From owner-sci-resources@net.bio.net Sun Nov 07 22:00:00 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 - 7 November 1993
Message-ID: <Nov.8.14.54.24.1993.13332@net.bio.net>
Date: 8 Nov 93 22:54:25 GMT
Sender: kristoff@net.bio.net
Lines: 65
Approved: biosci-moderator@net.bio.net

This message contains a summary of the documents added to the NSF STIS
system in the previous week.  Reference material concerning STIS
follows the summary.
------------------------------------------------------------------------
                ** UPDATES TO EXISTING STIS DOCUMENTS **

Document Type: Phone Book

   Title: NSF Alpha Telephone Directory
               File size (bytes):       92040
               STIS Filename:           phnalpha

   Title: NSF Alpha Telephone Directory
               File size (bytes):       92040
               STIS Filename:           phnalpha

Document Type: Program Guideline

   Title: NSF 93-150 Postdoctoral Research Associates in
          Computational Science and Engineering
               File size (bytes):       16295
               STIS Filename:           nsf93150

------------------------------------------------------------------------
                       ** 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 nsf93150, the text of your message should be 
     as follows:
                       get nsf93150

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve nsf93150, you would
     enter:
                       ftp> get nsf93150

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 Mon Nov 15 22:00:00 1993
Path: biosci!nsf.gov
From: parzberg@nsf.gov (Peter Arzberger)
Newsgroups: bionet.sci-resources
Subject: nsf93141 - NSF 93-141 - Research on Digital Libraries
Message-ID: <Nov.15.22.32.32.1993.1438@net.bio.net>
Date: 15 Nov 93 12:14:42 GMT
Sender: kristoff@net.bio.net
Lines: 76
Approved: biosci-moderator@net.bio.net


The following is extracted from the new program announcement on the
NSF-ARPA-NASA Research on Digital Libraries.  Complete copies of the 
program announcement should be attainable at local Sponsored Project 
Offices or over the network on STIS or the NSF gopher (under CISE, program
announcements).


Title  : NSF 93-141 - Research on Digital Libraries
Type   : Program Guideline
NSF Org: CISE / IRI
Date   : September 16, 1993
File   : nsf93141

RESEARCH ON DIGITAL LIBRARIES

A JOINT INITIATIVE OF:

NATIONAL SCIENCE FOUNDATION
COMPUTER AND INFORMATION SCIENCE AND ENGINEERING DIRECTORATE

ADVANCED RESEARCH PROJECTS AGENCY
COMPUTING SYSTEMS TECHNOLOGY OFFICE and the
SOFTWARE AND INTELLIGENT SYSTEMS TECHNOLOGY OFFICE

National Aeronautics and Space Administration

PROPOSALS MUST BE RECEIVED AT NSF NO LATER THAN FEBRUARY 4, 1994

Digital Library Initiative, FY 1994


INTRODUCTION

The past decade has seen a remarkable expansion in digital networks
within the U.S. research and education community from a state where
networking was the purview of the privileged few to one where it is
considered an essential tool by millions of researcher and
educators.  Since the mid-1980's with the advent of NSFNET the
volume of traffic, the number of interconnected networks and the
functionality of the networks has grown and continues to grow
exponentially.  The entire  assemblage of linked networks using the
IP communications protocol throughout the world is now referred to
as the Internet.  It is a network of networks, which within the
U.S., links one third of all two year and four year colleges and
universities, many primary and secondary schools, public and
private institutions, commercial enterprises, individuals in their
homes, and foreign institutions in sixty countries.  Information
sources accessed via the Internet are the ingredients of a digital
library.  Today, the network connects some information sources that
are a mixture of publicly available (with or without charge)
information and private information shared by collaborators.  They
include reference volumes, books, journals, newspapers,  national
phone directories, sound and voice recordings, images, video clips,
scientific data (raw data streams from instruments and processed
information), and private information services such as stock market
reports and private newsletters. These information sources, when
connected electronically through a network, represent important
components of an emerging,universally accessable, digital library.

To explore the full benefits of such digital libraries, the problem
for research and development is not merely how to connect everyone
and everything together in the network.  Rather, it is to achieve
an economically feasible capability to digitize massive corpora of
extant and new information from heterogeneous and distributed
sources;  then store, search, process and retrieve information from
them in a user friendly way. Among other things, this will require
both fundamental research and the development of ~intelligent~
software. It is the purpose of this announcement to support such
research and development by combining the complementary strengths
of the participating agencies in basic research, advanced
development and applications, and academic/industry linkage.



NSF 93-141 (new)

From owner-sci-resources@net.bio.net Mon Nov 15 22:00:00 1993
Path: biosci!nsf.gov
From: parzberg@nsf.gov (Peter Arzberger)
Newsgroups: bionet.sci-resources
Subject: NSF-Sloan Postdoctoral Research Fellowships in Molecular Evolution
Message-ID: <Nov.15.22.31.15.1993.1389@net.bio.net>
Date: 13 Nov 93 14:42:20 GMT
Sender: kristoff@net.bio.net
Lines: 73
Approved: biosci-moderator@net.bio.net


The following is extracted from the new program announcement on the
NSF-Sloan Postdoctoral Research Fellowships in Molecular Evolution. 
Complete copies of the program announcement should be attainable at local
Sponsored Project Offices or over the network on STIS or the NSF gopher. 

Please note the deadline and eligibility requirements.
  

Title  : NSF 93-151 -- Postdoctoral Research Fellowships in Molecular Evolution
Type   : Program Guideline

NATIONAL SCIENCE FOUNDATION
ALFRED P. SLOAN FOUNDATION

1994 ANNOUNCEMENT

DEADLINE FOR APPLICATIONS:  JANUARY 17, 1994

The National Science Foundation and the Alfred P. Sloan
Foundation announce a special program of Postdoctoral Research
Fellowships in Molecular Evolution as part of an effort by both
foundations to increase support for basic research in Molecular
Evolution. Within the NSF, both the Directorates for Biological
Sciences and for Social, Behavioral and Economic Sciences are
participating in this program.  In this first year of the joint
program, approximately 18 two-year awards of $80,000 will be
offered.  The deadline for submission of application materials is
January 17, 1994, with awards to be announced in April, 1994.
Contingent upon availability of funds, a competition for
approximately the same number of fellowships will be held in each
of the next 4 years.

     Molecular evolutionary studies involve the theoretical,
comparative, computational, and/or experimental analyses of
biological patterns and processes at the molecular level, within
the framework of organismic evolutionary change and adaptation.

     The NSF and the Sloan Foundation believe that the
experimental tools and intellectual discoveries of molecular
biology have generated exciting possibilities for expanding the
scientific understanding of evolution.  Moreover, NSF and the
Sloan Foundation envision molecular evolution studies involving
the biological sciences in concert with other disciplines, both
in concepts and techniques, and encourage applications that
reflect a broad scientific spectrum.

     The NSF/Sloan Postdoctoral Research Fellowship in Molecular
Evolution will provide recipients the freedom to define and
pursue their own research programs while developing relevant
interdisciplinary knowledge and skills in a host laboratory or
field station.  Applicants are expected to take full advantage of
this important feature of the award by identifying opportunities
to broaden their scientific training and experience, both
conceptually and technically, so that they may approach problems
in molecular evolution with sound concepts and the most
appropriate tools.  Because of this essential aspect of the
program, applicants are expected to submit research and training
plans that differ from the plans followed during their doctoral
training or, for applicants who have been postdoctoral fellows
for more than one year at the time of award initiation, plans
that differ from their current postdoctoral research.

Eligibility

Applicants for a National Science Foundation/Alfred P.Sloan Foundation
Molecular Evolution Postdoctoral Research Fellowship must have earned the
Ph.D. after January 1, 1989, or must expect to receive it no later than
June 30, 1994.  Applicants can be considered only from nationals or
permanent resident aliens of the United States. The term "national of the
United States" denotes a citizen of the United States or a native resident
of the possesion of the United States such as American Samoa.  Only one
application per applicant will be considered.

From owner-sci-resources@net.bio.net Mon Nov 15 22:00:00 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 - 14 November 1993
Message-ID: <Nov.15.17.02.29.1993.7831@net.bio.net>
Date: 16 Nov 93 01:02:30 GMT
Sender: kristoff@net.bio.net
Lines: 110
Approved: biosci-moderator@net.bio.net


                     ** NEW DOCUMENTS ON STIS **

Document Type: Antarctic EAM

   Title: Automated surface observing systems
               File size (bytes):       2206
               STIS Filename:           opp94004

   Title: Berthing at McMurdo for Williams FIeld
               File size (bytes):       44200
               STIS Filename:           opp94005

   Title: Conservation of Antarctic Animals and Plants; Waste
          Regulation; Enforcement and Hearing Procedures
               File size (bytes):       34155
               STIS Filename:           opp94006

   Title: Ice core drilling at Vostok
               File size (bytes):       16609
               STIS Filename:           opp94007

Document Type: Bulletin

   Title: NSF Bulletin November 1993, Vol. 21; No.3
               File size (bytes):       43935
               STIS Filename:           bul9311

Document Type: Program Guideline

   Title: NSF 93-149 - Grant Opportunities for Academic Liaison with
          Industry (GOALI)
               File size (bytes):       22994
               STIS Filename:           nsf93149

   Title: NSF 93-151 -- Postdoctoral Research Fellowships in
          Molecular Evolution
               File size (bytes):       29416
               STIS Filename:           nsf93151

   Title: NSF 93-155 -- Research Equipment Grant Program
               File size (bytes):       28515
               STIS Filename:           nsf93155

Document Type: Recruit

   Title: Contract Specialist
               File size (bytes):       5385
               STIS Filename:           vgs9415

   Title: Secretary (Office Automation)
               File size (bytes):       4906
               STIS Filename:           vgs9418

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

Document Type: Antarctic EAM

   Title: USAP environmental documents list
               File size (bytes):       14223
               STIS Filename:           opp93000

Document Type: Phone Book

   Title: NSF Alpha Telephone Directory
               File size (bytes):       100809
               STIS Filename:           phnalpha

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

Anonymous FTP:

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

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 Nov 18 22:00:00 1993
Path: biosci!NET.BIO.NET!kristoff
From: kristoff@NET.BIO.NET (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: Three NIH Guides coming!
Message-ID: <CMM.0.90.2.753683392.kristoff@net.bio.net>
Date: 19 Nov 93 04:29:52 GMT
Sender: kristoff@net.bio.net
Distribution: bionet
Lines: 12
Approved: sci-resources-moderator@net.bio.net


After returning from my trip to DC earlier this month I had several
new items dropped in my lap which I had not anticipated last month.
I'm finally getting caught up on BIOSCI this evening, and my apologies
for the late postings of the Guide.

