From owner-sci-resources@net.bio.net Fri Jun 03 23:00:00 1994
Path: biosci!biosci!not-for-mail
From: Dave Kristofferson <kristoff@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: No NIH Guide for 7/8, 9/2, 9/9
Date: 3 Jun 1994 19:11:09 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
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$$MAIL BEGIN ***********************************************************
There will be no NIH Guide published for July 8, September 2, and
September 9.
$$MAIL END**************************************************************

From owner-sci-resources@net.bio.net Sun Jun 05 23:00:00 1994
Path: biosci!biosci!not-for-mail
From: <bohlen@isis.rz.uni-duesseldorf.de>
Newsgroups: bionet.sci-resources
Subject: Symposium "Frontiers in Biosensorics" Potsdam, Germany Sep 15-16, 1994
Date: 6 Jun 1994 15:39:38 -0700
Organization: Heinrich Heine Universitaet Duesseldorf
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                      ***  First Announcement  ***

With the symposium "Frontiers in Biosensorics" a technologically important 
sphere of the future shall be put in the centre of interest, which is of 
great scientific and economic interest. Beside scientists and applicators 
from research and industry and representatives from the proper 
authorities, target audience of that event will especially be potential 
producers. Parallel with the symposium there will be the chance for 
scientists and industrial enterprises to present their projects and main 
fields of research and production in order to gain partners for common
future projects. Thus the Symposium will be a forum for all people 
interested in biosensorics in general and especially in contacts with 
potential partners in that field.

Another target group of the event are the scientists of different 
disciplines like e.g. immunochemistry, material research or physical 
technologies, which can contribute to the further development of biosensors 
by new results in basic research. In addition, students and young 
scientists of those fields, who will influence the development of that 
important technologically relevant sphere are invited to that symposium.

In two "blocks" the following subjects will be dealt with in special 
lectures: 

      o New biological identification systems for biosensors
      o Modified sensor surfaces and new analytical systems

After the lectures the participants of the symposium can discuss the 
subjects with the speakers.

During the coffee breaks there will an opportunity to have a look at the 
information stands, at which scientists and industrial enterprises will 
present their projects and research results. It is planned to invite 
especially technologically relevant industrial enterprises and thus to
establish an open forum between science and economy in order to promote the 
research and technology transfer in the Land of Brandenburg and over and 
above that.

The special lectures will be read by well-known speakers from science and 
economy not only from Germany but also from abroad. They guarantee that 
the symposium will be of a high quality. Parallel with that, an exhibition 
under the headline "Commercial Biosensors", with a main emphasis on 
East-German firms will show appliances, which are already available at the 
market.

>From the list of lectures:

PD Dr. Hummel, Duesseldorf     - New enzymes
Prof. Dr. Erdmann, FU Berlin   - RNA as substrate and enzyme, "ribozymes" 
                                 and biosensors
Dr. Warsinke, Potsdam          - Genetically and biotechnologically 
                                 produced fragments of anti-bodies
Prof. Dr. Hansen, TU Berlin    - New biosensors for environmental analytics
Prof. Dr. Brehmer, Potsdam     - Thin organic layers, polymers and layer
                                 systems 
Prof. Dr. Spener, ICB Muenster - Binding protein - anti-body - 
                                 identification systems
Prof. Dr. Wulff, Duesseldorf   - Chiral holes in netted polymers...
Dr. Urban, Wien                - Sensor surfaces for in vivo-applications
Dr. Menz, Ciba Basel           - Miniaturised analytical systems ...
Dr. Voelker, BAYER AG Uerdingen- Ultra-thin polymer layers 
Dr. Hintsche, FhG Berlin       - Micro-biosensors
Frau Dr. Dumschat, ICB Muenster- Chip-biosensors
Prof. Meyerhoff, DIFE Bergholz-Rehbruecke- 
                                 Ionic channals und binding proteins 
Prof. Schultze, Duesseldorf    - Electropolymers for biosensors...
Dr. Henco, Diagen Duesseldorf  - Single molecule analytics


SCIENTIFIC COMMITTEE
Prof. Dr. Frieder Scheller, Universitaet Potsdam
Frau Dr. Jutta Fedrowitz, Wissenschaftszentrum NRW, Duesseldorf

ORGANIZATION / TECHNOLOGY TRANSFER
Dr. Andreas Bohlen, Potsdamer Informations- und Technologie-Transfer (PITT)

The lectures take place at the University of Potsdam (Land of Brandenburg, 
near Berlin) on September 15, 1994 from 10 am to 5 pm and on September 16, 
1994 from 9 am to 4 pm.

