From owner-sci-resources@net.bio.net Wed Jun 02 23:00:00 1993
Path: biosci!mrc-crc.ac.uk
From: smercer@mrc-crc.ac.uk (Mr. S.J. Mercer)
Newsgroups: sci.bio.technology,sci.med,bionet.announce,bionet.general,bionet.genome.chromosomes,bionet.sci-resources
Subject: The Chromosome Abnormality Database
Keywords: Chromosome Database Gene Mapping Syndrome
Message-ID: <1993Jun3.143619.21453@crc.ac.uk>
Date: 3 Jun 93 14:36:19 GMT
Sender: kristoff@net.bio.net
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                  THE CHROMOSOME ABNORMALITY DATABASE

The Chromosome Abnormality Database (CAD) is a centralised repository of 
records of human chromosome abnormalities, and is available for researchers 
to search free of charge.

Established in early 1991, the CAD now contains nearly forty thousand records 
of acquired and constitutional chromosome abnormalities contributed by over 
forty cytogenetics laboratories throughout the United Kingdom. Although there 
is a considerable bias towards recent cases, the data stretch back over twenty 
years and include information on the availability of cell lines and other 
stored material.

Searches of the database may be performed free of charge by contacting the 
database manager, Dr Mercer at the address below, or directly by the researcher
through the computing facilities maintained by the UK Human Genome Mapping 
Program.

Dr S. Mercer,
The Chromosome Abnormality Database,
Oxford Medical Genetics Laboratory,
Churchill Hospital,
Headington,
OXFORD OX3 7LJ
ENGLAND

Tel:	+44 865 226003
Fax:	+44 865 226006
Email:	simon@bioch.ox.ac.uk

From owner-sci-resources@net.bio.net Wed Jun 02 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 20, pt. 1, 4 June 1993
Message-ID: <Jun.3.13.43.31.1993.8276@net.bio.net>
Date: 3 Jun 93 20:43:32 GMT
Sender: kristoff@net.bio.net
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Approved: biosci-moderator@net.bio.net


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 19930604 V22N20 P1O2 ************************************
X-comment: RFAS described: AI-93-013, DE-93-005, CA-93-028, DK-93-024, PA-93-
                           091

NIH GUIDE - Vol. 22, No. 20 - June 4, 1993

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

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$INDEX R1 09/08/93 *************************************************

GENE THERAPY FOR HIV-1 INFECTION:  PRECLINICAL DEVELOPMENT (RFA
AI-93-013)
National Institute of Allergy and Infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

$$INDEX R2 09/10/93 *************************************************

SHORT-TERM TRAINING FOR MINORITY AND WOMEN DENTAL STUDENTS (RFA
DE-93-005)
National Institute of Dental Research
INDEX:  DENTAL RESEARCH

$$INDEX R3 09/23/93 *************************************************

CLINICAL CORRELATIVE STUDIES IN BREAST TUMORS (RFA CA-93-028)
National Cancer Institute
INDEX:  CANCER

$$INDEX R4 11/18/93 *************************************************

SILVIO O. CONTE DIGESTIVE DISEASES RESEARCH CORE CENTERS (RFA
DK-93-024)
National Institute of Diabetes and Digestive and Kidney Diseases
INDEX:  DIABETES, DIGESTIVE, KIDNEY DISEASES

                    ONGOING PROGRAM ANNOUNCEMENTS

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

SUPPORT OF SCIENTIFIC MEETINGS (PA-92-089)
National Eye Institute
INDEX:  EYE

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

BASIC RUBELLA RESEARCH LEADING TO IMPROVED RUBELLA VACCINES (PA-93-090)
National Institute of Allergy and Infectious Diseases
National Institute of Arthritis and Musculoskeletal and Skin Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES; ARTHRITIS, MUSCULOSKELETAL, SKIN
DISEASES

$$INDEX P3 **********************************************************

GENOME SCIENCE AND TECHNOLOGY CENTERS (PA-93-091)
National Center for Human Genome Research
INDEX:  HUMAN GENOME RESEARCH

This publication is also available electronically to institutions via
BITNET or INTERNET.  Alternative access is through the NIH Grant Line
using a personal computer (data line 301/402-2221).  Contact Dr. John
James at 301/594-7270 for details, or send an E-mail message to
ZNS@NIHCU.

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

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$R1 BEGIN AI-93-013 FULL-TEXT **************************************

GENE THERAPY FOR HIV-1 INFECTION:  PRECLINICAL DEVELOPMENT

NIH GUIDE, Volume 22, Number 20, June 4, 1993

RFA AVAILABLE:  AI-93-013

P.T. 34; K.W. 0715008, 1002045, 0745032

National Institute of Allergy and Infectious Diseases

Letter of Intent Receipt Date:  July 1, 1993
Application Receipt Date:  September 8, 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 RFA is designed to support applied preclinical development studies
for gene therapy systems targeting HIV; such studies are vital for the
transition from basic research to experimental clinical evaluation in
infected individuals.  Studies in response to this RFA may propose to
optimize to refine: viral vectors for in vivo delivery, physical
methods for in vivo transduction, and expression of anti-HIV or
anti-cellular genes for maximal virus inhibition in PBL challenged with
clinical HIV isolates.  Studies listed above are examples only, and are
not intended to be exclusive or comprehensive.

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, Gene
Therapy for HIV-1 Infection: Preclinical Development, 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. 017-001-00473-1)
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, private and public institutions 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

The support mechanism for this program is the research project grant
(R01) award.  The anticipated award date is March 1994.  This RFA is a
one-time solicitation.  Future unsolicited applications will compete
with all investigator-initiated applications and be reviewed according
to the customary peer review procedures.

FUNDS AVAILABLE

The National Institute of Allergy and Infectious Diseases (NIAID) has
set aside $0.6 million (total costs) for first year funding of
applications received in response to this RFA.  Three to four awards
are anticipated.  The final number and specific amounts of awards to be
made will depend on the scientific quality, merit and scope of the
applications received, relevance to programmatic priorities, and
availability of funds.  The total project period for applications
submitted in response to this RFA may not exceed four years.

RESEARCH OBJECTIVES

The objective of this RFA is to support 'post discovery' HIV gene
therapy studies and to propel promising, state-of-the-art therapies
closer to clinical evaluation.  Studies to be funded under this RFA are
restricted to those that are directly related to HIV infection from
investigators with ongoing gene therapy projects who demonstrate a
commitment to the advanced preclinical development and translation of
a defined gene approach to clinical evaluation.  Applications proposing
a unique strategy for gene delivery are responsive to the RFA provided
the proposed preclinical optimization studies focus on application to
HIV infection.  Examples of advanced preclinical development projects
responsive to this RFA include

o  Optimization of existing viral vectors (including HIV-1 vectors) for
antiviral gene delivery to target cells, gene stability, expression
levels, purity and yield of recombinant vector stock, and other
parameters relevant to vector design and application;

o  Optimization of non-viral delivery vehicles (liposomes,
receptor-ligand, other) for anti-HIV genes;

o  Comparative assessment in relevant in vitro and/or animal models of
different anti-HIV genes, cis-acting regulatory elements, or cellular
functions critical for HIV gene expression for maximal virus
inhibition.  Examples of intracellular molecular inhibitors include:
transdominant negative mutants; RNA decoys; multivalent ribozymes; and
Tat, Rev, TAR and RRE binding proteins.  Multi-pronged targeting for
enhanced inhibition and reduction of viral load are encouraged.

o  Refinement of vectors that provide stable, persistent expression in
mature and stem cell derived differentiating cells susceptible to HIV
infection;

o  Development of efficient and safe methods to enhance infection of
target cells (T-cells, stem cells, other) by recombinant vectors
resulting in minimization of ex vivo manipulations;

o  Safety assessment of HIV gene therapy strategies in appropriate
animal models.

o  Optimization of 'naked' DNA delivery strategies for the induction of
MHC-dependent CTL response as a form of immune augmentation in HIV
infected individuals;

SPECIAL CHARACTERISTICS

The NIAID will organize one to two meetings a year focusing on gene
therapy for HIV infection to which the Principal Investigators and
other key personnel will be invited to attend.

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 minorities and women in
study populations.  If women and 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 July 1, 1993, a letter
of intent that includes a descriptive title of the proposed research,
brief description of the proposed research, the name, address
(including institution), telephone and FAX numbers of the Principal
Investigator and other key personnel, and the number and title of this
RFA.  Although a letter of intent is not required, is not binding, and
does not enter into the review of the application, the information that
it contains allows NIAID to estimate the potential workload for
reviewers and to avoid possible conflict of interest in the review
progress.  The letter of intent is to be sent to Dr. Madelon Halula 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 these grants.  This form is 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
301-594-7248.  Applications not received by September 8, 1993, will be
considered unresponsive and returned to the applicant without review.

REVIEW CONSIDERATIONS

Applications will be reviewed by Division of Research Grants (DRG) for
completeness and by NIAID staff to determine responsiveness to this
RFA.  Incomplete and non-responsive applications will be returned to
the applicant without further consideration or review.  The NIAID will
remove from further competition those applications judged to be
noncompetitive for award and will notify the applicant and the
institutional business official.  Those applications judged to be
competitive for award will be further reviewed for scientific and
technical merit by an appropriate review committee.  A second level of
review will be provided by the NIAID Council in February 1994.

REVIEW CRITERIA

Factors to be considered in the evaluation of each application will be
similar to those used in review of traditional research grant
applications.

AWARD CRITERIA

This anticipated date of award is March 1994.  Awards decisions will be
based on technical merit, responsive to RFA, and availability of funds.

Three to four awards are anticipated under this RFA.  The number and
specific amount to be awarded will depend upon the scientific merit and
scope of the applications received and on the availability of funds.

INQUIRIES

It is essential that prospective applicants obtain a copy of the RFA
before preparing an application.  Written and telephone inquiries from
prospective applicants will provide NIAID staff the opportunity to
clarify issues or questions about the RFA.

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

Dr. Nava Sarver
Division of AIDS
National Institute of Allergy and Infectious Diseases
Solar Building,  Room 2C11
Bethesda, MD  20892
Telephone:  (301) 496-8197

Direct inquiries regarding the review of applications and address the
letter of intent to:

Dr. Madelon Halula
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building,  Room 4C10
Bethesda, MD  20892
Telephone:  (301) 402-2636
Email:  MHalula@exec.niaid.pc.niaid.nih.gov

Direct inquiries regarding fiscal matters to:

Ms. Jane Unsworth
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B22
Bethesda, MD  20892
Telephone:  (301-496-7075)

Schedule

Letter of Intent Receipt Date:    July 1, 1993
Application Receipt Date:         September 8, 1993
Anticipated Award Date:           March 1994

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, 93.856 -Microbiology and Infectious Diseases Research and
93.855 - Immunology, Allergic and Immunological Diseases Research.
Grants are awarded under the authority of the Public Health Service
Act, Section 301 (42 USC 241) and administered under the PHS grants
policies and Federal Regulations, most specifically at 42 CFR Part 52
and 45 CFR Part 74.  This program is not subject to the
intergovernmental review requirements of the Executive Order 12372 or
Health Systems Agency review.

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

$$R2 BEGIN DE-93-005 FULL-TEXT **************************************

SHORT-TERM TRAINING FOR MINORITY AND WOMEN DENTAL STUDENTS

NIH GUIDE, Volume 22, Number 20, June 4, 1993

RFA AVAILABLE:  DE-93-005

P.T. 44, FF, II; K.W. 0715148

National Institute of Dental Research

Letter of Intent Receipt Date:  August 10, 1993
Application Receipt Date:  September 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 National Institute of Dental Research (NIDR) invites applications
proposing short-term, institutional training programs for minority and
women dental students in basic and clinical oral health research.  The
NIDR has found that there is a paucity of minority and women
investigators in oral health research.  The primary objective of this
training program is to provide women and minority dental students an
opportunity to obtain a research experience during their professional
training.  This will encourage the selection of research careers and
help them to develop into clinical investigators.  These programs must
involve collaborative funding among the NIDR, the applicant
institution, and/or other public or private sources.

Proposed training must be relevant to the goals of the NIDR, as
described in the NIDR Long-Range Research Plan for the Nineties,
"Broadening the Scope."  Availability of this publication is described
under the section on INQUIRIES.  The NIDR supports research on the
causes, epidemiology, prevention, diagnoses, and treatments of dental
caries, periodontal and oral soft tissue diseases, craniofacial
anomalies and orofacial pain.  This includes normal and abnormal
craniofacial development; the structure and function of teeth, jaws,
oral mucosa, bone, connective tissue, salivary glands and other organs
and tissues of the craniofacial complex; trigeminal neurobiology; the
relationship of behavioral, social, economic and cultural factors to
oral diseases and conditions; dental biomaterials; and the role of
fluoride and nutrition in oral health and disease.  The Institute
emphasizes the need for research on older Americans, minority groups,
and individuals with medical and handicapping conditions or who are
otherwise at high risk for oral health problems.

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,
Short-Term Training for Minority and Women Dental Students, is related
to the priority area of oral health.  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, public, and private
institutions and the applicant institution must have, or be able to
develop, the staff and facilities for the proposed program.

MECHANISM OF SUPPORT

This RFA will use the National Institutes of Health (NIH) National
Research Service Award (NRSA) Short-Term Institutional Research
Training Grant (T35).  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 this
RFA may not exceed five years; awards may be renewable upon the
completion of a successful competing application.  Trainees may receive
up to three months of support per year.

FUNDS AVAILABLE

The NIDR expects to make up to four institutional training awards in
response to this RFA.  This level of support is dependent on the
receipt of a sufficient number of applications of high scientific and
educational merit.  Although this program is provided for in the
financial plans of the NIDR, awards pursuant to this RFA are contingent
upon the availability of funds for this purpose.

RESEARCH OBJECTIVES

The training program must provide opportunities for minority and women
dental students to carry out supervised biomedical or behavioral oral
health research and develop research skills.  Clinical programs must
have strong relationships with basic research to assure students the
opportunity to acquire the necessary experience to pursue basic and
clinical research training.

The program will be a collaborative funding effort among the NIDR, the
applicant institution, and other public and/or private sources.
Stipends and other training costs will be provided by the NIDR.  Other
support sources will provide room and board for the time the dental
students are on the short-term training grant, if necessary.  If
students require funds to travel from their home base to the applicant
institution to participate on this training grant, the program director
and the awardee institution must obtain the necessary resources to do
this.

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 August 10, 1993, a
letter of intent that includes a descriptive title of the proposed
research training program, the name, address, and telephone number of
the Program Director, 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 NIDR 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. Thomas Valega at the address
listed under INQUIRIES.

APPLICATION PROCEDURES

It is strongly recommended that prospective applicants contact Dr.
Valega early in the planning phase of application preparation.  Such
contact may help ensure that applications are responsive to this RFA.

Applications must be submitted on form PHS 398 (rev. 9/91).
Application forms are available at most institutional offices of
sponsored research; from the Office of Grants Inquiries, Division of
Research Grants, National Institutes of Health, 5333 Westbard Avenue,
Room 449, Bethesda, MD 20892, telephone (301) 594-7248; and from the
NIDR program administrator listed under INQUIRIES.

To identify the application as a response to this RFA, check "yes" on
item 2a of page AA of the application and enter "RFA: DE-93-005,
SHORT-TERM TRAINING FOR MINORITY AND WOMEN DENTAL STUDENTS."  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.

This RFA is for a single competition.  Applications must be received by
September 10, 1993.  If an application is received after that date or
deemed non-responsive to the RFA, it will be returned to the applicant
without review.

REVIEW CONSIDERATIONS

Applications will be evaluated for scientific and technical merit by
the NIDR Special Grants Review Committee, a standing NIH initial review
group.  Applicant interviews or site visits may be involved.

Secondary review will be by the National Advisory Dental Research
Council.

Review and Award Schedule

Applications will be processed according to the following schedule:

Application Receipt Date:      Sep 10, 1993
Initial Review Group Meeting:  Feb/Mar 1994
Council Meeting:               May/Jun 1994
Earliest Award Date:           Sep 1, 1994

AWARD CRITERIA

The earliest award date will be September 1, 1994.

The NIDR will notify the applicant of the Council's action shortly
after its meeting. Funding decisions will be made based on the Special
Grants Review Committee and Council recommendations, and the
availability of funds.

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 and requests for the RFA
to:

Thomas M. Valega, Ph.D.
Special Assistant for Manpower Development and Training
National Institute of Dental Research
Westwood Building, Room 503
Bethesda, MD  20892
Telephone:  (301) 594-7617
FAX:  (301) 594-7616

Direct inquiries regarding fiscal and policy matters to:

Theresa Ringler
Extramural Program
National Institute of Dental Research
Westwood Building, Room 510
Bethesda, MD  20892
Telephone:  (301) 594-7629

Copies of the NIDR Long-Range Research Plan for the Nineties,
"Broadening the Scope," are available by a written request to NIDR,
P.O. Box 54793, Washington, DC 20032

AUTHORITY AND REGULATIONS

NRSA Institutional Research Training Grants are made under the
authority of Section 487 of the Public Health Service (PHS) Act as
amended (42 USC 288), Title 42 of the Code of Federal Regulations, Part
66, is applicable to this program.  This program is also described in
the Catalog of Federal Domestic Assistance No. 93.121. This program is
not subject to the intergovernmental review requirements of Executive
Order 12372 or Health Systems Agency review.

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

$$R3 BEGIN CA-93-028 FULL-TEXT **************************************

CLINICAL CORRELATIVE STUDIES IN BREAST TUMORS

NIH GUIDE, Volume 22, Number 20, June 4, 1993

RFA AVAILABLE:  CA-93-028

P.T. 34; K.W. 0715035, 0785035, 0755015, 0755010, 0760020

National Cancer Institute

Letter of Intent Receipt Date:  July 23, 1993
Application Receipt Date:  September 22, 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) of the Division of Cancer
Treatment (DCT) and the Cancer Diagnosis Branch (CDB) of the Division
of Cancer Biology, Diagnosis and Centers (DCBDC) at the National Cancer
Institute (NCI) invite applications for cooperative agreements (U01)
from institutions or consortia, such as DCT Clinical Trials Cooperative
Groups, capable of and interested in performing clinical correlative
studies with new prognostic factors ready for large scale evaluation.
These factors must be relevant to the cancer treatment or clinical
outcome of patients with breast cancer.  It is essential for
institutions to have access to sufficient numbers of patients on phase
III clinical protocols to be able to test correlative hypotheses.

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,
Clinical Correlative Studies in Breast Tumors, 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 non-profit and for-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 may be
submitted from a single institution or may include arrangements with
one or more additional institutions, if appropriate.  Applications from
minority individuals and women are encouraged.

MECHANISM OF SUPPORT

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.  The total project
period for applications submitted in response to the present RFA may
not exceed four years.  Except as otherwise stated in this RFA, awards
will be administered under PHS grants policy as stated in PHS Grants
Policy Statement DHHS Publication No. (OASH) 90-50-000, revised October
1, 1990.

It is anticipated that the average amount of the total direct costs per
year for each award will range from $140,000 to $180,000.

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.

FUNDS AVAILABLE

Approximately $1,000,000 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 four to five awards will be made.
This funding level 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 grants
pursuant to this RFA is also contingent upon the continuing
availability of funds for this purpose.

RESEARCH GOALS AND SCOPE

The objectives of this RFA are to foster collaborations and
interactions between basic researchers and clinical investigators to
advance therapeutic clinical research and conduct correlative studies
on new prognostic factors that are ready for large scale evaluation.
The CTEP and the CDB invite cooperative agreement applications (U01)
from institutions or consortia, such as the DCT Clinical Trials
Cooperative Groups and the NCI Cancer Centers, capable of and
interested in performing clinical correlative studies relevant to
cancer treatment or clinical outcome in patients with breast cancer.

The correlative studies should be based on strong and testable
hypotheses.  A clear rationale should be given for the experimental
design and technical methodologies selected.  The hypotheses tested
must relate to potential clinical applications such as development of
new treatment strategies or identification of patient subsets for
specific treatment approaches. Preliminary data from appropriate tumor
models or analysis of patient specimens should be provided to support
the feasibility of each study.  Assays must have already been
demonstrated to be applicable to tissue samples and/or body fluids.
The laboratory assays must utilize tumor specimens from patients
receiving defined treatments in large clinical trials such as phase III
clinical protocols.  Applications will be considered responsive only if
investigators have access to sufficient numbers of patient specimens.
All investigators are encouraged to work with multi-center
organizations or form a consortium of institutions in order to access
sufficient numbers of patients and clinical information to test the
proposed hypotheses.  To coordinate the above activities, each
Institution must have access to a Central Operations Office and
Statistical Center as defined in the RFA.

The cooperative approach outlined in this RFA allows for interactions
among successful applicants and is designed to optimize use of patient
resources, tissues, reagents and methods.

Applicants must describe how they might interact with NCI and other
awardees in the sharing of data and improvements in laboratory
techniques and study design methodologies.

SPECIAL REQUIREMENTS

The RFA describes the complete terms and conditions of award for this
cooperative agreement including terms of cooperation, nature of
participation by NCI staff, responsibilities of the awardees and the
arbitration process to resolve disputes.  Special instructions for
preparation of cooperative agreement applications are also included.

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 July 23, 1993, a letter
of intent that includes a descriptive title of the proposed research,
the name and address of the principal investigator, the names of other
key personnel, the 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, it is requested
in order to provide an indication of the number and scope of
applications to be reviewed.

The letter of intent is to be sent to Ms. Diane Bronzert at the address
listed under INQUIRIES.

APPLICATION PROCEDURES

Applications must be received by September 22, 1993.  If an application
is received after that date, it will be returned.  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,
Westwood Building, Room 449, Bethesda, MD 20892, telephone (301) 594-
7248; and from the NCI program staff listed under INQUIRIES.

REVIEW CONSIDERATIONS

Upon receipt, applications will be initially reviewed 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 program requirements and criteria
stated in the RFA is an NCI program staff function.  Applications that
are judged non-responsive will be returned by the NCI.  Questions
concerning the responsiveness of proposed research to the RFA are to be
directed to program staff (see Inquiries).

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, inquiries regarding programmatic issues,
and address the letter of intent to:

Ms. Diane Bronzert
Division of Cancer Treatment
National Cancer Institute
Executive Plaza North, Room 734
Bethesda, MD  20892
Telephone:  (301) 496-8866
FAX:  (301) 480-4663

Dr. Sheila E. Taube
Division of Cancer Biology, Diagnosis, and Centers
National Cancer Institute
Executive Plaza North, Room 513
Bethesda, MD  20892
Telephone:  (301) 496-1591
FAX:  (301) 402-1037

Direct inquiries regarding fiscal matters to:

Ms. Barbara A. Fisher
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 242
Bethesda, MD  20892
Telephone:  (301) 496-7800, ext. 29
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.

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

$$R4 BEGIN DK-93-024 FULL-TEXT **************************************

SILVIO O. CONTE DIGESTIVE DISEASES RESEARCH CORE CENTERS

NIH GUIDE, Volume 22, Number 20, June 4, 1993

RFA AVAILABLE:  DK-93-024

P.T. 04; K.W. 0715085, 0710030, 0760025, 0745032

National Institute of Diabetes and Digestive and Kidney Diseases

Letter of Intent Receipt Date:  October 15, 1993
Application Receipt Date:  November 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 National Institute of Diabetes and Digestive and Kidney Diseases
(NIDDK) invites applications for Silvio O. Conte Digestive Diseases
Core Center grants.  NIDDK anticipates the award of four competitive
Silvio O. Conte Digestive Diseases Core Center Grants (P30s) in Fiscal
Year 1995.

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,
Digestive Diseases Research Core Centers, 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 (not 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.  Minority
individuals and women are encouraged to submit as Principal
Investigators.

Applicant institutions must have an adequate base of established
programs of high quality in laboratory and/or clinical digestive
diseases related research.

MECHANISM OF SUPPORT

Support of this program will be through the NIH core center (P30)
award.  Responsibility for the planning, direction, and execution of
the proposed center 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 Public Health Service Grants
Policy Statement.  This RFA is a one-time solicitation.  The receipt of
four competing continuation applications is anticipated.  These
applications will compete for the awards along with new applications
received in response to this RFA.  The total project period for
applications submitted in response to the present RFA may not exceed
five years.  The earliest possible award dates will be December 1994
for three center grants and January 1995 for the other grant.

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 either the GCRC program
director or a Principal Investigator must be included with the
application.

FUNDS AVAILABLE

For FY 1995, up to $3,000,000 in total costs will be committed to fund
applications submitted in response to this RFA.  It is anticipated that
four awards will be made with an average size of approximately $750,000
per year, total costs; however, this funding level is dependent upon
the receipt of a sufficient number of applications of high scientific
merit.  In order to help meet NIDDK goals for managing the costs of
biomedical research, applicants must limit their requests to not more
than $700,000 direct costs for the initial budget period.  Included in
this $700,000 are funds with a limit of $100,000 for the pilot and
feasibility program.  Future budget period escalations should not
exceed a four percent increase over the previous budget period.
Although this program is provided for in the financial plans of the
NIDDK, the award of grants pursuant to this RFA is also contingent upon
the availability of funds for this purpose.

RESEARCH OBJECTIVES

The objective of the Digestive Diseases Core Centers is to bring
together clinical and basic science investigators from relevant
disciplines to enhance and extend the effectiveness of research related
to digestive diseases and their complications.  There must be an
existing peer reviewed and funded program of excellence in this area.
At least one half of the research must have a central theme or focus.
Examples of a central theme or focus include, but are not restricted
to, inflammatory bowel disease, peptic ulcer disease, liver disease,
pancreatic disease, pediatric gastrointestinal disease, GI hormones, GI
motility, AIDS in gastrointestinal disease, or gene therapy.  Core
facilities which enhance productivity or in other ways benefit a group
of investigators working in digestive diseases centers to accomplish
the stated goals of the center will be supported.  Two other activities
may also be supported with center funding:  (1) a pilot and feasibility
grant program which may include temporary salary support for one Named
New Investigator and (2) an enrichment program including for example,
seminars, visiting scientists, consultants, and workshops.  Close
cooperation, communication, and collaboration among all involved
personnel of all professional disciplines are ultimate objectives.

SPECIAL REQUIREMENTS

At least 50 percent of the already funded research base in a new
application must be supported by NIDDK.  In competing continuation
applications the percent may be less than 50 percent due to, for
example, a growing research base of investigators entering digestive
diseases from other fields.  The appropriateness of the research base
will be determined by the initial review group.

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 October 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 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 conflict of interest in the review.

Chief, Review Branch
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 605
Bethesda, MD  20892
Telephone:  (301) 594-7515
FAX:  (301) 594-7503

APPLICATION PROCEDURES

Applications are to be submitted on form PHS 398 (rev. 9/91), available
in the office of sponsored research 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) 594-7248.  The RFA label
available in the PHS 398 application form must be affixed to the bottom
of the face page.  In addition, the RFA title and number must be typed
on line 2a of the face page of the application and the YES box must be
marked.  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
review, the applications will be given a second level review by the
National Diabetes and Digestive and Kidney Diseases 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.  Review Criteria are given in the
RFA.

INQUIRIES

Written and telephone inquiries are encouraged.  It is imperative that
the RFA and the pamphlet "Administrative Guidelines for Silvio O. Conte
Digestive Diseases Research Core Centers" be obtained before an
application is prepared.  These documents and information about
programmatic issues may be obtained from:

Dr. Judith M. Podskalny
Division of Digestive Diseases and Nutrition
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 3A15
Bethesda, MD  20892
Telephone:  (301) 594-7539

Inquiries regarding fiscal matters may be directed to:

Ms. Nancy Dixon
Division of Extramural Activities
National Institute of Diabetes and Digestive and Kidney Diseases
5333 Westbard Avenue, Room 637A
Bethesda, MD  20892
Telephone:  (301) 594-7543

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.848.  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.

$$R4 END ************************************************************

                    ONGOING PROGRAM ANNOUNCEMENTS

$$P1 BEGIN PA-93-089 ************************************************

SUPPORT OF SCIENTIFIC MEETINGS

NIH GUIDE, Volume 22, Number 20, June 4, 1993

PA NUMBER:  PA-93-089

P.T. 42; K.W. 1002046, 1014006

National Eye Institute

PURPOSE

The National Eye Institute (NEI) is announcing its intention to support
future investigator-initiated scientific meetings by the conference
cooperative agreement mechanism (U13), in most instances, rather than
the traditional conference grant mechanism (R13).  This is not an
announcement of a new program or initiative.

ELIGIBILITY REQUIREMENTS

The NEI will consider applications submitted by U.S. institutions,
including scientific or professional societies, eligible to receive
grants from Public Health Service agencies.  In the case of an
international conference, the U.S. representative organization of an
established international scientific or professional society is the
eligible applicant.  The NEI will not accept applications from foreign
institutions.

MECHANISM OF SUPPORT

The rules and regulations that apply to conference cooperative
agreements (U13) are the same as those that apply to conference grants
(R13).  The difference is that, after award, NEI extramural program
staff will be substantially involved in the planning and conduct of the
scientific meeting, assisting the Principal Investigator according to
specific Terms and Conditions.  These Terms and Conditions are given
below and will be included in each Notice of Grant Award.  In
exceptional circumstances, it may not be practical or necessary for NEI
staff to participate substantially in the planning or conduct of the
meeting, and NEI will use the traditional conference grant (R13) to
support such activities.

SPECIAL REQUIREMENTS

Terms and Conditions of Cooperative Agreement Award

o  The Principal Investigator will have the primary authority and
responsibility to define objectives and approaches; plan, publicize,
and conduct the scientific meeting; and publish the results of the
meeting.

o  The Principal Investigator will retain custody of and have primary
rights to information developed under the cooperative agreement,
subject to Government rights of access, consistent with current DHHS,
PHS, and NIH policies.

o  The appropriate NEI extramural program Branch Chief will assist, but
not direct, the Principal Investigator in the planning and conduct of
the scientific meeting to ensure that the meeting is relevant and
responsive to NEI scientific program goals and key research questions
identified in  "Vision Research - A National Plan:  1994-1998," a
report of the National Advisory Eye Council.  This will include
assisting the Principal Investigator in finalizing the meeting format
and agenda, selecting topics for discussion, publicizing the meeting,
selecting speakers and other meeting participants, and publishing the
meeting proceedings.

o  Publication and copyright agreements, and the requirements for
financial status reports, retention of records, and terminal progress
reports will be as stated in the NIH publication, "Support of
Scientific Meetings" (August, 1992).

o  An independent, third-party individual, acceptable to both the
Principal Investigator and NEI will be asked to serve as an arbitrator
of any serious differences of opinion on scientific and programmatic
issues that may arise during the planning and conduct of the scientific
meeting.  This special arbitration process will in no way affect the
rights of the recipient to appeal an adverse action in accordance with
PHS regulations of 42 CFR Part 50, Subpart D and DHHS regulations of 45
CFR Part 16.

o  These special Terms and Conditions of Cooperative Agreement Award
are in addition to, and not in lieu of, otherwise applicable OMB
administrative guidelines, DHHS grant administrative regulations at 45
CFR Parts 74 and 92, and other DHHS, PHS, and NIH grant administration
policies.

APPLICATION PROCEDURES

Potential applicants are strongly encouraged to contact NEI staff prior
to the preparation and submission of an application concerning possible
NEI interest in supporting a particular scientific meeting.

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.  Application kits are available at
most institutional offices of sponsored research and may be obtained
from the Office of Grant Inquiries, Division of Research Grants,
National Institutes of Health, Westwood Building, Room 449, Bethesda,
MD, 20892, telephone 301/594-7248.

The NIH publication, "Support of Scientific Meetings" (August, 1992),
should be obtained, because it provides important information and
supplemental instructions for completing the application.  In addition,
this publication states NIH policy regarding the application, receipt,
assignment, review, award, administration, and reporting requirements
when funds are requested and awarded for the support of scientific
meetings.

For item 2b on the Face Page, enter the code "U13," if conference
cooperative agreement funds will be requested.

In the Research Plan section of the application, describe the relevance
of the proposed scientific meeting to the NEI program goals and key
research questions identified in  "Vision Research - A National Plan:
1994-1998."

The applicant, in addition, should provide a statement acknowledging
and agreeing to NEI staff post-award involvement in planning and
conducting the scientific meeting, and should describe plans to
accommodate this involvement.

The complete and signed original application and five exact copies, in
one package with any appendices, must be mailed or delivered to:

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

REVIEW PROCEDURES

Applications will be assigned by the Division of Research Grants on the
basis of established Public Health Service referral guidelines.
Applications will be reviewed for scientific merit by an initial review
group in accordance with standard NIH peer review procedures.  The
following criteria will be considered when assessing the scientific
merit of applications:

o  the importance of the proposed scientific meeting to investigators
in the area and to the general biomedical community;
o  timeliness and need for the proposed scientific meeting;
o  adequacy of the scope and content of the proposed scientific
meeting;
o  qualifications of the conference organizers and the proposed
participants
o  adequacy of the applicant's efforts and plans to seek out and
encourage the participation of women and underrepresented minorities;
o  appropriateness of the proposed format for achieving the stated
goals;
o  adequacy of plans to disseminate the information generated by the
scientific meeting; and
o  appropriateness of the budget.

Second level program and policy review for applications assigned to NEI
will be conducted by the National Advisory Eye Council.

AWARD CRITERIA

The following will be considered in making funding decisions for
applications assigned to the NEI:

o  scientific merit of the proposed scientific meeting as determined by
peer review,
o  relevance to NEI program goals and key research questions identified
in  "Vision Research - A National Plan:  1994-1998," and
o  availability of funds.

INQUIRIES

Potential applicants are strongly encouraged to telephone Dr. Ralph J.
Helmsen, NEI Research Resources Officer, at (301) 496-5301 for general
information regarding this notice and for referral to the appropriate
extramural program Branch Chief or Grants Management Specialist.

The NEI publication, "Vision Research - A National Plan:  1994-1998,"
is available from:

Office of Science Policy and Legislation
National Eye Institute
Building 31, Room 6A25
Bethesda, MD  20892
Telephone:  (301) 496-4308

The NIH publication, "Support of Scientific Meetings" (August, 1992),
is available from the Office of Grants Inquiries.

AUTHORITY AND REGULATIONS

This program is described in the Catalogue of Federal Domestic
Assistance No. 93.867, Vision 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 and 45 CFR Part 74.  Applications are not subject to the
intergovernmental review requirements of Executive Order 12372 as
implemented through Department of Health and Human Services regulations
at 45 CFR part 100 or Health Systems Agency review.

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

$$P2 BEGIN PA-93-090 ************************************************

BASIC RUBELLA RESEARCH LEADING TO IMPROVED RUBELLA VACCINES

NIH GUIDE, Volume 22, Number 20, June 4, 1993

PA NUMBER:  PA-93-090

P.T. 34; K.W. 0740075, 0715125, 1002045, 0710070

National Institute of Allergy and Infectious Diseases
National Institute of Arthritis and Musculoskeletal and Skin Diseases

PURPOSE

The National Institute of Allergy and Infectious Diseases (NIAID) and
the National Institute of Arthritis and Musculoskeletal and Skin
Diseases (NIAMS) invite investigator-initiated research grant
applications to pursue the development of safer vaccines to protect
women against rubella infection (German measles). Multidisciplinary
approaches, including basic research in virology and molecular
immunology, are needed to identify and characterize the rubella virus
gene products that are required for induction of durable immunity and
those that are associated with adverse effects, particularly
manifestations of joint disease.  Research in this area also might lead
to an understanding of the high female/male incidence ratio of adverse
reactions in adults.  In addition to vaccines with fewer adverse
side-effects, a further goal is to develop safe vaccines that can be
used in pregnant women to prevent fetal infection and congenital
rubella syndrome (CRS).

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), Basic Rubella Research Leading to Improved Rubella
Vaccines, is related to the priority area of immunization and
infectious 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 20402-0325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Research grant 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.
Foreign institutions are not eligible for the First Independent
Research Support and Transition (FIRST) (R29) award.

MECHANISMS OF SUPPORT

Applications considered appropriate responses to this announcement are
the investigator-initiated research project grant (R01) and the FIRST
award (R29).

RESEARCH OBJECTIVES

Background

Until the introduction of a live attenuated vaccine in 1970, rubella
was a common febrile disease of childhood.  The most serious effects of
rubella--abortions, miscarriages, stillbirths and fetal
anomalies--follow infection during early pregnancy.  The average cost
of a single case of CRS, caused by infection of the fetus with rubella,
is estimated to be well over $200,000.

The current licensed vaccine works well in children.  By blocking the
spread of rubella, it has been effective in dramatically reducing, but
not eliminating, the yearly incidence of CRS in the United States.
>From 1970 to 1989, there was a steady reduction in the number of annual
cases of rubella. However, compared to 1988, the yearly incidence of
rubella cases and rubella in patients 15 years of age or older,
increased twofold in 1989, and threefold in 1990.  Although the total
number of cases was still small (0.4 cases per 100,000 in 1990), this
re-emergence of natural rubella led to a campaign to increase
vaccination coverage in all age groups, and thus more and more adult
women are being immunized against rubella.

Unfortunately, as a public health tool, the current vaccine has some
deficiencies.  This live vaccine, like natural rubella, causes
transient joint symptoms in a significant proportion of women
vaccinees.  Historical reports of natural epidemics also mention
increased arthropathy predominantly in adult women.  Currently in the
U.S., an increasing percentage of women entering child-bearing age have
not been immunized against rubella.  When these adult women receive
rubella vaccine, acute joint complaints are common, occurring in up to
25 percent of previously seronegative vaccinees.  These symptoms
usually last from one day to three weeks.  Investigators in Canada
recently reported that 5 to 11 percent of adult female vaccinees
develop a more severe, persistent or recurring arthropathy.  There also
have been reports that these complications increase with the age of the
vaccinee, and/or the presence of low or incomplete rubella immunity
(perhaps representing a waning antibody response from an earlier
childhood immunization).  Another limitation of the current vaccine is
that it is not recommended for use in women who may be pregnant,
because the vaccine virus can be transmitted to the fetus.

Research Objectives and Experimental Approaches

Basic research on rubella is now at a low level in the U.S.  Our
primary objective is to stimulate research on rubella so that data are
available to develop improved vaccines which would protect women of
childbearing age without causing undesirable side effects and without
fear of fetal infection.  Success in this endeavor will require basic
research in virology, immunology, genetics, and pathogenesis.  Studies
are needed to identify and characterize rubella virus gene products
required for induction of durable immunity, and those associated with
adverse effects.  Research is encouraged to discover the role of viral
components, and the importance of the response of the host, in the
induction of inflammation and symptoms of acute and persistent
arthritis.  Studies would include genetic analysis of clinically
characterized vaccine strains to determine if strain-specific variation
leads to a propensity for growth in human synovial cells and
association with persisting joint symptoms in adult vaccinees.
Research in this area also might provide an understanding of the high
female/male incidence ratio of adverse reactions in adults.

Research projects are sought which investigate topics including, but
not limited to those listed below.

o  Establishment of the quantitative and qualitative differences
between vaccine-induced and naturally-induced immunity against rubella.

o  Determination of which rubella antigens are required to safely
elicit long-lasting protective humoral and cellular immunity.

o  Characterization of the viral correlates of virulence and
attenuation.

o  Elucidation of those factors contributing to vaccine-induced adverse
events.  Analysis of the host and viral factors that contribute to
immune and inflammatory responses associated with arthritis, and
establishment of the molecular and cellular mechanisms causing joint
inflammation.

o  Development of an animal model of rubella which parallels human
disease, and allows elucidation of viral and host factors contributing
to immunity and immunization-induced adverse events.

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 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 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
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 research grant application form
PHS 398 (rev. 9/91) and will be accepted at the standard application
deadlines February 1, June 1 and October 1.  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) 594.7248.  The title and number of
the announcement must be typed in Section 2a on the face page of the
application.

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

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

FIRST (R29) applications must include at least three sealed letters of
reference attached to the face page of the original application.  FIRST
applications submitted without the required number of reference letters
will be considered incomplete and will be returned without review.

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 either the GCRC program
director or Principal Investigator could be included with the
application.

REVIEW CONSIDERATIONS

Applications in response to this announcement will be assigned on the
basis of established PHS Referral Guidelines.  Applications will be
reviewed for scientific and technical merit by study sections of the
Division of Research Grants, NIH, and in accordance with the standard
NIH peer review procedures.  Following scientific-technical review of
the applications considered to have significant and substantial merit,
a secondary review will be by the appropriate national advisory council
or board.

AWARD CRITERIA

Applications will compete for available funds with all other R01 and
R29 applications considered to have significant and substantial merit.
The following will be considered when making funding decisions:
relative scientific merit, program relevance, availability of funds.

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. James M. Meegan
Division of Microbiology and Infectious Diseases
National Institute of Allergy and Infectious Diseases
Solar Building, Room 3A16
Bethesda, MD  20892
Telephone:  (301) 496-7453
FAX:  (301) 496-8030

Dr. Susana A. S. Sztein
Rheumatic Diseases Branch
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Westwood Building, Room 405
Bethesda, MD  20892
Telephone:  (301) 594-9953
FAX:  (301) 594-9673

Direct inquiries regarding fiscal matters to:

Mr. Todd Ball
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B35
Bethesda, MD  20892
Telephone:  (301) 496-7075

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.856, Microbiology and Infectious Disease Research.  Grants will
be awarded under the authority of the Public Health Service Act, Title

From owner-sci-resources@net.bio.net Wed Jun 02 23:00:00 1993
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From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 20, pt. 4, 4 June 1993
Message-ID: <Jun.3.13.47.22.1993.9327@net.bio.net>
Date: 3 Jun 93 20:47:24 GMT
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$$XID RFA CA93028 CA-93-028 P1O1 ***************************************

CLINICAL CORRELATIVE STUDIES IN BREAST TUMORS

NIH GUIDE, Volume 22, Number 20, June 4, 1993

RFA:  CA-93-028

P.T. 34; K.W. 0715035, 0785035, 0755015, 0755010, 0760020

National Cancer Institute

Letter of Intent Receipt Date:  July 23, 1993
Application Receipt Date:  September 22, 1993

PURPOSE

The Cancer Therapy Evaluation Program (CTEP) of the Division of Cancer
Treatment (DCT) and the Cancer Diagnosis Branch (CDB) of the Division
of Cancer Biology, Diagnosis and Centers (DCDBC) at the National Cancer
Institute (NCI) invite applications for cooperative agreements (U01)
from institutions or consortia, such as DCT Clinical Trials Cooperative
Groups and the NCI Cancer Centers, capable of and interested in
performing clinical correlative studies with new prognostic factors
ready for large scale evaluation.  These factors must be relevant to
the cancer treatment or clinical outcome of patients with breast
cancer.  It is essential for institutions to have access to sufficient
numbers of patients on phase III clinical protocols to be able to test
correlative hypotheses.

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.  Although this
project is provided for in the financial plans of the NCI, the award of
cooperative agreements pursuant to this RFA is contingent on the
availability of funds appropriated in fiscal year 1994.

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,
Clinical Correlative Studies in Breast Tumors, 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 non-profit and for-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 may be
submitted from a single institution or may include arrangements with
one or more additional institutions, if appropriate.  Applications from
minority individuals and women are encouraged.

It is essential for teams to have access to sufficient numbers of
patients on phase III clinical protocols to be able to test correlative
hypotheses.  The study team must have access to a Central Operations
Office and a Statistical Center for coordination of research activities
and data analysis as defined below (see SPECIAL REQUIREMENTS,
Definitions).  The Central Operations Office and the Statistical Office
need not reside at the Principal Investigator's institution.

MECHANISM OF SUPPORT

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 section entitled SPECIAL REQUIREMENTS, Teams and
Conditions of Award, Nature of Participation by NCI Staff.  Applicants
will be responsible for the planning, direction, and execution of the
proposed project.  The total project period for applications submitted
in response to the present RFA may not exceed four years.  Except as
otherwise stated in this RFA, awards will be administered under PHS
grants policy as stated PHS Grants Policy Statement, DHHS Publication
No. (OASH) 90-50-000, revised October 1, 1990.

It is anticipated that the average amount of the total direct costs per
year for each award will range from $140,000 to $180,000.

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.

FUNDS AVAILABLE

Approximately $1,000,000 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 four to five awards will be made.
This funding level 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 grants
pursuant to this RFA is also contingent upon the continuing
availability of funds for this purpose.

RESEARCH OBJECTIVES

A.  Background

Insights into the biologic function and clinical relevance of growth
factors, genes that promote and suppress neoplasia, mechanisms of
treatment sensitivity and resistance, and functions of the immune
system provide important new clinical research opportunities for
investigators studying patients with solid tumors.  While advances have
been made relating biological studies to clinical behavior of
hematologic malignancies, fewer clinical correlations have been
explored for solid tumors.  Historically, prognostic factors have
played a major role in assisting clinicians in the selection of
appropriate therapeutic interventions.  In the case of breast cancer,
estrogen receptor and progesterone receptor status are now commonly
used as prognostic and treatment indicators.  Currently, several well
defined laboratory tests are ready for inclusion in clinical
correlative studies to determine their clinical relevance and value.
For example, HER-2/neu, cathepsin D and stress response proteins are
currently being evaluated in adjuvant breast cancer studies.  New
technological advances in methodologies such as Polymerase Chain
Reaction (PCR), flow cytometry, immunohistochemistry, and in situ
hybridization allow laboratory investigators to do numerous analyses on
tumor specimens and study tumor heterogeneity in a variety of tumor
types.  Many opportunities exist for conducting correlative laboratory
studies that can be expected to be immediately relevant to cancer
treatment.

The NCI supports an extensive network of clinical and laboratory
research studies related to cancer therapy through contracts, grants
and cooperative agreements.  CTEP supports a program of integrated
national networks of clinical investigators and institutions (Clinical
Trials Cooperative Groups) for the conduct of large scale,
multi-institutional clinical trials.  The primary goal of these trials
is the definitive evaluation of clinical treatment programs.
Presently, the Clinical Trials Cooperative Groups (CTCG) conduct
approximately 500 clinical trials evaluating more than 23,000 patients
per year.  The CTCG have access to tumor specimens from large numbers
of patients with solid tumors.  They maintain statistical databases and
are capable of correlating laboratory data with the clinical outcome of
patients.  The NCI also supports Cancer Centers that conduct phase III
clinical trials and which have access to statistical operations,
headquarters, and consortia arrangements with other institutions and
hospitals.

This RFA is designed to promote collaborations and interactions between
basic researchers and clinical investigators to advance research on
clinical correlations that can improve therapeutic approaches.  NCI is
seeking to encourage correlative laboratory studies linked to large
scale clinical trials so that markers that correlate with prognosis and
response to treatment can be studied simultaneously.  In many instances
the laboratory investigators are already recipients of R01 or P01
support for their basic research and have developed preliminary data
supporting a large scale analysis of a new prognostic factor.
Likewise, many clinical investigators are supported through Cancer
Centers (P30) and the Clinical Trials Cooperative Group mechanism (U10)
for clinical research and have access to patient specimens with
clinical follow-up.  The Cancer Diagnosis Branch, DCBDC, is
establishing a Cooperative Breast Cancer Tissue Registry that will
enable participating organizations to inventory their tissue
collections and to establish a database for existing associated
clinical and outcome data.  This registry does not include funds for
conducting correlative studies but it can serve as a resource for
additional tissues.  This initiative proposes to link these activities
and provides a mechanism to obtain definitive data on the relationship
of biological features and the clinical behavior of the tumors.

B.  Research Goals and Scope

The objectives of this RFA are to foster collaborations and
interactions between basic researchers and clinical investigators to
advance therapeutic clinical research and conduct correlative studies
on new prognostic factors that are ready for large scale evaluation.
The CTEP and the CDB invite cooperative agreement applications (U01)
from institutions or consortia, such as the DCT Clinical Trials
Cooperative Groups and the NCI Cancer Centers, capable of and
interested in performing clinical correlative studies relevant to
cancer treatment or clinical outcome in breast cancer patients.
Applicants may propose to undertake several correlative studies during
the grant funding period (up to four years).  An individual scientist
or a consortia of institutions may be included on more than one
application.

The correlative studies should be based on strong and testable
hypotheses.  A clear rationale should be given for the experimental
design and technical methodologies selected.  The hypotheses tested
must relate to potential clinical applications such as development of
new treatment strategies or identification of patient subsets for
specific treatment approaches. Preliminary data from appropriate tumor
models or analysis of patient specimens should be provided to support
the feasibility of each study.  This RFA is for developing assays that
have already been demonstrated to be applicable to tissue samples
and/or body fluids.  The laboratory assays must utilize tumor specimens
from patients receiving defined treatments in large clinical trials
such as phase III clinical protocols.  Proposals must include a
statistical section describing plans for analysis of data designed to
test the hypotheses.  Applications will be considered responsive only
if investigators have access to sufficient numbers of patient
specimens.  All investigators are encouraged to work with multi-center
organizations or form a consortium of institutions in order to access
sufficient numbers of patients and clinical information to test the
proposed hypotheses.  To coordinate the above activities, each Team
must have a Central Operations Office and Statistical Center as defined
below (see SPECIAL REQUIREMENTS, Definitions).

Examples of therapeutic laboratory correlates of interest include but
are not limited to:  (1) phenotypic or genotypic alterations which
appear to correlate with the development of drug-, radiation-, or
hormone-resistance; (2) loss or inactivation of tumor suppressor genes
related to prognosis; (3) analysis of basal membrane factors related to
tumor invasion and metastases; (4) studies of chromosomal
rearrangements or deletions that may be used as prognostic indicators;
(5) correlation of tumor growth factors or oncogenies with response to
therapies; (6) characterization of tumor associated antigens that may
lead to new immunotherapies; and (7) evaluation of use of serum or
tumor markers that correlate with tumor progression.

The cooperative approach outlined in this RFA allows for interactions
among successful applicants and is designed to optimize use of patient
resources, tissues, reagents and methods.

Applicants must describe how they might interact with NCI and other
awardees in the sharing of data and improvements in laboratory
techniques and study design methodologies.

SPECIAL REQUIREMENTS

A.  Definitions

o  Cooperative Agreement - An assistance mechanism in which substantial
NCI programmatic involvement with the recipient is anticipated during
performance of the planned activity.

o  Study Team - A Study Team may be a single institution or a
consortium of institutions.  A Study Team functions as an integrated
unit with a common goal and is under the guidance and direction of a
single Principal Investigator.  Each Study Team is composed of
investigators with expertise in clinical investigations and laboratory
analyses.  Each Study Team must have access within its institution or
consortia to an Operations Office and Statistical Center.  In this RFA,
the terms Study Team and Team are used synonymously.

o  Principal Investigator (PI) - The person who submits the single
application in response to this RFA and who is responsible for
performance of the key personnel and the Study Team as a whole.  A
consortium of institutions must agree to work together with a single
Principal Investigator under a single cooperative agreement.  The
Principal Investigator is responsible for coordinating the Study Team's
activities scientifically and administratively.

o  Central Operations Office - An administrative unit that coordinates
all Team activities.  Responsibilities include coordinating protocol
development, study conduct, and quality control and study monitoring.
Each Study Team must have a Central Operations Office but it need not
be at the PI's institution.

o  Statistical Center - The Study Team must have a Statistical Center
for collection and analysis of patient and laboratory data.
Responsibilities will include participation in the planning and
coordination of study design methodologies, data management and
analysis, data monitoring, and reporting of data. Each Study Team must
have a Statistical Center but it need not be at the PI's institution.

o  NCI Program Directors - The Program Director, CTEP, Division of
Cancer Treatment and the Chief, CDB, Division of Cancer Biology
Diagnosis and Centers who will be coordinating their Division's
interactions and providing guidance for the overall program within the
NCI.

o  NCI Coordinator - The Breast Cancer Clinical Research Scientist,
Medicine Section, Clinical Investigations Branch, CTEP, DCT who
interacts scientifically with the Institutions.

B.  Terms and Conditions of Award

Under the cooperative agreement, a partnership will exist between the
recipient of the award and the NCI, with assistance from the NCI in
carrying out the planned activity.  The following terms and conditions
pertaining to the scope and nature of the interaction between the NCI
and the investigators will be incorporated in the Notice of Award.
These terms will be in addition to the customary programmatic and
financial negotiations which occur in the administration of grants.
The "Nature of Participation by NCI Staff" and "Responsibilities of
Awardees" described in this section are in addition to, and not in lieu
of, otherwise applicable OMB administrative guidelines; DHHS grant
administration regulations 45 CFR 74; DHHS grant administration
regulations 45 CFR 92; other DHHS, PHS, and NIH grant administration
policy statements; and other NCI administrative terms of award.

The cooperative agreements will require cooperation between an NCI
Coordinator and the Principal Investigators of the Teams.  The NCI
Coordinator will assist in coordinating the activities of the Teams as
defined below and in facilitating exchange of information.

1.  Nature of Participation by NCI Staff

The role of the Program Director CTEP and the Chief CDB staff as
described throughout these terms of cooperation is to assist and
facilitate but not to direct research activities.  The NCI Coordinator
will interact scientifically with all the Institutions.  Two levels of
coordination are anticipated.

The first level involves interactions between the NCI Coordinator and
the individual Team.  During the period of the award, the awardees
institutions(s) will have primary authority to determine research
priorities and statistical needs.  The NCI Coordinator may provide
appropriate assistance by participating in the design of research
activities, review of protocols, coordination of the tissue
utilization, establishment of priorities, and review of progress.  The
NCI Coordinator can assist in this process by providing information on
other ongoing studies and on NCI priorities.  Protocols will be
provided to the CTEP Protocol Review Committee and the Diagnosis
Decision and Implementation Committee for review to facilitate
coordination of research activities throughout NCI.  Although the
Team(s) are responsible for statistical analysis of data, computer
processing and statistical evaluations may be provided from NCI
resources if requested by the awardee.

The second level of coordination involves interactions between the NCI
Coordinator and the various Teams funded for research on breast cancer.
The NCI Coordinator will coordinate activities among the Teams such as
the sharing of patient specimens, new reagents, improved laboratory
techniques, data, and study design methodologies.  Although
investigators will have to demonstrate that they have access to the
necessary numbers of patients and/or specimens to answer specific
questions, other important correlations identified during the course of
the funded research may require patient resources from more than one
Team.  Priorities would need to be set for the most effective use of
available specimens since tumor specimens are often small in size.  The
NCI Coordinator can assist in this process by providing information on
other ongoing studies and on NCI priorities.

2.  Responsibilities of Awardees

The Study Team is responsible for the proposing research projects to
advance the goals of the RFA and to define its approaches to attain
these goals.  It is the primary responsibility of the PI to state
clearly the objectives of the Team, to direct the research stipulated
in the application, and to ensure that the results obtained are
published in a timely manner.  It is anticipated that decisions in all
activities will be reached by consensus of the collaborators of a Team
under the leadership of the PI and that the NCI Coordinator will have
the opportunity to offer input to this process.  Awardees are required
to have access to appropriate tumor tissue and clinical follow-up on
patients receiving defined treatments in phase III clinical trials.
Awardees must have the appropriate clinical and laboratory expertise to
accomplish their objectives within the Study Team.

The NCI Coordinator and all Awardees funded for breast cancer research
in this RFA will meet initially to discuss research activities and
establish priorities among the Awardees.  Subsequent periodic meetings
will be scheduled to review progress and coordinate new research
activities.  Sharing of data and reagents will be expected among
Awardees.  In addition, new studies that may require the sharing of
patient specimens and the prioritization of research studies among the
Awardees is envisioned.  Therefore, each Awardee should anticipate the
need to attend two meetings per year with the NCI Coordinator and other
Awardees to coordinate activities.

The Government, via the NCI Coordinator, will have access to data
generated under this cooperative agreement and may periodically review
the data.  However, the awardee will retain custody of primary rights
to their data developed under these awards, and timely publication of
major findings by the Team members is encouraged.  Publication or oral
presentation of work done under this agreement will require appropriate
acknowledgement of NCI support.

3.  Arbitration Committee

An arbitration panel of external consultants will be created as needed
to resolve any irreconcilable differences of opinion between the NCI
coordinator and the Team(s) related to scientific/programmatic matters
or implementation of a proposed operating policy.  The panel will
include one member selected by the Team(s), one member selected by the
NCI, and a third member chosen by the other two members of the
arbitration panel.  The NCI arbitration process for the cooperative
agreement in no way affects the rights of awardees to appeal selected
post award administrative decisions in accordance with PHS regulations
at 42 CFR part 50, subpart D and HHS regulations at 45 CFR part 16.

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.

LETTER OF INTENT

Prospective applicants are asked to submit, by July 23, 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
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 Ms. Diane Bronzert at the address
listed under INQUIRES.

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, Westwood Building, Room 449, Bethesda, MD 20892, telephone
(301) 594-7248; and from the NCI program staff listed under INQUIRIES.

The RFA label available in the PHS 398 (rev. 9/91) 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 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:

Ms. Toby Friedberg, Referral Officer
Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Room 650
6130 Executive Boulevard
Bethesda, MD  20892

Applications must be received by September 22, 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.

Special Instructions for Preparation of Cooperative Agreement
Applications

The grant application form PHS 398 (rev. 9/91) must 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 and Conditions of Award discussed in the SPECIAL
REQUIREMENTS section 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.

Teams should anticipate the need to attend two meetings per year to
share data and to coordinate activities.  Travel funds for two
representatives from a Team (one basic researcher and one clinician,
one of whom must be the PI) should be included in the budget.  This
budget item will be negotiable.

REVIEW CONSIDERATIONS

A.  Review Procedures

Upon receipt, applications will be reviewed by the DRG for
completeness.  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 listed under INQUIRIES.

Applications may receive a preliminary scientific peer review (triage)
by an NCI scientific 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

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  Adequacy of plans for effective collaboration between laboratory,
clinical, and statistical investigators.

o  Qualifications, demonstrated expertise in both the appropriate basic
and clinical sciences, and proposed responsibilities of the Principal
Investigator and key personnel.

o  Demonstration of availability of and access to appropriate patients
receiving defined treatments on phase III clinical trials and/or to
human tissue with the associated pathological data and clinical
follow-up.

o  Scientific plans and timetable for implementing the proposed
research program.

o  Adequacy of the available facilities and data management resources.
Evidence of the competence of the Central Operations Office and
statistical center with regard to the mechanisms for quality control,
study monitoring, data management and reporting, and data analysis.

o  Plans for effective interaction and coordination among cooperating
institutions within the Study Team, with other Teams working on the
same solid tumor, and with the NCI.

o  Adequacy of provisions for the protection of human subjects.

o  Adequacy of the plans for inclusion of females and minorities.

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

AWARD CRITERIA

The anticipated date of award is July 1, 1994.  In addition to the
technical merit of the application, NCI will consider how well the
applicant institution meets the goals and objectives of the program as
described in the RFA, availability of resources, and study populations.

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 address the letter
of intent to:

Ms. Diane Bronzert
Division of Cancer Treatment
National Cancer Institute
Executive Plaza North, Room 734
Bethesda, MD  20892
Telephone:  (301) 496-8866
FAX:  (301) 480-4663

Dr. Sheila E. Taube
Division of Cancer Biology, Diagnosis, and Treatment
National Cancer Institute
Executive Plaza North, Room 513
Bethesda, MD  20892
Telephone:  (301) 496-1591
FAX:  (301) 402-1037

Direct inquiries regarding fiscal matters to:

Ms. Barbara A. Fisher
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 242
Bethesda, MD  20892
Telephone:  (301) 496-7800, ext. 29
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 Wed Jun 02 23:00:00 1993
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From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 20, pt. 3, 4 June 1993
Message-ID: <Jun.3.13.46.43.1993.9155@net.bio.net>
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$$XID RFA DK93024 DK-93-024 P1O1 ***************************************

SILVIO O. CONTE DIGESTIVE DISEASES RESEARCH CORE CENTERS

NIH GUIDE, Volume 22, Number 20, June 4, 1993

RFA:  DK-93-024

P.T. 04; K.W. 0715085, 0710030, 0760025, 0745032

National Institute of Diabetes and Digestive and Kidney Diseases

Letter of Intent Receipt Date:  October 15, 1993
Application Receipt Date:  November 18, 1993

PURPOSE

The National Institute of Diabetes and Digestive and Kidney Diseases
(NIDDK) invites applications for Silvio O. Conte Digestive Diseases
Core Center grants.  The NIDDK anticipates the award of four
competitive Digestive Diseases Core Center Grants (P30s) in Fiscal Year
1995.

The Silvio O. Conte Digestive Diseases Research Core Centers are part
of an integrated program of digestive diseases-related research support
provided by the NIDDK.  The Centers currently funded in this program
have provided a focus for increasing collaboration and improving the
cost-effectiveness of supported research among groups of successful
investigators at institutions with an established comprehensive
digestive diseases research base.

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), Digestive Diseases Research Core Centers, 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 (not 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.  Minority
individuals and women are encouraged to submit as Principal
Investigators.

Applicant institutions must have an adequate base of established
programs of high quality in laboratory and/or clinical digestive
diseases-related research.  The quality of the programs must be evident
from the fact that they have been awarded support through peer reviewed
competition, such as NIDDK research project grants (R01), program
project grants (P01), FIRST (R29) awards, cooperative agreements, and
contracts or peer reviewed and funded through other Federal Agencies or
non-federal groups.

MECHANISM OF SUPPORT

Support of this program will be through the NIH core center (P30)
award.  Responsibility for the planning, direction, and execution of
the proposed center will be solely that of the applicant.  Awards will
be administered under PHS grants policy as stated in the Public Health
Service Grants Policy Statement.

This RFA is a one-time solicitation.  The receipt of four competing
continuation applications is anticipated.  These applications will
compete for the awards along with other applications received in
response to this RFA.  The total project period for applications
submitted in response to the present RFA may not exceed five years.
The earliest possible award dates will be December 1994 for three
center grants and January 1995 for the other grant.  Applicants must
limit their requests to not more than $700,000 direct costs for the
initial budget period.  Included in this $700,000 may be funds with a
limit of $100,000 for the pilot and feasibility program.  Future budget
period escalations may not exceed a four percent increase over the
previous budget period.

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 either the GCRC program
director or a Principal Investigator must be included with the
application.

FUNDS AVAILABLE

For FY 1995, up to $3,000,000 in total costs will be committed to fund
applications submitted in response to this RFA.  It is anticipated that
four awards will be made with an average size of approximately $750,000
per year, total costs; 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 NIDDK, the award of grants pursuant to this RFA is also contingent
upon the availability of funds for this purpose.

RESEARCH OBJECTIVES

The objective of the Core Centers is to bring together investigators
from relevant disciplines to enhance and extend the effectiveness of
research related to digestive diseases and their complications.  A Core
Center must be an identifiable unit within a single university medical
center or a consortium of cooperating institutions, including an
affiliated university.  The overall goal of the Core Center is to bring
together clinical and basic science investigators in a manner that will
enrich the effectiveness of digestive diseases research.  An existing
program of excellence in biomedical research in the area of digestive
diseases disorders is required.  This research must be in the form of
NIH funded research projects, program projects, or other peer reviewed
research that is already funded at the time of submission of a Center
grant application.  Close cooperation, communication, and collaboration
among all involved personnel of all professional disciplines are
ultimate objectives.

The Core Centers must have a central focus of research investigation.
The central focus must be a digestive disease, group of diseases or
functional studies relating to digestive diseases; at least half of the
research must relate to this central focus.  Examples of a
gastrointestinal disease-related central focus of research
investigation include (but are not restricted to) inflammatory bowel
disease, peptic ulcer disease, pancreatic disease, liver disease,
pediatric gastrointestinal disease and AIDS in gastrointestinal
disease.  Examples of functional studies as the central focus include
(but are not restricted to) gastrointestinal motility, gastrointestinal
hormones, or gene therapy for digestive diseases.  Applicants should
consult with NIDDK staff concerning plans for the development of the
Center and the organization of the application.

Silvio O. Conte Digestive Diseases Research Core Centers are based on
the core concept.  Five or six cores are usually included in a Center.
Cores are defined as shared resources that enhance productivity or in
other ways benefit a group of investigators working in digestive
diseases centers to accomplish the stated goals of the Center.
Examples of such resources include electron microscope, tissue culture,
and radioimmunoassay facilities.

Centers are encouraged to include a clinical component or core that
deals with patients.  This clinical component can exist as a stand
alone core or part of another core such as the administrative core.
Besides leading to a better understanding of disease etiology and
natural history of disease, such cores might provide biostatistical
support, enhance clinical study design, enhance collaboration among
researchers and recruitment of subjects for clinical studies, provide
for epidemiological studies in areas of digestive diseases or provide
modest funding for tissue, DNA, or serum storage. In addition, a
clinical or epidemiology core may more effectively address NIH policies
concerning issues of women and ethnic minority participation in
clinical studies.

Two other types of activities may also be supported with Center
funding:  a pilot and feasibility (P/F) program and an enrichment
program.  The P/F program provides modest support for new initiatives
or feasibility research studies.  This program is directed at new
investigators, at investigators established in other research
disciplines with expertise that may be applied to digestive disease
research, and, occasionally, at investigators already working in
digestive diseases but who wish to make a substantial change in the
direction of their research.  In addition, temporary salary support for
one Named New Investigator in a specified area of research with a
defined P/F study may be requested for up to 24 months, with subsequent
individuals to be named by the Center Director and approved by the
Center's External Advisory Board and the NIDDK.  The Core Center grant
may include limited funds for program enrichment such as seminars,
visiting scientists, consultants, and workshops.

SPECIAL REQUIREMENTS

At least 50 percent of the already funded research base in a new
application must be supported by the NIDDK.  In competing continuation
applications the percent may be less than 50 percent due to, for
example, a growing research base of investigators entering digestive
diseases from other fields.  The significance of the research base will
be determined by the initial review group.

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.

LETTER OF INTENT

Prospective applicants are asked to submit, by October 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 this RFA.

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
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 605
Bethesda, MD  20892
Telephone:  (301) 594-7515
FAX:  (301) 594-7503

APPLICATION PROCEDURES

Applications are to be submitted on form PHS 398 (rev. 9/91), available
in the office of sponsored research 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) 594-7248.

Administrative Guidelines for Silvio O. Conte Digestive Diseases
Research Core Centers may be requested from the NIDDK program staff
listed under INQUIRIES below.

The RFA label available in the 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
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 605
Bethesda, MD  20892

Applications must be received by November 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.  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 contact the applicant to determine whether it should be
returned 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.  If
the number of applications is large compared to the number of awards to
be made, a preliminary scientific peer review may be conducted to
withdraw applications from further competition if 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.  Applications are unlikely to be reviewed by a site visit
team; therefore, the written application must be complete to facilitate
review without a site visit.  Following this review, the applications
will be given a second level review by the National Diabetes and
Digestive and Kidney Diseases Advisory Council unless not recommended
for further consideration by the initial review group.

Review criteria for RFAs generally include those for unsolicited
research grant applications:

o  scientific, technical, or medical significance and originality of
proposed research;

o  appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research;

o  qualifications and research experience of the Principal Investigator
and staff, particularly, but not exclusively, in the area of the
proposed research;

o  availability of resources necessary to perform the research;

o  appropriateness of the proposed budget and duration in relation to
the proposed research; and

o  if an application involves activities that could have an adverse
effect upon humans, animals, or the environment, the adequacy of the
proposed means for protecting against or minimizing such effects.

Specific review criteria for Digestive Diseases Core Centers include:

o  The scientific excellence of the Center's research base (its
strengths, its breadth and depth) as well as the relevance and
interrelation of these separately funded research projects to the
central theme(s) or focus of the Center and the likelihood for
meaningful collaboration among Center investigators.  The existence of
a base of established, independently supported biomedical research of
high quality is a prerequisite for the establishment of a Digestive
Diseases Core Center and is the most important component of the review.
(The results of previous peer reviews of its content will weigh heavily
in the application's overall strength as a potential recipient of an
award.)

o  The qualifications, experience, and commitment of the Center
investigators responsible for the individual research projects, and
their willingness to interrelate with each other and contribute to the
overall objectives of the Digestive Diseases Core Center.

o  The appropriateness and relevance of the proposed Cores and their
modes of operation (such as how usage will be prioritized), facilities,
and potential for contribution to ongoing research. Competing
continuation applications must document the use, utility, quality
control and cost effectiveness of each Core requested to continue as
part of the Center.  Progress will be judged in part on the list of
publications arising from the cores.  At least two users are required
to establish a core.  However, a greater number of users generally can
be evaluated as more cost effective.

o  For new and competing continuation applications, four or five P/F
studies may be submitted for evaluation as part of the review of the
P/F program.

o  In general for new applications, the proposed P/F projects will be
examined to assess:  the eligibility of the P/F applicant, i.e.,
whether they fit the three eligibility categories (1) new investigator,
(2) an investigator bringing a different expertise into digestive
diseases, or (3) an established investigator making a substantial
change in direction in digestive diseases; the reasonableness of the
hypothesis; and scientific and technical feasibility of projects for
which funds are requested.  The P/F program also will be judged as a
whole.

o  In addition, in the case of new applications, the P/F studies should
be presented as the Centers' best selection.  The internal selection
process should be described.  In competitive continuation applications,
the P/F studies should have been selected by using the existing
internal evaluation mechanisms.

o  For competing continuation applications, the P/F program also will
be assessed as a whole, including past accomplishments indicated by
publications arising from P/F studies, peer reviewed funded grants
arising from P/F studies, and investigators remaining in academic
research even if they have moved to another research or academic
environment; management of the program; and the general scientific
merit of past, ongoing, and proposed P/F studies as a group.  The
quality of these P/F studies is an indication of how well the internal
selection mechanism has been working.

o  In each case (new and competing continuation), the effectiveness of
the proposed P/F program will be evaluated.  However, in the case of
the competing continuation, the progress of the established program
will also serve as a basis for recommendations concerning the level at
which P/F studies will be supported throughout the grant award period.

o  The Named New Investigator, when identified in the application, must
be reviewed separately.  The associated pilot study must be evaluated
in a manner similar to the P/F studies in general.  In a competing
continuation application only, the progress of previous Named New
Investigators should also be evaluated:  whether or not their P/F
projects led to publications, grant awards, and whether or not the
investigator has remained in digestive diseases related research in
that research environment or elsewhere.

o  Efficient and effective use and/or planned use of the limited
enrichment funds, including the contribution of these activities in
enhancing the objectives of the Center.

o  The scientific and administrative leadership abilities of the
proposed Center Director and Associate Director and their commitment
and ability to devote adequate time to the effective management of the
program.

o  The administrative organization proposed for the following:

(a) Coordination of ongoing research between the separately funded
projects and the Center, including mechanisms for internal monitoring.

(b) Establishment and maintenance of internal communication and
cooperation among the Center investigators.

(c) Mechanism for selecting and replacing professional or technical
personnel within the Core Center.

(d) Mechanism for reviewing the use of and administering funds for the
P/F program.  The general quality of P/F studies selected for the
application.  These funds are restricted and thus can only be used for
this program.

(e) Management capabilities that include fiscal administration,
procurement, property and personnel management, planning, budgeting,
and other appropriate capabilities.

o  The institutional commitment to the program, including lines of
accountability regarding management of the Center grant and the
institution's contribution to the management capabilities of the
Center.

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

o  The institutional commitment to new individuals responsible for
conducting essential Center functions.

o  The institutional commitment to establishing new positions
specifically designed to enhance the operation of the Center.

o  The appropriateness of the budgets for the proposed and approved
work to be done in Core facilities, for P/F studies (these are
restricted funds and are capped at $100,000), and for enrichment in
relation to the total Center program.  Total Direct Costs are limited
to $700,000 (including the P/F program).  In competing continuation
applications, consideration must be taken for reductions instituted in
FY 1987 in accordance with NIDDK administrative policy.  Ongoing Center
grants incurred negotiated budget reductions averaging approximately 20
to 25 percent per year in addition to the Initial Review Group
recommended reductions indicated in the summary statements.