				Sincerely,

				Dave Kristofferson
				BIOSCI/bionet Manager

				biosci-help@net.bio.net

From owner-sci-resources@net.bio.net Thu Nov 18 22:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 40, pt. 3, 5 November 1993
Message-ID: <Nov.18.20.44.28.1993.5768@net.bio.net>
Date: 19 Nov 93 04:44:29 GMT
Sender: kristoff@net.bio.net
Lines: 837
Approved: biosci-moderator@net.bio.net

$$XID RFA CA94006 CA-94-006 P1O1 ***************************************

PATTERNS OF CARE IN RADIATION ONCOLOGY

NIH GUIDE, Volume 22, Number 40, November 5, 1993

RFA:  CA-94-006

P.T. 34; K.W. 0785140, 0725015, 0730050

National Cancer Institute

Letter of Intent Receipt Date:  December 1, 1993
Application Receipt Date:  January 24, 1994

PURPOSE

The Radiation Research Program (RRP), Division of Cancer Treatment
(DCT), National Cancer Institute (NCI) invites applications for
Patterns of Care Studies in Radiation Oncology.  The objective of
this Request for Applications (RFA) is to focus on those factors in
radiation oncology that are most likely to affect patient outcome,
such as failure to control local-regional neoplastic disease,
treatment related morbidity that negatively impacts a patient's
quality of life, or failure to implement new methods and new
treatment strategies that have been shown to be advantageous for the
patient.  While patterns of care studies in the past have focused on
retrospective data, the new concept should address prospective
studies that document patterns of diagnostic methodology, treatment
workup and followup for a variety of tumors.  The purpose of this
research is to identify those variables associated with maximizing
local control, with the goal of increasing survival and minimizing
complications of normal tissues.  An interdisciplinary activity
involving diagnostic imaging, pathology, medical oncology, surgery
and radiation oncology is essential to the goals of this RFA.  New
research projects are likely to result from these studies, such as
new findings that are useful in the design of therapeutic protocols
and in the formulation of clinical and reimbursement policy.

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,
Patterns of Care in Radiation Oncology, 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 Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign, for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.
Applications from minority individuals and women are encouraged.  In
order to participate in this program, applicant institutions must
demonstrate or meet the following requirements:

Requirements

1.  Expertise in the design and coordination of multi-disciplinary,
multi-modality clinical studies.

2.  Capacity to develop and implement a methodology for investigating
patterns of care studies that respond to the objectives of this RFA.

3.  Demonstrated experience and expertise in the appropriate
statistical methodology and design of clinical studies so that
statistically valid results are obtained that accurately represent
radiation oncology practice throughout the U.S.

4.  Availability of facilities and professional personnel with
expertise in data collection, management and analysis and the ability
to participate in patterns of care studies to provide centralized
statistical services.

5.  Demonstrated capabilities for monitoring the quality assurance of
the data collection procedures.

6.  Demonstrated capabilities for developing reports, presentations,
scientific manuscripts, workshops, short courses, newsletters and
other methods for the educational and informational objectives of
this RFA.

MECHANISM OF SUPPORT

The administrative and funding instrument to be used for this program
will be the investigator-initiated research project grant (R01).  The
NCI anticipates awarding one to two grants, with total costs not to
exceed $650,000 for the first year.  This RFA is a one-time
solicitation.  Generally, future unsolicited competitive continuation
applications will compete as research project applications with all
other investigator-initiated applications and be reviewed by the
Division of Research Grants (DRG).  However, if there is sufficient
programmatic need, the NCI will invite recipients of awards under
this RFA to submit competitive continuation grant applications for
review according to the procedures of the DRG.  Except as otherwise
stated in this RFA, awards will be administered under PHS grants
policy as stated in the PHS Grants Policy Statement, DHHS Publication
No. (OASH) 90-05,000, revised October 1, 1990.

FUNDS AVAILABLE

Approximately $650,000 in total costs per year for three years will
be committed specifically to fund applications that are submitted in
response to this RFA.  The NCI anticipates that one or two awards
will be made.  Although this program is provided for in the financial
plans of the NCI, the award of a grant in response to this RFA is
also contingent upon the availability of funds for this purpose.  The
earliest feasible start date for the initial award will be September
30, 1994.

RESEARCH OBJECTIVES

The major goal of this research initiative is to support clinical
investigations that (1) document and evaluate patient survival and
outcome as a function of radiation oncology practice and methodology,
(2) coordinate with the leadership of the Cooperative Groups
conducting clinical trials for the optimal design of protocols and
clinical research based on data received from patterns of care
studies, (3) examine the patterns of care for minorities vs
non-minorities, and (4) present the findings of the patterns of care
studies to the radiation oncology community to achieve both the goals
of information and education.  The evaluation and documentation of
the acceptance and implementation of new treatment strategies in the
radiation oncology community where a benefit for the cancer patients
has been shown is also of interest.

New studies of interest are prospective patterns of care and/or
patterns of fractionation that will support and enhance on-going
protocols for cancers of the prostate and cervix.  Prospective
studies that show patterns of total care for breast cancer are of
special interest.

Background

The National Cancer Institute has supported patterns of care studies
in radiation oncology since 1973.  The first Patterns of Care Study
(PCS) was accomplished through a grant to the American College of
Radiology (ACR) and was the first nationwide evaluation of a medical
specialty.  A pioneering effort, the PCS has served as a model for
other oncology-related disciplines. The PCS was again funded as a
grant in 1978 and 1983.  Data from these earlier studies provided the
foundation for long-term follow-up of patients treated for cancer of
the prostate, cervix, and Hodgkin's disease.  Significantly, these
studies have shown that the quality of care and the survival of
cancer patients treated with radiation therapy was statistically
related to the treatment "process" (e.g., equipment, personnel, and
diagnostic workup).  By identifying those pretreatment and treatment
factors that are significant to patient survival and outcome in
disease sites where local control and patient outcome could be
improved, previous patterns of care studies have facilitated a
gradual, but significant, improvement in the management of several
cancers, including prostate and cervical cancer and Hodgkin's
disease.

New Study

The objective of this RFA is to focus on those factors that are most
likely to affect patient outcome and quality of life, such as failure
to treat and control local-regional neoplastic disease and the
incidence of treatment related morbidity.  Although studies in the
past have focused on retrospective data, prospective studies that
document patterns of diagnostic methodology, treatment workup, and
followup for a variety of anatomical sites with neoplastic disease
are of interest, with a goal of identifying those variables
associated with maximizing local control and minimizing complications
of normal tissues.

Specific projects of interest include prospective patterns of care
studies that coordinate with active protocols of the cooperative
groups in cancers of the prostate and cervix, as well as studies that
show patterns of total care for early stage breast cancer.  Patterns
of care that document differences between minorities and
non-minorities are also of interest, as well as documentation of the
penetration of the results of clinical trials into routine clinical
practice.  Applicants should describe how they plan to coordinate
with active protocols and how they will assess the impact of results
of clinical trials on routine clinical practice.

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 applications for NIH clinical research grants 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 the clinical research of this RFA, particularly in
proposed population-based studies, a clear and compelling rationale
must be provided.

The composition of the proposed study population must be described in
terms of the racial/ethnic group, together with a rationale for its
choice.  In addition, 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 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 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.

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
minorities and women in the study design is inadequate to answer the
scientific question 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.

LETTER OF INTENT

Prospective applicants are asked to submit, by December 1, 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 and to avoid conflict of interest in the
review.

The letter of intent is to be sent to Dr. Sandra Zink at the address
listed under INQUIRIES.

APPLICATION PROCEDURES

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

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

Division of Research Grants
National Institutes of Health
Westwood Building, Room 240
5333 Westbard Avenue
Bethesda, MD  20892**

At the time of submission, send two additional copies of the
application to:

Ms. Toby Friedberg
Referral Officer
Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Room 636
6130 Executive Boulevard
Bethesda, MD  20892

Applications must be received by January 24, 1994.  If an application
is received after that date, it will be returned. 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

Review Procedure

Upon receipt, applications will be reviewed (initially) by the
Division of Research Grants (DRG) for completeness and responsiveness
by the NCI.  Incomplete applications will be returned to the
applicant without further consideration.  Those applications judged
to be both competitive and responsive will be further evaluated
according to the review criteria stated in the RFA 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

1.  Extent to which the application addresses the goals and
objectives of this RFA;

2.  scientific, technical or clinical significance and originality of
the proposed research;

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

4.  the leadership ability of the Principal Investigator and
documented experience in clinical studies;

5.  documented ability of the staff to carry out all the procedures
of data collection, evaluation of evaluability, and quality
assurance;

6.  statistical support necessary to design, monitor, analyze and
report on the patterns of care studies; and

7.  adequacy of appropriate facilities and resources to support the
research objectives of this RFA.

Reviewers will examine the budget request critically and recommend an
appropriate budget.

AWARD CRITERIA

The earliest feasible start date for the initial award will be
September 30, 1994, and will be made solely on the basis of peer
review.  Only the most meritorious will be considered, contingent
upon the availability of funds.  Although this program is provided
for in the financial plans of the NCI, a grant award pursuant to this
RFA is contingent upon the availability of funds for this purpose.

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. The NCI welcomes the
opportunity to clarify any issues or questions from potential
applicants.

Direct inquiries regarding programmatic issues to:

Dr. Sandra Zink
Radiation Research Program
National Cancer Institute
Executive Plaza North, Suite 800
Bethesda, MD  20892
Telephone:  (301) 496-9360
FAX:  (301) 480-5785

Direct inquiries regarding fiscal matters to:

Ms. Barbara Fisher
Grants Administration Branch
Executive Plaza South, Room 242
6120 Executive Boulevard
Bethesda, MD  20852
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 Public Health Service Act, Title IV,
Sections 301, 410 and 411, Part A (Public Law 78-410, as amended by
Public Law 99-158, 42 USC 241 and 285 (a.)) and administered under
the PHS grants policies and Federal Regulations 42 CFR Part 52 and 45
CFR Part 74 and 92.  This program is not subject to the
intergovernmental review requirements of Executive Order 12372 or
Health Systems Agency review.


$$XID RFA AI94002 AI-94-002 P1O1 ***************************************

MECHANISM OF RESPIRATORY SYNCYTIAL VIRUS VACCINE IMMUNOPOTENTIATION

NIH GUIDE, Volume 22, Number 40, November 5, 1993

RFA:  AI-94-002

P.T. 34; K.W. 0705048, 0740075, 0710070

National Institute of Allergy and Infectious Diseases

Letter of Intent Receipt Date:  January 14, 1994
Application Receipt Date:  March 17, 1994

PURPOSE

The National Institute of Allergy and Infectious Diseases (NIAID)
invites applications to conduct basic research on the immunology of
Respiratory Syncytial Virus (RSV) protection and disease.
Specifically, the NIAID is interested in addressing the immune
responses associated with the exacerbation of disease in children who
had previously received formalin-inactivated RSV vaccine.