The participation fee is DM 110,- (DM 55,- for students).
Included in that fee are lunch on both days, a reception of the 
participants on Thursday night (Sep 15, 1994), the coffee during the breaks 
and the conference documents.

The registration forms will be sent to you on request. Therefore it is only 
necessary to send a short email with the help of the "form" below to one of 
the following addresses:                  

                   bohlen@hp.rz.uni-potsdam.de    (Dr. Bohlen)
                            OR
                    bohlen@uni-duesseldorf.de     (Dr. Bohlen)

The deadline for your registration is July 31, 1994. Thank you very much in 
advance for your interest.

With kind regards,

Andreas Bohlen


>>>>>>>>>>>>>>>>>>>>>>>>> E-MAIL-ANSWER >>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 

Please send me the registration form for the symposium
"Frontiers in Biosensorics" , which will take place in Potsdam, Germany 
from September 15-16, 1994.

Name:           ...........................
Surname:        ...........................
Academic title: ...........................
Institution:    ...........................
Address:        ...........................
                ...........................
                ...........................
Phone No.:      ...........................
Fax No.:        ...........................
E-Mail        ...........................

[ ]  I would like to participate in the symposium. 
[ ]  I would like to exhibit 
     [ ] a poster
     [ ] an appliance
     under the headline: ................................
[ ]  Regrettably I cannot take part in the symposium but I would like to
     to receive some more information about:
     [ ] the University of Potsdam
     [ ] Biosensorics at the University of Potsdam
     [ ] the Department of Information and Technology Transfer (PITT) of the
         University of Potsdam

Please send an extra email for each participant.


**************************************************************
*         Heinrich-Heine-Universitaet Duesseldorf            *
*           Forschungs- und Technologie-Transfer             *
*                   Dr. Andreas Bohlen                       *
*                  Universitaetsstr. 1                       *
*                    Gebaeude 16.11                          *
*                  D-40225 Duesseldorf                       *
*                                                            *
*                 Tel. (0211) 3 11-23 09                     *
*                 Fax  (0211) 34 22 29                       *
*            E-Mail hempel@uni-duesseldorf.de                *
**************************************************************
*                                                            *
*                  Universitaet Potsdam                      *
*  Potsdamer Informations- und Technologie-Transfer (PITT)   *
*                   Dr. Andreas Bohlen                       *
*                   Am Neuen Palais 10                       *
*                     D-14469 Potsdam                        *
*                                                            *
*               Tel./Fax (0331) 9 77-11 19                   *
*            E-Mail bohlen@hp.rz.uni-potsdam.de              *
**************************************************************

From owner-sci-resources@net.bio.net Mon Jun 13 23:00:00 1994
Path: biosci!biosci!not-for-mail
From: Dave Kristofferson <kristoff@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - RFA CA-94-018 - V23(22) 06/10/94
Date: 14 Jun 1994 11:50:31 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
Lines: 598
Approved: biosci-moderator@net.bio.net
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$$XID RFA CA94018 CA-94-018 P1O1 ***************************************

PROGRAM PROJECTS IN NUTRITION AND BASIC BIOLOGY RESEARCH FOR CANCER
PREVENTION

NIH GUIDE, Volume 23, Number 22, June 10, 1994

RFA:  CA-94-018

P.T. 34; K.W. 0715035, 0710095, 0745027

National Cancer Institute

Letter of Intent Receipt Date:  July 25, 1994
Application Receipt Date:  November 18, 1994

PURPOSE

The Division of Cancer Prevention and Control and the Division of
Cancer Etiology, National Cancer Institute (NCI), invite Program
Project Grants for multidisciplinary nutrition and basic biology
research relevant to the prevention of cancer.  Specifically, they
seek to encourage application of the techniques of molecular biology
and molecular genetics to address questions about the fundamental
role of nutrition in the initiation, promotion, progression, and
prevention of cancer and the use of that knowledge to develop dietary
interventions for the prevention of cancer, with a special emphasis
on breast cancer, prostate cancer, and cancer in women and
minorities.

