is related to the priority area of cancer.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary Report:
Stock No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone
202/783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by North American non-profit and
for-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, DCT clinical cooperative groups, and eligible agencies of
the Federal government.  Applications from minority individuals and
women are encouraged.

It is essential that applications be submitted as an integrated package
from a team or consortium (CNSC) of medical institutions (a minimum of
three) that agree to work together with a single Project Leader and a
single administration, and submit applications that will be reviewed in
relation to the consortium. Together, the institutions in the
consortium would encompass experience in investigational drug clinical
trials, access to sufficient numbers of primary CNS tumor patients to
enter a minimum of 60-80 fully evaluable cases per year onto Phase I
and II protocols, expertise in laboratory investigation of the biology
of human gliomas, and access to a Central Operations Office for
coordination of research activities and data analysis. Except under
unusual circumstances, the Central Operations Office/Coordinating
Center would be expected to reside at the Project Leader's institution.

MECHANISM OF SUPPORT

Awards will be made as cooperative agreements that create an assistance
relationship with substantial NCI programmatic involvement with the
recipients during the performance of the project, as outlined in this
RFA.  The cooperative agreement mechanism is used when the NCI wishes
to stimulate investigator interest and proposes to advise or assist in
an important and opportune area of research.

Support of this program will be through the Cooperative Agreement
(U01), an assistance mechanism in which substantial NCI programmatic
involvement with the recipient during performance of the planned
activity is anticipated.  The nature of NCI staff involvement is
described in the RFA.  Applicants will be responsible for the planning,
direction, and execution of the proposed project. Except as otherwise

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Subject: NIH Guide, vol. 21, no. 41, pt. 4, 13 November 1992
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$$XID RFA CA9303 CA-93-03 P1O1 *****************************************

THERAPEUTIC STUDIES OF PRIMARY CENTRAL NERVOUS SYSTEM MALIGNANCIES IN
ADULTS

NIH GUIDE, Volume 21, Number 41, November 13, 1992

RFA:  CA-93-03

P.T. 34; K.W. 0715035, 0705055, 0740015, 0740020

National Cancer Institute

Letter of Intent Receipt Date:  January 15, 1993
Application Receipt Date:  March 10, 1993

PURPOSE

The Cancer Therapy Evaluation Program (CTEP) and the Radiation Research
Program (RRP) of the Division of Cancer Treatment (DCT) at the National
Cancer Institute (NCI) invite applications for cooperative agreements
(U01) from consortia of institutions to perform Phase I and II clinical
evaluations of promising new chemotherapeutic or biologic agents for
the treatment of primary central nervous system (CNS) malignancies and
to perform ancillary laboratory studies of aspects of CNS tumor biology
with potential clinical implications.  Integrated packages of
individual applications are encouraged, with the lead institution of a
proposed consortium indicating which participating institutions will
provide organizational support, scientific leadership, laboratory
capabilities, and/or patient resources.  Each consortium of
institutions will be referred to as a CNS Consortium (CNSC) for the
purpose of this RFA.

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 RFA,
Therapeutic Studies of Primary Central Nervous System Malignancies in
Adults, is related to the priority area of cancer.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary Report:
Stock No. 017-001-00473-1) through the Superintendent of Documents,
Government Printing Office, Washington, DC 20402-9325 (telephone
202/783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by North American non-profit and
for-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, DCT clinical trials cooperative groups, and eligible
agencies of the Federal government.  Applications from minority
individuals and women are encouraged.

It is essential that applications be submitted as an integrated package
from a team or consortium (CNSC) of medical institutions (a minimum of
three) that agree to work together with a single Project Leader and a
single administration, and submit applications that will be reviewed in
relation to the consortium. Together, the institutions in the
consortium would encompass experience in investigational drug clinical
trials, access to sufficient numbers of primary CNS tumor patients to
enter a minimum of 60-80 fully evaluable cases per year onto Phase I
and II protocols, expertise in laboratory investigation of the biology
of human gliomas, and access to a Central Operations Office for
coordination of research activities and data analysis.  Except under
unusual circumstances, the Central Operations Office/Coordinating
Center would be expected to reside at the Project Leader's institution.
Detailed requirements are listed below in Terms of Cooperation,
Responsibilities of Awardees.

The members of each proposed consortium should together fulfill the
criteria listed below.

A.  Requirements for the Consortium (CNSC) as a whole:

1.  A commitment to participate in multi-institutional protocols and
documentation of facilities and professional personnel available,
committed, and expert in conducting brain tumor clinical trials.  This
includes assignment of appropriate specialist collaborators including,
but not limited to, medical oncologists, radiation therapists,
neurologists, neurosurgeons, neuroradiologists, and neuropathologists.

2.  A Central Operations Office/Coordinating Center for biostatistical
support, collection, analysis, reporting, and quality control of data
from Phase I and II trials and related laboratory investigations.
Detailed requirements will be found in RESEARCH OBJECTIVES,
DEFINITIONS.

3.  The applicant CNSC and each of its participating clinical
institutions must have adequate central data collection and processing
capabilities and the capability to meet FDA and HHS requirements for
the conduct of research using investigational agents.

4.  Each CNSC, a minimum of three institutions, must have the
demonstrated capability of accruing a minimum of 60 fully evaluable,
histologically confirmed high-grade glioma patients per year who would
be appropriate candidates for Phase I or Phase II clinical trials, and
who have acceptable performance status and organ function to enter such
trials.  In the case of a consortium (CNSC) with more than three
clinical member institutions, a minimum of 20 such evaluable patients
per institution per year will be required.

5.  The CNSC (consortium) must demonstrate an active laboratory program
at one or more of its participant institutions that utilizes human
glioma specimens or cell lines and would be able to take advantage of
additional clinical specimens (and accompanying clinical data) to
perform correlative studies bearing on the clinical behavior of CNS
tumors and/or their response to therapeutic interventions.  Experience
with gliomas and/or other human CNS tumors must be documented by a
record of publications or peer-reviewed grant support.

6.  The CNSC must demonstrate laboratory capabilities among one or more
of its participant institutions sufficient to perform at least two
comprehensive pharmacokinetic studies per year of selected Phase I or
Phase II drugs being evaluated by the consortium.  Experience with
pharmacokinetic data analysis and correlation of these data with
clinical drug response must be documented, as must familiarity with the
latest technology for the detection and quantitation of drugs and their
metabolites in physiological fluids and tissues. (see RESEARCH
OBJECTIVES, RESEARCH GOALS AND SCOPE below)

B.  Each participant institution in the CNSC must have a mechanism to
collect and ship patient specimens to other members of the CNSC and
other consortia under the guidelines established for the individual
studies.  Institutions involved in laboratory studies must have the
capability to receive and conduct research studies on patient specimens
not only from within their own centers, but also from other members of
the CNSC and other consortia funded by this U01.  There must also be a
mechanism in place for the collection and transfer of patient and
laboratory data to the Central Operations Office/Coordinating Center
for analysis.

C.  Each institution participating in the clinical trials of the
consortium must meet the following requirements:

1.  Experienced full-time physician investigators associated with the
project who have demonstrated expertise in Phase I/II studies.

2.  A multi-disciplinary neuro-oncology team with clinician members
representing expertise in the disciplines of medical and radiation
oncology, neurology/neurosurgery, neuropathology and neuroradiology.

3.  Adequate physician, nursing and data management resources to comply
with all data reporting requirements of NCI-sponsored Phase I and II
trials.

4.  Patient populations to support adequate patient accrual (criteria
determined by the consortium) with annual monitoring to assure
continued enrollment of patients on Phase I and II trials.

5.  Availability of state-of-the-art instrumentation for neurologic
magnetic resonance imaging and for radiation therapy.

6.  Appropriate drug control procedures as required for utilization of
NCI-supplied experimental agents.

7.  Capability of meeting FDA requirements in A3 above.

MECHANISM OF SUPPORT

Awards will be made as cooperative agreements, which create an
assistance relationship with substantial NCI programmatic involvement
with the recipients during the performance of the project, as outlined
in this RFA.  The cooperative agreement mechanism is used when the NCI
wishes to stimulate investigator interest and proposes to advise or
assist in an important and opportune area of research.

Support of this program will be through the Cooperative Agreement
(U01), an assistance mechanism in which substantial NCI programmatic
involvement with the recipient during performance of the planned
activity is anticipated.  The nature of NCI staff involvement is
described in Terms of Cooperation, Nature of Participation by NCI
Staff.  Applicants will be responsible for the planning, direction, and
execution of the proposed project.  Except as otherwise stated in this
RFA, awards will be administered under PHS grants policy as stated in
the Public Health Service Grants Policy Statement, DHHS Publication No.
(OASH) 90-50,000, revised October 1, 1990.

This RFA is a one-time solicitation.  If it is determined that there is
a sufficient continuing program need, the NCI will invite recipients of
awards under this RFA to submit competitive continuation cooperative
agreement applications for review according to the procedures described
in Review Considerations, Part A.