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), Mechanism of RSV Vaccine Immunopotentiation,
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 20402-9325 (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 or local
governments, and eligible agencies of the Federal government.
Successful applications from foreign institutions, however, are
limited to three years of support without indirect costs.
Applications from minority individuals and women are encouraged.

MECHANISM OF SUPPORT

Awards made under this RFA will use the National Institutes of Health
(NIH) individual research grant (R01) award mechanism.
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 by domestic institutions
may not exceed four years; the total project period for applications
submitted by foreign institutions may not exceed three years.  The
anticipated earliest possible award date is September 1994.

Applicants are encouraged to coordinate, through the use of
consortium arrangements or subcontracts, integrated approaches with
individuals or institutions having relevant reagents and expertise in
their use, demonstrated ability in a particular area of relevant
research, or access to relevant animal or patient populations to
accelerate technical progress and clinical development of promising
prophylactics.  Because the nature and scope of the research proposed
in response to this RFA may vary, it is anticipated that the amounts
awarded will also vary.

This RFA is a one-time solicitation.  Future competing continuation
applications will compete with all unsolicited investigator-initiated
applications and be reviewed by an appropriate Study Section
according to the customary NIH referral and peer review procedures.

FUNDS AVAILABLE

The funds available for the total (direct and indirect) first year
cost of all awards under this RFA is $1.0 million.  Foreign
applications that may be funded under this RFA are not eligible for
indirect costs.  The NIAID anticipates making a minimum of three new
awards.

RESEARCH OBJECTIVES

Background

Acute respiratory infections represent a significant cause of death,
worldwide.  The most serious acute respiratory condition, pneumonia,
is the cause of four million deaths per year in children under the
age of five.  The etiology of pneumonia has been assessed in both
developed and developing countries and has been found to be
strikingly similar.  Worldwide, it has been estimated that, for
children under the age of five, over half of pneumonia deaths are of
viral or bacterial/viral origin.  Of all the respiratory viruses
associated with death due to childhood pneumonia, over 62 percent
were associated with RSV.  Within the U.S., the impact of RSV
infection is primarily through increased morbidity (hospitalization
due to pneumonia) in both normal and high risk children including low
birth weight infants and children with bronchopulmonary dysplasia
(BPD), congenital heart disease (CHD) and immunodeficiencies.  For
example, in a prospective study conducted at the University of
Colorado Hospital, BPD infants infected with RSV accounted for 10
percent of total pediatric hospital days.  Thus, the development of
successful vaccines for RSV could significantly alleviate the excess
infant morbidity and mortality.

Presently, there are no licensed RSV vaccines and only limited
efforts in the development of vaccine candidates because attempts to
develop a safe and effective vaccine have met with continued
frustration.  In the mid-1960's, a formalin inactivated RSV vaccine
was evaluated in previously unprimed (seronegative) infants.  When
these children were subsequently exposed during an RSV outbreak, the
resulting illnesses were very severe.  Specifically, children under
two years of age who received the vaccine had a much higher incidence
of pneumonia (60 percent) and hospitalization (21 percent) compared
to the children who received placebo (8 percent and 1.5 percent,
respectively).  Attempts to understand the nature of this
immunopotentiation event have relied primarily on data generated
using the cotton-rat model.  In this system, RSV challenge of animals
immunized with a formalin-inactivated RSV vaccine has been associated
with changes in lung histology.  The equation of this altered
histology in animals with the exacerbated disease in humans has been
widely debated.  Nonetheless, in the absence of definitive data to
the contrary, the cotton-rat model has been widely used to define the
preclinical safety of potential new vaccine candidates.  At a recent
NIAID/WHO/CDC RSV Workshop (May 1993) use of alternative animal model
systems for detailed studies of the immunologic mechanism of
immunopotentiation (eg., mouse model) and development of animal
models with clinical disease patterns/immunologic responses similar
to those seen in humans (eg., lamb/bovine models) were encouraged. It
was also clear that continued use of the cotton-rat model to define
safety of new experimental vaccines requires additional knowledge as
to the basis of the histologic changes observed following challenge.
Until then, a significant barrier would remain in the development of
RSV vaccines.

Scope of Research

The long-term goal of the NIAID is to facilitate the development of
an effective RSV vaccine.  However, interim objectives must be met
before candidate vaccines can be entered into clinical trials
involving seronegative infants and children.  The goal of this RFA is
to stimulate innovative new research on the complex immunology
associated with RSV disease immunopotentiation and within that
context to develop in vitro and/or in vivo assays that accurately
reflect the potential safety of RSV vaccine candidates.

Examples of projects that might be responsive to this RFA include,
but are not limited to:

1.  Detailed analysis of the immune pathways stimulated following:

o  immunization with experimental RSV vaccines that have been
previously associated with immunopotentiation;
o  immunization with experimental RSV vaccines that have been
associated with protection but not immunopotentiation;
o  natural infection;

2.  Development of in vivo models that closely mimic the clinical
disease/immunopotentiation event seen in humans;

3.  Development of immunologically defined reagents for valid in vivo
models;

4.  Development of in vitro models to assess the immunopotentiation
effect of candidate RSV vaccines;

5.  Definition of the properties of vaccine preparations which have
been associated with immunopotentiation.

SPECIAL REQUIREMENTS

NIAID Program Staff will organize annual meetings in Bethesda that
Principal Investigators and other key members (as designated by the
Principal Investigators) of the projects will be requested to attend
to discuss progress.  At the discretion of the Program Staff,
clinical researchers and members of the vaccine industry may also be
invited to attend.  Funds for travel to these meetings should be
included in the budget.

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 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 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
admission 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 January 14, 1994, a
letter of intent that includes a descriptive title of the proposed
research, the names and affiliations of proposed key investigators,
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
NIAID 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. Olivia Preble at the address listed under
INQUIRIES.

APPLICATION PROCEDURES

Applications are to be submitted on form PHS 398 (rev. 9/91), the
standard application form for research grants.  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 449, Bethesda, MD 20892, telephone 301/594-7248.  Applicants
must adhere to the format and requirements specified in the PHS 398
application kit.

For purposes of identification and processing, mark "YES" in item 2a
on the face page of the application and type in the RFA number
AI-94-002 and the title "MECHANISM of RSV VACCINE
IMMUNOPOTENTIATION."  The RFA label available in the form PHS 398
must be affixed to the bottom of the face page of the original
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.

The signed, typewritten original of the application, including the
Checklist, and three exact single-sided copies must be sent to:

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

At the time of submission, two additional copies must also be sent to
Dr. Olivia Preble at the address listed under INQUIRIES.

To ensure their review, applications must be received by both the
Division of Research Grants and Dr. Olivia Preble by March 17, 1994.
Applications not received by the receipt date will be considered
non-responsive and will be returned to the applicant without review.
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 essentially 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

Review Procedures

Applications will be reviewed by DRG staff for completeness and by
NIAID staff to determine administrative and programmatic
responsiveness to this RFA.  Those judged to be incomplete or
nonresponsive will be returned to the applicant without review.
Those considered complete and responsive may be subjected to a triage
review by an NIAID peer review group, before or during the initial
review meeting, to determine their scientific merit relative to the
other applications submitted in response to this RFA.  The NIH will
withdraw from competition those applications judged by the triage
peer review group to be noncompetitive for award and will so notify
the applicant investigator and the institutional business official.
Those applications judged to be competitive for award will be
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.

Review Criteria

The factors to be considered in scientific review of the application
are:

1.  Scientific merit of the proposed research approach, design, and
methodology as well as the potential scientific, technical, or
medical significance of the proposed research.

2.  Research experience and competence of the Principal
Investigator(s) and other staff to conduct the proposed studies.

3.  Adequacy of the time (effort) that the Principal Investigator(s)
and staff would devote to the proposed studies.

4.  Adequacy of facilities, including, if relevant to the proposed
research, adequacy of the clinical facilities and patient
availability for clinical studies.

AWARD CRITERIA

In selecting applications for funding, while scientific merit is of
primary consideration, applications will also be evaluated for
programmatic relevance and potential for impact on the clinical
development of RSV vaccines.

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:

Dr. Carole Heilman
Division of Microbiology and Infectious Diseases
National Institute of Allergy and Infectious Diseases
Solar Building, Room 3B-06
Bethesda, MD  20892
Telephone:  (301) 496-5305
FAX:  (301) 496-8030
E-mail:  hck@exec.niaid.pc.niaid.nih.gov

Address the letter of intent, two copies of the completed
application, and direct any questions regarding review procedures to:

Dr. Olivia Preble
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4C19
Bethesda, MD  20892
Telephone:  (301) 496-8208
FAX:  (301) 402-2638

Direct inquiries regarding fiscal matters to:

Mr. Todd Ball
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4B-35
Bethesda, MD  20892
Telephone:  (301) 496-7075
FAX:  (301) 480-3780

Schedule

Letter of Intent Receipt Date:  January 14, 1993
Application Receipt Date:       March 17, 1994
Scientific Review Date:         June 1994
Council Meeting Date:           September 1994
Earliest Award Date:            September 1994

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.856, Microbiology and Infectious Disease 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.  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 Nov 18 22:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 40, pt. 2, 5 November 1993
Message-ID: <Nov.18.20.43.35.1993.5722@net.bio.net>
Date: 19 Nov 93 04:43:36 GMT
Sender: kristoff@net.bio.net
Lines: 837
Approved: biosci-moderator@net.bio.net

$$XID NIHGUIDE 19931105 V22N40 P2O2 ************************************

Direct inquiries regarding fiscal matters to:

Gary Fleming, J.D., M.A.
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 of Title 42 CFR 52 "Grants
for Research Projects", Title 45 CFR Part 74 and 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 be applicable to these awards.  Title 42 Part 241(d)
"Certificates of Confidentiality and Communicable Disease Reporting"
will also apply.  Program is not subject to the intergovernmental
review requirements of Executive Order 12372.