This Request for Applications (RFA) focuses on understanding the
roles of dietary patterns, individual dietary constituents, food
preparation techniques, and nutritional status in the development and
prevention of cancer.  The objectives of this RFA for Program Project
Grants are to increase the pool of quality applications addressing
nutrition and human cancer prevention using multidisciplinary
approaches; to stimulate the use of modern biological approaches and
techniques to elucidate the effects of nutrition on cancer
initiation, promotion, progression, and prevention; and to promote
the translation of knowledge of the impact of nutrition on the basic
biology of cancer into dietary interventions for its prevention.

Application of the tools and techniques of the basic biological
sciences in research designed to increase understanding of the
complex role of nutrition in cancer prevention will be enhanced
significantly by a mechanism that promotes collaborations across
disciplines and across institutions.  Therefore, investigators are
encouraged to submit Program Project Grant (P01) applications for a
multidisciplinary research program with a focused theme and a minimum
of three interrelated and synergistic individual component projects
that comprise basic research efforts and at least one component
project involving human subjects or human tissues.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA,
Program Projects in Nutrition and Basic Biology Research for Cancer
Prevention, is related to the priority areas of cancer and nutrition.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary
Report: Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Domestic non-profit and for-profit organizations and institutions,
public and private, are eligible to apply.  Applications may be
submitted from a single institution or may include arrangements with
multiple institutions if appropriate.  Applications from or involving
minority institutions and from minority and women investigators are
encouraged.  Foreign institutions are not eligible.

MECHANISM OF SUPPORT

This RFA will use the National Institutes of Health (NIH) Program
Project Grant (P01).  Applicants will be responsible for the
planning, direction, and execution of the proposed projects.  The
total project period for an application submitted in response to this
RFA must not exceed four years.

Because the nature and scope of the research proposed in response to
this RFA may vary, it is anticipated that the amount of the direct
cost awards will vary from $700,000 to $1,000,000.

This is a one-time solicitation.  Future unsolicited competing
continuation applications will compete with all
investigator-initiated applications and be reviewed according to the
customary peer review procedures.

FUNDS AVAILABLE

Up to $4 million in total costs per year for up to four years will be
committed specifically to fund applications that are submitted in
response to this RFA.  It is anticipated that three to four awards
will be made.  This level of support is dependent on the receipt of a
sufficient number of applications of high scientific merit.  Although
this program is provided for in the financial plans of the NCI,
awards pursuant to this RFA are contingent upon the availability of
funds for this purpose.

RESEARCH OBJECTIVES

A.  Background

Associations of dietary patterns and constituents with mortality and
incidence have been suggested for a variety of cancers, including
breast, prostate, lung, colon, stomach, esophagus, and cervix.  Among
these, breast and prostate cancer are of particular significance
because of the large numbers of persons affected in the United
States.  The state of current knowledge of the role of nutrition, in
terms of the effects of dietary patterns, types and levels of
individual dietary constituents, and nutritional status, on the
development and prevention of breast, prostate, and other cancers is
still rudimentary.  It has been subject to the inherent
methodological limitations and inadequacies of the epidemiologic
studies and animal models upon which it is largely based.
Nonetheless, the available evidence has been sufficient to permit the
provision of general dietary guidance that may help reduce risk of
cancer and to justify the conduct of clinical trials to test the
efficacy of dietary modification or supplementation with nutrients in
the primary and secondary prevention of various cancers.

Further significant advances in understanding the role of nutrition
in cancer prevention require answers to questions about the
fundamental mechanism(s) of action of dietary patterns and dietary
constituents in the initiation, promotion, progression, and
prevention of cancer, in the context of nutrient-gene-environmental
interactions.  Information is needed regarding nutrient and dietary
non-nutrient microconstituent interactions with and effects on
cellular metabolism, genomic stability, intracellular signal
transduction, the net expression of growth-promoting and
growth-inhibiting genes, and other modulators of gene expression and
carcinogenesis.  More information is also needed about the transport
of nutrients to target tissues and about individual variability in
susceptibility and response to nutrient effects.  Such knowledge of
the basic mechanisms of action of dietary components in cancer
development is needed to provide informed recommendations about the
optimal range of intake of specific dietary constituents and to
refine and individualize dietary guidance for prevention of cancer.
Studies that provide the necessary information fall within the
province of bionutrition and encompass research on nutrients at the
cellular level and the metabolic and behavioral consequences of food
or nutrients in living organisms including humans.