AWARD CRITERIA

The anticipated date of award is December 1994 for three center grants
and January 1995 for one additional center grant.

Applications recommended for further consideration by the National
Diabetes and Digestive and Kidney Diseases Advisory Council will be
considered for funding on the basis of overall scientific and technical
merit of the research as determined by peer review, program needs and
balance, and availability of funds.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.  It
is strongly suggested that the pamphlet "Administrative Guidelines for
Silvio O. Conte Digestive Diseases Research Core Centers" be obtained
before an application is prepared.  Inquiries regarding programmatic
issues and requests for the Administrative Guidelines may be directed
to:

Dr. Judith M. Podskalny
Division of Digestive Diseases and Nutrition
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 3A15
Bethesda, MD  20892
Telephone:  (301) 594-7539

Inquiries regarding fiscal matters may be directed to:

Ms. Nancy Dixon
Division of Extramural Activities
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 637A
Bethesda, MD  20892
Telephone:  (301) 594-7543

Schedule

Letter of Intent Receipt Date:  October 15, 1993
Application Receipt Date:       November 18, 1993
Initial Review:                 March 1994
Second Level Review:            May 1994
Anticipated Date of Awards:     December 1994 and January 1995

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.848.  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 PA93091 PA-93-091 P1O1 ***************************************

GENOME SCIENCE AND TECHNOLOGY CENTERS

NIH GUIDE, Volume 22, Number 20, June 4, 1993

PA AVAILABLE:  PA-93-091

P.T. 34; K.W. 1215018, 0755045, 1002058

National Center for Human Genome Research

PURPOSE

The purpose of this program announcement is to solicit new or renewal
applications for large-scale projects in genomic research.  The
announcement describes a reformulated, flexible program for support of
research efforts designed to complete the initial five-year goals of
the research program of the National Center for Human Genome Research
(NCHGR) and to progress beyond them toward the ultimate goal of
determining the complete sequence of human DNA.  The new program, which
is called the Genome Science and Technology Centers (GESTEC) program,
will support large-scale, multidisciplinary genomic studies under the
P50 and P01 grant mechanisms.

The GESTEC program is intended to develop the technologies needed to
accomplish the goals of the Human Genome Program and to apply them to
the large-scale generation of mapping and sequencing information.
Improved informatics solutions to data management will be a vital
component to realizing success in these efforts.  While primary focus
will be on the mapping and sequencing objectives, it is also
appropriate to address the need for better methods of annotating the
maps and sequences, e.g., techniques for identifying and mapping all of
the genes and/or other functional elements in a large genomic region.

ELIGIBILITY REQUIREMENTS

Applications may be submitted by 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.  While a single
institution must be the applicant, multi-institutional arrangements
(consortia) are possible if there is a compelling reason for them and
if there is clear evidence of close interaction among the participants.
Applications from foreign institutions will not be accepted.  However,
subcontracts to foreign institutions are allowable, with sufficient
justification.  Applications from minority individuals and women are
encouraged.

Industrial/academic collaborations are also encouraged.  In such
collaborations, the respective contributions should be well-integrated
into the design and operation of the center, to encourage
cross-fertilization of ideas and rapid application of the research to
practical purposes.

MECHANISM OF SUPPORT

Grants in the GESTEC program may be supported by specialized center
grants (P50) or program project grants (P01).  The P50 mechanism will
be used for broad, complex, multidisciplinary programs that address the
goals of the Human Genome Project.  The P01 mechanism will be used for
programs that support a minimum of three research components with a
well-defined central research focus.

RESEARCH OBJECTIVES

Background

The National Institutes of Health (NIH) is currently engaged, along
with several other federal, private, and international organizations,
in a 15-year research program designed to characterize the human genome
and the genomes of selected model organisms.  This research program,
the Human Genome Project (HGP), has the following interrelated goals:

(1) the construction of high-resolution genetic linkage maps;
(2) the development of physical maps;
(3) the determination of the complete nucleotide sequence of the
genomes of selected organisms, including the human;
(4) the development of the capability to collect, store, distribute and
analyze the data and materials produced;
(5) the development of appropriate new technologies to achieve these
goals; and
(6) the identification of major issues related to the ethical, legal
and social implications (ELSI) of genome research, and the development
of policy options to address them.

The product of the Human Genome Project will be a set of information
and material resources available to the entire research community that
will facilitate further research as to the prevention, diagnosis, and
therapy of disease, as well as a further understanding of human
biology.

In 1990, the NCHGR and the Department of Energy (DOE) jointly published
a plan "Understanding Our Genetic Inheritance - The U.S. Human Genome
Project:  The First Five Years FY 1991-1995" that set out specific
goals to be achieved in the first five-year phase of the U.S. human
genome program.  As of October 1993, the NCHGR will begin the fourth
year of operation under that plan, with the prospect that many of the
goals will be achieved on schedule. Anticipating the attainment of the
initial set of goals, the NCHGR is currently engaged in developing
goals for the second five-year period.  At the same time, the NCHGR
centers program, which has supported several large-scale,
multidisciplinary projects that have made significant contributions to
recent achievements, is also in transition, and a number of the grants
awarded initially are scheduled for recompetition during the next year.

The NCHGR intends to build upon the success of the current program and
the lessons that have been learned from it, by establishing a
reformulated centers program, the Genome Science and Technology Centers
(GESTEC) program.  This announcement solicits applications for new and
continuing projects that propose to finish the goals of the first
five-year component of the HGP and to address the further needs of the
project, leading toward complete sequencing of the human genome and the
genomes of selected model organisms.

Progress and Future Needs in Mapping

For the genetic linkage map, several current efforts, both genome-wide
or on an individual chromosome level, are expected to achieve the
timely completion of the 2 to 5 centimorgan genetic map called for in
the Five-year Plan.  Similarly, recent progress in physical mapping has
been very rapid, with contiguous for long genomic regions, including
two human chromosomes and parts of many others, having been assembled.
While much work remains to be done in order to complete physical maps
of the resolution called for in the Five-Year Plan (with a
"sequence-tagged site" (STS) every 100 kb across most of the genome and
with much of the genome in large physical contiguous of cloned DNA),
there is a good possibility that this goal also will be largely
attained by 1995.

Even after the goals set forth for the first five years have been
completed, however, continued technology development will be necessary
to ensure progress toward sequencing the entire human genome.  For
example, it has not yet been convincingly demonstrated that any of the
currently available cloning vectors allow reliably faithful cloning of
mammalian genomic DNA.  Thus, new techniques or strategies will be
needed to generate "sequence-ready" physical maps, comprised of DNA
that can be readily sequenced.  In the next several years, strategies
for creating maps and reducing them to nucleotide sequences will have
to be thoughtfully and carefully integrated.  Better methods of
annotating genetic and physical maps, e.g., with genes and other
functional elements, on a genomic scale are also needed.

Progress and Future Needs in DNA Sequencing

Progress has also been rapid toward the long-term goal of the Human
Genome Program, i.e., determining the complete sequence of the DNA of
certain model organisms and the human.  In 1990, the cost of sequencing
in laboratories devoted to DNA sequencing was estimated to be about $5
per finished base.  At the same time, the rate at which finished
sequence could be generated was relatively low.  Since its inception,
the NCHGR has supported several efforts designed to test and refine
current methods in large-scale projects or develop entirely new
approaches to DNA sequencing that offer substantial improvements over
current methods.

Through these efforts, a number of advanced sequencing laboratories are
within reach of being able to generate contiguous finished sequence at
a rate of megabases per year and the cost is now projected to be
approximately $1 per finished base pair.  Several interesting regions
of both non-human and human DNA have been sequenced in these projects.

To build on this significant progress, multidisciplinary centers will
be needed to develop and implement visionary, integrated strategies
that will optimize the several aspects of DNA sequencing, including
sample preparation, band resolution and detection, sequence assembly
and finishing, and annotation.  The efforts in the GESTEC centers will
need to be carefully balanced between technology development and actual
testing in a production mode in order that the new technology developed
is effective and well-suited to achieving the ambitious goals of the
Human Genome Program.  It is expected that, through previous
feasibility studies, applicants for GESTEC program grants will have
demonstrated their ability to sequence at high throughput in a cost
effective manner and to manage a large-scale sequencing effort.

Objectives and scope

The GESTEC program is intended to foster and support innovative
projects in which technology development and cost effectiveness are
expected to push the limits of current capabilities.  The GESTEC
program is NOT intended to fund projects in which existing technology
is simply applied to large-scale production or projects that involve a
consortium of investigators whose research interests are only loosely
united by a common theme.

To achieve the ambitious goals that this program is intended to attain,
it is anticipated that a Genome Science and Technology Center must be:

o mission-oriented, addressing in a highly integrated way, a major,
quantifiable goal(s) of the HGP, including completion of the initial
genome program goals and/or going beyond those by addressing the
ultimate goal of the HGP --  the first complete sequence of a human
genome;

o creative and innovative in terms of the proposed strategy and
development of new technology for achieving its goal(s);

o readily adaptable to new technology and new scientific developments;

o focused, on an on-going basis, on issues of increased efficiency as
evidenced by a plan for improvements in the rate of output of data and
materials; at the same time, attention must be paid to maintaining or
improving the quality of the techniques, data, and materials developed;

o attentive to the needs of the larger scientific community, as
demonstrated by the inclusion of an outreach program that will allow
the center to act as a hub for collaboration and as a source for
materials and information; the study of ELSI issues and outreach to the
general public through education programs can be a component of such an
outreach activity.

Allowable Components of Gestec Grant Applications

Genomic research is defined, in part, by its emphasis on technology
development and on a high rate of data production.  Because of these
inherent characteristics, investigators in the field have occasionally
found standard organizational structures other than those prescribed by
traditional multi-component grant mechanisms, i.e., research projects
and technical cores each managed by a differed principal investigator,
to be more effective in managing and effecting large-scale genome
research projects.  In order to facilitate the most rapid progress and
efficient use of limited resources, applicants will not be required to
use the standard organizational format.  Rather, each applicant is
encouraged to divide the program into units that will best accomplish
the scientific goals of the proposed project.

Each proposed organizational component must have an identified leader,
although no minimum number of different leaders is required.  For
example, the Principal Investigator of the entire grant may also serve
as leader of several, or even all, of the components, if such an
arrangement is scientifically justified and adequate supervision of the
project can be assured.  The selection of the leader for each component
should be justified in terms of the scientific and management needs of
that component and the experience of the proposed leader.

The following is a discussion of the activities most frequently found
in multicomponent, genome research projects.  Each of these will, in
some way, be integral to GESTEC programs and the organizational plan
developed by the applicant must address each of these activities.
Thus, while the form of the components may differ dramatically among
grants in the GESTEC program, it is essential that the scientific and
management structure (organizational plan) be clearly presented in the
application, both for the overall program and for the individual
activities.  It is also essential that the requested budget correspond
directly to the organizational plan.  The proposed plan will be
considered as an indication of the quality of the management of the
project.

Research activities

There are four primary activities that are usually part of a GESTEC
grant:  scientific research, technology development, technical support
of either of the preceding, and outreach to the scientific community.
Additionally, a GESTEC grant may have administrative and management
elements as well as request alterations and renovations.  In a
traditionally organized program project or center, research and
technology development activities are normally organized as individual
"research projects", while technical support and outreach activities
are presented as "technical cores."  It has been the experience,
however, in some large-scale genome projects that it is more efficient
and productive to organize and manage efforts in others ways, for
example, by combining certain research and support activities into a
single unit.  In a proposal for a GESTEC project, the applicant may
design activities to accomplish the scientific objectives most
effectively.

Technology development

The development of new and better technology needed to achieve the
objectives of the Human Genome Project is considered to be one of the
most important aspects of a GESTEC project.  Funds for technology
development may be requested to support (1) the design and development
of prototypes for equipment needed to increase the rate and efficiency
of data production and analysis, (2) pilot projects to take advantage
of scientific opportunities that present themselves during the course
of the project, and (3) the development of technology to meet
unanticipated needs of the research and support activities of the
project.

In some cases, it may be possible to present, in the application, a
detailed description of plans and justification for the particular
technology development projects envisioned.  Applicants are encouraged
to fully describe and justify plans to the extent possible.  However,
it is also recognized that unanticipated needs may arise as the project
develops and, thus, a complete description of all technology
development plans may not be possible.  In the latter case, the request
for technology development funds must be justified by the inclusion of
a strategy for making decisions about the use of such funds, e.g., the
planning process for the use of the funds, alternative logistical plans
for development of a variety of technologies, and the process for
evaluating projects to be supported by technology development
activities.  In an application for renewal of currently-funded NCHGR
grants, the justification for technology development funds must include
a description of the use(s) to which such funds were put during the
previous grant period.

Technical support activities

An applicant may request shared facilities or equipment that will be
required by more than one element of the proposed research program.
Each applicant should examine the needs of the proposed program and
request those technical facilities that would be required to support
the proposed research in the most efficient and cost-effective manner.

Outreach Activities

GESTEC projects are expected to have an interest in and a sense of
responsibility for outreach to the greater scientific community.   At
a minimum, effective and rapid distribution of data and/or materials
generated by a GESTEC project to external investigators is an essential
and expected activity of each center.  Accordingly, the proposal must
include a full description of plans for accomplishing this goal.  The
joint NIH-DOE Advisory Committee on the Human Genome has recently
issued a set of Guidelines for Access to Data and Material Resources,
which is available from the program administrators listed below and
which would form the basis of an acceptable plan, although
investigators are encouraged to go beyond these guidelines whenever
possible.  Funding to support data and materials distribution may be
requested in a GESTEC grant application.  Other means of distribution,
such as through a commercial vendor are also acceptable.

Beyond such distribution activities, GESTEC projects are also
encouraged to provide outreach to the larger community by acting as a
hub of genomic collaboration through activities such as providing
additional services to the community, for example, visitor laboratories
or library screening services.  Beyond outreach to the scientific
community, development of public education outreach programs and
demonstration of interest in ELSI issues are also desirable.
Applications for renewal of currently-funded NCHGR center grants must
document their accomplishments in the outreach area as part of their
justification for continued support.

Administrative and Management Activities

Funds to support overall management of the GESTEC grant may be
requested.  As the GESTEC program allows for flexibility in management
to fit the scientific purpose of the application, it is essential that
the applicant adequately describe and justify both the overall
management strategy proposed, as well as a plan for the management of
each of the activities.

Management of a scientific enterprise as complex as a GESTEC center
will require a significant amount of attention and effort.  Therefore,
the proposed center director must serve on a full-time or significant
part-time basis.  He or she should have authority over appointments and
space within the center.  The portion of the salaries of the principal
investigator and other key individuals corresponding to the percentage
of time devoted to center administration can be included as an
allowable cost.

Costs of advisory committees, steering committees, and/or consultants
can also be included as an administrative activity.  Such committees
are not required, but it is strongly recommended that an effective
mechanism be proposed for obtaining independent advice to ensure
guidance of the center toward the attainment of its stated goals.  In
some cases, and at the request of the investigator, NCHGR may appoint
an oversight committee for the center in order to monitor progress and
the appropriate funding level.  It will not be necessary for applicants
to identify external advisory committee members before review of the
application.

Alterations and Renovations

Funds needed for renovation of existing space may be requested, if such
space is needed to house core facilities or new or expanded research
activities. According to the Public Health Service (PHS) Grants
Management Policy Statement, detailed justification of the need, and
plans for, the use of the renovated space must be provided in the
application and renovation plans must be approved by NIH before funds
for this purpose can be released.  In order to ensure that any
renovations or alterations are done in a timely manner, (1) the request
for alterations and renovations must include a timetable, (2) the
renovation plans must be received by NCHGR no later than three months
after the date of funding of the grant, and (3) the work must be
finished within one year from the date of NIH approval of the plan.
The application must also outline any plans for accommodating the
project during the expected renovation period.  Such a plan should take
into account any need for accommodation of the program in temporary
space while the renovations are being done.  The University
administration's commitment to the proposed plan must be well
documented.

PHS policy also limits the dollar amount for alterations and
renovations to the lesser of $150,000 or 25 percent of total direct
costs over a three year period. Waivers to exceed this amount may be
sought by the NCHGR in exceptional cases. Costs of equipping renovated
laboratories may be included in the request if the items are directly
related to the research being conducted in the center.

Term of Support

The term of support for GESTEC programs is normally five years.

Post Award Management

During the course of the grant period and as progress toward the goals
of the Human Genome Project is made, the focus of the GESTEC grant will
likely change.  In order to ensure that GESTEC projects funded for five
years remain focused on appropriate goals and make sufficient progress,
frequent scientific and programmatic reviews will be conducted.  Yearly
meetings of the Directors of GESTEC projects and NCHGR staff will be
held to discuss recent achievements and expected future directions.  It
is expected that Pis of GESTEC grants will make the necessary
adjustments in scientific direction and management structure to
accommodate to changing requirements.  In the case of five-year awards,
applications for competitive renewal of support will be due at the
first submission date after the beginning of the fourth year.  In the
event that the review of this application is not favorable, this will
allow sufficient time for submission and review of a revised
application or for orderly phase-out of the grant.  Further support
will be for a three- to five-year period.

As noted above, GESTEC projects are encouraged to use advisory
committees as a means to obtain independent advice.  In renewal
applications, continued support of this activity must be justified by
the demonstration that the advisory committee mechanism has been used
effectively.

STUDY POPULATIONS

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

NIH and policy requires that applicants for NIH clinical research
grants and cooperative agreements 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
subjects of appropriate gender 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 scientific 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 5,
Human Subjects.  Applicants are urged to carefully assess 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).  Rationale must
be provided for studies on single minority population groups.

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 tissue 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.  Application kits are available
from most institutional offices of sponsored research from the Office
of Grants Inquiries, Division of Research Grants, National Institutes
of Health, Westwood Building, Room 449, Bethesda, MD 20892, telephone
301/594-7248.  The title and number of the announcement must be typed
in Section 2a on the face page of the application.  The completed
original and three legible copies must be sent or delivered to:

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

Additionally, two copies of the application must also be sent to:

Office of Scientific Research
National Center for Human Genome Research
Building 38A, Room 604
Bethesda, MD  20892

REVIEW PROCEDURES

Upon receipt, applications will be reviewed for completeness by DRG
staff.  Incomplete applications will be returned to the applicant
without further consideration.

The regular NIH receipt dates for center grant and program project
applications and renewals are:  February 1, June 1, and October 1.
Applications will be evaluated for scientific merit by the Genome
Research Review Committee (GRRC) or an appropriate NCHGR review
committee constituted for the purpose of evaluating GESTEC grant
applications.  Site visits may be conducted as part of the review
process.  However, applicants should present a complete and
well-justified written proposal and not depend on site visits to
amplify their application.

Review criteria will include:

o Significance and originality of the research and methodological
approaches;
o Feasibility of the research and adequacy of the experimental design;
o Training, experience, research competence and commitment of the
investigator(s);
o Adequacy of the facilities and resources;
o Provisions for the protection of human subjects, the humane care of
animals and biosafety conditions.

Subsequent to evaluation by the initial review group, applications will
be reviewed by the appropriate National Advisory Council.

AWARD CRITERIA

The following will be considered in making funding decisions:

o Quality of the proposed project as determined by peer review;
o Value of the proposed research and of the proposed technology
development for achieving the goals of the Human Genome Program;
o Adequacy of the proposed management structure;
o Nature and extent of the outreach program, including the adequacy of
any plans proposed for sharing and distributing data and resources in
a timely manner;
o Balance among projects within the NCHGR's grant portfolio;
o Availability of funds.

INQUIRIES

Written and telephone inquiries are strongly encouraged.  The GESTEC
grant proposal guidelines should be requested before preparing the
grant application.  The opportunity to clarify any issues or questions
from potential applicants is welcome.

Inquires regarding the GESTEC program may be directed to:

Jane L. Peterson, Ph.D.
Research Centers Branch
National Center for Human Genome Research
Building 38A, Room 610
Bethesda, MD  20892
Telephone:  (301) 496-7531

Specific questions regarding DNA sequencing/technology development may
be directed to:

Robert L. Strausberg, Ph.D.
Technology Development Program
National Center for Human Genome Research
Building 38A, Room 610
Bethesda, MD  20892
Telephone:  (301) 496-7531

Inquiries regarding fiscal matters may be directed to:

Ms. Jean Cahill
Grants Management Officer
National Center for Human Genome Research
Building 38A, Room 613
Bethesda, MD  20892
Telephone:  (301) 402-0733

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.172.  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 Jun 02 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 20, pt. 2, 4 June 1993
Message-ID: <Jun.3.13.45.36.1993.8864@net.bio.net>
Date: 3 Jun 93 20:45:37 GMT
Sender: kristoff@net.bio.net
Lines: 1220
Approved: biosci-moderator@net.bio.net


$$XID NIHGUIDE 19930604 V22N20 P2O2 ************************************
III, Section 301 (Public Law 78-410, as amended; 42 USC 241) 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.

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

$$P3 BEGIN PA-93-091 FULL-TEXT **************************************

GENOME SCIENCE AND TECHNOLOGY CENTERS

NIH GUIDE, Volume 22, Number 20, June 4, 1993

PA AVAILABLE:  PA-93-091

P.T. 34; K.W. 1215018, 0755045, 1002058

National Center for Human Genome Research

THE PROGRAM ANNOUNCEMENT (PA) ANNOUNCED IN THIS NOTICE CONTAINS
ESSENTIAL INFORMATION FOR THE PREPARATION OF AN APPLICATION.  POTENTIAL
APPLICANTS MAY OBTAIN THE PA FROM THE CONTACT NAME IN INQUIRIES, BELOW.

PURPOSE

The purpose of this program announcement is to solicit new or renewal
applications for large-scale projects in genomic research.  The
announcement describes a reformulated, flexible program for support of
research efforts designed to complete the initial five-year goals of
the research program of the National Center for Human Genome Research
(NCHGR) and to progress beyond them toward the ultimate goal of
determining the complete sequence of human DNA.  The new program, which
is called the Genome Science and Technology Centers (GESTEC) program,
will support large-scale, multidisciplinary genomic studies under the
P50 and P01 grant mechanisms.

ELIGIBILITY REQUIREMENTS

Applications may be submitted by 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.  Multi-institutional
arrangements (consortia) are possible if there is a compelling reason
for them and if there is clear evidence of close interaction among the
participants.  Applications from foreign institutions will not be
accepted.  However, subcontracts to foreign institutions are allowable,
with sufficient justification.  Applications from minority individuals
and women are encouraged.  Industrial/academic collaborations are also
encouraged.

MECHANISM OF SUPPORT

Grants in the GESTEC program may be supported by specialized center
grants (P50) or program project grants (P01).  The P50 mechanism will
be used for broad, complex, multidisciplinary programs that address the
goals of the Human Genome Project.  The P01 mechanism will be used for
programs that support a minimum of three research components with a
well-defined central research focus.  The term of a GESTEC grant is
normally for five years.

RESEARCH OBJECTIVES

Background

The National Institutes of Health (NIH) is currently engaged, along
with several other federal, private, and international organizations,
in a 15-year research program designed to characterize the human genome
and the genomes of selected model organisms.  This research program,
the Human Genome Project (HGP), has the following interrelated goals:
(1) the construction of high- resolution genetic linkage maps; (2) the
development of physical maps; (3) the determination of the complete
nucleotide sequence of the genomes of selected organisms, including the
human; (4) the development of the capability to collect, store,
distribute and analyze the data and materials produced; (5) the
development of appropriate new technologies to achieve these goals; and
(6) the identification of major issues related to the ethical, legal
and social implications (ELSI) of genome research, and the development
of policy options to address them.

The product of the Human Genome Project will be a set of information
and material resources available to the entire research community that
will facilitate further research as to the prevention, diagnosis, and
therapy of disease, as well as a further understanding of human
biology.

In 1990, the NCHGR and the Department of Energy (DOE) jointly published
a plan "Understanding Our Genetic Inheritance - The U.S. Human Genome
Project:  The First Five Years FY 1991-1995" that set out specific
goals to be achieved in the first five-year phase of the U.S. human
genome program.  As of October 1993, the NCHGR will begin the fourth
year of operation under that plan, with the prospect that many of the
goals will be achieved on schedule.  Anticipating the attainment of the
initial set of goals, the NCHGR is currently engaged in developing
goals for the second five-year period.  At the same time, the NCHGR
centers program, which has supported several large-scale,
multidisciplinary projects that have made significant contributions to
recent achievements, is also in transition, and a number of the grants
awarded initially are scheduled for recompetition during the next year.

The NCHGR intends to build upon the success of the current program and
the lessons that have been learned from it, by establishing a
reformulated centers program, the Genome Science and Technology Centers
(GESTEC) program.  This announcement solicits applications for new and
continuing projects that propose to finish the goals of the first
five-year component of the HGP and to address the further needs of the
project, leading toward complete sequencing of the human genome and the
genomes of selected model organisms.

Progress and Future Needs in Mapping

For the genetic linkage map, several current efforts, both genome-wide
or on an individual chromosome level, are expected to achieve the
timely completion of the 2 to 5 centimorgan genetic map called for in
the Five-year Plan. Similarly, recent progress in physical mapping has
been very rapid, with contiguous for long genomic regions, including
two human chromosomes and parts of many others, having been assembled.
Continued technology development will be necessary to ensure progress
toward sequencing the entire human genome, e.g., new techniques or
strategies will be needed to generate "sequence-ready" physical maps,
comprised of DNA that can be readily sequenced.  Better methods of
annotating genetic and physical maps, e.g., with genes and other
functional elements, on a genomic scale are also needed.

Progress and Future Needs in DNA Sequencing

Progress has also been rapid toward the long-term goal of the Human
Genome Program, i.e., determining the complete sequence of the DNA of
certain model organisms and the human.  In 1990, the cost of sequencing
in laboratories devoted to DNA sequencing was estimated to be about $5
per finished base and the rate at which finished sequence could be
generated was relatively low.  Through a number of efforts, advanced
sequencing laboratories are generating contiguous finished sequence at
a rate projected to be a megabase per year and a cost of $1 per
finished base pair by the end of the first five years.
Multidisciplinary centers will be needed to develop and implement
visionary, integrated strategies that will optimize the several aspects
of DNA sequencing, including sample preparation, band resolution and
detection, sequence assembly and finishing, and annotation.

Objectives and Scope

The GESTEC program is intended to develop the technologies needed to
accomplish the goals of the Human Genome Program and to apply them to
the large-scale generation of mapping and sequencing information.
Improved informatics solutions to data management will be a vital
component to realizing success in these efforts.  While primary focus
will be on the mapping and sequencing objectives, it is also
appropriate to address the need for better methods of annotating the
maps and sequences, e.g., techniques for identifying and mapping all of
the genes and/or other functional elements in a large genomic region.
The GESTEC program is NOT intended to fund projects in which existing
technology is simply applied to large-scale production or projects that
involve a consortium of investigators whose research interests are only
loosely united by a common theme.

To achieve the ambitious goals that this program is intended to attain,
it is anticipated that a Genome Science and Technology Center must be:
(a) mission-oriented, addressing in a highly integrated way, a major,
quantifiable goal(s) of the HGP; (b) creative and innovative in terms
of the proposed strategy and development of new technology for
achieving its goal(s); (c) readily adaptable to new technology and new
scientific developments; (d) focused on issues of increased efficiency
as evidenced by a plan for improvements in the rate of output of data
and materials; and (e) attentive to the needs of the larger scientific
community, as demonstrated by the inclusion of an outreach program that
will allow the center to act as a hub for collaboration and as a source
for materials and information; the study of ELSI issues and outreach to
the general public through education programs can be a component of
such an outreach activity.

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.

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.  Application kits are available
from 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 301/594-7248.  The title and number of the announcement must
be typed in Section 2a on the face page of the application.  The
completed original and three legible copies must be sent or delivered
to:

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

Additionally, two copies of the application must also be sent to:

Office of Scientific Research
National Center for Human Genome Research
Building 38A, Room 604
Bethesda, MD  20892

REVIEW PROCEDURES

Upon receipt, applications will be reviewed for completeness by the
Division of Research Grants.  Incomplete applications will be returned
to the applicant without further consideration.

The regular NIH receipt dates for center grant and program project
applications and renewals are:  February 1, June 1, and October 1.
Applications will be evaluated for scientific merit by the Genome
Research Review Committee (GRRC) or an appropriate NCHGR review
committee constituted for the purpose of evaluating GESTEC grant
applications.  Site visits may be conducted as part of the review
process.  However, applicants should present a complete and
well-justified written proposal and not depend on site visits to
amplify their application.

Review criteria will include:  (1) significance and originality of the
research and methodological approaches; (2) feasibility of the research
and adequacy of the experimental design; (3) training, experience,
research competence and commitment of the investigator(s); (4) adequacy
of the facilities and resources; and (5) provisions for the protection
of human subjects, the humane care of animals and biosafety conditions.

Subsequent to evaluation by the initial review group, applications will
be reviewed by an appropriate National Advisory Council.

AWARD CRITERIA

The following will be considered in making funding decisions:  (1)
quality of the proposed project as determined by peer review; (2) value
of the proposed research and of the proposed technology development for
achieving the goals of the Human Genome Program; (3) adequacy of the
proposed management structure; (4) nature and extent of the outreach
program, including the adequacy of any plans proposed for sharing and
distributing data and resources in a timely manner; (5) balance among
projects within the NCHGR's grant portfolio; and (6) availability of
funds.

INQUIRIES

Written and telephone inquiries are strongly encouraged.  The program
announcement and GESTEC grant proposal guidelines should be requested
before preparing the grant application.  The opportunity to clarify any
issues or questions from potential applicants is welcome.

Inquiries regarding the GESTEC program and requests for the program
announcement may be directed to:

Jane L. Peterson, Ph.D.
Research Centers Branch
National Center for Human Genome Research
Building 38A, Room 610
Bethesda, MD  20892
Telephone:  (301) 496-7531

Specific questions regarding DNA sequencing/technology development may
be directed to:

Robert L. Strausberg, Ph.D.
Technology Development Program
National Center for Human Genome Research
Building 38A, Room 610
Bethesda, MD  20892
Telephone:  (301) 496-7531

Inquiries regarding fiscal matters may be directed to:

Ms. Jean Cahill
National Center for Human Genome Research
Building 38A, Room 613
Bethesda, MD  20892
Telephone:  (301) 402-0733

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic Assistance
No. 93.172.  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 ************************************************************


$$XID RFA AI93013 AI-93-013 P1O1 ***************************************

GENE THERAPY FOR HIV-1 INFECTION:  PRECLINICAL DEVELOPMENT

NIH GUIDE, Volume 22, Number 20, June 4, 1993

RFA:  AI-93-013

P.T. 34; K.W. 0715008, 1002045, 0745032

National Institute of Allergy and Infectious Diseases

Letter of Intent Receipt Date:  July 1, 1993
Application Receipt Date:  September 8, 1993

PURPOSE

This Request For Application (RFA) is designed to support applied
preclinical development studies for gene therapy systems targeting HIV;
such studies are vital for the transition from basic research to
experimental clinical evaluation in infected individuals.  Studies in
response to this RFA may propose to refine: viral vectors for in vivo
delivery; physical methods for in vivo transduction (liposomes,
receptor-ligand, naked DNA); expression of anti-HIV genes or
anti-cellular factors (negative transdominants, RNA-decoys, ribozymes)
for maximal virus inhibition in PBL challenged with clinical HIV
isolates.  Studies listed above are examples only, and are not intended
to be exclusive or comprehensive.

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, Gene
Therapy for HIV-1 Infection: Preclinical Development, 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. 017-001-00473-1)
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, private and public institutions 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

The support mechanism for this program is the individual research
project grant (R01) award.  It is the responsibility of the applicants
to plan, direct, and execute the proposed projects in accord with their
ongoing commitment to the development of gene therapy as a treatment
for HIV infected individuals.  Because the nature and scope of the
research proposed in response to this RFA may vary, it is anticipated
that the size of the awards will also vary.  The anticipated award date
is March 1994.  This RFA is a one-time solicitation.  Future
unsolicited applications will compete with all investigator-initiated
applications and be reviewed according to the customary peer review
procedures.

FUNDS AVAILABLE

The National Institute of Allergy and Infectious Diseases (NIAID) has
set aside $0.6 million (total costs) for first year funding of
applications received in response to this RFA.  Three to four awards
are anticipated.  The final number and specific amounts of awards to be
made will depend on the scientific quality, merit and scope of the
applications received, on relevance to programmatic priorities, and on
the availability of funds.  The total project period for applications
submitted in response to this RFA may not exceed four years.

RESEARCH OBJECTIVES

Background

Acquired Immune Deficiency Syndrome (AIDS) is a disease that destroys
the body's capacity to mount an effective immune response against a
variety of infections.  As of March 31, 1993, 289,320 cases of AIDS had
been reported in the United States by the Centers for Disease Control
(CDC) and more than 182,275 of these patients (63%) had died.  Recent
projections indicate that between 1,000,000 to 1,200,000 persons in the
United States may already be infected with HIV, the infectious virus
associated with AIDS.  To date, three drugs, AZT, ddI, and ddC, all
targeted to the viral reverse transcriptase, have been approved by the
FDA for HIV therapy.  Despite the advances in treating HIV infection
with nucleoside analogues, these agents have a limited duration of
activity; further, the emergence of drug-resistant isolates upon
prolonged treatment limit their indefinite use.  Several drugs,
including non-nucleoside reverse transcriptase inhibitors (NNRTI) and
those targeted against unique steps in HIV replication (protease
inhibitors, Tat-inhibitor) are currently undergoing clinical
evaluation.  Not with standing these efforts, the rapid emergence of
HIV resistant variants to certain NNRTI in vitro and in clinical
trials, reports of in vitro emergence of resistant isolates to protease
inhibitors, and uncertainties regarding the efficacy of newer drugs,
point to the urgent need to develop anti-HIV therapeutic strategies
based on state-of-the-art technological advances.  While these may
involve greater research risk than traditional antiviral approaches,
they offer the potential to effect long lasting therapeutic benefit.

Gene therapy - the process by which new genetic information is
introduced into patients' cells with a resulting therapeutic benefit -
is a cutting-edge strategy potentially applicable for the treatment of
HIV infection.  Gene therapy is not a single antiviral strategy but
rather a conglomerate of discrete, yet diverse manipulative steps
resulting in the endowment of target cells with an antiviral
'protective' capability.  Principal steps involved in an anti-viral
gene therapy strategy include:

o  Selecting the target for intervention (viral or host function);

o  Designing, constructing, and expressing the inhibitory gene (RNA
decoys, transdominant negative gene product, catalytic RNA, others);

o  Selecting the vehicle for gene delivery:  defective viral vectors
[retroviral (retV), HIV, adenoassociated virus (AAV), others];
liposomes; receptor-ligand mediated; other;

o  Selecting the mode of intervention:  ex vivo modification and
manipulation of target cells or direct injection of genetic information
('naked' DNA) into accessible tissue for augmenting immune responses.

Comprehensive preclinical studies for gene therapy strategies in vitro
are already underway.  Moreover, a clinical trial that uses one form of
gene therapy is in progress:  HIV patients with AIDS-associated
lymphomas which have received allogeneic bone marrow are treated post
transplantation with a combination of chemoradiotherapy, AZT, and
adoptive transfer of modified CD8+ T cells [containing fused genes of
herpes virus thymidine kinase (tk) and bacterial hygromycin (hgh)] to
minimize infection of donor- derived cells.  In most cases, however,
once a promising gene therapy strategy is identified at the basic
research level, funding to support preclinical development work
essential for the transition to applied clinical phase is lacking.
This initiative will support applied, advanced preclinical development
studies of gene therapy for HIV, thereby bridging the gap between the
early basic research ('discovery' phase) and applied clinical phases.

[Concomitant with strategies to abate HIV gene expression/replication,
there is an urgent need for therapeutic strategies that augment/restore
immune functions in the immune compromised individual.  These two
facets of HIV infection - viral gene expression/replication and a
gradual deterioration of the immune system - must be controlled to
prevent the onset/exacerbation of AIDS.  A separate RFA (AI-93-12) for
'Complete Immune Reconstitution of HIV-1 Infected Individuals' focuses
on hematopoietic stem cell biology that may be exploited to restore
immune functions to HIV positive subjects.

Research objectives and scope

The objective of this RFA is to support 'post discovery' HIV gene
therapy studies and to propel promising, state-of-the-art therapies
closer to clinical evaluation.  The many aspects in this transition
process are responsive to this RFA, including optimization of
intracellular delivery/expression of antiviral genes as well as
optimization of in vivo transduction methods capable of enhancing
immune parameters in HIV infected individuals.  Studies to be funded
under this RFA are restricted to investigators with ongoing gene
therapy projects which are directly related to HIV infection.
Investigators must demonstrate a commitment to the advanced preclinical
development and translation of a defined gene approach to clinical
evaluation.  Applications proposing a unique strategy for gene delivery
are responsive to the RFA provided the proposed preclinical
optimization studies focus on application to HIV infection.

Examples of advanced preclinical development projects responsive to
this RFA include:

o  Optimization of existing viral vectors [retV, HIV, AAV, herpes
simplex virus (HSV), others] for antiviral gene delivery to target
cells.  This includes gene stability, expression levels, tissue
specific promoters if required, purity and yield of recombinant vector
stock, stringent assessment for "leakiness" of helper-free virus, and
other parameters relevant to vector design and application.

o  Optimization of non-viral delivery vehicle
(liposomes,receptor-ligand, other);

o  Comparative assessment in relevant in vitro and/or animal models of
different anti-HIV genes, cis-acting regulatory elements, or cellular
functions critical for HIV gene expression for maximal virus
inhibition.  Examples of intracellular molecular inhibitors include:
transdominant negative mutants (tat, rev, gag, others); RNA decoys
(RRE, TAR, psi); multivalent ribozymes; antisense molecules;
transdominant mutants of NFkB; and Tat, Rev, TAR and RRE binding
proteins.  Multi-pronged targeting of unique viral functions for
enhanced inhibition and reduction of viral load are encouraged.

o  Refinement of vectors that provide stable, persistent expression in
mature and stem cell derived differentiating cells susceptible to HIV
infection;

o  Development of efficient and safe methods to enhance infection of
target cells (T-cells, stem cells, other) by recombinant vectors and
reduce ex vivo manipulations;

o  Development of anti-HIV strategies for the induction of cytolytic T
lymphocytes (CTL) and humoral response in HIV infected individuals.
Encouraging data in animal models using in vivo delivery of HIV-gp120
gene suggest the feasibility of inducing MHC-dependent CTL response as
a form of immune augmentation in HIV infected individuals;

o  Safety assessment of HIV gene therapy strategies in appropriate
animal models including toxicity studies.

Relationship to Ongoing Programs

A complementary RFA for immune reconstitution of HIV-infected patients
with multi-potent stem cells engineered to resist HIV infection is
available.  Studies on gene therapy for the treatment of HIV infection
funded or supported under other RFAs or other programs, which have
overlapping specific aims or objectives, are not responsive to this
RFA.

SPECIAL REQUIREMENTS

The NIAID will organize one to two meetings a year to which the
Principal Investigators and other key personnel will be invited to
attend.  This meeting will serve to promote interaction/collaboration
among awardees, discuss scientific issues bearing on
preclinical/clinical development of gene therapy strategies, and
feasibility of planned approaches. Other investigators with ongoing
programs in gene therapy strategies for HIV infection will be invited
to further promote exchange of information and ideas.  Funds for travel
to this meeting should be included in the budget.  For budgetary
purposes, applicants should assume travel costs for one meeting to the
Washington DC area or vicinity.

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 populations must be
described in terms of gender and racial/ethnic group, together with a
rationale for its choice.  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 (rev. 9/91) 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 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 populations
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
that do not comply with these policies.

NOTE:  Peer review groups need adequate information about the
composition of proposed study populations in all applications involving
human subjects.  To avoid delays in review of such applications, the
NIAID therefore requires that, as a minimum, the application must
contain demographic data about the clinic and/or in-patient population
from which study subjects (including clinical samples, materials, or
fluids) will be drawn:  average hospital admissions and/or clinic
visits per year; percentage distribution of black/hispanic/other
minority/non-minority populations; gender; etc.  Studies using
non-hospital populations, such as community-based studies, should
provide similar data about populations in the area or region from which
the study subjects will be drawn.  In the absence of current data,
historical demographic information and/or previous recruitment data for
similar studies from the proposed study sites should be provided.

LETTER OF INTENT

Prospective applicants are asked to submit, by July 1, 1993 a letter of
intent that includes a descriptive title of the proposed research, the
names and affiliation(s) of the Principal Investigator and other key
personnel, and the number and title of this RFA.  Although the letter
of intent is not required, is not binding, and does not enter into
subsequent peer review deliberation, it provides NIAID staff with
information on the number and scope of applications to be expected,
allows estimation of the potential review workload, and avoids conflict
of interest in the review.  The letter of intent is to be sent to Dr.
Madelon Halula 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 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) 594-7248.  The deadline for receipt of application in response to
this RFA is September 8, 1993.

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

The RFA label available in the PHS 398 (rev. 9/91) 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 'Gene Therapy for HIV-1 Infection:  Preclinical
Development' and number (RFA AI-93-013) must be typed on line 2a of the
face page of the application, and the 'Yes' box marked.

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

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

At the time of submission to DRG, two additional, exact copies must be
sent to Dr. Madelon Halula at the address indicated under INQUIRIES,
below.

Applications received after the receipt date will be returned without
review.  Alternatively, late applicants will be contacted and given the
option of having the application returned or  having it submitted for
review in competition with unsolicited applications for the next DRG
cycle.

The DRG will not accept an application in response to this RFA which is
essentially the same as one pending initial review, unless the
applicant withdraws the pending application.  DRG will not accept an
application which is essentially the same as one already reviewed.
This does not preclude the submission of a revised application already
reviewed. Revised application, however, must include an introduction
addressing the previous critique.

REVIEW CONSIDERATIONS

Applications and supporting material will be reviewed by DRG for
completeness, and by NIAID staff to determine administrative and
programmatic responsiveness to this RFA.  If the application is judged
to be not responsive, NIAID staff will contact the applicant and
present the same options for handling the application as in late
submission, above.

Applications may be triaged by an NIAID peer group on the basis of
relative competitiveness among applications responsive to this RFA.
The NIH will withdraw from further competition those applications
judged to be non-competitive for award and notify the Principal
Investigator and institutional official.  Those applications that are
complete and responsive will be evaluated in accordance with the
criteria stated below for scientific/technical merit by an appropriate
review committee convened by the NIAID.  The second level of review
will be provided by the National Advisory Allergy and Infectious
Diseases Council.

Review Criteria

Review criteria for assessing the merit of submitted applications
include:

o  documented primary observations of an identified gene therapy
strategy with high potential for development of effective anti-HIV
therapy (e.g., use of specific antiviral gene);

o  preliminary data indicating feasibility of the strategy to be
developed;

o  likelihood for high therapeutic potential payoff that justifies
greater than usual risk level;

o  originality and adequacy of the experimental approach for developing
the identified strategy;

o  scientific and technical merit of the proposed research;

o  qualification and research experience of the Principal Investigator
and staff, specifically but not exclusively in the area of gene
therapy;

o  availability of resources necessary to perform the studies;

o  appropriateness of the proposed budget and duration in relation to
the proposed budget.

AWARD CRITERIA

The anticipated date of award is March 1994

The primary criterion for award is the scientific and technical merit
of the application as judged by peer reviewers and reflected in
priority score.  Additional award criteria are the availability of
funds, receipt of a sufficient number of scientifically meritorious
applications that are responsive to this RFA, and overall programmatic
relevance and priority.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged; the
opportunity to clarify issues and questions from prospective applicants
is welcome.

Direct inquiries concerning the programmatic and scientific aspects of
this RFA to:

Nava Sarver, Ph.D.
Division of AIDS
National Institute of Allergy and Infectious Diseases
Solar Building, Room 2C11
6003 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 496-8197
FAX:  (301) 402-3211

Direct inquiries regarding matters pertaining to the review of
applications and address the letter of intent to:

Madelon Halula, Ph.D.
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building,  Room 4C10
6003 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 402-2636
FAX:  (301) 402-2638
Email:  MHalula@exec.niaid.pc.niaid.nih.gov

Direct inquiries regarding fiscal matters to:

Ms. Jane Unsworth
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building,  Room 4B22
Bethesda, MD  20892
Telephone:  (301) 496-7075
FAX:  (301) 480-3780

Schedule

Letter of Intent Receipt Date:  July 1, 1993
Application Receipt Date:       September 8, 1993
Scientific Review Date:         November 1993
Advisory Council Date:          February 1994
Anticipated Award date:         March 1994

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, 93.856 - Microbiology and Infectious Diseases Research and
93.855 - Immunology, Allergic and Immunological Diseases Research.
Grants are awarded under the authority of the Public Health Service
Act, Section 301 (42 USC 241) and administered under the PHS grants
policies and Federal Regulations, most specifically at 42 CFR Part 52
and 45 CFR Part 74.  This program is not subject to the
intergovernmental review requirements of the Executive Order 12372 or
Health Systems Agency review.


$$XID RFA DE93005 DE-93-005 P1O1 ***************************************

SHORT-TERM TRAINING FOR MINORITY AND WOMEN DENTAL STUDENTS

NIH GUIDE, Volume 22, Number 20, June 4, 1993

RFA:  DE-93-005

P.T. 44, FF, II; K.W. 0715148

National Institute of Dental Research

Letter of Intent Receipt Date:  August 10, 1993
Application Receipt Date:  September 10, 1993

PURPOSE

The National Institute of Dental Research (NIDR) invites applications
proposing short-term, institutional training programs for minority and
women dental students in basic and clinical oral health research.  The
NIDR has found that there is a paucity of minority and women
investigators in oral health research.  The primary objective of this
training program is to provide women and minority dental students an
opportunity to obtain a research experience during their professional
training.  This will encourage the selection of research careers and
help them to develop into clinical investigators.  These programs must
involve collaborative funding among the NIDR, the applicant
institution, and/or other public or private sources.

Proposed training must be relevant to the goals of the NIDR, as
described in the NIDR Long-Range Research Plan for the Nineties,
"Broadening the Scope."  Availability of this publication is described
under the section on INQUIRIES.  The NIDR supports research on the
causes, epidemiology, prevention, diagnoses, and treatments of dental
caries, periodontal and oral soft tissue diseases, craniofacial
anomalies and orofacial pain.  This includes normal and abnormal
craniofacial development; the structure and function of teeth, jaws,
oral mucosa, bone, connective tissue, salivary glands and other organs
and tissues of the craniofacial complex; trigeminal neurobiology; the
relationship of behavioral, social, economic and cultural factors to
oral diseases and conditions; dental biomaterials; and the role of
fluoride and nutrition in oral health and disease.  The Institute
emphasizes the need for research on older Americans, minority groups,
and individuals with medical and handicapping conditions or who are
otherwise at high risk for oral health problems.

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), Short-Term Training for Minority and Women
Dental Students, is related to the priority area of oral health.
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, public, and private
institutions and the applicant institution must have, or be able to
develop, the staff and facilities for the proposed program.

Applications will be accepted to provide training for women and
minority dental degree students for a short-term research experience,
during the summer months, with a minimum period of two months.

Trainees must be enrolled in a program leading to a D.D.S. or
equivalent degree.  Trainees must be citizens or non-citizen nationals
of the United States or have been lawfully admitted for permanent
residence (i.e., in possession of the Alien Registration Receipt Card
I-551 or I-151) at the time of appointment.  Individuals on temporary
or student visas are not eligible.

Minority trainees may be any of the following: American Indian or
Alaskan Native (a person having origins in any of the original peoples
of North America, and who maintains cultural identification through
tribal affiliation or community recognition); Black (not of Hispanic
origin) (a person having origins in any of the black racial groups of
Africa); Hispanic (a person of Mexican, Puerto Rican, Cuban, Central or
South American or other Spanish culture or origin regardless of race);
Pacific Islander (a person having origins in any of the original
peoples of Hawaii; the U.S. Pacific Territories of Guam, American
Samoa, and the Northern Marianas; the U.S. Trust Territory of Palau;
the islands of Micronesia and Melanesia; or the Philippines).  If the
applicant institution determines that Asians are underrepresented at
their institution in the sciences in which training will be offered,
they may be appointed to this training grant.  An Asian is defined as
a person having origins in any of the original peoples of East Asia,
Southeast Asia, or the Indian subcontinent.  This area includes, for
example, China, India, Indonesia, Japan, Korea, and Vietnam.

MECHANISM OF SUPPORT

This RFA will use the National Institutes of Health (NIH) National
Research Service Award (NRSA) Short-Term Institutional Research
Training Grant (T35).  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 this
RFA may not exceed five years; awards may be renewable upon the
completion of a successful competing application.  Trainees may receive
up to three months of support per year.

FUNDS AVAILABLE

The NIDR expects to make up to four institutional training awards in
response to this RFA.  This level of support is dependent on the
receipt of a sufficient number of applications of high scientific and
educational merit.  Although this program is provided for in the
financial plans of the NIDR, awards pursuant to this RFA are contingent
upon the availability of funds for this purpose.

An institution may hold two NIDR NRSA Short-Term Training Grants, one
conventional, short-term training grant and one in response to this
RFA.

BACKGROUND

The NIDR is committed to increasing the number of women and members of
minority groups that are underrepresented in oral health research.  A
variety of mechanisms are used to encourage women and minorities to
consider careers in oral health research and obtain the necessary
training.  The NIDR cofunds oral health related projects in the
Minority Biomedical Research Support (MBRS) and Minority Access to
Research Careers (MARC) programs sponsored by the National Institute of
General Medical Sciences.  The MBRS program awards grants to
educational institutions with substantial minority enrollments to
support research by faculty members, strengthen the institutions'
biomedical research capabilities, and provide opportunities for
students to work as part of a research team.  The MARC program provides
special research training opportunities for faculty and students at
4-year colleges, universities and health professional schools, in which
substantial student enrollments are drawn from minority groups.

NIDR staff work closely with the Office of Research on Women's Health,
NIH, to encourage the participation of women in oral health research
and to provide research supplements to enable women and men to reenter
an active research career after taking time off to attend to pressing
family responsibilities.

Applications for all institutional training and career development
programs must include formal plans for the recruitment of women and
minorities; recruitment records are evaluated critically when renewal
applications are reviewed for funding.  In 1992, almost 30 percent of
individuals receiving training under the Career Development Award
program (K awards) were women; almost 40 percent of individuals
supported by the NRSA program were women.  Minorities constituted only
11 and 15 percent of individuals supported by the Career Development
and NRSA training programs, respectively.  However, NIDR Research
Supplements for Underrepresented Minorities provide another approach to
research training for minorities.  In 1992, supplements to research
project, program project and center grants allowed 33 minority
university faculty, postdoctoral fellows, graduate students,
undergraduates and high school students, to participate in NIDR
sponsored research.

Clearly, additional efforts are needed to encourage minorities and
women to consider careers in oral health research.  One proven strategy
is to provide an opportunity for these individuals to experience
research first-hand under the mentorship of an investigator active in
oral health research. An opportune time to participate in such an
experience is during dental school training when students are
considering career choices.  Awards resulting from this RFA will
provide such opportunities.

Program Characteristics

The training program must provide opportunities for minority and women
dental students to carry out supervised biomedical or behavioral oral
health research and develop research skills.  Clinical programs must
have strong relationships with basic research to assure students the
opportunity to acquire the necessary experience to pursue basic and
clinical research training.

The training program director will be responsible for the selection and
appointment of trainees and for the overall direction of the program.
In addition, the program director and awardee institution will be
expected to track the career paths of all the trainees for a period of
ten years after they receive their dental degree.  The program director
will provide the NIDR with these data annually.

Applicants may request as many trainee positions as can be justified,
with a minimum of four trainees per year.

The program will be a collaborative funding effort among the NIDR, the
applicant institution, and other public and/or private sources.
Stipends and other training costs will be provided by the NIDR.  Other
support sources will provide room and board for the time the dental
students are on the short-term training grant, if necessary.  If
students require funds to travel from their home base to the applicant
institution to participate on this training grant, the program director
and the awardee institution must obtain the necessary resources to do
this.

Stipends and Other Training Costs

The stipend for trainees is $734 per month ($8,800 per year).

Institutions may supplement the stipends with non-Federal funds.
Federal funds may be used for stipend supplementation only if
specifically authorized under the terms of the program from which the
supplemental funds are derived.  An individual may make use of Federal
educational loan funds or Department of Veterans' Affairs benefits when
permitted by those programs.  Under no circumstance may the condition
of stipend supplementation detract from or prolong the training.

The Tax Reform Act, Public Law 99-514, impacts on the tax liability of
all individuals supported under the NRSA program. The NIH is not in a
position to advise students or institutions about their tax liability.
In any event, the taxability of stipends in no way affects the
relationship between NRSA trainees and institutions.  NRSA stipends are
not now, and never have been, salaries.  Trainees supported under the
NRSA are not in an employer-employee relationship with the NIH or the
institution at which they are pursuing research training.

Institutional costs of $125 per month per trainee may be requested to
defray the cost of training related expenses.

Indirect costs based on eight percent of total NIH allowable direct
costs, or actual indirect costs, whichever is less, may be requested.
Applications from state and local government agencies may request full
indirect cost reimbursement based upon the NIH allowable direct costs
awarded.

Payback Provisions

All recipients of NRSA support must sign an agreement that they will
fulfill payback requirements.  They must agree to engage in biomedical
or health-related behavioral research and/or teaching for a period
equal to any period of cumulative NRSA support in excess of 12 months.
In calculating payback indebtedness, the period of support from these
short-term training programs will be added to any subsequent periods of
support from NRSA programs such as institutional training programs
(T32) or individual postdoctoral fellowships (F32, F33, F35).

Trainees must undertake the obligated service on a continuous basis
within two years after termination of support.  Individuals who fail to
fulfill the obligation through service must pay back the total amount
of funds paid to the individual for the obligation period plus interest
at a rate determined by the Secretary of the Treasury.  Financial
payback must be completed within three years of the date the United
States becomes entitled to recover such amount.

Under certain conditions, the Secretary of Health and Human Services
may extend the period for starting service or for repayment, permit
breaks in the period of service or repayment, or otherwise waive or
suspend the payback obligation of an individual.

Officials of the applicant organization responsible for recruitment of
trainees should familiarize themselves with the terms of the payback
service requirement and explain them carefully to prospective trainees
before an appointment to the training grant is offered.

For additional information, including the grounds for approving
extensions of support and payback provisions, refer to the announcement
in the NIH Guide for Grants and Contracts, "National Research Service
Awards - Guidelines for Individual Awards - Institutional Grants,"
Special Edition, Volume 13, No. 1, January 6, 1984.

LETTER OF INTENT

Prospective applicants are asked to submit, by August 10, 1993, a
letter of intent that includes a descriptive title of the proposed
research training program, the name, address, and telephone number of
the Program Director, 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 NIDR 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.Thomas M. Valega at this
address listed under INQUIRIES.

APPLICATION PROCEDURES

It is strongly recommended that prospective applicants contact Dr.
Valega early in the planning phase of application preparation.  Such
contact may help ensure that applications are responsive to this RFA.

Applications must be submitted on form PHS 398 (rev. 9/91). Application
forms are available at most institutional office of sponsored research;
from the Office of Grants Inquiries, Division of Research Grants,
National Institutes of Health, 5333 Westbard Avenue, Room 449,
Bethesda, MD 20892, telephone (301) 594-7248, and from the NIDR program
administrator listed under INQUIRIES.

To identify the application as a response to this RFA, check "yes" on
item 2a of page AA of the application and enter "RFA: DE-93-005,
SHORT-TERM TRAINING FOR MINORITY AND WOMEN DENTAL STUDENTS."  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.

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  20892-4500**

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

H. George Hausch, Ph.D.
Scientific Review Section
National Institute of Dental Research
Westwood Building, Room 519
Bethesda, MD  20892
Telephone:  (301) 594-7632

This RFA is for a single competition.  Applications must be received by
September 10, 1993.  If an application is received after that date or
deemed non-responsive to the RFA, it will be returned to the applicant
without review.

REVIEW CONSIDERATIONS

Applications will be evaluated for scientific and technical merit by
the NIDR Special Grants Review Committee, a standing NIH initial review
group.  Applicant interviews or site visits may be involved.

The following review criteria will be applied:

o  Procedures for recruiting women and individuals from minority
groups:  a plan must be included for the recruitment of these
individuals.  No awards will be made to applications lacking this
component.

o  Procedure for the selection of trainees:  availability of high
quality candidates; how the candidates will be selected; how the
trainees are assigned to preceptors.

o  The proposed research training and program design; the manner in
which individual guided research activities will be selected;
procedures for monitoring trainee progress; the existence of a true
training program, as contrasted with fellowship training for an
individual trainee; the appropriateness of the proposed number of
trainees; the unique and/or innovative nature of the training program;
resources and facilities.

o  The qualifications of the program director and participating faculty
including the roles of specific preceptors, their time commitment,
ability to compete successfully for research support, current and
pending research grant holdings and experience in graduate research
training.

o  Training environment:  institutional commitment, the quality of the
facilities, and the availability of research support; level of ongoing
fundamental and clinical research activity; availability of equipment,
facilities, and clinical resources.

o  The funding commitment from the institution to provide room and
board and from private sources to provide funds for trainee travel to
the institutional training site.

o  The methods by which the trainees will be exposed to career path
options in oral health research.

o  The methods by which the program director will track the career
paths of the trainees supported by this training grant.

Secondary review will be by the National Advisory Dental
Research Council.

Review and Award Schedule

Applications will be processed according to the following schedule:

Application Receipt Date:      Sep 10, 1993
Initial Review Group Meeting:  Feb/Mar 1994
Council Meeting:               May/Jun 1994
Earliest Award Date:           Sep 1, 1994

AWARD CRITERIA

The earliest award date will be September 1, 1994.

The NIDR will notify the applicant of the Council's action shortly
after its meeting.  Funding decisions will be made based on the Special
Grants Review Committee and Council recommendations, and the
availability of funds.

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:

Thomas M. Valega, Ph.D.
Special Assistant for Manpower Development and Training
National Institute of Dental Research
Westwood Building, Room 503
Bethesda, MD  20892
Telephone:  (301) 594-7617
FAX:  (301) 594-7616

Direct inquiries pertaining to fiscal and policy matters to:

Theresa Ringler
Extramural Program
National Institute of Dental Research
Westwood Building, Room 510
Bethesda, MD  20892
Telephone:  (301) 594-7629

Copies of the NIDR Long-Range Research Plan for the Nineties,
"Broadening the Scope," are available by a written request to NIDR,
P.O. Box 54793, Washington, DC 20032

AUTHORITY AND REGULATIONS

NRSA Institutional Research Training Grants are made under the
authority of Section 487 of the Public Health Service (PHS) Act as
amended (42 USC 288), Title 42 of the Code of Federal Regulations, Part
66, is applicable to this program.  This program is also described in
the Catalog of Federal Domestic Assistance No. 93.121. 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 Jun 06 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS - 6 June 1993
Message-ID: <Jun.7.11.39.52.1993.23299@net.bio.net>
Date: 7 Jun 93 18:39:52 GMT
Sender: kristoff@net.bio.net
Lines: 44
Approved: biosci-moderator@net.bio.net


------------------------------------------------------------------------
            There were no new documents on STIS this week.   
------------------------------------------------------------------------
                       ** 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 nsf9110, the text of your message should be 
     as follows:
                       get nsf9110

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve nsf9110, you would
     enter:
                       ftp> get nsf9110

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 "firstop@nsf.gov" (Internet) or "firstop@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 Tue Jun 15 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS - 13 June 1993
Message-ID: <Jun.15.20.13.25.1993.11178@net.bio.net>
Date: 16 Jun 93 03:13:26 GMT
Sender: kristoff@net.bio.net
Lines: 152
Approved: biosci-moderator@net.bio.net


                     ** NEW DOCUMENTS ON STIS **

Document Type: Bulletin

   Title: NSF Bulletin June, July, August (Vol.20; No. 10)
               File size (bytes):       38442
               STIS Filename:           bul9306

Document Type: Letter

   Title: Nationwide search for Engineers
               File size (bytes):       4098
               STIS Filename:           leng9302

   Title: NSF93-80 Undergraduate Chemistry Education
               File size (bytes):       9214
               STIS Filename:           nsf9380

Document Type: Press Release

   Title: NSF PR 93-46
               File size (bytes):       4289
               STIS Filename:           pr9346

   Title: NSF PR 93-47
               File size (bytes):       4427
               STIS Filename:           pr9347

   Title: NSF PR 93-48
               File size (bytes):       5873
               STIS Filename:           pr9348

   Title: NSF PR 93-49
               File size (bytes):       5289
               STIS Filename:           pr9349

   Title: NSF PR 93-50
               File size (bytes):       3285
               STIS Filename:           pr9350

   Title: NSF PR 93-51
               File size (bytes):       2189
               STIS Filename:           pr9351

   Title: NSF PR 93-52
               File size (bytes):       7482
               STIS Filename:           pr9352

   Title: NSF PR 93-53
               File size (bytes):       5769
               STIS Filename:           pr9353

Document Type: Program Guideline

   Title: NSF 93-71 (SBER)
               File size (bytes):       34154
               STIS Filename:           nsf9371

   Title: Instrumentation Grants for Research in Computer and
          Information Sciences and Engineering NSF 93-72
               File size (bytes):       14382
               STIS Filename:           nsf9372

   Title: NSF 93-77 - NSF-NATO Postdoctoral Fellowships- Outreach to
          East Europe
               File size (bytes):       18072
               STIS Filename:           nsf9377

Document Type: Recruit

   Title: National Environmental Policy Act Compliance Manager
               File size (bytes):       5334
               STIS Filename:           vex9320

   Title: Biologist (NEPA Compliance Manager)
               File size (bytes):       5991
               STIS Filename:           vgm9361

   Title: Environmental Engineer (NEPA Compliance Manager)
               File size (bytes):       6009
               STIS Filename:           vgm9362

Document Type: Report

   Title: NSF 93-22 - National Conference on Diversity in the
          Scientific and Technological Workforce
               File size (bytes):       271425
               STIS Filename:           nsf9322

------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Phone Book

   Title: NSF Alphabetical Listing
               File size (bytes):       90639
               STIS Filename:           phnalpha

   Title: NSF Alphabetical Listing
               File size (bytes):       90639
               STIS Filename:           phnalpha

   Title: NSF Organizational Directory
               File size (bytes):       95954
               STIS Filename:           phnorg

   Title: NSF Organizational Directory
               File size (bytes):       95954
               STIS Filename:           phnorg

------------------------------------------------------------------------
                       ** 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 phnorg, the text of your message should be 
     as follows:
                       get phnorg

Anonymous FTP:

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

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 "firstop@nsf.gov" (Internet) or "firstop@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 Thu Jun 17 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 21, pt. 1, 11 June 1993
Message-ID: <Jun.18.10.16.15.1993.15606@net.bio.net>
Date: 18 Jun 93 17:16:16 GMT
Sender: kristoff@net.bio.net
Lines: 1506
Approved: biosci-moderator@net.bio.net


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 19930611 V22N21 P1O3 ************************************
X-comment: RFAs described: HD-93-014, CA-93-027, AI-93-018, CA-93-029

NIH GUIDE - Vol. 22, No. 21 - June 11, 1993

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

                               NOTICES

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

NOTICE OF UPDATE OF THE NIH RESEARCH RESOURCES DATABASE
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

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

STANDARD PROCEDURES FOR REPORTING PROGRAM INCOME
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

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

EXTENSION OF COOPERATIVE AGREEMENTS ON MATCHING PATIENTS TO
ALCOHOLISM TREATMENTS
National Institute on Alcohol Abuse and Alcoholism
INDEX:  ALCOHOL ABUSE, ALCOHOLISM

$$INDEX N4 **********************************************************

EXTENSION OF COOPERATIVE AGREEMENTS ON THE GENETICS OF ALCOHOLISM
National Institute on Alcohol Abuse and Alcoholism
INDEX:  ALCOHOL ABUSE, ALCOHOLISM

$$INDEX N5 **********************************************************

CONFERENCE ON PLAGIARISM AND THEFT OF IDEAS
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX N6 **********************************************************

NICHD TRANSGENIC MOUSE DEVELOPMENT FACILITY
National Institute of Child Health and Human Development
INDEX:  CHILD HEALTH, HUMAN DEVELOPMENT

$$INDEX N7 **********************************************************

AVAILABILITY OF PROGRAM PROJECT GUIDELINES
National Cancer Institute
INDEX:  CANCER

$$INDEX N8 **********************************************************

NIH REGIONAL SEMINAR IN GRANTS ADMINISTRATION
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX N9 **********************************************************

THE HUMAN BRAIN PROJECT:  PHASE I FEASIBILITY STUDIES (PA-93-068)
National Institute of Mental Health
National Institute on Drug Abuse
National Science Foundation
National Institute on Aging
National Institute of Child Health and Human Development
National Institute on Deafness and Other Communication Disorders
National Center for Research Resources
National Library of Medicine
Office of Naval Research
National Aeronautics and Space Administration
INDEX:  MENTAL HEALTH; DRUG ABUSE; NATIONAL SCIENCE FOUNDATION;
AGING; CHILD HEALTH, HUMAN DEVELOPMENT; DEAFNESS, COMMUNICATION
DISORDERS; RESEARCH RESOURCES; NATIONAL LIBRARY OF MEDICINE; NAVAL
RESEARCH; AERONAUTICS, SPACE ADMINISTRATION

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$INDEX R1 **********************************************************

SYNTHETIC PEPTIDES:  PURITY DETERMINATION, STABILITY TESTING AND
QUANTITATION (RFP N01DA-3-7402)
National Institute on Drug Abuse
INDEX:  DRUG ABUSE

$$INDEX R2 **********************************************************

TERRY BEIRN COMMUNITY PROGRAMS FOR CLINICAL RESEARCH ON AIDS (RFP
NIH-NIAID-DAIDS-94-11)
National Institute of Allergy and Infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

$$INDEX R3 **********************************************************

INFORMATION SERVICES IN SUPPORT OF CANCER RESEARCH (RFP
NCI-CM-37844-37)
National Cancer Institute
INDEX:  CANCER

$$INDEX R4 **********************************************************

DEVELOPMENT AND PERIODIC UPDATING OF CLINICAL PRACTICE GUIDELINES FOR
THREE MEDICAL CONDITIONS (RFP 282-93-0029)
Agency for Health Care Policy and Research
INDEX:  HEALTH CARE POLICY, RESEARCH

$$INDEX R5 **********************************************************

CLINICAL TRIALS OF BIOLOGICAL RESPONSE MODIFIERS (RFP
NCI-CM-47001-64)
National Cancer Institute
INDEX:  CANCER

$$INDEX R6 **********************************************************

LARGE SCALE AUTOMATED DNA SEQUENCING OF HUMAN GENES INVOLVED IN
NEUROLOGICAL DISORDERS (RFP NIH-NINDS-93-11)
National Institute of Neurological Disorders and Stroke
INDEX:  NEUROLOGICAL DISORDERS, STROKE

$$INDEX R7 09/09/93 *************************************************

ETHNIC MINORITY FAMILIES WITH RETARDED MEMBERS (RFA HD-93-014)
National Institute of Child Health and Human Development
INDEX:  CHILD HEALTH, HUMAN DEVELOPMENT

$$INDEX R8 09/22/93 *************************************************

MINORITY ENHANCEMENT AWARDS (RFA CA-93-027)
National Cancer Institute
INDEX:  CANCER

$$INDEX R9 11/16/93 *************************************************

PROGRAM PROJECTS ON AUTOIMMUNITY (RFA AI-93-018)
National Institute of Allergy and Infectious Diseases
National Institute of Arthritis and Musculoskeletal and Skin Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES, ARTHRITIS, MUSCULOSKELETAL,
SKIN DISEASES

$$INDEX R10 12/07/93 ************************************************

CLINICAL STUDIES OF SYSTEMIC THERAPIES (RFA CA-93-029)
National Cancer Institute
INDEX:  CANCER

                    ONGOING PROGRAM ANNOUNCEMENTS

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

NICHD CLINICAL INVESTIGATOR DEVELOPMENT AWARD (PA-93-082)
National Institute of Child Health and Human Development
INDEX:  CHILD HEALTH, HUMAN DEVELOPMENT

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

CHILD AND ADOLESCENT DEVELOPMENT AND PSYCHOPATHOLOGY RESEARCH CENTERS
(PA-93-092)
National Institute of Mental Health
INDEX:  MENTAL HEALTH

$$INDEX P3 **********************************************************

EXPLORATORY/DEVELOPMENTAL GRANTS FOR PSYCHOSOCIAL TREATMENT RESEARCH
(PA-93-093)
National Institute of Mental Health
INDEX:  MENTAL HEALTH

$$INDEX P4 **********************************************************

RESEARCH ON THE EFFECTS OF MICROGRAVITY ON THE MUSCULOSKELETAL SYSTEM
(PA-93-094)
National Institute of Arthritis and Musculoskeletal and Skin Diseases
INDEX:  ARTHRITIS, MUSCULOSKELETAL, SKIN DISEASES

$$INDEX P5 **********************************************************

RESEARCH ON RELATIONSHIPS BETWEEN ALCOHOL AND VIOLENCE (PA-93-095)
National Institute on Alcohol Abuse and Alcoholism
INDEX:  ALCOHOL ABUSE, ALCOHOLISM

This publication is also available electronically to institutions via
BITNET or INTERNET.  Alternative access is through the NIH Grant Line
using a personal computer (data line 301/402-2221).  Contact Dr. John
James at 301/594-7270 for details, or send an E-mail message to
ZNS@NIHCU.

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

                               NOTICES

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

NOTICE OF UPDATE OF THE NIH RESEARCH RESOURCES DATABASE

NIH GUIDE, Volume 22, Number 21, June 11, 1993

P.T. 16; K.W. 1004017

National Institutes of Health

The National Institutes of Health (NIH) Research Resources subfile
(NIHRES) of the DIRLINE (Directory of Information Resources Online)
database has been recently revised and updated.  This database is
available on the National Library of Medicine's (NLM) computer and
includes biomedical resources supported by NIH funds that are
available to researchers throughout the country.  Investigators
conducting biomedical research frequently develop unique resources
such as specialized laboratories, materials, substances, organisms,
databases, and equipment, which may be valuable to other scientists
in the course of their work.  The NIH provides support, through
grants and contracts, to many of these resources, including electron
microscopy facilities, primate colonies, specialized laboratories,
and cell culture collections.

These resources are often difficult to identify and locate.  The
NIHRES files was established to communicate information about the
availability of these unique or novel research resources to the
scientific community.  The Institutes, Centers and Divisions (ICDs)
of NIH, including the National Center for Research Resources (NCRR),
have contributed information about these valuable resources to the
DIRLINE database.  It is the policy of the Public Health Service
(PHS) to make available to the public the results and accomplishments
of the activities it supports.

DIRLINE, and the NIHRES component, may be accessed by a variety of
terminals or microcomputers connected to NLM's computer facility.
Connection is established via direct telephone line, the TELENET,
TYMNET or CompuServe nationwide telecommunications networks, or the
Internet.  DIRLINE is also available using GRATEFUL MED, NLM's user-
friendly software for IBM-compatible PCs or Macintosh computers.
This software, available for $29.95 through the National Technical
Information Service (NTIS), allows novice users to access the NLM
system and the NIHRES subfile of DIRLINE to easily obtain the
information they need.  For further information about DIRLINE access
contact the MEDLARS Management Section of NLM at (800) 638-8480.