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

$$P2 BEGIN PA-94-011 ************************************************

ECONOMIC STUDIES IN CANCER PREVENTION, SCREENING AND CARE

NIH GUIDE, Volume 22, Number 40, November 5, 1993

PA NUMBER:  PA-94-011

P.T. 34; K.W. 0408006, 0715035, 0745027, 0730050

National Cancer Institute
Agency for Health Care Policy and Research

PURPOSE

The Division of Cancer Prevention and Control (DCPC), National Cancer
Institute (NCI) and the Agency for Health Care Policy and Research
(AHCPR) invite investigator-initiated grant applications for research
directed at increasing the knowledge base in the area of the economic
aspects of cancer prevention, screening and care.  The goal of this
program announcement is to generate new economic knowledge that will
promote the optimal design of cancer prevention and control trial
studies and interventions and will facilitate the formulation of
effective health care policy related to cancer prevention and
control.  This initiative requests research applications on new
methods development, the synthesis and extension of existing methods,
and innovative data gathering strategies.  Applications that propose
to implement actual data collection on a pilot or full-scale basis as
well as analytical studies that use existing data and methodology
will be entertained.

The focus of this Program Announcement (PA) relates to the general
health services and medical treatment effectiveness research
supported by the AHCPR for a wide range of clinical conditions,
including cancer.  For example, AHCPR is presently supporting, and
continues to be interested in, research on the analysis of health
care costs, the measurement of patient outcomes, the cost
effectiveness of health care services and procedures, and the
development of methods used in studies of the quality and outcomes of
care.  Related research priorities for AHCPR are described in:
PA-93-045 "Cost and Financing Issues in Health Care Reform",
PA-93-063 "Primary Care and Health Care Reform", and RFA HS-94-002
"Medical Treatment Effectiveness Research."

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, Economic Studies in Cancer Prevention, Screening, and
Care, 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 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, public and private organizations, such as universities,
colleges, hospitals, laboratories, units of state or local
governments, and eligible agencies of the Federal government.
Applications from minority and women investigators are encouraged.

MECHANISM OF SUPPORT

Support of this program will be through the National Institutes of
Health (NIH) research project grant (R01).  Applicants will be
responsible for the planning, direction, and execution of the
proposed project.  Except as otherwise stated in this PA, 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.

Because the nature and scope of research proposed in response to this
PA may vary, it is anticipated that the size of award will vary also.
The anticipated amount of the direct costs per award will vary from
$50,000 to $500,000 per year.  Expenses incurred in development and
implementation of the proposed research, including baseline and
follow-up surveys, design of materials, and professional education
are allowable costs.

RESEARCH OBJECTIVES

This initiative supports research directed at increasing our
understanding of economic aspects of cancer prevention, screening and
care.  Cancer is a heterogeneous chronic disease characterized by
innovation in treatment and care approaches.  Studies that cover the
national population of all ages on an episodic basis fail to capture
an adequate sample of cancer patients or the full scope and duration
of cancer costs.  Studies that focus on a convenience sample of
cancer patients in a single health care delivery setting or community
can be criticized as lacking external validity.  Studies proposed in
response to this PA will be expected to address these issues and
propose innovative methods of overcoming these limitations.

Three broad topics are included in this PA:

o  The cost of cancer treatment and care in various organizational
settings.

o  Collection of economic data in the context of clinical trials and
the use of economic data and analysis in the design of trials.

o  Cost-effectiveness of cancer prevention and screening trials and
cancer prevention and control interventions.

The purpose of this PA is to solicit collaborative research between
academics in the fields of health economics and health services
research and clinical researchers in cancer.

The specific research goals of this PA are:

1.  The cost of cancer treatment and care in various organizational
settings

To develop and validate methods for collecting reliable and
representative data on longitudinal patterns of health care resource
use, expenditures and costs for cancer prevention, screening,
diagnostic, treatment, and care in various organizational settings.

To develop and validate methods for collecting reliable and
representative data on the cost of continuing care for cancer
patients.  These costs include not only out-of-pocket costs for
medical treatment and related expenses but also other monetary and
non-monetary disease and treatment costs to the cancer patient and
the family of the cancer patient.

To explore alternative proposed and existing models of out-patient
and home-based continuing care for cancer patients in order to
determine efficient modes of organization that provide access to and
meet the continuing care needs of cancer patients and their families.

2.  Collection of economic data in the context of clinical trials and
the use of economic data and analysis in the design of trials

To determine the cost of the health care intervention (e.g., cancer
prevention, control, treatment or rehabilitation) in NCI sponsored
trial settings compared to standard cancer control and treatment
settings.

To determine the feasibility of collecting data on direct and
indirect lifetime costs in the context of clinical trials.

To collect data on direct and/or indirect lifetime cost in the
context of a clinical trial.

3.  Cost-effectiveness of cancer prevention and screening trials and
cancer prevention and control interventions

To review and evaluate the existing conceptual basis, methodology and
application of cost effectiveness analysis to cancer related
interventions.  Studies should identify conceptual, methodological
and data collection problems unique to cancer related interventions
and propose solutions to these problems.  Studies should also include
an evaluation of the appropriate role of cost effectiveness analysis
in policy formulation related to cancer and how this role relates, or
should relate, to medical ethics, equity and fairness, and community
values.

To determine the cost effectiveness of NCI sponsored cancer
prevention and screening trials.  Studies should include an analysis
of the important determinates of cost effectiveness, the level of
uncertainty of these determinates, and how these determinates might
be effected by alternative trial designs.

To determine the cost effectiveness of cancer prevention and control
interventions as implemented through the health care system.  Studies
should include an analysis of the important determinates of cost
effectiveness, the level of uncertainty of these determinates, and
how these determinates might be effected by alternative health care
delivery settings and health care policies.  The relevance of cost
effectiveness analysis for the particular question studied should be
demonstrated by showing that it contributes additional information to
the health care decision making process than would be available from
clinical trial efficacy information alone.

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 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 and
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
(revised 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,
the NIH recognizes that it may not be feasible or appropriate in all
research projects to include representation of the full array of
United States racial/ethnic minority populations [i.e., Native
Americans (including American Indians or Alaskan Natives),
Asian/Pacific Islanders, Blacks, Hispanics].  The rationale for
studies on single minority population groups should be provided.

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

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

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 the NIH are
required to address these policies.  NIH funding components will not
award grants or cooperative agreements that do not comply with these
policies.

In cases where the proposed study involves collaboration with an
ongoing NCI sponsored trial the application must include a letter
from the principal investigators of that trial indicating the
latter's endorsement of the proposed study and willingness to
collaborate.  Any grant proposing association with an existing NCI
trial would, of course, have to be approved by NCI grants or
contracts administration and by the project officer to the existing
trial before submission.  All regulations involving human subjects
and release of data applicable to the original trial would apply to
the supplemental grant.

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  The application package is available
at most institutional offices of sponsored research and from the
Office of Grants Information, 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 line 2a on the face page of the
application.

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

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

REVIEW CONSIDERATIONS

Applications will be assigned to the appropriate PHS study section,
by the Division of Research Grants on the basis of established Public
Health Service referral guidelines. Applications will be reviewed by
the study section for scientific and technical merit in accordance
with standard PHS peer review procedures.  The following criteria
will be considered when assessing the merit of a research grant
application:

o  scientific, technical or clinical 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 for the research;

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

o  adequacy of the proposed means for protecting against or
minimizing potential adverse effects upon humans, vertebrate animals,
and/or the environment; and

o  for studies involving minorities and both genders subjects in
research, the adequacy of plans to include minorities and both
genders in the study design, and the potential of that design to
address the scientific question(s) addressed.

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications assigned to that ICD.  The following will be considered
in making funding decisions:

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

INQUIRIES

Written and telephone inquiries concerning the objectives and scope
of this PA, or inquiries about whether or not specific proposed
research would be responsive, are encouraged.  The Program Director
welcomes the opportunity to clarify any issues or questions from
potential applicants.

Martin L. Brown
Division of Cancer Prevention and Control
National Cancer Institute
Executive Plaza North, Suite 300
Bethesda, MD  20892
Telephone:  (301) 496-8500
FAX:  (301) 496-8667

Michael Hagen
Program Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 502
Rockville, MD  20852-4908
Telephone:  301/594-1354

Direct inquiries regarding budgetary, administrative, and/or policy
issues to:

Mrs. Eileen M. Natoli
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Suite 242
Bethesda, MD  20892
Telephone:  (301) 496-7800
FAX:  (301) 496-8601

Ralph Sloat, Grants Management Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 601
Rockville, MD  20852
Telephone:  (301) 594-1447

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.399, Cancer Control Research.  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 52 and 45 CFR Part 74 and 92.  This program is not
subject to the intergovernmental review requirements of Executive
Order 12372 or Health Systems Agency review.

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


$$XID RFA HS94004 HS-94-004 P1O1 ***************************************

FIRST INDEPENDENT RESEARCH SUPPORT AND TRANSITION AWARD

NIH GUIDE, Volume 22, Number 40, November 5, 1993

RFA:  HS-94-004

P.T. 34; K.W. 0730050

Agency for Health Care Policy and Research

Application Receipt Date:  March 11, 1994

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) announces the
availability of the First Independent Research Support and Transition
(FIRST) Award (R29) in health services research.  The purpose of the
FIRST Award is to provide a sufficient period of research support for
newly independent health services researchers to initiate their own
research and demonstrate independent investigative efforts; to
provide a reasonable opportunity to demonstrate creativity,
productivity, and further promise; and to help in the transition to
traditional types of AHCPR research project grants.  The award is not
intended for established investigators who may be in transition to
another endeavor.  A FIRST Award is for a distinct research endeavor
and may not be used merely to supplement or broaden an ongoing
project at the applicant institution.  FIRST Awards are intended to
provide funds for newly independent investigators for five years
during which time they can establish their own research program and
make significant and innovative contributions to health services
research.

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.  The AHCPR
urges applicants to submit grant applications with relevance to the
specific objectives of this initiative.  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

To be eligible for a FIRST Award, the proposed Principal Investigator
(PI) must be genuinely independent of a mentor yet at the same time
must be at the beginning stages of his or her research career with,
in most instances, no more than five years research experience since
completing postdoctoral research training or its equivalent.  If the
applicant is in the final stages of such training, it is permissible
to apply, but no FIRST Award will be made to persons in training
status.  In addition, the proposed PI must otherwise be eligible to
serve in the same capacity on a traditional research project grant
(R01) awarded to the applicant institution.  Only non-profit domestic
institutions and organizations are eligible to receive FIRST Awards.