With the increasing recognition of the invaluable contributions of
the techniques of molecular biology and molecular genetics to all
facets of biomedical research, it is appropriate that their use in
addressing important questions about nutrition and cancer prevention
be encouraged.  The potential for these new technologies to
revolutionize many aspects of the science of nutrition, by increasing
understanding of the nutrient-cell interactions that affect
transition from healthy to diseased cells and permitting more
reliable determination of the nutrient requirements for optimal
health and functional capacity, was given explicit recognition in the
trans-NIH Bionutrition Initiative.

Although bionutrition rests firmly on the foundation of the modern
biological sciences, it has been conceptualized as encompassing a
broad range of activities from basic research through translational
research to practical applications.  Accordingly, this RFA encourages
the submission of multidisciplinary research project applications in
the form of Program Project Grants (P01).  This type of award is
intended to support a broadly based multidisciplinary program that
has a well-defined central research focus or objective and may
include support for common supporting resources (cores) required for
the conduct of the component research projects.  The central research
focus of a Program Project Grant involves several disciplines or
several aspects of one discipline and may involve multiple
institutions.  The individual projects must be interrelated and
synergistic; hence, they result in a greater contribution to program
goals than if each project were pursued separately.  Individual
investigators may apply their specialized research capabilities to
basic research projects, clinical research projects, cancer
prevention and control research projects, or combinations of such
projects as they relate to the focused central theme of the overall
Program Project.

Applications are encouraged especially from investigative teams with
members trained in molecular, biological and genetic techniques and
nutritional science who have an interest in applying those techniques
and knowledge to address questions regarding nutrition and cancer
prevention.  Program Projects responsive to this RFA must comprise
basic research efforts and at least one component project involving
studies of human subjects or human tissues.  Applicants are
encouraged to structure Program Projects that are no larger than
necessary to achieve an effective collaborative effort among the
participating basic biology and nutrition investigators.

B.  Research Areas of Interest

The studies encouraged by this RFA will employ innovative approaches
to examine fundamental effects of nutrients and other food
constituents on initiation, promotion, progression, and prevention of
cancer, as well as individual variability in response, to develop
more effective nutrition interventions for prevention of cancer,
especially breast and prostate cancer and other cancers affecting
women and minorities.  A wide variety of potential Program Projects,
comprising individual projects ranging from basic to translational
research and practical applications, may be considered for support;
however, all applications must delineate clearly the relevance of
each proposed individual research project, especially those with a
basic biology focus, for the prevention of human cancer.

Illustrative, but not exhaustive, examples of research areas relevant
to nutrition and basic biology research for the prevention of cancer
are as follows:

o  Evaluate nutrient-genome interactions in carcinogenesis and
anticarcinogenesis, e.g., nutrient effects on DNA repair or
modulation of gene expression.

o  Examine the potential for nutrients or other dietary constituents
to influence the activation of oncogenes or inactivation of tumor
suppressor genes.

o  Study nutrient influences on differentiation and on signals
induced by physiological or chemical differentiation in various
tissues.

o  Evaluate nutrient effects on growth factors for cellular
transformation, including the ability to block or prevent the
interaction of growth factors with receptors.

o  Examine nutrient-carcinogen-promoter interactions, including
cellular defense mechanisms against environmental
carcinogens/promoters that may be regulated by dietary factors.

o  Elucidate mechanisms and controls of nutrient transport to target
sites in various tissues.

o  Quantify dose-response relationships for nutrients, nutrient
derivatives, and other bioactive dietary constituents as part of the
evaluation of their absorption, metabolism, and distribution in
target tissues and their effects on molecular and cellular events.

o  Identify biomarkers indicative of early cellular transformation
that may be monitored in nutrition epidemiologic studies and
modulated in dietary intervention trials.

o  Identify biomarkers that will provide improved assessment of
dietary intake and/or nutritional status for use in nutrition
epidemiologic studies and dietary intervention trials.

o  Characterize the nature, extent, and causes of individual
variability in cancer risk and in responses to dietary constituents.

o  Develop dietary intervention strategies to modulate expression of
genetically determined cancer risk, including risk resulting from
loss of response to natural regulators of proliferation and/or risk
resulting from blocked expression of differentiation (maturation)
programs.

o  Conduct small-scale clinical/metabolic intervention studies to
test dietary modifications with potential for cancer prevention
developed on the basis of knowledge of nutrient-genomic interactions.