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

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

STANDARD PROCEDURES FOR REPORTING PROGRAM INCOME

NIH GUIDE, Volume 22, Number 21, June 11, 1993

P.T. 34; K.W. 1014006

National Institutes of Health

This notice provides detailed instructions for reporting grant-
related program income on NIH grants and cooperative agreements using
the long form version of the Financial Status Report (FSR).  It is
intended to clarify questions and concerns raised regarding reporting
requirements.

All general program income must be reported on the long form version
of the FSR.  With the exception of royalty or equivalent income
earned from patents or inventions, certain special categories of
program income described in 45 CFR Subpart F must also be reported on
the FSR.  The specific reporting requirements applicable to most NIH
research grants and cooperative agreements for each type of program
income is described below.

General Program Income - As defined in 45 CFR Part 74, general
program income is all program income accruing to a grantee during the
period of grant support or to a subgrantee during the period of
subgrant support, other than the special categories of program income
listed below.  General program income subject to the deduction
alternative must be reported on line 10c, "Program income used in
accordance with the deduction alternative," and line 10q, "Disbursed
program income shown on lines c and/or g above."  General program
income subject to the additional costs alternative must be reported
on lines 10r, "Disbursed program income using the addition
alternative," and 10s, "Undisbursed program income," as appropriate.
Total program income realized should be reported on line 10t as
instructed.  General program income subject to a combination of these
alternatives must be reported accordingly, i.e., the first $25,000
should be reported on lines 10r and 10s, and income in excess of
$25,000 should be reported on lines 10c and 10q.  Costs (both direct
and indirect) associated with generating program income which are
deducted from the program income receipts when such costs are not
already charged to the project should not be reported on the FSR.

Proceeds from the Sale of Real Property and from Sale of Equipment
and Supplies Acquired for Use -

o  Sale of Property - Section 74.134 of Subpart O, "Property," states
that the disposition instructions of the granting agency shall be
followed when real property is no longer to be used by the grantee or
transferred to an eligible third party.

o  Sale of Equipment - Grantees subject to the requirements in 45 CFR
74.139, "Disposition of equipment," shall reflect income earned from
the sale of equipment on the FSR if the grantee's project or program
for which equipment was acquired is still receiving grant support.
If authorized by the awarding unit, grantees may use the income for
allowable costs of the project.  This income would be reported on
lines 10c/10q, 10r, or 10s in accordance with awarding unit
authorized disposition.  There are no reporting requirements for
nonprofit institutions of higher education or nonprofit organizations
whose primary purpose is the conduct of scientific research since
they are not subject to the requirements in 45 CFR 74.139.

o  Unused Supplies -  Grantees subject to the requirements in 45 CFR
74.141, "Unused supplies," should reflect any credit to the grant on
lines 10c and 10q of the FSR.  There are no reporting requirements
for non-profit institutions of higher education or non-profit
organizations whose primary purpose is the conduct of scientific
research since they are not subject to the requirements in 45 CFR
74.141.

Royalties and Other Income Earned from a Copyrighted Work - Where the
terms of the Notice of Grant Award (NGA) do not specify disposition,
no reporting of income is required on the FSR.  Where the terms of
the NGA govern disposition, this kind of income would be reported on
FSR lines 10c/10q, 10r, or 10s in accordance with awarding unit
authorized disposition.

Royalties or Equivalent Income Earned from Patents or from Inventions
- Where the terms of the NGA do not specify disposition, this kind of
income should be reported to the Extramural Inventions Office, Office
of Policy for Extramural Research Administration, on the annual
utilization report.  Where the terms of the NGA govern disposition,
this kind of income would be reported on FSR lines 10c/10q, 10r, or
10s in accordance with awarding unit authorized disposition, as well
as to the Extramural Inventions Office on the annual utilization
report.

Income After Grant or Subgrant Support Not Otherwise Treated - Unless
specified in the terms of the NGA there are no reporting requirements
for income accrued after the period of grant support ends.

Questions regarding these instructions may be directed the Grants
Management Office of the awarding NIH Institute or Center.  The Long
Form Financial Status Report is available upon request from the
Federal Assistance Accounting Branch, National Institutes of Health,
(301) 496-5287.

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

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

EXTENSION OF COOPERATIVE AGREEMENTS ON MATCHING PATIENTS TO
ALCOHOLISM TREATMENTS

NIH GUIDE, Volume 22, Number 21, June 11, 1993

P.T. 34; K.W. 0404003, 0745070

National Institute on Alcohol Abuse and Alcoholism

The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has an
active interest in the support of research projects addressing issues
of the effective matching of alcoholism patients to specific
treatments based on their individual characteristics.  In 1989, NIAAA
issued Requests for Applications (RFAs) for clinical research units,
and a coordinating center, respectively, for Cooperative Agreements
on Matching Patients to Alcoholism Treatments.  The first five years
of support for these awards will end in 1994.  The NIAAA intends to
extend this cooperative agreement program for an additional three
years and to limit competition to investigators from the current
clinical research units and the coordinating center.  This limitation
of eligibility is based on the current awardees' unique access to the
study population and data derived therefrom, and unique expertise
with respect to the assessment instruments developed specifically for
this study.

Although competition for this cooperative agreement study extension
is limited, NIAAA wishes to call attention to its ongoing program
announcement entitled "Research on Alcoholism Patient-Treatment
Matching" (PA-92-75) dated May 1992. Research grant applications are
encouraged under this program announcement without any limitation on
eligibility.

INQUIRIES

Additional information on either of these alcoholism treatment
matching research programs may be obtained from:

John Allen, Ph.D.
Division of Clinical and Prevention Research
National Institute on Alcohol Abuse and Alcoholism
5600 Fishers Lane, Room 14C-20
Rockville, MD  20857
Telephone:  (301) 443-0796
FAX:  (301) 443-8774

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

$$N4 BEGIN **********************************************************

EXTENSION OF COOPERATIVE AGREEMENTS ON THE GENETICS OF ALCOHOLISM

NIH GUIDE, Volume 22, Number 21, June 11, 1993

P.T. 34; K.W. 0404003, 1002019

National Institute on Alcohol Abuse and Alcoholism

The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has an
active interest in the support of research projects addressing the
genetic aspects of alcoholism.  In 1989, NIAAA issued Requests for
Applications (RFAs) for extramural research groups and a coordinating
center, respectively, for Cooperative Agreements on the Genetics of
Alcoholism.  The first five years of support for these awards will
end in 1994.  The NIAAA intends to continue this cooperative
agreement program for an additional five years and to limit
competition to investigators from current extramural research groups
and the coordinating center.  This limitation of eligibility is based
on the current awardees' unique access to the study probands and
their biological relatives, and unique expertise with respect to
interviewer training in the use of assessment instruments developed
specifically for this study.

Although competition for extension of this cooperative agreement is
limited, NIAAA calls attention to its program announcement entitled
"Genetic Studies in Alcohol Research" (PA-93-086) issued on May 21,
1993.  Research grant applications are encouraged under this program
announcement without any limitation on eligibility.

INQUIRIES

Additional information on the extension of the cooperative agreement
may be obtained from:

Helen Chao, Ph.D.
Division of Basic Research
National Institute on Alcohol Abuse and Alcoholism
Parklawn Building, Room 16C-06
5600 Fishers Lane
Rockville, MD  20857
Telephone:  (301) 443-2530
FAX:  (301) 227-8673

Additional information on the genetics research program may be
obtained from:

Robert W. Karp, Ph.D.
Division of Basic Research
National Institute on Alcohol Abuse and Alcoholism
5600 Fishers Lane, Room 16C-05
Rockville, MD  20857
Telephone:  (301) 443-4223
FAX:  (301) 227-8673

$$N4 END ************************************************************

$$N5 BEGIN **********************************************************

CONFERENCE ON PLAGIARISM AND THEFT OF IDEAS

NIH GUIDE, Volume 22, Number 21, June 11, 1993

P.T. 42; K.W. 1014006

National Institutes of Health

The Office of Research Integrity/American Association for the
Advancement of Science (ORI/AAAS) Conference on Plagiarism and Theft
of Ideas will be held on June 21 from 8:00 am to 5:00 pm and on June
22 from 8:00 am to 1:00 pm in Lister Hill Auditorium, Building 38A,
National Institutes of Health.

INQUIRIES

For more information, contact:

Dr. Alan Price or Ms. Karen Gorirossi
Office of Research Integrity
5515 Security Lane, Suite 700
Rockville, MD  20852
Telephone:  (301) 443-5330
FAX:  (301) 227-0039

$$N5 END ************************************************************

$$N6 BEGIN **********************************************************

NICHD TRANSGENIC MOUSE DEVELOPMENT FACILITY

NIH GUIDE, Volume 22, Number 21, June 11, 1993

P.T. 34; K.W. 1002002, 1002019, 0760053

National Institute of Child Health and Human Development

The NICHD Transgenic Mouse Development Facility (NTDF) is a research
resource that develops transgenic mice for investigators requiring
these services.  It was established to provide reliable and
affordable transgenic mice primarily to biomedical research grantees.

Specifically, the NTDF supports basic biomedical research by
providing investigators with the following customized services:

o  Analyzing constructs for microinjection.

o  Microinjecting constructs into fertilized one-cell mouse eggs and
reimplanting into pseudopregnant recipient females.

o  Testing potential founders for DNA integration.

o  Producing at least two integration-positive transgenic mice.

Applications for services should be requested from the Director,
NTDF.  Completed applications are submitted anytime to the NICHD
Project Officer for review.  All applications are handled
confidentially and those constructs approved are microinjected at the
NTDF.  The Investigator is charged a non-refundable fee for initial
analysis of the constructs.  An additional fee is assessed if two or
more integration-positive transgenic mice are produced.

The NTDF is supported by a contract award from the National Institute
of Child Health and Human Development, NIH.

INQUIRIES

Direct programmatic inquiries regarding this research resource to:

Allan Lock, D.V.M.
NTDF Project Officer
National Institute of Child Health and Human Development
Building 6100, Room 4B01
Bethesda, MD  20892
Telephone:  (301) 496-5541

Direct requests for applications and resource inquiries to:

Mark Swanson, Ph.D.
Director, NICHD Transgenic Mouse Development Facility
303B College Road East
Princeton, NJ  08540
Telephone:  (609) 520-0300
FAX:  (609) 520-9864

$$N6 END ************************************************************

$$N7 BEGIN **********************************************************

AVAILABILITY OF PROGRAM PROJECT GUIDELINES

NIH GUIDE, Volume 22, Number 21, June 11, 1993

P.T. 34; K.W. 0715035, 1014006

National Cancer Institute

The National Cancer Institute (NCI) announces the availability of
updated guidelines for program project (P01) applications that are
likely to be assigned to the NCI for review and funding.
Investigators anticipating submission of a P01 should request a copy
of the guidelines, which explain NCI policies and procedures relating
to the preparation, submission and review of P01 applications.

INQUIRIES

Investigators may obtain copies of the guidelines and referrals for
information regarding programmatic interests in such applications
from:

Referral Office, Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Room 636
Bethesda, MD  20892
Telephone:  (301) 496-3428
FAX:  (301) 402-0275

$$N7 END ************************************************************

$$N8 BEGIN **********************************************************

NIH REGIONAL SEMINAR IN GRANTS ADMINISTRATION

NIH GUIDE, Volume 22, Number 21, June 11, 1993

P.T. 42; K.W. 1014006

National Institutes of Health

PLEASE NOTE:  THE DEADLINE FOR REGISTERING HAS BEEN EXTENDED TO JUNE
18, 1993

A regional conference covering topics related to grants
administration at the National Institutes of Health (NIH) has been
scheduled for Monday and Tuesday, June 28-29, 1993, at the Sheraton
Hotel in Augusta, Georgia.

The seminar, hosted by the Medical College of Georgia, is located to
attract research administrators from the southern region of the
United States -- Alabama, Arkansas, Florida, Georgia, Kentucky,
Louisiana, Mississippi, North Carolina, Oklahoma, South Carolina,
Tennessee, Texas, Virginia, and West Virginia.  Those interested from
other states are also invited.  In addition, staff from small and
minority colleges, for-profit research organizations, hospitals,
universities and medical centers are encouraged to attend.

This two-day conference will be of interest to both new and senior
grant administrators and Principal Investigators.  Discussions of
current issues that affect NIH funding and grant administration will
be included to give conference participants a comprehensive, up-to-
date view of NIH-sponsored research.  Topics for discussion will
include the fundamentals of conducting business with NIH (application
preparation, peer review, budget analysis, and award determination)
and contemporary topics (strategic and financial management plans,
indirect costs, and effective administration between NIH and
recipients).  The format for this conference will include case
studies, group discussions, and formal presentations.  Time will be
available for conference participants to meet informally with NIH
representatives to discuss topics of special interest.

Mr. Geoffrey Grant, Director, Office of Policy for Extramural
Research Administration at NIH, and representatives from the Grants
Policy Office, Division of Research Grants, and  grants management
and program staff from several awarding components of NIH will be
featured speakers.

DATE:  June 28-29, 1993

LOCATION
Sheraton Hotel
2651 Perimeter Parkway
Augusta, GA
Telephone:  (706) 855-8100

Participants must make hotel reservations directly, and should
mention the regional seminar when doing so.

COST OF WORKSHOP:  $125

REGISTRATION AND INQUIRIES

The deadline for advance registration has been extended to June 18,
1993.  Conference space is limited to the first 250 registrants.  For
registration materials, send a FAX that provides your name,
institution, address, telephone number, and anticipated number of
registrants to Ms. Becky Jones, Physician's Practice Group. FAX (706)
724-1600.  Allow 7 to 10 days for receipt of the materials.  If you
have any questions, you may call Ms. Jones at (706) 828-6422.

$$N8 END ************************************************************

$$N9 BEGIN **********************************************************

THE HUMAN BRAIN PROJECT:  PHASE I FEASIBILITY STUDIES

NIH GUIDE, Volume 22, Number 21, June 11, 1993

PA NUMBER:  PA-93-068

P.T. 34; K.W. 0705010, 1002030, 1004017

National Institute of Mental Health
National Institute on Drug Abuse
National Science Foundation
National Institute on Aging
National Institute of Child Health and Human Development
National Institute on Deafness and Other Communication Disorders
National Center for Research Resources
National Library of Medicine
Office of Naval Research
National Aeronautics and Space Administration

For the information of those intending to apply in response to the
program announcement, "The Human Brain Project:  Phase I Feasibility
Studies" (PA-93-068; NIH GUIDE, Vol. 22, No. 13, April 2, 1993), add
the following sentence to the REVIEW CONSIDERATIONS Section:
"Applications deemed by the Division of Research Grants to be
inappropriate for this program announcement will be assigned to the
appropriate agencies, institutes and centers according to their goals
and designs and in accordance with standard referral guidelines."

$$N9 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$R1 BEGIN N01DA-3-7402 *********************************************

SYNTHETIC PEPTIDES:  PURITY DETERMINATION, STABILITY TESTING AND
QUANTITATION

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFP AVAILABLE:  N01DA-3-7402

P.T. 34; K.W. 1003006, 0760060, 0404009

National Institute on Drug Abuse

The National Institute on Drug Abuse (NIDA) is soliciting proposals
for the analysis of the chemical optical purity of a number of
peptides and development of analytical methodology for a few selected
peptides (especially opioid peptides).  Offerors should be
experienced in synthesis of peptides by conventional and solid phase
methods.  It is anticipated that a five year, incrementally funded
cost reimbursement type contract will be awarded.  Request for
Proposals (RFP) No. N01DA-3-7402 was issued on May 17, 1993, and
responses are due to be received in the Contracting Office
approximately 45 calendar days thereafter.

INQUIRIES

Only written or facsimile requests for this RFP will be accepted.
Forward all requests to:

Ms. Johnnie L. Rice, Contract Specialist
National Institute on Drug Abuse
Parklawn Building, Room 10-49
5600 Fishers Lane
Rockville, MD  20857
FAX:  (301) 443-7595)

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

$$R2 BEGIN NIH-NIAID-DAIDS-94-11 ************************************

TERRY BEIRN COMMUNITY PROGRAMS FOR CLINICAL RESEARCH ON AIDS

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFP AVAILABLE:  NIH-NIAID-DAIDS-94-11

P.T. 34; K.W. 0715008, 0785035

National Institute of Allergy and Infectious Diseases

The Division of AIDS (DAIDS), National Institute of Allergy and
Infectious Diseases (NIAID), has a requirement for the continuation
of the Terry Beirn Community Programs for Clinical Research on AIDS
(TB CPCRA).  The purpose of these contracts is to expand and
strengthen the HIV clinical research effort, support community
participation in HIV research, enhance the participation of women,
minorities and injection drug users in HIV clinical research and to
ensure the prompt translation of research findings to primary care
providers.  This is a recompetition of an ongoing program.

Proposals must describe the offeror organization and document the
availability of patient population, recruitment and follow-up plans
appropriate for the conduct of community-based trials.  The offeror
must be able to initiate a minimum of three, but not to exceed a
maximum of ten community based research projects per year, depending
on size and complexity and designed in conjunction with NIAID staff.
Offerors are expected to enroll at least 30 to 50 patients into
studies.  These may be investigator-initiated or NIAID-initiated
multicenter collaborative trials.  All CPCRA research must be
approved by the DAIDS Clinical Trials Review Committee prior to being
implemented.

The successful offerors to this Request for Proposal (RFP) must have
the demonstrated or potential ability to implement and manage a
clinical research program based in primary care settings.  Proposals
will be accepted from domestic organizations made up of licensed
physicians and nurses with access to a substantial patient population
infected with HIV.  Particular emphasis will be given to
organizations which serve minorities, women at risk for HIV infection
and persons who use IV drugs and/or organizations composed of women
and minorities.  Evidence of substantial experience by the members of
the organization in the care and treatment of persons with HIV
infection must be documented in the proposal.  Mandatory Criterion:
Offeror's must document, e.g., by including letters of commitment
from the organization, that, with respect to the CPCRA scientific and
clinical issues, the overall direction and decision processes rest
with the primary care clinicians.  Proposals must also demonstrate
support from the community served by the offering organization, such
as endorsement by relevant community organizations, and community
participation in the decision process of the provision of clinical
care, clinical management or research priorities and conduct of
research.  Offerors must demonstrate relationships with community
health care facilities such as hospitals, public health departments,
and regional tertiary care centers, to ensure integration of the
offeror clinicians within the local medical care structure.  This
must include affiliations with local hospitals so participating
patients can be followed by offeror physicians if hospitalization is
required.  Offerors must have access to a clinical laboratory
competent to perform the studies required for community-based
clinical trials.  Offerors in cities that include one or more AIDS
Clinical Trial Unit (ACTU), must describe a formalized communication
link with an NIAID supported ACTU(s).  This should include relevant
researchers, clinicians, and/or administrators of both the community
organization and the ACTU and should provide a forum for discussion
of goals, protocols, and entry criteria of clinical research at both
the ACTU and the Community Program for Clinical Research on AIDS.

This is an announcement for an anticipated RFP.  RFP NIH-NIAID-DAIDS-
94-11 will be available on or about June 30, 1993 and proposals will
be due by 4:30 p.m., local time, on  November 3, 1993.  It is
anticipated that fifteen to twenty contracts 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 cost-
reimbursement type contract is anticipated.

INQUIRIES

To receive a copy of the RFP, provide this office with five 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, Reporting Requirements and the Evaluation Criteria to be used
for selection of the awardees.  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 versions of the RFP only.

Requests for the RFP may be directed in writing to:

Nancy Hershey
Contract Management Branch
National Institute of Allergy and Infectious Diseases
Solar Building, Room 3C07
6003 Executive Boulevard
Bethesda, MD  20892
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 NCI-CM-37844-37 ******************************************

INFORMATION SERVICES IN SUPPORT OF CANCER RESEARCH

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFP AVAILABLE:  NCI-CM-37844-37

P.T. 34; K.W. 0715035, 1004017, 0755018

National Cancer Institute

The Division of Cancer Treatment (DCT), National Cancer Institute
(NCI), intends to enter into negotiations with the Japanese
Foundation for Cancer Research to provide information pertaining to
cancer treatment research in Japan.  The major objectives of this
project are:  (1) Monitor the advances in preclinical and clinical
cancer therapy research in Japan; (2) provide preliminary results of
all clinical trials and screening evaluations underway at the Cancer
Chemotherapy Center of Japan involving investigational drugs
sponsored by the NCI; (3) manage specific projects within the
treatment area of the U.S. Japan Cooperative Cancer Research Program,
including scientist exchanges and the organization of meetings; (4)
attend all major scientific meetings in Japan related to contract
objectives and report to the DCT the results presented; (5) provide
to the DCT all titles of abstracts related to cancer therapy
presented at Japanese scientific meetings (These titles are to be
collated and translated into English.   Titles of all scientific
reports in this field that are published in Japan are to be
translated and provided to DCT); and (6) establish a bilateral
exchange of postdoctoral fellows between the U.S. and Japan.  This
initiative would fund up to 10 exchange fellowships throughtout U.S.
or Japan for periods of two to three years.  The Japanese Foundation
proposes to cost share 50 percent of the fellows stipend and the
other 50 percent will derive from this contract.

Although this is a sole source contract with the Japanese Foundation
for Cancer Research, the NCI will consider other proposals that may
offer an advantage to the Government.

INQUIRIES

Requests for this Request for Proposals (RFP) must be in writing and
reference RFP No. NCI-CM-37844-37.  The RFP is due to be mailed out
June 14, 1993 and responses will be due 45 days from that date.
Requests must be addressed to:

Patricia Lightner, Contract Specialist
Research Contracts Branch, TCS
National Cancer Institute
Executive Plaza South, Suite 603
Bethesda, MD  20892
Telephone:  (301) 496-8620

No collect calls will be accepted.

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

$$R4 BEGIN 282-93-0029 **********************************************

DEVELOPMENT AND PERIODIC UPDATING OF CLINICAL PRACTICE GUIDELINES FOR
THREE MEDICAL CONDITIONS

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFP AVAILABLE:  282-93-0029

P.T. 34; K.W. 0730050

Agency for Health Care Policy and Research

The General Acquisition Branch of the Division of Acquisition
Management, Public Health Service, on behalf of the Agency for Health
Care Policy and Research, proposes to award contracts for the
development and periodic updating of clinical practice guidelines,
medical review criteria, standards of quality, and performance
measures on:  screening for colorectal cancer, management of chronic
pain with special emphasis on headache pain, and nosocomial urinary
tract infection.  Three awards are anticipated.  The proposed awards
will be set-aside for public and non-profit organizations.
Anticipated award date is September 1993.  The period of performance
is 38 months.

INQUIRIES

This is an announcement for an anticipated Request for Proposal
(RFP).  RFP No. 282-93-0029 is now available.  A closing date is
tentataively set for August 1, 1993.  Requests for the RFP must be
submitted in writing to:

Michele Trotter, Division of Acquisition Management
General Acquisition Branch
Public Health Service
5600 Fishers Lane, Room 5-101
Rockville, MD  20857

$$R4 END ************************************************************

$$R5 BEGIN NCI-CM-47001-64 ******************************************

CLINICAL TRIALS OF BIOLOGICAL RESPONSE MODIFIERS

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFP AVAILABLE:  NCI-CM-47001-64

P.T. 34; K.W. 0715035, 0740015, 0755015

National Cancer Institute

The National Cancer Institute (NCI) plans to award five-year
incrementally funded contracts for the performance of multiple
clinical trials of biological response modifiers.  Offerors will be
required to demonstrate their capability to perform, within
appropriate timeframes, Phase I clinical trials of biological
response modifiers.  Emphasis should be on excellent patient accrual,
trial design, and conduct of laboratory studies of biological
correlates.  A theoretical (sample) laboratory and clinical protocol
will be required with the proposal. The contractors will design,
write, and develop clinical protocols for the biological response
modifiers identified for study.  The NCI will supply agents for
clinical trials and hold the investigational new drugs (INDs).  All
contract clinical protocols will require NCI approval.  Contract
clinical trials will be monitored by NCI's Clinical Trials Monitoring
Services.  These trials will focus on initial Phase Ia/Ib studies of
new biological response modifiers and on studies specifically related
to issues of mechanism of action.  Each contractor will perform up to
three clinical trials per year.  Up to three awards are planned.  At
least one award will be devoted to monoclonal anti-bodies and
targeting agents, and at least one award will focus on biological
response modifiers such cytokines and growth/differentiation factors.
Beginning with each contract protocol, the contractor will submit
data to Clinical Trials Monitoring Service biweekly using NCI Case
Report Forms or electronic data transfer.

INQUIRIES

Request for Proposals (RFP) NCI-CM-47001-64 will be issued on or
about June 15, 1993 and offers will be due approximately six weeks
later.  No telephone requests will be accepted. This procurement is
unrestricted.  The Standard Industrial Classification (SIC) code is
8731.  No collect calls will be accepted.  Requests are to be
addressed to:

Mr. Carl A. Newman, Contract Specialist
Research Contracts Branch, TCS
National Cancer Institute
Executive Plaza South, Room 603
Bethesda, MD  20892
Telephone:  (301) 496-8620

$$R5 END ************************************************************

$$R6 BEGIN NIH-NINDS-93-11 ******************************************

LARGE SCALE AUTOMATED DNA SEQUENCING OF HUMAN GENES INVOLVED IN
NEUROLOGICAL DISORDERS

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFP AVAILABLE:  NIH-NINDS-93-11

P.T. 34; k.w. 0755045, 0715138

National Institute of Neurological Disorders and Stroke

The National Institute of Neurological Disorders and Stroke (NINDS),
National Institutes of Health (NIH), has a requirement for the
research and development of highly reproducible, rapid DNA template
production and purification procedures.  DNA must be of sufficient
purity for highly accurate automated DNA sequence analysis.
Additional requirements include screening and amplification of clones
from lambda, cosmid or YAC libraries and biological samples.
Libraries of plasmid subclones are to be made from the larger clones.
Genetic typing with highly informative polymerase chain reaction
(PCR) based markers is another requirement.  Work under the proposed
contract will support the mission objectives of the NINDS Core DNA
Sequencing Facility.  The Facility provides rapid DNA sequencing and
other services to NINDS scientists for use in basic and clinical
neuroscience projects.

Prospective offerors should have expertise and experience in several
areas of molecular biology and nucleic acid biochemistry.  In
particular, offerors shall have experience in DNA isolation and
analysis techniques, basic microbiological techniques, growth of
filamentous bacteriophage, use of restriction endonucleases and DNA
modifying enzymes, bacterial transformation, DNA hybridization, and
use of PCR.

This requirement represents a recompetition of work currently being
performed under NINDS Contract No. NO1-NS-0-2387, with Collaborative
Research, Inc., Waltham, MA.  It is expected that the incumbent
Contractor will recompete.

A single award is anticipated with the performance period not to
exceed three years.

This is not a Request for Proposals (RFP).  RFP No. NIH-NINDS-93-11
will be issued on or about June 11, 1993, with responses due on or
about July 31, 1993.

INQUIRIES

To receive a copy of the RFP, submit a written request and supply two
self-addressed mailing labels to:

Contracts Management Branch
Division of Extramural Activities
National Institute of Neurological Disorders and Stroke
Federal Building, Room 901
7550 Wisconsin Avenue
Bethesda, MD  20892

Reference:  RFP No. NIH-NINDS-93-11

This announcement does not commit the NINDS to make an award.  All
responsible sources may submit a proposal that will be considered by
the Government.

$$R6 END ************************************************************

$$R7 BEGIN HD-93-014 FULL-TEXT **************************************

ETHNIC MINORITY FAMILIES WITH RETARDED MEMBERS

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFA AVAILABLE:  HD-93-014

P.T. 34, FF; K.W. 0715130, 0730050, 0710030

National Institute of Child Health and Human Development

Letter of Intent Receipt Date:  July 21, 1993
Application Receipt Date:  September 9, 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 Mental Retardation and Developmental Disabilities Branch (MRDD),
Center for Research for Mothers and Children (CRMC), of the National
Institute of Child Health and Human Development (NICHD) invites
research grant applications on ethnic minority families with mentally
retarded or developmentally disabled members.  The ethnic minority
populations to be studied are: African-American; Hispanic;
Asian-American, including Pacific-Island-Americans; and
American-Indian, including Alaskan-Natives.  High priority research
topics include traditional beliefs, values, and responses to mental
retardation and developmental disability of these ethnic groups,
formal and informal support systems that are most likely to be used
by families in these groups, and the impact of ethnicity on families'
interactions with various types of service agencies.

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,
Ethnic Minority Families with Retarded Members, centers on a high
priority area, the health and well-being of several special
populations: people with disabilities, and people in particular
ethnic minority groups, many of whom have low incomes.  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 for-profit and non-profit
organizations, public and private, such as universities, colleges,
laboratories, units of state and local governments, and eligible
agencies of the Federal government.  Minority investigators and women
are encouraged to apply.  It is suggested that applicants have
research experience pertinent to the research agenda spelled out in
the RFA.  Foreign institutions are not eligible for First Independent
Research Support and Transition (FIRST) awards (R29).

MECHANISM OF SUPPORT

This RFA will use two funding mechanisms:  the National Institutes of
Health (NIH) individual research grant (R01) and the FIRST award
(R29).  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

It is estimated that applications submitted in response to this
announcement will compete for approximately $750,000 in direct costs
that will be made available for the first year of support.  It is
expected that four awards will be made.  The number of awards depends
on the overall scientific merit of the applications.  Although this
program is provided for in the financial plans of the NICHD, awards
pursuant to this RFA are also contingent upon the availability of
funds for this purpose.

RESEARCH OBJECTIVES

The purpose of this RFA is to encourage research on ethnic minority
families with retarded or developmentally disabled members.  High
priority research topics include the following:

A.  Traditional beliefs, values, and responses to mental retardation
and developmental disability of particular ethnic groups.

B.  Formal and informal support systems that are most likely to be
used by members of families from various ethnic minority groups with
retarded or developmentally disabled members.

C.  Variables to be considered in the development of appropriate
models and instruments to assess family functioning and needs of
individuals in ethnic minority families with retarded or
developmentally disabled members.

It is expected that applicants will focus on a limited number of
variables that are important to the functioning of families from
specific ethnic minority populations.  No single research project is
expected to address all of the topics above, to include all ethnic
minority populations, or families with all types of retardation and
disability.

STUDY POPULATIONS

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

This RFA calls for research on ethnic minority families from four
groups:  African-American; Hispanic; Asian-American, including
Pacific-Island-Americans; and American-Indians, including
Alaskan-Natives.  Applicants are encouraged to study both male and
female family members.  Family members of all ages may be studied.

LETTER OF INTENT

Investigators who expect to respond to this RFA may submit a letter
of intent by July 21, 1993.  The letter of intent should include a
descriptive title of the proposed research, the name, address, and
telephone number of the Principal Investigator, the names of any
other key personnel, 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 evaluating relevance to the topic of
the RFA and in planning for the review of applications.

The letter of intent is to be sent to Dr. Phyllis W. Berman at the
address listed under INQUIRIES.

APPLICATION PROCEDURES

Applications are to be submitted on Form PHS 398 (rev. 9/91).  This
application form is available in the office of sponsored research at
most academic and research institutions and from the Office of Grants
Inquiries, Division of Research Grants, National Institutes of
Health, Westwood Building, Room 449, Bethesda, MD 20892, telephone
(301) 594-7248.  The receipt deadline for applications prepared in
response to this RFA is September 9, 1993.  Late applications will be
returned to the applicant without review.  Applications for the FIRST
Award (R29) must include at least three sealed letters of reference
attached to the face page of the original application.  FIRST Award
(R29) applications submitted without the required numbered of
reference letters will be considered incomplete and will be returned
without review.

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 evaluation.  Check
"YES" in item 2a on the face page of the application and type "Ethnic
Minority Families with Mentally Retarded Members, HD-93-014."  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**

In addition, two copies of the application must be sent under
separate cover to:

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

REVIEW CONSIDERATIONS

Applications will be reviewed by the NICHD staff for completeness and
responsiveness to the RFA.  Incomplete applications and those deemed
non-responsive will be returned to the applicant.  In the event that
an application is returned, the applicant has the option to resubmit
the application to the Division of Research Grants as an unsolicited
application during one of the three yearly review cycles (February 1,
June 1, October 1).  If the application submitted in response to this
RFA is substantially similar to a grant application already submitted
to the NIH for review, but not yet reviewed, the applicant will be
asked to withdraw either the pending application or the new one.
Simultaneous submission of identical applications will not be
allowed, nor will essentially identical applications be reviewed by
different review committees.  Therefore, an application cannot be
submitted in response to this RFA that is essentially identical to
one that has already been 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.

Applications may be triaged by and NICHD peer review group on the
basis of relative competitiveness.  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
will undergo further scientific merit review.  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 NICHD.  The second
level of review will be provided by the National Advisory Child
Health and Human Development Council.

o  Scientific, technical, or medical significance and originality of
proposed research.
o  Appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research.
o  Qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research.
o  Availability of resources necessary to perform the research.
o  Appropriateness of the proposed budget and duration in relation to
the proposed research.

AWARD CRITERIA

The earliest anticipated award date is April 1994.  The following
will be considered in making awards:

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

INQUIRIES

Requests for additional information and inquiries concerning this RFA
are encouraged.  Direct inquiries about programmatic issues, requests
for the RFA, and address the letter of intent to:

Phyllis W. Berman, Ph.D.
Mental Retardation and Developmental Disabilities Branch
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 4B09D
Bethesda, MD  20892
Telephone:  (301) 496-1383

For fiscal and administrative inquiries regarding this announcement,
potential applicants may contact:

E. Douglas Shawver
Office of Grants and Contracts
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 8A17F
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, 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.

$$R7 END ************************************************************

$$R8 BEGIN CA-93-027 FULL-TEXT **************************************

MINORITY ENHANCEMENT AWARDS

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFA AVAILABLE:  CA-93-027

P.T. 34, FF; K.W. 0785035, 0715035, 0745070, 0710095

National Cancer Institute

Letter of Intent Receipt Date:  July 14, 1993
Application Receipt Date:  September 22, 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 Comprehensive Minority Biomedical Program (CMBP), Division of
Extramural Activities (DEA), National Cancer Institute (NCI), invites
research grant applications from interested investigators with access
to large or predominantly minority populations to promote minority
group participation in cancer research with a special focus on cancer
control research.  Support provided by this initiative would broaden
the operational base of each institution by:

1.  Expanding cancer control and prevention efforts in early
detection, prevention, screening, pre-treatment evaluation,
treatment, continuation care, and rehabilitation;

2.  Increasing the involvement of minority population primary care
providers early in the course of clinical treatment research;

3.  Promoting the involvement in treatment research at the
institutional level with a focus on the development of treatment
protocols for cancers that have a high incidence in minorities;

4.  Supporting programs involving diet and nutrition cancer control
research activities;

5.  Coordinating the contributions of investigators from various
relevant disciplines, psychology and nutrition; and

6.  Promoting the inclusion of minority individuals at all levels in
the conduct of the research with the increased recruitment of
minority scientists into the research base of the institution as an
expected outcome.

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,
Minority Enhancement Awards, 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 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. Institutions are
eligible if they can demonstrate the following:

1.  Broad research capabilities in cancer prevention, cancer control
and cancer treatment as evidenced by significant research support in
these areas.  This would include past and current examples of ability
to design and implement strong clinical trials research programs.

2.  An organizational infrastructure that promotes and sustains a
strong interdisciplinary, interactive cancer research environment
which links basic research effectively to research in patient and
populations settings (e.g., NCI-designated Comprehensive Cancer
Centers).

3.  Clear access to large numbers of minorities who are
representative of the minority populations in the communities and/or
regions associated with the institution.

4.  Demonstrated capability to work with minority populations in a
research setting within communities and/or regions.

MECHANISM OF SUPPORT

This RFA will use the National Institutes of Health (NIH) individual
research grant (R01).  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.  Generally, future unsolicited
competitive continuation applications will compete with all
investigator-initiated applications and be reviewed by the Division
of Research Grants (DRG).  However, should the NCI determine that
there is a sufficient continuing program need, a request for
competitive continuation applications will be announced.  Only
recipients of awards under this RFA will be eligible to apply.   The
average amount of direct costs expected per award is $200,000.

FUNDS AVAILABLE

Funding in the amount of $1,600,000 in total costs has been set aside
for the first year to specifically fund applications which are
submitted in response to this RFA.  It is anticipated that six awards
will be made.  This funding level is dependent on the receipt of
sufficient number of applications of high scientific merit.  The
total project period for applications submitted in response to the
present RFA may not exceed three years.  The earliest feasible start
date for the initial awards will be April 1, 1994.  Although this
program is provided for in the financial plans of the NCI, the award
of grants pursuant to this RFA is also contingent upon the
availability of funds for this purpose.

RESEARCH OBJECTIVES

General research objectives within the scope of this initiative
include, but are not limited to, smoking behavior in minority youth;
studies of communication strategies for presenting information to
minorities about cancer and its prevention; investigations of patient
perspectives of cancer risks; the design and evaluation of
interventions to minimize and prevent distress of minority patients
with cancer; the development of pilot studies for minority clinical
prevention trials; and psychosocial studies and perception of cancer
risk in minorities.

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 July 14, 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 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. Lemuel Evans at the address listed
under INQUIRIES.

APPLICATION PROCEDURES

Applications must be received by September 22, 1993.  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; 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; and from the NCI Program Director named below.

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:

NCI Referral Office
Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Room 636
Bethesda, MD  20892

REVIEW CONSIDERATIONS

From owner-sci-resources@net.bio.net Thu Jun 17 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 21, pt. 2, 11 June 1993
Message-ID: <Jun.18.10.17.34.1993.15687@net.bio.net>
Date: 18 Jun 93 17:17:35 GMT
Sender: kristoff@net.bio.net
Lines: 1499
Approved: biosci-moderator@net.bio.net

$$XID NIHGUIDE 19930611 V22N21 P2O3 ************************************

Upon receipt, applications will be reviewed for completeness by DRG
and for responsiveness by the NCI Program Staff.  Incomplete
applications will be returned to the applicant without further
consideration.  If the application is not responsive to the RFA, NCI
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.  Review
criteria for RFAs are generally the same as those for unsolicited
research grant applications.

INQUIRIES

Written and telephone inquiries are encouraged.  The opportunity to
clarify any issues or questions concerning the objectives and scope
of this RFA or inquiries about whether or not specific proposed
research would be responsive is welcome.

Direct inquiries regarding programmatic issues, requests for the RFA,
and address the letter of interest to:

Dr. Lemuel Evans
Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Room 620
Bethesda, MD  20892
Telephone:  (301) 496-7344
FAX:  (301)  496-7911

For information regarding budgetary/administrative issues related to
this RFA, contact:

Ms. Carolyn Mason
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 243
Bethesda, MD 20892
Telephone:  (301) 496-7800, Extension 59

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance Number 93.399, Cancer Control.  Awards are made under the
authorization of the Public Health Service Act, Title V, 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 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 AI-93-018 FULL-TEXT **************************************

PROGRAM PROJECTS ON AUTOIMMUNITY

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFA AVAILABLE:  AI-93-018

P.T. 34; K.W. 0715015, 0755030, 0765033, 0411005, 0745027

National Institute of Allergy and Infectious Diseases
National Institute of Arthritis and Musculoskeletal and Skin Diseases

Letter of Intent Receipt Date:  August 15, 1993
Application Receipt Date:  November 16, 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 Division of Allergy, Immunology and Transplantation of the
National Institute of Allergy and Infectious Diseases (NIAID) and the
Rheumatic Diseases Branch of the National Institute of Arthritis and
Musculoskeletal and Skin Diseases (NIAMS) invite studies aimed at
elucidating the causes and mechanisms of tolerance and autoimmune
diseases and at the application of this basic biomedical knowledge to
the development and implementation of new preventive and treatment
modalities for these diseases. This RFA invites applications from
collaborating basic science and clinical research investigators who
are interested in developing novel integrated studies on autoimmune
diseases.

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,
Program Projects on Autoimmunity, is related to the priority areas of
diabetes and chronic disabling diseases, and immunization and
infectious 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 202-782-3238).

ELIGIBILITY REQUIREMENTS

Research grant applications may be submitted by domestic, for-profit
and non-profit organizations, public and private institutions, such
as universities, colleges, hospitals, laboratories, units of State
and local governments, and eligible agencies of the Federal
government.  Foreign organizations are not eligible to apply.
Applications from minority individuals and women are encouraged.

MECHANISM OF SUPPORT

The mechanism of support will be the Program Project (P01) grant.
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.

FUNDS AVAILABLE

The estimated total funds (direct and indirect costs) available for
the first year of support for awards under this RFA will be
$2,300,000.  In Fiscal Year 1994, the NIAID and the NIAMS plan to
fund approximately three program projects.  Applications may not
request budgets in excess of $500,000 total direct costs in the first
year or more than 4 percent annual inflationary increases for future
years.  An application with a first year requested amount in excess
of $500,000 total direct cost will require written approval by senior
NIAID or NIAMS officials via the program officer for acceptance of
the application for processing.  This level of support is dependent
on the receipt of a sufficient number of applications of high
scientific merit.

RESEARCH OBJECTIVES AND SCOPE

The major goals of these program projects are:  increased
understanding of etiology and pathogenetic mechanisms involved in
autoimmune diseases; generation of new information and the expansion
of the current knowledge base; and the application of this knowledge
to the development of new or improved measures of risk assessment,
prevention, early diagnosis and treatment of a wide variety of
autoimmune diseases and disorders in which the autoimmune response is
a major contributor to pathogenesis.

The NIAID and NIAMS are seeking innovative applications that address
various aspects of the immune responses related to self reactivity
which may include studies concerned with relevant areas of genetics,
cell and molecular biology, biochemistry, physiology, microbiology,
pathology and pharmacology.  Of special interest are program projects
that emphasize new ideas, novel approaches, and state-of-the-art
technology in basic research that elucidates pathogenic mechanisms
and shows promise for clinical application in the prevention,
diagnosis, and treatment of autoimmune diseases.

There is overwhelming evidence to implicate immune mechanisms in the
pathogenesis of diseases of the skin, nervous system, endocrine
system and gastrointestinal tract.  Thus, in addition to studies of
well-recognized autoimmune disorders such as systemic lupus
erythematosus, rheumatoid arthritis, antibody-mediated
thrombocytopenia and autoimmune hemolytic anemia, the NIAID and NIAMS
encourage investigators to design and develop studies aimed at
establishing the role of the immune system in the pathogenesis of
endocrine, dermatologic, neurologic and gastrointestinal diseases and
the development of new preventive and treatment modalities specific
for these disorders through the manipulation of the immune response.

Projects focused on the study of mechanisms of autoimmune diseases
should be designed based on integrated and coordinated intra-
institutional clinical investigations or experimental studies with
demonstrated relevance to human autoimmune disease.  Inclusion of
basic research components utilizing samples from human source
materials in in vitro procedures are encouraged, as are preclinical
studies using appropriate animal models of human autoimmune disease.
Inclusion of clinical investigative components drawing upon
immunologically relevant areas in medicine, pediatrics, surgery,
dermatology, neurology, pathology and their subspecialties is highly
recommended.

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 research, 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, August 15, 1993, a
letter of intent that includes a descriptive title of the overall
proposed research, the name, address and telephone number of the
Program Director, the number and title of this RFA, and a list of the
key investigators and their institution(s).  Although the letter of
intent is not required, is not binding, does not commit the sender to
submit an application, and does not enter into the review of
subsequent applications, the information that it contains allows
NIAID and NIAMS 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. Mark Rohrbaugh at the address listed under
INQUIRIES.

APPLICATION PROCEDURES

Applications are to be submitted on the standard research grant
application form PHS 398 (rev. 9/91).  For purposes of identification
and processing, item 2a on the face page of the application must be
marked "yes" and the RFA number and the words "PROGRAM PROJECTS ON
AUTOIMMUNITY" must be typed in.

These application forms may be obtained from the institution's office
for sponsored research or its equivalent, 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) 594-7248.  Applications must be received by November
16, 1993.

REVIEW CRITERIA

The general criteria for P01 grant applications are the review
criteria for large, multicomponent, interdisciplinary program
projects as outlined in the NIAID Brochure on Program Project and
Center Grants.

AWARD CRITERIA

Funding decisions will be made on the basis of scientific and
technical merit as determined by peer review, program needs and
balance, and the availability of funds.

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 and requests for the RFA to:

Howard B. Dickler, M.D.
Division of Allergy, Immunology, and Transplantation
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4A19
Bethesda, MD  20892
Telephone:  (301) 496-7104
FAX:  (301) 402-2571

Susana A. Serrate-Sztein, M.D.
Rheumatic Diseases Branch
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Westwood Building, Room 405
Bethesda, MD  20892
Telephone:  (301) 594-9953
FAX:  (301) 594-9673

Direct inquiries regarding review issues (including the preparation
of a program project application), address the letter of intent to,
and mail two copies of the application and all five sets of
appendices to:

Mark Rohrbaugh, Ph.D.
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4C22
6003 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 496-8424
FAX:  (301) 402-2638

Direct inquiries regarding fiscal matters to:

Mr. Jeffrey Carow
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B29
6003 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 496-7075

Schedule

Letter of Intent Receipt Date:  August 15, 1993
Application Receipt Date:       November 16, 1993
Scientific Review Date:         February 1994
Advisory Council Date:          June 1994
Earliest Award Date:            August 1994

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.855 - Immunology, Allergy and Transplantation
Research and No. 93.846 - Arthritis and Musculoskeletal and Skin
Diseases Research.  Awards will be made under the authority of the
Public Health Service Act, Title III, Section 301 (Public Law 78-410,
as amended; 42 USC 241) and administered under PHS grants policies
and Federal Regulations 42 CFR Part 74.  This program is not subject
to the intergovernmental review requirements of Executive Order 12372
or Health Systems Agency review.

$$R9 END ************************************************************

$$R10 BEGIN CA-93-029 FULL-TEXT *************************************

CLINICAL STUDIES OF SYSTEMIC THERAPIES

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFA AVAILABLE:  CA-93-029

P.T. 34; K.W. 0715035, 0785035, 0745070

National Cancer Institute

Letter of Intent Receipt Date:  October 22, 1993
Application Receipt Date:  December 7, 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
INQUIRES, BELOW.

PURPOSE

The Cancer Therapy Evaluation Program (CTEP) of the Division of
Cancer Treatment (DCT) at the National Cancer Institute (NCI) invites
Interactive Research Project Grant (IRPG) applications to perform
research projects designed to conduct clinical studies of innovative
systemic therapies investigating promising therapeutic approaches in
a single tumor type or focused on a single class of novel compounds
or a mechanism of action.

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,
Clinical Studies of Systemic Therapies, 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

Domestic and foreign, for-profit and non-profit organizations,
governments and their agencies are eligible to apply.  Applications
can be from single institutions and multiple institutions
(collaborating institutions, consortia, cooperative groups).  New and
experienced investigators are encouraged to apply.  Applications from
minority individuals and women are encouraged.

For the purpose of this RFA, each IRPG must consist of a minimum of
three investigator initiated research grant applications (R01s).

Amended applications from CA-92-25 are encouraged.  An IRPG that
received funding for one or more, but not all, of the applications in
the original package may submit revised applications for those that
were unfunded.  IRPGs submitted under CA-92-25 can be submitted with
less than three required independent R01s under CA-93-029.  However,
the number of applications currently funded under CA-92-25 plus
revised applications submitted under CA-93-029 R01s.

MECHANISM OF SUPPORT

Support of this program will be by the traditional research project
grant (R01) through the use of the IRPG program (see PA- 93-078, NIH
Guide for Grants and Contracts, Vol. 22, No. 16, April 23, 1993).
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.

The total cost for each IRPG (consisting of three or more R01s) is
limited to $750,000 per year.  The average amount of direct cost per
year for each R01 will range from $140,000 to $180,000.  The total
project period for applications submitted in response to the RFA may
not exceed four years.  The earliest feasible start date for the
initial awards will be August 1994.

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 applications for review according to the procedures
described below.

FUNDS AVAILABLE

Approximately $2,000,000 in total costs per year for four years will
be committed to fund applications submitted in response to this RFA.
It is anticipated that three IRPGs will be funded in FY 94.  This
funding level 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 R01
grants pursuant to this RFA is also contingent upon the availability
of funds for this purpose.

RESEARCH OBJECTIVES

Background

An unprecedented number of new therapeutic agents are ready for
evaluation in pilot clinical studies at this time.  In addition,
insights into the biologic function and clinical relevance of growth
factors, genes that promote and suppress neoplasia, mechanisms of
treatment sensitivity and resistance, and function of the immune
system provide important new clinical research opportunities for
investigators.  NCI is interested in expanding support for clinical
research.  Under this Interactive Research Project Grant (IRPG) RFA,
the NCI seeks to encourage the coordinated submission of related
research project grant applications from investigators who want to
collaborate on a common cancer research theme, but do not require
extensive shared physical resources or multiple core functions.  This
mechanism is not meant to replace the P01 mechanism but to provide an
intermediate level of support between the P01 and that available
through an individual R01.

Research Goals And Scope

The aims of this RFA are two-fold:  (1) to provide support for
translational research that brings innovative basic research findings
into the clinic and (2) to foster the development of interactions
between basic science laboratories of different disciplines and
clinicians performing clinical trials to advance therapeutic clinical
research.

This RFA is soliciting applications to perform interactive research
projects with the goal of developing new clinical studies involving
systemic therapies with a therapeutic intent.  The interactive
research project grants may have as their key focus either:  (1)
clinical studies investigating promising therapeutic approaches in a
single tumor type or (2) the development of new clinical treatment
strategies focused on a single class of novel compounds or mechanism
of action.  Each project supported in the IRPG is expected to
contribute to and be directly related to the common theme of the IRPG
application.  The application must clearly explain how the projected
integrated R01 research grants can be expected to accomplish the
stated goal more efficiently and effectively than they could without
the anticipated interactions.  At least one clinical trial protocol
must be proposed in one of the grant applications.  The clinical
trials should be well integrated with the laboratory studies proposed
within the same R01 grant or in separate R01 grants.

SPECIAL REQUIREMENTS

The RFA describes the roles and responsibilities of the Principal
Investigator/Awardee and the Project Coordinator.

STUDY POPULATIONS

SPECIAL INSTRUCTIONS FOR INCLUSION OF FEMALES 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 females 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 October 22, 1993, a
letter of intent that includes a descriptive title of the proposed
research, the names and addresses of the Principal Investigators, the
names of other key personnel, the 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, it is requested
in order to provide an indication of the number and scope of
applications to be reviewed.

The letter of intent is to be sent to Dr. Roy S. Wu at the address
listed under INQUIRIES.

APPLICATION PROCEDURES

Applications must be received by December 7, 1993.  If an application
is received after that date, it will be returned.  The  research
grant application form PHS 398 (rev. 9/91) is to be used in applying
for this RFA.  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, Westwood
Building, Room 449, Bethesda, MD 20892, telephone (301) 594-7248; and
from the NCI Program Director named below.

Special instructions for application are included in the RFA.

REVIEW CONSIDERATIONS

Upon receipt, applications will be initially reviewed 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 program requirements and
criteria stated in the RFA is an NCI program staff function.
Applications that are judged non-responsive will be returned by the
NCI.  Questions concerning the responsiveness of proposed research to
the RFA are to be directed to program staff listed under Inquiries.

AWARD CRITERIA

The anticipated date of award is August 1, 1994.  In addition to the
technical merit of the application, NCI will consider how well the
applicant institution meets the goals and objectives of the program
as described in the RFA, availability of resources, and study
populations.

INQUIRIES

Written and telephone inquires concerning the objectives and scope of
this RFA and inquires about whether or not specific proposed research
would be responsive are encouraged.  The NCI Program Directors
welcome the opportunity to clarify any issues or questions from
potential applicants.

Direct inquiries regarding programmatic issue, requests for the RFA,
and address the letter of intent to:

Dr. Roy S. Wu
Division of Cancer Treatment
National Cancer Institute
Executive Plaza North, Room 734
Bethesda, MD  20892
Telephone:  (301) 496-8866
FAX:  (301) 480-4663

Direct inquire regarding fiscal matters to:

Ms. Jennifer Edwards
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 242
Bethesda, MD  20892
Telephone:  (301) 496-7800, ext. 57
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.

$$R10 END ***********************************************************

                    ONGOING PROGRAM ANNOUNCEMENTS

$$P1 BEGIN PA-93-082 ************************************************

NICHD CLINICAL INVESTIGATOR DEVELOPMENT AWARD

NIH GUIDE, Volume 22, Number 21, June 11, 1993

PA NUMBER:  PA-93-082

National Institute of Child Health and Human Development

Effective as of October 1, 1993

PURPOSE

The National Institute of Child Health and Human Development (NICHD)
announces the availability of the Clinical Investigator Development
Award (CIDA).  The CIDA includes features of and replaces the
Physician Scientist Award and the Clinical Investigator Award.  It
enables candidates seeking a research career to receive advanced
training and the opportunity to investigate a well-defined problem
under a sponsor competent to provide guidance in the chosen area of
research.  The CIDA is intended to provide greater flexibility in
supporting a career development program suited to the experience and
capabilities of the candidate.  The objectives of the NICHD in
utilizing the CIDA are to:

o  encourage clinically trained individuals to develop the
technological and intellectual investigational skills that will allow
them to pursue an independent research career in the mission areas of
the NICHD;

o  increase the pool of medical scientists prepared to use state-of-
the-art methods to address significant topics in population research,
maternal and pediatric health and disease research, and medical
rehabilitation research.

ELIGIBILITY

The CIDA provides research career development support for clinically
trained individuals with a range of research experience, who are
committed to developing careers as independent investigators.  This
award will allow candidates holding health professional doctoral
degrees, such as the M.D., D.V.M., D.O., or equivalent degree, to
undertake three to five years of advanced study and supervised
research with the goal of developing into independent investigators.
It is expected that candidates will have completed at least two years
of professional experience following the doctoral degree at the time
of award.

Applications may be accepted from those who hold the Ph.D. degree in
addition to the professional degree only if special circumstances can
be shown, such as the Ph.D. degree earned in a field unrelated to
biomedical science, or a substantial intervening period of clinical
or nonresearch activities having occurred since completion of the
Ph.D. degree.  Such applications will be considered on a case-by-case
basis.

MECHANISM OF SUPPORT

PROVISIONS OF THE AWARD

1.  Environment.  Applications will be accepted from domestic
universities, medical schools, or comparable non-Federal institutions
with strong, well-established research and research training
programs, sufficient numbers of accomplished faculty in basic and
clinical sciences, and a commitment and capability to provide
guidance to clinically trained individuals in the development of
research independence.  Evidence of institutional commitment to the
candidate's research and development must be provided in a plan that
identifies personnel and other resources to be devoted to the
candidate's career development program.

2.  Program.  Candidates must be nominated by an institution on the
basis of qualifications, interests, accomplishments, motivation, and
potential for performing quality research.  The candidate's academic
background, previous experience, and career goals should determine
the necessary length and type of plan that is appropriate.  The
candidate and sponsor are jointly responsible for the preparation of
the research development plan.  The amount of course work, seminars,
and other educational experiences will be expected to vary according
to the previous level of experience of the candidate.

All candidates must provide a full description of the research and
career development plan for the period of the award.  The proposed
plan must include hands-on research experience for the entire three
to five year period.  Programs may include studies and research
endeavors leading to a relevant Masters or Ph.D. degree, if the
objective is the development of the candidate into an independent
investigator.

3.  Sponsor.  Each candidate must identify a primary sponsor who is
an accomplished investigator in the research area proposed and has
experience in training new investigators.  The sponsor must provide a
written plan for the development of the candidate into an independent
scientist, and provide guidance during the preparation of the
application.  A secondary sponsor may also be proposed for subsequent
guidance in a special area of expertise, but the primary sponsor must
continue to be involved throughout the award period.  In some cases,
candidates may choose to propose both a basic research sponsor and a
clinical research sponsor.

4.  Advisory Committee.  A committee composed of the sponsor(s) and
two or three other senior faculty members should be identified.  This
advisory committee should meet at least annually with the candidate
to review the research development plan and project, to evaluate his
or her progress, and to provide guidance for future scientific career
development.  A report from this committee should be included in the
annual progress report submitted as part of the noncompeting
continuation application.

5.  Duration and Effort.  The award is made for three, four or five
years, depending on the needs of the candidate and the evaluation by
the initial review group and the National Advisory Child Health and
Human Development Council.  It is nonrenewable and not transferable,
but in extraordinary situations, change of sponsor and/or change of
institution may be allowed with the prior approval of the NICHD.  All
funds must be used on behalf of the original candidate.  A minimum of
75 percent effort must be devoted to the research program, and the
applicant institution must provide assurance that at least 75 percent
time will be available to the candidate for research.  The remainder
may be devoted to other clinical and teaching pursuits that are
directly relevant to the program, i.e., the candidate's scientific
career development or the maintenance of clinical and teaching skills
necessary for an academic medicine career.

The candidate must have a full-time appointment at the applicant
institution.

In general, candidates who have Department of Veterans' Affairs (VA)
appointments may not consider part of the VA effort toward satisfying
the "full-time" requirement at the applicant institution.  Although
exceptional cases may be approved, any such requests must be strongly
justified, and must otherwise meet the intent of the guidelines.
Under no circumstances will the CIDA be used to reimburse part of the
VA Federal salary.  It is permissible for all or part of the research
program to be conducted in a VA laboratory, if, for example, the
sponsor has a VA appointment, but the above conditions must be
satisfied with respect to the CIDA candidate.

6.  Allowable costs.

a.  Salary.  Individual compensation is based on the institution's
salary scale for individuals at an equivalent experience level.
Funding from this award for salary may not exceed $50,000 per year
plus commensurate fringe benefits for a full-time employee with at
least 75 percent effort devoted to the research program.  NIH policy
permits supplementation of salary from non-Federal sources.

b.  Research and Development Support.  A maximum of $10,000 per year
may be requested for research costs such as technical personnel,
supplies, small items of equipment, candidate travel,
telecommunications, publication costs, and tuition for necessary
courses.  All budget items requested must be justified in the
application.

c.  Indirect costs.  Reimbursement of actual indirect costs may be
requested at a rate up to, but not exceeding, eight percent of the
total allowable direct costs of each award, exclusive of tuition,
fees, and equipment purchases.

7.  Concurrent Applications.  CIDA applications may not be submitted
or awarded concurrently with other NIH applications, including any
other career development award, FIRST award, or research project
grant.  This includes support under an institutional physician
scientist award.  Other career development awards may not be applied
for or awarded to a candidate for, or recipient of, the CIDA.
Individuals who have been the principal investigator on an AREA grant
(R15) or a small research grant (R03) may apply for the CIDA.

8.  Subsequent Applications for NIH Research Support.  Individuals
holding the CIDA, during the later years of the award, are encouraged
to apply for independent research support, such as the FIRST Award or
other research project grants.  Care should be exercised that costs
requested on the research grants do not duplicate those on the CIDA.
Consultation with NICHD staff is recommended.

OBJECTIVES

The award is intended to serve the research career development needs
of clinically trained individuals by providing them with research
opportunities appropriate for their academic background, previous
research experience, and other past achievements.  Candidates who
have minimal or no research experience and need guided course work
and supervised laboratory experiences are eligible to apply.
Individuals who do not require additional courses but who need an
intensive research experience under the guidance of an established
scientist are also eligible to apply, as are those who, by the time
of award, will have concluded training support under institutional
training grants or individual fellowships from NIH or other sources.
Women, minorities, and individuals with disabilities are encouraged
to apply.  Current or past Principal Investigators of an NIH grant
(other than an R03 or R15) or the equivalent are not eligible.

All programs should be carefully tailored to meet individual needs
and must include a sponsor who is competent to provide appropriate
research guidance.  In certain cases it may be appropriate to include
a secondary mentor with additional specific expertise.

The CIDA can be integrated with the requirements of clinical
training, and various approaches for doing so may be proposed.
Individuals desiring subspecialty training may wish to complete their
clinical fellowships before starting the CIDA.  An alternative is
interruption of the award to complete clinical training.  For
example, individuals with limited clinical and research training may
propose a plan which includes a one to two year hiatus in the program
to allow for the completion of subspecialty training, followed by
resumption of the research development program.  The period of
interruption would be without award support and would not reduce the
total length of time of support for which the individual is eligible.

At the time of application, candidates must be either citizens or
noncitizen nationals of the United States or have been lawfully
admitted to the United States for permanent residence.  An individual
lawfully admitted for permanent residence must submit with the
application a notarized statement indicating possession of the Alien
Registration Receipt Card (I-151 or I-551).  Individuals on temporary
or student visas are not eligible.

REPORTING REQUIREMENTS

During the period of award, recipients, in conjunction with their
sponsors, are required to submit a detailed annual progress report.
Recipients must also provide a report to the National Institutes of
Health annually for a period of five years subsequent to the
completion of the CIDA, regarding time devoted to research, academic
status attained, publications, and research support (Federal and non-
Federal) obtained.

APPLICATION PROCEDURES

Supplemental instructions for completing and submitting the
application must be obtained from program staff or the NICHD contact
listed below:

Applications are to be submitted on the research grant application
form PHS 398 (rev. 9/91).  This form is available at the applicant
institution's office 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) 594-7248.

Submit a signed original of the application and five signed copies in
one package to:

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

REVIEW CONSIDERATIONS

Upon receipt, applications will be screened by NICHD staff for
compliance with the eligibility criteria above.  Applications not
meeting these requirements will be returned to the applicant without
review.

Individuals with significant research experience in the proposed
field of study may not be eligible for this award and should discuss
other methods of research support with appropriate institute staff.

Applications for the CIDA will be evaluated for scientific and
technical merit by an NICHD Review Committee, in accordance with the
usual NIH peer review procedure.  Following the initial review,
applications will undergo a second level review by the National
Advisory Child Health and Human Development Council.

REVIEW CRITERIA

1.  Candidate.  The candidate's overall competence as demonstrated by
academic and clinical performance, potential for a career in
independent research, and commitment to pursuing an academic research
career.

2.  Sponsor(s).  The sponsor's accomplishments in the scientific
research area(s) proposed by the candidate, appropriate experience
and record in training investigators, and degree of commitment for
the duration of a candidate's research development program.

3.  Environment.  The institution's commitment and ability to provide
adequate facilities, resources, and opportunities necessary for the
candidate's training; the institutional commitment to the candidate;
the quality and extent of interaction among the faculty in the basic
and clinical sciences; and the quality of the institution's research
and research training environment.

4.  Career Development Plan.  The adequacy of the research career
development plan, based on the candidate's past experience, training
and career goals. (See Item II, above)

5.  Research Plan.  Scientific merit of a proposed research project,
as described in the Supplemental Instructions, and its
appropriateness as a vehicle for developing the candidate's research
skills.

6.  Advisory Committee.  Appropriateness of the advisory committee to
meet the research career evaluation needs of the candidate's program.

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 and requests for the
supplemental instructions to:

Hildegard Topper
Special Assistant to the Deputy Director
National Institute of Child Health and Human Development
Building 31, Room 2A03
Bethesda, MD  20892
Telephone:  (301) 496-0104

Receipt dates of applications by the Division of Research Grants, NIH
are as follows:

Application           NICHD Advisory            Earliest
Receipt Dates         Council Review            Start Date

February 1            October                   December 1
June 1                January                   April 1
October 1             May                       July 1

AUTHORITY AND REGULATIONS

The programs of the NICHD are described in the Catalog of Federal
Domestic Assistance Nos. 93.864, 93.865, and 93.929.  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 12374 or Health Systems Agency review.

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

$$P2 BEGIN PA-93-092 ************************************************

CHILD AND ADOLESCENT DEVELOPMENT AND PSYCHOPATHOLOGY RESEARCH CENTERS

NIH GUIDE, Volume 22, Number 21, June 11, 1993

PA NUMBER:  PA-93-092

P.T. 04; K.W. 0404004, 0710105, 0710030

National Institute of Mental Health

PURPOSE

The National Institute of Mental Health (NIMH) seeks to expand the
Nation's scientific capacity to conduct research on child and
adolescent mental disorders by fostering the evolution of Child and
Adolescent Development and Psychopathology Research Centers (CADPRC).
These Centers are essential to enable the development of new
approaches and research strategies to address key scientific problems
that have heretofore impeded progress in the child and adolescent
mental health/mental disorders field.  Thus, this program
announcement represents a major NIMH commitment to the advancement of
the scientific understanding of the causes, consequences, prevention,
and treatment of child and adolescent mental disorders.

This announcement focuses on the development of research centers
whose main goal is to bridge basic science, state-of-the-art
methodologies, and clinical research approaches, in order to address
pressing child psychopathology-related research problems that cannot
otherwise be adequately addressed by less integrated research
strategies.  As such, this announcement is the second part of a
two-pronged approach outlined under "The National Plan for Research
on Child & Adolescent Mental Disorders."  While the previously
released program announcement, "Implementation of the National Plan
for Research on Child and Adolescent Mental Disorders," outlines
major areas of research focus and opportunities, this announcement
focuses on the creation of necessary research centers to develop the
research infrastructure and to advance the knowledge base in critical
problem areas.

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, Child and Adolescent Development and Psychopathology
Research Centers (CADPRC), is related to the priority areas of
suicide and mental disorders in children and adolescents.  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, 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.  Women and minority
investigators are encouraged to apply.

MECHANISM OF SUPPORT

The NIMH will support a maximum of two Centers in each of the first
three years of the program.  Funding for a Developing CADPRC (P20)
(described below under RESEARCH OBJECTIVES) is for a single five-year
period only. Funding for Mature Centers (P50) (described below) can
be for a maximum project period of five years.  Funds may be
requested for core support related to the research program of the
Center and for specific research and research training activities,
including inpatient bed costs, outpatient costs, subject incentive
fees, pilot studies, and costs of specialized consultation such as
statistical and/or computer science.  Training costs and service
costs not related to the research program are not covered under
Center grants.  Actual amounts and years of support that may be
approved and awarded will depend on the appropriate level of support
necessary for the scientifically meritorious work that is proposed.

RESEARCH OBJECTIVES

A CADPRC provides research resources that are to be used by a
multidisciplinary, cooperating group of researchers as the foundation
for a major research program organized around a significant research
question or theme.  This theme should be directed toward a pressing
research question that juxtaposes two or more alternative research
paradigms and traditions (e.g., genetic versus environmental
contributions to the development of a disorder or subclinical
condition; categorical versus dimensional taxonomic approaches;
preventive versus promotive interventions, etc.).  These
multidisciplinary teams should draw upon an expert cadre of
researchers across both basic and clinical research disciplines in
order to build optimal conceptual and methodologic bridges to address
pressing (sometimes controversial and hotly disputed) research
questions.  Thus, a CADPRC's multidisciplinary team as a rule will
consist of researchers from the basic sciences (e.g., developmental
psychology, behavioral neuroscience, molecular genetics, etc.) and
scientists from more applied, clinical research areas
(psychopharmacology, child psychiatry, pediatrics, neuropsychology,
clinical psychology, epidemiology, prevention, neuroimaging).

Priority will be given to the creation of multidisciplinary research
centers devoted to key problem areas of child and adolescent
psychopathology research.  In all instances, the CADPRC's main goal
is to bridge state-of-the-art theories and methods from the basic
sciences with pressing, clinically relevant research problems, in
order to address child psychopathology research questions that could
not otherwise be adequately addressed.  Pilot studies pertaining to
the etiology, epidemiology, development, diagnosis and
classification, prevention, treatment, outcome, and rehabilitation of
child and adolescent mental disorders may be supported as a part of a
CADPRC, if these studies are clearly related to the thematic focus of
the Center.

There are two categories of grant applications under the CADPRC
program: applications for "Developing Centers" and applications for
"Mature Centers."  The intent of these two categories is to encourage
the development of research centers across a wide range of
institutions at varying stages of research capacity development.
Although there is no absolute criterion to distinguish who should
apply in which category, the following guidelines apply:

o  The category of "Developing Centers" (P20) is appropriate for
departments or other entities that aspire to and are in the process
of developing the critical mass of research scholars necessary to
conduct state-of-the-art research on child and adolescent development
and psychopathology.  Applicants in this category do not necessarily
have strong track records in research but do show promise by virtue
of the commitment of institutional resources, recruitment of research
scholars to develop into fully functioning research centers.  The
funding cap for grants in this category is $300,000 per year, plus
negotiated institutional indirect costs.  This award is not
renewable.

o  "Mature Centers" (P30) are fully developed entities or have the
capacity to rapidly become mature, state-of-the-art research centers
by virtue of previous commitments of institutional resources,
recruitment and/or development of an existing critical mass of
research scholars, the presence of substantial recent publications in
peer-reviewed research journals, active research grants, etc.  The
funding cap for CADPRCs in this category is $1,000,000 per year, plus
negotiated institutional indirect costs.  Any Center application
requesting more than the cap will be returned to the applicant
without review.

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 both women and
minorities in study populations, so that research findings can be of
benefit to all persons at risk of the diseases, 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 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 the 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 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 that do not comply with these policies.

APPLICATION PROCEDURES

Preapplication Consultation.  Applicants are strongly encouraged to
contact the Centers program staff very early in the planning process.
Telephone conversations and meetings with NIMH staff can be
especially helpful in the development of a competitive application.
It is often of value to the potential applicant to send a preliminary
plan, no longer than 12 pages, to the program at least 90 days prior
to initial submission of an intended Center grant application.  The
plan should summarize the present state of planning and development
for establishing the proposed Center.

Applicants are to use the grant application form PHS 398 (rev. 9/91).
The number and title of this Program Announcement, "Child and
Adolescent Development and Psychopathology Research Centers, PA-93-
," must be typed in item number 2a on the face page of the PHS 398
application form.  PHS regulations concerning application page-length
apply to CADPRC applications.  In general, 25 pages of text are
allowed for each core and research component of the Center.

Application kits containing the necessary forms and instructions may
be obtained from business offices or offices of sponsored research at
most universities, colleges, medical schools, and other major
research facilities.  If such a source is not available, the
following office may be contacted for the necessary application
material:

Grants Management Branch
National Institute of Mental Health
5600 Fishers Lane, Room 7C-05
Rockville, MD  20857
Telephone:  (301) 443-4414

The signed original and five legible copies of the completed
application must be sent to:

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

REVIEW CONSIDERATIONS

The Division of Research Grants, NIH, serves as a central point for
receipt of applications for most discretionary PHS grant programs.
Applications received under this announcement will be assigned to an
Initial Review Group (IRG) in accordance with established PHS
referral guidelines.  The IRGs, consisting primarily of non-Federal
scientific and technical experts, will review the applications for
scientific and technical merit.  Notification of the review
recommendations will be sent to the applicant after the initial
review.  Applications will receive a second-level review by the
appropriate National Advisory Council whose review may be based on
policy considerations as well as scientific merit.  Only applications
recommended for approval by Council may be considered for funding.

Receipt Dates

Applications will be reviewed according to the following regular
schedule:

New, Competing                             National
Continuation, &           Scientific/      Advisory
Revised Applications      Technical        Council/Board
Approximately
Receipt Date              Merit Review     Review            Start
Date

Feb 1                     May/Jun          Sep/Oct           Dec 1
Jun 1                     Sep/Oct          Jan/Feb           Mar 1
Oct 1                     Jan/Feb          May/Jun           Jul 1

Applications received after the above receipt dates are subject to
assignment to the next review cycle or may be returned to the
applicant.

AWARD CRITERIA

Applications received in response to this announcement will compete
with others submitted for funding. In granting awards, the following
criteria are considered:

o  Program relevance and balance
o  Quality of application as documented by IRG and Council
recommendations
o  Availability of funding
o  Institute priorities

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:

Peter S. Jensen, M.D, Chief
Division of Clinical and Treatment Research
National Institute of Mental Health
Parklawn Building, Room 10-104
5600 Fishers Lane
Rockville, MD  20857
Telephone:  (301) 443-5944

For information regarding fiscal or grants management issues,
applicants may contact:

Diana Trunnell
Grants Management Branch
National Institute of Mental Health
5600 Fishers Lane, Room 7C-15
Rockville, MD  20857
Telephone:  (301) 443-3065

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance 93.242, Mental Health Research Grants.  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 announcement is not
subject to the intergovernmental review requirements of Executive
Order 12372, as implemented through DHHS regulations at 45 CFR Part
100, or Health Systems Agency review.