The applicant investigator must never have been designated previously
as PI on any PHS-supported research project OTHER THAN a PHS small
grant (R03), an Academic Research Enhancement Award (R15), or certain
career development awards (K series) directed principally to
physicians, dentists, or other clinicians with little research
experience.  (Current or past Research Career Development Awardees
are not eligible.)  Subproject leaders on multicomponent PHS awards
such as Program Project grants (P01), Center grants (P50), or
Minority Biomedical Research Support grants (S06) may also be
eligible, depending on their stage of career development; however,
potential applicants in these categories are urged to contact AHCPR
prior to filing an application.

MECHANISM OF SUPPORT

This Request for Applications (RFA) represents the initial use of the
First Independent Research Support and Transition (FIRST) Award (R29)
by AHCPR.  See SPECIAL REQUIREMENTS, below, for details of this
mechanism.

FUNDS AVAILABLE

The AHCPR expects to fund approximately three FIRST Awards in Fiscal
Year (FY) 1994.  The actual number awarded in FY 94 will depend on
availability of funds as will the number in future years.

RESEARCH OBJECTIVES

The AHCPR conducts and supports research on the quality,
appropriateness, efficiency, and effectiveness of health care
services and the systems for delivery of these services.  Research
areas of interest for FIRST applications are as follows:

o  Health care reform issues;
o  Health care costs and financing;
o  Relationship between primary care and health care costs, access,
and quality;
o  Rural health including access to services, supply of health
professionals, delivery systems issues, primary health care, health
promotion and disease prevention, technology diffusion, and special
populations;
o  Health care quality improvement and quality assurance including
methods and measures;
o  Information technologies and factors affecting their use;
o  Costs and quality of alternative delivery systems and managed
care;
o  Health care technologies, facilities, and equipment;
o  Medical effectiveness and patient outcomes research;
o  Medical liability and malpractice;
o  Access, medical effectiveness, and patient outcomes research in
low-income, minority, elderly, and other underserved populations;
o  Dissemination of health and clinical information and research
findings to practitioners, consumers, and patients for use in
improved health care decisionmaking;
o  Services for persons with human immunodeficiency virus (HIV) and
acquired immunodeficiency syndrome (AIDS); and
o  Evaluation of outcomes associated with the use of clinical
practice guidelines.

The following announcements, which were published in the NIH Guide
for Grants and Contracts, provide more detailed information on
selected areas of interest:  "Health Services for Persons with HIV
Infection" (PA-93-110), Vol. 22, No. 33, September 17, 1993; "Health
Care Quality Improvement and Quality Assurance Research" (PA-93-084),
Vol. 22, No. 19, May 21, 1993; "Primary Care and Health Care Reform"
(PA-93-063), Vol. 22, No. 10, March 12, 1993; "Cost and Financing
Issues in Health Care Reform" (PA-93-45), Vol. 22, No. 4, Jan. 29,
1993; "Health Services Research on Rural Health" (PA-92-71), Vol. 21,
No. 16, May 1, 1992; and "Effective Dissemination of Health and
Clinical Information and Research Findings" (PA-92-51), Vol 21, No.
10, March 13, 1992.

STUDY POPULATIONS

SPECIAL INSTRUCTION TO APPLICANTS CONCERNING INCLUSION OF WOMEN AND
MINORITIES IN RESEARCH STUDY POPULATIONS

The AHCPR requires all applicants for research grants 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
to include 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 research, a
clear and compelling rationale should be provided.  AHCPR will not
award grants for applications which do not comply.

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 the 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 to 4 of the Research Plan and summarized in section 5,
Human Subjects (or in the Program Narrative section of form PHS 5161
for State and local governments).

Applicants are urged to assess carefully the feasibility of including
the broadest possible representation of minority groups.  However,
AHCPR 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,
Asian/Pacific Islanders, African Americans, and Hispanics).  Where
appropriate, the applicant must provide the rationale for studies on
single minority population groups.

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.

This policy applies to all AHCPR research grants.  The AHCPR will not
award grants for applications that do not comply.  If the application
does not contain the required information, it will be returned
without review.

SPECIAL REQUIREMENTS

An individual may submit only one FIRST Award application to the
Public Health Service (PHS) for the receipt date and may not submit
any other type of research grant application (including research
career applications), to the PHS during the applicable review cycle.
However, applications for an R03 and an R15 may be submitted to the
PHS simultaneously with a FIRST application provided they are on
separate topics.  Applications for other projects may be submitted
during the FIRST Award period, if the time and effort on the FIRST
Award are less than 100 percent.

FIRST Award applications must request five years of research support.
Applications submitted to AHCPR in which the request is for fewer
than five years of support will be designated R01s and so reviewed
unless the applicant withdraws the application.

The Principal Investigator must make a commitment of no less than 50
percent effort to the proposed project.  Up to 100 percent effort may
be requested if a greater commitment of the principal investigator is
required to do the research.  The request for effort of the applicant
investigator will be reviewed and modifications may be recommended.

The total direct cost award for the five-year period may not exceed
$350,000.  The direct cost award in any yearly budget period should
not exceed $100,000.  Indirect costs will be paid to the grantee
institution in accord with applicable policy of the Department of
Health and Human Services (DHHS).  FIRST Awards are not renewable.

Replacement of the PI on a FIRST Award will not be approved.
Transfer of the FIRST Award with the Principal Investigator to
another institution for the remaining performance period may be
requested.

APPLICATION PROCEDURES

The application receipt date is March 11, 1994.  The research grant
application form PHS 398 (rev. 9/91) is to be used, and the
applicants must provide relevant information on eligibility.  These
forms are available at most institutional offices of sponsored
research and the Office of Grants Information, Division of Research
Grants, National Institutes of Health, Westwood Building, Room 449,
Bethesda, MD 20892, telephone 301/594-7248.

Application page limitations apply to the Research Plan section of
the PHS 398 application form.  Sections 1-4 of the Research Plan, as
described on page 20 of the instructions for the PHS 398 (rev. 9/91),
are limited to a total of 25 pages, including tables and figures.
Applications exceeding the 25-page limitation will be returned.  If
appendix material is submitted, five collated sets must be included
with the application package.  Identify each of the five sets with
the name of the principal investigator and the project title.  This
material will not be routinely duplicated and will be used in a
limited way by members of the initial review group.

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

Special care should be taken to thoroughly understand and carefully
address the matters of human subject certifications and assurances,
including issues related to gender and minority representation, as
described in the application form PHS 398 (especially pages 11-13,
21-23, and 25-26).  In the instructions for the PHS 398, "human
subject" is defined by regulations as "a living individual about whom
an investigator (whether professional or student) conducting research
obtains (1) data through intervention or interaction with the
individual or (2) identifiable private information."  The human
subject regulations encompass graphic, written, or recorded
information derived from individually identifiable human subjects.

The following is to be addressed in a letter or memorandum from a
suitable department head or dean and submitted with the application:
(1) eligibility of the proposed Principal Investigator to
independently lead a research project at the applicant institution,
is this person otherwise qualified to be the PI on a traditional
research project grant (R01)?; and (2) details of the intended
commitment of the institution to the project for the five-year
period.

In addition, three letters of reference for the proposed PI are
needed.  Reference letters must be submitted with the application.
Such letters are critically important and should reflect the
investigator's research originality and potential for independent
investigation.  When the application is from the institution where
the proposed PI received postdoctoral research training, it must be
made absolutely clear that the FIRST Award would be to support a
research endeavor independent of that conducted in the former
training environment.

FIRST applicants are to request the letters of reference well in
advance of the application submission, advising the referees to
return the reference letters to the applicant in sealed envelopes as
soon as possible.  To protect the utility and confidentiality of
reference letters, applicants should not open envelopes.  The sealed
envelopes must be attached to the front of the original applications.
Applications received without the three reference letters will be
returned to the applicant.  A list of individuals providing letters
of reference must be included in Section 10 of the Research Plan.
Provide the name, title, and institutional affiliation for each
person.

The completed, signed, original application and five legible copies
of form PHS 398; the letter or memorandum from the department head or
dean; and the three letters of reference must be sent or delivered
to:

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

Completed applications must be received by the Division of Research
Grants by March 11, 1994.  If an application is received after that
date, it will be returned to the applicant.

The following is the review schedule for FIRST applications:

Application Receipt Date:      March 11, 1994
Initial Review Date:           May/June 1994
Council Review Date:           September 1994
Earliest Possible Start Date:  September 30, 1994

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed by the Division of
Research Grants, NIH, for completeness and by AHCPR staff for
responsiveness to the RFA.  Incomplete and nonresponsive applications
will be returned to the applicant without further consideration.

Applications may be subject to triage to determine their scientific
merit relative to other applications received in response to this
RFA.  The AHCPR will withdraw from further competition those
applications judged by triage to be noncompetitive for award and
notify the Principal Investigator and institutional official.  Those
applications judged to be competitive will undergo further scientific
merit review.  Review results and funding decisions will be announced
approximately six months after the submission date.  Review criteria
are described below.

Review Criteria

Applications will be evaluated by an appropriate peer review group
convened by AHCPR in accordance with the criteria for scientific and
technical merit stated below, taking into consideration the
investigator's stage of development, merit of the proposed research,
the resources and environment, and the appropriateness of the
proposed budget.  Applications may be reviewed by the National
Advisory Council for Health Care Policy, Research, and Evaluation for
policy relevance and research value.

For a FIRST application, it is recognized that an investigator with
limited experience is less likely to be able to submit an application
with the breadth and depth of that submitted by an experienced
investigator.  Reviewers are expected to recognize that, in general,
less detail will be expected with regard to work planned for the
later years of the project, but the Principal Investigator should
outline the general plans for these years.

A FIRST application must provide clear evidence of the investigator's
ability to develop a plan for the research project.  The following
criteria will be used in evaluating the application for scientific
and technical merit:

Principal Investigator

o  Potential to carry out independent research;
o  Quality and extent of education, scientific training, and research
experience;
o  Evidence of research productivity, appropriate to the level of
experience;
o  Quality of any research publications; and
o  Commitment to a research career.

Research Design

o  Originality and significance of the research goals;
o  Appropriateness and significance of the research hypotheses;
o  Feasibility and adequacy of design and methodology; and
o  Availability of data and appropriateness of plans for organizing
the project and carrying out the data collection and analysis.