SPECIAL REQUIREMENTS

The Program Project Grant is intended solely for the support of a
multidisciplinary or multifaceted research program that has a focused
theme.  This unique grant mechanism builds on the leadership of the
principal investigator and the interaction of the participating
investigators to integrate the individual projects in a way that
accelerates the acquisition of knowledge beyond that expected from
the same projects conducted separately, without combined leadership
or a common theme.

A project within a Program Project is similar to the traditional
research grant application in the sense that each is reviewed for
scientific merit.  However, a component project additionally is
evaluated within the context of the special collaborative
interrelationships required for a Program Project.  In order to be
responsive to this RFA, a Program Project must include basic research
efforts and at least one component project involving studies of human
subjects or human tissues.  The relevance of each component project,
especially those projects with a basic biology focus, to the
prevention of human cancer must be clearly delineated.

A Program Project Grant may contain one or more core component(s),
each with a separate budget, for administrative or research support
services that are required for and shared solely within this
particular Program Project.  Each core must provide essential
facilities or services for two or more projects judged to have
substantial merit.  There is no allowance for unspecified
developmental research funds (seed money) in Program Project Grants.

A Program Project should include a sufficient number of
scientifically meritorious projects to promote an effective
collaborative effort among the participating investigators.  For this
RFA, Program Projects should be no larger than necessary to achieve
the desired collaboration among basic biology and nutrition
investigators.  To be eligible for an award, a Program Project must
consist of a minimum of three scientifically meritorious projects.
There is no limit for the maximum number of projects to be included
in a Program Project; however, the Program Project should not be so
large that it exceeds the scientific and administrative leadership
capability of the principal investigator, or that it loses a tight
focus.  In the peer review process, components not recommended for
further consideration are considered in the peer review evaluation of
the principal investigator's scientific judgment and program
administration skills.

The principal investigator of the Program Project Grant must be an
established scientist with a strong record of accomplishment, who is
substantially committed to and capable of exercising the
responsibility for the scientific leadership, integration and
administration of the entire Program Project.  Also, the component
projects should be directed by investigators who are experienced in
the conduct of independent research and whose backgrounds and
interests relate sufficiently to one another to allow for integrated
group pursuit of the proposed Program Project goals and objectives.

STUDY POPULATIONS

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH-supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
from the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations) which
have been in effect since 1990.  The new policy contains some new
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines on the Inclusion of Women and Minorities as
Subjects in Clinical Research," which was reprinted in the Federal
Register of March 28, 1994 (59 FR 14508-14513) to correct typesetting
errors in the earlier publication, and reprinted in the NIH GUIDE FOR
GRANTS AND CONTRACTS of March 18, 1994, Volume 23, Number 11.

Investigators may obtain copies from these sources or from the
program staff or contact persons listed below.  Program staff may
also provide additional relevant information concerning the policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by July 25, 1994 a letter
of intent that includes the names of the principal investigator and
principal collaborators; a descriptive title of the potential
application and a list of titles for the anticipated components of
the P01; identification of the organization(s) involved; 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 allow NCI staff to avoid conflict
of interest.

The letter of intent is to be sent to:

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

APPLICATION PROCEDURES

The regular research grant application form PHS 398 (rev. 9/91) is to
be used in applying for these grants.  These forms are available at
most institutional offices of sponsored research; from the Office of
Grants Information, Division of Research Grants, National Institutes
of Health, Westwood Building, Room 449, Bethesda, MD 20892; and from
the NCI program administrators named under INQUIRIES.

General instructions for the preparation of the Program Project Grant
application are contained in the application form PHS 398 (rev.
9/91).  Instructions provided in the PHS 398 application kit are
designed primarily for traditional research project (R01)
applications.  Program Project applications require additional
information and a special format as described in the publication,
"Program Project Grant of the National Cancer Institute:  Guidelines
1993."  Applicants may request a copy of this publication from the
NCI Referral Officer listed under LETTER OF INTENT.