The National Institute of Neurologic Disorders and Stroke (NINDS)
also funds basic and clinical research concerning the etiology,
diagnosis, treatment, and prevention of neurodevelopmental disorders.
For further information contact:

Giovanna M. Spinella, M.D.
Federal Building, Room 820
Bethesda, MD  20892
Telephone:  (301) 496-5821

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

$$P3 BEGIN PA-93-093 ************************************************

EXPLORATORY/DEVELOPMENTAL GRANTS FOR PSYCHOSOCIAL TREATMENT RESEARCH

NIH GUIDE, Volume 22, Number 21, June 11, 1993

PA NUMBER:  PA-93-093

P.T. 34; K.W. 0715129, 0415001, 0745060, 0414014

National Institute of Mental Health

PURPOSE

The National Institute of Mental Health (NIMH) is soliciting
applications for exploratory developmental grants for research on
psychosocial treatment.  The ultimate goal is the development of
standardized psychosocial treatments for specific mental disorders or
mental health problems of public health significance for eventual
testing in clinical trials or treatment efficacy studies.  The intent
of this program announcement is to stimulate clinical investigators
to collect preliminary data on a psychosocial treatment that are
prerequisite to the conduct of a clinical trial.

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, Exploratory/Developmental Grants for Psychosocial
Treatment Research, is related to the priority area of mental health
and mental disorders.  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

These grants are available to public and private, for-profit and non-
profit, domestic and international institutions such as a
universities, colleges, hospitals, laboratories, and community
agencies; and units of State and local governments and authorized
units of the Federal government.  Women and minorities are encouraged
to apply.

MECHANISM OF SUPPORT

The exploratory/developmental grant (R21) is limited to $100,000 in
direct costs per year for up to three years.  Annual awards will be
made subject to continued availability of funds and progress
achieved.

RESEARCH OBJECTIVES

Background

A review of the relevant research literature on the treatment of
mental disorders indicates that although there are effective
symptom-focused treatments for acute episodes of a few mental
disorders, there is a need for the development of treatments for a
large number of other disorders, including new treatments for
intractable disorders, maintenance treatments for recurring or
chronic disorders, and the modification of a treatment found
efficacious for one disorder so that it can be tested with additional
disorders.  Most of the existing efficacious treatments focus on the
primary symptoms of mental disorders.  There is, however, a need to
develop new treatments to address the residual problems associated
with any given mental disorder.  These residual problems may include
high levels of associated symptoms (e.g., the high level of
generalized anxiety that usually remains after the successful
treatment of panic disorder);  social, interpersonal, daily living,
and occupational difficulties and deficits; and dysfunctional
cognitive and affective patterns that appear to be related to the
symptoms of a particular disorder.  In all of these instances, the
need for treatment development research is patently clear.

Psychosocial treatment refers to treatment that attempts to modify
feelings, cognitions, attitudes, and behavior through psychological
and social processes.  These include, among others, psychodynamic,
experiential, cognitive-behavioral, marital, family, and group
approaches to psychosocial treatment. Exploratory/developmental
research in this context refers to the early phases of standardizing
and piloting a psychosocial treatment.  This research may be
appropriate:  (1) when no effective treatments for a particular
mental disorder exist; (2) when treatments that have been effective
for some patient subgroups can be adapted, augmented, or extended to
other contexts or subgroups (e.g., patients with comorbidity,
culturally distinct groups); (3) when effective treatments should be
extended in time to prevent relapse or recurrences; or (4) when
current treatment is only partially effective (e.g., some symptoms
are relieved but symptoms but there is still a significant level of
disability).

The primary objective of this announcement is to stimulate high
caliber research on the early stages of the development of a new
psychosocial treatment or adaptation of a known effective one that
might be applied to other mental disorders.

Examples of eligible types of studies include:

o  Treatment standardization research focused on the development and
testing of a manual for a specific psychosocial treatment as well as
the development of therapy adherence measures and therapist
competency measures

o  Research on the development of an integrated psychosocial and
pharmacologic treatment regimen for a specific disorder, paying
particular attention to the establishment of principles underlying
different sequences of psychosocial and pharmacologic treatments

o  Research on the development of a psychosocial treatment that
integrates treatment strategies from different psychotherapeutic
orientations

o  Development of psychotherapy process and outcome measures for
eventual use in the standardization of a psychosocial treatment

Different mental disorders require the development of treatments at
different stages.  The following are examples of disorders and the
stage of treatment that merit attention:

o  New, developmentally appropriate treatments for childhood and
adolescent disorders
o  New treatments for bipolar disorder in adulthood
o  New treatments for Axis II disorders
o  New treatments for post-traumatic stress disorder
o  New treatments for comorbid conditions occurring throughout the
life cycle
o  New treatments for disorders that differentially affect women and
ethnic minorities

In preparing a research grant application, the applicant should
consider the following issues:

o  Public health significance of the clinical disorder and its
complications addressed by the proposed treatment
o  Creativity and innovativeness of the proposed treatment program or
model
o  Familiarity with the relevant clinical and research literature
o  Clear statement of working procedures, including procedures for
development and formulation of treatment model, illustration and
communication of model and treatment procedures for pilot studies,
and plans for review and revision, appropriate to stated aims
o  Procedures for establishing reliability and validity of
monitoring, and quality control

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.

ALLOWABLE COSTS

Applicants may request funds for salary, research costs, consultants,
patient costs, equipment and supplies, and appropriate indirect
costs.  Grants must be administered in accordance with the "PHS
Grants Policy Statement (rev. 10/90)."  Federal regulations at 42 CFR
Part 52, "Grants for Research Projects," and Title 45 CFR Parts 74
and 92, generic requirements concerning the administration of grants,
are applicable to these awards.

APPLICATION PROCEDURES

Applications are to be prepared on the grant application form PHS 398
(rev. 9/91), available from most institutional offices of sponsored
research and from the Grants Management Branch, National Institute of
Mental Health, 5600 Fishers Lane, Room 7C-05, Rockville, MD 20857,
telephone (301) 443-4414.

On item 2a of the application face page, applicants must enter the
number and title of this program announcement (PA-93-093:
Exploratory/Developmental Grants for Psychosocial Treatment
Research).  A completed original application and five copies must be
sent to:

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

Schedule

All applications will be reviewed in accordance with the regular PHS
review schedule:

Receipt Dates    Initial    Advisory         Earliest
New/Renewal      Review     Council Review   Start Date

Jun 1/Jul 1*     Oct/Nov    Jan/Feb          Apr 1
Oct 1/Nov 1*     Feb/Mar    May/Jun          Jul 1
Feb 1/Mar 1*     May/Jun    Sep/Oct          Dec 1

*Competing continuations, supplemental, and revised applications are
to be submitted on these dates.

Protection of Human Subjects

The Department of Health and Human Services has regulations for the
protection of human subjects and has developed additional regulations

From owner-sci-resources@net.bio.net Thu Jun 17 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 21, pt. 3, 11 June 1993
Message-ID: <Jun.18.10.19.03.1993.15750@net.bio.net>
Date: 18 Jun 93 17:19:03 GMT
Sender: kristoff@net.bio.net
Lines: 1088
Approved: biosci-moderator@net.bio.net

$$XID NIHGUIDE 19930611 V22N21 P3O3 ************************************
for the protection of children.  A copy of these regulations (45 CFR
46, Protection of Human Subjects) and those pertaining specifically
to children are available from the Office of Protection from Research
Risks, National Institutes of Health, Bethesda, Maryland 20892,
telephone (301) 496-7041.  Specific questions concerning protection
of human subjects in research may be directed to NIMH staff members
listed under "Inquiries" below.  Researchers who apply for and
receive a Certificate of Confidentiality may not be compelled in any
Federal, State, or local civil, criminal, administrative,
legislative, or other proceedings to identify the persons who are
participating in the research covered by the certificate.  For more
information about the NIMH Certificate of Confidentiality, contact
Anne W. Cooley, Division of Extramural Activities, Room 9-95,
telephone (301) 443-4673.

REVIEW PROCEDURES

Upon receipt, applications will be reviewed for completeness and
responsiveness.  Incomplete and non-responsive applications will be
returned to the applicant without further consideration.
Applications in response to this announcement will be reviewed on a
nationwide basis in accordance with the usual Public Health Service
peer review procedures for research grant applications.   They will
be reviewed for scientific and technical merit by an initial review
group (IRG) composed primarily of non-Federal scientific experts, and
by the appropriate Advisory Council.  Review by Council may be based
on policy considerations as well as scientific and technical merit.
Summaries of IRG recommendations are sent to applicants as soon as
possible following completion of the IRG review.

Review Criteria

Applications will be judged on the criteria listed below:

o  Scientific significance and originality of proposed research

o  Appropriateness and adequacy of the design and methodology
proposed to carry out the research

o  Qualifications and research experience of the Principal
Investigator and staff, particularly but not exclusively in the area
of the proposed research

o  Availability of resources necessary to perform the research

o  Appropriateness of budget estimates for the proposed research

o  Adequacy of procedures for the protection of human subjects of
research

o  Conformance of the application to NIH policy on inclusion of women
and minorities in study populations

AWARD CRITERIA

In making awards, the following criteria are considered:

o  Quality of application as determined by IRG and Council
recommendations
o  Program relevance
o  Availability of funds

INQUIRIES

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

Direct inquiries regarding programmatic issues to:

Barry E. Wolfe, Ph.D.
Division of Clinical and Treatment Research
National Institute of Mental Health
Parklawn Building, Room 18-105
5600 Fishers Lane
Rockville, MD  20857
Telephone:  (301) 443-4527

Direct inquiries regarding fiscal matters to:

Diana Trunnell
Grants Management Branch
National Institute of Mental Health
Parklawn Building, Room 7C-15
5600 Fishers Lane
Rockville, MD  20857
Telephone:  (301) 443-3065

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.242.  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 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-93-094 ************************************************

RESEARCH ON THE EFFECTS OF MICROGRAVITY ON THE MUSCULOSKELETAL SYSTEM

NIH GUIDE, Volume 22, Number 21, June 11, 1993

PA NUMBER:  PA-93-094

P.T. 34; K.W. 0705050, 0710020, 1002061, 0765033

National Institute of Arthritis and Musculoskeletal and Skin Diseases

PURPOSE

The National Institute of Arthritis and Musculoskeletal and Skin
Diseases (NIAMS), in collaboration with the Life Sciences Division of
the National Aeronautics and Space Administration (NASA), invites
grant applications on basic, applied, and clinical research projects
focusing on the effects of microgravity on the musculoskeletal
system.

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), Research on the Effects of Microgravity on the
Musculoskeletal System, is related to the priority area of 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, non-profit and
for-profit, public and private organizations, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.
Foreign institutions are not eligible for the First Independent
Research Support and Transition (FIRST) Award (R29).  Applications
from minority individuals and women are encouraged.

MECHANISMS OF SUPPORT

Support will be offered through regular research project grants (R01)
and FIRST Awards (R29).  Because the nature and scope of the research
proposed in response to this PA may vary, it is anticipated that the
size of an award will vary also.

RESEARCH OBJECTIVES

Space travel encompasses many technological challenges and
opportunities.  As the U.S. Space Program prepares for extended
duration space flights on the Space Shuttle, Space Station Freedom,
and on exploration missions to the Moon and Mars, it is important
that life sciences research provide a thorough understanding of the
many physiologic changes that occur in a microgravity environment.
Prolonged exposure to weightlessness diminishes functional capacity,
performance and endurance of the musculoskeletal system, even at
submaximal loads, and thus elicits concern about the health and
well-being of space travellers, especially as space flight is
extended in time.  This research should also lead to development of
effective countermeasures to any effects that may be detrimental to
the functional capacity, health, or well-being of crew members.

The musculoskeletal system has the capacity to adapt its structural
and functional properties in accordance with the type and degree of
stimuli imposed on it.  Prolonged space travel is essentially a
period of significant unloading of the musculoskeletal system.
Exposure to weightlessness results in structural and functional
adaptations that place the musculoskeletal system on the low end of
the continuum ranging from complete disuse to maximal load-bearing.
Evidence from previous space flights and ground-based research
indicates that the musculoskeletal system is functionally impaired
with increasing duration of weightlessness.

Space flight has been consistently accompanied by loss of bone and
negative calcium balance.  Bone density may decrease by as much as 10
percent per year. This change in bone density is preceded by
significant and more rapid weakening and atrophy of skeletal muscle.

A workshop on the "Effects of Space Travel on the Musculoskeletal
System" was co-sponsored by the NIAMS and NASA in October 1990.  The
workshop provided state-of-the-art knowledge, identified research
gaps and windows of opportunity, and recommended future directions
for research on understanding the musculoskeletal system's adaptation
to exposure to weightlessness, including development of adequate
physiologic and performance-based countermeasures.  Although there is
a research base of some knowledge on the complex bone remodelling
process and potential biological agents and factors that may be able
to restore or prevent bone loss on earth, more research is required
in space applications of these technologies. Considerably less
information is available on understanding how force development by
skeletal muscle is essential in maintaining bone integrity.
Likewise, there is a strong science base regarding muscle physiology,
but knowledge in microgravity environments is limited.  A workshop
summary, The Effects of Space Travel on the Musculoskeletal System,
has been published (NIH Publication No. 93-3482, November 1992) and
is available upon request from the Program Officials listed under
INQUIRIES.

The NIAMS, in collaboration with NASA, is interested in soliciting
grant applications whose research focus is on the effects of
microgravity on the musculoskeletal system.

The major objective of this Program Announcement is to stimulate
basic, applied, and clinical research on elucidating the effects of
microgravity on the musculoskeletal system.  Development of
mechanism-related hypotheses encompassing both basic and applied
science is desirable.  While the research focus is on reduced gravity
conditions, well justified studies on musculoskeletal responses to
increased gravity conditions may be instrumental in understanding the
pathogenesis of bone and skeletal muscle weakness and loss during
exposure to microgravity environments.  A key feature of the basic
research component is understanding the cellular mechanisms whereby
alterations in the musculoskeletal system are evoked in response to
external loading and loading histories.  For example, how does
loading or lack of it affect cellular processes and regulatory
factors that control turnover of matrix and contractile proteins?
Basic research would focus on the physiologic changes of bone and
skeletal muscle in cell and tissue cultures that occur in a low or
high gravity environment.

Applicants are also encouraged for appropriate applied/clinical
studies addressing microgravity-induced osteopenia and skeletal
muscle atrophy in whole animal and human experiments.  Utilization of
available technologies including, but not limited to, the following
are encouraged: simulations of weightlessness (e.g., suspension limb
model), centrifugation (alterations in 'g' forces), and bedrest.
Applicants may collaborate with NASA scientists (based on
availability of resources), especially in gaining access to hospital
beds in a clinical setting and low or high gravity environment
facilities.

Special emphasis should be placed on elucidating the etiology of the
pathogenesis of bone loss and skeletal muscle weakness during
exposure to an altered gravity environment and on research activities
that will address the important issues of prevention and treatment of
bone and skeletal muscle loss from microgravity exposure.

The research identified in this announcement is specifically targeted
to the response of bone and muscle to alterations in environmental
gravity that lead towards understanding the effects of space travel.
Examples of research activities identified by the Workshop include,
but are not limited to:

o  Quantification of rate, magnitude, and cellular origins of bone
and skeletal muscle cell loss in conditions of altered gravity;

o  Influence of skeletal muscle second messengers on bone growth
under microgravity environments;

o  Hormonal and growth factor effects on bone and muscle cell
function and metabolism in relation to gravity effects;

o  Characterization of bone loading in bedrest subjects;

o  Bone and muscle cell responses to altered mechanical stress and
gravity;

o  Evaluation of 3-D structure and integrity of the musculoskeletal
system and constituent tissues in response to changes in gravity;

o  Bone and muscle cell expression, including characterization of
cellular receptors, signal transduction and messengers in response to
gravity changes;

o  Alterations in blood flow and its impact on cellular metabolism in
microgravity; and

o  Development of therapeutic agents that restore bone loss and
muscle weakness due to space travel.

These areas of research are neither prioritized nor meant to be
restrictive. Investigators are encouraged to submit applications in
any meritorious area of research responsive to the general research
objectives 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 form PHS 398 (rev.
9/91) 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, and 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 grant application form PHS 398
(rev. 9/91).  Applications will be accepted at the standard
application deadlines indicated in the application kits.

Application kits are available at most institutional offices of
sponsored research and may also be obtained from the Office of Grants
Inquiries, Division of Research Grants, National Institutes of
Health, Westwood Building, Room 449, Bethesda, MD 20892, telephone
301/594-7248.  The title and number of the announcement must be typed
in Section 2a on the face page of form PHS 398.

The completed original application and five legible copies of Form
PHS 398 must be sent or delivered to:

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

REVIEW PROCEDURES

Applications will be assigned on the basis of established PHS
referral guidelines.  Applications will be reviewed for scientific
and technical merit by initial review groups of the Division of
Research Grants.  Following scientific-technical review, applications
will receive a second-level review by the National Arthritis and
Musculoskeletal and Skin Diseases Advisory Council or by other
relevant advisory boards and/or councils.

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications.  The following criteria will be considered in the
making of funding decisions:

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

INQUIRIES

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

Inquiries regarding programmatic issues may be directed to:

Stephen L. Gordon, Ph.D.
Musculoskeletal Diseases Branch
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Westwood Building, Room 407
Bethesda, MD  20892
Telephone:  (301) 594-9951

Richard W. Lymn, Ph.D.
Muscle Biology Branch
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Westwood Building, Room 403
Bethesda, MD  20892
Telephone:  (301) 594-9959

Victor S. Schneider, M.D.
Life Sciences Division
National Aeronautics and Space Administration
Code SBM
300 E Street, SW
Washington, DC  20546
Telephone:  (202) 358-2359

Direct inquiries regarding fiscal matters to:

Ms. Diane M. Watson
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Westwood Building, Room 732A
Bethesda, MD  20892
Telephone:  (301) 594-9965

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.846, Arthritis, Musculoskeletal and Skin Diseases
Research.  Awards will be made under the authority of the Public
Health Service Act, Title III, Section 301 (Public Law 410, 78th
Congress, as amended, 42 USC 241) 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 Executive Order 12372 or Health Systems Agency
review.

$$P4 END ************************************************************

$$P5 BEGIN PA-93-095 ************************************************

RESEARCH ON RELATIONSHIPS BETWEEN ALCOHOL AND VIOLENCE

NIH GUIDE, Volume 22, Number 21, June 11, 1993

PA AVAILABLE:  PA-93-095

P.T. 34; K.W. 0404003, 0404023

National Institute on Alcohol Abuse and Alcoholism

THE PROGRAM ANNOUNCEMENT (PA) ANNOUNCED IN THIS NOTICE CONTAINS
ESSENTIAL INFORMATION FOR THE PREPARATION OF AN APPLICATION.
POTENTIAL APPLICANTS SHOULD OBTAIN THE PA FROM A CONTACT NAMED IN
INQUIRIES, BELOW.

PURPOSE

Alcohol is present in a significant proportion of violent events,
including between one-half and two-thirds of all homicides and
serious assaults.  Moreover, alcohol-related problems have been found
disproportionately among both juvenile and adult criminal offenders.
Nevertheless, understanding of the mechanisms by which alcohol
influences violent behavior has been limited, largely because the
causes are multifactorial.

The National Institute on Alcohol Abuse and Alcoholism (NIAAA)
invites research grant applications that advance understanding of the
biological and psychosocial mechanisms underlying associations
between alcohol consumption and interpersonal violence and that
identify and test interventions to reduce and/or prevent alcohol
related violence and the alcohol-related sequelae of such violence.
Of primary interest are studies that identify: (1) individual and
environmental conditions, situations, populations, and circumstances
under which alcohol and violence are causally connected; (2)
sequential processes by which alcohol intake may lead to violent
behavior and vice versa; (3) physiological and neural mechanisms that
mediate the relationship between alcohol and violence; (4) behavioral
consequences of alcohol-related violence, including subsequent
alcohol abuse and violent behavior; and (5) interventions that may
effectively reduce alcohol-related violence.

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, Research on Relationships Between Alcohol and Violence,
is related to the priority areas of reducing violent and abusive
behavior and decreasing morbidity and mortality associated with
alcohol consumption 4).  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

Applications may be submitted by domestic and foreign non-profit and
for-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.  Women
and minority investigators are encouraged to apply.  Foreign
applicants are not eligible for First Independent Research Support
and Transition (FIRST) Awards (R29s).

MECHANISM OF SUPPORT

Research support may be requested through applications for a regular
research grant (R01), Small Grant (R03), or FIRST Award (R29).
Specialized announcements for the FIRST Award program (R29) and the
Small Grant program (R03) are available from the National
Clearinghouse for Alcohol and Drug Information (NCADI), P.O. Box
2345, Rockville, Maryland 20852, telephone: (301) 468-2600 or
1-800-729-6686.

FUNDS AVAILABLE

Applications received in response to this announcement will compete
with others submitted for funding.  The amount of funding available
will depend on appropriated funds, quality of proposals, and program
priorities at the time of the award.  No specific funds are allocated
for this program at this time.

RESEARCH OBJECTIVES

The NIAAA seeks studies that systematically explore linkages among
psychological, situational, and sociocultural factors that may
contribute to or reduce the occurrence of alcohol related violence.
Diverse designs, methodologies, and disciplinary approaches are
welcome.  The use of multiple methods and development of
multidisciplinary research teams are desirable.

Prevention research not only measures the effectiveness of
interventions, but includes domains of pre-intervention research
related to the causes and nature of alcohol-related violence that may
inform intervention research.  Basic neurobehavioral research seeks
to explore the neurobiological, pharmacological, and physiological
mechanisms underlying violent behavior and effects of genetic and
environmental factors on animal and human behavior in the presence of
alcohol.  Relevant research topics include, but are not limited to,
the following areas:

Basic Research on Biological and Physiological Mechanisms.

o  Controlled animal studies to identify the discrete brain
mechanisms underlying distinct types of aggressive behavior and their
relationship with genetic and environmental variables.

o  The role of neurotransmitter systems in specific types of
alcohol-induced aggression and in various species.

o  The actions of alcohol on neuroendocrine events that control
testosterone and adrenal hormones.

o  Gene-environment interactions using animals selectively bred for
high alcohol preference or high levels of aggressive behavior.

o  The genetic linkage between antisocial personality, alcoholism,
and violence.

Pre-intervention Studies of Behavior, Cognition and Expectancies.

o  How alcohol modifies perceptions of cues interpreted as aggressive
or its effect on affective responses.

o  Alcohol-expectancies and violence: how children develop
expectancies that associate alcohol and violence; the effects of
social institutions, demographic variables, individual drinking
history, personality traits, and perceptions of victimization risk on
expectancies regarding post-drinking aggression; and how drinking is
used to justify violence or mitigate its punishment.

o  Experiments varying alcohol dose and type, subject
characteristics, and contextual factors to assess differences in
individual aggressive responses.

o  Observational studies of social interaction involving alcohol to
distinguish violent and non-violent sequences and outcomes.

o  The contribution of alcohol to violence by persons with comorbid
psychiatric symptoms.

Pre-intervention Studies of the Social and Environmental Context.

o  Effects of such contexts as physical environment, group settings,
interpersonal relationships and the role of witnesses on the
intoxication-aggression relationship.

o  The salience of social controls: police attitudes and behavior
toward drunken individuals and situations when they are likely to
intervene; relationships between violence and the density of alcohol
outlets.

o  The role of alcohol in abuse against children, spouses, and the
elderly.

Aggregate Level Studies of Legal and Policy Effects.

o  The impact of changes in the law and other public policies that
affect alcohol-related violence such as changes in alcohol
availability or shifts in levels of law enforcement.

Prevention/Intervention Research.

o  Educational programs that address alcohol's effect on judgment and
the increased likelihood of victimization after drinking.

o  Therapeutic interventions with relevant prison population.

o  Interventions involving server training, routine police patrol,
and alteration of the drinking environment.

o  Community-wide campaigns and their assessment.

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.

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.

Application kits are available from 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 301-594-7248.  The number and
title of the announcement must be typed in item number 2a on the face
page of the application.

FIRST (R29) applications must include at least three sealed letters
of reference attached to the face page of the original application.
FIRST (R29) applications submitted without the required number of
reference letters will be considered incomplete and will be returned
without review.

The completed original and five permanent, legible copies of the PHS
398 form must be sent or delivered to:

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

REVIEW PROCESS

Applications received under this announcement will be assigned to an
Initial Review Group (IRG) in accordance with established PHS
Referral Guidelines.  The IRG, consisting primarily of non-Federal
scientific and technical experts, will review the applications for
scientific and technical merit.  Applications will receive a
second-level review by an appropriate National Advisory Council,
whose review may be based on policy considerations as well as
scientific merit.  Small Grants (R03s) do not receive a second level
review.

REVIEW CRITERIA

Research grant applications will be reviewed based on standard
criteria for scientific/technical merit review of applications for
regular research grants (R01).  The review criteria for Small Grants
(R03) and FIRST Awards (R29) are contained in their program
announcements.

AWARD CRITERIA

Applications recommended by a National Advisory Council will be
considered for funding on the basis of overall scientific and
technical merit of the research as determined by peer review, program
needs and balance, and availability of funds.

INQUIRIES

Written and telephone inquiries are encouraged to clarify any issues
or questions from potential applicants.  Direct inquiries regarding
pre-intervention, prevention, and policy studies, and requests for
the program announcement to:

Susan E. Martin, Ph.D.
Prevention Research Branch
National Institute on Alcohol Abuse and Alcoholism
5600 Fishers Lane, Room 13-C23
Rockville, MD  20857
Telephone:  (301) 443-1677

Direct inquires regarding biological mechanisms to:

Ellen D. Witt, Ph.D.
Neuroscience and Behavior Research Branch
National Institute on Alcohol Abuse and Alcoholism
5600 Fishers Lane, Room 16-C05
Rockville, MD  20857
Telephone:  (301) 443-4223

Direct inquiries regarding fiscal issues to:

Elsie Fleming
Grants Management Branch
National Institute on Alcohol Abuse and Alcoholism
5600 Fishers Lane, Room 16-86
Rockville, MD  20857
Telephone:  (301) 443-4703

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.273.  Awards are made under authorization of the
Public Health Service Act, Sections 301 and 464H, and administered
under PHS policies and Federal Regulations at Title 42 CFR Part 52,
"Grants for Research Projects," and Title 45 CFR Parts 74 and 92,
"Administration of Grants" and 45 CFR Part 46, "Protection of Human
Subjects."  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

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


$$XID RFA HD93014 HD-93-014 P1O1 ***************************************

ETHNIC MINORITY FAMILIES WITH RETARDED MEMBERS

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFA:  HD-93-014

P.T. 34, FF; K.W. 0715130, 0730050, 0710030

National Institute of Child Health and Human Development

Letter of Intent Receipt Date:  July 21, 1993
Application Receipt Date:  September 9, 1993

PURPOSE

The Mental Retardation and Developmental Disabilities Branch (MRDD),
Center for Research for Mothers and Children (CRMC), of the National
Institute of Child Health and Human Development (NICHD) invites
research grant applications on ethnic minority families with mentally
retarded or developmentally disabled members.  The primary goal of
this Request for Applications (RFA) is to stimulate research on the
unique qualities of ethnic minority families with mentally retarded
or developmentally disabled members.  The ethnic minority populations
to be studied are:  African-American; Hispanic; Asian-American,
including Pacific-Island-Americans; and American-Indian, including
Alaskan-Natives.  High priority research topics include traditional
beliefs, values, and responses to mental retardation and
developmental disability of these particular ethnic groups, formal
and informal support systems that are most likely to be used by
families in these groups, and the impact of ethnicity on families'
interactions with various types of service agencies.

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,
Ethnic Minority Families with Retarded Members, centers on a high
priority research area, the health and well- being of several special
populations: people with disabilities, and people in ethnic minority
groups, many of whom have low incomes.  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 for-profit and non-profit
organizations, public and private, such as universities, colleges,
laboratories, units of state and local governments, and eligible
agencies of the Federal government.  Minority investigators and women
are encouraged to apply.  It is suggested that applicants have
research experience pertinent to the research agenda spelled out in
the RFA.  Foreign institutions are not eligible for First Independent
Research Support and Transition (FIRST) awards (R29).

MECHANISM OF SUPPORT

This RFA will use two funding mechanisms:  the National Institutes of
Health (NIH) individual research grant (R01) or the FIRST Award
(R29).  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 and may be renewed according to the
conventional procedures that pertain to PHS grants.

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

It is estimated that applications submitted in response to this
announcement will compete for approximately $750,000 in direct costs
that will be made available for the first year of support. It is
expected that four awards will be made.  The number of awards depends
on the overall scientific merit of the applications and the
availability of funds.

RESEARCH OBJECTIVES

With the recent trend to deinstitutionalization, retarded and
developmentally disabled individuals are spending more of their
childhood and adult years living with their families.  The result is
that there are increasing opportunities for reciprocal influences
between retarded persons and other family members.  In 1986 the MRDD
Branch issued an RFA for research on families with retarded members.
Since that time research in this area has grown rapidly.  However,
little attention has been given to ethnicity in research on families
with retarded or developmentally disabled members.  In fact, much of
the research literature in this field fails to describe the ethnicity
of the families studied.  Although it is difficult to establish
reliable statistics on the prevalence of mental retardation and
developmental disability in ethnic minority populations, it is known
that conditions associated with low birth weight, prenatal and
postnatal insult from environmental toxins, lack of economic
resources, deprivation, and inadequate medical care, have contributed
to the incidence of disability, including mild to severe retardation,
in selected groups within ethnic minority populations.  Thus, while
many ethnic minority families care for retarded or developmentally
disabled family members, little is known about these families.  For
this reason the MRDD Branch of NICHD held a conference in Bethesda,
Maryland in April 1992 to review the status of research on ethnic
minority families with retarded and developmentally disabled members
and to identify promising directions, as well as methodological
problems, in this research.

This RFA is intended to encourage researchers to focus on ethnic
minority families with retarded or developmentally disabled members,
to learn more about their unique circumstances and experiences,
beliefs, goals, needs, resources, strengths, and sources of support.
The families to be studied may be from one or more of the following
groups: African-American; Hispanic; Asian-American, including
Pacific-Island-Americans; and American-Indian, including
Alaskan-Natives.  High priority research topics include traditional
beliefs, values, and responses to mental retardation and
developmental disability of these particular ethnic groups, formal
and informal support systems that are most likely to be used by
families in these groups, and the impact of ethnicity on families'
interactions with various types of service agencies.  Research topics
in need of attention include the following:

A.  What are the traditional values and responses to retardation and
developmental disability in particular ethnic minority groups?  What
are common beliefs within groups about the nature and causes of
disabilities, and the functions and value of retarded persons in the
family and society?  How are these beliefs transmitted from
generation to generation?  Within particular ethnic groups, to what
degree are family members' beliefs and responses to disability
affected by variables such as education, socioeconomic status, family
composition, size, and type, for example, single-parent families,
nuclear, or extended families?  In the case of recently immigrated
ethnic minority groups, how are beliefs and responses to retardation
and disability affected by recency of immigration, lifestyle changes,
such as employment, gender roles, and acculturation?

B.  What types of formal and informal support systems are most likely
to be used by family members in different ethnic groups? What are the
characteristics of effective support systems for various family
members, and how do they function?  Do the various family members,
e.g., mothers, fathers, siblings, grandparents, use similar or
different support systems?  What is the impact of economic factors on
access and receptiveness to various types of formal and informal
support systems and forms of services?  How do ethnicity, family
characteristics, and economic resources interact to affect the above
outcomes?

C.  What variables need to be considered in the development of
appropriate models and instruments to assess family functioning and
the needs of individuals in ethnic minority families with retarded or
developmentally disabled members?

All investigations must carefully consider the type and severity of
retardation, and other behavioral characteristics of the retarded and
developmentally delayed members of the families to be studied, as
well as the presence of associated disabling conditions, such as
epilepsy, cerebral palsy, and hyperactivity.  It is not necessary to
compare ethnic minority families with Euro-American families.
Proposals that include families from two or more different ethnic
minority groups are welcome; however, research on a single ethnic
group, is also appropriate.  Although researchers must necessarily
limit the number of variables to be investigated, it is important to
be aware of sources of heterogeneity within the populations to be
studied, including ethnic subgroup, differences in language and
acculturation; socioeconomic status; age, cohort, and/or stage in the
family cycle; family structure and composition; and geographic region
and characteristics of the local community, to cite a few examples.
Research designs may be cross-sectional or longitudinal, and all
stages of the life cycle may be investigated.  Care should be taken
that measures are appropriate for the populations to be studied.
Qualitative, as well as quantitative methods, may be used.

STUDY POPULATIONS

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

It is NIH policy that applicants for NIH clinical research grants
(i.e., research involving human subjects) 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.  This RFA is for research on ethnic minority
families in four groups: African-American; Hispanic; Asian-American,
including Pacific-Island-Americans; and American-Indians, including
Alaskan-Natives.  The composition of the proposed study population
must be described in terms of gender, as well as racial or ethnic
group, and gender 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 on the grant
application form PHS 398 in Sections 1-4 of the research plan and
summarized in Section 5, (Human Subjects).

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.  Peer reviewers will address specifically whether the
research plan in the application conforms to these policies.  If the
representation of women or girls 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.

LETTER OF INTENT

Investigators who expect to respond to this RFA may submit a letter
of intent by July 21, 1993.  The letter of intent should include a
descriptive title of the proposed research, the name, address, and
telephone number of the Principal Investigator, the names of any
other key personnel, 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 evaluating relevance to the topic of
the RFA and in planning for the review of applications.

The letter of intent is to be sent to Dr. Phyllis W. Berman at the
address listed under INQUIRIES.

APPLICATION PROCEDURES

Applications are to be submitted on form PHS 398 (rev. 9/91). This
application form is available in the office of sponsored research at
most academic and research institutions and from the Office of Grants
Inquiries, Division of Research Grants, National Institutes of
Health, Westwood Building, Room 449, Bethesda, MD 20892, telephone
(301) 594-7248.  The receipt deadline for applications prepared in
response to this RFA is September 9, 1993.  Late applications will be
returned to the applicant without review.

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 evaluation.  Check
"YES" in item 2a on the face page of the application and type "Ethnic
Minority Families with Mentally Retarded Members, HD-93-014."
Applications for the FIRST Award (R29) must include at least three
sealed letter of reference attached to the face page of the original
application.  FIRST Award (R29) applications submitted without the
required number of reference letters will be considered incomplete
and will be returned without review.

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**

In addition, two copies of the application must be sent under
separate cover to:

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

REVIEW CONSIDERATIONS

Applications will be reviewed by NICHD staff for completeness and
responsiveness to the RFA.  Applications deemed non-responsive will
be returned to the applicant.  If an application is returned, the
applicant may resubmit the application to the Division of Research
Grants as an unsolicited application during one of the three yearly
review cycles (February 1, June 1, October 1).  If the application
submitted in response to this RFA is substantially similar to a grant
application already submitted to the NIH for review, but not yet
reviewed, the applicant will be asked to withdraw either the pending
application or the new one.  Simultaneous submission of identical
applications will not be allowed, nor will essentially identical
applications be reviewed by different review committees.  Therefore,
an application cannot be submitted in response to this RFA that is
essentially identical to one that has already been 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.

Applications may be triaged by and NICHD peer review group on the
basis of relative competitiveness.  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
will undergo further scientific merit review.  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 NICHD.  The second
level of review will be provided by the National Advisory Child
Health and Human Development Council.

o  Scientific, technical, or medical significance and  originality of
proposed research.

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

o  Qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research.

o  Availability of resources necessary to perform the research.

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

AWARD CRITERIA

The earliest anticipated award date is April 1994.  The following
will be considered in making awards:

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

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 and address the letter
of intent to:

Phyllis W. Berman, Ph.D.
Mental Retardation and Developmental Disabilities Branch,
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 4B09D
Bethesda, MD  20892
Telephone:  (301) 496-1383

Direct inquiries regarding fiscal and administrative matters to:

E. Douglas Shawver
Office of Grants and Contracts
National Institute of Child Health and Human Development
6100 Executive Boulevard, Room 8A17F
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, 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 Thu Jun 17 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 21, pt. 4, 11 June 1993
Message-ID: <Jun.18.10.22.40.1993.16036@net.bio.net>
Date: 18 Jun 93 17:22:40 GMT
Sender: kristoff@net.bio.net
Lines: 1349
Approved: biosci-moderator@net.bio.net

$$XID RFA CA93027 CA-93-027 P1O1 ***************************************

MINORITY ENHANCEMENT AWARDS

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFA:  CA-93-027

P.T. 34, FF; K.W. 0785035, 0715035, 0745070, 0710095

National Cancer Institute

Letter of Intent Receipt Date:  July 14, 1993
Application Receipt Date:  September 22, 1993

PURPOSE

The Comprehensive Minority Biomedical Program (CMBP), Division of
Extramural Activities (DEA), National Cancer Institute (NCI), invites
research grant applications from interested investigators with access
to large or predominantly minority populations to promote minority
group participation in cancer research with a special focus on cancer
control research.  Support provided by this initiative would broaden
the operational base of each institution by:

1.  Expanding cancer control and prevention efforts in early
detection, prevention, screening, pre-treatment evaluation,
treatment, continuation care, and rehabilitation;

2.  Increasing the involvement of minority population primary care
providers early in the course of clinical treatment research;

3.  Promoting the involvement in treatment research at the
institutional level with a focus on the development of treatment
protocols for cancers that have a high incidence in minorities;

4.  Supporting programs involving diet and nutrition cancer control
research activities;

5.  Coordinating the contributions of investigators from various
relevant disciplines, psychology and nutrition; and

6.  Promoting the inclusion of minority individuals at  all levels in
the conduct of the research with the increased recruitment of
minority scientists into the  research base of the institution as an
expected outcome.

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), Minority Enhancement Awards, 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 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. Institutions are
eligible if they can demonstrate the following:

1.  Broad research capabilities in cancer prevention, cancer control
and cancer treatment as evidenced by significant research support in
these areas.  This would include past and current examples of ability
to design and implement strong clinical trials research programs.

2.  An organizational infrastructure that promotes and sustains a
strong interdisciplinary, interactive cancer research environment
which links basic research effectively to research in patient and
populations settings (e.g., NCI-designated Comprehensive Cancer
Centers).

3.  Clear access to large numbers of minorities who are
representative of the minority populations in the communities and/or
regions associated with the institution.

4.  Demonstrated capability to work with minority populations in a
research setting within communities and/or regions.

Applicants who do not adequately meet the above eligibility
requirements of this initiative may have their applications returned.
Thus, the NCI strongly encourages applicants to communicate with the
appropriate NCI program official before submitting a letter of intent
(see INQUIRIES section).

MECHANISM OF SUPPORT

This RFA will use the National Institutes of Health (NIH) individual
research grant (R01).  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.  Generally, future unsolicited
competitive continuation applications will compete with all
investigator-initiated applications and be reviewed by the Division
of Research Grants (DRG).  However, should the NCI determine that
there is a sufficient continuing program need, a request for
competitive continuation applications will be announced.  Only
recipients of awards under this RFA will be eligible to apply.   The
average amount of direct costs expected per award is 200,000.

FUNDS AVAILABLE

Funding in the amount of $1,600,000 in total costs has been set aside
for the first year to specifically fund applications which are
submitted in response to this RFA.  It is anticipated that six awards
will be made.  This funding level is dependent on the receipt of
sufficient number of applications of high scientific merit.  The
total project period for applications submitted in response to the
present RFA may not exceed three years.  The earliest feasible start
date for the initial awards will be April 1, 1994.  Although this
program is provided for in the financial plans of the NCI, the award
of grants pursuant to this RFA is also contingent upon the
availability of funds for this purpose.

RESEARCH OBJECTIVES

The NCI is committed to reducing the cancer mortality disparity
between disadvantaged populations, which include African Americans,
Hispanics and Native Americans, and the general population.  One
approach to achieving this objective is through the NCI DEA CMBP,
which is committed to providing support to institutions for
increasing their efforts to broaden minority involvement in programs
developing the latest and most effective measures in cancer
prevention, cancer control, and clinical treatment research.  One
primary goal is the delivery of state-of-the-art cancer prevention
and control as well as treatment modalities to underserved and
minority populations.

Cancer survival statistics verify that certain segments of the
population, African Americans for example, have substantially lower
cancer survival rates than that of American Whites with the same
disease.  By targeting minority populations with the highest
mortality in different regions of the country, it is hoped that this
initiative will have significant impact on minority population cancer
survival.  This initiative is to encourage institutions to develop
research programs in cancer prevention, cancer control and cancer
treatment that will specifically benefit minority populations.

General research objectives within the scope of this initiative
include, but are not limited to, smoking behavior in minority youth;
studies of communication strategies for presenting information to
minorities about cancer and its prevention; investigations of patient
perspectives of cancer risks; the design and evaluation of
interventions to minimize and prevent distress of minority patients
with cancer; the development of pilot studies for minority clinical
prevention trials; and psychosocial studies and perception of cancer
risk in minorities.

Specific research strategies include:

1.  Targeting and facilitating the involvement of minority
populations in cancer control research.

2.  Investigating the impact of cancer therapy and control advances
on minorities in community medical practice settings.

3.  Increasing the involvement of minority primary health care
providers and other specialists in treatment and other cancer control
research, thereby providing both educational opportunities for health
providers and facilitating interchange of information about current
advances in cancer control research.

4.  Increasing the number of underserved patients entered into
clinical cancer treatment protocols.

5.  Delivery of state-of-the-art cancer treatment to underserved
minority populations.

6.  Significantly impacting minority population cancer treatment and
survival.

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 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 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 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.

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 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 July 14, 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 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. Lemuel Evans 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 these grants.  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, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892, telephone
(301) 594-7248; and from the NCI Program Director named below.

The RFA label available in the PHS 398 (rev. 9/91) 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.

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:

NCI Referral Office
Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Room 636
Bethesda, MD  20892

Applications must be received by September 22, 1993.  If the
application submitted in response to this RFA is substantially
similar to a grant application already submitted to the NIH for
review, but has not yet been reviewed, the applicant will be asked to
withdraw either the pending application or the new one.  Simultaneous
submission of identical applications will not be allowed, nor will
essentially identical applications be reviewed by different review
committees.  Therefore, an application cannot be submitted in
response to this RFA that is essentially identical to one that has
already been 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 for completeness by DRG
and for responsiveness by the NCI Program Staff.  Incomplete
applications will be returned to the applicant without further
consideration.  If the application is not responsive to the RFA, NCI
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.

Applications may receive a preliminary scientific peer review
(triage) by an NCI peer review group on the basis of relative
competitiveness.  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 will undergo further
scientific merit review.  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 NCI.  The second level of review will be
provided by the National Cancer Advisory Board.

Review criteria for RFAs are generally the same as those for
unsolicited research grant applications.

o  Extent to which the proposed research plan addresses the goals and
objectives of the RFA;

o  Scientific, technical, or medical significance and originality of
a proposed research;

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

o  Qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  Availability of the resources necessary to perform the research;
and

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

AWARD CRITERIA

The earliest anticipated date of award is April 1, 1994.  The
following will be considered for making funding decisions:

o  quality of the proposed research project as determined by peer
review
o  availability of funds
o  program balance among research areas
o  geographical distribution of awards

INQUIRIES

Written and telephone inquiries concerning the objectives and scope
of this RFA or inquiries about whether or not specific proposed
research would be responsive are encouraged and may be directed to:

Dr. Lemuel Evans
Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Room 620
Bethesda, MD  20892
Telephone:  (301) 496-7344
FAX:  (301)  496-7911

For information regarding budgetary/administrative issues related to
this RFA, contact:

Ms. Carolyn Mason
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 243
Bethesda, MD 20892
Telephone:  (301) 496-7800, Extension 59

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, Number 93.399, Cancer Control.  Awards are made under the
authorization of the Public Health Service Act, Title V, 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 Part 74.  This program is not subject to the
intergovernmental review requirements of Executive Order 12372 or
Health Systems Agency review.


$$XID RFA AI93018 AI-93-018 P1O1 ***************************************

PROGRAM PROJECTS ON AUTOIMMUNITY

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFA:  AI-93-018

P.T. 34; K.W. 0715015, 0755030, 0765033, 0411005, 0745027

National Institute of Allergy and Infectious Diseases
National Institute of Arthritis and Musculoskeletal and Skin Diseases

Letter of Intent Receipt Date:  August 15, 1993
Application Receipt Date:  November 16, 1993

PURPOSE

The Division of Allergy, Immunology and Transplantation of the
National Institute of Allergy and Infectious Diseases (NIAID) and the
Rheumatic Diseases Branch of the National Institute of Arthritis and
Musculoskeletal and Skin Diseases (NIAMS) invite studies aimed at
elucidating the causes and mechanisms of tolerance and autoimmune
diseases and at the application of this basic biomedical knowledge to
the development and implementation of new preventive and treatment
modalities for these diseases. This Request for Applications (RFA)
invites applications from collaborating basic science and clinical
research investigators who are interested in developing novel
integrated studies on autoimmune diseases.

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,
Program Projects on Autoimmunity, is related to the priority areas of
diabetes and chronic disabling diseases, and immunization and
infectious 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 202-782-3238).

ELIGIBILITY REQUIREMENTS

Research grant applications may be submitted by domestic, for-profit
and non-profit organizations, public and private institutions, such
as universities, colleges, hospitals, laboratories, units of State
and local governments, and eligible agencies of the Federal
government.  Foreign organizations are not eligible to apply.
Applications from minority individuals and women are encouraged.

MECHANISM OF SUPPORT

The mechanism of support will be the Program Project (P01) grant.
Multidisciplinary approaches that involve collaborative efforts among
investigators in the fields of basic immunology, molecular biology,
cell biology, biochemistry, genetics, and relevant medical
specialties are strongly encouraged.

The total project period for applications submitted in response to
this RFA may not exceed five years.  At this time, the NIAID is
administratively limiting the duration of P01 grants to four years;
this administrative limitation may change in the future. If, by the
beginning of the last year of support, the NIAID and NIAMS have not
announced intentions to readvertise the RFA, incumbents who wish to
recompete may consider reapplying using the investigator-initiated
Interactive Research Project Grant (IRPG) mechanism.  Applicants
should be alert to a program announcement concerning IRPGs published
in the NIH Guide for Grants and Contracts, Volume 22, Number 16,
April 23, 1993.  In such instances, incumbents are strongly
encouraged to contact NIAID Program Staff prior to submitting an
application.

FUNDS AVAILABLE

The estimated total funds (direct and indirect costs) available for
the first year of support for awards under this RFA will be
$2,300,000.  In Fiscal Year 1994, the NIAID and the NIAMS plan to
fund approximately three program projects.  Applications may not
request budgets in excess of $500,000 total direct costs in the first
year or more than 4 percent annual inflationary increases for future
years.  An application with a first year requested amount in excess
of $500,000 total direct cost will require written approval by senior
NIAID or NIAMS officials via the program officer for acceptance of
the application for processing.  The usual PHS policies governing
grants administration and management will apply.  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 NIAID and the NIAMS,
awards pursuant to this RFA are contingent upon the availability of
funds for this purpose.  Funding beyond the first and subsequent
years of the grant will be contingent upon satisfactory progress
during the preceding years and availability of funds.

RESEARCH OBJECTIVES AND SCOPE

The major goals of these program projects are:  increased
understanding of etiology and pathogenetic mechanisms involved in
autoimmune diseases; generation of new information and the expansion
of the current knowledge base; and the application of this knowledge
to the development of new or improved measures of risk assessment,
prevention, early diagnosis and treatment of a wide variety of
autoimmune diseases and disorders in which the autoimmune response is
a major contributor to pathogenesis.

The NIAID and NIAMS are seeking innovative applications that address
various aspects of the immune responses related to self reactivity,
which may include studies concerned with relevant areas of genetics,
cell and molecular biology, biochemistry, physiology, microbiology,
pathology and pharmacology.  Of special interest are program projects
that emphasize new ideas, novel approaches, and state-of-the-art
technology in basic research that elucidates pathogenic mechanisms
and shows promise for clinical application in the prevention,
diagnosis, and treatment of autoimmune diseases.

There is overwhelming evidence to implicate immune mechanisms in the
pathogenesis of diseases of the skin, nervous system, endocrine
system, and gastrointestinal tract.  Thus, in addition to studies of
well-recognized autoimmune disorders such as systemic lupus
erythematosus, rheumatoid arthritis, antibody-mediated
thrombocytopenia and autoimmune hemolytic anemia, the NIAID and NIAMS
encourage investigators to design and develop studies aimed at
establishing the role of the immune system in the pathogenesis of
endocrine, dermatologic, neurologic and gastrointestinal diseases and
the development of new preventive and treatment modalities specific
for these disorders through the manipulation of the immune response.

Projects focused on the study of mechanisms of autoimmune diseases
should be designed based on integrated and coordinated
intra-institutional clinical investigations or experimental studies
with demonstrated relevance to human autoimmune disease.  Inclusion
of basic research components utilizing samples from human source
materials in in vitro procedures are encouraged, as are preclinical
studies using appropriate animal models of human autoimmune disease.
Inclusion of clinical investigative components drawing upon
immunologically relevant areas in medicine, pediatrics, surgery,
dermatology, neurology, pathology and their subspecialties is highly
recommended.

Preparation of the Application

In preparing the application, the applicant should bear in mind the
research objectives of this RFA.  P01 applications should be prepared
using the guidance and instructions provided in the NIAID Information
Brochure for Program Project and Center Grants, which may be
requested from Dr. Rohrbaugh at the address listed under INQUIRIES.
Failure to follow these instructions may result in delays in the
review or in an incomplete application.

STUDY POPULATIONS

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

NIH policy requires that applicants for NIH clinical research grants
and cooperative agreements 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, together with a rationale
for its choice.  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 items 1-4 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 includes human
biomedical and behavioral studies of etiology, epidemiology, (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,
clinical samples which may be coded for use by the applicant but
could be identified by another source are not excluded.  Every effort
should be made and documented 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 studies in foreign populations, 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 U.S. 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 August 15, 1993, a
letter of intent that includes a descriptive title of the overall
proposed research, the name, address and telephone number of the
Program Director, the number and title of this RFA, and a list of the
key investigators and their institution(s).  Although the letter of
intent is not required, is not binding, does not commit the sender to
submit an application, and does not enter into the review of
subsequent applications, the information that it contains allows
NIAID and NIAMS 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. Mark Rohrbaugh at the address listed under
INQUIRIES.

APPLICATION PROCEDURES

Applications are to be submitted on the standard research grant
application form PHS 398 (rev. 9/91).  For purposes of identification
and processing, item 2a on the face page of the application must be
marked "YES" and the RFA number and the words "PROGRAM PROJECTS ON
AUTOIMMUNITY" must be typed in.

These application forms may be obtained from the institution's office
for sponsored research or its equivalent, 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) 594-7248.

It is highly recommended that the Chief of the Clinical Immunology
Branch, NIAID Division of Allergy, Immunology and Transplantation, or
the Chief of the NIAMS Rheumatic Diseases Branch be contacted in the
early stages of preparation of the application.  (See program
contacts in INQUIRIES, below.)

Applications must be received by November 16, 1993.

Applications that are not received by November 16, 1993, or that do
not conform to the instructions contained in PHS 398 (rev. 9/91)
application kit, will be judged non-responsive and will be returned
to the applicant.

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.

Submit a signed, typewritten original of the application, including
the checklist, and three signed, exact, single-sided photocopies, in
one package 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 exact copies of the grant
application and all five sets of appendix material must also be sent
to Dr. Mark Rohrbaugh at the address listed under INQUIRIES.

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 either the
GCRC program director or Principal Investigator could be included
with the application.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by the
NIH Division of Research Grants (DRG) and for responsiveness by NIAID
and NIAMS staff; those judged to be incomplete or non-responsive will
be returned without review.

Those applications that are complete and responsive may be subjected
to a triage by a peer review group to determine their scientific
merit relative to other applications received in response to this
RFA.  The NIAID and the NIAMS will withdraw from competition those
applications judged to be non-competitive for award and will notify
the applicant and institutional business officials.

Those applications judged by the reviewers to be competitive for
award will be further reviewed for scientific and technical merit by
a review committee convened by the Division of Extramural Activities,
NIAID.  The second level of review will be provided by the National
Advisory Allergy and Infectious Diseases Council and/or the National
Arthritis and Musculoskeletal and Skin Diseases Council.

The factors to be considered in the evaluation of scientific merit of
each application will be those used in the review of traditional
research project grant applications, including:  the novelty,
originality, and feasibility of the approach; the training,
experience, and research competence of the investigator(s); the
adequacy of the experimental design; and the adequacy and suitability
of the facilities.  Additional review criteria used for program
project applications are outlined in the NIAID Information Brochure
on Program Project and Center Grants.  While the following review
factors do not usually influence the priority score, they are
nonetheless carefully considered by the initial review group:  the
appropriateness of the requested budget to the work proposed; the
adequacy of protection of human subjects and/or animals in research;
and the adherence, whenever appropriate, to NIH guidelines concerning
adequate representation of women and minorities in clinical research.
Any documented concerns expressed by the initial review group about
any of these factors on a given application may influence the
recommendation of the Advisory Council concerning funding of that
application.

AWARD CRITERIA

Funding decisions will be made on the basis of scientific and
technical merit as determined by peer review, program needs and
balance, and the availability of funds.

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:

Howard B. Dickler, M.D.
Division of Allergy, Immunology, and Transplantation
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4A19
Bethesda, MD  20892
Telephone:  (301) 496-7104
FAX:  (301) 402-2571

Susana A. Serrate-Sztein, M.D.
Rheumatic Diseases Branch
National Institute of Arthritis and Musculoskeletal and Skin Diseases
Westwood Building, Room 405
Bethesda, MD  20892
Telephone:  (301) 594-9953
FAX:  (301) 594-9673

Direct inquiries regarding review issues (including the
preparation of a program project application), address the letter of
intent to, and mail two copies of the application and all five
sets of appendices to:

Mark Rohrbaugh, Ph.D.
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4C22
6003 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 496-8424
FAX:  (301) 402-2638

Direct inquiries regarding fiscal matters to:

Mr. Jeffrey Carow
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B29
6003 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 496-7075

Schedule

Letter of Intent Receipt Date:  August 15, 1993
Application Receipt Date:       November 16, 1993
Scientific Review Date:         February 1994
Advisory Council Date:          June 1994
Earliest Award Date:            August 1994

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.855 - Immunology, Allergy and Transplantation
Research and No. 93.846 - Arthritis and Musculoskeletal and Skin
Diseases Research.  Awards will be made under the authority of the
Public Health Service Act, Title III, Section 301 (Public Law 78-410,
as amended; 42 USC 241) and administered under PHS grants policies
and Federal Regulations 42 CFR Part 74.  This program is not subject
to the intergovernmental review requirements of Executive Order 12372
or Health Systems Agency review.


$$XID RFA CA93029 CA-93-029 P1O1 ***************************************

CLINICAL STUDIES OF SYSTEMIC THERAPIES

NIH GUIDE, Volume 22, Number 21, June 11, 1993

RFA:  CA-93-029

P.T. 34; K.W. 0715035, 0785035, 0745070

National Cancer Institute

Letter of Intent Receipt Date:  October 22, 1993
Application Receipt Date:  December 7, 1993

PURPOSE

The Cancer Therapy Evaluation Program of the Division of Cancer
Treatment at the National Cancer Institute (NCI) invites Interactive
Research Project Grant (IRPG) applications to perform research
projects designed to conduct clinical studies of innovative systemic
therapies investigating promising therapeutic approaches in a single
tumor type or focused on a single class of novel compounds or a
mechanism of action.

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,
Clinical Studies of Systemic Therapies, 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

Domestic and foreign for-profit and non-profit organizations,
governments and their agencies are eligible to apply.  Applications
can be from single institutions and multiple institutions
(collaborating institutions, consortia, cooperative groups).  New and
experienced investigators are encouraged to apply.  Applications from
minority individuals and women are encouraged.

For the purpose of this RFA (CA-93-029), each IRPG must consist of a
minimum of three investigator-initiated research grant applications
(R01s).

Amended applications from CA-92-25 are encouraged.  An IRPG that
received funding for one or more, but not all, of the applications in
the original package may submit revised applications for those that
were unfunded.  IRPGs submitted under CA-92-25 can be submitted with
less than three required independent R01s under CA-93-029.  However,
the number of applications currently funded under CA-92-25 plus
revised applications submitted under CA-93-029 must be three or more
R01s.

MECHANISM OF SUPPORT

Support of this program will be by the traditional research project
grant (R01) through the use of the IRPG program (see Background,
RESEARCH OBJECTIVES).  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.

The total cost for each IRPG (consisting of three or more R01s) is
limited to $750,000 per year.  The average amount of direct cost per
year for each R01 will range from $140,000 to $180,000.  The total
project period for applications submitted in response to the RFA may
not exceed four years.  The earliest feasible start date for the
initial awards will be August 1994.

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 applications for review according to the procedures
described below.

FUNDS AVAILABLE

Approximately $2,000,000 in total costs per year for four years will
be committed to fund applications submitted in response to this RFA.
It is anticipated that three IRPGs will be funded in FY 94.  This
funding level 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 R01
grants pursuant to this RFA is also contingent upon the availability
of funds for this purpose.

RESEARCH OBJECTIVES

Background

Investigator initiated grant support is by far the largest single
entity in the National Cancer Institute (NCI) research budget. The
NCI utilizes a range of funding mechanisms to support clinical
research efforts of differing scale and scope.  For the conduct of
large scale, multi-institutional clinical trials, the Cancer Therapy
Evaluation Program has established a program of integrated national
networks of clinical investigators and institutions (Clinical Trials
Cooperative Groups).  The primary responsibility of the cooperative
groups is to perform definitive evaluation of clinical treatment
programs.  These groups have limited involvement with pilot studies
and ancillary laboratory studies, which bridge the gap between the
laboratory and the clinic.  Currently, translational research and
preliminary clinical studies are supported by grants (R01, P01 and
U01 awards) under the Research Project Grant category.  This smaller
scale clinical research is usually done within single institutions or
in small consortia of institutions interested in a particular area of
therapeutic investigation.  These investigator initiated mechanisms
support early clinical development of new therapeutic agents and
treatment modalities.  They support pharmacokinetics studies, studies
of mechanisms of action and resistance of therapeutic agents, and all
types of clinical correlative studies.  This effort is the essence of
translational research, which brings the basic science to the bedside
and provides leads for definitive treatment trials.

An unprecedented number of new therapeutic agents are ready for
evaluation in pilot clinical studies.  In addition, insights into the
biologic function and clinical relevance of growth factors, genes
that promote and suppress neoplasia, mechanisms of treatment
sensitivity and resistance, and function of the immune system provide
important new clinical research opportunities for investigators.  The
NCI is interested in expanding support for clinical research.  Under
this IRPG RFA, the NCI encourages the coordinated submission of
related research project grant applications from investigators who
want to collaborate on a common cancer research theme, but do not
require extensive shared physical resources or multiple core
functions.  This mechanism is not meant to replace the program
project (P01) mechanism but to support a level of collaboration
between that of the P01 and that available through an individual R01.

The IRPG is defined in PA-93-078 (NIH Guide for Grants and Contracts,
Vol. 22, No. 16, April 23, 1993) as two or more investigator
initiated research grant proposals that are reviewed for independent
merit but that share a theme and resource(s), and that require
concurrent funding to maximize the effectiveness of the resource or
to allow maximal creative interaction between researchers.
Applicants will benefit from use of the IRPG mechanism by
establishing a larger framework of reference for the proposed work,
facilitating formal collaborations tailored to achieving research
objectives, providing a record of independently acquired awards
credited to each funded investigator, and allowing retention of
research autonomy by the named Principal Investigator on each of the
interactive grants.

Research Goals And Scope

This RFA is soliciting applications to perform IRPGs with the goal of
developing new clinical studies involving systemic therapies with a
therapeutic intent.  The IRPGs may have as their key focus either:
(1) clinical studies investigating promising therapeutic approaches
in a single tumor type or (2) the development of new clinical
treatment strategies focused on a single class of novel compounds or
mechanism of action.  Each project supported in the IRPG is expected
to contribute to and be directly related to the common theme of the
IRPG application.  The application must clearly explain how the
projected integrated R01 research grants can be expected to
accomplish the stated goal more efficiently and effectively than they
could without the anticipated interactions.  At least one clinical
trial protocol must be proposed in one of the grant applications.
The clinical trials should be well integrated with the laboratory
studies proposed within the same R01 grant or in separate R01 grants.

Support will be provided to institutions with established clinical,
laboratory and statistical resources.  Some examples of research
areas that individual R01 grant applications would focus on include:
(1) pre-clinical drug development studies, utilizing in vitro or in
vivo models, leading to new clinical trials; (2) studies to elucidate
or exploit the mechanism of action or resistance of therapeutic
agents; (3) pharmacokinetics and pharmacodynamic studies of new
agents or in combination; (4) clinical correlative studies designed
to improve therapeutic approaches; (5) clinical trials of new
systemic therapies utilizing therapeutic agents alone or in
combination with other modalities.  Investigators are not limited to
the above examples of potential studies.  The NCI encourages
investigators to propose other scientific approaches that suit the
interactive R01 mechanism and the requirements of this RFA.

The aims of this RFA are two-fold:  (1) to provide support for
translational research that brings innovative basic research findings
into the clinic and (2) to foster the development of interactions
between basic science laboratories of different disciplines and
clinicians performing clinical trials to advance therapeutic clinical
research.

Special Requirements

Definitions

Principal Investigator (PI) - The person who submits the single R01
grant application in response to this RFA and who is responsible to
the applicant/awardee institution for the scientific and
administrative direction and proper conduct of all aspects of the R01
grant.

Project Coordinator -  The person designated by the PIs of the
interactive R01 grants who is responsible for the overall
coordination of the scientific direction of the interactive R01
grants.

Responsibilities of Each Awardee

Each awardee is responsible for his/her own proposed research
project(s) to advance the goals of the RFA and to define its
approaches to attain these goals.  It is the primary responsibility
of the PI to state clearly the objectives of the research project, to
direct the research stipulated in the application, and to ensure that
the results obtained are published in a timely manner.  It is
anticipated that decisions on the overall scientific direction of the
package of interactive R01s will be reached by consensus of the
collaborating PIs.

Responsibilities of the Project Coordinator

In addition to the responsibilities stated above for each awardee,
the Project Coordinator has the responsibility of providing
coordination of the overall scientific direction of the interactive
R01s.  He/she will accomplish this role by facilitating scientific
collaborations among the various investigators.  The Project
Coordinator will also be responsible for establishing mechanisms to
facilitate regular communication and coordination among
investigators.

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 will be 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 should 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 should be provided.

The composition of the proposed study population must be described in
terms of gender and racial/ethnic group, together with a rationale
for its choice.  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 the Research
Plan, 1-4, 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 females 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 females 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
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 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 October 22, 1993, a
letter of intent that includes a descriptive title of the proposed
research, the names and addresses of the Principal Investigators, the
names of other investigators and key personnel, the participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.  Amended IRPGs should
indicate which institutions are already funded, if applicable.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, it is requested
in order to provide an indication of the number and scope of
applications to be reviewed.

The letter of intent is to be sent to Dr. Roy S. Wu at the address
listed under INQUIRIES.

APPLICATION PROCEDURES

The PHS 398 (rev. 9/91) research grant application form is to be used
in applying for this RFA.  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, Westwood Building, Room 449, Bethesda, MD 20892, telephone
(301) 594-7248; and from the NCI Program Director named below.

The RFA label available in the PHS 398 research 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 number and title must be typed on line 2a of the face page of
the application form.

All the R01 applications constituting the proposed IRPG cohort must
be submitted in a single package, whether or not the applications
arise from the same institution.  Each application within the package
must be clearly identified and a cover letter must list the total
number of applications submitted for the IRPG cohort, indicating the
Principal Investigator of each.  The various applications should not
be collated into an IRPG "package."  For each application, the
original, three copies, and the appendix material must be packaged
together and clearly identified.

The IRPG package must be sent or delivered to:

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

At the time of submission, send two additional copies of each
application in the form of an IRPG package to:

Ms. Toby Friedberg, Referral Officer
Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Room 650
6130 Executive Boulevard
Bethesda, MD  20892

Applications must be received by December 7, 1993.  If an application
is received after that date, it will be returned without review.  If
the application submitted in response to this RFA is substantially
similar to a research grant application already submitted to the NIH
for review, but has not yet been reviewed, the applicant will be
asked to withdraw either the pending application or the new one.
Simultaneous submission of identical applications will not be
allowed, nor will essentially identical applications be reviewed by
different review committees.  Therefore, an application cannot be
submitted in response to this RFA that is essentially identical to
one that has already been 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 Instructions

Particular attention must be paid to completion of Section 7,
Consultants and Collaborators, for each IRPG application.  In
addition to those collaborations that would be necessary to carry out
the proposed research, whether or not the IRPG mechanism is involved,
within Section 7, each application that is a component IRPG must
provide an identical statement (titled "IRPG INTERACTIONS") regarding
the IRPG collaboration.  This section should list each application
that is part of the IRPG, including title, Principal Investigator,
and other participating scientists.  The single Project Coordinator,
responsible for coordinating the collaborative efforts among the
research projects and for promoting interaction and communication
among the Principal Investigators, should be identified here.  This
section should further discuss the intended interactions among the
components of the IRPG and the perceived benefits of supporting all
of the components of the IRPG as a combined effort.

Requests for limited shared resources, if any, should be included in
this part of Section 7.  This should include costs and full budget
justification.  To further clarify the utilization of shared
resources, additional succinct information is needed and it is
suggested that two tables be included.  Table I would be identical in
all applications of the IRPG cohort.  Table II will detail the
distribution of effort for all of that application's personnel
(professional, technical and clerical) on all shared activities
and/or resources.  A sample format for the Tables can be obtained
from the NCI Program Director listed under INQUIRIES.  The
utilization of these resources by each IRPG will be evaluated
independently by the study section and any appropriate modifications
recommended.

Special Instructions for Revised Applications from CA-92-25

All revised applications from CA-92-25 must follow instructions for
revised applications contained in the PHS 398 kit.

For those revised applications that are composed of IRPGs that
received funding for one or more, but not all of the applications in
the original response to CA-92-25, an expanded section 7 is
recommended.  In addition to the information requested above, the
applicant(s) should provide the title, the name and institution of
the Principal Investigator, the abstract and the specific aims of the
funded components of the IRPG.  A special effort should be made to
describe and justify the nature of the interaction with the funded
grant(s).  The total costs for the funded grant(s) and the revised
application(s) cannot exceed the $750,000 total cost limit set forth
under MECHANISM OF SUPPORT.

REVIEW CONSIDERATIONS

Review Procedure

Upon receipt, applications will be reviewed 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 program requirements and
criteria stated in the RFA is an NCI program staff function.
Applications that are judged non-responsive will be returned to the
applicant.  An application judged to be non-responsive to this RFA
may be submitted as an investigator initiated IRPG at the next
receipt date for unsolicited applications.  Questions concerning the
responsiveness of proposed research to the RFA are to be directed to
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 judged to be both responsive and competitive will
be further evaluated according to 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 by the National Cancer Advisory Board
considers the special needs of the Institute and the priorities of
the National Cancer Program.

Review Criteria

The factors considered in evaluating the scientific merit of each
application will be:

o  Extent to which the proposed research addresses the goals of the
RFA

o  Scientific, technical, or medical significance and originality of
proposed research within each R01 application;

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

o  Research or clinical experience, training, time availability, and
qualifications of the investigators involved;

o  Adequacy of plans for effective collaboration among laboratory,
clinical, and statistical investigators within
   each R01;

o  Adequacy of the available resources and environment (e.g.
facilities, equipment, statistical resources; patient population)

o  Adequacy of the mechanisms for quality control, study monitoring,
data management and reporting, and data analysis;

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 proposed research.  For each
application that is given a priority score, the review group will
assign an adjectival descriptor that reflects the extent and
effectiveness of its collaboration(s) with other applications
included in the IRPG.  This assessment will be documented in a brief
administrative note in the summary statement to assist the NCI in
making final decisions on each application in the context of the
overall IRPG.

AWARD CRITERIA

The anticipated date of award is August 1, 1994.  In addition to the
technical merit of the application, the NCI will consider how well
the applicant institution meets the goals and objectives of the
program as described in the RFA, availability of resources, and study
populations.  Those applications involving breast cancer research
will have priority.

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 encouraged.  The NCI Program
Directors welcome the opportunity to clarify any issues or questions
from potential applicants.

Direct inquiries regarding programmatic issues and address the letter
of intent to:

Dr. Roy S. Wu
Division of Cancer Treatment
National Cancer Institute
Executive Plaza North, Room 734
Bethesda, MD  20892
Telephone:  (301) 496-8866
FAX:  (301) 480-4663

Direct inquires regarding fiscal matters to:

Ms. Jennifer Edwards
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 242
Bethesda, MD  20892
Telephone:  (301) 496-7800, ext. 57
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 Mon Jun 21 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NSF - Summary of new documents on STIS - 20 June 1993
Message-ID: <Jun.22.13.31.34.1993.21102@net.bio.net>
Date: 22 Jun 93 20:31:34 GMT
Sender: kristoff@net.bio.net
Lines: 96
Approved: biosci-moderator@net.bio.net


                     ** NEW DOCUMENTS ON STIS **

Document Type: Program Guideline

   Title: NSF 93-51 - International Opportunities for Scientists and
          Engineers
               File size (bytes):       133205
               STIS Filename:           nsf9351

   Title: NSF 93-81 - Agile Manufacturing Initiative
               File size (bytes):       32379
               STIS Filename:           nsf9381

Document Type: Recruit

   Title: Environmental Officer
               File size (bytes):       5369
               STIS Filename:           vex9321

   Title: Biologist (Environmental Officer)
               File size (bytes):       5907
               STIS Filename:           vgs9366

   Title: Environmental Engineer (Environmental Officer)
               File size (bytes):       5941
               STIS Filename:           vgs9367

   Title: Physical Scientist (Environmental Officer)
               File size (bytes):       6069
               STIS Filename:           vgs9368

   Title: Program Assistant (Office Automation)
               File size (bytes):       4778
               STIS Filename:           vgs9369

------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Committees

   Title: NSF Advisory Committee Meetings
               File size (bytes):       1126
               STIS Filename:           cmpublic

Document Type: Phone Book

   Title: NSF Alphabetical Listing
               File size (bytes):       90826
               STIS Filename:           phnalpha

   Title: NSF Organizational Directory
               File size (bytes):       95945
               STIS Filename:           phnorg

------------------------------------------------------------------------
                       ** 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 phnorg, the text of your message should be 
     as follows:
                       get phnorg

Anonymous FTP:

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

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 "firstop@nsf.gov" (Internet) or "firstop@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 Sun Jun 27 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 22, pt. 4, 18 June 1993
Message-ID: <Jun.28.12.59.41.1993.15568@net.bio.net>
Date: 28 Jun 93 19:59:42 GMT
Sender: kristoff@net.bio.net
Lines: 1235
Approved: biosci-moderator@net.bio.net

$$XID RFA AI93014 AI-93-014 P1O1 ***************************************

CENTER FOR AIDS RESEARCH/CORE SUPPORT GRANT

NIH GUIDE, Volume 22, Number 22, June 18, 1993

RFA:  AI-93-014

P.T. 04; K.W. 0715008, 0710030, 0404000, 0745027

National Institute of Allergy and Infectious Diseases
National Institute of Mental Health

Letter of Intent Receipt Date:  July 16, 1993
Application Receipt Date:  August 25, 1993

PURPOSE

The National Institute of Allergy and Infectious Diseases (NIAID) and
National Institute of Mental Health (NIMH) invite the submission of
applications for Centers for AIDS Research/Core Support Grants
(CFAR/CSG) from institutions conducting high quality,
multidisciplinary AIDS research. The purpose of the CFAR/CSG is to
provide administrative and shared research support through Core
facilities to synergistically enhance and coordinate high quality
AIDS and AIDS-related research projects requiring resources or
services not otherwise readily obtained through more traditional
funding mechanisms.