FUNDS AVAILABLE

Approximately $1,500,000 in total costs per year for four years will be
committed to specifically fund applications submitted in response to
this RFA.  It is anticipated that six to nine individual awards will be
made to the members of one to three consortia.  This funding level is
dependent on the receipt of a sufficient number of applications of high
scientific merit.  The total project period for applications submitted
in response to the present RFA may not exceed four years.  Although
this program is provided for in the financial plans of the NCI, the
award of cooperative agreements pursuant to this RFA is also contingent
upon the continuing availability of funds for this purpose.

RESEARCH OBJECTIVES

A.  Background

Primary malignant brain tumors are responsible for approximately 12,000
deaths annually in the US.  Astrocytomas of various histologic grades
make up 65-70 percent of all primary, central nervous system (CNS)
tumors.  Other malignant histologies such as medulloblastomas,
ependymomas, oligodendrogliomas, and CNS lymphomas make up an
additional 15-20 percent of all cases.  Standard treatment with
surgery, radiation therapy, and chemotherapy has been shown to improve
short term survival by two- to threefold, but in spite of aggressive,
multimodality therapy and despite the fact that the majority of these
cancers rarely metastasize, high-grade gliomas are nearly 100 percent
lethal, and average survival usually ranges between 9-18 months.

Surgery, radiation therapy, chemotherapy, and immunotherapy are limited
in their effectiveness by the susceptibility of adjacent, normal brain
to the adverse effects of treatment and by extensively infiltrating
and/or resistant nests of malignant cells, and perhaps by other
phenomena such as relative incapacity of the immune effector system and
the brain's poor capacity for repair.  In addition, clinical trials
have been hampered by the fact that tumor status, the adverse sequelae
of therapy, and the effects of ancillary treatments (such as steroids)
are very difficult to segregate when assessed either by clinical
examination or conventional diagnostic imaging.

Clinical investigations of new means to treat such tumors are needed.
Collaborative interactions between clinicians and laboratory scientists
and between clinicians and diagnostic imagers are essential features of
these investigations.  The special skills of experienced tumor
neurosurgeons, neuro-oncologists, radiation therapists, and
neuroradiologists with access to the latest generation of imaging
equipment will be required.  NCI is therefore seeking multidisciplinary
and multiinstitutional teams of talented scientists from non-profit and
for-profit research organizations who will interact with the Cancer
Therapy Evaluation Program (CTEP) and Radiation Research Program (RRP)
in a concerted way to conceive, create, and evaluate new approaches to
therapy of CNS malignancies. Scientific approaches should be broad and
reflect the creativity and capabilities of team participants, including
surgical, medical, radiotherapeutic, diagnostic imaging, laboratory and
statistical skills.

New clinical research opportunities exist with the development of novel
cytotoxic drugs, radiation sensitizers, differentiating agents, immune
modulators, monoclonal antibodies, and new approaches to gene therapy.
Among the agents and techniques currently under development that
appropriately might be studied by such a consortium are:  temozolomide,
the topoisomerase-1 inhibitors, taxol and its analogues, inhibitors of
cytokines such as suramin or the TNF-` inhibitor pentoxifylline,
differentiation-inducers, newer polyamine analogs, inhibitors of
O6-methylguanine-DNA methyltransferase or mdr-1/P-glycoprotein or other
drug resistance inhibitors, antisense oligonucleotides, monoclonal
antibodies to appropriate cellular targets such as gangliosides, the
novel bioreductive agent SR-4233, which is cytotoxic to hypoxic cells
preferentially, and others, alone and in potential combination with
sophisticated regional approaches such as brachytherapy, radiosurgery,
or other modalities.  Team objectives and approaches will be
investigator-originated but consistent with program aims of improving
the survival and quality of life for persons with primary CNS
malignancies and providing fundamental insights into the biology of
these tumors.

B.  Definitions

COOPERATIVE AGREEMENT - An assistance mechanism in which substantial
NCI programmatic  involvement with the recipient is anticipated during
performance of the planned activity.

CENTRAL NERVOUS SYSTEM CONSORTIUM (CNSC) - The consortium of
institutions (minimum of three members) who are submitting research
grant applications together to conduct Phase I/II clinical trials and
ancillary laboratory studies.  Each CNSC also contains an application
for a Central Operations Office/Coordinating Center.  Each consortium
will consist of talented and experienced individuals in multiple
disciplines (e.g. medical oncology, neurosurgery, neurology,
radiotherapy, radiobiology, pharmacology, molecular biology, pathology,
biostatistics).

CENTRAL OPERATIONS OFFICE/COORDINATING CENTER - An administrative unit
that coordinates all CNSC activities.  Responsibilities include
administrative management, coordination of protocol development and
submission, study conduct, quality control and protocol performance
monitoring, statistical analyses, adherence to requirements regarding
NCI drug accountability and FDA, OPRR and HHS regulations, and protocol
and institutional performance reporting.  Statistical responsibilities
include experimental design, participation in study planning and
coordination, collection and analysis of patient and laboratory data,
data management and analysis, data monitoring, and reporting of data.
The Central Operations Office/Coordinating Center may consist of a
consortium with the statistics center located at another institution.

PROJECT LEADER -  The person who submits the application for the
Central Operations Office/Coordinating Center and who is responsible
for the CNSC as a whole.  The consortium of participant institutions
must agree to work together with the Project Leader.  The Project
Leader is responsible for coordinating the CNSC activities
scientifically and administratively.  The Project Leader may be the
principal investigator on a participant institution application.

PARTICIPANT INSTITUTION - The individual research grant application
from an institution who is participating in the CNSC.  The participant
institution may conduct clinical trials and/or laboratory studies.

PRINCIPAL INVESTIGATOR - The person who submits the single application
for the participant institution and who is responsible for performance
of the key personnel of that application.  The Principal Investigator
provides the scientific leadership for the participant institution.

PROGRAM DIRECTOR - The staff member from the Cancer Therapy Evaluations
Program, Division of Cancer Treatment (cited in the INQUIRIES SECTION)
who coordinates NCI interactions, interacts scientifically with the
CNSC, and provides guidance for the overall program within the NCI.

C.  RESEARCH GOALS AND SCOPE

The primary goal of this initiative is to stimulate clinical research
in the treatment of primary CNS malignancies in adult patients by
providing support for consortia of institutions to perform Phase I and
II clinical evaluations of promising new chemotherapeutic or biologic
agents.  A secondary goal is to utilize the consortia as a mechanism
for sharing human brain tumor specimens among investigators conducting
laboratory studies relevant to the biology, clinical behavior, or
therapy of CNS tumors, particularly malignant gliomas.

Clinical trials will take advantage of new developments in drug and
radiation resistance, radiation sensitization, biological response
modification, immune modulation, induction of apoptosis,
differentiation induction, therapeutic irradiation techniques,
induction or suppression of specific gene function, or other innovative
approaches.  Each CNSC will be formed for the purpose of:  (1) sharing
expertise of researchers in multiple disciplines; (2) conducting joint
phase I and II clinical trials to provide adequate patient populations
and timely completion; and (3) sharing of tumor specimens and data
useful in the conduct of clinical pharmacologic and correlative
laboratory studies.  Participant institutions in the proposed
consortium may be involved in clinical trials and/or laboratory
studies.

It is anticipated that one to three consortia will be established,
comprising three to nine institutions.  Each CNSC will select the
specific agents to be tested in accord with their scientific interest
and expertise and will develop a series of appropriate Phase II or
Phase I trials with supporting protocol documents.  Each applicant CNSC
should submit as examples one or more draft clinical protocols as
supplements to the Central Operations Office/Coordinating Center
(Project Leader) and the participant institution applications.  The
CNSC, along with the assistance of the NCI Program Director, will
develop a plan for prioritization of investigational trials.  The NCI
may provide NCI-sponsored IND agents or provide assistance to the
awardee(s) by sponsoring or cross-referencing INDs for selected agents.
Each CNSC must have documented numbers of patients with CNS tumors and
a history of accrual of patients to clinical trials adequate for
two-six phase I or II trials (60- 180 patients) per year.  It is
expected that all of the CNSC institutions together will be able to
complete approximately six phase I or phase II trials (180 patients)
per year.  In addition, proposed consortia must have: (1) adequate
radiotherapy support for clinical trials utilizing radiation in
combination with other modalities; (2) adequate central data collection
and processing capabilities as well as biostatistical expertise; (3)
adequate pathology support for both institutional tumor classification
and central neuropathology review and for banking and distribution of
tumor tissues for concurrent and future laboratory studies; (4)
mechanisms to collect and store patient specimens for laboratory
studies being conducted by institutions in the CNSC; (5) expertise in
antineoplastic drug pharmacology/pharmacokinetics.