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the title of the RFA, "Program Projects in
Nutrition and Basic Biology Research for Cancer Prevention," and the
RFA number, CA-94-018, 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
Bethesda, MD  20892**

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

Ms. Toby Friedberg
Division of Extramural Activities
National Cancer Institute
Executive Plaza North, Room 636
6130 Executive Boulevard
Rockville, MD  20852  (if using overnight mail services)
Bethesda, MD  20892  (if using U.S. mail)

Applications must be received by November 18, 1994.  If an
application is received after that date, it will be returned to the
applicant without review.  Also, the DRG will not accept any
application in response to this RFA that is the same as a P01
application currently being considered by any other NIH review group
or awarding unit.  The DRG will not accept any application that is
essentially the same as one already reviewed.  This does not preclude
the submission of substantial revisions of applications already
reviewed, but such applications must include an introduction
addressing the previous critique.

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

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by DRG
and responsiveness by the NCI.  Incomplete applications will be
returned to the applicant without further consideration.  If NCI
staff find that the application is not responsive to the RFA, it will
be returned without further consideration.

Applications that are complete and responsive to the RFA will be
evaluated for scientific and technical merit by an appropriate peer
review group convened by the NCI in accordance with the review
criteria stated below.  As part of the initial merit review, a
process (triage) may be used by the initial review group in which
applications will be determined to be competitive or non-competitive
based on their scientific merit relative to other applications
received in response to the RFA.  Applications judged to be
competitive will be discussed and be assigned a priority score.
Applications determined to be non-competitive will be withdrawn from
further consideration and the principal investigator/program director
and the official signing for the applicant organization will be
promptly notified.  The second level of review by the National Cancer
Advisory Board considers the special needs of the NCI and the
priorities of the National Cancer Program.

Peer review for scientific and technical merit of each Program
Project application submitted in response to this RFA will emphasize
two major aspects:  (1) review of the program as an integrated
research effort focused on a central theme and (2) review of the
merit of individual research projects and core components.

Review criteria for the program as an integrated effort include:

o  Scientific merit of the overall program.

o  Significance and importance of the Program Project objectives.

o  Coordination, interrelationships and synergism among the
meritorious research projects and core components as related to the
common theme of the Program Project.

o  Advantages of conducting the proposed research as a Program
Project rather than through separate research efforts.

o  Qualifications of the principal investigator to serve as both the
scientific and administrative leader of the entire Program Project.

o  Adequacy of the commitment (percent effort) of the principal
investigator to the Program Project.

o  Ability of the principal investigator to select individual
projects for both scientific excellence and relatedness to the theme
of the Program Project and actively promote interactions and
collaborations.

o  Presence of an organizational and administrative structure
appropriate for effective attainment of the Program Project
objectives.

o  Mechanisms for internal quality control of the research.

o  Mechanisms for regular communication and coordination among
investigators.

o  Institutional environment in which the research is conducted,
including the availability of space, equipment, and patients or
subjects, as well as the physical proximity of program participants.

o  Appropriateness of the size of the Program Project.

Review criteria for individual projects include:

o  Scientific merit of the individual project in the context of the
proposed program, considering the following factors:

--Specific scientific objectives of the project that benefit
significantly from, depend upon, or contribute to collaborative
interactions with other projects in the program.

--Qualifications, experience and commitment (percent effort) of the
project leader and investigators responsible for the individual
research project.

--Adequacy of the proposed means for protecting against or minimizing
potential adverse effects upon humans, animals, or the environment.

--Adequacy of adherence to guidelines for including gender and
minority representation in any study population.

--Appropriateness of the budget.

o  Intrinsic scientific merit of the proposed project.

Review criteria for core(s) include:

o  Utility of the core to the Program Project.

o  Quality of the facilities or services provided by this core
(including procedures, techniques, and criteria for prioritization).

o  Qualifications, experience, and commitment of the personnel
involved in this core.

o  Appropriateness of the budget and accountability for distribution
of costs to projects.

AWARD CRITERIA

The anticipated date of award is July 1, 1995.