Resources and Environment

o  Availability of essential facilities and equipment, subject
populations, computer time, or other resources, as appropriate; and
o  Evidence of institutional commitment to the project.

Budget Appropriateness

o  Appropriateness of budget estimates in relation to aims and
methods; and
o  Appropriateness of period of support for carrying out the research
and for demonstrating the investigator's scientific abilities.

AWARD CRITERIA

The decision to fund an application will depend on the overall
scientific and technical merit of the proposal as determined by peer
review, program balance and relevance, and availability of funds.  In
very unusual circumstances, FIRST awards may be recommended by the
initial review group or the awarding component for periods of fewer
than five years.

INQUIRIES

Inquiries regarding programmatic issues may be directed to the
appropriate office listed below:

For applied dissemination research:

Center for Research Dissemination and Liaison
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 501
Rockville, MD  20852
Telephone:  (301) 594-1362

For medical effectiveness and outcomes research:

Center for Medical Effectiveness Research
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 605
Rockville, MD  20852
Telephone:  (301) 594-1485

For other AHCPR health services research:

Center for General Health Services Extramural Research
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 502
Rockville, MD  20852
Telephone:  (301) 594-1349, Ext. 104

Direct inquiries regarding fiscal/administrative matters to:

Ralph Sloat, Grants Management Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 601
Rockville, MD  20852
Telephone:  (301) 594-1447

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.180 and 93.226.  Awards are authorized under the
Public Health Service Act, Title IX, as amended by Public Laws
101-239 and 102-410, (42 U.S.C. 299-299c-6) and Section 1142 of the
Social Security Act (42 U.S.C. 1320b-12).  Awards are administered
under the PHS Grants Policy Statement and Federal Regulations 42 CFR
Part 67, Subpart A and 45 CFR Part 74.  This program is not subject
to the intergovernmental review requirements of Executive Order
12372.

From owner-sci-resources@net.bio.net Thu Nov 18 22:00:00 1993
Path: biosci!net.bio.net
From: kristoff@net.bio.net (Dave Kristofferson)
Newsgroups: bionet.sci-resources
Subject: NIH Guide, vol. 22, no. 40, pt. 1, 5 November 1993
Message-ID: <Nov.18.20.42.43.1993.5664@net.bio.net>
Date: 19 Nov 93 04:42:47 GMT
Sender: kristoff@net.bio.net
Lines: 1505
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 19931105 V22N40 P1O2 ************************************
X-comment: RFAs described: CA-94-006, HS-94-004, AI-94-002

NIH GUIDE - Vol. 22, No. 40 - November 5, 1993

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

                               NOTICES

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

NATIONAL HUMAN SUBJECTS PROTECTION WORKSHOPS
National Institutes of Health
Food and Drug Administration
INDEX:  NATIONAL INSTITUTES OF HEALTH; FOOD AND DRUG ADMINISTRATION

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

WORLD AIDS FOUNDATION
Fogarty International Center
INDEX:  FOGARTY INTERNATIONAL CENTER

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$INDEX R1 01/24/94 *************************************************

PATTERNS OF CARE IN RADIATION ONCOLOGY (RFA CA-94-006)
National Cancer Institute
INDEX:  CANCER

$$INDEX R2 03/11/94 *************************************************

FIRST INDEPENDENT RESEARCH SUPPORT AND TRANSITION AWARD (RFA
HS-94-004)
Agency for Health Care Policy and Research
INDEX:  HEALTH CARE POLICY, RESEARCH

$$INDEX R3 03/17/94 *************************************************

MECHANISM of RESPIRATORY SYNCYTIAL VIRUS VACCINE IMMUNOPOTENTIATION
(RFA AI-94-002)
National Institute of Allergy and Infectious Diseases
INDEX:  ALLERGY, INFECTIOUS DISEASES

                    ONGOING PROGRAM ANNOUNCEMENTS

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

RESEARCH ON NEEDLE HYGIENE AND NEEDLE EXCHANGE PROGRAMS (PA-94-010)
National Institute on Drug Abuse
INDEX:  DRUG ABUSE

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

ECONOMIC STUDIES IN CANCER PREVENTION, SCREENING AND CARE (PA-94-011)
National Cancer Institute
Agency for Health Care Policy and Research
INDEX:  CANCER; HEALTH CARE POLICY, RESEARCH

This publication is available electronically to institutions via
BITNET or INTERNET and is also on the NIH GOPHER.  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 **********************************************************

NATIONAL HUMAN SUBJECTS PROTECTION WORKSHOPS

NIH GUIDE, Volume 22, Number 40, November 5, 1993

P.T. 42; K.W. 0783005

National Institutes of Health
Food and Drug Administration

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

WESTERN WORKSHOP

DATES:  November 4-5, 1993

LOCATION
Radisson Hotel Denver South, Denver, CO

SPONSORS
University of Colorado Health Sciences Center, Denver, CO
University of Southern Colorado, Pueblo, CO

REGISTRATION
Ms. Mary Peratt, Secretary IRB
University of Colorado Health Sciences Center
4200 East Ninth Avenue (Box C-290)
Denver, CO  80262
Telephone:  (303) 270-7960

TITLE:  Medical Research:  Protection of Vulnerable Subjects

DESCRIPTION:  IRBs are confronted with a complexity of questions and
ethical issues that seldom have defined answers or ready resolve.
Some of the more perplexing clinical research protocols presented for
review are studies involving human subjects in overt, at-risk groups.
This human subjects workshop will address protections of highly
vulnerable and protected human populations.  Discussions will focus
on the ethical principles, protective measures, and definitions of
criteria for informed consent that are tantamount for IRB reviews
when members of these vulnerable groups are subjects of research
studies.  Subject groups and protocols to be covered will be focused
on prisoners, children, mentally compromised, AIDS and HIV-infected,
geriatric, and emergency room.

The conference program is designed to be of value to physicians,
nurses, pharmacists, scientific investigators, pharmaceutical and
medical device company representatives, and other health care
professionals.  All IRB members, faculty, and students in health care
areas and administrators will benefit from the conference.  Critical
attention will be given to Federal regulations governing these
special groups, professional judgment, real and perceived elements of
"implied," "second," and "third" party consents.  Conference emphasis
will be placed on the assessment of risks and protection of the
vulnerable subject with the application of medical, legal,
psychosocial and ethical standards and principles.  The conference
format is structured to promote the optimum exchange of ideas and
discussion through small and large group, topic-defined, informal,
and provocative sessions.

WEST COAST WORKSHOP

DATES:  January 23-24, 1994

LOCATION
Doubletree Hotel, Pasadena, CA

SPONSORS
City of Hope National Medical Center, Duarte, CA
Charles R. Drew University of Medicine and Science, Los Angeles, CA

REGISTRATION
Ms. Donna Pearce
Administrative Secretary, IRB
City of Hope National Medical Center
Beckman Research Institute
Duarte, CA  91010
Telephone:  (818) 359-8111, ext. 2700

TITLE:  Ethical Issues in Human Subject Research:  Catastrophic
Diseases and Minorities

DESCRIPTION:  This workshop is intended for physicians, nurses,
pharmacists, and other health care professionals as well as
administrators, members of Institutional Review Boards, students,
ethicists and legal experts, and lay persons with interest and
concern for human subject research.  The program will address the
following issues: (1) new governmental policies on human subject
research; (2) resolving ethical principles in clinical research on
AIDS, gene transfer, and cancer prevention trials involving
catastrophic illnesses; (3) drug trials and parallel track protocols;
(4) minorities as research subjects; and (5) the uncertain fate of
clinical research in the current era of health care reform.

SOUTH COAST CENTRAL WORKSHOP

DATES:  February 17-18, 1994

LOCATION
Fairmont Hotel, New Orleans, LA

SPONSORS
University of New Orleans - Lakefront, New Orleans, LA
Xavier University of Louisiana, New Orleans, LA

REGISTRATION
Ms. Anne O'Hearn Jakob
Office of Conference Services
University of New Orleans - Lakefront
New Orleans, LA  70148
Telephone:  (504) 286-7118

TITLE:  Recent Trends in Human Subjects Research

DESCRIPTION:  The purpose of this conference is to explore recent
issues and trends related to the protection of human subjects in
research.  It will provide discussions and opportunities among
participants to share views on NIH's new guidelines on fetal
research, the inclusion of women and minorities in research, and
FDA's recent policy on enrolling women of childbearing age in drug
trials.

Workshops and meetings will be conducted by faculty of more than 25
national experts whose research interests include alzheimer's
disease, environmental research, women's health, human genome
research, biomedical research, and others.

INQUIRIES

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

Ms. Darlene Marie Ross
Office for Protection from Research Risks
National Institutes of Health
Building 31, Room 5B63
Bethesda, MD  20892
Telephone:  (301) 496-8101

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

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

WORLD AIDS FOUNDATION

NIH GUIDE, Volume 22, Number 40, November 5, 1993

P.T. 34, 42; K.W. 0715008, 0502017

Fogarty International Center

The World AIDS Foundation (WAF) announces its intent to support
research and education relating to Acquired Immunodeficiency Syndrome
(AIDS) in the developing world.  The goal of the WAF is to facilitate
information exchange and assist developing countries in responding to
the AIDS pandemic.

The WAF is particularly interested in projects that are catalytic and
once in place could have a multiplicative effect.  Projects that
involve collaboration with the WHO Global Programme on AIDS are of
particular interest.  The WAF is also interested in supporting
applications that originate from developing countries and that
emphasize collaboration between and among scientists, physicians, and
public health workers from developed and developing countries.  Of
special interest are projects that respond to the anticipated
increase in HIV infection in South-East Asia and the Western Pacific.

The limit of any single funding request to the WAF is $200,000.

APPLICATION PROCEDURES

Concept letters and applications may be prepared in either English or
French.  Applicants should submit concept letters for initial
consideration.  Following review of concept letters, applicants may
be invited to submit complete proposals.  The annual deadline for
receipt of concept letters is February 1.