The correlative laboratory research program in a CNSC should address at
least one field of research into the biology of human malignant gliomas
with some potential for future clinical relevance.  Examples of
research fields for laboratory studies include:  molecular genetics and
cytogenetics, gene function and expression, signal transduction
pathways, radiobiology, growth regulation, metabolism, differentiation
and gene modulation by investigational agents, intracellular
metabolism, mechanisms of drug resistance in tumor cells, CNS
pharmacokinetics, invasion and spread, cytokine production or
interactions, immune function and antigen expression, or other aspects
that may have clinical implications or lead to new therapeutic
approaches.  Investigators are not limited to the above areas of
laboratory experimentation.

Correlative laboratory studies need not be directly related to
individual clinical Phase I/II trials but should attempt to utilize the
large clinical database that will be generated by the consortium to
identify potential correlates of tumor behavior, and laboratory studies
should be based on strong and testable hypotheses.  A clear rationale
should be given for the experimental design and technological
methodologies selected.  Preliminary data from appropriate tumor models
or analysis of patient specimens should be provided to support the
feasibility of each study.  The laboratory assays must utilize tumor
specimens from patients and there should be an established plan for
prioritization of specimen distribution to collaborating laboratories.

Participating institutions primarily involved in laboratory studies may
accrue patients on CNSC clinical trials if the minimum clinical
resources are in place (See Eligibility Requirements).

The cooperative approach outlined in this RFA allows for interactions
among successful applicants, with the assistance of NCI extramural
staff, to perform Phase I and Phase II trials of anticancer agents and
ancillary laboratory studies.  This mechanism retains the
decision-making prerogatives of the Principal Investigator and his/her
colleagues, but at the same time, permits the active participation of
NCI in research activities.  (See Terms of Cooperation)

SPECIAL REQUIREMENTS

A.  Terms of Cooperation

The cooperative agreements will require cooperation between an NCI
Program Director and the Project Leader(s) of the CNSC(s). The NCI
Program Director will assist in coordinating the activities of the CNSC
as defined below and in facilitating exchange of information.

These Terms of Cooperation are in addition to and not in lieu of
otherwise applicable OMB administrative guidelines, HHS grant
administration regulations at 45 CFR Part 74, and other HHS, PHS and
NIH grant administration policy statements.

Nature of Participation by NCI Staff

The role of the CTEP and RRP staff as described throughout these terms
of cooperation is to assist and facilitate but not to direct research
activities.  This cooperative agreement is part of a larger program of
investigational agent development in the NCI.  Each of the CTEP staff
listed below has very specific and well defined responsibilities in
terms of investigational agent development and the role of DCT as a
drug sponsor as defined in 21 CFR Part 312.

1.  CTEP and RRP as a Scientific Resource for NCI-supported Phase I and
II Clinical Trials Investigations

The NCI Program Director (cited in the INQUIRIES SECTION) will serve as
a resource available to the CNSC for scientific information with
respect to treatment regimens and clinical trial design.  The Cancer
Expert, RRP, will serve as a resource for specific scientific
information with respect to radiation therapy and diagnostic imaging of
CNS tumors.  The NCI Program Director will assist the CNSC as
appropriate in developing information concerning the scientific basis
for specific trials and also will be responsible for advising the CNSC
of the nature and results of relevant trials being carried out
nationally or internationally. The NCI Program Director will sponsor an
initial strategy meeting with the awardees to review the research plans
proposed to ensure that they are compatible with the overall goals of
the RFA, to ensure avoidance of duplication of effort, and to ensure
the most effective use of available resources, including
investigational agents. The NCI Program Director will also sponsor
strategy meetings semi-annually or as needed, to be attended by
investigators in the CNSC and other investigators as appropriate.

At these meetings relevant information will be reviewed, national
research goals discussed, and the outstanding research questions
established and prioritized by the CNSC investigators.  The Program
Director will also provide updated information on the efficacy and
toxicity of investigational new agents supplied to the CNSC under an
Investigational New Drug (IND) Application sponsored by the DCT.

2.  CTEP Assistance in Protocol Development

The protocol must be a detailed written plan of a clinical experiment
mutually acceptable to the proposing CNSC and to the CTEP Protocol
Review Committee (PRC).  Communication at the various stages of
protocol development is encouraged as necessary to promote protocol
development and implementation.  All protocols should be preceded by a
written Letter of Intent (LOI) from the CNSC declaring interest in
conducting a particular study.  The LOI should be sent to the CTEP LOI
Coordinator who receives, logs in and schedules LOIs for review by the
PRC (see Section -  Responsibilities of Awardees).   The PRC will
formally review the LOI.  Following review, the NCI Program Director
will provide a Program response to the CNSC and will address the
following issues:  (a) the existence and nature of concurrent clinical
trials in the area of research, pointing out possible duplication of
effort; (b) information including relevant pharmacokinetic and
pharmacodynamic data concerning investigational agents; (c)
availability of investigational agents, including biologic response
modifiers; (d) the scientific rationale and value of the proposed
study, the design, the statistical requirements; and (e) the
implementation of the study, if indicated.  The LOI mechanism is
designed for preliminary review and is recommended to expedite protocol
development and implementation and to facilitate agreement on study
priority and design (see the DCT Investigator's Handbook, pp 32-35,
available on request from Dr. Richard Kaplan at the address below, for
further discussion of these mechanisms).

3.  CTEP Review of Proposed Protocols

CNSC protocols will be reviewed by the PRC which meets weekly. It is
chaired by the Associate Director, CTEP.  Ad hoc reviewers, external to
NCI, will be utilized when deemed appropriate by the PRC chairperson.
Following the review of the protocol by the PRC, the NCI Program
Director will provide the CNSC with a consensus review that describes
recommended modifications and other suggestions, as appropriate (see
the DCT Investigator's Handbook, for further information regarding
protocol review at CTEP).

The major considerations relevant to Protocol Review by CTEP include:
(a) the strength of the scientific rationale supporting the study; (b)
the medical importance of the question being posed; (c) the avoidance
of unnecessary duplication with other ongoing studies; (d) the
appropriateness of study design; (e) consistency with development plans
for particular IND agents; (f) a satisfactory projected accrual rate
and follow-up period; (g) patient safety; (h) compliance with federal
regulatory requirements; (i) adequacy of data management; (j)
appropriateness of patient selection, evaluation, assessment of
toxicity, response to therapy and follow-up; and (k) method of
monitoring to be used.

If a proposed protocol is disapproved, the specific reasons for lack of
approval will be communicated in writing by the NCI Program Director to
the CNSC as a consensus review within 30 days of protocol receipt by
the NCI.  NCI will not provide investigational drugs or permit
expenditure of NCI funds for a protocol that it has not approved.  The
NCI Program Director will be available to assist the CNSC in developing
a mutually acceptable protocol, consistent with the research interests,
abilities and strategic plans of the CNSC and of the NCI.

Disagreements arising pursuant to protocol approval will be submitted
to an arbitration panel to determine the suitability of a protocol that
has been disapproved.  An arbitration panel composed of one CNSC
nominee, one NCI nominee, and a third member with oncologic clinical
trials expertise chosen by the other two nominees will be formed to
review the CTEP decision and recommend an appropriate course of action
to the Director, DCT.  These special arbitration procedures in no way
affect the awardee's right to appeal an adverse determination in
accordance with PHS regulations at 42 CFR Part 50, Subpart D, and HHS
regulations at 45 CFR Part 16.

The CNSC will not expend NCI funds to conduct any study disapproved by
CTEP unless CTEP's disapproval has been modified by the arbitration
process outlined above.

4.  CTEP Review of Quality Control and Study Monitoring

The Head, Quality Assurance and Compliance Section (QACS), Regulatory
Affairs Branch (RAB), CTEP will review and provide advice, through the
NCI Program Director, regarding mechanisms established by the CNSC for
quality control of therapeutic and diagnostic modalities employed in
its trials.  (See RESPONSIBILITIES OF AWARDEES).  The Head, QACS will
review the CNSC procedures and policies for study monitoring including
the awardees' on-site monitoring program (See 8. CTEP Review of
Federally Mandated Regulatory Requirements).

5.  CTEP Review of Data Management and Analysis

The Chief, Biometrics Research Branch (BRB), CTEP will review CNSC
mechanisms for data management and analysis.   (See RESPONSIBILITIES OF
AWARDEES).  When deemed appropriate, The Chief, BRB will make
recommendations to the CNSC, through the NCI Program Director, to
ensure that data collection and management procedures are:  (a)
adequate for quality control and analysis; (b) as simple as appropriate
in order to encourage maximum participation of physicians entering
patients and to avoid unnecessary expense; and (c) sufficiently uniform
across the CNSC participants.

6.  CTEP Involvement in Protocol Closure

The NCI Program Director will monitor protocol progress.  When a study
involves a DCT IND agent, the Head , QACS and the Investigational Drug
Branch (IDB) Physician (Drug Monitor) who is assigned to each DCT IND
agent to coordinate its development will also monitor progress.  The
NCI Program Director may request that a protocol study be closed to
accrual for reasons including:  (a) insufficient accrual rate; (b)
accrual goal met; (c) poor protocol performance; (d) patient safety and
regulatory concerns; (e) study results are already conclusive; and (f)
emergence of new information that diminishes the scientific importance
of the study question.  NCI will not provide investigational agents or
permit expenditures of NCI funds for a study after requesting closure
(except for patients already on-study).  For any study, whether
involving an investigational drug or not, NCI will establish an
arbitration process for investigators who wish to appeal protocol
closure.  This process will be identical to that described above for
protocol disapproval.