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,
Centers for AIDS Research/Core Support Grant (CFAR/CSG), 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.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applicant institutions

Applications may be submitted by domestic, non-profit and for-profit
research institutions including universities, colleges, units of
state and local governments and research institutes or laboratories.
Both new applicants and competing renewal applicants are eligible to
apply.  Minority individuals and women are encouraged to submit as
Principal Investigators.  Foreign institutions are not eligible to
apply.

One CFAR per institution per funding institute

CFAR/CSGs are awarded to research institutions already heavily
committed to several individual programs in AIDS and AIDS-related
research.  In general, the purpose of the CFAR/CSG award is to
enhance the impact of the unique spectrum of scientific expertise and
research projects available within an institution.  Thus, only a
single CFAR will be supported at a given institution per funding
institute, i.e., one institution may have a CFAR funded by NIAID and
one funded by NIMH, but the institution will not have more than one
CFAR funded by either institute.  It is incumbent upon the applicant
institution to demonstrate that there will be no duplication of
effort, if an institution applies for a CFAR/CSG from NIAID and one
from NIMH.  For example, the two CFARs should not have any Cores that
are the same and should not use the same grants to fulfill the Funded
Research Base requirement (see below).  The terms "applicant
institution" and "parent institution" refer to a given location
(campus).  For example, institutions that are part of a larger
system, such as UCLA and UC Davis, each a separate component of the
university system of the state of California, could each be awarded a
CFAR/CSG.

See the document "CFAR/CSG Guidelines" for a list of separate
organizations.  However, institutions that have significant overlap
in faculty, resources, and/or administration should submit only one
application.

Funded Research Base

An applicant institution must have a continuing Funded Research Base
of at least $800,000 in annual direct costs of peer-reviewed AIDS or
AIDS-related research.  In order to qualify for a CFAR/CSG award by
the NIAID, the Funded Research Base must be NIAID-funded research.
In order to quality for a CFAR/CSG award by the NIMH, 60 percent of
the Funded Research Base must be from NIMH-funded research and 40
percent may be from other NIH Institutes or peer-reviewed funding
from alternate sources.  Both Institutes require that the Funded
Research Base be distributed among at least six peer-reviewed AIDS
and AIDS-related research awards when the CFAR/CSG is awarded and
throughout the award period.  The annual progress report (form PHS
2590) must include this information each year of the project period.
Funding for an existing CFAR cannot be used to achieve any portion of
the Funded Research Base.

To assist NIH in the identification of centers that may be funded by
NIAID or NIMH, applicants are urged to indicate, in the abstract that
describes the overall proposed CFAR, how many projects which comprise
the Funded Research Base are funded by NIAID and how many are funded
by NIMH.  Applicants are also encouraged to include a brief
description of the type of research included in the Funded Research
Base in the overall CFAR/CSG abstract.

Qualifying Funding

For all applicants:  AIDS and AIDS-related research supported by the
NIAID and NIMH: This includes all types of grants, cooperative
agreements, and research contracts in which proposed research has
been peer-reviewed and includes the following categories:  P01, P50,
R01, R03, R21, R29, R35, R37, U01, U10, K and F series awards, R18
(Research Demonstration and Dissemination Projects) and N01 (Research
Contracts).

For NIMH applicants:  AIDS and AIDS-related research supported by
other NIH Institutes and funding organizations outside of NIH:
Funding by the latter organizations, which may not exceed the
indicated percentage of the Funded Research Base (40 percent for NIMH
awards), may be included if review processes for awards are
substantially equivalent to those of NIH.  It is the responsibility
of the applying institution to demonstrate that, in these cases, the
alternative peer-review mechanisms involved are equivalent to those
in use at NIH and that the research so funded is of sufficient
quality to warrant CFAR/CSG support.  This verification may be
accomplished by attaching to the application a one page document
containing information provided by each alternate funding agency
describing their review mechanisms and criteria for awarding funds.

Excluded Funding

The following should not be included in the total AIDS Funded
Research Base

A current CFAR, training grants including Institutional Training
Grants (T32s), other P30 awards, awards from private industry,
contracts and other awards that primarily fund the production of
materials and/or services for support of research.

MECHANISM OF SUPPORT

CFAR/CSG awards will be made under the NIH Core Support Grant (P30)
mechanism.  This RFA is a one-time solicitation.  Because the nature
and scope of the research proposed in response to this RFA will vary,
it is anticipated that the sizes of the awards will vary also.
Responsibility for the planning, direction and execution of the
proposed Center will be solely that of the applicant.  The total
project period for applications submitted in response to this RFA may
not exceed five years of support.  However, recommended support
beyond the third year of the CFAR/CSG is subject to the determination
by an ad hoc review committee that stated goals (milestones) have
been sufficiently met.  The progress report of the non-competing
continuation application (PHS 2550) for the fourth year of support
must demonstrate that stated CFAR/CSG goals have been met.  Program
staff will contact the Principal Investigator to request additional
information, if required.

The six milestones that must be met at the end of year three are:
interdisciplinary coordination and collaboration, especially between
clinical and basic research investigators; synergistic scientific
collaboration; organizational capabilities of the CFAR; institutional
commitment; developmental and educational commitment; and effective
use of the charge back system.  Additional information is provided
under REVIEW CRITERIA.

FUNDS AVAILABLE

The NIAID has set aside a total of $7.2 million for the initial
year's funding of this RFA.  The NIAID anticipates making 9 to 11
awards.  NIMH has set aside a total of $1.5 million and anticipates
making two awards.  The final number and specific amounts of awards
will depend upon the scientific and technical merit, relevance to
programmatic priorities and availability of funds.  All applications
are limited to requests for no more than $750,000 in total costs
(direct plus indirect) in the first year.  Increases of up to four
percent are permitted for allowable recurring costs for each of the
subsequent years.

RESEARCH OBJECTIVES

Background

The human Acquired Immunodeficiency Disease Syndrome (AIDS) has
reached epidemic proportions:  253,448 cases of AIDS in the United
States had been reported by the Centers for Disease Control (CDC) as
of February, 1993.  A total of 169,623 individuals have died from
this disease and its sequelae.  In response to this emergency, the
NIH and other research institutes are supporting studies consisting
of basic and applied research concerning the AIDS epidemic.  It is
anticipated that these investigations will lead to achievement of
disease prevention through development of effective vaccines,
prevention and behavioral change strategies, and rational therapeutic
strategies to control viral infection and the development of
opportunistic infections and other sequelae of AIDS.

The continually expanding epidemic nature of AIDS increases the
urgency for critical basic and applied research in AIDS and
AIDS-related projects and the timely transfer of basic research
knowledge into efficacious patient treatment protocols.  The genetic
variability of HIV, the apparent complexity of its viral pathogenesis
(still not yet fully understood), as well as the unique
socio-epidemiological aspects of infection, dictate the need for
implementation of a multidisciplinary approach involving the
collaboration of teams of investigators possessing diverse and
relevant state of the art expertise in research areas most useful for
an understanding of AIDS and for the development of effective
therapies.  Most importantly, there is an imperative need for the
timely application of new knowledge obtained in the basic research
laboratory to the clinical setting as well as for the efficient
translation of observations in AIDS clinics into questions which may
be addressed and resolved by novel laboratory experimentation.  It is
precisely these aspects of AIDS research to facilitate through
CFAR/CSG awards.

During Fiscal Year 1988, the NIAID launched a new initiative intended
to establish a number of Centers for AIDS Research (CFARs) at
institutions committed to several high quality AIDS research
projects, using funds specifically appropriated by Congress.  Under
this program, thirteen CFARs were funded for the purposes of
enhancing and focusing high quality, peer-reviewed, AIDS and
AIDS-related research in a synergistic manner with a resulting
increase in the efficiency and effectiveness of a wide variety of
research programs.  In May 1992, an ad hoc Program Review Committee
organized by NIAID commended the CFAR Program, and recommended
several changes to enhance the Program's effectiveness in achieving
its stated goals.  These suggestions included:  an increased emphasis
on interdisciplinary cooperation and collaboration and the use of
Cores by multiple, interactive groups; the establishment of at least
one Clinical Core within each CFAR; maintenance of a critical level
of high quality AIDS research consisting of several peer-reviewed
awards; a continued demonstration of active support of the CFAR by
the parent institution in terms of space, personnel, and other
resources; a requirement that the CFAR Director be a Principal
Investigator of peer-reviewed funded AIDS research and a leader in
the field of AIDS research; encouragement of behavioral and
prevention research, support of the enrollment of women and
minorities in clinical trials, and support of minority investigators.

The purpose of this RFA is to request new and renewal applications
for the establishment of CFARs at parent institutions involved in
critical, high impact AIDS and AIDS-related research projects.
Funding will be provided to awardees to support the leadership and
planning activities of the Center and to develop Cores of shared
resources and services that will enhance and focus existing clinical
and basic AIDS research in a cooperative and synergistic manner.
This RFA will also provide funding for pilot projects for innovative,
high risk investigations, and developmental support for new
investigators in AIDS research.  The goal of both of these aspects of
CFAR support is to provide limited funding for development of
sufficient data to enable investigators to apply for R01-type grants.

Goals and Objectives of the Centers for AIDS Research

The goal of the CFAR/CSG is to enhance and extend the effectiveness
of groups of investigators conducting AIDS and AIDS-related research
supported by peer-reviewed funding mechanisms.  More specifically,
the CFAR/CSG is intended to:

o  Encourage activities that will initiate, consolidate and focus
high quality AIDS and AIDS-related research by establishing Core
Support Facilities for ongoing projects funded through peer-reviewed
awards.

This RFA will foster multidisciplinary collaboration among scientists
at the parent institution through coordinated administrative,
resource and service Cores:

o  Promote effective synergistic collaborations and interactions
especially among investigators participating in clinical and basic
areas of AIDS research.  Such interactions are intended to facilitate
translation of information obtained in the laboratory to specifically
address problems in the clinic and the field, and will enhance the
possibility of observations in the clinic and the field being
translated to the laboratory setting for further investigation.

o  Foster development of innovative and high quality research areas
in AIDS research by providing support for investigators new to the
field, and through the funding of pilot projects whose results can
form the basis for competitive applications.

o  Support administration of the Center including activities such as
seminars and workshops for CFAR/CSG members and AIDS investigators in
general, education at all levels including community programs, and
funding for the leadership responsible for organizing and sustaining
the Center's activities.

Scope, Restrictions and Exclusions

Specifically, the CFAR/CSG will provide funding for the types of
activities listed below.  In general, those CFARs funded by the NIAID
may have Core Facilities supporting research such as basic biology
and pathogenesis of HIV, vaccine research and development, clinical
trials and treatment research for HIV infection, drug development,
epidemiology of HIV infection, and preclinical developmental
therapeutic research for HIV and associated opportunistic infections.
Those CFARs funded by NIMH may have Core Facilities supporting
research such as CNS effects of HIV infection (neurobiological and
behavioral studies), behavior change and preventive intervention
studies, psychological and psychosocial response to HIV infection and
AIDS and psychological and psychiatric treatment of persons with HIV
infection and AIDS.  Basic research in the area of behavioral change
related to prevention of HIV infection is an area of joint interest
and either NIAID or NIMH may fund Centers having Core Facilities
supporting studies of this type.

In addition, it is strongly encouraged that by the end of year 01 of
the award and included in the non-competing, renewal application for
year 02, and subsequent non-competing renewal applications, the CFAR
will establish a plan of "Charge Back" for the remaining four years
of funding.  This will involve a gradual assumption, over the
remaining period of the grant award, of greater fiscal responsibility
by users of Core facilities through R01 funds and by the parent
institution, with a corresponding decrease in support from CFAR/CSG
funds for established Cores.

(Note that the specific examples provided below are not intended to
be all inclusive.  Applicants are strongly encouraged to contact
program staff from NIAID or NIMH listed under INQUIRIES for questions
regarding the types of Cores that will be supported by NIAID or
NIMH.)

o  Basic Science Cores.  Centers are required to have at least three
Basic Science Cores that support basic AIDS and AIDS-related research
by investigators at the CFAR.  The basic science Cores should be
designed to foster collaboration among investigators representing
various scientific approaches or disciplines, and should especially
promote cooperation and collaboration between basic and clinical
investigators.  Applicants should indicate the mechanism that will be
used to select users of Basic Science Cores, e.g., such as through an
Internal Review Committee.

Examples of such Cores that may be supported by the NIAID include,
but are not limited to, Virus Culture in Biohazard Containment (BL3),
Mass Spectrometry, Computer Modeling, Monoclonal Antibody Facilities,
Peptide Synthesis and HPLC, DNA Synthesis and Sequencing, PCR,
Transgenic and SCID/Hu Mice Facilities, Animal Models, and Flow
Cytometry.

Examples of such Cores that may be supported by NIMH include, but are
not limited to, Mass Spectrometry, Computer Modeling, Monoclonal
Antibody Facilities, PCR, Transgenic and SCID/Hu Mice Facilities,
Animal Models, Flow Cytometry, Tissue Banks, Cell Line Repositories,
Psychoimmunology, Neuroimmunology, and Neuroimaging.

o  Clinical Core.  Centers are required to include a Clinical Core
Support Facility that will support patient-based research.  This Core
should provide for collaborations with basic scientists and encourage
rapid development of new clinical approaches.  Activities that will
not be supported by a CFAR/CSG Clinical Core include:  routine
screening of clinical specimens, diagnosis, treatment, or
rehabilitation.  Regardless of the specific type of activity
performed within the Clinical Core, all activities should facilitate
translation between basic and clinical research.  Applicants should
indicate the mechanism that the CFAR will use for selection of users
of the Clinical Core, e.g., such as through an Internal Review
Committee.  If a Center has a clinical research entity, such as an
ACTU, AVEU, CPCRA, DATRI site, or a Clinical Center, etc., the
applicant institution must include information concerning all support
for clinical research already in place, such as, but not limited to,
biostatistical analysis, and database or repository establishment or
maintenance.

The types of activities that may be supported by a NIAID-funded
Clinical Core include, but are not limited to biostatistical support,
recruitment of subjects for clinical studies, support for
epidemiological studies in areas of AIDS, community outreach, or
provide modest funding for sample storage.

The types of activities that may be supported by a NIMH-funded
Clinical Core includes, but are not limited to biostatistical
support, recruitment of subjects for clinical studies, support for
epidemiological studies or behavioral epidemiological studies in
areas of AIDS, neurobehavioral or psyco-sexual or psycho-social or
treatment assessments, focus groups, ethnographic studies, community
outreach, test development, and/or provide modest funding for sample
storage.

o  Developmental Core.  CFARs are encouraged to support three
Developmental areas:  Investigators New to AIDS Research, Pilot
Projects, and Evolving Research Opportunities.

o  Administration Core.  Support for the CFAR Director, who should be
a recognized leader in the field of AIDS research and the Principal
Investigator of at least one peer-reviewed grant, which is part of
the Funded Research Base in AIDS or AIDS-related research.  Support
may also be requested for Core Directors, a senior administrator, an
office that is a clearly separate entity to which individuals may
come for information and other activities related to the CFAR, and a
modest staff for support of Center activities.

o  The CFAR may provide salaries and limited funds for research costs
for Investigators New to AIDS Research who have not previously
received individual R01-equivalent support in this field.  Funding
will be provided until the investigator achieves independent support
through a traditional research grant or equivalent, but will not
exceed three years.  Applicants should indicate the mechanism that
the CFAR will use for selection of recipients of Developmental
funding, e.g., such as through an Internal Advisory Committee.

o  Developmental funds may also be used for small feasibility
studies, often of a risky nature, preparatory to the development of
applications for independent peer-reviewed support.  Examples
include, but are not limited to, nurture of an especially innovative
idea for which other funding is not available, exploration of an
unconventional but potentially important hypothesis, and
encouragement of basic/clinical, basic/prevention, and
basic/behavioral research collaborations.  Funding for the Pilot
Projects will not exceed one year.  Applicants should describe the
mechanism they will use for identification and selection of Pilot
Projects they will support through developmental funds.

o  Funding for Evolving Research Opportunities is designed to support
rapidly arising, critical, evolving areas in the field of AIDS
research which demand a rapid resolution.  Funding for projects of
this type will not exceed six months.  Identification of a potential
project may be brought to the attention of the CFAR from CFAR
members, scientists outside of the CFAR as well as from the awarding
institute.  Applicants should describe the mechanism they will use
for identification and selection of Evolving Research Opportunities
they will support through Developmental Funds.

No more than 25 percent of the total direct costs requested in the
CFAR/CSG application may be for the combined salaries of the CFAR
Director and Core Directors.  No more than 10 percent of the total
direct costs requested in the CFAR/CSG budget application may be
allocated for all other categories in the administration core.

o  Additional Activities.  Four additional activities of CFARs are
encouraged.  Specific examples are not meant to be all inclusive:

o  Identification of a Thematic area, i.e., a general area of
scientific specialization that characterizes an individual Center and
represents its unique contribution to the overall breadth and scope
of the CFAR/CSG program.  An applicant institution may already have
an existing focus of research, such as Immune Reconstitution, X-ray
Crystallography, Specific Animal Models, Models of Cell-Based
Trafficking, Neurobehavioral Sequelae of HIV, or Behavior Change and
Prevention, that can then form the focus for a Thematic Area
encompassing AIDS or AIDS-related research.  CFAR investigators whose
AIDS or AIDS-related research is not included in the Thematic Area
will be eligible to use Core Facilities, after approval by the
standard internal review process developed by each CFAR, e.g.,
through the Internal Review Committee.

o  Development of minority scientists in the field of basic and
clinical AIDS research through support of programs that result in the
participation of minorities in high quality mainstream investigations
in this area.  The CFAR may:  (1) fund minority investigators who are
new to AIDS research as part of one or more CFAR developmental
grants, and (2) facilitate development of collaborative AIDS research
projects with minority investigators at other institutions which
could include, but not be limited to, membership in the CFAR,
training within a CFAR Core and utilization of a Core with facilities
that would not otherwise be available to the minority investigators
at their own institution;

o  The CFAR is encouraged to identify ways to use scientific
knowledge gained in the laboratory and clinic to decrease the gaps in
understanding AIDS among non-scientists.  Support could be through
Developmental funding of a project in this area.  Activities in this
area might include the development of a program similar to NIH's
"Medicine for the Layman" at the parent institution, and outreach to
community groups with information tailored to the unique needs of the
particular population, supported through Developmental funds or
through the Administration Core.

o  Finally, the CFAR is encouraged to support identification of
solutions to problems regarding enrollment and maintenance of women
and minority groups in AIDS clinical trials, an area that can be
supported through Developmental funding or through the Clinical Core.

Definitions

AFFILIATED INSTITUTIONS - Affiliated Institutions are institutions
that provide one or two Core Support Facilities for the CFAR.

AIDS RESEARCH - AIDS research includes, but is not limited to,
studies of HIV and related retroviruses; studies of the mechanism(s)
by which HIV and related retroviruses infect host cells, establish
productive infections and cause disease; host genetic resistance to
HIV/AIDS; studies on in vivo and in vitro models of human HIV
infection; epidemiologic studies on HIV and related retroviruses,
including prevention and behavioral change research; preclinical
studies targeted to development of therapy for HIV infection
including drug design modeling; clinical trials involving therapy for
HIV infection or its sequelae; clinical trials involving, or studies
targeted to development of, vaccines, or other immunological or
chemotherapeutic interventions to prevent HIV infection; studies
concerned with diagnosis of HIV infection and AIDS; and viral
detection and isolation methods.

AIDS-RELATED RESEARCH - AIDS-related research refers primarily to
research on opportunistic infections associated with AIDS, research
on other sequelae of AIDS such as AIDS-related neoplasias and wasting
syndrome.  Research on opportunistic organisms must use a model
system related to HIV infection and pathogenesis in humans and may
include:  (a) mechanisms of pathogenesis; (b) virulence factors; (c)
immunoregulation, immunopathology, immunotherapy and immune
prophylaxis; (d) therapeutic methods in general, (e) host resistance
mechanisms; and (f) detection and assay.

ALTERATIONS AND RENOVATIONS - Alteration and renovation (A&R) is
defined as work required to change the interior  arrangements or
other physical characteristics of an existing facility or installed
equipment.

APPLICANT INSTITUTION - The Applicant Institution refers to the
responsible university or institute applying for the CFAR/CSG award.

CFAR OR CENTER - In this RFA, the terms CFAR and "Center" are
interchangeable and refer to the organization of ongoing, innovative,
critical, peer-reviewed AIDS and AIDS-related research through the
use of Core Support Facilities.  In a CFAR, these ongoing research
projects and their scientific disciplines are united under a single
scientific and administrative structure with a common goal:  the
synergistic cooperation and collaboration between AIDS investigators
at the CFAR, and especially, between basic and clinical investigators
involved in innovative research on AIDS and its sequelae.  The
definitive feature of a CFAR is the establishment of shared Core
Support Facilities.  Through a Developmental Core, the CFAR also
supports the recruitment of new scientists into AIDS research, pilot
projects, and critical evolving research requiring an unusually
timely response.  A CFAR may also identify a thematic area to
facilitate collaboration and interaction, and may also support
community outreach projects, the organization of lecture series in
AIDS for scientists and non-scientists, and may place special
attention to the participation of women and minorities at all levels
of AIDS research and treatment through the Developmental Core.

CFAR MEMBER - Individual approved by the CFAR Internal Advisory
Committee to use Core Facility(s).

CFAR SENIOR LEADERSHIP - CFAR senior leaders are those individuals
who are involved in the overall direction of the CFAR, including the
Center Director, Associate or Assistant Director(s), Core Directors
and those Center Staff Investigators who are involved in the
planning, implementation and evaluation of Center activities
including the stimulation of scientific interactions, the recognition
and pursuit of new research opportunities, the implementation of
budgets and charge back systems in cores, the identification of new
CFAR members, the initiation of seminars and training programs and
the recruitment of faculty.

CHARGE BACK SYSTEM - CFARs are encouraged to phase in a Charge Back
System, a method of charging users of the Core Facility a fee
commensurate with their usage of equipment, time, supplies (such as
reagents) and personnel, if any, providing the service.  The charge
back costs would then be budgeted within the users' research grants,
resulting in a gradual increase in funds from this source, and a
decreased cost to the CFAR/CSG over the award period.  These freed
funds from the CFAR/CSG award, originally dedicated to establish the
Core Support Facilities proposed in the initial application, could
then be rebudgeted to the Developmental Core and/or be used to
establish new Cores as the Center evolved.  Applicants should be
aware that program income may be generated.  Institute staff will
work with grantees on this issue.

CORE SUPPORT FACILITY - A "Core Support Facility", or "Core",
consists of a functional AIDS service unit, either clinical
(including behavioral aspects) basic, developmental, or
administrative, including personnel, a responsible Core Director,
defined space, laboratory equipment, supplies, resources and services
which is able to perform experimental procedures requiring a number
of specialized techniques not available to already existing
independent research projects.  A primary function of the CFAR is to
foster multidisciplinary approaches to collaborative research.  Core
Components of a CFAR must be shared by investigators participating in
a variety of individual and collaborative projects.

CORE DIRECTORS - Core Directors shall consist of individuals
responsible for the overall technical excellence of a Core Facility
including its state of readiness, its ability to perform Core
activities in a timely and efficient manner, improvement or adoption
of new techniques as they become available, maintenance of supplies
and equipment (a function that may be delegated to appropriate
personnel), supervision of personnel providing services, supervision
of any training programs having to do with the core and provision of
advice to an Internal Advisory Committee, if appropriate, about core
membership.

EVOLVING RESEARCH OPPORTUNITIES - Evolving Research Opportunities is
a category within Developmental Funding that is designed to support
critical, evolving areas in AIDS research which demand a rapid
resolution.

EXTERNAL ADVISORY COMMITTEE - An External Advisory Committee may
include established investigators in the field of AIDS and
AIDS-related research who are not members of the CFAR they advise,
one of whom may be the Director of another CFAR.  The committee
should provide advice on the overall direction and progress of the
CFAR, establishment of new Cores and whether the CFAR is maintaining
its mission.  This committee should meet at least once per year and
its report should be part of the annual CFAR progress report
submitted to the funding institute (NIAID or NIMH).

FUNDED RESEARCH BASE - The Funded Research Base is comprised of the
total amount of AIDS or AIDS-related funding received for
peer-reviewed grants awarded by the NIAID, NIMH, or alternate funding
agencies, including all other NIH Institutes, having review criteria
and mechanisms equivalent to the NIH.  See III - Eligibility
Requirements.

INTERNAL ADVISORY COMMITTEE - An Internal Advisory Committee of each
CFAR may be comprised of the CFAR Director, Core Directors, and other
investigators of the CFAR, as appropriate, who may review all
applications for use of Core facilities, and may be the group having
final decision upon recruitment and retention of investigators within
a Core facility.  Other functions of the Internal Advisory Committee
may include advice concerning the necessity to establish additional
Cores, and the approval of developmental grant awards.

MINORITY INVESTIGATOR / MINORITY INDIVIDUAL - A minority investigator
or minority individual is defined, for the purposes of this RFA, as a
member of a recognized minority group that is either
under-represented in biomedical research or is undeserved in terms of
AIDS diagnosis and treatment.

PARENT INSTITUTION - The Parent Institution is the research
institution receiving a CFAR award.  In exceptional cases, a CFAR
award may include up to 2 core support facilities housed at a second,
affiliated institution.  It is the responsibility of the applicant
institution to clearly demonstrate the need for a Core at a second
institution.  It is expected that CFAR/CSG funding will be primarily
used to support investigators at the Parent Institution.

PEER-REVIEWED FUNDED RESEARCH - Peer-reviewed funded research
includes the following:  awarded research grants, cooperative
agreements and research contracts awarded by NIAID or NIMH including
P01, R01, R03, R18, R21, R29, R35, R37, U01, U10, K, and F series
awards, and contracts (N01).  Peer-reviewed funding also includes the
equivalent awards from other NIH institutes and awarded grants from
the National Science Foundation as well as all other government and
private institutes which meet the NIH standard for peer review. It is
the responsibility of the applying institution to demonstrate that
the latter funding sources, if projects with such support are
submitted to fulfill the requirement for a minimum level of direct
cost peer-reviewed research funding are equivalent to the NIH
standard for peer review.

THEMATIC AREA - A thematic area is a general area of scientific
specialization that characterizes an individual Center and represents
its unique contribution to the overall breadth and scope of the CFAR
Program.  If NIAID and NIMH each support a CFAR at an institution,
the themes should be distinct and non-overlapping.

SPECIAL REQUIREMENTS

Reporting Procedure

o  Progress report

As is required for all awards, Annual Progress Reports on the
progress and achievements attributable to the CFAR must be submitted
together with an expenditure report, using form PHS 2590.  Charge
back systems for the core facilities must also be clearly documented.
A progress report should demonstrate the overall value of the CFAR to
the field of AIDS research.  This would normally include brief
descriptions of the projects the CFAR/CSG has supported, the nature
of the contribution of the CFAR/CSG to the project, and the overall
significance of the research to which the CFAR/CSG contributed.

CFAR Citation

All publications including abstracts, journal articles, books, as
well as internal publications reporting on research findings
supported, at least in part, by CFAR/CSG funding must acknowledge
this as follows:  "This (project) was supported by the Center for
AIDS Research/Core Support Grant (CFAR/CSG) number XX-XXXXXX from the
NIAID (or NIMH)."  The CFAR/CSG program should also be acknowledged
in all presentations, as appropriate.

Allowable Budget Items

Items within the following categories of expenses may be allowed:

o  Shared Resources Supporting Clinical and Laboratory Research.  The
CFAR may include funds for clinical and/or laboratory facilities,
equipment, and services that will be used by multiple staff for
research supported by ongoing peer-reviewed grants and/or contracts.
Specific examples of such resources include, but are not limited to,
large shared equipment, biostatistics, animal facilities and
services, cell culture, media preparation, glassware washing,
biosafety equipment and services, photography and illustration
services, secretarial pools, centralized word processing, clinical
pharmacology and toxicology, immunology, virology, cell and molecular
biology or immunoparameter testing services, special animal colonies,
amino acid analysis, HPLC facilities, cell sorting, chemical and drug
synthesis, NMR facilities, protein chemistry, radioisotope
facilities, mass spectrometry labs, flow cytometry, electron
microscopy, neuroimaging facilities, PCR facilities, neurobehavioral
assessment.

o  Alterations and Renovations.  Alteration and renovation of an
existing structure to provide suitable facilities in which to conduct
the programs of the AIDS Center may be funded by the CFAR/CSG within
the limits set by PHS grants policy if there is adequate
justification for such costs.  Requests for alterations and
renovations related to containment facilities must be consistent with
and limited to the level of containment (i.e., BL2, BL2+, or BL3)
that is actually required to conduct the research comprising the CFAR
Funded Research Base, as described in accepted NIH guidelines for
working safely with HIV.  (See HHS publication No. (NIH) 88-8395,
Biosafety in Microbiological and Medical Laboratories, J.H.
Richardson and W.E. Barkley, eds., May 1988 (or current edition)
which is available from the Government Printing Office, Washington,
DC 20402 at a cost of $4.00 per copy.  When ordering, refer to GPO
stock number 017-40-508-3.)

The policy of PHS permits up to 100 percent of the costs of
alterations and renovations to be charged to a CFAR, if there is
adequate justification for such renovation, in accordance with PHS
policy.

o  Salaries.  The requested percentage of an individual's salary may
not exceed the percentage of effort devoted specifically to the
Center.  Information substantiating this level of effort must be
included in the application.  All requested personnel costs should be
thoroughly justified in the CFAR/CSG application.

o  CFAR Director.  This grant may provide partial salary of the
Director of the CFAR.  Requests for salary support are limited to 35
percent of the total salary.

o  Core Directors.  Core Directors are CFAR members who are
responsible for the maintenance of the Core facility with which they
are charged.  Partial salaries for Core Directors may be provided by
this award.  Requests for salary support are limited to 10 percent of
the total salary.

o  Investigators Funded through Developmental Grants.  CFAR
investigators awarded a developmental grant may qualify for up to 50
percent full salary support by the CFAR Developmental award for a
period of time not to exceed three years.  Established investigators
whose research is supported by R01-type funding, and who are awarded
funding for small, pilot studies will not qualify for salary support
by this mechanism.

o  Administrative, Secretarial, and Technical Support.  A maximum of
1.5 FTE positions for a chief administrator and/or secretarial and/or
administrative assistance for the CFAR office and Director (for
matters pertaining to the CFAR) may be supported by the CFAR/CSG
award.  In addition, applicant institutions may also request salary
support for technicians providing services to maintain a Core or to
provide a service to investigators using the Core facility.

o  Other Administrative Costs

This category includes the costs necessary for the central
administration and fiscal management of the Center, including
relevant and reasonable costs for reprints, graphics and
publications, especially for developmental grantees.  As per standard
NIH policy, those costs may not duplicate or replace costs included
in the parent institution's indirect cost base or already funded by
another award.

o  Planning and Evaluation

Limited costs for planning and evaluation of center activities are
allowable, such as costs of an External Advisory Committee (see
Special Instructions document, "Centers for AIDS Research/Core
Support Grant (CFAR/CSG) - Special Instructions for Preparation of
Competing Applications"), and ad hoc scientific and technical
consultants.

o  Travel

One meeting per year for all CFAR Directors and one senior scientist
per Center will be held at the NIH (or at a site designated by NIAID
and by NIMH) during which time improvements to Centers, problems,
collaborations among Centers and significant findings will be
discussed.

Applicants should include travel funds specifically for this meeting
when they prepare the CFAR administration core budget request.

Applicants may request up to $5000 for travel beyond the funds
required for the Annual Directors' Meeting for investigators funded
under the Developmental Core, or other CFAR investigators.

STUDY POPULATIONS

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

NIH policy requires that applicants for NIH clinical research grants
and cooperative agreements 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, together with a rationale
for its choice.  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 items 1-4 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 U.S.
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 includes human
biomedical and behavioral studies of etiology, epidemiology,
prevention (and preventive strategies), diagnosis, or treatment of
disease, 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,
clinical samples which may be coded for use by the applicant but
could be identified by another source are not excluded.  Every effort
should be made and documented 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 questions 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:  Peer review groups need adequate information about the
composition of proposed study populations in all applications
involving human subjects.  To avoid delays in review of such
applications, the NIAID advises that, as a minimum, the application
should contain demographic data about the clinic and/or in-patient
population from which study subjects will be drawn:  average hospital
admissions per year; percentage distribution of Black/Hispanic/other
minority/non-minority populations; gender; etc.  Studies using
non-hospital populations, such as community-based studies, should
provide similar data about populations in the area or region from
which the study subjects will be drawn.  In the absence of current
data, historical demographic information and/or previous recruitment
data for similar studies from the proposed study sites should be
provided.

LETTER OF INTENT

Prospective applicants are requested to submit, by July 16, 1993, a
letter of intent that includes a descriptive title of the proposed
research, the names of key members of the proposed CFAR and their
institutions, a descriptive title of each Core Components.  Although
the letter of intent is not required, is not binding, does not commit
the sender to submit an application, and does not enter into the
review of subsequent applications, the information that it contains
allows NIAID and NIMH staff to estimate the potential review workload
and to avoid conflict of interest in the review.  The letter is to be
sent to Dr. Dianne Tingley at the address listed under INQUIRIES.

APPLICATION PROCEDURES

Applications are to be submitted using form PHS 398 (rev. 9/91),
available in the office of sponsored research 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)
594-7248.

Applicants are encouraged to request the supporting document for the
CFAR/Core Support Grant RFA "CENTERS FOR AIDS RESEARCH/CORE SUPPORT
GRANT (CFAR/CSG) GUIDELINES - Special Instructions for Preparation of
Competing Applications" for all information required for preparation
of the CFAR/CSG application from DAIDS program staff listed under
INQUIRIES.

The RFA label available in the 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 "YES" must be checked.

Applicants must 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 Dr. Dianne Tingley at the
address listed under INQUIRIES.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed by the Division of
Research Grants (DRG) for completeness.  Those judged to be
incomplete will be returned to the applicant without further
consideration.  Those considered to be non-responsive by program
staff will be returned without review.  All applications received in
response to this RFA will be assigned to the appropriate institute
based on the referral guidelines and may be reviewed by separate
scientific review groups formed by the NIAID and NIMH.

Those applications that are complete and responsive may be subjected
to a triage by a NIAID and/or NIMH peer review group to determine
their scientific merit relative to other applications received in
response to this RFA.  The NIAID and NIMH will withdraw from
competition those applications judged to be non-competitive for award
and will notify the applicant and institutional business officials.

Those applications judged to be competitive will be further reviewed
for scientific and technical merit by a review committee convened by
the Division of Extramural Activities, NIAID and/or NIMH.  The second
level of review will be provided by the National Advisory Allergy and
Infectious Diseases Council or the National Advisory Mental Health
Council.

Specific review criteria for the CFAR/CSG, as recommended by the May
1992 ad hoc Review Committee for the CFAR/CSG program include, in
order of importance:

1.  The scientific excellence of the Center's AIDS and AIDS-related,
peer-reviewed Funded Research Base (its strengths, its breadth and
depth).  This includes the following:

o  The presence of a critical mass of AIDS-related research.  The
applying institution must have a level of funding not less than
$800,000 (direct costs) which includes a minimum of six individual
awards.  This Funded Research Base must be from NIAID funded research
if the CFAR/CSG award is made by NIAID and must be 60 percent NIMH
funded research if the CFAR/CSG is made by NIMH.

2.  Interdisciplinary coordination and collaboration.  The applicant
institution should provide at least four specific examples from
existing individual basic and clinical research projects
demonstrating how the CFAR will fulfill its mandate to promote
interdisciplinary coordination and collaboration to maximize
productivity, including how the CFAR will effectively:

o  Promote the timely development of basic discoveries into
applications in the clinical setting;

o  Promote the translation of observations in the clinical
environment back into the research laboratory;

o  Encourage the use of Cores by scientists representing several
disciplines or approaches to AIDS or AIDS-related research.

3.  The commitment of the parent institution to the objectives and
goals of the CFAR.  The CFAR should be recognized as a formal
organizational component within the parent institution.  This
includes:

o  A demonstration of its institutional commitment to the success of
the Center by providing resources for the CFAR including appropriate
space and personnel.

o  A willingness to adapt the provided resources to adequately
address the changing needs of the CFAR;

4.  The qualifications, experience, and commitment of the CFAR
Director and Core Directors.  This includes:

o  The CFAR Director should currently be a Principal Investigator of
one or more peer-reviewed, AIDS or AIDS-related research projects in
the CFAR Funded Research Base.  He/she should have administrative
experience roughly equivalent to a department head.  It is strongly
suggested that the director devote at least 35 percent of his or her
time to the leadership responsibilities of the CFAR.

o  Core Directors should have sufficient knowledge and experience to
direct Core activities.

5.  The appropriateness and relevance of the proposed Cores and their
modes of operation (such as how usage will be prioritized),
facilities, and potential for contribution to ongoing research.  This
includes:

o  The mechanism the CFAR will utilize to ensure fair and appropriate
selection of Core users;

o  Documentation of the use, utility, quality control and cost
effectiveness of each Core requested to continue as part of the
Center (for competing continuation applications).

o  Progress will be judged in part on the list of publications
arising from the research supported by the Cores.  At least two users
are required to establish a Core.

However, a greater number of users generally can be evaluated as more
cost effective.

o  The willingness of the CFAR to augment a Charge Back System for
each Core by the end of year 01 of the award.  Additional information
will be provided to the awardees with the Notice of Grant Award.

6.  The appropriateness and effectiveness of the academic environment
and resources in which the activities will be conducted, including
the availability of space, equipment, facilities, and the potential
for interaction with scientists from other departments and
institutions will be reviewed.

7.  The organizational capabilities of the proposed CFAR.

o  Appropriate advisory groups should be proposed such as an External
Advisory Committee to provide appropriate advice regarding evaluation
of current and future directions, which may include requirements for
new Cores and an Internal Advisory Committee, which should have
authority to develop priority setting processes regarding CFAR
membership and recruitment, scientific directions, the use of Cores,
the development of new Cores and appropriate mechanisms for reviewing
the use of and administering of funds for the Developmental programs.

8.  The developmental and educational commitment of the proposed
CFAR.  The commitment of the CFAR to the development of investigators
new to AIDS and AIDS-related research, and the funding of pilot
projects will be evaluated.

o  The mechanism by which the CFAR will select awardees for
Developmental funding after the award is granted, such as through an
Internal Review Committee, will be evaluated for fairness and ability
to identify the candidates with most chance of this award leading to
independent funding through R01 equivalent awards.  The CFAR is
encouraged to use a mechanism which is similar to the requirements
candidates will be required to use when applying for independent
funding after termination of the Developmental award.

o  The progress of awardees who have received Developmental funding
will be reviewed in competing renewal applications: whether the
investigator has received peer-reviewed funding following the
termination of the Developmental Award, if the research has led to
publications or answers to critical issues and if the investigator
has remained in AIDS or AIDS-related research.

9.  Appropriate and effective mechanisms of fiscal administration,
procurement, property and personnel management, planning, budgeting,
internal evaluation and other appropriate capabilities will be
evaluated.  In addition, procedures for recruitment of new
individuals responsible for conducting essential CFAR functions and
maintenance of CFAR members will be reviewed.

The four optional activities of CFARs, if included as components of
the application, will be evaluated.  These elements of the CFAR/CSG
application are desirable and strongly encouraged but are not
required for the award.

o  The appropriateness of the choice of a Thematic Area will be
evaluated in terms of its ability to identify the primary focus of
the CFAR and effectiveness in promoting interdisciplinary cooperation
and collaboration, and its contribution to the CFAR/CSG program as a
whole.

o  The proposed mechanism for support of minority investigators will
be evaluated.

o  The prevention and educational commitment of the CFAR, including
seminars for scientists within and outside of the CFAR and
educational programs for non-scientists will be evaluated.

o  The commitment of the CFAR to the identification of solutions to
problems in recruitment and retention of women and minorities in AIDS
clinical trials will also be evaluated.

The following six milestones will be used to evaluate each CFAR near
the end of year three of the award to permit funding to be continued
for years four and five:

o  Interdisciplinary coordination and collaboration, especially
between clinical and basic research investigators.  The CFAR should
demonstrate active and significant scientific cooperation and
collaboration, especially between clinical (including behavioral) and
basic investigators.  Collaborative projects which involve clinical
and basic research should begin to demonstrate translation of
research findings between the clinic and the laboratory.

o  Synergistic scientific collaboration.  The CFAR should provide
four specific examples from ongoing research that demonstrates how
the CFAR has fulfilled its mandate to promote synergistic
interdisciplinary coordination and collaboration to maximize
productivity.  The Center should demonstrate that the CFAR promotes
more effective and efficient research than can be achieved with a
group of R01-equivalent grants which do not have the benefit of
CFAR/CSG support.  The CFAR should also demonstrate the equitable
usage of each Core Support Facility among CFAR members.

o  Organizational capabilities.  The CFAR should have established the
required mechanism, such as an Internal Advisory Committee, to
provide appropriate advice regarding general maintenance of the
Center, such as prioritization of Core usage, CFAR membership, and
regular exchange of scientific and administrative information.  More
global concerns, such as research directions which should also be
supported by the CFAR/CSG and establishment new Core Support
Facilities, should also be effectively addressed by the appropriate
mechanism, such as an External Advisory Committee.

o  Institutional commitment.  The parent institution should be able
to have demonstrated its commitment to the CFAR by providing required
resources such as appropriate space and personnel.  In addition, as
required, the parent institution should demonstrate active interest
in modification of the above elements should the evolving needs of
the CFAR require additional resources or services not initially
required at the beginning of the award.

o  Developmental and educational commitment.  By the end of year
three, the CFAR should be able to demonstrate significant results
from the award of developmental funds to Investigators New to AIDS
Research or Pilot Projects, and several Centers may be able to
describe scientific achievements obtained through the Evolving
Research Opportunity funding.  This might be through results leading
to applications for independent, peer-reviewed funding, or
publications.  Educational programs consisting of workshops or
seminars for AIDS investigators within and outside of the CFAR should
be established.  Educational programs for the layman and community
should also be in place as well as community outreach programs.

o  Effective use of the Charge Back System.  The CFAR should have
established Charge Back Systems for each Core Support Facility by the
end of year one of the CFAR/CSG and at the end of year three these
should be functioning efficiently.  CFAR funds that are no longer
being used to support Cores established at the beginning of the award
could then be available for Developmental funding or may be applied
toward the development of new Core Support Facilities.

AWARD CRITERIA

The NIAID anticipates making 9 to 11 P30 awards as a result of this
RFA, while NIMH anticipates making two awards.  The final number and
specific amounts of awards to be made will depend upon consideration
of the following:  initial scientific and technical merit review as
judged by peer review; significance and relevance to NIAID or NIMH
program goals in microbiology, infectious diseases, immunologic
diseases, behavior change and prevention, psychological aspects of
HIV infection and AIDS; national needs and program balance; evidence
and degree of collaboration in proposed work; and policy and
budgetary considerations, including availability of funds.

INQUIRIES

It is essential that prospective applicants carefully review the RFA
and accompanying instructions on preparation of the application.
Prior to preparing an application, prospective applicants are
strongly encouraged to contact NIAID or NIMH staff.

Direct inquiries regarding programmatic issues and RFA requirements
to:

Dr. Robert H. Bassin or Dr. Janet M. Young
Division of AIDS
National Institute of Allergy and Infectious Diseases
6003 Executive Boulevard, Room 2B31
Bethesda, MD  20892
Telephone:  (301) 402-0755
FAX:  (301) 480-5703

Dr. Leonard Mitnick or Dr. Willo Pequegnat
Office on AIDS
National Institute of Mental Health
5600 Fishers Lane, Room 15-99
Rockville, MD  20857
Telephone:  (301) 443-7281
FAX:  (301) 443-9719

Inquiries regarding fiscal matters may be addressed to:

Ms. Jane Unsworth
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B22
6003 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 496-7075
FAX:  (301) 480-3780

Ms. Diana Trunnell
Grants Management Branch
National Institute of Mental Health
5600 Fishers Lane
Rockville, MD  20857
Telephone:  (301) 443-3065
FAX:  (301) 443-6885

Inquiries regarding review matters, the letter of intent, and two
copies of the application are to be addressed to:

Dr. Dianne Tingley
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

Schedule

Letter of Intent Receipt Date:  July 23, 1993
Application Receipt Date:       September 17, 1993
Scientific Review:              December 1993
Review by NAAIDC and NMHAC:     February 1994
Anticipated Award Date:         March 1994

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance Nos. 93.856 - Microbiology and Infectious Diseases
Research, 93.855 - Immunology, Allergic and Transplantation Research,
and 93.242 - Mental Health Research Grants.  Grants are awarded under
the authority 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 the PHS grants policies and Federal
Regulations, most specifically in 42 CFR 52 and 45 CFR Part 74.
Under authority of Section 301 of the Public Health Service Act, as
amended PL 78-410, 42 U.S.C. 241, the National Institute of Mental
Health provides support for Clinical Research Centers.  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 Jun 27 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 22, pt. 1, 18 June 1993
Message-ID: <Jun.28.12.57.00.1993.15329@net.bio.net>
Date: 28 Jun 93 19:57:01 GMT
Sender: kristoff@net.bio.net
Lines: 1235
Approved: biosci-moderator@net.bio.net

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 19930618 V22N22 P1O1 ************************************
X-comment: RFAs described: AI-93-014, CA-93-030, HL-93-016

NIH GUIDE - Vol. 22, No. 22 - June 18, 1993

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

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$INDEX R1 **********************************************************

ADDITIONAL CLINICAL CENTERS FOR THE CLINICAL TRIAL AND OBSERVATIONAL
STUDY OF THE WOMEN'S HEALTH INITIATIVE - EAST/WEST
(RFP NIH-WH-93-30 E/W)
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX R2 09/17/93 *************************************************

CENTERS FOR AIDS RESEARCH/CORE SUPPORT GRANT (CFAR/CSG) (RFA
AI-93-014)
National Institute of Allergy and Infectious Diseases
National Institute of Mental Health
INDEX:  ALLERGY, INFECTIOUS DISEASES; MENTAL HEALTH

$$INDEX R3 10/13/93 *************************************************

NATIVE AMERICAN WOMEN'S CANCER INITIATIVE (RFA CA-93-030)
National Cancer Institute
INDEX:  CANCER

$$INDEX R4 12/21/93 *************************************************

COMMUNITY INTERVENTION TO REDUCE MYOCARDIAL INFARCTION DELAY (RFA
HL-93-016)
National Heart, Lung, and Blood Institute
INDEX:  HEART, LUNG, BLOOD

                    ONGOING PROGRAM ANNOUNCEMENTS

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

RESEARCH ON DNA VACCINES FOR INFECTIOUS DISEASES (PA-93-096)
National Institute of Allergy and Infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

This publication is also available electronically to institutions via
BITNET or INTERNET.  Alternative access is through the NIH Grant Line
using a personal computer (data line 301/402-2221).  Contact Dr. John
James at 301/594-7270 for details.

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

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$R1 BEGIN NIH-WH-93-30 E/W *****************************************

ADDITIONAL CLINICAL CENTERS FOR THE CLINICAL TRIAL AND OBSERVATIONAL
STUDY OF THE WOMEN'S HEALTH INITIATIVE- EAST/WEST

NIH GUIDE, Volume 22, Number 22, June 18, 1993

RFP AVAILABLE:  NIH-WH-93-30 E/W

P.T. 34, II; K.W. 0760025, 0411005, 0710095, 0760003

National Institutes of Health

The National Institutes of Health (NIH) seeks approximately 29
additional Clinical Centers for the Clinical Trial (CT) and
Observational Study (OS) components of the Women's Health Initiative.

The CT objectives are to test the benefit and risk of hormone
replacement therapy, dietary modification, and supplementation with
calcium+Vitamin D on the overall health of U.S. post-menopausal women
age 50 to 79.  Approximately 57,000 women will participate in the
various components of the Clinical Trial.

The OS goals are to:  (1) improve risk prediction of coronary heart
disease, breast cancer, fractures, and total mortality in
postmenopausal women; (2) examine the impact of involuntary changes
in characteristics on disease and total mortality; and (3) create a
resource of data and biologic samples that can be used to unearth new
risk factors and/or biomarkers for disease.  The OS cohort will be
comprised of approximately 100,000 U.S. women.

The additional Clinical Centers will cooperate with a Clinical
Coordinating Center, the Vanguard Clinical Centers, and the Project
Officer in implementing the overall Clinical Trial and Observational
Study.  Each additional Clinical Center will be responsible for
screening, recruitment, randomization, and follow-up of approximately
1,270 CT participants and 2,220 OS participants.

This is not a Request for Proposals (RFP).  RFP NIH-WH-93-30 E/W will
be available on or about June 30.  Proposals will be due on or about
August 31, 1993.  All responsible sources may submit a proposal that
will be considered.

INQUIRIES

A copy of RFP NIH-WH-93-30 E/W may be obtained by written request
including two self-addressed mailing labels to:

National Institutes of Health
WHI, Research Contracts Branch, DCG
Federal Building, Room 1C11
Bethesda, MD  20892

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

$$R2 BEGIN AI-93-014 FULL-TEXT **************************************

CENTERS FOR AIDS RESEARCH/CORE SUPPORT GRANT (CFAR/CSG)

NIH GUIDE, Volume 22, Number 22, June 18, 1993

RFA AVAILABLE:  AI-93-014

P.T. 04; K.W. 0715008, 0710030, 0404000, 0745027

National Institute of Allergy and Infectious Diseases
National Institute of Mental Health

Letter of Intent Receipt Date:  July 23, 1993
Application Receipt Date:  September 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 National Institute of Allergy and Infectious Diseases (NIAID) and
the National Institute of Mental Health (NIMH) invite the submission
of applications for Centers for AIDS Research/Core Support Grants
(CFAR/CSGs) from institutions conducting high quality,
multidisciplinary AIDS research.  The purpose of the CFAR/CSG is to
provide administrative and shared research support (Core facilities)
to synergistically enhance and coordinate high quality AIDS and
AIDS-related research projects requiring resources or services not
otherwise readily obtained through traditional, peer-reviewed funding
mechanisms.

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,
The Centers for AIDS Research Core Support Grant (CFAR/CSG), 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.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic (not 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.
Both new applicants and competition renewal applicants are eligible
to apply.  Minority individuals and women are encouraged to submit as
Principal Investigators.

In addition, only a single CFAR will be supported at a given
institution per funding institute, i.e., one institution may have a
CFAR funded by NIAID and one funded by NIMH, but will not have more
than one CFAR funded by either institute.  An applicant institution
must have a continuing Funded Research Base comprising at least
$800,000 in annual direct costs of peer-reviewed AIDS or AIDS-related
research funded by the institute which will be supporting the
CFAR/CSG, i.e., either NIAID or NIMH (exclusive of funding for an
existing CFAR), or by another NIH Institute, when the CFAR/CSG is
awarded (March 1994) and throughout the award period.

MECHANISM OF SUPPORT

CFAR awards will be made under the NIH Center Core Grant (P30)
mechanism.  Responsibility for the planning, direction and execution
of the proposed Center will be solely that of the applicant.  Because
the nature and scope of the activities proposed in response to this
RFA will vary, it is anticipated that the sizes and number of the
awards will vary also.  The total project period for applications
submitted in response to this RFA may not exceed five years of
support.  However, recommended support beyond the third year for the
CFAR/CSG is subject to determination by the awarding institute that
stated goals (milestones) have been sufficiently met.

FUNDS AVAILABLE

The NIAID has set aside a total of $7.2 million for the initial
year's funding of this RFA.  The NIAID anticipates making 9 to 11
awards.  NIMH has set aside $1.5 million for the initial year's
funding of this RFA and anticipates making two awards.  The final
number and specific amounts of awards will depend upon the scientific
and technical merit, relevance to programmatic priorities and
availability of funds.  All applications are limited to requests for
no more than $750,000 in total costs (direct plus indirect costs) in
the first year.  Increases of up to four percent are permitted for
allowable recurring costs for each of the subsequent years.

RESEARCH OBJECTIVES

The purpose of this initiative is to request new and renewal
applications for the establishment of CFARs at parent institutions
involved in critical and high quality AIDS and AIDS-related research.
Funding will be provided to awardees to support the leadership and
planning activities of the Center and to develop Cores of shared
resources and services that will enhance and focus existing basic and
clinical AIDS research in a cooperative and synergistic manner.

More specifically, this award will:

o  Encourage those activities that will consolidate and focus high
quality AIDS and AIDS-related research into  coordinated
administrative and scientific programmatic  structures;

o  Promote effective synergistic collaborations and interactions
among investigators participating in basic and clinical areas of AIDS
research, in large part through the establishment of Core facilities
which must include a Clinical Core in addition to Basic Research
Cores, a Developmental Core and an Administrative Core.  Such
interactions should facilitate translation of information obtained in
the laboratory to specifically address problems in the clinic, and
enhance the possibility of observations in the clinic being
translated to the laboratory setting for further investigation;

o  Foster development of new research areas in AIDS research by
providing support for investigators new to the field, and through the
funding of innovative and high quality feasibility studies whose
results can form the basis for competitive applications;

o  Support administration of the Center, including activities such as
seminars and workshops for CFAR members and AIDS investigators in
general, education at all levels, including community programs, and
fund the leadership responsible for organizing and sustaining the
Center's activities.

SPECIAL REQUIREMENTS

A CFAR and its Parent Institution will be evaluated  in each of the
following critical areas, as a prerequisite for successfully
competing for a CFAR/CSG award:  the interdisciplinary coordination
and collaboration, especially between basic and clinical
investigators; institutional commitment; qualifications and authority
of the CFAR director; organizational capability; and developmental
and educational commitment.

Four additional activities that are strongly encouraged include:
identification of a thematic area; commitment to minority
investigator development; encouragement of prevention and behavioral
research; and the identification of solutions to problems in the
enrollment and maintenance of minorities and women in clinical
trials.

Potential applicants should request the RFA and the supporting
document for the CFAR Core Support Grant RFA "CENTERS FOR AIDS
RESEARCH/CORE SUPPORT GRANT (CFAR/CSG) GUIDELINES - Special
Instructions for Preparation of Competing Applications" for detailed
information required for preparation of the CFAR/CSG application from
the program staff listed under INQUIRIES.

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 and 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 requested to submit a letter of intent
that includes a descriptive title of the proposed research, the names
of key members of the proposed CFAR and their institutions, and
provides descriptive titles for all Core Components requested.
Although the letter of intent is not required, is not binding, does
not commit the sender to submit an application, and does not enter
into the review of subsequent applications, the information that it
contains allows NIAID and NIMH 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. Dianne Tingley 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 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 MD 20892, telephone
301/594-7248.  The RFA label available in the PHS 398 must be affixed
to the bottom of the face page.  In addition, the RFA title and
number must be typed in line 2a of the face page of the application
form and the "YES" box must be marked.  Detailed instructions on
submission procedures are described in the RFA.  It is important that
applicants obtain the supporting document for the CFAR/Core Support
Grant RFA "CENTERS FOR AIDS RESEARCH/CORE SUPPORT GRANT (CFAR/CSG)
GUIDELINES - Special Instructions for Preparation of Competing
Applications" to ensure that the submitted application is complete.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by the
NIH Division of Research Grants (DRG) and by NIAID or NIMH staff for
responsiveness.  Those judged to be incomplete or non-responsive to
this RFA will be returned to the applicant without review.

Those applications that are complete and responsive may be subjected
to a triage by an NIAID and NIMH peer review group to determine their
scientific merit relative to other applications received in response
to this RFA.  The NIAID and NIMH will withdraw from competition those
applications judged to be non-competitive for award and will notify
the applicant and institutional business officials.  Those
applications judged by the reviewers to be competitive for award will
be further reviewed for scientific and technical merit by a review
committee convened by the Division of Extramural Activities, NIAID or
NIMH.  The  second level of review will be provided by the National
Advisory Allergy and Infectious Diseases Council or by the  National
Advisory Mental Health Council.

Factors to be considered in the evaluation of each application will
include those specific to the CFAR/CSG described in the RFA.

AWARD CRITERIA

The final number and specific amounts of awards to be made will
depend upon consideration of the following: initial scientific and
technical merit as judged by peer review; significance and relevance
to NIAID or NIMH program goals in AIDS and AIDS-related diseases;
national needs and program balance; and policy and budgetary
considerations, including availability of funds.

INQUIRIES

Inquiries regarding programmatic or scientific issues and requests
for the RFA, including the CFAR/CSG Guidelines document may be
addressed to:

Dr. Robert H. Bassin or Dr. Janet M. Young
Division of AIDS
National Institute of Allergy and Infectious Diseases
6003 Executive Boulevard, Room 2B31 (or 2B28)
Bethesda, MD  20892
Telephone:  (301) 402-0755
FAX:  (301) 480-5703

Dr. Leonard Mitnick or Dr. Willo Pequegnat
Office on AIDS
National Institute of Mental Health
5600 Fishers Lane, Room 15-99
Rockville, MD  20857
Telephone:  (301) 443-7281
FAX:  (301) 443-9719

Inquiries regarding fiscal matters may be addressed to:

Ms. Jane Unsworth
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B22
6003 Executive Boulevard
Bethesda, MD  20892
Telephone:  (301) 496-7075
FAX:  (301) 480-3780

Ms. Diana Trunnell
Grants Management Branch
National Institute of Mental Health
5600 Fishers Lane
Rockville, MD  20857
Telephone:  (301) 443-3065
FAX:  (301) 443-6885

Inquiries regarding all review matters may be addressed to:

Dr. Dianne Tingley
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

Schedule

Letter of Intent Receipt Date:         July 16, 1993
Application Receipt Date:              August 25, 1993
Scientific Review:                     November 1993
Review by NAAIDC and NIMHAC Councils:  February 1994
Anticipated Award Date:                March 1994

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance Nos. 93.856, Microbiology and Infectious Diseases
Research; 93.855, Immunology, Allergic and Transplantation Research;
and 93.242, Mental Health Research Grants.  Grants are awarded under
the authority 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 the PHS grants policies and Federal
Regulations, most specifically in 42 CFR Part 42 and 45 CFR Part 74.
Under authority of Section 301 of the Public Health Service Act, as
amended PL 78-410, 42 U.S.C. 241, the National Institute of Mental
Health provides support for Clinical Research Centers.  This program
is not subject to the intergovernmental review requirements of
Executive Order 12372 or Health Systems Agency review.

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

$$R3 BEGIN CA-93-030 FULL-TEXT **************************************

NATIVE AMERICAN WOMEN'S CANCER INITIATIVE

NIH GUIDE, Volume 22, Number 22, June 18, 1993

RFA AVAILABLE:  CA-93-030

P.T. 34, FE, II; K.W. 0715035, 0795003, 0745027

National Cancer Institute

Letter of Intent Receipt Date:  July 30, 1993
Application Receipt Date:  October 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 IN
INQUIRIES, BELOW.

PURPOSE

The Special Populations Studies Branch (SPSB), Division of Cancer
Prevention and Control (DCPC), National Cancer Institute (NCI)
invites grant applications to conduct research to develop and
determine the effectiveness of cancer control and prevention
intervention strategies in Native American women, including American
Indian, Alaska Native, Native Hawaiian, and/or American Samoan women.
The long range goals of this initiative are to improve cancer
survival rates and reduce cancer mortality rates among Native
American women through cancer prevention and control efforts.

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,
Native American Women's Cancer Initiative (NAWCI), 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 public and private, for-profit and
non-profit organizations serving the indigenous female community in a
specified geographic area such as Native American health clinics
(e.g., P.L. 93-638 clinics); voluntary Native American organizations;
Native American research centers or consortia; hospitals that serve
large numbers of Native American women; consortia of female health
providers; and/or Federal (e.g., the Indian Health Service), State or
local governments.  Teams of applicants are encouraged, but one
organization must be identified as the lead institution to assume
responsibility for the conduct of the project.

MECHANISM OF SUPPORT

The assistance mechanism used to support these studies will be the
traditional National Institutes of Health (NIH) research project
grant (R01).  The applicant has sole responsibility for planning,
direction, and execution of the proposed project.  Total project
period for applications submitted in response to this RFA may not
exceed four years.  The anticipated award date is May 1, 1994.

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.  Future unsolicited competing
continuation applications will compete as research project
applications with all other investigator initiated applications and
be reviewed according to the customary peer review procedures.  If
the NCI determines that there is sufficient continuing program need,
the NCI will invite recipients of awards under this RFA to submit
competing continuation applications for review.  The range of the
amounts of the direct cost will vary from $130,000 to $320,000 per
year.

FUNDS AVAILABLE

Approximately $1.5 million in total costs per year for four years
will be committed to specifically fund grants awarded in response to
this RFA.  It is anticipated that up to five awards will be made, at
least one from each option noted below.

RESEARCH OBJECTIVES

This RFA for the Native American Women's Cancer Initiative (NAWCI)
has three options.  Option A focuses on common/disproportionate
cancer rates and barriers to early detection services.  These
projects will develop, implement, and evaluate interventions that are
designed to overcome the barriers that Native American women
experience in accessing culturally appropriate quality cancer control
services including screening, appropriate follow-up, diagnostic,
treatment, and rehabilitation programs.  Option B emphasizes
reduction of risk factors among the Native American female
population.  Projects will develop, implement and assess cancer
prevention and control interventions that are designed to reduce risk
factors of this population in regions of the country where the cancer
control needs have been increasing and data are sparse.  Option C
stresses research capacity development in which workshops will be
designed to provide technical assistance to increase the research
application and scientific skills of Native American women.  The
applicant must specify which option is the focus in the application
and it is recommended that only one option be the focus of any
application.

The aim of the NAWCI is to support studies in four or five different
geographic regions of the United States.  Although every attempt will
be made to provide regional representation, the possibility exists
that applications may not be awarded for all geographic regions
and/or Native American populations.

These studies will have three phases within the four years.  Phase I
- A planning phase, Phase II - an intervention and evaluation plan
implementation phase, and Phase III - data analysis, report
preparation and dissemination among both lay and professional Native
Americans and non-Natives.

Note:  Option C may not require the full 48 months.

SPECIAL REQUIREMENTS

The NAWCI Program Director will review all key personnel recruitment
and changes during the project period and may approve or disapprove
any changes.  Key personnel are the Principal Investigator,
co-investigators and others specifically identified in the Notice of
Grant Award.

1.  Awardees will be invited to participate in two NAWCI grantee
meetings each year.
2.  Awardees will be encouraged to collaborate with other NAWCI
grantees on the development, implementation, and assessment of common
data collection items and techniques.
3.  Reporting requirements include the submission of brief annual
reports.
4.  Publications and presentations must acknowledge NCI support and
are included in both professional and lay meetings and publications.
5.  Awardees retain custody of and primary rights to the data
developed under these awards, consistent with current HHS, PHS, and
NIH policies, the NAWCI Program Director will be provided access to
all data developed under this award.
6.  Copies of program materials will be requested by the NAWCI
Program Director.
7.  Process and Outcome Measures are included.

STUDY POPULATIONS

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

The targeted population intended under this RFA is the approximately
1.5 million American Indian, Alaska Native, Native Hawaiian, and
American Samoan women living in U.S. territory.  The study population
for this RFA complies with the NIH policy that women and minorities
must be included in clinical study populations.

LETTER OF INTENT

Prospective applicants are asked to submit, by July 30, 1993, a
letter of intent that includes a descriptive title of the proposed
research, the name and address of the Principal Investigator, the
names of other key personnel, the 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
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. Linda Burhansstipanov 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 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
301/594-7248.

The RFA label available in the PHS 398 (rev.9/91) 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 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 clear and 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 of the application
must also be sent to:

Ms. Toby Friedberg
Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Room 636
Bethesda, MD  20892

Applications must be received by October 13, 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.  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 NCI staff.  Incomplete applications will be
returned to the applicant without further consideration.  If the
application is not responsive to the RFA, NCI program 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 cycle.

Applications may receive a preliminary scientific peer review
(triage) by an NCI peer review group on the basis of relative
competitiveness.  The NCI will remove from further competition those
applications judged to be non-competitive for award and notify the
applicant Principal Investigator and institutional official.  Those
applications that are competitive will be evaluated in accordance
with the criteria stated below for scientific/technical merit by an
appropriate peer review group convened by the NCI.  The second level
of review will be provided by the National Cancer Advisory Board
(NCAB).

Review Criteria (for all 3 Options)

General Review Criteria for all three options (A, B, C) and Special
Review Criteria for each of the three Options are specified in the
RFA which may be obtained on request from the Program Director cited
in the INQUIRIES section.

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, requests for the RFA, and address the letter of intent to:

Linda Burhansstipanov, Dr.P.H.
Division of Cancer Prevention and Control
National Cancer Institute
Executive Plaza North, Room 240
Bethesda, MD  20892
Telephone:  (301) 496-8589

Direct inquiries regarding fiscal issues to:

Eileen Natoli
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 243
Bethesda, MD  20892
Telephone:  (301) 496-7800 Ext. 56

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.399 Cancer Control.  Awards are made under the
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 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.

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

$$R4 BEGIN HL-93-016 FULL-TEXT **************************************

COMMUNITY INTERVENTION TO REDUCE MYOCARDIAL INFARCTION DELAY

NIH GUIDE, Volume 22, Number 22, June 18, 1993

RFA AVAILABLE:  HL-93-016-P

P.T. 34; K.W. 0715040, 0403004, 0502017, 0745070

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  October 12, 1993
Application Receipt Date:  December 21, 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 Division of Epidemiology and Clinical Applications (DECA) invites
applications for cooperative agreements with the National Heart,
Lung, and Blood Institute (NHLBI) for an estimated six Field Sites
and one Coordinating Center for a collaborative multicenter study on
Community Intervention to Reduce Myocardial Infarction Delay.  The
primary objective of this research program is to evaluate the impact
of community educational interventions on patient delay time from
onset of symptoms and signs of an acute myocardial infarction (AMI)
to seeking care for treatment.  Other research objectives are to
study the impact of community educational interventions on use of
Emergency Medical Services (EMS) and Emergency Departments (ED), on
thrombolytic therapy, and on AMI case fatality.

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,
Community Intervention to Reduce Myocardial Infarction Delay, is
related to the priority areas of heart disease and educational and
community-based programs.  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 any domestic for-profit or non-
profit organization.  Any international component of a domestic
application must be minor in its magnitude and critical in what it
would contribute.  Applications from minority individuals and women
are encouraged.

Awards for a Field Center and Coordinating Center under this RFA will
not be made to the same Principal Investigator (PI) or team of
investigators to ensure that data analysis is done independently of
data acquisition.  The same institution may apply for both a Field
Site and the Coordinating Center award, but the applications for each
must be from different individuals.

MECHANISM OF SUPPORT

The administrative and funding mechanism to be used to undertake this
program will be a cooperative agreement (U01), which is an
"assistance" mechanism, rather than an "acquisition" mechanism.
Under the cooperative agreement, the NIH purpose is to support and/or
stimulate the recipient's activity by collaborating and otherwise
working jointly with the award recipient in a partner role, but it is
not to assume direction, primary responsibility, or a dominant role
in the activity.  Details of the responsibilities, relationships, and
governance of a study funded under a cooperative agreement are
discussed in the RFA.

FUNDS AVAILABLE

It is anticipated that four to eight awards for Field Sites and one
award for a Coordinating Center will be made under this RFA.
Approximately $11,400,000 (including direct and indirect costs) will
be available over the four year period, including approximately
$2,000,000 during the first year for the Field Sites and $500,000 for
the Coordinating Center.

Awards and level of support are dependent on the receipt of a
sufficient number of applications of high scientific merit.  Because
the nature and scope of the research proposed in response to this RFA
may vary, it is anticipated that the size of awards will vary also.

The anticipated award date is July 1, 1994.  The total project period
for applications submitted in response to the present RFA may not
exceed four years.

RESEARCH OBJECTIVES

Background

Since the advent of thrombolytic therapy, early treatment holds
particular promise for decreasing mortality from CHD.  Thrombolytic
therapy can reduce mortality by 25 percent for patients treated
within the first few hours of acute myocardial infarction (AMI)
symptoms, with greater benefit the earlier the treatment.

Not everyone who potentially could benefit from receiving
thrombolytic therapy receives such therapy.  One contributing factor
is that many do not seek emergency care in a timely manner.  Studies
show substantial delay times from AMI symptoms to hospital arrival:
means range from 4.6 to 21-24 hours and medians range from 2 to 6.4
hours.  EMS transport time is estimated to average 7 to 22 minutes,
so a large portion of prehospital delay is attributable to patient
recognition and action.  Literature suggests that sudden onset pain
is associated with shorter delay times, and that older age, female
gender, African-American race, consultation with others about
symptoms, and self-treatment are associated with longer delay times.

Community interventions to reduce delay time between AMI symptoms and
contact with the medical system have been conducted in Britain,
Canada, Sweden, Australia, Germany, King County in Washington, and
Jacksonville, Illinois.  The interventions have been promising, but
the studies suffer from problems that make the reported results
difficult to interpret.  Almost all the published studies assessed
delay time pre-to-post intervention and had no control or comparison
group, making the magnitude and significance of impact from the
intervention difficult to determine.  Most were conducted in
countries other than the U.S so that applicability to the health-care
situation in the U.S. is questionable.  A study in Sweden examined
the effect of a public education program on ambulance and ED
utilization, but the effects of public education campaigns on use of
the EMS or ED remains unanswered.

Objectives and Scope

The objective of this program is to develop and evaluate the
effectiveness and impact of community-based education to reduce delay
time for symptoms and signs of AMI, focusing on decreasing delay time
associated with patient recognition and action.  To address this
objective.  The proposed research should include, at a minimum, three
components:  (1) a community-based educational intervention that has
the goal of decreasing delay time associated with patient recognition
and action, (2) a study design utilizing control or comparison
communities to enhance internal validity, and (3) measurement of
delay time from AMI symptom onset to contact with the health-care
system (for example, arrival at the hospital ED).  Details of the
intervention, study design, and measurement are in the hands of the
investigators.

One strategy of collaborative research to address the objective is
outlined in the RFA.  Applicants may propose other strategies and
awardees may collaboratively develop a study protocol with different
study design, intervention, and/or measurement than is described in
the RFA, as long as the purpose of the RFA is met.  The strategy of
collaborative research is envisioned to be a multicenter controlled
community trial where community is the unit of assignment and of
analysis.  The intervention is envisioned as a multifactorial,
community-based educational intervention.  The primary measure of
impact is anticipated to be change in delay time from symptom onset
to arrival at the hospital ED.  Other measures of the impact on the
EMS and ED systems and on mortality also are expected to be
evaluated.

Participating institutions will collaborate to develop and then
follow a uniform study protocol with standardized study design, data
collection procedures, and intervention approaches.  The
collaborative protocol will be developed by the Steering Committee of
the study, which will be composed of the awardees and the NHLBI
Project Scientist.

SPECIAL REQUIREMENTS

Special requirements, including material to be submitted, study
organization, and terms and conditions of award, are described in the
RFA.

In addition to Field Site awards, a separate award will be made for a
Coordinating Center.  The Coordinating Center will have as its major
responsibilities participating in planning for data collection,
instrument development, and collecting, editing, storing, and
analyzing data generated by the Field Sites, and providing detailed
reports.