INQUIRIES

Concept letters and inquiries concerning the programs of the World
AIDS Foundation may be directed by mail or by FAX to:

World AIDS Foundation
Assistant Secretary for Health
c/o Director, Fogarty International Center
National Institutes of Health
Building 31, Room B2C02
Bethesda, MD  20892, U.S.A.
FAX:  (301) 402-2056

or

Fondation Mondiale SIDA
c/o Directeur de l'Institut Pasteur
28 rue du Docteur Roux
75724 Paris, Cedex 15, FRANCE
FAX:  0033-1-45688938

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

               NOTICES OF AVAILABILITY (RFPs AND RFAs)

$$R1 BEGIN CA-94-006 FULL-TEXT **************************************

PATTERNS OF CARE IN RADIATION ONCOLOGY

NIH GUIDE, Volume 22, Number 40, November 5, 1993

RFA AVAILABLE:  CA-94-006

P.T. 34; K.W. 0785140, 0725015, 0730050

National Cancer Institute

Letter of Intent Receipt Date:  December 1, 1993
Application Receipt Date:  January 24, 1994

THIS IS A NOTICE OF AVAILABILITY OF A REQUEST FOR APPLICATIONS (RFA);
IT IS ONLY AN ABSTRACT OF THE RFA.  POTENTIAL APPLICANTS MUST REQUEST
THE COMPLETE RFA, WHICH CONTAINS ESSENTIAL INFORMATION FOR THE
PREPARATION OF AN APPLICATION, FROM THE CONTACT LISTED IN
"INQUIRIES," BELOW.  FAILURE TO FOLLOW THE INSTRUCTIONS IN THE
COMPLETE RFA MAY RESULT IN AN INCOMPLETE APPLICATION, WHICH WILL BE
RETURNED TO THE APPLICANT WITHOUT REVIEW.

PURPOSE

The Radiation Research Program (RRP), Division of Cancer Treatment
(DCT), National Cancer Institute (NCI) invites applications for
Patterns of Care Studies in Radiation Oncology. The objective of this
RFA is to focus on those factors in radiation oncology that are most
likely to affect patient outcome, such as failure to control
local-regional neoplastic disease, treatment related morbidity that
negatively impacts a patient's quality of life, or failure to
implement new methods and treatment strategies that have been shown
to be advantageous for the patient.

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,
Patterns of Care in Radiation Oncology, 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 Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

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

MECHANISM OF SUPPORT

The administrative and funding instrument to be used for this program
will be the investigator-initiated research project grant (R01).  The
NCI anticipates awarding one to two grants, with total costs not to
exceed $650,000 for the first year.  This RFA is a one-time
solicitation.  Generally, future unsolicited competitive continuation
applications will compete as research project applications with all
other investigator-initiated applications and be reviewed by the
Division of Research Grants (DRG).  However, if it is determined that
there is sufficient programmatic need, the NCI will invite recipients
of awards under this RFA to submit competitive continuation grant
applications for review according to the procedures of the DRG.

FUNDS AVAILABLE

Approximately $650,000 in total costs per year for three years will
be committed specifically to fund grants that are awarded in response
to this RFA.  The NCI anticipates that one to two awards will be
made.  Although this program is provided for in the financial plans
of the NCI, the award of a grant in response to this RFA is also
contingent upon the availability of funds for this purpose.  The
earliest feasible start date for the initial award will be September
30, 1994.

RESEARCH OBJECTIVES

The major goal of this research initiative is to support clinical
investigations that (1) document and evaluate patient survival and
outcome as a function of radiation oncology practice and methodology,
(2) coordinate with the leadership of the Cooperative Groups for the
optimal design of protocols and clinical trials based on data
received from patterns of care studies, (3) examine the patterns of
care for minorities vs non-minorities, and (4) present the findings
of the patterns of care studies to the radiation oncology community
to achieve both the goals of information and education.  The
evaluation and documentation of the acceptance and implementation of
new treatment strategies in the radiation oncology community where a
benefit for the cancer patients has been shown is also of interest.
New studies of interest are prospective patterns of care and/or
patterns of fractionation studies that will support and enhance
on-going protocols for cancers of the prostate and cervix.
Prospective studies that show patterns of total care for breast
cancer are of special interest.

STUDY POPULATIONS

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

NIH policy is that applications for NIH clinical research grants 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 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
persons of all ages.  If minorities and women are excluded or
inadequately represented in the clinical research of this RFA, a
clear and compelling rationale must be provided.  NIH funding
components will not award grants that do not comply with these
policies.

LETTER OF INTENT

Prospective applicants are asked to submit, by December 1, 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.  A letter of intent is not required, is not binding and
does not enter into the review of subsequent applications.  The
letter of intent is to be sent to the Program Director at the address
listed under INQUIRIES.

APPLICATION PROCEDURES

Application are to be submitted on 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
Information, 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 application form PHS
398 must be affixed to the bottom of the face page.  Detailed
instructions on submission procedures are described in the RFA.

REVIEW CONSIDERATIONS

Applications that are complete and responsive to the RFA will be
evaluated by an appropriate peer review group convened by the NCI in
accordance with the usual NIH peer review procedures.  See RFA for
review criteria to be used in initial review.  Following initial
review, applications will be given a secondary review by the National
Cancer Advisory Board 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.  Questions concerning the responsiveness of proposed
research to the RFA may be directed to program staff listed under
INQUIRIES.

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.  The NCI welcomes the
opportunity to clarify any issues or questions from potential
applicants.

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

Dr. Sandra Zink
Radiation Research Program
National Cancer Institute
Executive Plaza North, Suite 800
Bethesda, MD  20892
Telephone:  (301) 496-9360
FAX:  (301) 480-5785

Direct inquiries regarding fiscal matters to:

Ms. Barbara Fisher
Grants Administration Branch
Executive Plaza South, Room 242
6120 Executive Boulevard
Rockville, MD  20852
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 Public Health Service Act, Title IV,
Sections 301, 410 and 411, Part A (Public Law 78-410, as amended by
Public Law 99-158, 42 USC 241 and 285 (a.)) and administered under
the PHS grants policies and Federal Regulations 42 CFR Part 52 and 45
CFR Part 74 and 92.  This program is not subject to the
intergovernmental review requirements of Executive Order 12372 or
Health Systems Agency review.

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

$$R2 BEGIN HS-94-004 FULL-TEXT **************************************

FIRST INDEPENDENT RESEARCH SUPPORT AND TRANSITION AWARD

NIH GUIDE, Volume 22, Number 40, November 5, 1993

RFA AVAILABLE:  HS-94-004

P.T. 34; K.W. 0730050

Agency for Health Care Policy and Research

Application Receipt Date:  March 11, 1994

THIS IS A NOTICE OF THE AVAILABILITY OF A REQUEST FOR APPLICATIONS
(RFA); IT IS ONLY AN ABSTRACT OF THE RFA. POTENTIAL APPLICANTS MUST
REQUEST THE COMPLETE RFA, WHICH CONTAINS ESSENTIAL INFORMATION FOR
THE PREPARATION OF AN APPLICATION, FROM THE CONTACT LISTED IN
"INQUIRIES," BELOW.  FAILURE TO FOLLOW THE INSTRUCTIONS IN THE
COMPLETE RFA MAY RESULT IN AN INCOMPLETE APPLICATION, WHICH WILL BE
RETURNED TO THE APPLICANT WITHOUT REVIEW.

PURPOSE

The Agency for Health Care Policy and Research (AHCPR) announces the
availability of the First Independent Research Support and Transition
(FIRST) Award (R29) in health services research.  The purpose of the
FIRST Award is to provide a sufficient period of research support for
newly independent health services researchers to initiate their own
research and demonstrate independent investigative efforts; provide a
reasonable opportunity to demonstrate creativity, productivity, and
further promise; and to help in the transition to traditional types
of AHCPR research project grants.  The award is not intended for
established investigators who may be in transition to another
endeavor.  A FIRST Award is for a distinct research endeavor and may
not be used merely to supplement or broaden an ongoing project at the
applicant institution.  FIRST Awards are intended to provide funds
for newly independent investigators for five years during which time
they can establish their own research program and make significant
and innovative contributions to health services research.

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.  The AHCPR
urges applicants to submit grant applications with relevance to the
specific objectives of this initiative.  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

To be eligible for a FIRST Award, the proposed Principal Investigator
(PI) must be genuinely independent of a mentor, yet at the beginning
stages of his or her research career with, in most instances, no more
than five years research experience since completing postdoctoral
research training or its equivalent.  If the applicant is in the
final stages of such training, it is permissible to apply, but no
FIRST Award will be made to persons in training status.  In addition,
the proposed PI must otherwise be eligible to serve in the same
capacity on a traditional research project grant (R01) awarded to the
applicant institution.  Only non-profit domestic institutions and
organizations are eligible to receive FIRST Awards.  Further
information on eligibility is contained in the RFA.

MECHANISM OF SUPPORT

This RFA represents the initial use of the First Independent Research
Support and Transition (FIRST) Award (R29) by AHCPR.  See SPECIAL
REQUIREMENTS, below, for details of this mechanism.

FUNDS AVAILABLE

The AHCPR expects to fund approximately three FIRST Awards in Fiscal
Year (FY) 1994.  The actual number awarded in FY 94 will depend on
availability of funds as will the number in future years.

RESEARCH OBJECTIVES

The AHCPR conducts and supports research on the quality,
appropriateness, efficiency, and effectiveness of health care
services and the systems for delivery of these services.  Research
areas of interest for FIRST applications are as follows:

o  Health care reform issues;
o  Health care costs and financing;
o  Relationship between primary care and health care costs, access,
and quality;
o  Rural health including access to services, supply of health
professionals, delivery systems issues, primary health care, health
promotion and disease prevention, technology diffusion, and special
populations;
o  Health care quality improvement and quality assurance including
methods and measures;
o  Information technologies and factors affecting their use;
o  Costs and quality of alternative delivery systems and managed
care;
o  Health care technologies, facilities, and equipment;
o  Medical effectiveness and patient outcomes research;
o  Medical liability and malpractice;
o  Access, medical effectiveness, and patient outcomes research in
low-income, minority, elderly, and other underserved populations;
o  Dissemination of health and clinical information and research
findings to practitioners, consumers, and patients for use in
improved health care decisionmaking;
o  Services for persons with human immunodeficiency virus (HIV) and
acquired immunodeficiency syndrome (AIDS); and
o  Evaluation of outcomes associated with the use of clinical
practice guidelines.

The following program announcements, which were published in the NIH
Guide for Grants and Contracts, provide more detailed information on
selected areas of interest:  "Health Services for Persons with HIV
Infection" (PA-93-110), Vol. 22, No. 33, September 17, 1993; "Health
Care Quality Improvement and Quality Assurance Research" (PA-93-084),
Vol. 22, No. 19, May 21, 1993; "Primary Care and Health Care Reform"
(PA-93-063), Vol. 22, No. 10, March 12, 1993; "Cost and Financing
Issues in Health Care Reform" (PA-93-45), Vol. 22, No. 4, Jan. 29,
1993; "Health Services Research on Rural Health" (PA-92-71), Vol. 21,
No. 16, May 1, 1992; and "Effective Dissemination of Health and
Clinical Information and Research Findings" (PA-92-51), Vol 21, No.
10, March 13, 1992.