7.  CTEP involvement in Investigational New Drug Applications

a.  The NCI will have the option to cross file or independently file an
IND on investigational drugs evaluated in the Phase I and II Clinical
Trials.  This would apply to drugs not developed in the NCI drug
development program.

b.  The NCI Program Director assisted by the Chief, RAB, CTEP will
advise investigators of specific requirements and changes in
requirements concerning IND sponsorship that the FDA may mandate.
Investigators performing trials under cooperative agreements will be
expected, in cooperation with the NCI, to comply with all FDA
monitoring and reporting requirements for investigational agents.

c.  Investigators performing NCI funded Phase I and II Clinical Trials
will be advised by the NCI Program Director of potential studies that
will be relevant to new avenues of cancer therapy. When this involves
investigational agents, the NCI Program Director assisted by the Chief,
RAB, CTEP will advise the investigators of the specific clinical
information that will be needed from the clinical trials for that
information to be acceptable to the FDA for inclusion in a new drug
application (NDA).

8.  CTEP Review of Federally Mandated Regulatory Requirements

The Head, QACS, through the NCI Program Director, will advise the CNSC
regarding mechanisms to meet FDA regulatory requirements for studies
involving DCT-sponsored investigational agents and the Office for
Protection from Research Risks (OPRR) requirements for the protection
of human subjects by the CNSC institutions.  (See RESPONSIBILITIES OF
AWARDEES, below)

For specific Phase I and II trials with NCI-sponsored investigational
agents, the NCI has contracted for a Clinical Trials Monitoring Service
(CTMS) to document regulatory compliance, to maintain a computerized
data base and to produce periodic routine reports of the results, and
special reports as necessary.  For Phase I studies, CTEP determines
that the CTMS monitoring described above is necessary using the
following guidelines:  (a) Introduction of drug into humans for the
first time; (b) Early Phase I studies using a single agent; (c) Concern
for safety of patients; (d) PRC expresses concern with excessive
toxicity.  Phase II studies may also be monitored as noted above if PRC
expresses concern with excessive toxicity.  For these trials, awardees
may be visited by the CTMS contractor three times a year.  Phase II
studies may also be monitored if PRC expresses concern with excessive
toxicity.  For these Phase I and II trials, awardees may be visited by
the CTMS contractor three times a year.  The required biweekly data
submissions to the CTMS are described under RESPONSIBILITIES OF
AWARDEES Section 9.d.

For Phase II trials with DCT IND agents not requiring the above
described monitoring, NCI will delegate to the awardee the task of
providing an independent audit of each research study.  The NCI's
Clinical Trials Monitoring Service (CTMS) contractor shall be used to
conduct these audits.  The staff of QACS will perform random audits of
the awardee to assure that the awardee is performing the delegated
audit duties.  Audit schedules and final audit reports will be provided
to QACS, CTEP.  Institutional responsibilities for monitoring are
described below under RESPONSIBILITIES OF AWARDEES Section 9.c.

9.  Access to Data

The NCI will have access to all data generated under this cooperative
agreement and may periodically review the data.  Data must also be
available for external monitoring as required by NCI's Drug Master File
Agreement with the FDA relative to the responsibility of the NCI as an
IND agent sponsor.  The awardee will retain custody and primary rights
to the data consistent with current HHS, PHS and NIH policies.

10.  CTEP Review of Progress

Performance of each CNSC will be reviewed at least annually by the NCI
Program Director on the basis of the information provided at the CTEP
sponsored Meetings, in the annual progress reports and in the data
summary reports submitted to the IDB Drug Monitor or by CTMS reports.
In addition, periodic accrual information may be requested from the
CNSC by the NCI Program Director for all active studies when deemed
appropriate.

Insufficient patient accrual or progress, or noncompliance with the
terms of award, including these Terms of Cooperation, may result in a
reduction of budget, withholding of support, suspension or termination
of the award.

RESPONSIBILITIES OF AWARDEES

It is the responsibility of the CNSC to develop the details of the
clinical and laboratory research design, including definition of
objectives and approaches, planning, implementation, analysis, and
publication of results, interpretations and conclusions of studies.
The CNSC shall, with CTEP assistance, develop Phase I and II protocols
for clinical cancer research in accord with the research interests of
the CNSC, abilities and goals, and submit them to CTEP (either to the
LOI Coordinator or to the CTEP Protocol and Information Office, the
receiving office for all protocols sent to CTEP) for review as
appropriate prior to their implementation.

1.  Protocol Development

It is anticipated that decisions in all CNSC activities will be reached
by consensus of the collaborating member institutions under the
leadership of the CNSC Project Leader.  The Project Leader shall
designate a Protocol Chairperson for each proposed study.  The Project
Leader along with coordinating Central Operations Office/Coordinating
Center staff will be responsible for communication with the appropriate
CTEP staff.

2.  The CNSC Central Operations Office/Coordinating Center

The CNSC Central Operations Office/Coordinating Center, under the
leadership of the Project Leader and with CTEP assistance, is
responsible for coordinating protocol development, protocol submission,
study conduct, quality control and study monitoring, drug ordering,
data management, statistical analysis, protocol amendments/status
changes, adherence to requirements regarding investigational drug
management and federally mandated regulations and protocol and
performance reporting.  All the scientific and administrative decisions
related to the CNSC funded activities and made by the CNSC institutions
or affiliates will be coordinated by the Project Leader with the
assistance of the CNSC Central Operations Office/Coordinating Center.

3.  Protocol Submission

The CNSC Central Operations Office/Coordinating Center, under the
leadership of the Project Leader, will submit CNSC protocols to the
CTEP Protocol and Information Office in a timely fashion for review and
approval by NCI.  All protocols should be preceded by a written Letter
of Intent (LOI) from the CNSC to the CTEP LOI Coordinator declaring
interest in conducting a particular study. The LOI shall describe the
hypothesis to be investigated, the general design of the contemplated
trial plus relevant information on accrual capabilities to document
feasibility. Protocols will be developed and submitted and studies will
be conducted in accordance with the "DCT GUIDELINES FOR MULTICENTER
INVESTIGATIONAL AGENT STUDIES" (available upon request from Dr. Richard
Kaplan at the address below).  The Project Leader, with the assistance
of the Central Operations Office/Coordinating Center staff, will
communicate the results of the NCI review of protocols to the CNSC
participating institutions.

4.  Prioritization of Studies

The CNSC Project Leader and the Principal Investigators of the
participant institutions will develop, together with the NCI Program
Director, mutually acceptable plans for prioritization of clinical
protocols, laboratory studies, and distribution of clinical specimens
and tissues.

5.  Quality Control

The CNSC will establish mechanisms for quality control of therapeutic
and diagnostic modalities employed in its trials. Quality control at a
minimum must consist of:

a) Pathology:  Verification of pathologic diagnosis in cases where
known variability in the accuracy of histologic diagnosis is a
potentially serious problem and where pathology data may provide
important prognostic information.

b) Radiation Therapy:  Review (either concurrent or retrospective) of
port films and compliance with protocol-specified doses for individual
patients, where relevant.

Determination of adequacy of radiation delivery with the assistance of
the Radiological Physics Center (RPC), whose functions usually include
equipment dosimetry, periodic institutional visits and other aspects of
physics review.

c) Chemotherapy:  Review of flow sheets with determination of protocol
compliance in dose administration and dosage modification.

d) Neurosurgery:  Assessment of adequacy of protocol-specified surgical
procedures (where relevant) through review of operative notes and
study-specific surgical forms.

e) Diagnostic Imaging:  Central review of claimed responses and
adequacy of imaging.

6.  Study Monitoring

The CNSC will establish mechanisms for study monitoring.  The CNSC is
responsible for assuring accurate and timely knowledge of the progress
of each study through:

a) establishing procedures for assigning dose level at the time a new
patient is entered, and assuring that the required observation period
has elapsed before beginning a higher dose level;

b) tracking and reporting of patient accrual and adherence to defined
accrual goals;

c) ongoing assessment of case eligibility and evaluability;

d) timely medical review and assessment of patient data;

e) rapid reporting of treatment-related morbidity (adverse drug
reactions) and measures to ensure communication of this information to
all parties;

f) interim evaluation and consideration of measures of outcome, as
consistent with patient safety and good clinical trials practice;

g) timely communication of results of studies; and

h) an on-site monitoring program  (see 9c below).

i) establishing data management support capabilities which assure that
data will be submitted via electronic transfer to the NCI's Clinical
Trials Monitoring Service (CTMS) when required.  (See 9d below)

7.  Data Management and Analysis

The CNSC will develop procedures to ensure that data collection and
management are:  (1) adequate for quality control and analysis; (2) as
simple as appropriate in order to encourage maximum participation of
physicians entering patients and to avoid unnecessary expense; and (3)
sufficient across the participating institutions.