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 October 12, 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 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 Dr. C. James Scheirer at the
address listed under INQUIRIES.

APPLICATION PROCEDURES

The application receipt date is December 21, 1993.

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; from the Office of
Grants Inquiries, Division of Research Grants, National Institutes of
Health, 5333 Westbard Avenue, Room 449, Bethesda, MD 20892, telephone
301/594-7248; and from the NIH program administrator named below.

REVIEW CONSIDERATIONS

All applicants will be judged on the basis of the scientific merit of
their proposed protocols and their documented ability to conduct the
essential study components as broadly outlined in the RESEARCH
OBJECTIVES of the RFA. Additional information about review methods
and review criteria are presented in the RFA.

AWARD CRITERIA

Applications recommended by the NHLBI Advisory Council will be
considered for award based upon (a) scientific and technical merit,
including the requirements explicitly stated in the RFA; (b) program
balance, including sufficient compatibility of features to make a
successful collaborative program a reasonable likelihood and
representation of minority communities; and (c) availability of
funds.

Letter of Intent Receipt Date:     October 12, 1993
Application Receipt Date:          December 21, 1993
Review by NHLBI Advisory Council:  May 26-27, 1994
Anticipated Award Date:            July 1, 1994

INQUIRIES

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

Requests for the RFA and inquiries regarding scientific issues may be
directed to:

Denise Simons-Morton, M.D., M.P.H., Ph.D.
Division of Epidemiology and Clinical Applications
National Heart, Lung, and Blood Institute
Federal Building, Room 604
7550 Wisconsin Avenue
Bethesda, MD  20892
Telephone:  (301) 496-3503

Direct inquiries regarding review and application procedures and
address the letter of intent to:

C. James Scheirer, Ph.D.
Review Branch, Division of Extramural Affairs
National Heart, Lung, and Blood Institute
Westwood Building, Room 548
Bethesda, MD  20892
Telephone:  (301) 594-7452
FAX:  (301) 594-7407

Direct inquiries regarding fiscal and administrative matters to:

Mr. William W. Darby
Division of Extramural Affairs
National Heart, Lung, and Blood Institute
Westwood Building, Room 4A11C
Bethesda, MD  20892
Telephone:  (301) 594-7458
FAX:  (301) 594-7492

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.837.  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 and 92.  This program is not subject to the
intergovernmental review requirements of Executive Order 12372 of
Health Systems Agency review.

$$R4 END ************************************************************

                    ONGOING PROGRAM ANNOUNCEMENTS

$$P1 BEGIN PA-93-096 ************************************************

RESEARCH ON DNA VACCINES FOR INFECTIOUS DISEASES

NIH GUIDE, Volume 22, Number 22, June 18, 1993

PA NUMBER:  PA-93-096

P.T. 34; K.W. 0715008, 0740075, 0710070, 0765033

National Institute of Allergy and Infectious Diseases

PURPOSE

The National Institute of Allergy and Infectious Diseases (NIAID)
plays a central role in the support of biomedical research on the
design and evaluation of candidate vaccines for the development of
high priority vaccines to prevent diseases.  To fulfill its mission,
it is crucial that the Division of AIDS and the Division of
Microbiology and Infectious Diseases, NIAID, support promising
additional basic preclinical research on novel vaccine strategies.
The purpose of this program announcement is to solicit applications
from institutions and industry on research that will investigate the
feasibility of the development of clinical-candidate DNA (genetic)
vaccines for the prevention and/or therapy of infectious diseases.
Prior to preparing an application, prospective applicants are
strongly encouraged to consult with NIAID staff.

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, Research on DNA for Infectious Diseases, is related to
the priority areas of HIV infection and Women's Health Research.
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, 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.
Foreign institutions are ineligible for the First Independent
Research Support and Transition (FIRST) (R29) award.  Applications
from minority individuals and women are encouraged.

MECHANISM OF SUPPORT

Applications considered appropriate responses to this announcement
are the traditional research project grants (R01) and the FIRST award
(R29).   Although no funds are specifically set aside for funding
grants submitted in response to this program announcement, the NIAID
regards research in this area as high priority.

Background

Currently, the NIAID is supporting research aimed at the development
of safe and effective vaccines for many infectious diseases,
including AIDS.  Research in this area focuses on live-attenuated
vaccines, liver-vector vaccines, whole-inactivated vaccines, and
novel adjuvant and delivery systems for subunit vaccines.  Results
from recent investigations indicate that DNA vaccines may be an
alternative to live-attenuated vaccines for the prevention of
infectious diseases.  DNA vaccines may offer a safety advantage in
that they need not contain an entire viral genome.  Preliminary
studies show no evidence of integration into host cell DNA.  In
addition, DNA vaccines appear to be superior to peptide vaccines in
eliciting a CTL response.  Funding of research in the area of genetic
vaccines will contribute to an integrated strategy to optimize
protective immune responses to HIV.

RESEARCH OBJECTIVES

The NIAID is committed to support research that will lead to the
development of safe and effective vaccines against HIV and other
infectious diseases.  The objective of this program announcement is
to promote basic research on DNA vaccines, specifically addressing
the special problems encountered in the development of effective
vaccines.  Research utilizing protection studies employing a live
challenge animal model, suitable in vitro virus neutralization
assays, or measurement of cell-mediated immune responses will be
given high priority.  An applicant institution should describe a
research plan in one or more of the following areas of research:

o  Basic research addressing the mechanisms of action of DNA
vaccines.  Research areas may include, for example, studies on the
ability of DNA vaccines to promote cell-mediated immunity including
proliferative and cytotoxic T cell (CTL) responses, or on the ability
of DNA vaccines to stimulate various helper T cell compartments
(e.g., Th1 and Th2 responses).

o  Studies on elicitation of antibody responses through DNA
immunization.  For example, research may focus on strategies to
enhance priming for appropriate antibody class and subclass responses
and for the production of neutralizing antibodies.

o  Research on mucosal immunization through the delivery of
appropriately formulated DNA vaccines to mucosal surfaces and
measurement of antibody and CMI responses generated via the mucosal
route.

o  Research addressing safety concerns for DNA vaccines including the
development of methods to detect persistence of, or integration of
vaccine DNA into host cells (including germ-line cells), and
potential mechanisms of immune pathogenesis resulting from genetic
immunization.

o  Studies addressing improvement of delivery of DNA vaccines to
cells such as investigations of novel delivery systems and routes of
administration.

o  Research on improving the design of DNA vaccines such as the
incorporation of tissue specific promoters or co-expression of
cytokines.

o  Studies addressing optimization of the persistence of an effective
immune response.

Review committees will look most favorably on applications that are
focused.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 9/91).  Application kits are available from 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) 594-7248.

The budget should include a request for travel funds in the
application each year for a scientific meeting of the applicants
choice.  The request for funds for travel should include an itemized
breakdown of costs, and may not exceed $1,500 per year.

The typed original application and five signed exact single-sided
photocopies must be mailed or delivered to:

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

REVIEW CONSIDERATIONS

Applications will be assigned on the basis of established PHS
referral guidelines.  Applications will be reviewed for scientific
and technical merit by study sections of the Division of Research
Grants, NIH, and in accordance with the standard NIH peer review
procedures.  Following scientific-technical review, the applications
will receive secondary review by the appropriate national advisory
council.

AWARD CRITERIA

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

o  scientific and technical merit of the application as determined by
peer review
o  availability of funds
o  program balance among research areas of announcement and targeted
infectious diseases

INQUIRIES

Written and telephone inquiries concerning the objectives and scope
of this announcement are encouraged and may be directed to:

HIV RESEARCH
Frederick R. Vogel, Ph.D.
Division of AIDS
National Institute of Allergy and Infectious Diseases
Solar Building, Room 2B06
Bethesda, MD  20892
Telephone:  (301) 496-8200
FAX:  (301) 402-1506

NON-HIV RESEARCH
Regina Rabinovich, M.D.
Division of Microbiology and Infectious Diseases
National Institute of Allergy and Infectious Diseases
Solar Building, Room 3A09
Bethesda, MD  20892
Telephone: (301) 496-8285
FAX:  (301) 402-1506

Direct inquiries regarding fiscal matters to

HIV RESEARCH
Ms. Jane Unsworth
AIDS Grants Management Section
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B25
Bethesda, MD  20892
Telephone:  (301) 496-7075
FAX:  (301) 480-3780

NON-HIV RESEARCH
Mr. Todd Ball
Microbiology Grants Management Section
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B25
Bethesda, MD  20892
Telephone:  (301) 496-7075
FAX:  (301) 480-3780

AUTHORITY AND REGULATIONS

This program is supported under authorization of the Public Health
Service Act, Sec. 301 (c), Public Law, 78-410, as amended.  The
Catalogue of Federal Domestic Assistance Citations is Sec. 93.855,
Immunology, Allergy and Transplantation Research, and Sec. 93.856,
Microbiology and Infectious Diseases Research.  Awards will be
administered under PHS grants policies and Federal Regulations 42 CFR
Part 52 and 45 CFR Part 74.  This program is not subject to the
intergovernmental review requirements of Executive Order 12372 or
Health Systems Agency review.

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

From owner-sci-resources@net.bio.net Sun Jun 27 23:00:00 1993
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 - 27 June 1993
Message-ID: <CMM.0.90.2.741297016.kristoff@net.bio.net>
Date: 28 Jun 93 19:50:16 GMT
Sender: kristoff@net.bio.net
Distribution: bionet
Lines: 110
Approved: sci-resources-moderator@net.bio.net


                     ** NEW DOCUMENTS ON STIS **

Document Type: Antarctic EAM

   Title: Construction of Replcmnt. Science Facility
               File size (bytes):       21021
               STIS Filename:           opp93001

   Title: Rock drilling, cooling liquids
               File size (bytes):       1434
               STIS Filename:           opp93002

   Title: Byrd Surface Camp Relocation
               File size (bytes):       4460
               STIS Filename:           opp93004

   Title: On-site burning, remote camp
               File size (bytes):       2434
               STIS Filename:           opp93006

   Title: Treatment of Balloons with DFA
               File size (bytes):       2782
               STIS Filename:           opp93007

Document Type: Letter

   Title: NSF 93-87 MPS Dear Colleague Letter
               File size (bytes):       6029
               STIS Filename:           nsf9387

   Title: NSF 93-90 CISE Newsletter - June 1993
               File size (bytes):       8091
               STIS Filename:           nsf9390

Document Type: Program Guideline

   Title: Program Solicitation NSF 93-52 - Questions & Responses
               File size (bytes):       30856
               STIS Filename:           nsf9352a

Document Type: Recruit

   Title: Program Manager
               File size (bytes):       3997
               STIS Filename:           vex9322

   Title: Program Manager
               File size (bytes):       4193
               STIS Filename:           vgm9370

   Title: Secretary (Office Automation)
               File size (bytes):       5609
               STIS Filename:           vgs9371

------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Program Guideline

   Title: (SBER) NSF 93-71
               File size (bytes):       34153
               STIS Filename:           nsf9371

   Title: Instrumentation Grants for Research in Computer and
          Information Sciences and Engineering NSF 93-72
               File size (bytes):       14382
               STIS Filename:           nsf9372

------------------------------------------------------------------------
                       ** 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 nsf9372, the text of your message should be 
     as follows:
                       get nsf9372

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve nsf9372, you would
     enter:
                       ftp> get nsf9372

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 "firstop@nsf.gov" (Internet) or "firstop@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 Sun Jun 27 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 22, pt. 3, 18 June 1993
Message-ID: <Jun.28.12.58.51.1993.15496@net.bio.net>
Date: 28 Jun 93 19:58:52 GMT
Sender: kristoff@net.bio.net
Lines: 1136
Approved: biosci-moderator@net.bio.net

$$XID RFA HL93016 HL-93-016 P1O1 ***************************************

COMMUNITY INTERVENTION TO REDUCE MYOCARDIAL INFARCTION DELAY

NIH GUIDE, Volume 22, Number 22, June 18, 1993

RFA:  HL-93-016-P

P.T. 34; K.W. 0715040, 0403004, 0502017, 0745070

National Heart, Lung, and Blood Institute

Letter of Intent Receipt Date:  October 12, 1993
Application Receipt Date:  December 21, 1993

PURPOSE

The Division of Epidemiology and Clinical Applications (DECA) invites
applications for cooperative agreements with the National Heart,
Lung, and Blood Institute (NHLBI) for an estimated six Field Sites
and one Coordinating Center for a collaborative multicenter study on
Community Intervention to Reduce Myocardial Infarction Delay.  The
primary objective of this research program is to evaluate the impact
of community educational interventions on patient delay time from
onset of symptoms and signs of an acute myocardial infarction (AMI)
to seeking care for treatment.  Other research objectives are to
study the impact of community educational interventions on use of
Emergency Medical Services and Emergency Departments, on thrombolytic
therapy, and on AMI case fatality.

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), Community Intervention to Reduce Myocardial
Infarction Delay, is related to the priority areas of heart disease
and educational and community-based programs.  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 any domestic for-profit or
non-profit organization.  Any international component of a domestic
application must be minor in its magnitude and critical in what it
would contribute. Applications from minority individuals and women
are encouraged.

Awards for a Field Center and Coordinating Center under this RFA will
not be made to the same Principal Investigator (PI) or team of
investigators to ensure that data analysis is done independently of
data acquisition.  The same institution may apply for both a Field
Site and the Coordinating Center award, but the applications for each
must be from different individuals.

MECHANISM OF SUPPORT

The administrative and funding mechanism to be used to undertake this
program will be a cooperative agreement (U01), which is an
"assistance" mechanism, rather than an "acquisition" mechanism.
Under the cooperative agreement, the NIH purpose is to support and/or
stimulate the recipient's activity by collaborating and otherwise
working jointly with the award recipient in a partner role, but it is
not to assume direction, primary responsibility, or a dominant role
in the activity.  Details of the responsibilities, relationships, and
governance of a study funded under a cooperative agreement are
discussed under the section Terms and Conditions of Award.  See also
FUNDS AVAILABLE below.

FUNDS AVAILABLE

It is estimated that four to eight awards for Field Sites and one
award for a coordinating center will be made under this RFA.
Approximately $11,400,000 (including direct and indirect costs) will
be available over the four year period, including approximately
$2,000,000 during the first year for the Field Sites and $500,000 for
the Coordinating Center.

Awards and level of support are dependent on the receipt of a
sufficient number of applications of high scientific merit.  Because
the nature and scope of the research proposed in response to this RFA
may vary, it is anticipated that the size of awards will vary also.
Although this program is provided for in the financial plans of the
NHLBI awards pursuant to this RFA are contingent upon the
availability of funds for this purpose.

The total project period for applications submitted in response to
the present RFA may not exceed four years.  The anticipated award
date is July 1, 1994.

At this time the NHLBI anticipates that there will not be a renewed
competition after four years.  If the NHLBI does not continue the
program, awardees may submit grant applications through the usual
investigator-initiated grants program.

RESEARCH OBJECTIVES

Background

Despite the decline in coronary heart disease (CHD) mortality, the
U.S. continues to have high ischemic heart disease mortality rates
when compared with other countries (WHO 1988).  High mortality
persists despite technologic advances in available treatments for
CHD, including cardiopulmonary resuscitation and defibrillation for
cardiac arrest, thrombolytic therapy, aspirin, and beta blockade, and
despite efforts at primary prevention (ACC/AHA 1990).  Approximately
1.25 million persons experience a myocardial infarction in the United
States each year, and about 500,000 deaths due to CHD occur each
year, about one-half of which occur suddenly (within 1 hour of onset
of symptoms) (NHLBI 1992).

Since the advent of thrombolytic therapy, early treatment holds
particular promise for decreasing the high mortality from CHD.
Clinical trials have shown that thrombolytic therapy can reduce
mortality by 25 percent for patients treated within the first few
hours of AMI symptoms (Yusuf et al. 1990).  Pooled data from nine
trials indicate that treatment any time from zero to 24 hours after
symptom onset results in lowered mortality rates, with the greatest
reduction in those treated before 6 hours (Grines & DeMaria, 1990).
The earlier the treatment is started after symptom onset, the greater
the reduction in mortality (GISSI 1986, ISIS-2 1987).  In the first
two hours following onset of symptoms, there is a steep decline in
the curve of time to reperfusion versus benefit; the mortality
reduction within these first two hours of symptom onset is thought to
be predominantly a result of myocardial salvage (Braunwald 1989;
Califf et al. 1989; Koren et al. 1985).

Delay in Seeking Treatment for AMI Symptoms

Not everyone who has an AMI who potentially could benefit from
receiving thrombolytic therapy receives such therapy.  One
contributing factor is that many do not seek emergency care in a
timely manner.  Studies of prehospital time show substantial delay
times from symptoms to hospital arrival, with means ranging from 4.6
hours (Moss et al., 1969) to 21-24 hours (Cooper et al. 1986) and
medians ranging from 2 hours (Turi et al. 1986, Rawles & Haites 1988,
Leitch et al. 1989) to 6.4 hours (Cooper et al. 1986).  Transport
time of the EMS is estimated to average from 7 to 22 minutes
(Schroeder et al. 1978, Weilgosz et al. 1988, Gillum et al. 1976),
making a large proportion of prehospital delay attributable to
patient recognition and action.  Because some individuals wait many
hours to days before seeking medical care for symptoms, mean delay
times are significantly longer than median delay times in all
reported studies (Hackett & Cassem, 1969, Schroeder et al. 1978,
Cooper et al. 1986, Rawles & Haites, 1988, Wielgosz et al. 1988,
Hofgren et al. 1988).

A variety of factors have been associated with delay times, but
findings are often inconsistent across studies, perhaps due to
different study populations, methods of data collection, or
definitions.  Characteristics of the symptoms (severity and
suddenness of chest pain), of the patients (age, gender, race,
socio-economic status), of the patient's medical history (past
history of MI, CHD, related conditions), and of actions taken by the
patient (consultation with others) have been examined as possibly
related to delay time.  The literature suggests that sudden onset
pain is associated with shorter delay times, and older age, female
gender, African-American race, and consultation with others about
symptoms are associated with longer delay times.

Although severity of chest pain has had no effect on delay time in
some reports (Hofgren et al. 1988, Maynard et al. 1989), an inverse
relationship between symptom severity and delay times has been cited
(Hackett and Cassem 1969).  Others have reported reduced delay times
when patients experience chest pain suddenly (Alonzo 1986, Schmidt &
Borsch 1989).

The relationship between existing CHD or past medical history and
delay time has not been in the direction one might expect.  A finding
across several studies is that a history of prior MI does not
decrease delay times (Hofgren et al. 1988, Maynard et al. 1989,
Schroeder et al. 1978, Moss et al. 1969, Turi et al. 1986, Hackett &
Cassem 1969).  The presence of angina either has no effect (Wielgosz
et al. 1988, Moss et al. 1969, Turi et al. 1986) or is associated
with longer delay time (Schroeder et al. 1978, Simon et al. 1972).
Both chronic stable angina (Schroeder et al. 1978) and angina
increasing in severity (Simon et al. 1972) are associated with longer
delay times.  The high risk conditions of congestive heart failure
(Moss et al. 1969), diabetes mellitus (Turi et al. 1986, Moss &
Goldstein 1970), and hypertension (Moss et al. 1969, Turi et al.
1986) variably affect delay times.

Some researchers report that age is not associated with delay
(Wielgosz et al, Gilchrist 1973, Simon et al. 1972, Matthews et al.
1983), while others have found older age to be associated with longer
delay (Turi et al. 1986, Maynard et al. 1989, Rawles & Haites 1988).

Turi et al. (1986) found that women delay longer than men in seeking
medical care for AMI symptoms and Alonzo (1986) reported slightly
increased delay times to medical evaluation for women.  Other
investigators have found no relationship between gender and delay
(Moss & Goldstein 1970, Maynard et al. 1989, Schroeder et al. 1978,
Wielgosz et al. 1988, Hackett & Cassem 1969, Simon et al. 1972,
Gilchrist 1973, Matthews et al. 1983).

In three studies, African-Americans were reported to have increased
delay times (Cooper et al. 1986, Alonzo 1986, Clark et al. 1992).
The longer mean delay time in the Clark et al. (1992) study was due
to a high percentage of patients with delays longer than 24 hours in
blacks and Hispanics.  Other racial groups have not been studied
adequately.

Investigators who have examined the effect of socioeconomic status on
pre-hospital delay have concluded it has no effect (Wielgosz et al.
1988, Hackett & Cassem 1969, Gilchrist 1973, Matthews et al. 1983),
yet in one study, low income was an independent predictor of
increased pre-hospital delay (Schmidt & Borsch 1989).  Education
level has not been associated with delay time (Wielgosz et al. 1988,
Moss et al. 1969, Turi et al. 1986, Simon et al. 1972, Schmidt &
Borsch 1989, Moss & Goldstein 1970).

Consulting with a spouse or unrelated individuals is associated with
significant higher delay times (Alonzo 1986), as is consulting with a
physician (Leitch et al. 1989).  Finally, self-treatment for symptoms
results in a significant increase in delay (Turi et al. 1986).

Interventions to Reduce Delay Time

Educational interventions to reduce delay time in seeking treatment
for symptoms and signs of AMI have been promising, but the studies
suffer from numerous problems making the reported results difficult
to interpret.  Most of the interventions have not tailored
interventions to characteristics of those more likely to delay
seeking treatment.  Most of the studies have limited internal
validity because they used pre-to-post intervention measurement with
no control or comparison group, making the magnitude and significance
of impact from the intervention difficult to determine.  In addition,
most of the studies were conducted in countries other than the U.S
where there are quite different health-care systems, so that
applicability to the health-care situation in the U.S. is
questionable.

A campaign in Nottingham, Britain was conducted to encourage early
reporting in over 13,000 men and women age 40 registered with three
general medical practices.  Patients from the intervention practices
reported chest pain earlier than patients in 10 comparison practices.
There was, however, a lower percentage of definite and probable AMIs
among the calls received by the "Heartwatch" line than calls received
by the patients' own doctors, implying that patients responded to the
advice to call early, but were more likely to call their own
physician than the special number (Rowley et al. 1982).

A radio and television campaign in Canada was associated with a
higher percentage of patients presenting to the ED within two hours
after onset of symptoms.  Delay time for men decreased during and
after the campaign, but for women increased (Mitic & Perkins, 1984).
There was no comparison community.

A public education campaign in Sweden used mass media to instruct the
general population and patients to dial 90,000 to call for an
ambulance for chest pain longer than 15 minutes (Herlitz et al. 1989,
1991).  For patients with confirmed AMI, median delay time was
reduced from 3 hours to 2 hours-20 minutes, and the distribution of
delay times shifted significantly downward.  The percentage of AMI
patients who received thrombolysis increased, and the estimated
infarct size was reduced significantly, but mortality was not
affected (Blohm et al., 1992).  There was no comparison community.

An educational program in Australia resulted in the percentage of
patients admitted to a coronary care unit within four hours of the
symptom onset increasing from 40-50 percent in the mid-1970s to about
55 percent after a public education media campaign (O'Rourke et al.
1989).  The effects dwindled after the campaign was discontinued.
There was no comparison community.

A public education program in King County, Washington reported a
reduction in median time from symptom onset to ED arrival from 2.6
hours to 2.3 hours, with no change in the number of patients who
arrived within 2 hours and a slight decline in those who arrived from
two to six hours after the onset of symptoms (Ho et al. 1989).  There
was a significant increase in the proportion of patients who heard
new information on AMI following the campaign, but no change in the
rate of EMS use.  There was no comparison community.

In a community-wide media campaign on delay times for suspected AMI
in the Heidelberg, Germany area, the rate of hospital admission
within four hours of symptom onset rose from 48 to 81 percent, and
the median delay was reduced from 4 hours to 3.2 hours (Rustige et
al. 1990).

Moses et al. (1991) found that a two-year public education campaign
in Jacksonville, Illinois resulted in a statistically nonsignificant
increase in the number of ED visits during the three-year study and
no change in time from onset of symptoms to ED arrival.  There was no
comparison community.

Currently, Eisenberg et al. in King County, Washington are
investigating the effect of mass media and household mailings to
residents over 50 years of age and targeted interventions to
high-risk patients.  The attempt is to reduce the time between
symptom onset and presentation to the ED and to increase the
percentage of individuals calling 911.  The interventions began in
December 1991 and will proceed for 12 months.  The project will
monitor all ED visits for chest pain, all admissions to the coronary
care units in the 16 area hospitals, and all 911 calls for complaints
of chest pain (Eisenberg, personal communication).

One study examined the effect of public education programs on
ambulance and ED utilization for individuals presenting to the ED
with chest pain.  There was a marked increase in the number of
patients with chest pain arriving at the ED during the first week of
the campaign, with the greatest increase in patients with chest pain
in whom AMI was not suspected; the number of these patients decreased
after the first week (Herlitz et al. 1991).  The effects of public
education campaigns on use of the EMS or ED, however, remains
unanswered.

Identified Need

Because of the importance of early treatment of evolving AMIs in
order to reduce morbidity and mortality, the evidence that many
people experiencing AMI symptoms often delay seeking treatment for a
variety of reasons, and the paucity of controlled studies of methods
to decrease the delay time between symptoms and seeking medical care,
the NHLBI has identified a need for further research in this area.
In addition, examination of the impact of educational campaigns on
the use of EMS and EDs is needed.  Intervention approaches targeting
community populations need to be developed based on scientific
rationales and to be evaluated using scientific methodology to
determine their effectiveness and impact.

Objectives and Scope

The objective of this program is to develop and evaluate the
effectiveness and impact of community-based education to reduce delay
time for symptoms and signs of AMI.  The focus is on decreasing the
delay between symptom onset and contact with the health-care system
by decreasing delay time associated with patient recognition and
action.

To address the objective of this program, the proposed research
should include, at a minimum, three components:  (1) a
community-based educational intervention that has the goal of
decreasing delay time associated with patient recognition and action,
(2) a study design utilizing control or comparison communities to
enhance internal validity, and (3) measurement of delay time from AMI
symptom onset to contact with the health-care system (for example,
arrival at the hospital ED).  Details of the intervention, study
design, and measurement are in the hands of the investigators.

One strategy of collaborative research to address the objective of
this RFA is outlined.  Applicants may propose other strategies and
awardees may collaboratively develop a study protocol with different
study design, intervention, and/or measurement than is described in
this RFA, as long as the purpose of the RFA is met.  To assure that
there is at least one mutually acceptable strategy that the
collaborative group deems worthy of development into a final
protocol, each applicant is asked to address the research strategy
cited in this RFA.  However, applicants are free to propose
additional or alternate strategies to be considered.

Participating institutions will collaborate to develop and then
follow a uniform study protocol with standardized study design, data
collection procedures, and intervention approaches.  The
collaborative protocol will be developed during the first year of the
study by the Steering Committee of the study, which will be composed
of the awardees and the NHLBI Project Scientist.  The protocol will
be subject to peer review by an uninvolved expert group.  The study
will proceed into its implementation phase only with the concurrence
of the awardees and the NHLBI.

The strategy of collaborative research is envisioned to be a
multicenter controlled community trial where the community is the
unit of assignment and of analysis.  This could be accomplished by
each Field Site studying one or more pair(s) of communities matched
on demographic and other characteristics, with one of each pair
randomly assigned to intervention and one to control condition.  The
intervention is envisioned as a multifactorial, community-based
educational intervention.  The primary measure of impact is
anticipated to be change in delay time from symptom onset to arrival
at the hospital ED, using a clinically meaningful measure of delay
time such as median delay time or proportion of patients seen within
a certain specified time frame after symptom onset.  Other measures
of the impact on the EMS and ED systems also are expected to be
evaluated; examples include the use of the EMS system for symptoms of
an AMI, use of the ED for cardiac and noncardiac chest pain, delivery
of thrombolytic therapy, and mortality.

Because of the early stage of research in this area, data are not
available to estimate with accuracy the sample size of communities
for a community trial of educational interventions on delay time.
However, NHLBI estimates that 16 to 20 study communities (8 to 10
intervention communities, each with a matched comparison community)
probably would provide reasonable power to detect differences in
delay time that are clinically meaningful and that are possible based
on the intervention literature to date.  This size study would
require 4 to 8 Field Sites, depending on the number of communities
per Field Site, and one Coordinating Center.

Additional Factors To Consider in the Application

This section contains information to help in the development of
applications and is not intended to represent requirements for
funding.  Consideration of these issues, however, should help
strengthen applications.

Applications will be strengthened by describing the available
communities from which the study communities can be selected,
including demographics, hospitals and their catchment areas, EMS
services, community organizations, and other characteristics that are
relevant to interventions and measurements being proposed.  Baseline
data collected during the first year of the study, including data on
baseline delay times, may be proposed as a selection criterion for
the study communities.  Alternately, specific study communities may
be proposed at the outset.  If more than one pair of study
communities is proposed, the pairs should be independent of each
other, for example by sufficient geographic separation, in order to
meet statistical assumptions for independence needed for analysis of
a community trial.  Communities within each pair should be selected
to avoid contamination of intervention and measurement, for example
by assuring that the intervention program will be restricted to the
intervention community and that the EMS system and hospital ED
catchment areas do not overlap.

The size of each community should be adequate to provide enough
events of interest.  An estimated 300 to 500 events (i.e., cases of
"rule-out AMI") in each community should provide reasonable estimates
of delay time; this would most likely require a population of 50,000
or more.  Communities should have one or more hospital and an EMS
system from which to obtain data.  To assure comparability of
communities with respect to availability of EMS services, the 911
emergency phone system should be in place at the time of application.

Communities could be selected by a variety of different approaches.
For example, a two-county area could be designated as one community
so that rural populations with sparse populations could be included.
Communities within a metropolitan area could be proposed, but
evidence that they are distinct and do not overlap would help assure
reviewers that intervention and measurement contamination will not
occur.  Selection of ethnically diverse communities for study is
encouraged.  Letters of support from community organizations, EMS
systems, media, and other entities proposed to be involved in
intervention and/or measurement will be helpful in determining the
feasibility of conducting the study in the proposed communities.

The study design is envisioned as a multicenter community trial with
community as the unit of assignment and analysis.  An example of how
this design could be implemented is for each Field Site to propose
one or more pair(s) of communities, matched on demographic and other
characteristics related to the outcome measure of interest (i.e.,
delay time), and for one community of each pair to be assigned
randomly to intervention or control group.  Measures of delay time at
baseline, during, and post-intervention in the intervention and
comparison communities would be compared by statistical methods to
determine the impact of the intervention.  More than one baseline
measure of delay time may be a possible means to increase the
accuracy of delay time measurement and increase the power of the
study.

Because changing behaviors is a complex task, multifactorial
intervention programs based on sound behavior theory are likely to be
more effective.  The intervention is envisioned as a community-based,
multifactorial intervention program involving several components:
(1) public information and persuasive communication, (2) patient
education, (3) community organization, and (4) professional
education.  Descriptions of interrelationships and coordination
between proposed intervention components will be helpful in assessing
how the intervention components will be combined into an overall
intervention program.

Training health-care professionals in diagnostic and treatment
procedures for patients presenting with AMI symptoms is out of the
scope of this research.  Education directed toward health
professionals to encourage patients to contact directly the EMS and
to use EDs because of the importance of time in seeking care could be
considered within the scope of the program.  Applicants should be
aware that the National Heart Attack Alert Program is planning to
develop and nationally disseminate educational materials for patients
with diagnosed CHD to be delivered in health-care settings.

Process evaluation can be used to determine the extent to which the
intervention is implemented as designed and the extent to which
messages reach the target audience.  Process evaluation can also
provide information about the comparison communities that could help
identify unanticipated events (historical or secular) that may have
an impact on the factors of interest.

Data collection and analysis plans for the outcome variables of the
study should be described, including delay time, which is anticipated
to be time from symptom onset to arrival at the ED.  The specific
measure of delay time to be used as the primary study outcome measure
will be determined during protocol development, but the measure
should be clinically meaningful; examples to consider include median
delay time, proportion of cases with delay time shorter than a
specified time (e.g., one hour, 2 hours, 4 hours, 6 hours), or a
downward shift in the delay time frequency distribution.  The source
of data for delay time should be specified (e.g., patient interviews,
EMS records, ED records), and any sampling scheme should be
described.  If multiple hospitals or EMS systems serve the same
community, any scheme to sample hospitals, EDs, or EMS systems should
be described and justified.

A cost analysis plan to measure the costs of both intervention and
any increased use of EMS and ED systems by individuals seeking
treatment in response to symptoms and signs of AMI also could be
proposed.

Applications for the Coordinating Center should address statistical
and design issues relevant to community studies, including, for
example, the appropriate unit of analysis, power and sample size,
methods of assignment to treatment condition, minimization of bias,
and other issues deemed important by the applicant.

Timetable

The proposed research should be in the form of four-year
Demonstration and Education Projects.  In the first year, the
collaborative study protocol will be developed and baseline data will
be collected.  In the second and third years, the protocol will be
implemented and process and impact measurements will be taken.  In
the fourth year, measurement and data collection will be completed,
data will be analyzed, and manuscripts written.

SPECIAL REQUIREMENTS

To promote the development of a collaborative program among the award
recipients, a number of minimum issues need to be addressed in the
applications.  Applicants should discuss the rationale for their
choice of intervention approaches and data measurement, document
their ability to develop and implement community-based interventions,
describe their ability to interact effectively with other Field Sites
and the Coordinating Center, discuss their capability to participate
in collaborative meetings and conference calls, and state their
willingness to follow the common protocol that will be agreed upon
during the first year of the study.

In addition to the Field Site awards, a separate award will be made
for a Coordinating Center.  The Coordinating Center will have as its
major responsibilities participating in planning for data collection,
instrument development, and collecting, editing, storing, and
analyzing data generated by the Field Sites.  It will provide a
detailed report of accumulating data and project performance at
six-month intervals and a final report.

The study organization is described under Terms and Conditions,
below.

Terms and Conditions of Award

These special Terms 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 92, and other HHS,
PHS, and NIH Grant Administration policy statements.

The administrative and funding instrument used for this program is a
cooperative agreement (U01), an "assistance" mechanism (rather than
an "acquisition" mechanism) in which substantial NIH scientific
and/or programmatic involvement with the awardee is anticipated
during performance of this activity.  Under the cooperative
agreement, the NIH purpose is to support and/or stimulate the
recipient's activity by collaborating and otherwise working jointly
with the award recipient in a partner role, but it is not to assume
direction, prime responsibility, or a dominant role in the activity.
Consistent with this concept, awardees have the prime responsibility
for the project as a whole, although some tasks and activities are to
be shared among the awardees and the NHLBI Project Scientist, as
described below.

Awardees will have the usual responsibilities of assistance award
recipients, including protocol development, participant recruitment
and follow-up, data collection, quality control, interim data and
safety monitoring, final data analysis and interpretation, and
preparation of publications, as well as responsibilities for
collaboration with other awardees and with the NHLBI Project
Scientist.

The NHLBI Project Scientist (Medical Officer, Prevention and
Demonstration Branch, Division of Epidemiology and Clinical
Applications), in addition to the usual stewardship responsibilities,
will have responsibilities in protocol development, quality control,
interim data and safety monitoring, final data analysis and
interpretation, preparation of publications, collaboration with
awardees, and project coordination.

It is anticipated that awardees will have lead responsibilities in
all joint tasks and activities, except it is anticipated that the
NHLBI Project Scientist will have lead responsibilities in quality
control and catalyzing the interim monitoring of data and safety, and
may, consistent with publication policy to be adopted by the Steering
Committee, have lead responsibilities in the preparation of some
publications.

A Steering Committee, composed of the Principal Investigator(s) of
each Clinical Group, the Principal Investigator(s) of the
Coordinating Center, and the NHLBI Project Scientist will be the main
governing board of the study and will have primary responsibility for
developing common protocols, facilitating the conduct and monitoring
of studies, and reporting study results.  Each Field Site, the
Coordinating Center, and the NHLBI Project Scientist will have one
vote.  The chairperson, who will be someone other than an NHLBI staff
member, will be selected by the Steering Committee. Subcommittees
will be established by the Steering Committee, as it deems
appropriate; the NHLBI will be represented on subcommittees as deemed
appropriate by the NHLBI Project Scientist.

The collaborative protocols will be developed by the Steering
Committee.  Data will be submitted centrally to the Coordinating
Center.  Protocols will define rules regarding access to data and
publications.  An independent Data and Safety Monitoring Board, to be
appointed by the NHLBI, will review progress at least annually and
report to the NHLBI.

Awardees will retain custody of and have primary rights to the data
developed under these awards, subject to Government rights of access
consistent with current HHS, PHS, and NIH policies.

The NHLBI reserves the right to terminate or curtail the study (or an
individual award) in the event of (a) substantial shortfall in
participant recruitment, follow-up, data reporting, quality control,
or other major breech of the protocol, (b) substantive changes in the
agreed-upon protocol to which the NHLBI does not agree, (c) reaching
a major study endpoint substantially before schedule with persuasive
statistical significance, or (d) human subject ethical issues that
may dictate a premature termination.

Any disagreement that may arise on scientific/programmatic matters
(within the scope of the award), between award recipients and the
NHLBI may be brought to arbitration.  An arbitration panel will be
composed of three members -- one selected by the Steering Committee
(with the NHLBI member not voting) or by the individual awardee in
the event of an individual disagreement, a second member selected by
NHLBI, and the third member selected by the two prior selected
members.  This special arbitration procedure in no way affects the
awardee's right to appeal an adverse action that is otherwise
appealable in accordance with the PHS regulations at 42 CFR part 50,
subpart D and HHS regulation at 45 CFR part 16.

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 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 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 United States racial/ethnic minority populations (i.e.,
Native Americans, 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.

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 October 12, 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 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 Dr. C. James Scheirer 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 these grants.  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, 5333 Westbard Avenue, Room 449, Bethesda, MD  20892,
telephone 301/594-7248; and from the NIH program administrator named
below.

The RFA label available in the PHS 398 (rev. 9/91) 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.

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.
Review Branch, Division of Extramural Affairs
National Heart, Lung, and Blood Institute
Westwood Building, Room 548
Bethesda, MD  20892
Telephone:  (301) 594-7452

It is important to send these two copies at the same time as the
original and that three copies are sent to the Division of Research
Grants. Otherwise, the NHLBI cannot guarantee that the application
will be reviewed in competition for this RFA.

Applications must be received by December 21, 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 prelude the submission of substantial
revisions of applications already reviewed, but such applications
must include an introduction addressing the previous critique.

Awards for a Field Center and Coordinating Center under this RFA will
not be made to the same Principal Investigator (PI) or team of
investigators.  The same institution may apply for both a Field Site
and the Coordinating Center award, but the applications for each must
be from different individuals and must be submitted separately.

REVIEW CONSIDERATIONS

General Considerations

All applicants will be judged on the basis of the scientific merit of
their proposed protocols and their documented ability to conduct the
essential study components as broadly outlined in the RESEARCH
OBJECTIVES of the RFA.  Although the technical merit of the protocol
is important, it will not be the sole criterion for selection of an
application.  Other considerations such as the importance and
timeliness of the proposed study, access to study subjects, and
multidisciplinary nature of the studies will be part of the
evaluation criteria.

Review Method

Upon receipt, applications will be reviewed for the completeness by
DRG and responsiveness by the NHLBI.  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.

Applications may be triaged by an NHLBI peer review group on the
basis of relative competitiveness.  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 competitive
will undergo further scientific merit review.  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 NHLBI.  The second
level of review will be provided by the National Heart, Lung and
Blood Advisory Council.

Review Criteria

Applicants are encouraged to submit and describe their own ideas on
how best to meet the goals of the proposed research in their specific
protocols, and they are expected to address issues identified under
SPECIAL REQUIREMENTS in the Request for Applications.  Applications
will be judged primarily on the scientific quality of the
application, the appropriateness, importance and timeliness of the
proposed study, adequacy of facilities, access to study subjects, the
multidisciplinary nature of the study, the approach to cost
containment, the discussion of considerations relevant to this RFA,
the expertise of the investigators, their capability to perform the
work proposed, and a demonstrated willingness to work as part of the
collaborative group and with the NHLBI Project Scientist.

The review group will assess the scientific merit of the protocols
and related factors, including:

Field Sites

o  scientific, technical, and medical significance and originality of
proposed research;

o  appropriateness and adequacy of the experimental approach and
methodology proposed to carry out the research, including
intervention, measurement, and evaluation methodology;

o  understanding of the scientific, statistical, logistical, and
technical issues underlying a multicenter collaborative study;

o  understanding issues related to measurement of delay time,
measurement of use of EMS and EDs, process and impact evaluation of
intervention implementation, and study design and sample size issues
for a multi-community study with community as the unit of assignment
and analysis;

o  qualifications and research experience of the Principal
Investigator and staff, particularly, but not exclusively, in the
area of the proposed research;

o  availability of the resources necessary to perform the research,
including availability of communities and willingness to participate
by relevant community organizations;

o  administrative, supervisory, and collaborative arrangements for
achieving the goals of the program, including willingness to
cooperate with other participating Field Sites, the Coordinating
Center, and the NHLBI;

o  appropriateness of the proposed budget in relation to the proposed
research.

Coordinating Center

o  understanding of the scientific, statistical, logistical, and
technical issues underlying multicenter collaborative studies,
including sample size considerations for a multi-community study with
community as the unit of assignment and analysis, and data analysis
plans;

o  understanding of the statistical, logistical, and technical issues
of measurement of delay time, measurement of use of EMS and EDs,
process evaluation of intervention implementation, and evaluation of
the impact of the intervention;

o  ability to take a leadership role in the areas of study design,
statistics, logistics, data acquisition and management, quality
control, and data analysis;

o  adequacy of the proposed plans for acquisition, transfer,
management, and analysis of data, quality control of data collection
and of intervention implementation, and overall coordination of study
activities;

o  expertise, training, and experience of the investigators and
staff, including the administrative abilities of the Principal
Investigator and co-investigators, and the time they plan to devote
to the program for the effective coordination of the multicenter
study;

o  administrative, supervisory, and collaborative arrangements for
achieving the goals of the program, including willingness to
cooperate with the participating Field Sites and the NHLBI;

o  facilities, equipment, and organizational structure to assist
effectively the Field Sites in implementing the study including
delivering the intervention and conducting data collection
procedures, and for overall coordination of study activities;

o  appropriateness of the proposed budget in relation to the proposed
research.

AWARD CRITERIA

Applications recommended by the NHLBI Advisory Council will be
considered for award based upon (a) scientific and technical merit,
including the requirements explicitly stated in the RFA; (b) program
balance, including sufficient compatibility of features to make a
successful collaborative program a reasonable likelihood and
representation of minority communities; and (c) availability of
funds.

Letter of Intent Receipt Date:     October 12, 1993
Application Receipt Date:          December 21, 1993
Review by NHLBI Advisory Council:  May 26-27, 1994
Anticipated Award Date:            July 1, 1994

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 scientific issues to the Project
Scientist:

Denise Simons-Morton, M.D., M.P.H., Ph.D.
Division of Epidemiology and Clinical Applications
National Heart, Lung, and Blood Institute
Federal Building, Room 604
7550 Wisconsin Avenue
Bethesda, MD  20892
Telephone:  (301) 496-3503

Direct inquiries regarding review and application procedures and
address the letter of intent to:

C. James Scheirer, Ph.D.
Review Branch, Division of Extramural Affairs
National Heart, Lung, and Blood Institute
Westwood Building, Room 548
Bethesda, MD  20892
Telephone:  (301) 594-7452
FAX:  (301) 594-7407

Direct inquiries regarding fiscal and administrative matters to:

Mr. William W. Darby
Division of Extramural Affairs
National Heart, Lung, and Blood Institute
Westwood Building, Room 4A11C
Bethesda, MD  20892
Telephone:  (301) 594-7458
FAX:  (301) 594-7492

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.837.  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 and 92.  This program is not subject to the
intergovernmental review requirements of Executive Order 12372 of
Health Systems Agency review.

REFERENCES

American College of Cardiology/American Heart Association (ACC/AHA)
Subcommittee.  Guidelines for the early management of patients with
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Alonzo AA.  The impact of the family and lay others on care-seeking
during life-threatening episodes of suspected coronary artery
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Blohm M, Herlitz J, Hartford M, et al.  Consequences of a media
campaign focusing on delay in acute myocardial infarction.  Am J
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Braunwald E.  Myocardial reperfusion, limitation of infarct size,
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Califf RM, Topol EJ, Gersh BJ.  From myocardial salvage to patient
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Clark LT, Bellam SV, Shah AH, Feldman JG.  Analysis of prehospital
delay among inner-city patients with symptoms of myocardial
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Cooper RS, Simmons B, Castaner A, et al.  Survival rates and
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Dracup K, Moser DK.  Treatment-seeking behavior among those with
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Acute Myocardial Infarction.  U.S. Department of Health and Human
Services, Public Health Service, National Institutes of Health,
National Heart, Lung, and Blood Institute, September 1991;25-45.

Gilchrist IC.  Patient delay before treatment of myocardial
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Goldberg RJ, Gurwitz J, Yarzebski J, Landon J, Gore JM, Alpert JS,
Dalen PM, Dalen JE.  Patient delay and receipt of thrombolytic
therapy among patients with acute myocardial infarction from a
community-wide perspective.  Am J Cardiol  1992;70:421-425.

Grines CL, DeMaria AN.  Optimal utilization of thrombolytic therapy
for acute myocardial infarction:  Concepts and controversies.  J Am
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Gruppo Italiano per lo Studio della Stretochinasi nell'Infarto
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delay to hospital admission in relation to myocardial infarction
size.  Heart Lung 1988;17:274-280.

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myocardial damage in acute myocardial ischemia by early treatment
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influencing the time from onset of chest pain to arrival at the
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randomized controlled trials.  Euro Heart J  1985;6:556-585.

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Subject: NIH Guide, vol. 22, no. 22, pt. 2, 18 June 1993
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$$XID RFA CA93030 CA-93-030 P1O1 ***************************************

NATIVE AMERICAN WOMEN'S CANCER INITIATIVE

NIH GUIDE, Volume 22, Number 22, June 18, 1993

RFA:  CA-93-030

P.T. 34, FE, II; K.W. 0715035, 0795003, 0745027

National Cancer Institute

Letter of Intent Receipt Date:  July 30, 1993
Application Receipt Date:  October 13, 1993

PURPOSE

The Special Populations Studies Branch (SPSB), Division of Cancer
Prevention and Control (DCPC), National Cancer Institute (NCI)
invites grant applications to conduct research to develop and
determine the effectiveness of cancer control and prevention
intervention strategies in Native American women, including American
Indian, Alaska Native, Native Hawaiian and/or American Samoan women.
The long range goals of this initiative are to improve cancer
survival rates and reduce cancer mortality rates among Native
American women through cancer prevention and control efforts.

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), Native American Women's Cancer Initiative
(NAWCI), 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 public and private, for-profit and
non-profit organizations serving the indigenous female community in a
specified geographic area such as Native American health clinics
(e.g., P.L. 93-638 clinics); voluntary Native American organizations;
Native American research centers or consortia; hospitals that serve
large numbers of Native American women; consortia of female health
providers; and/or Federal (e.g., the Indian Health Service), State or
local governments.  Teams of applicants are encouraged, but one
organization must be identified as the lead institution to assume
responsibility for the conduct of the project.

MECHANISM OF SUPPORT

The assistance mechanism used to support these studies will be the
traditional National Institutes of Health (NIH) research project
grant (R01).  The applicant has sole responsibility for planning,
direction, and execution of the proposed project.  Total project
period for applications submitted in response to this RFA may not
exceed four years.  The anticipated award date is May 1, 1994.

Awards will be administered as stated in this RFA and 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.  Future unsolicited competing
continuation applications will compete as research project
applications with all other investigator initiated applications and
be reviewed according to the customary peer review procedures.  If
the NCI determines that there is sufficient continuing program need,
the NCI will invite recipients of awards under this RFA to submit
competing continuation applications for review.  The range of the
amounts of the direct cost will vary from $130,000 to $320,000 per
year.

FUNDS AVAILABLE

Approximately $1.5 million in total costs per year for four years
will be committed to specifically fund grants awarded under this RFA.
It is anticipated that up to five awards will be made, at least one
from each of the options listed under RESEARCH OBJECTIVES.  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 research
grants pursuant to this RFA is contingent upon the availability of
funds for this purpose.

RESEARCH OBJECTIVES

Background

In 1987 the NCI sponsored a working group on cancer among Native
Americans.  As a result of that meeting, two RFAs were issued in 1989
(one on avoidable mortality from cancer among Native Americans and
the other on primary prevention of cancer among Native Americans).
Eight awards were made for these RFAs, four for avoidable mortality
and four for primary prevention.  The target populations for these
five year cooperative agreements were reservation and rural American
Indians, urban American Indians, Alaska Natives (urban and rural),
and Native Hawaiians.

The Native American Women's Cancer Initiative (NAWCI) evolved from
these five year cooperative agreements.  Based on the preliminary
findings, this initiative has been developed to appropriately respond
to emerging cancer needs and issues of Native American women.  At the
turn of the century, cancer was an extremely rare disorder among
American Indian people (Hrdlicka, 1904, Jones, 1989, p.45).  Although
American Indians and Alaska Natives continue to experience low cancer
incidence rates in comparison with other racial groups such as
whites, blacks, and Asians, within the last few generations cancer
has become the leading cause of death for Alaska Native women, and is
the second leading cause of death among both American Indian and
Native Hawaiian women. (Department of Health and Human Services, IHS
Trends, 1992, p. 34, IHS, Cancer Mortality, 1992.)

A report entitled, "A National Strategic Plan for Cancer Prevention
and Control to Benefit the Overall Health of American Indians and
Alaska Natives" was prepared by the NCI-supported Network for Cancer
Control Research among American Indian and Alaska Native Populations.
The purpose of this plan is to enhance the awareness in federal
agencies and in others about the problems of cancer among American
Indian and Alaska Native populations.  This plan emphasizes the poor
cervical and breast cancer survival rates, the lack of access to
early detection services, the lack of Indigenous health care
providers and researchers, and the cultural barriers that interfere
with effective cancer prevention and control programs (Network, 1992,
pp. 8-10, 24, 26-28, 30, 32 and 35).

Numerous barriers have been identified that interfere with cancer
prevention and control efforts among Indigenous women.  These
barriers include, but are not limited to, culturally inappropriate
recruitment protocols, lack of culturally appropriate cancer
prevention and control materials and programs, inaccessible science
and/or research educational and training opportunities, English as a
second language, poverty, transportation, cancer causation beliefs,
lack of Native health providers, and unavailability of health
facilities.  The types and impact of such barriers vary among Native
communities in different regions of the country.

Several of the factors that may contribute to cancer among Native
American women may differ from women of other races and differ among
Indigenous women due to genetic factors, acculturation, and
socioeconomic status.

The research studies will determine the effectiveness and efficacy of
cancer control and prevention intervention strategies that are
designed to address one of the following objectives: (1) address the
barriers to culturally appropriate quality cancer control services
including screening, appropriate follow-up, diagnostic, treatment,
and rehabilitation programs for cancers that are common and/or
disproportionately elevated within Indigenous women; (2) reduce
cancer risk behaviors in Native American women (e.g., high dietary
fat intake, tobacco use, alcohol consumption); or (3) assist in
providing technical assistance to improve Native American women's
research skills and eventually increase the number of Native American
women who are in key research positions (e.g., Principal
Investigators).  These objectives are more fully defined Research
Options and Scope, below.

1.  American Indian Women

According to the New Mexico SEER Registry (1977-83), the most
commonly occurring cancers in American Indian women are (in order of
their occurrence) breast, cervix uteri, gallbladder, and stomach
cancer.  According to the National Center for Health Statistics
(1977-83), the most common causes of cancer death among American
Indian women are (in order) lung and bronchus, breast, colon and
rectum, cervix uteri, and stomach.  Nine of the twelve IHS Areas
(1984-88) identify the five leading causes of cancer mortality among
American Indian females to be lung cancer (17%), ill-defined/unknown
(11.2%), breast (11.0%), cervix (7.4%), and colon/rectum (7.2%).
(IHS, Cancer Mortality among Native Americans in the United States,
1992 , p. 53).  The New Mexico SEER Registry (1975-84) five-year
relative survival rates among American Indian women are poorer for
all sites combined than for all other racial groups, such as whites,
blacks, and Asians.  In addition, survival rates for breast, kidney
and renal, pelvis, colon and rectum, pancreas, gallbladder, stomach,
lung and bronchus, and non-Hodgkins lymphoma are lower among American
Indian women than are survival rates for whites, blacks, Hispanics,
and Asians.

2.  Alaska Native Women

Based on the State of Alaska data (1969-83) in comparisons with U.S.
white women, Alaska Native female incidence rates are higher for oral
cavity and pharynx, nasopharynx, esophagus, stomach, colon and
rectum, liver, gallbladder, pancreas, cervix uteri, and kidney and
renal pelvis cancers.  According to the Alaska Area IHS (1984-88),
Alaska Native women have significantly higher age-adjusted mortality
rates than do U.S. All Races Females for the following cancers:  Lung
and bronchus (Alaska Native women = 68.5; U.S. All Races females =
27.3); colon-rectum (Alaska Native women = 33.0; U.S. All Races
females = 17.1); ill-defined/unspecified sites (Alaska Native women =
28.8; U.S. All Races females = 10.3); cervix uteri (Alaska Native
women = 9.3; U.S. All Races females = 3.1); stomach (Alaska Native
women = 9.3; U.S. All Races females = 3.3); and, gallbladder (Alaska
Native women = 7.6; U.S. All Races females = 1.0). (IHS, Cancer
Mortality among Native Americans in the United States, 1992 , pp.
58-61)

Five year survival data are not available for Alaska Natives.

3.  Native Hawaiian Women

Based on Hawaii SEER Registry data (1977-83), when compared with
other racial groups such as blacks or whites, Native Hawaiian women
have the highest age adjusted (1970 U.S. Standard) incidence rates
per 100,000 for breast (108.5), lung (45.8), corpus uteri (29.4),
stomach (19.5), ovary (15.1), urinary bladder (5.7), and brain and
central nervous system (3.5).  In addition, they have excessive
cancer incidence for cervix uteri (15.2) when compared with whites.
(NCI, Report of the Special Action Committee, 1992, p. A-4)

Based on Hawaii SEER Registry data (1975-84) Native Hawaiian women
have the poorest survival from cancer of oral cavity and pharynx
(36.4) than any racial group.

4.  American Samoan Women

Cancer incidence, mortality, and survival data are available for very
small numbers or groups of American Samoan women. Informal reports
from the island of American Samoa and from American Samoan women
living in the continental United States indicate that cancer is a
significant problem and appears to be increasing.  There is need for
accurate collection and recording of such data.

5.  Brief Summary of Selected Cancer Sites and Regional Data

A brief description follows of a few of the common and/or
disproportionate cancer sites in Indigenous women. Data provided
below should be viewed as examples only; other cancer sites would be
considered as well.

a.  Cervical Cancer

Incidence:  Alaska Native women have the highest cervical cancer
incidence rate of any racial group (with a rate of 28.0) (State of
Alaska, 1969-83).  According to the New Mexico SEER Registry
(1977-83), American Indian women living in New Mexico and Arizona
have a cervical cancer incidence rate of 20.5.  Native Hawaiian women
have an incidence rate of 15.2 (Hawaii SEER Registry, 1977-83).  The
white female rate is 8.6.  When existing incidence data are reviewed,
each American Indian and Alaska Native tribe or IHS Area has higher
cervical cancer incidence than SEER whites.  For example, Tohono
O'Odham/Pima Tribes (rate=41.7), Athabascan Alaska Natives
(rate=39.4), Eskimo Alaska Natives (33.1), Billings IHS Area (32.3),
Apache Tribes (31.8), Albuquerque IHS Area (31.3), Aleut Alaska
Natives (29.7), Alaska IHS Area (29.5), Sioux Tribes (29.2).
(Nutting, et al, "Cancer in American Indians and Alaska Natives,
1982-87", AJPH, 1993)

Mortality:  The Alaska Tumor Registry (1977 to 1983) reported that
Alaska Native women have the highest death rate from cervical cancer
of any race with a rate of 12.5.  According to the National Center
for Health Statistics 1977-1983, the American Indian cervical cancer
mortality rate was 5.5 and the Native Hawaiian rate was 5.6.  The
white rate was 3.2.  When IHS Area data are reviewed (1984-88), all
IHS Areas have cervical cancer mortality rates higher than the U.S.
rate and six of the nine Areas have rates significantly higher than
the U.S.  All Races rate: Billings, Aberdeen, Nashville, Albuquerque,
Alaska, and Navajo. (IHS, Cancer Mortality among Native Americans in
the United States, 1992 p. 39).

Survival:  According to the New Mexico SEER Registry (1975-84),
American Indian women have the second poorest five-year relative
survival rate from cervical cancer than all other racial groups with
a rate of 65.1.  Blacks have the poorest with a rate of 61.3.  The
Native Hawaiian female rate is 67.3 and the white rate is 67.2.
Survival data for Alaska Native women are not available.

b.  Breast Cancer

Incidence:  Native Hawaiian women have the highest age-adjusted
breast cancer incidence rates of any race with a rate of 108.5
(Hawaii SEER Registry, 1977-83).  The rate among white women is 93.3.
Based on data from American Indian women living in Arizona and New
Mexico (1977-83), the age-adjusted breast cancer incidence rates are
much lower among American Indian women (rate of 21.7) than among
white women.  Alaska Native women also have low breast cancer
incidence with a rate of 44.2.  However, regional variability among
breast cancer incidence data are apparent.  The age-adjusted
incidence of breast cancer is lower among American Indian women of
the lower 48 states, and among Aleuts and Eskimos.  However,
Athabascan Alaska Native women have a rate (106.1) comparable to the
U.S. female rate.  American Indian women who live in the northern
states have poorer rates (e.g., Sioux tribes, Aberdeen IHS, Billings
IHS).  (Nutting, et al, "Cancer in American Indians and Alaska
Natives, 1982-87", AJPH, 1993)

Mortality:  Native Hawaiian women have the highest breast cancer
mortality rates of any race (37.8) (Hawaii SEER Registry, 1977-83).
The white female rate is 26.7.  According to U.S. mortality data
(1977-83), the age-adjusted breast cancer mortality rates are lower
for American Indian females (9.0) and Alaska Native females (12.8)
than the white rate.  Unfortunately, a recent review of the limited
trend data indicate that the breast cancer mortality rates are
accelerating.  (O'Brien, AIHCA, 1991)  Examples of IHS Areas breast
cancer mortality rates that illustrate the variability of data follow
(1984-88):  Nashville IHS Area (25.5), Aberdeen IHS Area (24.0),
Bemidji IHS Area (19.0), and Albuquerque IHS Area (10.4).  (IHS,
Cancer Mortality among Native Americans in the United States, 1992)

Survival:  Although the overall breast cancer incidence and mortality
rates are lower among American Indian women, according to the New
Mexico SEER Registry (1975-84), American Indian women living in
Arizona and New Mexico have the poorest survival rate (49.7) of any
racial group.  The Native Hawaiian survival rate is 69.4 and the
female white survival rate is 75.7.  Alaska Native survival data are
not available.

c.  Gallbladder Cancer

Incidence:  Gallbladder cancer incidence rates are disproportionately
high among indigenous females.  According to the New Mexico SEER
Registry (1977-83), American Indian women living in Arizona and New
Mexico have an incidence rate of 14.7.  Alaska Native females also
have an incidence rate of 14.7 (State of Alaska, 1969-83).  These
rates are the highest of any other racial group and indicate that
gallbladder cancer is approximately nine times more likely to occur
in an American Indian or Alaska Native woman than in a white woman.
The female white gallbladder incidence rate is 1.6.  The Native
Hawaiian female gallbladder incidence rate is 1.0 (NCI, Report of the
Special Action Committee, 1992, pp. A-2, A-3, A-4).

The gallbladder incidence rates vary among American Indian women from
different tribes and among different regions.  For example,
gallbladder incidence rates from selected tribes and IHS Areas (IHS,
1982-87) include the following:  Tohono O'Odham/Pima Tribes (33.4),
Apache Tribes (20.5), Phoenix IHS Area (16.1), Alaska IHS Area
(14.4), Navajo Tribe (10.8), Eastern Band Cherokee Tribe (10.7), and
Sioux Tribes (5.9).  (Nutting, et al, "Cancer in American Indians and
Alaska Natives, 1982-87", AJPH, 1993)

Mortality:  American Indians women also have disproportionately high
gallbladder cancer mortality rates.  According to the National Center
for Health Statistics (1977-83) American Indian women have a rate of
3.6 and Alaska Native females have the highest rate of any racial
group with a rate of 6.3.  The female gallbladder mortality rate for
nine of the IHS Areas (IHS, 1984-88) is 7.6.  The IHS Tucson Area
(1984-88) had the highest age-adjusted gallbladder cancer mortality
rate for females (24.1) which is about 20 times the white female rate
of 1.2.  Native Hawaiian women have a low mortality rate of 0.3.
(NCI, Report of the Special Action Committee, 1992, , p. A-7)

Survival:  According to the New Mexico SEER Registry (1975-84),
American Indian females who live in Arizona and New Mexico also have
the poorest gallbladder survival rates of any racial group with a
rate of 6.4 (white female rate is 9.4).  There were too few cases to
accurately determine a survival rate for Native Hawaiian women.
(NCI, Report of the Special Action Committee, 1992, pp. A-8, A-9,
A-10) Survival data for Alaska Natives are not available.

d.  Lung Cancer

Incidence:  According to Hawaii SEER Registry 1977-83, Native
Hawaiian female lung and bronchus cancer incidence rate is the
highest of any racial group at 45.8 (white female rate is 33.3). The
Alaska Native female lung cancer incidence rate is 23.2 (State of
Alaska, 1969-83).  According to the New Mexico SEER Registry
(1977-83), lung cancer incidence rates of American Indian females
living in Arizona and New Mexico is the lowest of any racial group
with a rate of 4.4.  Examples of female tribal and IHS Area lung
cancer incidence rates follow (IHS, 1982-87):  Athabascan Alaska
Natives (111.3), Aleut Alaska Natives (101.7), Eskimo Alaska Natives
(53.2), Alaska IHS Area (58.4), Bemidji IHS Area (52.3), Billings IHS
Area (37.8), Aberdeen IHS Area (32.1), Eastern Band Cherokee Tribe
(35.2), and Sioux Tribes (34.1).  (Nutting, et al, "Cancer in
American Indians and Alaska Natives, 1982-87", AJPH, 1993)

Mortality:  Native Hawaiian women have the highest lung cancer
mortality rates (35.3) of any race (Hawaii SEER Registry, 1977-83).
Alaska Native women have a rate of 15.0 and white women are 20.9.
According to the National Center for Health Statistics death records,
the age-adjusted American Indian female lung cancer mortality rates
are among the lowest of any race with a rate of 9.3.  However, as
geographic areas indicate rates which are higher than those reported
in NCHS.  IHS age-adjusted lung cancer mortality rates (1984-88) for
females follow:  Alaska IHS Area (68.5), Billings IHS Area (65.7),
Aberdeen IHS Area (45.0), Bemidji IHS Area (40.7), and Nashville IHS
Area (25.1). (IHS, Cancer Mortality among Native Americans in the
United States, 1992 , p. 34)

Survival:  Survival data are not available for Alaska Natives.
American Indian women living in New Mexico and Arizona have a poorer
lung cancer survival rate (14.1) than do white women (17.1).  Native
Hawaiian women have a five-year relative survival rate of 17.0. (NCI,
Report of the Special Action Committee, 1992, p. A-10)

6.  Research Options and Scope

This RFA for the NAWCI has three options.  Option A focuses on
common/disproportionate cancer rates and barriers to early detection
services, Option B emphasizes reduction of risk factors, and Option C
stresses research capacity development among Native American women.
It is anticipated that up to five awards will be made, at least one
from each option.  The total project period of these awards may not
exceed four years.  The applicant must specify which option is the
focus in the application and it is recommended that only one option
be the focus of any application.

Option A:  Common/Disproportionate Cancer and Barriers

Cancer Intervention Research in Native American Women will focus on
cancers that are more common among Native American Women and support
the development of long-term intervention strategies.  These projects
will develop, implement and evaluate interventions that are designed
to overcome the barriers that Native American women experience in
obtaining culturally appropriate quality cancer control services
including screening, appropriate follow-up, diagnostic, treatment,
and rehabilitation programs.  The efficacy and effectiveness of these
culturally appropriate interventions will be assessed.  These
projects will focus on cancers that are more common among Native
American women from a specified area (e.g., breast cancer among
Native Hawaiian women, gallbladder cancer among Southwestern Indian
women, lung cancer among Alaska Native women), or they may address
the unusually aggressive forms of cancers in Native American women
(e.g., young Southwestern American Indian women progressing from
Class II Pap smear to invasive cervical cancer within 24 months)
(Becker, 1992).

Option B:  Risk Factors

Cancer Risk Factors among Native American Female Populations will
develop, implement and assess cancer prevention and control
interventions that are designed to reduce risk factors of this
population in regions of the country where the cancer control needs
of American Indian and Alaska Native women have been increasing and
data are sparse (e.g., Northern Plains region, Northwestern U.S.,
Northeast U.S., Southeast U.S., remote Alaska Native Villages).
Unusual behaviors, such as frequent use of smokeless tobacco, high
consumption of smoked, high fat foods; or access to high fat
commodity as a sole source of food availability, may be emphasized.

Option C:  Research Capacity Development

Research Capacity Development Workshops will be designed to provide
technical assistance to increase the research application and
scientific skills of Native American women.  The aim of these
workshops is to increase the number of Native American women who
pursue research careers and/or become co-investigators or Principal
Investigators of NCI research projects.  These grants would involve
developing and implementing workshops in different hard-to-reach
Native populations and providing them with technical assistance in
the development of research ideas and applications.  The
effectiveness of these workshops will be evaluated.  The Research
Capacity Development workshops will be limited to human research and
the clinical-behavioral fields only.

The aim of the NAWCI is to support studies in four or five different
geographic regions of the United States.  Although every attempt will
be made to provide regional representation, the possibility exists
that applications may not be awarded for all geographic regions
and/or Native American populations.

Intervention strategies may differ between Native Americans living in
urban areas, those remaining on reservations or villages, and/or
those residing on American Samoa or Hawaii.  All such groups are
eligible for study under this RFA.

The NCI considers it essential that multiple and key Native American
community organizations and groups be involved in the development and
implementation of comprehensive, community-wide programs to prevent
and control cancer within communities.  The NCI recognizes the
heterogeneity of Native American women and their unique status of
being from Sovereign Nations.

An active collaboration among investigators, the selected Indigenous
groups, and local health care providers is essential.

One of the challenges of this RFA is to collect new or obtain
existing data.  The applicant may use SEER data when appropriate and
other data sources, such as Indian Health Service or local
clinic/hospital records when available.  The applicant needs to
acknowledge the strengths and weaknesses of data appropriate for the
target populations and to determine how sufficient data are to be
collected to assist in the development, implementation and assessment
of an innovative cancer prevention and control project within a four
year period of time.

These studies will have three phases within the four years.  Phase I
- A planning phase, Phase II - an intervention and evaluation plan
implementation phase, and Phase III - data analysis, report
preparation and dissemination among both lay and professional Native
Americans and non-Natives.

Note:  Option C may not require the full 48 months.

a.  Phase I:  Planning and Organization (12 months)

Depending on which option is being addressed, the planning and
organization phase includes tasks such as the hiring of project
staff, meeting with the community advisory groups, maintaining
collaboration with the Native American populations, obtaining special
equipment that was approved in the project budget, selecting through
randomization, which study populations are to be controls and which
are to receive the intervention(s), developing or adapting data
collection instruments, development of intervention materials,
implementing qualitative assessment of developed instruments or
materials to determine cultural acceptability, implementing the
collection of baseline data, developing and revising the recruitment
plan of study participants, and developing and implementing the
training program for data collectors.

b.  Phase II:  Intervention and Evaluation Plan Implementation (30
months)

This phase is the implementation and evaluation of the proposed
intervention.  The applicant should discuss how each aspect of the
proposed intervention is to occur and when and how process evaluation
measures will be conducted.  Progress towards planning,
implementation, evaluation, and documentation will be measured.
Publications should be developed and submitted regarding significant
aspects of the project (e.g., the development of innovative
intervention materials; successful recruitment plan, baseline data).
Regular articles of information should be provided to the Native
American population for inclusion in local newspapers, radio stations
and so on to keep them apprised of research progress and their
involvement throughout the project.

c.  Phase III:  Data analysis, report preparation and dissemination
(6 months)

Analysis of outcome measures will be organized into reports that
include a discussion of findings and conclusions.  These reports must
involve the participation of the Native American population to avoid
repeated problems of Indigenous participants being excluded from this
aspect of the study.  A series of appropriate articles should be
generated and submitted to refereed publications.  A series of
articles needs to be adapted for inclusion in Native American media.

SPECIAL REQUIREMENTS

The NAWCI Program Director will review all key personnel recruitment
and changes during the project period and may approve or disapprove
any changes.  Key personnel are the Principal Investigator,
co-investigators, and others specifically identified in the Notice of
Grant Award.

1.  Participation in Meetings

The awardees will be invited to attend periodic NCI-coordinated
meetings, approximately two each year.  These meetings will serve as
a forum to exchange ideas and information on program progress.  The
Principal Investigators and other appropriate project staff will
attend these meetings.  "Appropriate" project staff will be
identified by the NAWCI Program Director and by the nature of the
agenda of each meeting.  Approximately two 2-day meetings will be
held in Washington, DC each year.  Up to three project staff may
attend, including the Principal Investigator.  Travel funds for these
meetings must be included in the applicant's proposed budget.

2.  Implementation of Common Data Collection among Grantees

Applicants will be encouraged to collaborate with other NAWCI
grantees on the development, implementation and assessment of common
data collection items and techniques tht are culturally acceptable to
the subjects.

3.  Reporting requirements

The awardees will provide brief annual reports and additional
information as requested by the NAWCI Program Director.

4.  Publications and Presentations

It is expected that data and program findings will be presented and
published through a variety of mechanisms to reach health
professionals and the Native American population.  Publication of
data findings and process activities by the awardees is encouraged.
As noted in the instructions of the PHS 398, copies of reports,
publications, and major presentations are to be provided to the NAWCI
Program Director.  The awardees will acknowledge NCI support in
publication or oral presentation of work completed under this
research grant.

5.  Data Management

Although the awardees retain custody of and primary rights to the
data developed under these awards, consistent with current HHS, PHS,
and NIH policies; the NAWCI Program Director will be provided access
to all data developed under this award.

6.  Program Materials

Program materials developed for training sessions, media campaigns,
community meetings, public education, and other purposes will be
inventoried and copies requested by the NAWCI Program Director.

7.  Process and Outcome Measures

The applicants must identify the sorts of cancer prevention and
control outcome measures they would use to evaluate the project and
describe in detail the observations and records they would use.
Methods of data accrual, coordination of data accrual, and data
analysis should be described and any contemplated studies or
publication plans.

8.  Other

The applicants should define the geographic boundaries of the
proposed project and describe in detail how they plan to involve
Native American organizations (e.g., tribal councils, Native health
planning councils/committees, Native Health Boards, 93-638 health
clinics, the Indian Health Service, Indigenous hospitals, cancer
centers, etc.).  Efforts to ensure community acceptance should be
described and where specific cultural barriers are important, the
applicants must provide a plan for addressing those barriers.
Applicants are expected to include Indigenous women as
co-investigators on the research team.

STUDY POPULATIONS

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

The targeted population intended under this RFA is the approximately
1.5 million American Indian, Alaska Native, Native Hawaiian, and
American Samoan women living in U.S. territory.  The study population
for this RFA complies with the NIH policy that women and minorities
must be included in clinical study populations.