SPECIAL REQUIREMENTS

An individual may submit only one FIRST Award application to the
Public Health Service for this receipt date.

FIRST Award applications must request five years of research support.
Applications submitted to AHCPR in which the request is for fewer
than five years of support will be returned to the applicant.

The PI must make a commitment of no less than 50 percent effort to
the proposed project.  Up to 100 percent effort may be requested if a
greater commitment of the PI is required to do the research.  The
request for effort of the applicant investigator will be reviewed and
modifications may be recommended.

The total direct cost award for the five-year period may not exceed
$350,000.  The direct cost award in any yearly budget period should
not exceed $100,000.  Indirect costs will be paid to the grantee
institution in accord with applicable policy of the Department of
Health and Human Services (DHHS).  FIRST Awards are not renewable.
Further special requirements are provided in the RFA.

STUDY POPULATIONS

SPECIAL INSTRUCTION TO APPLICANTS CONCERNING INCLUSION OF WOMEN AND
MINORITIES IN RESEARCH STUDY POPULATIONS

The AHCPR requires applicants to include minorities and women in
study populations so that research findings can be of benefit to all
persons.  If women or minorities are excluded or inadequately
represented in research, a clear and compelling rationale must be
provided.  All applications without such documentation will not be
accepted for review.

APPLICATION PROCEDURES

The RFA contains important information for applicants, including the
application and review schedule for FIRST Awards, and may be obtained
from the Center for Research and Dissemination Liaison, see
INQUIRIES.  The application receipt date is March 11, 1994.  The
research grant application form PHS 398 (rev. 9/91) is to be used.
These forms are available at most institutional offices of sponsored
research and the Office of Grants Information, Division of Research
Grants, National Institutes of Health, Westwood Building, Room 449,
Bethesda, MD 20892, telephone 301/594-7248.

In addition, a letter or memorandum from a suitable department head
or dean is to be submitted with the application, that addresses:  (1)
eligibility of proposed Principal Investigator to independently lead
a research project at the applicant institution (i.e., is this person
otherwise qualified to be the PI on a traditional research project
grant (R01)?) and (2) details of the intended commitment of the
institution to the project for the five-year period.  Also, three
letters of reference for the proposed PI are to be submitted with the
application.  Further details on letters of reference are provided in
the RFA.

REVIEW CONSIDERATIONS

Applications will be reviewed initially by the Division of Research
Grants, NIH, for completeness and by AHCPR staff for responsiveness
to the RFA.  Incomplete and nonresponsive applications will be
returned to applicants without further consideration.  Applications
will be evaluated in accordance with the criteria stated in the RFA
for scientific/technical merit by an appropriate AHCPR peer review
group.  Further review considerations and review criteria are listed
in the RFA.  Review results and funding decisions will be announced
approximately six months after the submission date.

INQUIRIES

A copy of the RFA may be obtained from the Center for Research
Dissemination and Liaison at the address below.  In addition,
inquiries regarding programmatic issues may be directed to the
appropriate office listed below:

Applied Dissemination Research:
Center for Research Dissemination and Liaison
Suite 501, telephone (301) 594-1362

Medical Effectiveness and Outcomes Research:
Center for Medical Effectiveness Research
Suite 605, telephone (301) 594-1485

Other AHCPR Health Services Research:
Center for General Health Services Extramural Research
Suite 502, telephone (301) 594-1349, Ext. 104

Direct inquiries regarding fiscal/administrative matters to:

Ralph Sloat, Grants Management Officer
Agency for Health Care Policy and Research
2101 East Jefferson Street, Suite 601
Rockville, MD  20852
Telephone:  (301) 594-1447

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.180 and 93.226.  Awards are authorized under the
Public Health Service Act, Title IX, as amended by Public Laws
101-239 and 102-410, (42 U.S.C. 299-299c-6) and Section 1142 of the
Social Security Act (42 U.S.C. 1320b-12).  Awards are administered
under the PHS Grants Policy Statement and Federal Regulations 42 CFR
Part 67, Subpart A and 45 CFR Part 74.  This program is not subject
to the intergovernmental review requirements of Executive Order
12372.

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

$$R3 BEGIN AI-94-002 FULL-TEXT **************************************

MECHANISM of RESPIRATORY SYNCYTIAL VIRUS VACCINE IMMUNOPOTENTIATION

NIH GUIDE, Volume 22, Number 40, November 5, 1993

RFA AVAILABLE:  AI-94-002

P.T. 34; K.W. 0705048, 0740075, 0710070

National Institute of Allergy and Infectious Diseases

Letter of Intent Receipt Date:  January 14, 1994
Application Receipt Date:  March 17, 1994

THIS IS A NOTICE OF AVAILABILITY OF A REQUEST FOR APPLICATIONS (RFA);
IT IS ONLY AN ABSTRACT OF THE RFA.  POTENTIAL APPLICANTS MUST REQUEST
THE COMPLETE RFA, WHICH CONTAINS ESSENTIAL INFORMATION FOR THE
PREPARATION OF AN APPLICATION, FROM THE CONTACT LISTED IN
"INQUIRIES," BELOW.  FAILURE TO FOLLOW THE INSTRUCTIONS IN THE
COMPLETE RFA MAY RESULT IN AN INCOMPLETE APPLICATION, WHICH WILL BE
RETURNED TO THE APPLICANT WITHOUT REVIEW.

PURPOSE

The Division of Microbiology and Infectious Diseases, National
Institute of Allergy and Infectious Diseases (NIAID) announces the
availability of an RFA for research on the immunology of Respiratory
Syncytial Virus (RSV) protection and disease.  Specifically, the
NIAID is interested in addressing the immune responses associated
with the exacerbation of disease in children who had previously
received formalin-inactivated RSV vaccine.

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,
Mechanism of Respiratory Syncytial Virus (RSV) Vaccine
Immunopotentiation, 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 20402-9325 (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 or local
governments, and eligible agencies of the Federal government.
Applications from minority individuals and women are encouraged.

MECHANISM OF SUPPORT

Awards made under this RFA will use the National Institutes of Health
(NIH) individual research grant (R01) award mechanism.
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 by domestic institutions
may not exceed four years; the total project period for applications
submitted by foreign institutions may not exceed three years.  The
anticipated earliest possible award date is September, 1994.

Applicants are encouraged to coordinate, through the use of
consortium arrangements or subcontracts, integrated approaches with
individuals or institutions having relevant reagents and expertise in
their use, demonstrated ability in a particular area of relevant
research, or access to relevant animal or patient populations so as
to accelerate technical progress and clinical development of
promising prophylactics.  Because the nature and scope of the
research proposed in response to this RFA may vary, it is anticipated
that the amounts of the awards will vary also.

This RFA is a one-time solicitation.  Future competing continuation
applications will compete with all unsolicited investigator-initiated
applications and be reviewed by an appropriate Study Section
according to the customary NIH referral and peer review procedures.

FUNDS AVAILABLE

The estimated funds available for the total (direct and indirect)
first year cost of all awards under this RFA is $ 1.0 million.  The
NIAID anticipates making a minimum of three new awards.

RESEARCH OBJECTIVES

Presently, there are no licensed Respiratory Syncytial Virus (RSV)
vaccines and only limited efforts in the development of vaccine
candidates because attempts to develop a safe and effective vaccine
have met with continued frustration.  In the mid-1960s, a formalin
inactivated RSV vaccine was evaluated in previously unprimed
(seronegative) infants.  When these children were subsequently
exposed during an RSV outbreak, the resulting illnesses were very
severe.  Specifically, children under two years of age who received
the vaccine had a much higher incidence of pneumonia (60 percent) and
hospitalization (21 percent) compared to the children who received
placebo (8 percent and 1.5 percent, respectively).  Attempts to
understand the nature of this immunopotentiation event have relied
primarily on data generated using the cotton-rat model.  In this
system, RSV challenge of animals immunized with a
formalin-inactivated RSV vaccine has been associated with changes in
lung histology.  The equation of this altered histology in animals
with the exacerbated disease in humans has been widely debated.
Nonetheless, in the absence of definitive data to the contrary, the
cotton-rat model has been widely used to define the preclinical
safety of potential new vaccine candidates.  At a recent
NIAID/WHO/CDC RSV Workshop (May 1993) use of alternative animal model
systems for detailed studies of the immunologic mechanism of
immunopotentiation (eg., mouse model) and development of animal
models with clinical disease patterns/immunologic responses similar
to those seen in humans (eg., lamb/bovine models) were encouraged.
It was also clear that continued use of the cotton rat model to
define safety of new experimental vaccines requires additional
knowledge as to the basis of the histologic changes observed
following challenge.  Until then, a significant barrier would remain
in the development of RSV vaccines.

The long-term goal of the NIAID is to facilitate the development of
an effective RSV vaccine.  However, interim objectives must be met
before candidate vaccines can be entered into clinical trials
involving seronegative infants and children.  The goal of this RFA is
to stimulate innovative new research on the complex immunology
associated with RSV disease immunopotentiation and within that
context to develop in vitro and/or in vivo assays that accurately
reflect the potential safety of RSV vaccine candidates.

Examples of projects that might be responsive to this RFA include,
but are not limited to:

1.  Detailed analysis of the immune pathways stimulated following:

o  immunization with experimental RSV vaccines that have been
previously associated with immunopotentiation;
o  immunization with experimental RSV vaccines that have been
associated with protection but not immunopotentiation;
o  natural infection;

2.  Development of in vivo models that closely mimic the clinical
disease/immunopotentiation event seen in humans;

3.  Development of immunologically defined reagents for valid in vivo
models;

4.  Development of in vitro models to assess the immunopotentiation
effect of candidate RSV vaccines;

5.  Definition of the properties of vaccine preparations which have
been associated with immunopotentiation.

SPECIAL REQUIREMENTS

NIAID Program Staff will organize annual meetings in Bethesda that
Principal Investigators and other key members (as designated by the
Principal Investigators) of the projects will be requested to attend
to discuss progress.  At the discretion of the Program Staff,
clinical researchers and members of the vaccine industry may also be
invited to attend.  Funds for travel to these meetings should be
included in the budget.

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 January 14, 1994, a
letter of intent that includes a descriptive title of the proposed
research, the names and affiliations of proposed key investigators,
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 