8.  Investigational Drug Management

Investigators performing trials under cooperative agreements must be
NCI registered investigators (form 1572) and will be expected to
implement CTEP requirements described in the DCT Investigators'
Handbook for storage and accounting for investigational agents, to
abide by NCI/HHS Drug Accountability Records (DAR) procedures, and to
comply with all FDA requirements for investigational agents.

9.  CNSC Compliance with Federally Mandated Regulatory Requirements

The CNSC is responsible for establishing procedures for all
participating institutions to comply with FDA regulations for studies
involving investigational agents and OPRR requirements for the
protection of human subjects.  These procedures are:

a) methods for assuring that each institution where investigators are
conducting CNSC trials has a current, approved assurance on file with
the OPRR; that each protocol is reviewed and approved by the
responsible Institutional Review Board (IRB) prior to patient entry;
that each protocol is reviewed at least annually by the IRB so long as
the protocol is active; that each investigator is registered with the
Drug Management and Authorization Section (DMAS), CTEP, with a current
1572 form on file; and that each patient (or legal representative)
gives written informed consent prior to entry on study.

b) a system for assuring timely reporting of all serious and unexpected
toxicities to the IDB, CTEP according to CTEP guidelines (mailed
annually to all registered investigators). This requires reporting
Adverse Drug Reactions (ADRs) by telephone to the IDB Drug Monitor
within 24 hours of the event and requires a written report to follow
within 10 working days.

c) an on-site monitoring program which assures that a sampling of
records at each participating institution is audited at least two times
during the cooperative agreement period.  The on-site audit will
address issues of data verification and compliance with regulatory
requirements for the protection of human subjects and investigational
agent accountability.  Any serious problems with data verification or
compliance with Federal regulations must be reported to the Head, QACS
immediately.  Otherwise, written reports must be submitted within six
weeks of each audit.  All audit schedules are to be provided to the
Head, QACS at least four weeks prior to the date of the audit.

d) For the specific Phase I and Phase II trials that require monitoring
by the CTMS three times a year, information must be provided via
electronic transfer to the CTMS at two week intervals and includes:
notification of each patient entered onto a Phase I or II protocol
within the previous two week period, and all data obtained on each
registered patient within the previous two weeks as specified by the
NCI/DCT Standard Case Report Form and the individual protocol.

e) implementation of the CTEP requirements described in the DCT
Investigators Handbook for storage and accounting for investigational
agents provided under DCT sponsorship.

10.  Progress Review

The CNSC will establish a mechanism for assessing performance of its
members, with particular attention to accrual of adequate number of
eligible patients onto consortium trials, timely submission of required
data, conscientious observance of protocol requirements, authorship and
participation in group leadership. This mechanism will include a
procedure for recommending an adjustment of institutional funds within
the consortium as appropriate for the level of participation in
consortium activities, including (but not limited to) accrual.

11.  Attendance at Meetings

The CNSC Project Leader and appropriate representative(s) of the CNSC
participating institutions, shall meet twice a year with the NCI
Program Director to review CNSC progress, establish priorities, and
plan future activities.  Additional meetings between the NCI Program
Director and the Project Leader will be held if necessary.

12.  Reporting Requirements

Reporting requirements will be in agreement with FDA regulations and
NCI procedures.  Annual progress reports will be submitted to the NCI
and will include at a minimum summary data on protocol performance by
the awardee and each participating institution. In addition, data
summary reports will be requested prior to the due date of the annual
report to the FDA required of IND sponsors.  The types of reports
required are determined by CTEP at the time of protocol review.  They
are: (a) Quarterly Data Updates (QDA) for late Phase I trials not CTMS
monitored; (2) Annual Data Updates (ADU) for late Phase I/Phase II
combination studies sent to Protocol Chairman to summarize clinical
data and progress; (3) Study summaries sent annually to summarize
clinical data for Phase II studies.  A system for providing such
information in a timely manner must be in place.

13.  Publication of Data

Timely publication of major findings is encouraged.  Publication or
oral presentation of work done under this agreement will require
appropriate acknowledgement of NCI support.  The NCI will have access
to all data generated under this cooperative agreement and may
periodically review the data.  The awardee will retain custody and
primary rights to the data consistent with current HHS, PHS and NIH
policies.

SPECIAL INSTRUCTIONS FOR PREPARATION OF COOPERATIVE AGREEMENT
APPLICATIONS

The grant application form PHS 398 (rev. 9/91) is to be used for the
cooperative agreement application.  The general instructions, e.g., for
format and budget issues, included in the application packet must be
followed.

Because the Terms of Cooperation discussed above will be included in
all awards issued as a result of this RFA, it is critical that each
applicant include specific plans for responding to these terms.  Plans
must describe how the applicant will comply with staff involvement.

All costs required for these studies must be included in the
application and must be fully justified.  These costs include the
additional costs of clinical research associated with Phase I and Phase
II studies including costs for patient accrual, sample handling,
laboratory studies, quality assurance, data management and data
analysis, study monitoring, travel, an on-site audit program and the
biweekly electronic data submissions to the NCI's Clinical Trials
Monitoring Service when required.  For Phase II trials with DCT IND
agents for which the awardee is responsible for providing the on-site
monitoring, the awardee shall contract with the NCI's Clinical Trials
Monitoring Service for the performance of audits.  The awardee(s) will
be expected to provide two audits per institution during the
cooperative period and to request funding accordingly.  Funds requested
for the audit program will be restricted for this purpose only.  The
on-site audit requirements are described in the above section entitled
SPECIAL REQUIREMENTS, TERMS OF COOPERATION, RESPONSIBILITIES OF
AWARDEE.

Each CNSC should anticipate the need to attend two meetings per year to
share data and to coordinate activities.  Travel funds for two
representatives from the Central Operations Office/Coordinating Center
and one or two representative(s) from each participant clinical and/or
laboratory member institution should be included in the budget.

SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH
POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL
RESEARCH STUDY POPULATIONS

NIH policy is that applicants for NIH clinical research grants and
cooperative agreements will be required to include minorities and women
in study populations so that research findings can be of benefit to all
persons at risk of the disease, disorder or condition under study;
special emphasis should be placed on the need for inclusion of
minorities and women in studies of diseases, disorders and conditions
which disproportionately affect them.  This policy is intended to apply
to males and females of all ages.  If women or minorities are excluded
or inadequately represented in clinical research, particularly in
proposed population-based studies, a clear compelling rationale should
be provided.

The composition of the proposed study population must be described in
terms of gender and racial/ethnic group.  In addition, gender and
racial/ethnic issues should be addressed in developing a research
design and sample size appropriate for the scientific objectives of the
study.  This information should be included in the form PHS 398 in
Section 1-4 of the Research Plan AND summarized in Section 5, Human
Subjects.  Applicants/offerors are urged to assess carefully the
feasibility of including the broadest possible representation of
minority groups.  However, NIH recognizes that it may not be feasible
or appropriate in all research projects to include representation of
the full array of United States racial/ethnic minority populations
(i.e., Native Americans (including American Indians or Alaskan
Natives), Asian/Pacific Islanders, Blacks, Hispanics). The rationale
for studies on single minority population groups should be provided.

For the purpose of this policy, clinical research includes human
biomedical and behavioral studies of etiology, epidemiology, prevention
(and preventive strategies), diagnosis, or treatment of diseases,
disorders or conditions, including but not limited to clinical trials.

The usual policies concerning research on human subjects also apply.
Basic research or clinical studies in which human tissues cannot be
identified or linked to individuals are excluded.  However, every
effort should be made to include human tissues from women and
racial/ethnic minorities when it is important to apply the results of
the study broadly, and this should be addressed by applicants.

For foreign awards, the policy on inclusion of women applies fully;
since the definition of minority differs in other countries, the
applicant must discuss the relevance of research involving foreign
population groups to the United States' populations, including
minorities.

If the required information is not contained within the application,
the application will be returned.

Peer reviewers will address specifically whether the research plan in
the application conforms to these policies.  If the representation of
women or minorities in a study design is inadequate to answer the
scientific question(s) addressed AND the justification for the selected
study population is inadequate, it will be considered a scientific
weakness or deficiency in the study design and will be reflected in
assigning the priority score to the application.

All applications for clinical research submitted to NIH are required to
address these policies.  NIH funding components will not award grants
or cooperative agreements that do not comply with these policies.

LETTER OF INTENT

Prospective applicants are asked to submit by January 15, 1993, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Project
Leader, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to which
the application may be submitted.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, the information
is helpful in planning for the review of applications.  It allows NCI
staff to estimate the potential review workload and to avoid conflict
of interest in the review.