LETTER OF INTENT

Prospective applicants are asked to submit, by July 30, 1993, a
letter of intent that includes a descriptive title of the proposed
research, the name and address of the Principal Investigator, the
names of other key personnel, the 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
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. Linda Burhansstipanov 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 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
301/594-7248.

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 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 clear and 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 of the application
must also be sent to:

Ms. Toby Friedberg, Referral Officer
Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Room 636
Bethesda, MD  20892

Applications must be received by October 13, 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.  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 NCI staff.  Incomplete applications will be
returned to the applicant without further consideration. If the
application is not responsive to the RFA, NCI program 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 cycle.

Applications may receive a preliminary scientific peer review
(triage) by an NCI peer review group on the basis of relative
competitiveness.  The NCI will remove from further competition those
applications judged to be non-competitive for award and notify the
applicant Principal Investigator and institutional official.  Those
applications that are competitive will be evaluated in accordance
with the criteria stated below for scientific/technical merit by an
appropriate peer review group convened by the NCI.  The second level
of review will be provided by the National Cancer Advisory Board
(NCAB).

Generic Review Criteria (for all 3 Options)

Each research application will be reviewed on its own merit.
Applicants are encouraged to submit and describe their own ideas on
how best to meet the goals of this RFA.  Applications will be judged
on the following review criteria:

1.  Collaboration with and availability of a Native American female
population for study

a.  Applicants (whether Native or non-Native) must provide detailed
evidence of their ability to obtain cooperation and information from
the selected Native groups, and verify the involvement of indigenous
peoples in key research roles (e.g., co-investigators) on the
project.  Substantiating data to verify Native participation should
be included, such as a letter of agreement or a tribal resolution
from the target Native American population indicating agreement to
participate and collaborate in the study.  Applicants should
incorporate plans for including indigenous researchers in the
subsequent publications related to this study.

b.  The application must be consistent with the goals and objectives
of the RFA, and include feasible and appropriate time line,
resources, proposed budget to accomplish the objective(s) of this RFA
in a culturally acceptable manner.

2. Evidence of ability to establish collaboration with Indigenous
groups and other agencies involved in health care of the selected
populations.

3.  Originality and scientific merit of the application submitted,
the discussion of considerations relevant to this RFA.

a.  Capability to perform the work proposed.

b.  The research plan, design, and evaluation should be culturally
sensitive and acceptable to Native American women.

c.  Documentation of cancer needs of the target population.

d.  The evaluation (process and outcome) methods should be identified
within the timeline.

e.  Outcome evaluation should be based on clear and measurable
indicators of progress toward project goals and designed to result in
valid conclusions concerning the effectiveness of the project.

f.  The application should include a plan to disseminate results,
findings, outcome measures to both Native and non-native
professionals and to members of the target populations' community.

4.  Experience of the applicants.

a.  The Principal Investigator, co-investigators and other key
personnel should have appropriate qualifications, experience and
commitment for their respective roles on the project.

b.  Key personnel should be able to devote adequate time for the
effective conduct of the study.

c.  Qualified indigenous people should be in key research roles and
involved in each phase of research.

d.  The research team should include key personnel who have
experience working with Native Americans and demonstrated evidence of
cultural acceptability by Indigenous women.

5.  Demonstrated willingness to work together with other project
staff and NCI staff as well as a willingness to collaborate with
other applicants on common research tasks if feasible.

6.  Appropriateness of the proposed budget and duration in relation
to this proposal initiatives.

a.  The application should include a budget which is reasonable for
the tasks specified in the research plan and includes budgetary
justification.

b.  A description of facilities and resources available and/or needed
should be included in the application.

c.  Travel funds for the Principal Investigator to attend semi-annual
meetings in Washington, DC must be included in the applicant's
proposed budget.

Review Criteria for Option A:  Common/Disproportionate Cancer and
Barriers

In addition to the generic review criteria, applications that focus
on Option A will be judged on the following criteria:

a.  Demonstrated ability to recruit sufficient numbers of Native
American women for the intervention and evaluation phase.

b.  Documentation of (1) cancers that are disproportionate to the
selected group of Native American women; and/or, (2) barriers to
obtaining state-of-the-art prevention and/or early detection
technology.

c.  Cancer incidence, mortality, and survival rates for the selected
group of Native American women.  NCI recognizes that there is a
dearth of cancer data for Native American women.  When no quality
data are available that can appropriately describe the selected
Native American female population, the applicant needs to explain how
such data will be collected to assist in the development of the
proposed intervention.  Whenever possible, the applicant must cite
the best available data (e.g., Onondaga tribe may cite Seneca or
Mohawk data and New York State data, and then explain in what ways
those data are appropriate to the Onondaga Peoples or why those data
are not generalizable to their tribe).

d.  Demonstrated originality of the research design; illustrated
appropriateness of control population; and, inclusion of
interventions which are culturally acceptable and sensitive to Native
American women and are likely to overcome barriers to early detection
technology.

e.  Evidence of qualifications, training, and competency of key
personnel who have experience in the conduct of cancer prevention and
control intervention studies.

f.  Evaluation plans should be appropriate for the interventions,
feasible, comprehensive and culturally acceptable to Native American
populations.

Review Criteria for Option B:  Risk Factors

In addition to the generic review criteria, applications that focus
on Option B will be judged on the following criteria:

a.  Demonstrated ability to recruit study populations of sufficient
size to generate conclusions and generalizations to other similar
groups when feasible (e.g., include power statistic calculations when
feasible).

b.  Documentation of cancer-related risk factors that are prevalent
for the selected group of Native American women should be explained.

c.  Demonstrated originality of the research design, illustrated
appropriateness of control population, and inclusion of risk
reduction or health promotion interventions that are culturally
acceptable and sensitive to Native American women and are likely to
reduce cancer risk behaviors.

d.  Evidence of qualifications, training, and competency of key
personnel who have experience in the conduct of cancer prevention and
control intervention studies.

e.  Documentation of the appropriateness of the evaluation plans for
the interventions, feasible, comprehensive and culturally acceptable
to Native American populations.

Review Criteria for Option C:  Research Capacity Development

In addition to the generic review criteria, applications that focus
on Option C will be judged on the following criteria:

a.  Clarification and inclusion of the Research Capacity Development
workshops' content, schedule, logistics, organization, and
implementation plan(s).

b.  Specification of participant selection criteria.

c.  Demonstrated ability to recruit interested educated indigenous
women as workshop participants; justification of the number of
participants to be recruited to each workshop.

d.  Documentation of the Research Capacity Development Workshops'
evaluation plan; inclusion of a description of how the workshops are
evaluated and how the participants' increased research skills are to
be assessed.

e.  Clarification regarding the types of materials and resources that
are to be provided to the participants.

f.  Clarification of the types of technical assistance that are to be
provided to the participants.

g.  Evidence of qualifications, training, and competency of the
workshops' faculty; the inclusion of qualified indigenous people
and/or people who have conducted Native American research.

AWARD CRITERIA

The anticipated date of award is May 1, 1994. NAWCI studies are
envisioned as taking place in four or five different geographic
regions of the United States.  Geographic regions may or may not be
represented by groups from Alaska, Hawaii, and/or American Samoa.
Whether Alaska, Hawaii, and/or American Samoa are or are not
represented every attempt will be made to provide regional
representation with the other states.

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 and address the letter of intent to:

Linda Burhansstipanov, Dr.P.H.
Division of Cancer Prevention and Control
National Cancer Institute
Executive Plaza North, Room 240
Bethesda, MD  20892
Telephone:  (301) 496-8589

Direct inquiries regarding fiscal issues to:

Eileen Natoli
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 243
Bethesda, MD  20892
Telephone:  (301) 496-7800 Ext. 56

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.399 Cancer Control.  Awards are made under the
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 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.

REFERENCES

Becker, T.M., C.M. Wheeler, N.S. McGough, S.W. Jordan, M. Dorin, J.
Miller, Cervical Papillomavirus Infection and Cervical Dysplasia in
Hispanic, Native American, and non-Hispanic White Women in New
Mexico, Epidemiology 1991.

DHHS, PHS, IHS, Cancer Mortality among Native Americans in the United
States: Regional Differences in Indian Health, 1984-1988; Trends Over
Time, 1968-1987. Washington, D.C. 1992. [DHHS Publication number
pending; to obtain copy of publication, contact Roberta Paisano,
505/766-5557]

DHHS, PHS, IHS, Indian Women's Health Care Consensus Statement: IHS
Round Table Meeting January 1991. Rockville, MD 1991.

DHHS, PHS, NIH, NCI, DCPC, Report of the Special Action Committee
1992: Program Initiatives Related to Minorities, the Underserved, and
Persons Aged 65 and Over. Bethesda, MD, 1992. [to obtain a copy of
publication, contact Judith Swan, 301/496-1071]

DHHS, PHS, IHS, Trends in Indian Health. Rockville, MD, 1992.

Network for Cancer Control Research among American Indian and Alaska
Native Populations, A National Strategic Plan for Cancer Prevention
and Control to Benefit the Overall Health of American Indians and
Alaska Natives, October 1992. [to obtain a copy, contact
Burhansstipanov at 301/496-8589]

Nutting, P. A. and W. L. Freeman, S. G. Helgerson, D. R. Risser,
Cancer in American Indians and Alaska Natives. American Journal of
Public Health. (paper accepted for publication) [to obtain copy of
the article, contact Wm. Freeman, 602/295-2500]

O'Brien, M., J. Vanek, and L. Welper, Urban Indian Health Comparative
Analysis Report. American Indian Health Care Association, 1991.

From owner-sci-resources@net.bio.net Sun Jun 27 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 23, pt. 1, 25 June 1993
Message-ID: <Jun.28.13.01.44.1993.15756@net.bio.net>
Date: 28 Jun 93 20:01:45 GMT
Sender: kristoff@net.bio.net
Lines: 1388
Approved: biosci-moderator@net.bio.net

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 19930625 V22N23 P1O1 ************************************
X-comment: RFAs described: AG-94-001

NIH GUIDE - Vol. 22, No. 23 - June 25, 1993

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

                               NOTICES

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

FINAL FINDINGS OF SCIENTIFIC MISCONDUCT
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

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

MINORITY ACCESS TO RESEARCH CAREERS PROGRAM
National Institute of Mental Health
National Institute of Alcohol Abuse and Alcoholism
National Institute on Drug Abuse
INDEX:  MENTAL HEALTH; ALCOHOL ABUSE, ALCOHOLISM, DRUG ABUSE

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

ISCHEMIC HEART DISEASE, SUDDEN CARDIAC DEATH, HEART FAILURE (RFA HL-
93-06-H)
National Heart, Lung, and Blood Institute
INDEX:  HEART, LUNG, BLOOD

$$INDEX N4 **********************************************************

NATIONAL ANIMAL WELFARE EDUCATION WORKSHOPS
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$INDEX R1 **********************************************************

LARGE SCALE PRODUCTION OF 17APLHA-ACETOXY-11BETA-
(4-N,N-DIMETHYLAMINOPHENYL)-19-NORPREGNA-4,9-DIENE-3,20-DIONE
National Institute of Child Health and Human Development
INDEX:  CHILD HEALTH, HUMAN DEVELOPMENT

$$INDEX R2 12/09/93 *************************************************

CLAUDE D. PEPPER OLDER AMERICANS INDEPENDENCE CENTERS (RFA AG-94-001)
National Institute on Aging
INDEX:  AGING

                    ONGOING PROGRAM ANNOUNCEMENTS

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

RESEARCH AND DEMONSTRATION GRANTS RELATING TO OCCUPATIONAL SAFETY AND
HEALTH (PA-93-097)
National Institute for Occupational Safety and Health
INDEX:  OCCUPATIONAL SAFETY, HEALTH

This publication is also available electronically to institutions via
BITNET or INTERNET.  Alternative access is through the NIH Grant Line
using a personal computer (data line 301/402-2221).  Contact Dr. John
James at 301/594-7270 for details.

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

                               NOTICES

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

FINAL FINDINGS OF SCIENTIFIC MISCONDUCT

NIH GUIDE, Volume 22, Number 23, June 25, 1993

P.T. 34; K.W. 1014004

National Institutes of Health

The Office of Research Integrity (ORI) has begun publication of final
findings of scientific misconduct involving Public Health Service
research.  This information will assist in correcting the scientific
literature, will serve an educational and deterrent purpose, and will
assist institutional officials in making informed decisions affecting
their institution.  Fourteen cases that have been closed since the
ORI was established on May 29, 1992 have been published in the
Federal Register (58FR33830, June 21, 1993).

To ensure that officials of institutions receiving Public Health
Service research funds, or applying for such funds, are made aware of
these findings of scientific misconduct, this information is also
being published in the NIH Guide for Grants and Contracts.  Future
cases will be published in the Federal Register and the NIH Guide
individually as cases are closed.

Final findings of scientific misconduct have been made in the
following cases:

James H. Freisheim, Ph.D., Medical College of Ohio.  An inquiry and
an investigation conducted by the University found that Dr. Freisheim
had submitted a research grant application to the National Institutes
of Health which contained substantial portions plagiarized from
another scientist's grant application.  Dr. Freisheim had served as
an assigned reviewer of the other scientist's application when it was
reviewed about two years earlier by an NIH Study Section.  During the
inquiry, Dr. Freisheim produced a handwritten draft of the
plagiarized material that he claimed he had written before the other
scientist had submitted his grant application, and that therefore the
other scientist had plagiarized Dr. Freisheim's work.  The
investigation reviewed the handwritten draft and concluded that it
had been written much later than purported by Dr. Freisheim, possibly
during the inquiry to establish the basis for his defense.  The
investigation also concluded that Dr. Freisheim had plagiarized
material for two post-doctoral fellowship applications to the NIH.
The ORI concurred in the University's findings, and Dr. Freisheim has
been debarred from receiving Federal grant or contract funds for a
period of three years beginning May 5, 1993.  He has also been
required, for a ten year period beginning May 5, 1993, to certify
that future applications for research support submitted to the PHS
are his own work, and he has been prohibited from serving on PHS
Advisory Committees or review groups for the same period.

Judy Guffee, University of Miami.  An investigation conducted by the
University found that Ms. Guffee had fabricated data in a research
project that was supported by a grant from the National Institutes of
Health.  Ms. Guffee admitted to falsifying the labeling of solutions
alleged to contain polyclonal antiserum, when in fact she filled the
tubes with fetal calf serum.  The investigation concluded that this
was done to hide the fact that the animal preparation used to
generate the polyclonal antiserum had died before large quantities of
antiserum could be produced.  Records indicating collection of large
quantities of serum from the animal over a two-year period were also
fabricated.  ORI concurred in the University's finding and has
required, for a five year period beginning January 7, 1993, that she
and the institution submit a certification with any PHS fellowship or
grant application or contract proposal prepared by her attesting to
the accuracy of the statements therein.

Raymond J. Ivatt, Ph.D., Cetus Corporation, Emeryville, CA.  An
investigation conducted by the Corporation found that Dr. Ivatt
falsified progress reports in a research project grant supported by
the National Institutes of Health.  Dr. Ivatt reported progress from
an earlier budget period, claiming that the work had been done during
the period for which current funds were awarded.  The ORI concurred
with the Corporation's findings and has required that applications
for PHS research support and reports of PHS sponsored research
involving Dr. Ivatt be reviewed and certified by the sponsoring
institution for the reliability and accuracy of the application,
contract proposal, or report.  Dr. Ivatt is also prohibited from
serving on PHS Advisory Committees, boards, or peer review groups.
These actions are effective for 3 years beginning February 28, 1993.

Mark M. Kowalski, M.D., Ph.D., Dana Farber Cancer Institute and
Harvard University.  An investigation conducted by the Institute
found that Dr. Kowalski had plagiarized a complete grant application
and submitted it to the National Institutes of Health.  He copied the
previously funded grant application of his former mentor and
submitted it as his own work.  The ORI concurred in the Institute's
finding and has required that, for any PHS application, proposal or
report prepared by Dr. Kowalski, a signed affirmation be submitted
that all material is entirely his own work or accurately attributed
to others.  In addition, he has been prohibited by the ORI from
serving on Public Health Service Advisory Committees, Boards, or
review groups.  These actions became effective January 6, 1993 for a
three year period.

Paul F. Langlois, D.Sc.N., Laboratory of Clinical Investigation,
National Institute of Allergy and Infectious Diseases.  An inquiry by
the NIAID and a subsequent investigation conducted by the former
Office of Scientific Integrity at the National Institutes of Health
concluded that Dr. Langlois, a former post-doctoral fellow in the
laboratory, had falsified and fabricated data in immunological
research.  Dr. Langlois presented to his supervisor computer
printouts and graphs for which primary data did not exist.  Dr.
Langlois admitted to fabricating the data.  Dr. Langlois also
admitted to manipulating the reagents used by other laboratory
personnel in efforts to replicate his findings, spiking them with
radioactive antibody to show positive results. The Public Health
Service recommended that Dr. Langlois be debarred from receiving
Federal grant or contract funds for a three year period, and that he
be prohibited from serving on PHS Advisory Committees, Boards, or
peer review groups for three years.  Dr. Langlois appealed the term
of the proposed debarment to a Research Integrity Adjudications Panel
of the HHS Departmental Appeals Board, but the Panel upheld the PHS
recommendation.  Accordingly, Dr. Langlois has been debarred for
three years beginning May 12, 1993, and is prohibited from serving on
PHS Advisory Committees, Boards, or peer review groups for the same
period. The fabricated and falsified data was never published in the
scientific literature.

Tian-Shing Lee, M.D., Joslin Diabetes Center, Harvard Medical School.
An investigation conducted by Harvard found that Dr. Lee, a former
post-doctoral fellow at the Joslin Diabetes Center, fabricated and
falsified data in research on diabetes supported by the National Eye
Institute.  Primary data was missing for almost half of the figures
and tables in a series of published papers and manuscripts prepared
by Dr. Lee.  Many instances of data fabrication and falsification
were found, including presenting data for cell counts that were never
performed, indicating that multiple data points were determined when
in fact only a single data point was obtained, eliminating the
highest or lowest values in sets of experimental readings, alteration
or transposition of data to achieve a desired experimental result,
and misrepresentation of the time intervals at which data was
collected.  The Office of Research Integrity concurred in the
University's findings.  Dr. Lee has been debarred from receiving
Federal grants or contracts and is prohibited from serving on Public
Health Service Advisory Committees, Boards, or peer review groups for
a five year period beginning April 18, 1993.  Harvard University
notified the four scientific journals which had published papers
containing data fabricated or falsified by Dr. Lee that the papers
should be retracted.  These papers are: "Differential regulation of
protein kinase C and (Na,K)-adenosine triphosphatase activities by
elevated glucose level in retinal capillary endothelial cell" Journal
of Clinical Investigation, 83: 90-94, 1989; "Endothelin stimulates a
sustained 1,2-diacylglycerool increase and protein kinase C
activation in bovine aortic smooth muscle cells" Biochemical and
Biophysical Research Communications, 162: 381-386, 1989: "Activation
of protein kinase C by elevation of glucose concentration: Proposal
for a mechanism in the development of diabetic vascular
complications" Proceedings of the National Academy of Sciences, 86:
5141-5145, 1989; and "Characterization of endothelin receptors and
effects of endothelin on diacylglycerol and protein kinase C in
retinal capillary pericytes" Diabetes, 38: 1642-1646, 1989.

Anthony A. Paparo, Ph.D., Southern Illinois University.  An
investigation conducted by the University found that Dr. Paparo had
falsified data in publications citing support by a grant from the
National Institutes of Health.  He used the same micrograph in two
papers, while stating that the micrographs had been obtained from two
different biological species of mussel.  Multiple instances were
found of other such falsification of micrographs and radioisotope
data in published scientific articles which were not supported by the
PHS.  The ORI concurred in the University's finding and has
prohibited Dr. Paparo from serving on Public Health Service Advisory
Committees, Boards, or review groups for a three year period.  He has
also been debarred from receiving Federal grants or contracts for
three years, effective April 5, 1993.  The two published papers which
cited PHS support are: "The effect of STH and 6-OH-DOPA on the SEM of
the branchial nerve and visceral ganglion of the bivalve Elliptio
companata as it relates to ciliary activity" Comparative Biochemistry
and Physiology, 51: 169-173, 1975; "The effect of STH on the SEM and
frequency response of the branchial nerve in Mytilus Edulis as it
relates to ciliary activity" Comparative Biochemistry and Physiology,
51: 165-168, 1975.  The University has notified the editor of this
journal, and the editors of other journals in which Dr. Paparo
published, about the problems identified in the investigation.

Leo A. Paquette, Ph.D., Ohio State University.  An investigation
conducted by the University found that Dr. Paquette had submitted a
grant application to the National Institutes of Health in which
sections of the research design were plagiarized from an unfunded
grant application written by another scientist.  Dr. Paquette had
received the other scientist's application in confidence as a peer
reviewer for the NIH.  Dr. Paquette claimed that inclusion of the
other scientist's text was inadvertent; he said that he had given the
other scientist's application to a postdoctoral fellow, whom Dr.
Paquette refused to name, for an educational exercise, and that text
had somehow been inadvertently used in his own application.  The ORI
concurred in the University's finding of misconduct.  Dr. Paquette
stated that he was accepting full responsibility for this occurrence.
The ORI has required institutional certification of proper
attribution in any future grant proposals to the PHS from Dr.
Paquette and has prohibited him from serving on Public Health Service
Advisory Committees, Boards, or review groups.  These actions are
effective for a ten year period beginning December 31, 1992.

Roger Poisson, M.D., St. Luc Hospital, Montreal, Canada.  An
investigation conducted by the Division of Research Investigations of
the ORI found that Dr. Poisson had fabricated and falsified research
data in clinical trials supported by a cooperative agreement from the
National Institutes of Health.  Dr. Poisson fabricated or falsified
data related to laboratory tests and dates of procedures in 115
separate instances dating from 1977 through 1990.  The ORI has
prohibited Dr. Poisson from serving on Public Health Advisory
Committees, Boards, or review groups for an eight year period.  Dr.
Poisson has also been debarred from receiving Federal grants or
contracts for an eight year period.  These actions became effective
March 30, 1993.  The National Cancer Institute cooperative clinical
trials group which sponsored the clinical trials, the National
Surgical Adjuvant Breast and Bowel Project (NSABP), plans to publish
corrected analyses of affected studies.

Sheela Ramasubban, University of Houston.  An investigation conducted
by the University found that Ms. Ramasubban, a former Master's degree
student in the Department of Biochemical and Biophysical Sciences,
falsified and fabricated data in research on the biochemical basis of
rhythmic behaviors, supported by a grant from the National Institute
of Mental Health.  Ms. Ramasubban admitted to the investigation
committee that she had altered the data in her notebooks and
fabricated data in a number of instances.  A hearing conducted by the
University upheld the investigative findings of scientific
misconduct.  The ORI concurred in the University's findings, and Ms.
Ramasubban has been debarred from eligibility for and involvement in
Federal grants and contracts for a three-year period beginning May
18, 1993.  Ms. Ramasubban has also been required to provide special
certification for the accuracy and reliability of any PHS research
fellowship application or contract proposal for a three-year period
beginning December 1, 1992.  The falsified and fabricated data did
not appear in any scientific publications.

Mitchell H. Rosner, National Cancer Institute.  An inquiry conducted
by the National Cancer Institute (NCI) and a subsequent investigation
conducted by the Office of Research Integrity (ORI) found that Mr.
Rosner, a Howard Hughes Medical Institute-NIH Scholar in residence at
the NCI, falsified research on embryonic development in mice.  Mr.
Rosner diluted control samples that were injected into mouse germ
cells so that the control material would have a different effect on
embryonic development from the experimental samples.  The results of
these experiments were published in the journal Cell, demonstrating
that a certain regulatory protein was essential for normal embryonic
development.  In later efforts by Mr. Rosner's collaborators and
supervisors to replicate the original findings, Mr. Rosner again
diluted control samples before their injection into mouse germ cells,
in order to obtain the previous results.  Mr. Rosner admitted to
these acts of falsification, and has signed an agreement with the
Office of Research Integrity that he will exclude himself for a five
year period beginning April 1, 1992 from any Federal grants or
contracts, and from serving on any Public Health Service advisory
committees. The publication containing the falsified results (Cell,
64: 1103-1110, 1991) has been retracted by a notice in Cell, 69: 724,
1992.

Craig T. Shelley, M.D., University of Tennessee at Memphis.  Dr.
Shelley was a neurosurgical resident at the University of Tennessee
and a former resident fellow at the National Institute of
Neurological Disorders and Stroke, National Institutes of Health.
The University of Tennessee conducted an inquiry into allegations
that Dr. Shelley had fabricated and falsified data in research on
brain tumors.  A followup investigation by the former Office of
Scientific Integrity (OSI) confirmed that Dr. Shelley had altered an
autoradiographic slide so that data from a single tumor were made to
look as though several tumors were tested.  Dr. Shelley admitted to
falsifying the slide and falsely reporting the source of a clonal
cell line.  He also admitted that he had created other data by
improperly selecting tissues so the results presented would support
his hypothesis.  The Office of Research Integrity concurred in the
University's findings and the OSI findings, and has prohibited Dr.
Shelley from serving on Public Health Service advisory or review
committees for a three year period beginning October 10, 1992.  Dr.
Shelley was also debarred from receiving Federal grants or contracts
for a three year period, beginning April 7, 1993.  The fabricated and
falsified data did not appear in any publications.

Michael A. Sherer, M.D., Addiction Research Center (ARC), National
Institute on Drug Abuse.  An investigation conducted by the former
Office of Scientific Integrity found that Dr. Sherer had falsified
the nature, quality and methodology for data collection and
behavioral ratings as well as the descriptions in two publications
arising from research at the ARC in 1989.  The ORI has required
institutional certification of the reliability of the proposed
research and the underlying data for any future PHS grant
applications and publications submitted by Dr. Sherer, and
notification of the advisory council of the funding agency reviewing
such applications about the finding of scientific misconduct.  Dr.
Sherer has also been prohibited from serving on Public Health Service
Advisory Committees, Boards, or review groups.  These actions are
effective for a three year period, beginning November 9, 1992.  Dr.
Sherer has also been required to submit a letter of retraction for
the article "Suspiciousness induced by four-hour intravenous
infusions of cocaine", Archives of General Psychiatry, 45: 673-677,
1988, and a letter of correction for the article "Intravenous
cocaine: Psychiatric effects", Biological Psychiatry, 24: 865-885,
1988.

Raphael B. Stricker, M.D., University of California at San Francisco.
An investigation conducted by the University found that Dr. Stricker
falsified data for a manuscript and a PHS-supported publication
reporting research on AIDS.  In the manuscript, Dr. Stricker
selectively suppressed data that did not support his hypothesis, and
reported consistently positive data whereas only one of four
experiments had produced positive results.  In the publication, Dr.
Stricker reported that an antibody was found in 29 of 30 homosexuals,
but not found in non-homosexuals.  However, Dr. Stricker's control
data, which he suppressed, showed the antibody in 33 of 65 non-
homosexuals.  The falsified data was used as the basis for a grant
application to the National Institutes of Health.  The ORI concurred
in the University's finding.  Dr. Stricker executed a Voluntary
Exclusion and Settlement Agreement in which he has agreed not to
apply for Federal grant or contract funds and will not serve on PHS
advisory committees, boards or peer review groups for a three year
period beginning April 1, 1993.  The publication "Target platelet
antigen in homosexual men with immune thrombocytopenia" in the New
England Journal of Medicine, 313: 1315-1380, 1985 has been retracted
(New England Journal of Medicine, 325: 1487,1991).

INQUIRIES

The Office of Research Integrity will continue to publish findings of
scientific misconduct as further cases are closed.  For further
information, contact:

Director, Division of Research Investigations
Office of Research Integrity
Telephone:  (301) 443-5330

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

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

MINORITY ACCESS TO RESEARCH CAREERS PROGRAM

NIH GUIDE, Volume 22, Number 23, June 25, 1993

P.T. 34; K.W. 1014006

National Institute of Mental Health
National Institute of Alcohol Abuse and Alcoholism
National Institute on Drug Abuse

The Program Announcement "Minority Access to Research Careers Program
(MARC)" was published by the Alcohol, Drug Abuse, and Mental Health
Administration (ADAMHA) in 1987 and has been supported by the three
former ADAMHA institutes, the National Institute of Mental Health
(NIMH), the National Institute of Alcohol Abuse and Alcoholism
(NIAAA), and the National Institute on Drug Abuse (NIDA).  The MARC
program at the National Institutes of Health (NIH) has been
administered primarily by the National Institute of General Medical
Sciences (NIGMS) and the NIH institutes have provided funding for
appropriate subprojects within the MARC programs.

The merger of the ADAMHA institutes with the NIH has led to a
reorganization of the MARC programs.  The NIMH will continue and
develop the formerly ADAMHA MARC program in the area of mental
health.  The NIDA and NIAAA will participate in the NIH MARC program
administered by NIGMS.  The NIDA and NIAAA will honor commitments for
continuation of awards made under the former ADAMHA MARC prior to
October 1, 1992, but will no longer accept assignment of applications
submitted to that program.

INQUIRIES

For information regarding the NIH MARC program, contact:

Timothy P. Condon, Ph.D.
Associate Director for Science, OSPEL
National Institute on Drug Abuse
Parklawn Building, Room 10A55
Rockville, MD  20857
Telephone:  (301) 443-6071

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

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

ISCHEMIC HEART DISEASE, SUDDEN CARDIAC DEATH, HEART FAILURE

NIH GUIDE, Volume 22, Number 23, June 25, 1993

RFA:  HL-93-06-H

P.T. 04; K.W. 0715040, 0755030, 0765035, 0710030, 0745020, 0745027

National Heart, Lung, and Blood Institute

Two changes have been made to this announcement.  The first change
relates to the number of applications that an institution may submit
in response to the RFA.  The Institute will accept more than one
application in a given area from one institution, provided that:

o  There is a different SCOR Principal Investigator for each
application.
o  Each application is self contained, i.e., independent from the
other(s).  This would not preclude whatever cooperation is planned or
possible among SCOR participants after awards are made.  Overlap and
duplication among applications will not be accepted.

Applicants considering this possibility for this SCOR program are
advised to discuss the matter with the program administrator, Dr.
Constance Weinstein (301-496-1081).

The second change relates to the $1,000,000 limitation of direct
costs requested for an application.  Because the grants in this
program will be awarded in fiscal year 1995, it was recognized that
some adjustment should be made for the cost of inflation, albeit
modest, that has occurred since this limit was announced.
Accordingly, the limit of the direct costs that may be requested in
an application is changed to $1,080,000.

INQUIRIES

Inquiries regarding this addendum may be directed to:

Dr. Constance Weinstein
Division of Heart and Vascular Diseases
National Heart, Lung, and Blood Institute
Federal Building, Room 3C06
Bethesda, MD  20892
Telephone:  (301) 496-1081
FAX:  (301) 480-6282

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

$$N4 BEGIN **********************************************************

NATIONAL ANIMAL WELFARE EDUCATION WORKSHOPS

NIH GUIDE, Volume 22, Number 23, June 25, 1993

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 other institutional staff who have
responsibility for high-quality management of sound institutional
animal care and use programs.  Ample opportunities will be provided
to exchange ideas and interests, through question and answer sessions
and informal discussions.

SOUTHWESTERN REGION

DATES:  September 27-29, 1993

LOCATION
Oklahoma City Hilton Northwest
2945 N.W. Expressway
Oklahoma City, OK  73112
Telephone:  1-800-445-8667
FAX:  (405) 842-4328

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
Oklahoma City, OK  73190
Telephone:  (405) 271-5185
FAX:  (405) 271-3032

FEE:  $140; Graduate Students and Post-Docs $90.00

TOPIC:  THE PRESENT AND FUTURE USE OF FARM ANIMALS IN BIOMEDICAL
RESEARCH AND EDUCATION

SOUTHEASTERN WORKSHOP

DATES:  December 2-3, 1993

LOCATION
The Monteleone Hotel
214  Rue Royale
New Orleans, LA  70140
Telephone:  1-800-535-9595
FAX:  (504) 528-1019

SPONSORS
Louisiana State University Medical Center
Xavier University of Louisiana

REGISTRATION:
Ms. Melinda O. Rapp
Division of Animal Care
Louisiana State University Medical Center
1542 Tulane Avenue
New Orleans, LA  70112
Telephone:  (504) 568-6090
FAX:  (504) 568-4843

TOPIC:  TBA

INQUIRIES

For further information concerning these workshops and future
NIH/OPRR Animal Welfare Education workshops, contact:

Ms. Roberta Sonneborn
Office for Protection from Research Risks
National Institutes of Health
Building 31, Room 5B59
Bethesda, MD  20892
Telephone:  (301) 496-7163
FAX:  (301) 402-2803

$$N4 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$R1 BEGIN XX-XX-XXX ************************************************

LARGE SCALE PRODUCTION OF 17APLHA-ACETOXY-11BETA-
(4-N,N-DIMETHYLAMINOPHENYL)-19-NORPREGNA-4,9-DIENE- 3,20-DIONE

NIH GUIDE, Volume 22, Number 23, June 25, 1993

SOURCES SOUGHT ANNOUNCEMENT

P.T. 34; K.W. 0750020, 1003006, 1003012

National Institute of Child Health and Human Development

The Contraceptive Development Branch, National Institute of Child
Health and Human Development (NICHD), seeks sources for pilot scale
production of 2 kilograms of
17alpha-acetoxy-11beta-(4-N,N-dimethylaminophenyl)- 19-norpregna-4,
9-diene-3,20-dione under Good Manufacturing Practices (GMP).  The
pilot scale plant facilities also must meet and comply with
requirements of the Occupational Safety and Health Administration
(OSHA).  The chemical purity of the final product must be greater
than or equal to 95 percent.  The synthetic scheme for the lead
compound, which involves 11 steps starting from estrone in a
laboratory scale, will be available immediately upon written request.

This is a sources sought announcement to determine whether or not
there are sources with the requisite qualifications to perform the
work described above.  Interested organizations may submit, within 30
days from the date of this announcement, time estimates for
furnishing 2 kilograms of material as well as a specific description
of their capability, including currently available pilot plant
facilitates with GMP approval.  The statement of capabilities may be
sent to:

Paul J. Duska, Contracting Officer
Contracts Management Branch, OGC
National Institute of Child Health and Human Development
Building 6100, Room 7A07
Bethesda, MD  20892

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

$$R2 BEGIN AG-94-001 FULL-TEXT **************************************

CLAUDE D. PEPPER OLDER AMERICANS INDEPENDENCE CENTERS

NIH GUIDE, Volume 22, Number 23, June 25, 1993

RFA AVAILABLE:  AG-94-001

P.T. 34; K.W. 0710010, 1002030, 0404000, 0745027, 0745035, 0745070

National Institute on Aging

Letter of Intent Receipt Date:  October 1, 1993
Application Receipt Date:  December 9, 1993

THE REQUEST FOR APPLICATIONS (RFA) ANNOUNCED N 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 on Aging (NIA) invites applications for
support of Claude D. Pepper Older Americans Independence Centers
(OAICs).  The purpose of these centers is to increase independence in
older Americans.  OAICs will provide support for research to develop
and test clinical interventions, and core laboratories in the basic
sciences.  OAICs will also train individuals in research approaches
to develop and test methods of maintaining and increasing
independence, and enhance expertise in aging research through the
provision of training in the relevant fundamental scientific
disciplines.  They will conduct demonstration projects and
information dissemination concerning the applications of such
research.  Centers should promote linkages between mechanistic and
outcome research and thereby foster the capacity of new investigators
to develop better clinical treatments and preventive approaches.  It
is recognized that the balance between support devoted to
intervention studies and fundamental science will differ among
Centers to take advantage of areas of strength in geriatric and
gerontologic research available at different institutions.  In those
instances where applications request significant core resources to
enhance ongoing projects, the number and quality of externally funded
peer-reviewed studies will be of special importance.

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,
Claude D. Pepper Older Americans Independence Centers, is related to
the priority area of chronic disabling conditions.  Potential
applicants may obtain a copy of "Healthy People 2000" (Full Report:
Stock No.017-001-00473-1) 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

Only U.S. organizations are eligible to apply.  Applications may be
submitted by 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 with Program Directors who are
minority individuals and/or women are encouraged.

MECHANISM OF SUPPORT

Older Americans Independence Centers will be supported through
National Institutes Of Health comprehensive center grants (P60).  The
total costs (direct plus indirect) requested per application for the
first year may not exceed $1,100,000.

FUNDS AVAILABLE

Plans are to make up to two awards, new and/or competing renewal
depending upon availability of funds.  Up to $2.2 million (total
cost) for first-year expenses, and additional approved expenses for
up to five years, will be committed in Fiscal Year 1994 to fund
applications submitted in response to this RFA, subject to receipt of
high-quality applications, and availability of funds.  Budget
increments for subsequent years generally will be limited to no more
than one percent.

RESEARCH OBJECTIVES

OAICs may support a broad range of geriatric and aging research.
However, applications with a predominant focus in neuroscience or the
behavioral and social sciences are more appropriate for other NIA
centers programs with a primary focus in these disciplines.  OAICs
will support:

Intervention Studies/Intervention Development Studies

At least one Intervention Study or Intervention Development Study
utilizing human subjects must be eligible for funding following peer
review.

Proposed Intervention Studies must test efficacy of interventions to
prevent or ameliorate functional impairments contributing to loss of
independence.  Each proposed intervention study should also include
planned investigations of mechanisms underlying the intervention's
effects (or lack of effects) on functional status, factors affecting
recruitment into the study and participants' compliance once in it,
and cost-effectiveness and effects on health care utilization of the
intervention(s) tested.

Examples of study topics include:  interventions to prevent or reduce
frailty and physical performance disabilities, and/or comorbidity
associated with these conditions, to reduce risk of disabling events
such as hip fractures and strokes and impairments following these
events; disabling side effects from medication use; temporary
disability from exacerbation or complications of chronic diseases of
older persons; disabling sequelae of menopause and associated
estrogen deficiency; and combined intervention strategies to prevent
or ameliorate disabilities in older persons with multiple
impairments.

Intervention Development Studies will identify, develop, or refine
potential interventions to preserve or increase independence.  Types
of studies include preliminary tests of therapies to test their
effects on physiologic factors known to affect functional status and
studies to identify or confirm reversible or preventible risk factors
for disability and/or disabling events.  Large-scale epidemiologic
studies are outside the scope of this RFA.

Research Resources Cores

Applicants may request core resource support to enhance the quality
of OAIC research projects, i.e., Intervention Studies, Intervention
Development Studies, and Pilot Research Projects.  Independently
funded research projects may also utilize core support where the
research is appropriate to the mission of the OAIC.

Research Development Core

This core will provide salary and other support for junior faculty
and research associates to acquire abilities in all phases of
research to develop interventions to enhance independence, including
clinical trials, studies of mechanisms of treatment response, and
cost-effectiveness/health care utilization studies.  It may also
support training in the fundamental sciences as they relate to aging
research and the enhancement of independence.  The Research
Development Core will also support pilot research projects on topics
related to the activities of the OAIC.

Demonstration and Information Dissemination Projects

OAICs must include activities to translate findings from their
research into health care practice.

Leadership/Administrative Core

Applicants may request funds for the OAIC Director, OAIC
Administrator, and support staff.  The OAIC Director should be a
scientist who can provide effective administrative and scientific
leadership and coordination with OAIC Intervention Studies.  An OAIC
Administrator, who will assist the Director in managing the Center,
addressing issues of fiscal management and compliance with
institutional, PHS, NIH, and NIA policies, should be identified.

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 October 1, 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 allows
NIA 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. Stanley L. Slater at
address listed under INQUIRIES.

APPLICATION PROCEDURES

The applicant is to submit the application using PHS 398 (rev. 9/91),
following the OAIC (P60) Guidelines.  These Guidelines and a copy of
the RFA may be requested from the program staff listed under
INQUIRIES.  Application kits containing this form and the necessary
general instructions are available in 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
301/594-7248.

On item 2a of the face page of the application, applicants must
enter:  NIA RFA--Claude Pepper Older Americans Independence Center,
AG-94-001.  The RFA label available in the application form PHS 398
must be affixed to the bottom of the face page and placed on top of
the entire package.  Failure to use this label could result in
delayed processing of the application and prevent it from reaching
the review committee in time for review.  Please note that special
OAIC Guidelines mentioned above should be used to complete the
application.  The NIA recommends that the application be developed in
consultation with program staff.

REVIEW CONSIDERATIONS

Applications will be received by the NIH Division of Research Grants
and assigned to NIA.  Responsive applications will be assigned to a
special institute review group for review.  Customary scientific
review criteria will be applied, including significance of the
research project to the goals of the RFA.

INQUIRIES

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

Direct requests for the RFA and OAIC guidelines, inquiries regarding
programmatic issues and address the letter of intent to:

Stanley L. Slater, M.D.
Geriatrics Program
National Institute on Aging
Gateway Building, Room 3E-327
Bethesda, MD  20892
Telephone:  (301) 496-6761

Direct inquiries regarding fiscal matters to:

Margaret Kuhn
Grants Management Office
National Institute on Aging
Gateway Building, Room 2N-212
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 412 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.

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

                    ONGOING PROGRAM ANNOUNCEMENTS

$$P1 BEGIN PA-93-097 ************************************************

RESEARCH AND DEMONSTRATION GRANTS RELATING TO OCCUPATIONAL SAFETY AND
HEALTH

NIH GUIDE, Volume 22, Number 23, June 25, 1993

PA NUMBER:  PA-93-097

P.T. 34; K.W. 0725020, 0795000

National Institute for Occupational Safety and Health

PURPOSE

The Centers for Disease Control and Prevention (CDC), National
Institute for Occupational Safety and Health (NIOSH), is soliciting
grant applications for research and demonstration projects relating
to occupational safety and health.

The purpose of this grant program is to develop knowledge that can be
used in preventing occupational diseases and injuries.  NIOSH will
support the following types of applied research projects: causal
research to identify and investigate the relationships between
hazardous working conditions and associated occupational diseases and
injuries; methods research to develop more sensitive means of
evaluating hazards at work sites, as well as methods for measuring
early markers of adverse health effects and injuries; control
research to develop new protective equipment, engineering control
technology, and work practices to reduce the risks of occupational
hazards; and demonstrations to evaluate the technical feasibility or
application of a new or improved occupational safety and health
procedure, method, technique, or system.

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, Research and Demonstration Grants Relating to
Occupational Safety and Health, is related to the priority area
occupational safety and health.  Potential applicants may obtain a
copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0) or "Health 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

Eligible applicants include domestic and foreign non-profit and
for-profit organizations, universities, colleges, research
institutions, and other public and private organizations, including
State and local governments and small, minority and/or woman-owned
businesses.

MECHANISMS OF SUPPORT

The types of grants NIOSH supports are described below.  Applications
responding to this announcement will be reviewed by staff for their
responsiveness to the following program requirements.  Grants are
funded for 12-month budget periods in project periods up to five
years for research project grants and demonstration project grants;
three years for SERCA grants; and up to two years for small grants.
Continuation awards within the project period are made on the basis
of satisfactory progress and on the availability of funds.

Research Project Grants (R01)

A research project grant application should be designed to establish,
discover, develop, elucidate, or confirm information relating to
occupational safety and health, including innovative methods,
techniques, and approaches for dealing with occupational safety and
health problems.  These studies may generate information that is
readily available to solve problems or contribute to a better
understanding of underlying causes of diseases and injuries.

Demonstration Project Grants (R18)

A demonstration project grant application should address, either on a
pilot or full-scale basis, the technical or economic feasibility of
implementing a new/improved innovative procedure, method, technique,
or system for preventing occupational safety or health problems.  The
project should be conducted in an actual workplace where a baseline
measure of the occupational problem will be defined, the new/improved
approach will be implemented, a follow-up measure of the problem will
be documented, and an evaluation of the benefits will be conducted.

Special Emphasis Research Career Award (SERCA) Grants (K01)

The SERCA grant is intended to provide opportunities for individuals
to acquire experience and skills essential to the study of
work-related hazards, and in so doing create a pool of highly
qualified investigators who can make future contributions to research
in the area of occupational safety and health.  SERCA grants are not
intended either for individuals without research experience or for
productive, independent investigators with a significant number of
publications and of senior academic rank.  Moreover, the award is not
intended to substitute one source of salary support for another for
an individual who is already conducting full-time research; nor is it
intended to be a mechanism for providing institutional support.

Candidates must:  (1) hold a doctoral degree; (2) have research
experience at or above the doctoral level; (3) not be above the rank
of associate professor; (4) be employed at a domestic institution;
and (5) be citizens or non-citizen nationals of the U.S. or its
possessions or territories or must have been lawfully admitted to the
U.S. for permanent residence at the time of application.

This non-renewable award provides support for a three-year period for
individuals engaged in full-time research and related activities.
Awards will not exceed $50,000 per year in direct costs for salary
support (plus fringe benefits), technical assistance, equipment,
supplies, consultant costs, domestic travel, publications, and other
costs.  The indirect cost rate applied is limited to eight percent of
the direct costs, excluding tuition and related fees and equipment
expenses, or to the actual indirect cost rate, whichever results in
the lesser amount.

A minimum of 60 percent time must be committed to the proposed
research project, although full-time is desirable.  Other work in the
area of occupational safety and health will enhance the candidate's
qualifications but is not a substitute for this requirement.  Related
activities may include research career development activities as well
as involvement in patient care to the extent that it will strengthen
research skills.  Fundamental/basic research will not be supported
unless the project will make an original contribution for applied
technical knowledge in the identification, evaluation, and/or control
of occupational safety and health hazards (e.g., development of a
diagnostic technique for early detection of an occupational disease).
Research project proposals must be of the applicants' own design and
of such scope that independent investigative capability will be
evident within three years.  At the completion of this three-year
award, it is intended that awardees should be better able to compete
for individual research project grants awarded by NIOSH.

SERCA grant applications should be identified as such on the
application form.  Section 2 of the application (the Research Plan)
should include a statement regarding the applicant's career plans and
how the proposed research will contribute to a career in occupational
safety and health research.  This section should also include a
letter of recommendation from the proposed advisor(s).

Small Grants (R03)

The small grant program is intended to stimulate applications from
individuals who are considering a research career in occupational
safety and health; as such, the minimum time commitment is 10
percent.  It is expected that a recipient would subsequently compete
for a career development grant (K01) or for a traditional research
project grant (R01) related to occupational safety and health.  The
award is not intended to supplement ongoing or other proposed
research; nor is it intended to be a mechanism for providing
institutional support.

The small grant investigators must be U.S. citizens or non-citizen
U.S. nationals who are predoctoral students, post-doctoral
researchers (within three years following completion of doctoral
degree or completion of residency or public health training), or
junior faculty members (no higher than assistant professor).  If
university policy requires that a more senior person be listed as
Principal Investigator, it should be clear in the application which
person is the small grant investigator.  Except for applicants who
are assistant professors, there must be one or more named mentors to
assist with the project.  A biographical sketch is required for the
small grant investigator, as well as for the supervisor and other key
consultants, as appropriate.

This non-renewable award provides support for project periods of up
to two years to carry out exploratory or pilot studies, to develop or
test new techniques or methods, or to analyze data previously
collected.  Awards will not exceed $25,000 per year in direct costs
for salary support (plus fringe benefits), technical assistance,
equipment, supplies, consultant costs, domestic travel, publications,
and other costs.  The indirect costs will be based upon the
negotiated indirect cost rate of the applicant organization.  An
individual may not receive more than two small grant awards, and
then, only if the awards are at different stages of development
(e.g., doctoral student, post-doctoral researcher, or junior faculty
member).

Applicants to this program must type "NIOSH Small Grant Program" in
item 2a on the face page of the PHS 398 application form or at the
top of the face page of the PHS 5161 form.

RESEARCH OBJECTIVES

The NIOSH is mandated to develop recommendations for protecting
workers of the United States against diseases and injuries related to
risks on the job.  In 1983, NIOSH published a suggested list of ten
leading work-related diseases and injuries as part of a national goal
to improve the health of the American people through prevention
activities.  These are listed as the first ten entries under NIOSH
Program Priorities.  To provide guidance on priorities for action,
NIOSH sponsored the development of "Proposed National Strategies for
the Prevention of Leading Work-Related Diseases and Injuries."
Working groups composed of NIOSH scientists drafted proposed national
strategies for these ten areas of concern.  These strategies were
refined in a process involving two national meetings of health and
safety professionals representing academia, management, organized
labor, professional associations, and voluntary organizations.
Implementation of the Prevention Strategies requires commitment from
a broad array of organizations and scientific and professional
disciplines.  The extramural research program is an important means
of facilitating progress in these preventive efforts.

Priorities

The NIOSH program priorities, listed below, are applicable to all of
the above types of grants listed under MECHANISMS OF SUPPORT.  These
priority areas represent the leading diseases and injuries related to
risks on the job, and NIOSH intends to support projects that
facilitate progress in preventing such adverse effects among workers.
The conditions or examples listed under each category are selected
examples, not comprehensive definitions of the category.
Investigators may also apply in other areas related to occupational
safety and health, but the rationale for the significance of the
research to the field of occupational safety and health must be
developed.

Potential applicants are strongly encouraged to discuss the
acceptability of their proposed work with Dr. Roy M. Fleming, at the
address listed under INQUIRIES.

The NIOSH Program Priorities are:

o  Occupational lung disease:  asbestosis, byssinosis, silicosis,
coal workers' pneumoconiosis, lung cancer, occupational asthma
o  Musculoskeletal injuries:  disorders of the back, trunk, upper
extremity, neck, lower extremity:  traumatically induced Raynaud's
phenomenon
o  Occupational cancers (other than lung):  leukemia, mesothelioma,
cancers of the bladder, nose and liver
o  Severe occupational traumatic injuries:  amputations, fractures,
eye loss, and lacerations
o  Cardiovascular diseases:  hypertension, coronary artery disease,
acute myocardial infraction
o  Disorders of reproduction:  infertility, spontaneous abortion,
teratogenesis
o  Neurotoxic disorders:  peripheral neuropathy, toxic encephalitis,
neuroses, extreme personality changes (exposure-related)
o  Noise-induced loss of hearing
o  Dermatologic conditions:  dermatoses, burns (scalding), chemical
burns, contusions (abrasions)
o  Psychological disorders: affective disturbances such as anxiety,
depression and job dissatisfaction; mal-adaptive behavior and
lifestyle patterns; aggression; stress and post traumatic stress
disorders; substance abuse
o  Control Techniques:  new technology performance evaluation,
preconstruction review, equipment redesign, containment of hazards at
the source, fundamental dust generation mechanisms, machine
guarding/avoidance methods, explosion control, removal of emissions
after generation, dispersion models, monitoring and warning
techniques, technology transfer
o  Respirator research:  new and innovative respiratory protective
devices, techniques to predict performance, effectiveness of
respirator programs, physiologic and ergonomic factors, medical
surveillance strategies, psychological and motivational aspects,
effectiveness of sorbents and filters, including chemical and
physical properties

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.

APPLICATION PROCEDURES

Applications are to be submitted on form PHS 398 (rev. 9/91).  State
and local government applicants may use form PHS 5161-1 (rev. 7/92);
however, form PHS 398 is preferred.  Applications kits are available
at most institutional offices of sponsored research; from the Office
of Grants Inquiries, Division of Research, National Institutes of
Health, Westwood Building, Room 449, Bethesda, Maryland 20892,
telephone 301/594-7248; and from the program staff listed under
INQUIRIES.

The original and five copies of the PHS-398 or the original and two
copies of the PHS 5161-1 application must be submitted to:

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

The timetable for receiving applications and awarding grants is given
below.  This is a continuous announcement, consequently, these
receipt dates will be on-going until further notice.

Research and Demonstration Project Grants:

Receipt          Initial          Secondary          Earliest
Possible
Date*            Review           Review             Start Date

Feb 1            Jun/Jul          Sep                Dec 1
Jun 1            Oct/Nov          Jan                Apr 1
Oct 1            Feb/Mar          May                Aug 1

*Competing continuation deadlines are one month later.

SERCA and Small Grants

Receipt         Initial           Secondary          Earliest
Possible
Date            Review            Review             Start Date

Mar 1           Jun/Jul           Aug                Nov 1
Jul 1           Oct/Nov           Dec                Mar 1
Nov 1           Feb/Mar           Apr                Jul 1

Applications must be received by the above receipt dates.  To guard
against problems caused by carrier delays, retain a legible
proof-of-mailing receipt from the carrier, dated no later than one
week prior to the receipt date.  If the receipt date falls on a
weekend, it will be extended to Monday; if the date falls on a
holiday, it will be extended to the following work day.

REVIEW PROCEDURES

Applications received under this announcement will be assigned to an
Initial Review Group (IRG).  The IRGs, consisting primarily of
non-Federal scientific and technical experts, will review the
applications for scientific and technical merit.  Notification of the
review recommendations will be sent to the applicants after the
initial review.  Applications will also be reviewed for programmatic
importance by NIOSH.  Awards will be made based on results of the
initial and secondary reviews, as well as availability of funds.

The initial (peer) review is based on scientific merit and
significance of the project, competence of the proposed staff in
relation to the type of research involved, feasibility of the
project, likelihood of its producing meaningful results,
appropriateness of the proposed project period, adequacy of the
applicant's resources available for the project, and appropriateness
of the budget request.

Demonstration grant applications will be reviewed additionally on the
basis of the following criteria:

o  Degree to which project objectives are clearly established,
obtainable, and for which progress toward attainment can and will be
measured.
o  Availability, adequacy, and competence of personnel, facilities,
and other resources needed to carry out the project.
o  Degree to which the project can be expected to yield or
demonstrate results that will be useful and desirable on a national
or regional basis.
o  Documentation of cooperation from industry, unions, or other
participants in the project, where applicable.

SERCA grant applications will be reviewed additionally on the basis
of the following criteria:

o  The review process will consider the applicant's scientific
achievements, the applicant's research career plan in occupational
safety and health, and the degree to which the applicant's
institution offers a superior research environment (supportive
nature, including letter(s) of reference from advisor(s) which should
accompany the application).

Small grant applications will be reviewed additionally on the basis
of the following criteria:

o  The review process will take into consideration the fact that the
applicants do not have extensive experience with the grant process.

AWARD CRITERIA

In the secondary review, the following factors will be considered for
applications assigned to NIOSH:

o  The results of the initial review.

o  The significance of the proposed study to the mission of NIOSH.

(1) Relevance to occupational safety and health, by contributing to
achievement of the research objectives specified in Section 20(a) of
the Occupational Safety and Health Act of 1970 and Section 501 of the
Federal Mine Safety and Health Amendments Act of 1977,

(2) Magnitude of the problem in terms of numbers of workers affected,

(3) Severity of the disease or injury in the worker population,

(4) Potential contribution to applied technical knowledge in the
identification, evaluation, and/or control of occupational safety and
health hazards,

(5) Program Balance, and

(6) Policy and budgetary considerations.

INQUIRIES

Written and telephone inquiries are encourages.  The opportunity to
clarify any issues or questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Roy M. Fleming, Sc.D.
National Institute for Occupational Safety and Health
Centers for Disease Control and Prevention
1600 Clifton Road, N.E.
Building 1, Room 2053, Mail Stop D-30
Atlanta, GA  30333
Telephone:  (404) 639-3343

Direct inquiries regarding fiscal matters to:

Ms. Carole J. Tully
Grants Management Branch, PGO
Centers for Disease Control and Prevention
255 E. Paces Ferry Road, N.E.
Room 300, Mail Stop E-09
Atlanta, GA  30305
Telephone:  (404) 842-6880

AUTHORITY AND REGULATIONS

This program is authorized under the Public Health Service Act, as
amended, Section 301 (42 U.S.C. 241); the Occupational Safety and
Health Act of 1970, Section 20 (a)(29 U.S.C. 669[a]); and the Federal
Mine Safety and Health Amendments Act of 1977, as amended, Section
501(30 U.S.C. 951).  The applicable program regulations are in 42 CFR
Part 52.  Applications are not subject to review as governed by
Executive Order 12372, Intergovernmental Review of Federal Programs.
The Catalog of Federal Domestic Assistance number is 93.262.  This
program is not subject to the Public Health System Reporting
Requirements.

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

From owner-sci-resources@net.bio.net Sun Jun 27 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 23, pt. 2, 25 June 1993
Message-ID: <Jun.28.13.02.40.1993.15827@net.bio.net>
Date: 28 Jun 93 20:02:40 GMT
Sender: kristoff@net.bio.net
Lines: 811
Approved: biosci-moderator@net.bio.net

$$XID RFA AG94001 AG-94-001 P1O1 ***************************************

CLAUDE D. PEPPER OLDER AMERICANS INDEPENDENCE CENTERS

NIH GUIDE, Volume 22, Number 23, June 25, 1993

RFA:  AG-94-001

P.T. 34; K.W. 0710010, 1002030, 0404000, 0745027, 0745035, 0745070

National Institute on Aging

Letter of Intent Receipt Date:  October 1, 1993
Application Receipt Date:  December 9, 1993

PURPOSE

The National Institute on Aging (NIA) invites applications for
support of Claude D. Pepper Older Americans Independence Centers
(OAICs).  The purpose of these centers is to increase independence in
older Americans.  OAICs will provide support for research to develop
and test clinical interventions and core laboratories in the basic
sciences.  OAICs will also train individuals in research approaches
to develop and test methods of maintaining and increasing
independence and enhance expertise in aging research through the
provision of training in the relevant fundamental scientific
disciplines.  They will conduct demonstration projects and
information dissemination concerning the applications of such
research.  Centers should promote linkages between mechanistic and
outcome research and thereby foster the capacity of new investigators
to develop better clinical treatments and preventive approaches.  It
is recognized that the balance between support devoted to
intervention studies and fundamental science will differ among
Centers to take advantage of areas of strength in geriatric and
gerontologic research available at different institutions.  In those
instances where applications request significant core resources to
enhance ongoing projects, the number and quality of externally funded
peer-reviewed studies will be of special importance.  OAICs may
support a broad range of geriatric and aging research.  However,
applications with a predominant focus in neuroscience or the
behavioral and social sciences are more appropriate for other NIA
centers programs with a primary focus in these disciplines.

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), Claude D. Pepper Older Americans Independence
Centers, is related to the priority area of chronic disabling
conditions.  Potential applicants may obtain a copy of Healthy People
2000" (Full Report:  Stock No.017-001-00473-1) 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

Only U.S. organizations are eligible to apply.  Applications may be
submitted by 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 with Program Directors who are
minority individuals and/or women are encouraged.

MECHANISM OF SUPPORT

Older Americans Independence Centers will be supported through the
comprehensive center grant (P60) mechanism.  The awarding of funds
pursuant to this RFA is contingent on availability of funds.  All
pertinent DHHS, PHS, and NIH grant regulations, policies and
procedures are applicable.  Business management aspects of the awards
will be administered in accordance with DHHS and PHS grant
administration requirements by the NIH, as stated in the Public
Health Service Grants policy statement, DHHS Publication No. (OASH)
90-50,000, revised October 1, 1991.  Applications and management of
grants will be subject to applicable PHS and NIH grant policies and
NIA guidelines.

First year budgets may not exceed $1,100,000 (direct plus indirect
costs).  Budget increments for subsequent years generally will be
limited to no more than one percent.

FUNDS AVAILABLE

Although it is anticipated that up to $2.2 million will be directed
to the support of competing OAICs in Fiscal Year 1994, and that two
awards will be made, issuance of Older Americans Independence Center
awards is contingent upon the receipt of scientifically meritorious
applications and allocation of appropriated funds for this purpose.
In addition to FY 1994 awards, other applications responding to this
RFA may be funded in Fiscal Year 1995, depending on quality of
applications and availability of funds.

RESEARCH OBJECTIVES

Millions of older Americans suffer from loss of abilities needed to
live fully independently.  Loss of independence imposes enormous
personal and financial burdens on older persons and their families.
The annual cost to the Nation for care of dependent older persons
totals billions of dollars.

Dependence is not inevitable in old age.  It results from disabling
conditions that are potentially, if not currently, preventible or
reversible.  The development and testing of interventions to reduce
disability and increase independence thus offers immense benefits and
potential savings in health care costs.

To date, efforts to develop such interventions and test their
efficacy in maintaining and increasing independence have been modest
and the number of researchers with the abilities to conduct such
research has been small.  There is a need for more researchers and
research teams with the ability to:

(1) Conduct controlled clinical trials of promising interventions
against disabling conditions of older persons.

(2) Fill gaps in knowledge of the pathophysiology of disabling
conditions, the mechanisms affecting the responses to treatment, and
development and testing of improved treatments based on this
knowledge.

(3) Develop and test ways of applying independence-enhancing advances
in treatment within the American health care system.

The combination of these three abilities would allow the conduct of
concerted research programs to increase independence for older
Americans.  The Claude D. Pepper OAIC program is designed to expand
this research and the number of researchers capable of conducting it.

Specifically, as authorized under amendments to Section 445A of the
Public Health Service Act, each OAIC will conduct:  "research into
the aging processes and into the diagnosis and treatment of diseases,
disorders and complications related to aging, including menopause,
which research includes research on such treatments, and on medical
devices and other medical interventions regarding such diseases,
disorders and complications, that can assist individuals in avoiding
institutionalization and prolonged hospitalization and in otherwise
increasing the independence of the individuals and programs to
develop individuals capable of conducting research in these areas."
As defined by Section 445A of the Public Health Service Act, "the
term independence, with respect to diseases, disorders, and
complications of aging, means the functional ability of individuals
to perform activities of daily living or instrumental activities of
daily living without assistance or supervision."

The overall goals of the OAIC program are to:

(1) facilitate the development and testing of interventions to
increase or maintain abilities needed for independence of older
persons.

(2) use knowledge gained in these intervention studies in developing
and testing improved interventions.

(3) strengthen core laboratories in the basic sciences as they relate
to aging research and to train researchers in the techniques of
fundamental research relevant to studies in aging and geriatric
medicine.

(4) train researchers capable of leading and conducting research
programs as described in (1), (2), and (3) above.  OAIC research
projects should provide opportunities for the training of such
researchers.

(5) translate OAIC research findings into improvements in health care
practice through demonstration and dissemination projects.

The components of OAICs derive from these goals.  OAICs will support:

Intervention Studies (IS) and Intervention Development Studies (IDS)

At least one Intervention Study or Intervention Development Study
which utilizes human subjects must be eligible for funding following
peer review to qualify as an OAIC.

Intervention Studies

Proposed intervention studies must test the efficacy of interventions
to prevent or ameliorate functional impairments contributing to loss
of independence.  Studies may be of effects on long-term disability
and/or temporary disability following illness or injury.  In studies
of prevention interventions, a focus on subgroups at high risk for
disability is encouraged where appropriate.

All Intervention Studies should measure direct effects on functional
status and have adequate statistical power to determine important
intervention effects on functional abilities.  Central in the
evaluation of these studies will be the adequacy and appropriateness
of the plans for measurement of changes in functional status.
Measures of related medical and physiologic endpoints are encouraged
wherever pertinent.

Because older persons with several health problems are at especially
high risk for disability, determinations of the efficacy of
interventions in such persons, and analyses of the effects of
different health problems on treatment efficacy, are encouraged where
feasible.  Tests of interventions specifically designed against
disabilities resulting from the interaction of two or more comorbid
conditions are also encouraged.

Besides measurements of intervention effects on the above outcomes,
each proposed intervention study must also include planned
investigations of:

o  Mechanisms underlying the interventions' effects on functional
status, to provide a basis for further improvements in interventions.
Intervention interactions with intermediary response variables such
as underlying disease mechanisms, symptoms, and behavioral factors
should be measured and analyzed as needed for this purpose.

o  Factors affecting recruitment into the study and participants'
compliance, to provide data for potential wider applications of the
interventions are considered pertinent and must be included.

o  Cost-effectiveness and effects on health care utilization (e.g.,
hospitalizations, nursing home admissions and stays, use of home care
services) of the intervention(s) tested.

Proposals for intervention studies that do not contain the above
elements will be returned to applicants.

Examples of types of interventions for study include:

o  Interventions to prevent or reduce frailty and increase physical
performance abilities.  Exercise, nutritional, pharmacologic,
rehabilitative, surgical, and other interventions against disorders
such as osteoarthritis, congestive heart failure, chronic pulmonary
disease, pathologic loss of muscle mass and/or strength,
protein-calorie malnutrition, dizziness, and gait and balance
problems are encouraged.

o  Interventions to reduce risk of disabling events such as hip
fractures and strokes, and to reduce impairments following these
events.  Studies of interventions against osteoporosis and to prevent
hip fracture, and studies of techniques to improve functional status
after hip fracture and strokes are encouraged.

o  Interventions to prevent or reduce disabling side effects from
medication use.  Examples include drug withdrawal studies and testing
of non-pharmacologic therapeutic alternatives, as well as testing
improved pharmacologic agents or regimens.

o  Interventions to prevent, lessen, or shorten temporary disability
from exacerbation or complications of chronic diseases of older
persons.  Examples include transient disability associated with
exacerbations of chronic pulmonary disease, deconditioning during
hospitalization, and acute confusional states.

o  Interventions to prevent or reduce disabling sequelae of menopause
and associated estrogen deficiency.  Examples include osteoporotic
fractures and urge incontinence.

o  Combined intervention strategies to prevent or ameliorate
disabilities in older persons with several impairments.

The above list is not exhaustive and is not intended to reflect NIA
priorities.  All studies of promising interventions to enhance
independence in older persons are encouraged.  No priority is placed
on having a diversity of intervention topics associated with a single
OAIC.  Applicants may find it advantageous to concentrate on one or a
few topics in which their strengths are greatest.

Subjects for these studies may include older persons living at home,
recipients of home care, nursing home residents, hospitalized
patients, and those in other pertinent clinical settings, as
appropriate to each intervention study. Organizational liaisons
involving one or more medical centers, nursing homes, home care
services, and other care organizations are encouraged wherever
appropriate for the conduct of OAIC activities.

All activities to be performed by proposed cores as part of
Intervention Studies should be clearly described in the plans for the
Intervention Study itself.  Examples include functional assessment
and biostatistical support.

Intervention Development Studies

The OAIC center grant may also support other studies to identify,
develop, or refine potential interventions to preserve or increase
independence.  Each proposed Intervention Development Study should
present a complete plan for conduct of the proposed research,
analogous in the level of detail to an individual research project
grant proposal.  It should be presented in sufficient detail to allow
for full scientific review.

Types of such studies include:

o  Tests of therapies on physiologic factors known to affect
functional status.  Both beneficial and adverse effects may be
studied.

o  Studies to identify or confirm reversible or preventible risk
factors for disability and/or disabling events.  Examples include
diseases, and previously unidentified pathophysiologic changes
leading to functional impairment and/or disabling events.
Large-scale epidemiologic studies are outside the scope of this RFA.

o  Studies of experimental therapeutics directed at the prevention or
treatment of morbid conditions associated with aging.  Research
utilizing animal and/or human subjects is appropriate.  (If a study
utilizing animal subjects is proposed, another study utilizing human
subjects must be included in the IS/IDS section.)

All activities to be performed by proposed cores as part of
Intervention Development Studies should be clearly described in the
plans for the Intervention Development Study itself.  Examples
include functional assessment, biostatistical support, etc.

Research Resources Cores (RRC)

Applicants may request core resource support to enhance the quality
of OAIC research projects, i.e., Intervention Studies, Intervention
Development Studies, and Pilot Research Projects.  RRCs for the
support of laboratories in the fundamental sciences as they relate to
aging research or geriatric medical subspecialties may be requested
as well.  RRCs may also provide support for research projects
relevant to the mission of OAICs whose major support is independent
of the OAIC.  Opportunities to participate in the scientific
activities of RRCs should serve to enhance the development of
research skills of young investigators and where appropriate should
encourage linkages between fundamental science and clinical
intervention research.

Applicants may not propose a core unless it supports at least two
projects (otherwise the core could simply be included in the one
project it supports).  The justification for proposed cores
(including number of projects each would support) will be evaluated
by peer reviewers.  Routine patient care costs may not be requested,
but research-related patient care costs are eligible for support.

Examples of possible RRCs include:

o  Recruitment/screening/assessment/registry units for subjects for
different OAIC intervention study research protocols.

o  Functional assessment units to monitor functional status of
subjects in OAIC studies.

o  Diagnostic and pathophysiologic units for studies of mechanisms of
treatment response and interactions with disease.

o  Basic science laboratories providing state of the art technologies
and training to center investigators.

o  Biostatistical/data management units.

o  Cost-effectiveness analysis units.

o  Veterinary Units for the support of laboratory animals used in
aging research and the development of animal models of age-associated
diseases.

The above list is not intended to describe the full range of
activities to be supported, nor to direct applicants towards these
areas.  Inclusion of research resources cores of any or all these
types in a single proposed OAIC is neither required nor necessarily
advisable.  Innovative organizational approaches are encouraged.
Institutions that are recipients of NIH General Clinical Research
Center awards who wish to apply for an OAIC award are encouraged to
use core resources from these Centers for support of OAIC projects
where appropriate.

For each Research Resources Core proposed, an investigator should be
named, and plans for the scientific and administrative functioning
must be presented.  The method for prioritizing access to core
resources requested by multiple projects should be described.

Research Development Core (RDC)

The Research Development Core is a required component of all OAICS.
The RDC will provide salary and other support for junior faculty and
research associates to acquire abilities in research to enhance the
independence of older persons.  This includes all phases of research
to develop interventions to enhance independence, including clinical
trials, studies of mechanisms of treatment response, and
cost-effectiveness/health care utilization studies.  The development
of persons who will have the necessary breadth and depth of
experience needed to lead teams spanning this range of research is of
high priority.  The career development of individuals acquiring
skills in fundamental aging research related to the mission of OAICs
may also be supported here.

The research development core should promote linkages between
mechanistic and outcome research.  This will enhance the capacity of
young scientists to develop better clinical treatments and preventive
approaches.  This goal may be achieved in a variety of ways including
periodic meetings of center staff and other scientists and most
importantly through the provision of suitable training opportunities.
While the creation of these linkages is an important overall function
of the RDC, it is recognized that this will not in all cases be
feasible.  However, the plan for the educational program of the RDC
as a whole should describe the approach to be followed and the
training plan for at least one (preferably more) of the individuals
receiving support under the RDC should document how training
opportunities will be utilized to achieve the goal of creating these
linkages.

The components of the Research Development Core are:

Junior Faculty Development Support.  Support may be requested for
salary and fringe benefits for junior faculty participating in OAIC
Intervention Studies and other OAIC research.  The Research
Development Core should present a plan for achieving development of
junior faculty supported under this  component, including a mechanism
for monitoring their scientific progress and development toward
independent research.  Applicants should clearly specify the role of
senior mentors in training and supervising junior faculty and
research associates.  A biographical sketch (two pages maximum), a
list of active research support, and a brief description of the
mentor's role in proposed OAIC activities should be provided for all
proposed mentors.

Though applicants are not required to identify individual junior
faculty, research associates, and their specific roles in advance,
they are encouraged to do so if possible, since this information is
useful to peer reviewers.  If support is requested for "to-be-named"
junior faculty or research associates, applicants should present
their plans for recruiting, training, and supervising these persons.

The Research Development Core may also serve to encourage the
research career development of other junior faculty and research
associates (in addition to those receiving salary support from this
core) by coordinating the participation in OAIC research projects of
other junior faculty and research associates whose salary support may
come from other sources, such as NIAs Geriatric Academic Program
Award (GAP), Geriatric Research Institutional Training Award (GRIT),
Physician Scientist Award (PSA), NIA Academic Award, and Clinical
Investigator Award (CIA).  The overall contribution of the OAIC to
the development of researchers throughout the grantee institution who
can contribute to the development of independence-enhancing
interventions will be considered in the evaluation of OAIC proposals.