The letter of intent is to be sent to:

Dr. Richard Kaplan
Cancer Therapy Evaluation Program
Division of Cancer Treatment
National Cancer Institute
Executive Plaza North, Room 734
6130 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 496-8866
FAX:  (301) 480-4663

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for cooperative agreements.  These forms are available at
most institutional offices of sponsored research; from the Office of
Grants Inquiries, Division of Research Grants, National Institutes of
Health, Room 449, Westwood Building, 5333 Westbard Avenue, Bethesda, MD
20892, telephone (301) 496-7441; and from the NCI Program Director
named below.

The Central Operations Office/Coordinating Center as lead institution
should submit a research grant application in which they should list
the anticipated participant institutions, and include proposed clinical
protocols in the Appendix.  (The Central Operations Office/Coordinating
Center application must be a separate document from any application
from a participant institution; if a single institution will be
applying for both participation in clinical and/or laboratory studies
and as the Central Operations Office/Coordinating Center, two
applications will be necessary.)  Each participant institution should
submit an individual research grant application and should indicate the
Central Operations Office/Coordinating Center of the CNSC consortium in
which they intend to participate.   Participant institutions conducting
clinical trials should include copies of the proposed CNSC clinical
protocols in the Appendix.  The grant application should describe the
nature of their participation and justify budget requests for the
protocols.

The RFA label available in the application form PHS 398 must be affixed
to the bottom of the face page.  Failure to use this label could result
in delayed processing of the application such that it may not reach the
review committee in time for review.  In addition, the RFA number and
title must be typed on line 2a of the face page of the application form
and the YES box must be marked.

Submit a signed, typewritten original of the application, including the
Checklist, and three signed, exact photocopies, in one package:

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
Bethesda, MD  20892**

At the time of submission, two additional copies of the application
must also be sent to:

Referral Officer
Division of Extramural Activities
National Cancer Institute
Westwood Building, Room 838
5333 Westbard Avenue
Bethesda, MD  20892

Applications must be received by March 10, 1993.  If an application is
received after that date, it will be returned.  The Division of
Research Grants (DRG) will not accept any application in response to
this announcement that is essentially the same as one currently pending
initial review, unless the applicant withdraws the pending application.
The DRG 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.

REVIEW CONSIDERATIONS

A.  REVIEW PROCEDURES

Upon receipt, applications will be reviewed for completeness by DRG and
responsiveness by the NCI.  Incomplete applications will be returned to
the applicant without further consideration.  Applications that are
judged non-responsive will be returned by the NCI.  An application
judged to be non-responsive to this RFA may be submitted as an
investigator initiated regular research grant (R01) or program project
grant (P01) at the next receipt date.  The application would require
modification in accordance with either the R01 or P01 guidelines.  The
new application would not be considered an application for a
Cooperative Agreement, nor would it be considered a response to an RFA.
Questions concerning the relevance of proposed research to the RFA may
be directed to program staff as described in the INQUIRIES section
below.

Applications may be triaged by an NCI peer review group on the basis of
relative competitiveness.  The NCI will withdraw from further
competition those applications judged to be noncompetitive for award
and notify the applicant and institutional business official.  Those
applications judged to be both competitive and responsive will be
further evaluated, using the review criteria stated below, for
scientific and technical merit by an appropriate peer review group
convened by the Division of Extramural Activities, NCI.  The second
level of review will be provided by the National Cancer Advisory Board.

B.  REVIEW CRITERIA

1.  Applications for the Central Operations Office/Coordinating Center
will be reviewed on the basis of the following criteria:

o  Scientific, technical, and medical significance and originality of
proposed research as reflected in the protocols, research plans and
strategies that address the clinical and laboratory considerations in
the CNSC as a whole.

o  Qualifications and research experience of the Project Leader,
Principal Investigators, and the key personnel including, but not
limited to, previous experience with design and administration of
multi-institutional clinical trials and correlative laboratory studies.

o  Appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the CNSC objectives including:

o  adequacy of plans for the development, implementation and analysis
of multi-institutional clinical trials

o  adequacy of plans for correlative laboratory studies and evaluation
of the data with respect to treatment administration or treatment
outcome

o  adequacy of statistical approach for correlating research studies
with treatment outcomes in clinical trials

o  Adequacy of plans for effective collaboration between laboratory and
clinical investigators and the Central Operations Office/Coordinating
Center within the consortium.  Documentation of commitment of the
Program Leader and each Principal Investigator and of key personnel to
the goals of the CNSC.

o  Adequacy of the available facilities and data management resources
and personnel.  Evidence of the competence of the Central Operations
Office/Coordinating Center with regard to the mechanisms for CNSC
administration, experimental design, quality control, study monitoring,
data management and reporting, statistical analysis, and compliance
with regulatory requirements.

o  Demonstration of access to sufficient numbers of evaluable patients
for Phase I and II clinical trials and followup by the CNSC (see
Eligibility Requirements) and access to adequately processed tissue
samples from a proportion of these patients.

o  Plans for effective interaction and coordination among participant
institutions within the consortium, with other consortia working on CNS
tumors, and with the NCI.

2.  Applications for participant institutions will be reviewed on the
basis of the following criteria:

o  The overall qualifications of applicant institutions to meet the
eligibility requirements for participant institutions (see Eligibility
Requirements)

o  Scientific merit and feasibility of the proposed research.

o  Appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research.

o  Demonstration of availability of and access to sufficient numbers of
evaluable patients for the conduct of phase I and II clinical trials.
Evidence of ability to accrue patients to clinical trials.

o  Clinical and/or basic research experience, training, time
availability, and research competence of the investigators involved.

o  Adequacy of plans for pathology support for tumor classification and
for banking and distribution of patient specimens for concurrent and
future studies.

o  Availability of state-of-the-art imaging equipment, especially MRI.
The availability of MRS, SPECT, PET and other imaging techniques will
be considered favorable additional assets.

o  Adequacy of state-of-the-art radiotherapy equipment.  The
availability of equipment for stereotactic radiosurgery and
brachytherapy is not required, but would also be considered as assets
to the application.

o  Adequacy of the available facilities and data management resources.

o  Adequacy of provisions for the protection of human subjects.

o  Adequacy of the plans for inclusion of females and minorities.

The reviewers will also judge the appropriateness of the proposed
budget and duration in relation to the scientific merit and feasibility
of the proposed research.

AWARD CRITERIA

The anticipated date of award is September 1993.  In addition to the
technical merit of the application, NCI will consider how well the CNSC
and participant institution met the goals and objectives of the program
as described in the RFA.

INQUIRIES

Written and telephone inquiries concerning the objectives and scope of
this RFA and inquiries about whether or not specific proposed research
would be responsive are strongly encouraged and should be directed to
program staff listed below.  The program staff welcome the opportunity
to clarify any issues or questions from potential applicants.

Direct inquiries regarding programmatic issues to:

Dr. Richard Kaplan, Senior Investigator
Cancer Therapy Evaluation Program
Division of Cancer Treatment
National Cancer Institute
Executive Plaza North, Room 734
Bethesda, MD  20892
Telephone:  (301) 496-8866
FAX:  (301) 480-4663

Direct inquiries regarding fiscal matters to:

Ms. Katharine Schulze
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 242
Bethesda, MD  20892
Telephone:  (301) 496-7800, ext. 16
FAX:  (301) 496-8601

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No 93.395, Cancer Treatment Research.  Awards are made under the
authorization of the Public Health Service Act, Title IV Sections 301,
410, and 411, Part A (Public Law 78-410, 42 USC 241 as amended, Public
Law 99-158, 42 USC 285a) and administered under PHS grants policies and
Federal Regulations at 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 Agency review.

From owner-sci-resources@net.bio.net Sun Nov 15 22:00:00 1992
Path: biosci!NET.BIO.NET!kristoff
From: kristoff@NET.BIO.NET (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS - 15 November 1992
Message-ID: <CMM.0.90.2.721938207.kristoff@net.bio.net>
Date: 16 Nov 92 18:23:27 GMT
Sender: kristoff@net.bio.net
Distribution: bionet
Lines: 58


                     ** NEW DOCUMENTS ON STIS **

Document Type: General Publication

   Title: NSF 92-123 - Directorate for Engineering, Program
          Descriptions
               File size (bytes):       117557
               STIS Filename:           nsf92123   

Document Type: Program Guideline

   Title: NSF 90-20 - Earth Sciences Research at the National Science
          Foundation
               File size (bytes):       41941
               STIS Filename:           nsf9020   

------------------------------------------------------------------------
                       ** FOR YOUR REFERENCE **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS

The above files can be retrieved in electronic form using the STIS
system.  If you don't know how to use STIS, send an E-mail message to
stisinfo@nsf.gov (Internet) or stisinfo@NSF (BITNET).  You will receive
a copy of the STIS flyer via E-mail.

If you are already using STIS, you can use the information above to retrieve
these files:

Documents via E-mail:

     Send a message to stisserv@nsf.gov (Internet) or stisserv@NSF
     (BITNET).  Use the "STIS Filename" shown above in the "get" command.
     For example, to retrieve nsf9020, the text of your message should be 
     as follows:
                       get nsf9020

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve nsf9020, you would
     enter:
                       ftp> get nsf9020

WAIS or Gopher:

     Do a word search on the filename as shown in the summary.

If you want a *printed* copy of a document:

     Send your name and postal mailing address, and the document title
     and number to "pubs@nsf.gov" (Internet) or "pubs@nsf" (BITNET).

If you have problems with the above procedures:

     Send a message to "stis@nsf.gov" (Internet) or "stis@NSF"
     (BITNET).  

From owner-sci-resources@net.bio.net Fri Nov 20 22:00:00 1992
Path: biosci!NET.BIO.NET!kristoff
From: kristoff@NET.BIO.NET (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: Computational Science and Engineering Posdoctoral Assoc.
Message-ID: <CMM.0.90.2.722311898.kristoff@net.bio.net>
Date: 21 Nov 92 02:11:38 GMT
Sender: kristoff@net.bio.net
Distribution: bionet
Lines: 325


I'm passing along this note that I received from NSF.

				Sincerely,

				Dave Kristofferson
				BIOSCI/bionet Manager

				kristoff@net.bio.net
                ---------------


Attached is the program announcement for the CISE Computational
Science and Engineering Postdoctoral Research Associate.  In the
past this type of award has helped to support postdocs in the
biological sciences (5 out of 18 awarded in FY92).  
The deadline is January 19, 1993. 


PLEASE distribute this to anyone who might be interested!



Title  : NSF 92-120 - CISE Postdoctoral Research Associates in
          Computational Science and Engineering CISE Postdoctoral
          Research Associates in Experimental Science
Type   : Program Guideline
NSF Org: CISE
Date   : November 5, 1992
File   : nsf92120




CISE Postdoctoral Research Associates in Computational Science and
Engineering
CISE Postdoctoral Research Associates in Experimental Science

The Computer and Information Science and Engineering (CISE) 
Directorate of the National Science Foundation plans a limited
number of grants for support of Postdoctoral Research
Associateships contingent upon available funding.  The Associates
are of two types:

       Associateships  in Computational Science and Engineering
(CS&E Associates) supported by the New Technologies Program in the
Division of Advanced Scientific Computing (DASC) in cooperation
with other NSF CS&E disciplines  (CS&E Associates). The objective
of these Associateship awards is to increase expertise in the
development of innovative methods and software for applying high
performance,  scalable parallel computing systems in solving large
scale CS&E problems.

       Associateships in Experimental Science (ES Associates)
supported by the Office of Cross Disciplinary Activities (CDA) . 
The objective of the ES Associateship awards is to increase
expertise in CISE experimental science by providing opportunities
for associates to work in established laboratories performing
experimental research in one or more of the research areas
supported by the CISE Directorate.

These awards provide opportunities for recent Ph.D.s to broaden
their knowledge and experience and to prepare them for significant
research careers on the frontiers of contemporary computational
science and engineering and experimental science.  It is assumed
that CS&E Associates will conduct their research at academic
research institutions or other centers or institutions which
provide access, either on site or by network, to high performance, 
scalable parallel computing systems and  will be performing
research associated with those systems. It is assumed that ES
Associates will conduct their research in academic research
institutions or other institutions  devoted to experimental science
in one or more of the research areas supported by the CISE
Directorate.

Who may submit
Universities, colleges, and other  research institutions as
described in Grants for Research and Education in Science and
Engineering (GRESE), (NSF 92-89) are eligible to submit proposals
to this program.  For CS&E Associateships the institution must have
access to high performance, emerging parallel computing systems. 
For ES Associateships, the institution should have an established
laboratory performing research in CISE experimental areas (as
described in Guide to Programs (NSF 92-78)). Associateship awards
will be based on proposals submitted by the sponsoring institution. 
The principal investigator will serve as an unreimbursed scientific
advisor for the research associate.  Research associates should not
be listed as co-principal investigators.   Each proposal must
include a research and training plan for the proposed research
associate in an activity of computational science and engineering
in any of the fields supported by DASC, other NSF CS&E programs or
experimental research supported by the CISE Directorate.  To be
eligible for this support, individuals must; (1) be eligible to be
appointed as a research associate or research assistant professor
in the  institution which has submitted the proposal, (2) fulfill
the requirement for the doctoral degree in computational science
and engineering, computer science or a closely related discipline
by September 30, 1993.

Award Amounts, Stipends and Research Expense Allowances
Awards will range from $36,200-$46,200 for a 24 month period.  The
award will include $32,000-$42,000 to support the Research
Associate (to be matched equally by the sponsoring institution). 
There will also be an allowance of $4,200 to the sponsoring
institution, in lieu of indirect costs, as partial reimbursement
for expenses incurred in support of the research.  The annual award
to the research associate will be composed of two parts; an annual
stipend (salary and benefits) that may range from $28,000-$38,000,
and a $4,000 per year research expense allowance expendable at the
Associate's discretion for travel, publication expenses, and other
research-related costs.  There is no allowance for dependents. The
effective date of the award cannot be later than January 1994.


Matching Funds
The institution must match the NSF award on a dollar for dollar
basis excluding the $4,200 granted in lieu of indirect costs.  
Matching funds may come from grants from other NSF programs, other
agencies' programs, or from other institutional resources. 
Matching fund arrangements are the responsibility of the submitting
institution and must be detailed in the budget request.  To the
extent that the sponsoring institution increases its cost sharing
by providing additional stipend beyond the level of $38,000 over
the 24 month award period, the CISE Postdoctoral Associates program
will not provide additional funds.

Evaluation and Selection
Proposals will be reviewed by panel in accordance with established
Foundation procedures and the general criteria described in the
GRESE brochure.  In particular, the review panel will consider: 
the candidate's ability, accomplishments, potential as evidenced by
the quality and significance of past research, long range career
goals, the likely impact of the proposed postdoctoral training and
research on the future career goals, the likely impact of the
proposed postdoctoral training and research on the future
scientific development of the applicant and on the parallel
computing infrastructure of the US (for CS&E Associates) or on
Experimental Science in CISE disciplines (for ES Associates), and
the adequacy of the sponsoring institution's access to high
performance and/or experimental computational resources to support
the proposed research.

The selection of the Research Associates will be made by the
National Science Foundation on the basis of panel reviews,  with
due consideration of the effect of the awards on the infrastructure
of CS&E and experimental computer science research in the US.

Copies of the GRESE brochure and other NSF publications are
available at no cost from the NSF Forms and Publication Unit, phone
(202) 357-7668, or via e-mail (Bitnet:pub@nsf or
Internet:pubs@note.nsf.gov).

Application Procedures and Proposal Materials
To be eligible for consideration, a proposal must contain forms
which can be found in the GRESE brochure.   Required are a
Supplementary Application Information Form (NSF Form 1225-one
copy), a Current and Pending Support Form (NSF Form 1239-one copy)
to be completed by the Principal Investigator (the scientific
advisor), and one original and twelve copies of:

     (a)  Cover page with institutional certificates (Form 1207).
Title should indicate whether the          proposal is an CS&E
Postdoctoral Associate or ES Postdoctoral Associate.

     (b)  Budget (Form 1030).

     (c)  Statement with details regarding matching funds and their
source.

     (d)  Personal career goals statement not to exceed one single-
spaced page, written by the           research associate applicant,
that describes the career goals of the applicant and what        
role the chosen research, scientific advisor and sponsoring
institution will play in        enhancing the realization of these
long-range career goals.

     (e)  Statement of results from prior NSF support (of the
Principal Investigator) related to the       proposed research.

     (f)  Biographical sketch of the principal investigator as
called for in the GRESE brochure.

     (g)  Up-to-date curriculum vitae of the research associate
applicant including a complete list of       publications, but no
reprints (a thesis should not be included, but a thesis abstract
may be        included).

     (h)  Proposal abstract, less than 250 words, of the training
and research plan.

     (i)  Training and research plan (not to exceed three single-
spaced typewritten pages).  This          should propose research
which could be carried out during the award period.  The      
creativity, description and essential elements of the research
proposal must be those of          the research associate
applicant.

     (j)  Statement from the proposed postdoctoral advisor
nominating the research associate       indicating the nature of
the postdoctoral supervision to be given if the award is made.

     (k)  Statement from the advisor clearly describing the
computing facilities and resources that       will be available to
support the proposed research.

     (l)  Three recommendations (normally including one from the
doctoral advisor).   Training and           research plans should
be provided to your references to assist their recommendations.

Please note that the research description page limit is less than
the research description page limit specified in GRESE. All
application materials must be:
     (1)   received by NSF no later than the deadline date January
19, 1993;      (2)   be postmarked no later than five (5) days
prior to the deadline date; or
     (3)   be sent via commercial overnight mail no later than two
(2) days prior to the deadline date; to be considered for  award.
Send completed proposals with supporting application materials to: 
New Technologies Postdoctoral Associateships, NSF 92-120, Division
of Advanced Scientific Computing, Room 417, National Science
Foundation, Washington, D.C.,20550 for CS&E Associates and to CISE
Experimental Science Postdoctoral Associateships,NSF 92-120, Office
of Cross Disciplinary Activities, Room 436, National Science
Foundation, Washington, DC, 20550 for ES Associates. Award
recommendations are planned for March, 1993 with announcements in
April, 1993.  In FY1992 DASC made 18 such post-doc awards and CDA 
made 12.  In FY1993, it is anticipated that DASC and CDA will make
approximately 35 awards total.