Didactic Training.  Support may be requested for didactic training in
such topics as clinical trials methodology, biostatistics, pertinent
topics in disease mechanisms and related basic sciences, behavioral
sciences, health services research, etc.  Such support is not
restricted to individuals receiving salary support from the core, but
may be provided to other personnel on OAIC research projects or OAIC
Intervention Development Studies.

Pilot Research Projects.  Support may be requested for pilot projects
on topics related to the activities of the OAIC.  Examples of project
topics include pilot studies of new interventions, and probes of
disease mechanisms and their interactions with interventions.  The
procedures by which awardees will solicit, select, monitor and
evaluate the results of pilot projects should be specified in the
application, but applicants are not required to present specific
pilot projects as part of the application.  Pilot projects are
limited to a maximum of one year in duration, a maximum of $25,000
(direct costs) per pilot project, and a maximum of $100,000 (direct
costs) per year for the total allocated to all pilot projects
contained in an OAIC.  Pilot project funds may be used for salaries,
equipment, and supplies.

Research Development Core Leader.  Support may be requested for a
core leader who will be responsible for coordination of the above
activities and must report annually on the progress of all
individuals supported thorough this core, and other core activities.

A maximum of $250,000 in total (direct plus indirect) first-year
costs may be requested for the Research Development Core. Budget
increments in future years will generally be limited to one percent.

Demonstration and Information Dissemination Projects (DIDP)

OAICS must include activities to translate findings from their
research into health care practice.  These activities would normally
be expected to be conducted beginning in the second year of the
project, with the first year devoted to planning. A maximum of
$50,000 first-year total (direct plus indirect) costs  and $80,000
annual total (direct plus indirect) costs for project years two
through five may be requested for these activities.  Specific
projects for demonstration/information dissemination activities
should be described.  The staffing plan and a rationale for the
organization of this core should be presented.  The methods and
techniques to be employed for information dissemination and the
audience targeted and size should be defined.  Attention should be
directed to issues of cultural sensitivity with regard to the target
audience.  Where appropriate, the information should be structured so
that it can effectively reach minority populations, including
non-English-speaking older people.

Examples of projects that may be supported include dissemination of
research results to the public, professionals, and paraprofessionals,
through symposia and in-service training.  Planning and pilot
activities for larger scale demonstration projects to evaluate the
practicability of interventions tested in OAICs within various health
care settings are also appropriate.

Leadership/Administrative Core

Applicants may request funds for the OAIC director, OAIC
administrator, and support staff.  The OAIC director should be a
scientist who can provide effective administrative and scientific
leadership and coordination with OAIC Intervention Studies.  An OAIC
administrator who will assist the director in managing the Center,
addressing issues of fiscal management, and compliance with
institutional, PHS, NIH and NIA policies, should be identified.  A
maximum of $120,000 (direct plus indirect costs) per year for this
core, for salary, travel, and other expenses of the director,
administrator and appropriate administrative staff may be requested.
Future year annual increases will generally be limited to no more
than one percent.

OAIC Advisory Panel.  OAIC applications, regardless of whether a
Leadership/Administrative Core is requested, must describe a plan and
budget for the selection of experts from outside the OAIC who will
meet yearly to review the progress of the OAIC and provide a written
report to the OAIC Director.  Potential outside experts should not be
named.  The outside experts' review will be included in the annual
OAIC Progress Report to the NIA.  (A member of the NIA extramural
staff assigned to each Center will routinely attend the Advisory
Panel meetings. It will be the OAIC Director's responsibility to
notify NIA Staff well in advance of the date scheduled).

Coordination Among OAICs.  OAICs are expected to meet together every
six months to compare research results and to explore possibilities
for collaborative efforts.  Funds should be requested to permit
travel of the OAIC director, administrator, and Principal
Investigators on all OAIC Intervention Studies, and Intervention
Development Studies for meetings with NIA staff and staff from other
OAICs.  Responsibility for organizing these meetings will rotate
among OAIC sites.

Required Components of an OAIC.  The minimum required components that
must be determined eligible for funding by the peer reviewers in
order to qualify for an OAIC Award are:  (1) at least one
Intervention Study or Intervention Development study, (2) a Research
Development Core, and (3) a Demonstration and Information
Dissemination Project.

The total first year budget may not exceed $1,100,000 (direct plus
indirect costs) and the total first year budget for the sum of the
Research Resources Cores, Research Development Core, Demonstration
and Information Dissemination Project and the
Leadership/Administrative Core may not exceed $725,000.  Thus, a
center application requesting the full $1,100,000 will have an
Intervention Study/Intervention Development Study first year total
budget request of at least $375,000.

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 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 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 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 on 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.

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 October 1, 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 allows
NIA 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. Stanley L. Slater at the
address listed under INQUIRIES.

APPLICATION PROCEDURES

The applicant is to submit the application using PHS 398 (rev. 9/91),
following the OAIC (P60) Guidelines. These Guidelines may be
requested from the program staff listed under INQUIRIES.  Application
kits containing this form and the necessary general instructions are
available in 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 301/594-7248.

On item 2a of the face page of the application, applicants must
enter: NIA RFA--Claude Pepper Older Americans Independence Center AG-
94-001.  The RFA label available in the application form PHS 398 must
be affixed to the bottom of the face page and placed on top of the
entire package.  Failure to use this label could result in delayed
processing of the application and prevent it from reaching the review
committee in time for review.  Please note that special OAIC
Guidelines mentioned above should be used to complete the
application.  The NIA recommends that the application be developed in
consultation with program staff.

The original and three copies of the application must be received by
December 9, 1993.  Applications are to be sent to:

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

At the same time the application is submitted to the Division of
Research Grants, a copy of the covering letter, two copies of the
application, and five sets of appendices must be sent to:

Chief, Scientific Review Office
National Institute on Aging
Gateway Building, Suite 2C-212
7201 Rockville Pike
Bethesda, MD  20892

REVIEW CONSIDERATIONS

Page Limitation

Applications may not exceed a total of twenty pages for parts 1-4 of
the Research Plan for each project and core section.

Review Schedule

Applications will be received by the NIH Division of Research Grants
(DRG) and will be assigned to the NIA.  Responsive applications will
be assigned to a special review committee for review.  Applications
judged by the NIA Program Staff to be non- responsive (those that are
incomplete, fail to include all required components, request amounts
that exceed allowable limits, or are not directed at the goals of
this RFA) will be returned to the applicant without review.  Because
no site visits will be conducted, each application must be thorough
and complete enough to stand on its own.  Additional materials or
revisions will not be accepted after the receipt date.  It is
strongly recommended that Institutional Review Board and, if
appropriate, Institutional Animal Care and Use Committee approval be
secured before the application is submitted.  Otherwise, it is the
applicant's responsibility to ensure these certifications are sent to
the Scientific Review Office, NIA, within 60 days of the receipt
date, unless an earlier date is set by the Scientific Review
Administrator.  Applications failing to comply with this requirement
well be returned without review.  There will be no further
notifications on this issue.  Applications may first receive a
preliminary review by a subcommittee of the review panel to establish
those applications deemed to be competitive.  Applications considered
to be non-competitive for funding will be so designated, and an
abbreviated summary report noting the major weaknesses will be sent
to the Principal Investigator.  The remaining applications will be
given full review.  The full committee may designate additional
applications as Not Recommended for Further Consideration.  Further
review will be by the National Advisory Council on Aging.  The
earliest start date will be July 1, 1994.

Applications must be complete when submitted.  Additional materials
will not be accepted after the receipt date.  Incomplete applications
will be returned to the applicant without further consideration.  If
an application is received after the receipt date, it will be
returned to the applicant.  The 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.

The primary criterion for review by the NIA review committee in
evaluating each OAIC grant application will be the effectiveness of
the proposed program in contributing to increasing independence for
older Americans through the conduct of research, demonstration, and
dissemination projects; and development of academic leaders in
geriatrics with effective research, teaching and clinical
capabilities.  Specific criteria related to this standard include:

1.  Scientific merit of research and its expected impact on the
maintenance of independent functioning of older persons.

2.  Contribution of Research Resources Cores, where included, to
enhancement of research, training and pilot projects.  Where major
resources are requested for the RRCs, the number and quality of
externally-funded peer-reviewed studies will of considerable
importance.

3.  Role of the Research Development Core in providing educational
and other career development opportunities for fellows, junior
faculty and other professional and paraprofessional personnel
associated with the Center. The quality of the plans to promote
linkages between mechanistic and applied research are an important
aspect in the evaluation of the RDC.

Other review criteria include:

1.  Leadership ability and scientific stature of the program director
and his/her ability to meet the program's demands of time and effort.

2.  Qualifications, experience, and commitment of the investigators
responsible for core units and their ability to devote the required
time and effort to the program.

3.  Presence of an administrative and organizational structure
conducive to attaining the objectives of the proposed program.

4.  Arrangements for internal quality control of ongoing research,
the allocation of funds, day-to-day management, contractual
agreements, the internal communication and cooperation among
investigators in the program.

5.  Quality of proposed external review process.

6.  Appropriateness of the total budget and budgetary requests for
the individual components.

7.  Academic and physical environment as it bears on patients, space
and equipment and on the potential for interaction among scientists
within the center and with scientists from other departments,
institutions and Claude D. Pepper Centers.

8.  Institutional commitment to the requirements of the program.

9.  The adequacy of the means for protecting against risks to human
subjects, animals and the environment.

10.  Issues relating to inclusion of women and minorities.

AWARD CRITERIA

The award criteria are:

o  priority score
o  availability of funds
o  programmatic priorities

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, requests for the OAIC
guidelines, and address the letter of intent to:

Stanley L. Slater, M.D.
Geriatrics Program
National Institute on Aging
Gateway Building, Room 3E-327
Bethesda, MD  20892
Telephone:  (301) 496-6761

Direct inquiries regarding fiscal matters to:

Margaret Kuhn
Grants Management Office
National Institute on Aging
Gateway Building, Room 2N-212
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.

From owner-sci-resources@net.bio.net Mon Jun 28 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 24, pt. 1, 2 July 1992
Message-ID: <Jun.29.10.49.38.1993.15091@net.bio.net>
Date: 29 Jun 93 17:49:38 GMT
Sender: kristoff@net.bio.net
Lines: 1500
Approved: biosci-moderator@net.bio.net


$$XID NIHGUIDE 19930702 V22N24 P1O2 ************************************
X-comment: RFAs described: AG-93-003

NIH GUIDE - Vol. 22, No. 24 - July 2, 1993

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

                               NOTICES

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

PUBLICATION DATES FOR THE NIH GUIDE

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

MINORITY ACCESS TO RESEARCH CAREERS PROGRAM
National Institute of Mental Health
National Institute on Alcohol Abuse and Alcoholism
National Institute on Drug Abuse
INDEX:  MENTAL; ALCOHOL ABUSE, ALCOHOLISM, DRUG ABUSE

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

KEYWORD THESAURUS CODES AND TERMS
National Institutes of Health
INDEX:  NATIONAL INSTITUTES OF HEALTH

$$INDEX N4 **********************************************************

POSTPONEMENT - RFA FOR INSTITUTIONAL DENTIST SCIENTIST AWARDS
National Institute of Dental Research
INDEX:  DENTAL RESEARCH

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$INDEX R1 10/20/93 *************************************************

MINORITY DISSERTATION RESEARCH GRANTS IN AGING (RFA AG-93-003)
National Institute on Aging
INDEX:  AGING

                    ONGOING PROGRAM ANNOUNCEMENTS

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

DRUG ABUSE ASPECTS OF AIDS (PA-93-098)
National Institute on Drug Abuse
INDEX:  DRUG ABUSE

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

BIPOLAR DISORDER: CLINICAL, BIOLOGICAL, AND TREATMENT RESEARCH (PA-
93-099)
National Institute of Mental Health
INDEX:  MENTAL HEALTH

This publication is also available electronically to institutions via
BITNET or INTERNET.  Alternative access is through the NIH Grant Line
using a personal computer (data line 301/402-2221).  Contact Dr. John
James at 301/594-7270 for details.

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

                               NOTICES

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

THE NIH GUIDE FOR GRANTS AND CONTRACTS WILL NOT BE PUBLISHED ON JULY
9, 1993.  THE NEXT ISSUE WILL BE PUBLISHED ON JULY 16, 1993.

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

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

MINORITY ACCESS TO RESEARCH CAREERS PROGRAM

NIH GUIDE, Volume 22, Number 24, July 2, 1993

P.T. 34; K.W. 1014006

National Institute of Mental Health
National Institute on Alcohol Abuse and Alcoholism
National Institute on Drug Abuse

This notice is a retraction of the notice published in the NIH Guide
for Grants and Contracts, Vol. 22, No. 23, June 25, 1993 on the above
subject.  Disregard the previous notice.  It was published
prematurely and contained several errors.  An accurate version will
be published in a future issue of the NIH Guide.

INQUIRIES

Questions regarding this notice may be directed to:

Institutional Affairs Office
National Institutes of Health
Building 1, Room 328
Bethesda, MD  20892
Telephone: (301) 496-5366

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

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

KEYWORD THESAURUS CODES AND TERMS

NIH GUIDE, Volume 22, Number 24, July 2, 1993

P.T. 22, 34, 44; K.W. 0710030, 0404000

National Institutes of Health

This issue of the NIH Guide for Grants and Contracts contains terms
and codes identifying the area of Health and Safety, Medical
Sciences, and Biomedical programs for Federal funding of research,
training, and other sponsored activities.  These codes are used to
define the Program Type (P.T.) and the area of biomedical research
(K.W.) contained in each notice or announcement in the NIH Guide.

The complete Keyword Thesaurus applicable to NIH and other agencies
that sponsor research can be obtained from Rodman & Associates, 17821
Stoneridge Drive, Suite 300, Gaithersburg, Maryland 20878, telephone
301-963-5226.

0700000 HEALTH AND SAFETY, MEDICAL SCIENCES, BIOMEDICAL

0705000    ANATOMICAL SYSTEMS & SITES
0705005    Bone Marrow
0705010    Brain
0705015    Cardiovascular System
0705020    Connective Tissue
0705025    Digestive System
0705030    Endocrine System
0705035    Fetus
0705037    Heart
0705040    Immune System
0705045    Lymphatic System
0705048    Mechanism of Action (Medical)
0705050    Musculoskeletal System
0705055    Nervous System
0705060    Placenta
0705065    Respiratory System
0705070    Sensory System
0705075    Urogenital System

0706000    BIOMEDICAL ENGINEERING
0735005    Automated Clinical Analysis*
0706010    Bioelectric Phenomena
0706020    Clinical Engineering
0706030    Medical & Diagnostic Imaging
0706040    Physiological Controls and Systems

0710000    DISCIPLINES & FIELDS, HEALTH & SAFETY, MEDICAL &
BIOMEDICAL
0710005    Adolescent Health
0710010    Aging & Gerontology
1002001    Anatomy*
1002052    Animal Development*
0201013    Animal Diseases & Pathology*
0201016    Animal Genetics & Breeding*
0201018    Animal Physiology & Morphology*
0401001    Anthropology, Cultural & Social*
1004015    Artificial Intelligence & Cybernetics*
1002003    Bacteriology*
0404000    Behavioral & Social Studies, Services, Other*
0414015    Behavioral & Experimental Psychology*
0710013    Biochemical Engineering
1003002    Biochemistry*
1003015    Biochemistry, Carbohydrates*
1003016    Biochemistry, Lipids*
1003017    Biochemistry, Nucleic Acid*
1003018    Biochemistry, Proteins*
0710015    Bioengineering
1002000    Biological Sciences*
1215015    Biology, Behavioral*
1002004    Biology, Cellular*
1002006    Biology, Developmental & Evolutionary*
1002008    Biology, Molecular*
1002009    Biology Radiation*
0710020    Biomechanics
0710030    Biomedical Research, Multidisciplinary
1002012    Biometry*
1013004    Biophysics*
0710033    Biosystematics
0710035    Biotechnology
1002013    Botany*
0710037    Cancer Biology
1003019    Catalysis & Kinetics*
1003003    Chemical Dynamics*
1013020    Chemical Physics*
1003006    Chemical Synthesis*
1003008    Chemistry, Analytical*
0710040    Chemistry, Clinical
1003012    Chemistry, Organic*
1003014    Chemistry, Physical*
0414004    Clinical Psychology*
1004000    Computer Science*
1002015    Cytology*
0413001    Demography*
0414006    Developmental Psychology*
0710045    Drug Metabolism
1002016    Ecology*
0414007    Educational Psychology*
0500000    Education*
0710050    Electrophysiology
1002017    Embryology*
0710055    Enzymology
1002019    Genetics*
1002021    Histology*
1002053    Human Development*
0710060    Immunochemistry
0710065    Immunogenetics
0710070    Immunology
0710075    Immunopathology
1004017    Information Science/Systems*
0410000    Linguistics & Philology*
0901026    Management Sciences*
0710078    Medical Informatics
0710080    Medicinal Chemistry
0710083    Membrane Electrochemistry
1002027    Microbiology*
0607010    Microelectronics*
0413003    Migration*
1002058    Molecular Genetics*
1002028    Mutagenics*
1002029    Mycology*
0710085    Neurophysiology
1002030    Neuroscience*
0710090    Nuclear Medicine
0710095    Nutrition & Dietetics
1013017    Optics*
1002032    Parasitology*
0710100    Pharmacology
0710130    Pharmacy
0710103    Photobiology
0414011    Physiological Psychology*
1002040    Plant Sciences*
1002041    Plant Virology*
1009013    Polymer Science*
0413004    Population Biology*
0710130    Population Studies (Medical)
0414012    Psychobiology*
0414020    Psychodynamics*
0414000    Psychology*
0710105    Psychopathology
1013026    Radiation Physics*
0710110    Reproductive Endocrinology
0710115    Reproductive Physiology
0414014    Social Psychology*
0417000    Sociology*
0710120    Speech Pathology
1010013    Statistics*
1003022    Surface Chemistry*
1007009    Toxicology*
0710125    Transplantation Immunology
1002045    Viral Studies (Virology)*
1002047    Zoology*

0715000    DISEASE ENTITIES & MEDICAL PROBLEMS & BEHAVIOR
0715005    Accidents
0715006    Adverse Effects
0715008    AIDS
0715010    Arthritis
0715013    Asthma
0715015    Autoimmunity
0715020    Behavioral Medicine
0715030    Birth & Congenital Defects
0715032    Blood Diseases
0715031    Bone Diseases
0715033    Burns
0715035    Cancer & Carcinogenesis
0715040    Cardiovascular Diseases
0715041    Caries
0715042    Cerebrovascular Disorders
0715043    Chronic Fatigue
0715045    Communicable Diseases
0715050    Communicative Disorders, Hearing
0715055    Communicative Disorders, Speech
0715060    Convulsive Disorders
0715044    Death & Mortality
0715070    Death & Dying, Health and Physical Needs
0715072    Depression
0715075    Diabetes
0715080    Diabetic Retinopathy
0715085    Digestive Diseases & Disorders
0715090    Dyslexia
0715095    Emotional & Mental Health
0715100    Eye Diseases
0715103    Fungal Diseases
0715104    Hyperactivity
0715105    Hyperplasia
0715110    Hypersensitivity
0715115    Hypertension
0715120    Immune System Disorders
0715123    Incontinence
0715125    Infectious Diseases & Agents
0715026    Inflammation
0715027    Injury
0715028    Injury, Immunophysiology
0715133    Kidney Disease
0715129    Mental Disorders
0715130    Mental Retardation
0715135    Metabolic Diseases
0715136    Muscle Disorders
0715137    Neonatal Disorders
0715138    Neurological Disorders
0715140    Neuromuscular Disorders
0715145    Obesity
0715148    Oral Diseases
0715149    Orphan & Rare Diseases
0715150    Pain
0715155    Perinatal Disorders
0715157    Periodontal Diseases
0715160    Pregnancy Disorders
0715162    Psychosis
0715165    Pulmonary Diseases
0715167    Reproductive Disorders
0715170    Rheumatic Diseases
0715175    Safety
0715177    Schizophrenia
0715180    Senile Dementia
0715182    Sexually Transmitted Diseases
0715184    Skeletal Diseases
0715185    Skin Diseases
0715187    Sleep Disorders
0715190    Stillbirth
0715195    Stress
0715200    Stroke
0715205    Sudden Infant Death Syndrome
0715210    Trauma
0715213    Trauma, Cell Biology
0715215    Tumor Immunology
0715220    Venereal Diseases

0720000    EDUCATION & INSTRUCTION (HEALTH & SAFETY & MEDICAL)
0502002    Alcohol Education*
0720005    Biomedical Research Training
0503007    Computer-Aided Instruction*
0502009    Dental Health Education*
0502011    Drug Education*
0502000    Educational Instruction Programs*
0507002    Emotionally Disturbed Education*
0507004    Handicapped Education*
0502017    Health and Safety Education*
0503016    Instructional Materials and Practices*
0720010    Learning Disorders
0503018    Learning Motivation*
0507005    Learning Disabled Education*
0502024    Medical Education*
0502027    Nursing Education*
0502028    Nutrition Education*
0502045    Pharmacy Education*

0725000    ENVIRONMENT (HEALTH & SAFETY & MEDICAL)
1007005    Air Pollution*
1007001    Environmental Biology*
1007002    Environmental Chemistry*
0725005    Environmental Health
1007003    Environmental Effects*
0725007    Environmental Medicine
0725010    Health and Safety Standards, Environment
0725015    Health, Radiation Effects
1007006    Land Pollution*
0725020    Occupational Health and Safety
0725025    Poison Control
0715175    Safety*
0725030    Social & Economic Environment
1007008    Water Pollution*

0730000    HEALTH CARE
0730005    Child & Maternal Health
0730007    Emergency Health Services
0730010    Family Health & Planning & Safety
0730015    Folk Medicine
0408006    Health Care Economics*
0730020    Health Care Administration
0730025    Health Facilities Studies
0730030    Health Insurance
0730035    Health Maintenance Organizations
0730040    Health Manpower & Professions
0730045    Health Records
0730050    Health Services Delivery
0730052    Home Health Care Services
0730055    Hospices
0730057    Mental Health Services
0730060    Nursing Homes
0730065    Patient Care and Education
0730070    Public Health
0730075    Rural Health
0730080    Vital Statistics

0735000    INSTRUMENTS & INSTRUMENTATION & DEVICES (Health & Medical)
0735005    Automated Clinical Analysis
0607029    Computer-Aided Design*
1004004    Computer Graphics*
1004005    Computer Modeling*
1004008    Computer Storage & Retrieval*
1013038    Electron Microscopy*
1002024    Instrumentation, Biological*
0735015    Instrumentation, Medical
1014001    Instrumentation, Scientific*
0740000    Intervention, Agents for (Health & Safety & Medical)*
1004020    Library Automation*
0706030    Medical & Diagnostic Imaging*
0735020    Methods of Drug Delivery
1013039    Microscopy*
1004022    Pattern Recognition*
1005020    Remote Sensing*
1013034    Spectroscopy*
0607023    Telemetry*

0740000    INTERVENTION, AGENTS FOR (HEALTH & SAFETY & Medical)
0740005    Antibiotics
0740010    Anticonvulsants
0740011    Antisera
0740012    Antivirals
0740013    Biofeedback
0740015    Biological Response Modifiers
0740018    Chemopreventive Agents
0740020    Chemotherapeutic Agents
0740021    Dosage forms
0740022    Drug Delivery Systems
0740023    Immune Enhancers
0740027    Implants
0740024    Medical Device
0740025    Pharmaceuticals
0740028    Pharmacokinetics
0740030    Prosthetic Device, Hearing
0740035    Prosthetic Device, Heart
0740040    Prosthetic Device, Kidney
0740045    Prosthetic Device, Limbs
0740050    Prosthetic Device, Neural
0740055    Prosthetic Device, Pancreas
0740060    Prosthetic Device, Speech
0740065    Prosthetic Device, Vision
0740070    Prosthetic Devices (General)
0740075    Vaccine

0745000    INTERVENTION, TYPES OF (HEALTH/SAFETY/MEDICAL)
0745003    Chemoprevention
0745005    Chemotherapy
0745007    Counselling (Medical)
0745010    Dental Health & Hygiene
0745015    Detoxification
0745020    Diagnosis, Medical
0745025    Dialysis
0745027    Disease Prevention
0745030    Exercise
0745032    Gene Therapy
0745035    Health Promotion
0745037    Hyperthermia
0745040    Immunosuppression
0745045    Immunotherapy
0745047    Neural Stimulation
0745050    Preventive Dentistry
0745055    Preventive Medicine
0745060    Psychotherapy
0745062    Radiotherapy
0745065    Transplantation of Organs
0745070    Treatment, Medical

0750000    MATERIALS & PRODUCTS (HEALTH & SAFETY & Medical)
0750005    Biomaterials
0750010    Blood, Blood Products,Transfusions
0750015    Breast Milk
0750020    Contraceptives
0202001    Food Additives*
1009007    Materials Composite*
1009008    Materials, Polymeric*
0750025    Natural Products

0755000    METHODOLOGIES & PROCEDURES (HEALTH & SAFETY & MEDICAL)
0755055    Abortion (Induced)
0755005    Amniocentesis
0755010    Bioassay
0755015    Clinical Trial
1002049    Cloning of Cells*
1002050    Cloning of Organisms*
0755018    Data Management & Analysis
0755020    Disease Model
0755025    Drug Design
0755030    Etiology
0202002    Food Analysis*
0755035    Gene Cloning
0755040    Genetic Manipulation
0755043    Mathematical Model (Medical)
0755044    Methods of Drug Delivery
0755041    Molecular Cloning
0755042    Molecular Probes
0755045    Nucleic Acid Sequencing
0413000    Population Studies*
0755050    Preservation of Organs & Tissue
0414013    Psychometrics*
0411005    Risk Factors & Analysis*
0404021    Surveys & Survey Research*
0755060    Screening of Drugs & Agents

0760000    MOLECULAR & CELLULAR ENTITIES
0760002    Biochemical Markers
0760003    Biological Markers
0760004    Cell Components
0760005    Collagen
0760010    Endorphins
0760013    Enzymes
0760015    Gene Products
0760020    Growth Factors
0760025    Hormones
0760030    Hybridomas
0760035    Inhibitors
0760040    Lipoproteins
0760042    Lymphocytes
0760044    Membranes
0760045    Monoclonal Antibodies
0760050    Neurotransmitters
0760053    Nucleic Acids
0760055    Opiates
0760060    Peptides
0760065    Prostaglandins
0760070    Proteins and Macromolecules
0760075    Receptors
0760080    Recombinant DNA
0760082    Retrovirus
0760085    Steroids

0765000    NATURAL PROCESSES (HEALTH & SAFETY & MEDICAL)
1002048    Biodegradation*
0765005    Bioenergetics
0765010    Biosynthesis
0765012    Drug Resistance
0765014    Gene Expression
0765015    Gene Regulation
0765020    Metabolism
0765022    Metabolism, Amino Acid
0765025    Metabolism, Lipid
0765030    Metabolism, Mineral
0765031    Metabolism, Nucleotide
0765032    Metabolism, Protein
0765033    Pathogenesis
0765035    Pathophysiology
1002042    Reproduction*
0765040    Wound Healing

0770000    PATIENT & VOLUNTEER CLASSIFICATION
0403001    Adolescents*
0403019    Adults*
0770005    Children (Patients)
0770010    Handicapped & Disabled (Health & Safety & Medical)
0770015    Hospitalized Patient
0403020    Infants*
0770020    Outpatient
0403017    Volunteers*

0775000    PHYSIOLOGICAL & DEVELOPMENT PROCESS
0404004    Child Psychology & Development*
0414005    Cognitive Development & Process*
0775005    Hearing
0413002    Human Reproduction & Fertility*
0775010    Lactation
0410001    Language Acquisition and Development*
1002059    Morphogenesis*
0775013    Perinatal Health
0775015    Physical Growth & Retardation
0775017    Physical Senses, Other
1002034    Physiological Processes*
1002044    Physiology, Vertebrate*
0775020    Pregnancy
0775025    Prenatal Factors
0775030    Teratology
1002046    Vision*

0780000    RESEARCH RESOURCES (HEALTH & SAFETY & MEDICAL)
1002002    Animal Breeding and Facilities, Scientific*
0780005    Biological Resources
0780010    Biomedical Research Resources, Other
0780015    Cell Lines
0780017    Chemicals/Materials
0780018    Computing Resources
0780025    Organs
0780030    Registries
1103002    Research Libraries*
0780020    Tissue Culture
0780035    Transgenic Animals

1014002    SCIENCE PLANNING & POLICY*
0201011    Animal Care*
1014003    Animal Research Policy*
0783015    Health Planning/Policy
0783005    Human Subjects Policy
0783010    Medical Ethics

0785000    SPECIALTIES OF MEDICAL AND ALLIED FIELDS
0785005    Aerospace Biomedicine
0785010    Allergy
0785015    Anesthesiology
0785020    Audiology
0785025    Cardiology
0785030    Chiropractic
0785035    Clinical Medicine, General
0785040    Dentistry
0785045    Dermatology
0785050    Endocrinology
0785055    Epidemiology
0785060    Gastroenterology
0785065    Health, Allied Fields
0785070    Hematology
0785075    Medical Genetics
0785080    Medicine, Family Practice
0785085    Medicine, Internal
0785090    Midwifery
0785095    Nephrology
0785100    Neuroanatomy
0785105    Neuroendocrinology
0785110    Neurology
0785115    Neuropharmacology
0785120    Neurosurgery
0785125    Nurse Practitioner
0785130    Nursing
0785135    Obstetrics - Gynecology
0785140    Oncology
0785145    Ophthalmology
0785150    Optometry
0785155    Orthopedics
0785160    Otorhinolaryngology
0785165    Pathology
0785170    Pediatrics
0785175    Periodontics
0785180    Physical Medicine and Rehabilitation
0785185    Psychiatry
0785190    Radiology
0785195    Rheumatology
0785200    Serology
0785205    Sports Medicine
0785210    Surgery
0785215    Tropical Medicine
0785220    Urology
0201058    Veterinary Medicine*

0790000    STRUCTURE & FUNCTION (HEALTH & SAFETY & MEDICAL)
1003001    Atomic & Molecular Structure*
0790005    Membrane Structure/Function
0790010    Nucleic Acid Structure/Function
0790015    Ultrastructure (Health & Safety & Medical)

0795000    TECHNOLOGY ASSESSMENT & TRANSFER & OUTREACH (HEALTH &
MEDICAL)
0403004    Community & Outreach Programs*
0795003    Disease Control
1016002    Technology Assessment*
1016004    Technology Transfer*
0795005    Therapy Evaluation

----------------------------------------------------------------

               KEYWORD THESAURUS PROGRAM TYPES AND TARGET GROUPS

    Program Types  (P.T.)                      Target
Group/Beneficiary

01  Analytical Services                        AA  Children and Youth
02  Capital Construction                       BB  Disadvantaged
(Economically)
04  Centers:  Research/Demonstration/Service   CC  Elderly
05  Challenge/Fund Raising                     DD
Handicapped/Disabled
06  Consulting/Visiting Personnel              EE  Migrant
08  Cultural Outreach                          FF  Minorities
12  Demonstration                              FA  Minorities,
Alaskans
14  Development (Institutional/Departmental)   FB  Minorities, Asians
16  Dissemination of Information               FC  Minorities, Blacks
18  Equipment/Instrumentation                  FD  Minorities,
Hispanics
20  Exhibitions, Collections, Performances     FE  Minorities, Native
Americans
22  Fellowships                                GG  Refugees
23  Financial Aid (Scholarships & Loans)       HH  Veterans
24  General Operating Support                  II  Women
25  Instruction/Curriculum Development
26  International Exchange Programs
28  Materials Acquisition (Books, Tapes, etc.)
30  Preservation/Restoration
32  Publication
34  Research
36  Resources (Shared/Non-Acquisition)
38  Service Delivery Programs
40  Student Support (Incl. Dissertation Support)
42  Symposiums, Conferences, Workshops, Institutes, Seminars
44  Training/Traineeships/Apprenticeships/Internships
46  Translations/Editing
48  Travel

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

$$N4 BEGIN **********************************************************

POSTPONEMENT - RFA FOR INSTITUTIONAL DENTIST SCIENTIST AWARDS

NIH GUIDE, Volume 22, Number 24, July 2, 1993

P.T. 34; K.W. 0785040, 0710030

National Institute of Dental Research

The purpose of this notice is to announce a postponement by one year
in issuing a Request for Applications (RFA) for Institutional Dentist
Scientist Awards (DSA, K16).  The RFA will be issued in early summer,
1994.  This postponement will allow consideration of numerous policy
issues affecting the DSA program and the related National Research
Service Award program.

The existing DSA programs will complete their project periods on June
30, 1995.  Normally, recompetition of this program would require an
RFA to be issued in early summer 1993, review of applications by the
initial review group and National Advisory Dental Research Council
(NADRC) in the spring of 1994, recruitment of appointees in the fall
of 1994, and awards made on July 1, 1995.  This schedule will be
delayed by one year.  Appointees on existing programs will be
supported for the duration of their five-year programs, as agreed to
previously.

Reports are pending from the National Research Council's Committee on
National Needs for Biomedical and Behavioral Research Personnel, and
from the Task Force on Clinical Research in Dentistry, Institute of
Medicine, National Academy of Sciences. Recommendations from these
reports and from the Dental Research Programs Advisory Committee, the
NADRC, and other advisory groups to the NIDR, including the program
directors of existing DSA programs, need to be evaluated and
integrated to ensure that the training and career development
programs are designed to address the mission of the NIDR in the most
effective way possible. Postponement of the RFA for the recompetition
of the DSA programs will allow time for consideration of many policy
issues affecting the DSA programs and permit incorporation of
modifications to improve their effectiveness.  The NIDR remains
committed to continued support for the DSA programs.  Applications
for Individual Dentist Scientist Awards (K15) and for Physician
Scientist Awards for Dentists (K11) will continue to be accepted in
the usual way.

INQUIRIES

Inquiries concerning this notice may be addressed to:

Thomas M. Valega, Ph.D.
Special Assistant for Manpower Development and Training
National Institute of Dental Research
Westwood Building, Room 503
Bethesda, MD  20892
Telephone:  (301) 594-7617
FAX:  (301) 594-7616

$$N4 END ************************************************************

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$R1 BEGIN AG-93-003 FULL-TEXT **************************************

MINORITY DISSERTATION RESEARCH GRANTS IN AGING

NIH GUIDE, Volume 22, Number 24, July 2, 1993

RFA AVAILABLE:  AG-93-003

P.T. 34, FF; K.W. 0710010, 0710030

National Institute on Aging

Application Receipt Date:  October 20, 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

Small grants (R03) to support doctoral dissertation research will be
available for minority doctoral candidates.  Grant support is
designed to aid the research of new minority investigators and to
encourage individuals from a variety of academic disciplines and
programs to study problems in aging and issues related to aging.
Specific research topics should be discussed with the National
Institute on Aging (NIA).  The interests of the programs are given in
the 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,
Minority Dissertation Research Grants in Aging, is related to the
priority area of aging.  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

The applicant investigator applying for a dissertation research grant
must be a minority individual enrolled in an accredited doctoral
degree program in the biomedical, social, or behavioral sciences and
must have approval of the dissertation proposal by a named committee.
Note that this initiative is no longer limited to "underrepresented
minorities".  The applicant institution must be domestic and will
administer the grant on behalf of the proposed investigator.  The
applicant investigator for dissertation research grant support must
be a citizen of the United States or hold a permanent resident visa.

MECHANISM OF SUPPORT

Dissertation research grants will be administered in accordance with
the U.S. Code Annotated, Title 42, Part B, Section 284.  Awards will
depend on the availability of funds.  The NIA expects to fund up to
20 dissertation research projects in 1994.

Applicant investigators should request support for the amount of time
necessary to complete the dissertation.  However, a dissertation
research grant usually is awarded for a period of 12 months but may
be awarded for up to 24 months.  The total direct costs of the entire
project may not exceed $25,000.  A proposal that exceeds this amount
will be returned.  Allowable costs include the investigator's salary
(not to exceed $10,000); direct research project expenses such as
travel, data processing, and supplies, and dissertation costs.  No
tuition or permanent equipment is allowed.

APPLICATION PROCEDURES

The RFA and special guidelines for dissertation grant applications
must be requested from the Office of Extramural Affairs (see address
below).  The application is to be submitted on form PHS 398 (rev.
9/91) available from the university's office of sponsored research
and the Office of Grants Inquiries, Division of Research Grants,
National Institutes of Health, Westwood Building, Room 449, Bethesda,
MD 20892, telephone 301/594-7248.  The special instructions described
here and in the application kit must be followed.  Applications will
be assigned to the NIA for review and possible funding.

Applications must be received by October 20, 1993.  The original and
three copies of the completed application, which includes a detailed
narrative project description (not to exceed 10 pages) and letters
must be sent or delivered to:

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

An additional two copies must be sent to:

Chief, Scientific Review Office
National Institute on Aging
Gateway Building, Suite 2C212
Bethesda, MD  20892
ATTN:  Minority Dissertation

A letter from the faculty committee or university official directly
responsible for supervising the development and progress of the
dissertation research must be submitted with the application.
Details of the letter are given in the RFA.

REVIEW CONSIDERATIONS

Dissertation research grants are competitive.  Review will be
conducted by a special committee convened for this purpose.  Review
results and funding decisions will be announced within six months
after the submission date.  Final funding decisions are based on the
recommendations of the reviewers, the relevance of the project to NIA
priorities, and the availability of funds.

INQUIRIES

Interested applicants must request the RFA, additional guidelines for
preparing the application, and discuss the suitability of the
mechanism by letter or by telephone with the person named below.  The
applicant will then be referred to the relevant NIA program director
to discuss the suitability of the research topic.

Phyllis B. Eveleth, Ph.D.
Office of Extramural Affairs
National Institute on Aging
Gateway Building, Suite 2C218
Bethesda, MD  20892
Telephone:  (301) 496-9322

Direct inquiries relating to fiscal matters to:

Mr. Joseph Ellis
Grants Management Officer
National Institute on Aging
Gateway Building, Suite 2N212
Bethesda, MD  20892
Telephone:  (301) 496-1472

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.366.  Awards are made under authorization of the
Public Health Service Act Title IV, Part A (Public Law 79-410, as
amended by Public Law 99-158, 42 DSC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  The requirements of Executive Order 12372,
"Intergovernmental Review of Federal Programs," are not applicable to
NIA research grant programs.

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

                    ONGOING PROGRAM ANNOUNCEMENTS

$$P1 BEGIN PA-93-093 ************************************************

DRUG ABUSE ASPECTS OF AIDS

NIH GUIDE, Volume 22, Number 24, July 2, 1993

PA NUMBER:  PA-93-098

P.T. 34; K.W. 0715008, 0404009

National Institute on Drug Abuse

PURPOSE

The purpose of this program announcement is to stimulate research on
the relationships between drug abuse and associated behaviors and
infection with human immunodeficiency virus (HIV) and progression to
acquired immunodeficiency syndrome (AIDS).  This is a revision of the
January 1990 announcement recognizing the progress made and the
knowledge accumulated regarding these relationships and emphasizing
areas where major gaps exist in this knowledge base.

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, Drug Abuse Aspects of AIDS, is related to the priority
areas of HIV infection and alcohol and other drugs.  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 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.  Women
and minority investigators are encouraged to apply.  Applications are
especially encouraged from State and municipal governments with
research units and/or State and municipal governments collaborating
with university-based research units.  Foreign institutions are not
eligible for First Independent Research Support and Transition
(FIRST) Awards (R29).

MECHANISM OF SUPPORT

This program announcement will use the National Institutes of Health
(NIH) individual research project grant (R01), small grants (R03),
and FIRST awards (R29).  Responsibility for the planning, direction,
and execution of the proposed project will be solely that of the
applicant.  Because the nature and scope of the research proposed in
response to this program announcement may vary, it is anticipated
that the size of an award will vary also.

RESEARCH OBJECTIVES

Background

Between June 1981 and June 30, 1992, 226,281 AIDS cases in the U.S.
were reported to the Centers for Disease Control.  Approximately 30
percent of the AIDS cases are among injecting drug users (IDUs).
Heterosexual IDUs account for 23 percent of AIDS cases, whereas
homosexual and bisexual IDUs account for an additional six percent of
cases.  Nineteen percent of all male cases were heterosexuals who
reported using needles for self-injection of drugs not prescribed by
a physician at least once prior to developing AIDS.  Half of all
females with AIDS reported such a drug use history.

HIV infection and AIDS are not limited to drug abusers who inject
drugs, but have been recently noted to be spreading rapidly among
non-IDUs, such as "crack" smokers.  A survey of five cities
demonstrated an 11 percent HIV infection rate among heterosexual
"crack" users who had never injected drugs.  The multiple sexual
contacts reported by this group of drug users has led to outbreaks of
gonorrhea and syphilis and other sexually transmitted infections,
including HIV infection.

Another facet of the AIDS epidemic is the re-emergence of
tuberculosis (TB) in the U.S.  There are several reasons for the
re-emergence of TB in the U.S., including the HIV epidemic, a failing
public health infrastructure in some districts, increased substance
abuse, poverty and homelessness, and increases in immigrants with TB.

In response to the AIDS pandemic among drug abusers, the National
Institute on Drug Abuse (NIDA) has built a comprehensive research
program, including studies of the effects of drug abuse on the immune
system; epidemiologic studies of seroincidence, seroprevalence, and
progression to disease among drug users (in and out of treatment),
their sexual partners, and their children; and studies to assess
prevention and treatment strategies to reduce behaviors that are
linked to the transmission of HIV and progression to AIDS and other
associated diseases.

To develop a more targeted research program, the NIDA AIDS Office
initiated a planning process addressing four major research areas:
prevention of HIV transmission, drug using and sexual behaviors
associated with HIV transmission, natural history/cofactors of HIV
infection and disease progression, and clinical issues.  Separate
planning processes focused on drug abuse treatment research and
medications development, and aspects of those plans relevant to HIV
were also integrated into the AIDS planning process. The AIDS
five-year plan highlights the priority areas presented below.

Objectives

Priorities have been established, without implication of ranking
importance, in five areas (treatment of drug dependence, prevention
strategies, risk behaviors, etiology and pathogenesis, and clinical
issues).  Three cross-cutting areas include international research,
family issues, and cultural issues.

Treatment of drug dependence:  Treatment of drug dependence is an
important strategy for reducing risky behaviors that are related to
the transmission of HIV.  To that end, NIDA will continue to support
research to improve current treatments and to develop new ones.

The objective of drug abuse treatment research related to AIDS is to
improve the efficacy of psychosocial/behavioral and pharmacological
drug dependence treatment interventions; to improve the effectiveness
of drug abuse treatment programs and modalities; to develop effective
new psychosocial treatments and medications to treat drug dependence;
to potentiate the efficacy of drug abuse treatment through optimal
integration of psychosocial/behavioral treatments and medications.
Specific examples of research priorities include:

o  Systematic evaluation and replication of promising
psychosocial/behavioral therapies and promotion of the acceptance and
utilization of those therapies that show efficacy for differing
patient populations including women, particularly pregnant women,
those with mental illness, and crack users.
o  Continue large scale, multi-program treatment evaluation research
to provide current information on the effectiveness of treatment
modalities for differing client populations.
o  Studies of treatment engagement and retention in order to address
the problem of client attrition early in treatment by developing
strategies to increase time in treatment.

Prevention strategies:  Although treatment for drug dependence is
considered the optimal intervention, other HIV prevention strategies
are needed for drug users who are not in treatment or whose treatment
is not totally effective in eliminating their use of drugs and for
others at risk of infection through drug abuse such as sex partners
and children of drug abusers.  In addition, for drug users who are
already infected with the HIV, strategies to slow progression of AIDS
illnesses are needed.

Attention needs to be placed on research that not only evaluates
outcomes of specific risk reduction programs, but does so in a manner
that contributes toward a generalizable understanding of the factors
and processes that contribute to risk behavior and behavior change.
Furthermore, there is a need to develop and evaluate prevention
efforts that are integrated with other public health programs that
address the myriad health and safety issues that make HIV a less
salient concern for many persons at risk.  A special focus is needed
on alternative strategies for women.  Specific areas of research
attention might be:

o  Multi-site AIDS community-based outreach/intervention research
designed to:  recruit drug abusers into drug abuse treatment and HIV
counseling programs, study the duration of behavior change following
intervention, and develop booster programs to ensure long term
behavior change and prevent relapses to risk-taking behaviors.
o  Assess prevention strategies that alter the progression of disease
among seropositive drug abusers.
o  Assess intervention models that focus on sexual risk behaviors.
o  Clarify the efficacy (risks and benefits) and cost-effectiveness
of harm reduction strategies, such as needle/syringe exchange
programs and the use of bleach as a disinfectant.  Studies are
encouraged that examine the impact of these programs on patterns of
drug use practices, including needle-related practices with potential
impact on the transmission of blood-borne diseases, e.g., HIV,
Hepatitis B.  The development of biological measures of infectivity
and multiple use patterns are encouraged.
o  Develop and evaluate prevention strategies for areas of "low
prevalence" of AIDS/HIV infection, including use of other "markers"
of risk such as HTLV-I/II and hepatitis viruses.
o  Assess the risks and benefits of HIV testing and counseling.  Give
special emphasis to interventions designed to improve behavior change
for clients who test HIV negative.
o  Studies of the diffusion of innovations comparing characteristics
of communities that adapt early, later, or fail to adopt innovative
preventive strategies.  Such studies should also examine the impact
on HIV risk behaviors.

Risk behaviors:  Drug using behaviors and sexual behaviors associated
with drug use account for a major portion of the AIDS cases reported
in the United States.  Studies have focused on behaviors of
individual drug users, particularly in relation to injection drug
practices and their use of sex as a mechanism for obtaining drugs.
The transactional and dynamic aspects governing these high risk
behaviors have been less well explicated.  Specific examples of
research priorities include:

o  Identification of factors associated with the transition from
non-injecting to injecting drug use, including the role of drug and
needle sharing in injection initiation.
o  Studies of factors that support the maintenance of or relapse to
drug injecting behaviors and that play a role in user decisions to
adopt and maintain safer injecting procedures, including social and
situational determinants (e.g., drug choices, availability of drugs,
social networks, social support, and gender roles) of sharing and
other high risk practices.
o  Studies of the determinants of sexual behavior of IDUs and their
sexual partners, how risk taking behavior is mediated by the dyadic
relationship, peer group influences, social networks, gender
differences, and patterns of non-injected and injected drug use.
o  Investigations of the relationship between non-injected drug use
and high risk sexual behaviors in gay and bisexual males and other
groups potentially at risk.
o  Development of statistical methodologies for analysis of behavior
in context and for measuring multiple risk behaviors.
o  Studies to model the prevalence of AIDS and AIDS risk behaviors
balancing theory and data, in special subpopulations of drug abusers
(the homeless, adolescents, the highly sexually active, gays and
bisexuals).

Etiology and pathogenesis (Cofactors):  It is hypothesized that the
transmission/progression of infection may be influenced by non-HIV
related factors.  These "cofactors" may include the use of drugs or
alcohol (e.g., quantity) as well as the use of specific substances
(e.g., nitrite inhalants).

The overall objective of this area is to stimulate research on the
pathogenesis of HIV in drug users and their offspring and the impact
of co-factors which may operate in conjunction with HIV to influence
susceptibility to infection, disease progression, and the various
clinical manifestations observed in drug users.  Examples of research
areas include:

o  Studies of drug receptors in psychoneuroimmune systems including
the basic mechanisms of psychoneuroimmune pathways, the mechanisms of
action of different cytokines and drugs on these receptors and how
drugs might be modified to intervene in these actions to assist the
development of new treatment drugs that do not impinge on immune
function or that may enhance immune response.
o  Studies of the role of stress and how drugs of abuse modulate the
immune function and the progression of disease, as well as the
biochemical and immunologic mechanisms in the pathogenesis of
drug-modulated encephalopathy in the absence or presence of HIV or
other infections.
o  Studies in prevalent positives of clinical staging of HIV-related
disorders, decline in CD4, and onset of other infectious diseases
(e.g., hepatitis B and C, pyogenic bacterial infections, syphilis,
tuberculosis); medical sequelae of AIDS-related disorders, e.g., M.
tuberculosis, pulmonary and central nervous system infections,
mycobacteria, T. gondii, Kaposi's sarcoma, C. neoformans).
o  The extent to which drug use and/or co-infection with other
pathogens affects vulnerability to HIV infection and the rate of
disease progression in incident seroconverters; the impact of drug
use and co-infection on immune function and rate of decline in CD4;
the interactions of HIV with drugs of abuse and the effects of
combinations of cofactors on susceptibility to infection and disease
course.
o  The immunosuppressive role of drugs of abuse such as opiates,
cocaine, marijuana, and nitrites on progressive immune dysfunction
and disease progression; association of drug use with variable
expression of HIV manifestations in drug users as distinct from other
groups, e.g., the association of nitrite use with Kaposi's sarcoma.
o  The interaction of drug treatment medications, e.g., methadone,
LAAM, and buprenorphine, HIV-related therapeutics, and drugs of abuse
and the impact on HIV disease progression.
o  HIV transmission and disease development in special populations,
e.g., women, infants and children prenatally drug-exposed, and
adolescents.
o  Studies that examine factors in drug abusing populations that
predict, protect against, contribute to, or limit the progression of
complications of HIV infections related to the nervous system, e.g.,
HIV dementia.

Clinical issues:  Important clinical issues include drug abuse
relapse prevention, case management, HIV testing, and linkages
between the drug treatment and primary health care systems.  These
issues are particularly complex in that drug abuse treatment has been
managed outside the mainstream of health care practice.  Within this
context, the following are examples of research initiatives:

o  Assess strategies to link drug abuse services with primary health
care, public health, and mental health services.
o  Assess the ability of drug abuse treatment staff to resist burnout
and to enhance skills, and explore their attitudes toward
HIV-positive and substance abusing clients.
o  Evaluate a variety of comprehensive case management models that
include health and social services for drug abusers who are infected
with HIV and for those who have progressed to AIDS.
o  Study the impact on the lives of the families of seropositive drug
abusers and drug abusers with AIDS including their service needs and
patterns of help-seeking.

Cross-Cutting Issues:  Three cross-cutting issues have been
identified: international studies, family issues, and, cultural
issues.

Applications are encouraged especially from countries that have
access to data which are unavailable in the U.S. and which are
important to U.S. interests in the area of drug abuse and AIDS in any
of the areas mentioned above.

Interrelationships among drug abuse, HIV infection, and family
functioning, utilizing a broad definition of family functioning to
include biological and non-biological networks.  The focus of this
research is the design effective prevention strategies and to enhance
treatment efforts.

Studies of special target populations are encouraged that focus on
cultural factors that impact injecting and high risk sexual behavior;
female drug users and female sexual partners of IDUs; high risk
adolescents (e.g., homeless and gay youth, and youth living in areas
with high rates of HIV infection and/or injection drug use); gay and
bisexual males, including injecting and non- injecting drug users;
and institutionalized populations such as prisoners.

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.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 9/91) and will be accepted at the receipt dates for
AIDS-related research found in the form PHS 398 instructions.
Application kits are available at most institutional offices of
sponsored research and may be obtained from the Office of Grants
Information, Division of Research Grants, National Institutes of
Health, Westwood Building, Room 240, Bethesda, MD 20892, telephone
301/594-7248).  The title and number of the announcement must be
typed in Item 2a on the face page of the application form PHS 398.

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.  If so, a letter of agreement from either the
GCRC program director or Principal Investigator could be included
with the application.

REVIEW CONSIDERATIONS

The Division of Research Grants, NIH, serves as a central point for
receipt of applications for most discretionary DHHS grant programs.
Applications received under this announcement will be assigned to an
initial review group (IRG) in accordance with established PHS
referral guidelines.  The IRGs, consisting primarily of non-Federal
scientific and technical experts, will review the applications for
scientific and technical merit in accordance with the standard NIH
peer review procedures.  Notification of the review recommendations
will be sent to the applicant after the initial review.  Applications
will receive a second-level review by an appropriate National
Advisory Council, whose review may be based on policy considerations
as well as scientific merit.  Only applications recommended for
further consideration by the Council may be considered for funding.

AWARD CRITERIA

Applications recommended for further consideration by an appropriate
National Advisory Council will be considered for funding on the basis
of overall scientific, clinical and technical merit of the proposal
as determined by peer review, appropriateness of budget estimates,
program needs and balance, policy considerations, adequacy of
provisions for the protection of human subjects, and availability of
funds.

INQUIRIES

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

Harry W. Haverkos, M.D.
National Institute on Drug Abuse
5600 Fishers Lane, Room 10A-38
Rockville, MD  20857
Telephone:  (301) 443-6697

Direct inquiries regarding fiscal matters to:

Chief, Grants Management Branch
National Institute on Drug Abuse
5600 Fishers Lane, Room 8A-54
Rockville, MD  20857
Telephone:  (301) 443-6710

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.279.  Awards are made under authorization of the
Public Health Service Act, Section 301, and administered under PHS
grants policies and Federal Regulations at Title 42 CFR 52 "Grants
for Research Projects", Title 45 CFR Part 74 & 92, "Administration of
Grants" and 45 CFR Part 46, "Protection of Human Subjects".  Title 42
CFR Part 2, "Confidentiality of Alcohol and Drug Abuse Patient
Records" may also be applicable to these awards.  This program is not
subject to the intergovernmental review requirements of Executive
Order 12372 of Health Systems Agency review.

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

$$P2 BEGIN PA-93-099 ************************************************

BIPOLAR DISORDER:  CLINICAL, BIOLOGICAL, AND TREATMENT RESEARCH

NIH GUIDE, Volume 22, Number 24, July 2, 1993

PA NUMBER:  PA-93-099

P.T. 34; K.W. 0715129, 0755030, 0745070, 0415001, 0730050

National Institute of Mental Health

PURPOSE

The purpose of this announcement is to encourage research grant
applications for studies on etiology, clinical course, biology,
treatment, and delivery of services for bipolar disorder.  The
collaborative development of common or complementary protocols or
methods to increase the knowledge yield from clinical resources is
encouraged.

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, Bipolar Disorder:  Clinical, Biological, and Treatment
Research, is related to the priority area of mental health and mental
disorders.  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. 017-001-004731) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20401-9325 (telephone 202-783-3238.)

This announcement also addresses recommendations set forth in "Caring
for People with Severe Mental Disorders: A National Plan of Research
to Improve Services".  This publication (Department of Health and
Human Services Pub. No. (ADM 91-1762) can be obtained through the
U.S. Government Printing Office, Washington, DC 20402-9325 (telephone
202-783-3238.)

ELIGIBILITY

Applications may be submitted by domestic and foreign public and
private, non-profit and for-profit organizations, including
universities, colleges, hospitals, laboratories, units of State and
local governments, and eligible agencies of the Federal government.
Women and minority investigators are encouraged to apply.  Foreign
institutions are not eligible for the First Independent Research
Support and Transition (FIRST) (R29) awards.

MECHANISMS OF SUPPORT

Research support may be requested through applications for a regular
research grant (R01), a small grant (R03), and the First Independent
Research Support and Transition (FIRST) award (R29).  Applications
for collaborative and/or multipurpose research may be requested
through the Multi-Institutional Collaborative Research Project (R10)
mechanism as well as the new Interactive Research Project Grant
mechanism (IRPG).  Because some of these grant mechanisms have
specific program announcements with distinct application procedures
and deadlines, applicants should consult with NIMH staff concerning
choice of mechanism.

RESEARCH OBJECTIVES

Background

Bipolar disorder constitutes a major public health problem affecting
nearly 1.5 percent of the adult population.  Bipolar disorder can
have serious long-term effects and is often associated with
significant psychosocial impairment, lost work productivity, and high
morbidity and services utilization.  A recent analysis, funded by the
National Institute of Mental Health (NIMH) and the Agency of Health
Care Policy and Research, of outpatient and inpatient medical records
for 1.3 million patients with mood disorder found that the economic
cost of bipolar disorder is 3.5 times that of major depression.
Bipolar illness is also a significant risk factor for suicide.
Deaths by suicide are at least 35 times that found in the general
population.  There is evidence from epidemiologic and family studies
of trends toward earlier onset of bipolar illness and, possibly, of
increased prevalence in younger birth cohorts.  The factors
underlying these effects are unclear, but early onset is generally
associated with increased familial risk.

The presentation of bipolar disorder in clinical settings is
increasingly complicated by comorbid substance abuse, especially in
younger age groups.  Despite the high prevalence of comorbid bipolar
disorder and substance or alcohol abuse, there is relatively little
research with this population.  Other complications include dysphoric
mania (also known as a mixed state) and rapid cycling between mania
or hypomania and depression.  These clinical presentations are less
likely than standard bipolar disorder to respond to lithium.
Overall, they have received relatively little study in relation to
differential family patterns, gender, etiology, comorbidity,
treatment responsiveness, course, and outcome.  Increased attention
is reflected by plans to include subtypes in the DSM-IV criteria.

Childhood bipolar disorder is receiving new research attention.
Differential diagnostic issues remain a problem (e.g., with conduct
disorder, attention deficit disorder and schizophrenia), and
relatively little is known about the onset, presentation, and outcome
of childhood bipolar disorder.

Aside from lithium therapy, long-term treatment and rehabilitation of
bipolar disorder have been relatively neglected compared to
treatments for unipolar mood disorders and schizophrenia.  There is
need for greater focus on the development and application of
innovative, long-term therapeutic interventions involving both
biological and psychosocial treatments.

The following are examples of research topics focusing on bipolar
disorder research.  The list is illustrative, not exhaustive, and it
is expected that additional important research topics will be
identified by researchers who respond to this announcement.

Clinical Features, Course, and Risk Factors.  Research is encouraged
to identify factors associated with subtypes of bipolar disorder, as
well as factors associated with onset, course, and outcome of the
disorder.  Examples include studies of the following:

o  The influence of factors such as birth cohort membership, family
history, social supports, life events, comorbidity, personality, and
gender on the onset, clinical presentation, and course of bipolar
disorder
o  Risk factors in the onset of first episode and recurrence (course)
of bipolar disorder

From owner-sci-resources@net.bio.net Mon Jun 28 23:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 24, pt. 2, 2 July 1992
Message-ID: <Jun.29.10.51.38.1993.15215@net.bio.net>
Date: 29 Jun 93 17:51:39 GMT
Sender: kristoff@net.bio.net
Lines: 560
Approved: biosci-moderator@net.bio.net

$$XID NIHGUIDE 19930702 V22N24 P2O2 ************************************
o  Prevalence and risk factors associated with various clinical
presentations in general health care and specialty mental health
settings
o  The time course of recovery from index episodes and relapse into
new episodes; and the predictive significance of episode-related
clinical features for recovery and relapse
o  Clinical and cognitive features that are characteristic of the
manic phases and depressed phases of bipolar disorder (e.g., thought
disorder and psychotic features) and their influence on course and
outcome
o  Course and outcome in childhood onset bipolar disorder and its
possible temperamental antecedents
o  Suicide risk in bipolar illness, including research on the
influence of comorbid substance abuse and personality disorders

Biological/Neuroscience/Psychological Functioning. Research is
encouraged to clarify the etiology, genetic susceptibility factors,
and pathophysiological and psychological characteristics of bipolar
illness. Examples include studies of the following:

o  The specific genetic bases for or contributions to the etiology of
bipolar disorder, including approaches using DNA markers of candidate
genes as well as research to identify biological measures that
co-segregate with clinical disorder in families or are present in
individuals at high risk by virtue of family history
o  Functional and structural neuroimaging techniques applied to the
study of bipolar disorder during episodes, as well as remission
o  Sleep, neuroendocrine, and circadian changes from manic to
depressed to euthymic states
o  Neurobiological, pathophysiological, cognitive, and other
psychological mechanisms or changes related to course of illness or
treatment efficacy

Treatment and Services.  Treatment of bipolar disorder is
increasingly marked by the recognition that traditional therapies
often fail to control effectively a variety of clinical presentations
such as mixed states and rapid cycling and the prevention or
treatment of breakthrough depression in the course of maintenance
therapy.  There is a special need for new therapies for women of
child-bearing age, because of concerns about teratogenic side effects
from available medications.  Studies are also needed to find the
optimum treatment for the depressive phase of the illness.  Examples
of study topics include the following:

o  Pharmacologic alternatives to lithium for both acute and long-term
therapy
o  Nonpharmacologic somatic approaches, e.g., electroconvulsive
therapy, phototherapy, sleep deprivation
o  New psychosocial treatment and rehabilitation approaches,
especially those that assess the long-term efficacy and effectiveness
of integrated biological- psychosocial and cognitive therapies
o  New treatments that take into account the high comorbidity of
substance abuse in bipolar illness
o  Management of compliance problems during long-term treatment
o  Reanalysis of treatment data sets to look for gender-specific or
ethnic factors in treatment and outcome
o  Cost-benefit and cost-effectiveness analyses of standard and
alternative treatment and rehabilitation modalities
o  Service needs and systems of care for patients with bipolar
illness and their families, including studies of service models which
coordinate care across different service systems (e.g., social,
judicial, mental health, general health service systems)

STUDY POPULATIONS

SPECIAL INSTRUCTION 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.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 9/91), available from most institutional offices of
sponsored research and from the Grants Management Branch, National
Institute of Mental Health, 5600 Fishers Lane, Room 7C-05, Rockville,
MD 20857, telephone 301/443-4414.  On item 2a of the application face
page, applicants must enter the number and title of this program
announcement (PA-93-099:  Bipolar Disorder:  Clinical, Biological,
and Treatment Research).

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 either the
GCRC program director or Principal Investigator could be included
with the application.

REVIEW CONSIDERATIONS

Applications in response to this announcement will be reviewed for
scientific and technical merit by an initial review group (IRG)
composed primarily of non-Federal scientific experts, and by the
appropriate National Advisory Council.  Review by the Council may be
based on policy considerations as well as scientific and technical
merit.  By law, only applications recommended for approval by Council
may be considered for funding.  Summaries of IRG recommendations are
sent to applicants as soon as possible following completion of the
IRG review.

Review Criteria

Applications will be judged on the criteria listed below:

o  Scientific significance and originality of proposed research
o  Appropriateness and adequacy of the design and methodology
proposed to carry out the research
o  Qualifications and research experience of the Principal
Investigator and staff, particularly in the area of the proposed
research
o  Availability of resources necessary to perform the research
o  Appropriateness of budget estimates for the proposed research
o  Adequacy of procedures for the protection of human subjects of
research
o  Conformance of the application to NIH policy on inclusion of women
and minorities in study populations

AWARD CRITERIA

In making awards, the following criteria are considered: quality of
application as determined by IRG and Council recommendations, program
relevance, availability of funds.

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:

Mary C. Blehar, Ph.D.
Division of Clinical and Treatment Research
National Institute of Mental Health
5600 Fishers Lane, Room 10C-24
Rockville, MD  20857
Telephone:  (301) 443-1636

Direct inquiries regarding fiscal matters to:

Diana S. Trunnell
Grants Management Branch
National Institute of Mental Health
5600 Fishers Lane, Room 7C-15
Rockville, MD  20857
Telephone:  (301) 443-3065

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.242.  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 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 AG93003 AG-93-003 P1O1 ***************************************

MINORITY DISSERTATION RESEARCH GRANTS IN AGING

NIH GUIDE, Volume 22, Number 24, July 2, 1993

RFA:  AG-93-003

P.T. 34, FF; K.W. 0710010, 0710030, 0404000, 0755030, 0785055

National Institute on Aging

Application Receipt Date:  October 20, 1993

PURPOSE

Small grants (R03) to support doctoral dissertation research will be
available for minority doctoral candidates.  Grant support is
designed to aid the research of new minority investigators and to
encourage individuals from a variety of academic disciplines and
programs to study problems in aging.

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), Minority Dissertation Research Grants in
Aging, is related to the priority area of aging.  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

The applicant investigator applying for a dissertation research grant
must be an individual from a minority group enrolled in an accredited
doctoral degree program in the biomedical, social, or behavioral
sciences and must have approval of the dissertation proposal by a
named committee.  Note that this initiative is no longer limited to
"underrepresented minorities".  The student must also be conducting
or intending to conduct dissertation research on aging or problems
related to aging.  Research topics should fit within one or more of
the areas described below for each individual program (see National
Institute on Aging Contacts).

The applicant must be a registered doctoral candidate in resident or
nonresident status.  The applicant must have a dissertation topic
approved by the named committee.  This information must be verified
in a letter of certification from the thesis chairperson and
submitted with the grant application (see APPLICATION PROCEDURES).

The applicant institution must be domestic and will administer the
grant on behalf of the proposed investigator.  The applicant
investigator for dissertation research grant support must be a
citizen of the United States or hold a permanent resident visa.  The
performance site may be foreign or domestic.

MECHANISM OF SUPPORT

The mechanism of support is the NIH small grant (R03).  Grants to
support dissertation research will provide no more than $25,000 in
total direct costs.  Dissertation research grants will be
administered in accordance with the U.S. Code Annotated, Title 42,
Part B, Section 284.  Awards will depend on the availability of
funds.  The NIA expects to fund up to 20 dissertation research
projects in 1993.

FUNDS AVAILABLE

The NIA anticipates fundins approximately 20 grants with a total
program cost of $600,000.

SPECIAL REQUIREMENTS

Grant Conditions.  The following conditions apply to dissertation
grants:

o  Work on the funded project must be initiated within three months
after the date of the award.

o  An awardee may be invited to participate in a meeting or
presentation of other NIA dissertation awardees.

o  A Principal Investigator who discontinues or suspends a project
during the grant period must inform the Grants and Contracts
Management Office immediately in writing.  The NIA may suspend or
terminate the grant as requested by the Principal Investigator or on
its own initiative.

o  The dissertation constitutes the final report of the grant.  Two
copies of the dissertation must be submitted.  The dissertation must
be officially accepted by the faculty committee or university
official responsible for the candidate's dissertation and must be
signed by the responsible officials.

Continuation of Support.  Grantees who have been funded for 12 months
of a project requiring 24 months must submit a continuation
application with a progress report ten months after the award begins.
Decisions concerning support beyond 12 months are based on the
availability of funds and on evidence of acceptable progress.

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
minority 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 Section5,
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 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 the 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.

APPLICATION PROCEDURES

Scope of Awards.  Applicant investigators should request support for
the amount of time necessary to complete the dissertation.  However,
a dissertation research grant usually is awarded for a period of 12
months, but may be awarded for up to 24 months.  Investigators who
need 24 months to complete the research project will be required to
submit a continuation application for support beyond the first 12
months.  Continuation support may be awarded if satisfactory progress
is being made, but the total direct costs of the entire project may
not exceed $25,000.  An application that exceeds this amount will be
returned.

An applicant who receives support for dissertation research under a
grant from the NIA may not at the same time receive support under a
predoctoral or fellowship grant awarded by any other Federal agency,
nor be supported under any other research project grant.

Allowable Costs.  Expenses usually allowed under PHS research grants
will be covered by the NIA dissertation research grants, but may not
exceed $25,000 for the project.  Allowable costs include the
investigator's salary (not to exceed $10,000); direct research
project expenses such as travel to one scientific meeting (limited to
$500), data processing, supplies, and dissertation costs.  Any level
of effort that is less than full time by the candidate must be fully
justified.  No tuition or permanent equipment is allowed.  Small
equipment requires special justification.  Indirect costs are limited
to eight percent of requested direct costs, less equipment.

Application form.  Special guidelines for dissertation grant
applications are available from the Office of Extramural Affairs (see
address below).  The application is to be submitted on form PHS 398
(rev. 9/91) available from the university's office of sponsored
research and the Office of Grants Inquiries, Division of Research
Grants, National Institutes of Health, Westwood Building, Room 449,
Bethesda, Maryland 20892, telephone 301/594-7248.  The special
instructions described here and in the application kit must be
followed.  Write "Minority Dissertation in Aging" under Item 2a of
the face page.  If human subjects and/or vertebrate animals will be
involved, evidence of the required institutional review must be given
on the face page of the application.  Furthermore, instructions on
pp. 22-23 of the application kit must be followed.  The mailing label
in the kit must be glued to the envelope and the RFA label stapled to
the face page of the original application or processing and review of
the application may be delayed.  Applications will be assigned to the
NIA for review and possible funding.

Closing date.  Applications must be received by October 20, 1993.
Application materials must be sent directly to:

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

Copies required.  The applicant must submit the original and three
copies of the completed application, which includes a detailed
narrative project description (not to exceed 10 pages) and letters.
An additional two copies must be sent to:

Chief, Scientific Review Office
National Institute on Aging
Gateway Building, Suite 2C212
Bethesda, MD  20892
ATTN:  Minority Dissertation

Additional Material

o  Letter from the faculty committee or university official directly
responsible for supervising the development and progress of the
dissertation research must be submitted with the application.  The
letter must:  (a) fully identify the members of the committee and
certify their approval of the proposed dissertation topic and (b)
note that the university official or faculty committee expects the
doctoral candidate to proceed with the approved project proposal with
or without NIA support.

o  Transcript of applicant's graduate school record

o  Biodata of mentor limited to 2 pages

o  Statement of the applicant's career goals to be placed under
"Background"

o  Although not required, identification of the applicant's minority
group would be helpful so effectiveness of the program can be
evaluated

Conformity.  An application that does not conform to the
instructions, including additional guidelines, will be returned.  The
information in the required narrative project description must be
presented in a form suitable for detailed scientific and technical
review.

REVIEW CONSIDERATIONS

Dissertation research grants are competitive.  Review will be
conducted by a special committee convened by the NIA for this
purpose.  Applications may first receive a preliminary review by a
subcommittee to establish those applications deemed to be
competitive.  Applications not recommended for further consideration
will be returned to the applicant with an abbreviated summary
statement.  Reviewers will be selected on the basis of their research
accomplishments and knowledge and their experience in research
training.  All elements of the application will be considered in the
review process.  Emphasis will be given to the scientific merit,
feasibility, and relevance of the project to aging research, and to
the qualifications of the candidate.  Review results and funding
decisions will be announced within six months after the submission
date.  Review criteria, funding decisions, and continuation of
support are described below.

Review Criteria.  Review criteria include significance of the
research problem, relationship of proposed research to NIA mission,
research design, research methods, personal qualifications of the
candidate, supervision to be provided the candidate, institutional
facilities and support structure, and budgetary appropriateness.

Funding Decisions.  Reviewers will designate applications in which
the merit is not significant and not substantial as "Not Recommended
for Further Consideration."  The remaining applications will be
considered for funding, with specific modifications if appropriate.

AWARD CRITERIA

The anticipated date of award is May 1994.  Final funding decisions
are based on the recommendations of the reviewers, the relevance of
the project to NIA priorities, and the availability of funds.

INQUIRIES

Interested applicants must request the full RFA, additional
guidelines for preparing the application and discuss the suitability
of the mechanism by letter or by telephone with the first person
named below.  The applicant will then be referred to the relevant
program director to discuss the suitability of the research topic.

Phyllis B. Eveleth, Ph.D.
Deputy Associate Director and Training Officer
Office of Extramural Affairs
National Institute on Aging
Gateway Building, Suite 2C218
Bethesda, MD  20892
Telephone:  (301) 496-9322

Direct inquiries relating to fiscal matters to:

Mr. Joseph Ellis
Grants Management Officer
National Institute on Aging
Gateway Building, Suite 2N212
Bethesda, MD  20892
Telephone:  (301) 496-1472

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.366.  Awards are made under authorization of the
Public Health Service Act Title IV, Part A (Public Law 79-410, as
amended by Public Law 99-158, 42 DSC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  The requirements of Executive Order 12372,
"Intergovernmental Review of Federal Programs," are not applicable to
NIA research grant programs.