Additional Information
If you wish additional information, please contact Dr. Robert
G.Voigt, Program Director, New Technologies, DASC, at (202)
357-7727 (e-mail: rvoigt@nsf.gov)  for CS&E Associates or Dr. John
C. Cherniavsky, Head, CDA at (202) 357-7349 (e-mail: 
jchernia@nsf.gov) for ES Associates.

Copies of most program announcements are available electronically
using the Science and Technology Information System (STIS).  The
full text can be searched on-line, and copied from the system. 
Instructions for use of the system are in NSF 91-10 "STIS Flyer." 
The printed copy is available from the Forms and Publications Unit. 
An electronic copy may be requested by sending a message to
"stis@nsf" (bitnet) or "stis@nsf.gov" (Internet).

The Foundation provides awards for research in the sciences and
engineering.  The awardee is wholly responsible for the conduct of
such research and preparation of the results for publication.  The
Foundation does not assume responsibility for such findings or
their interpretation.

The Foundation welcomes  proposals on behalf of all qualified
scientists and engineers  and strongly encourages women,
minorities, and persons with disabilities to compete fully in any
of the research and research-related programs described in this
document.

Facilitation Awards for Scientists and Engineers with Disabilities
provide funding for special assistance or equipment to enable
persons with disabilities (investigators and other staff, including
student research assistants) to work on an NSF project.  See
program announcement (NSF 91-54), or contact the program
coordinator (202) 357-7456 for more information.

In accordance with Federal statutes and regulations and NSF
policies, no person on grounds of race, color, age, sex, national
origin, or disability shall be excluded from participation in,
denied the benefits of, or be subject to discrimination under any
program or activity receiving financial assistance from the
National Science Foundation.

NSF has TDD (Telephone Device for the Deaf) capability which
enables individuals with hearing impairments to communicate with
the Division of Personnel and Management for information relating
to NSF programs, employment, or general information.  This number
is (202) 357-7492.

Grants awarded as a result of this announcement are administered in
accordance with the terms and conditions of NSF GC-1, "Grant
General Conditions," or FDP-II, "Federal Demonstration Project
General Terms and Conditions," depending on the grantee
organization. Copies of these documents are available at no cost
from the NSF Forms and Publications Unit, phone (202) 357-7668, or
via e-mail (Bitnet:pubs@nsf or Internet:pubs@note.nsf.gov). More
comprehensive information is contained in the NSF Grant Policy
Manual (July 1989) for sale through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402.

"Catalog of Federal Domestic Assistance Number 47.070, Computer and
Information Science and Engineering."

The information requested on this application material is solicited
under the authority of the National Science Foundation Act of 1950,
as amended. It will be used in connection with the selection of
qualified proposals and may be used and disclosed to qualified
reviewers and staff assistants as part of the review process and to
other government agencies. See Systems of Records, NSF-50,
"Principal Investigator/ Proposal File and Associated Records" and
NSF-51, "Reviewer/Proposals File and Associated Records" 56 Federal
Register 54907 (October 23, 1991). Submission of the information is
voluntary. Failure to provide full and complete information,
however, may reduce the possibility of your receiving an award.

Public reporting burden for this collection of information is
estimated to average 120 hours per response, including the time for
reviewing instructions. Send comments regarding this burden
estimate or any other aspect of this collection of information,
including suggestions for reducing this burden to:

Herman G. Fleming
Reports Clearance Officer
Division of Human Resource Management
National Science Foundation
Washington, DC  20550

And  to:

Office of Management and Budget
Paperwork Reduction Project (3145-0058)
Washington, DC 20503

NSF 92-120 (New)
OMB 3145-0058
PT 34
KW 1004000,
          0600000

From owner-sci-resources@net.bio.net Fri Nov 20 22:00:00 1992
Path: biosci!NET.BIO.NET!kristoff
From: kristoff@NET.BIO.NET (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 21, no. 42, pt. 3, 20 November 1992
Message-ID: <CMM.0.90.2.722319651.kristoff@net.bio.net>
Date: 21 Nov 92 04:20:51 GMT
Sender: kristoff@net.bio.net
Distribution: bionet
Lines: 853


$$XID RFA HL9305 HL-93-05 P1O1 *****************************************

EFFECTS OF SEX HORMONES ON CORONARY ARTERY REACTIVITY

NIH GUIDE, Volume 21, Number 42, November 20, 1992

RFA:  HL-93-05-H

P.T. 34; K.W. 0715040, 0760025, 0760085, 1002061, 0765035

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  February 1, 1993
Application Receipt Date:  April 27, 1993

PURPOSE

The Division of Heart and Vascular Diseases invites grant applications
for up to five years of support for research into the roles of sex
hormones in the physiology and pathophysiology of the coronary
vasculature.  The ultimate goal is to develop insights into therapeutic
approaches for reducing the higher incidence of coronary diseases in
men and post-menopausal women than pre-menopausal women.

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 Request
for Applications (RFA), Effects of Sex Hormones on Coronary Artery
Reactivity, is related to the priority area of heart disease and
stroke. Potential applicants may obtain a copy of "Healthy People 2000"
(Full Report:  Stock No. 017-001-00474-0 or Summary Report:  Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

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.
Applications from minority individuals and women are encouraged.

MECHANISM OF SUPPORT

This RFA will use the National Institutes of Health (NIH) individual
research grant (R01). Responsibility for the planning, direction, and
execution of the proposed project will be solely that of the applicant.
The total project period for applications submitted in response to the
present RFA may not exceed five years.  This RFA is a one-time
solicitation.  Future unsolicited competing continuation applications
will compete with all investigator-initiated applications and be
reviewed according to the customary peer review procedures.

FUNDS AVAILABLE

Approximately $1.5 million in total cost will be provided for the first
year of support for the entire program.  It is anticipated that six new
grants will be awarded under this program.  This level of support is
dependent on the receipt of a sufficient number of applications of high
scientific merit.  Although this program is provided for in the
financial plan of the National Heart, Lung, and Blood Institute
(NHLBI), awards pursuant to this RFA are contingent upon the
availability of funds for this purpose.  Administrative adjustments in
project period and/or amount of support may be required at the time of
the award.  Since a variety of approaches would represent valid
responses to this announcement, it is anticipated that there will be a
range of costs among individual grants awarded.

RESEARCH OBJECTIVES

Background

Recent studies reveal that temporary ischemia can occur, not only as a
result of organic obstruction of the coronary artery, but also as a
result of vasoconstriction and vasospasm.  There is evidence that in
many blood vessels, the endothelium as well as the vascular smooth
muscle plays an active role in the control of vascular reactivity.  The
regulation of vascular reactivity, especially in the coronary arteries,
may have a significant effect on vasospasm and the development of
coronary vascular disease.

Gender is one of the major risk factors for the development of coronary
artery disease.  Epidemiological studies show that young men are at
higher risk than young women and that this prominent difference
decreases in post-menopausal women.  Involvement of sex hormones in
vascular reactivity has been suggested frequently but clear evidence
for a mechanism is lacking.  Gender differences in vascular reactivity
have been demonstrated by several research groups which suggest that
the function of the endothelium and vascular smooth muscle are sexually
differentiated and modulated by sex hormones.  In these studies, a
number of vessel segments from female and male animals treated with
estrogen relaxed significantly more in response to both
endothelium-dependent and endothelium-independent vasodilators than did
ring segments from male or female animals treated with testosterone.
In other studies, the tension generated by the vascular smooth muscle
in response to the vasoconstrictors was greater in aortas from male
than female rats.  Moreover, removal of the endothelium and treatment
with testosterone increases the responsiveness of the aorta of female
rats.  These observations suggest that the endothelium of male rats has
a lesser capacity to inhibit contractions of the underlying vascular
smooth muscle, possibly because it releases less endothelium-dependent
relaxation factors under basal conditions.  The expression of gender
differences in vascular responses, however, depends on the vessel
itself.  Although several studies have demonstrated that coronary
vessels from male animals show greater vascular reactivity, the degree
to which coronary smooth muscle and the endothelium are sexually
differentiated and modulated by sex hormones remains to be determined.

It has been suggested that one of the protective effects of estrogens
may be mediated through several systemic and local processes which
include the direct and indirect effects of estrogens on structural
elements of the vessel wall.  Limited but significant data have
identified the presence of androgen, progesterone and estrogen
receptors in the coronary vasculature in experimental animals and
progesterone receptors have been identified in coronary arteries of
men.  However, no attempt has been made to see whether there is a sex
difference in the distribution and density of steroid binding sites.
These results ca