Scientific merit, as reflected by the priority score; availability of
funds; and programmatic priorities will be considered in making
awards pursuant to this RFA.

INQUIRIES

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

Direct inquiries regarding programmatic issues to:

Susan M. Pilch, Ph.D.
Division of Cancer Prevention and Control
National Cancer Institute
Executive Plaza North, Suite 212
Bethesda, MD  20892
Telephone:  (301) 496-8573
FAX:  (301) 402-0553

Carl E. Smith, Ph.D.
Division of Cancer Etiology
National Cancer Institute
Executive Plaza North, Suite 700
Bethesda, MD  20892
Telephone:  (301) 496-5471
FAX:  (301) 496-1040

Direct inquiries regarding fiscal matters to:

Robert E. Hawkins
Grants Administration Branch
National Cancer Institute
Executive Plaza South, Room 243
Bethesda, MD  20892
Telephone:  (301) 496-7800  Ext. 213
FAX:  (301) 496-8601

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.399, Cancer Control.  Awards will be made under the
authority of the Public Health Services Act, Title IV, Section 301
(Public Law 78-410, 42 USC 241 and Section 412, as amended by Public
Law 99-518, 42 USC 285a-1) and administered under Federal regulations
42 CFR Part 52 and PHS grant policies 45 CFR Part 74 and 92.  This
program is not subject to the intergovernmental review requirements
of Executive Order 12732 or Health Systems Agency review.

The Public Health Service strongly encourages all grant recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  This is consistent with the PHS mission to protect and
advance the physical and mental health of the American people.

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Subject: NIH GUIDE - RFA DK-94-018 - V23(22) 06/10/94
Date: 14 Jun 1994 11:50:26 -0700
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$$XID RFA DK94018 DK-94-018 P1O1 ***************************************

MEDICAL THERAPY IN BENIGN PROSTATIC HYPERPLASIA:  FULL-SCALE TRIAL

NIH GUIDE, Volume 23, Number 22, June 10, 1994

RFA:  DK-94-018

P.T. 34; K.W. 0755015, 0715105, 0705075

National Institute of Diabetes and Digestive and Kidney Diseases

Letter of Intent Receipt Date:  August 2, 1994
Application Receipt Date:  August 30, 1994

PURPOSE

The Division of Kidney, Urologic and Hematologic Diseases (DKUHD) of
the National Institute of Diabetes and Digestive and Kidney Diseases
(NIDDK) invites cooperative agreement applications from investigators
to serve as a Clinical Center, and/or the Data Coordinating Center
and/or the Diagnostic Center for the full-scale phase of the "Trial
of Medical Therapy in Benign Prostatic Hyperplasia (BPH)."

The BPH Trial is a prospective, multicenter, randomized,
placebo-controlled, double-masked clinical trial to determine if
medical therapy (finasteride and/or doxazosin) delays or prevents the
progression of benign prostatic hyperplasia (BPH).  Patients will be
randomly assigned to receive either finasteride, doxazosin, a
combination of finasteride and doxazosin, or placebo.  The primary
outcome of the trial is time to progression of BPH as defined in the
pilot study protocol.  A sample of full-scale study participants will
have prostate biopsies performed.  The protocol for the ongoing BPH
Pilot Study provides details on inclusion and exclusion criteria,
baseline and follow-up procedures for participants, and overall
organization of the trial.  The protocol and sample size requirements
were developed by awardees under a cooperative agreement mechanism
with NIDDK assistance.  It is recommended that applicants obtain a
copy of the protocol, available upon request from DKUHD, to assist
them in preparing their response to this RFA.

Successful applicants for Clinical Centers will be eligible to apply
for a second Request for Applications, "Basic Research Studies of
Benign Prostatic Hyperplasia," which will be issued by February 28,
1995.  Funding for this solicitation will be by means of supplements
to cooperative agreements (U01).

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), "Medical Therapy of Benign Prostatic
Hypertrophy: Full-Scale Trial" is related to the priority areas of
diabetes and chronic disabling conditions.  Potential applicants may
obtain a copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0) or Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Only U.S. organizations are eligible to apply.  Domestic applications
may not include international components.  Applications may be
submitted by for-profit and non-profit organizations, public and
private, such as universities, colleges, hospitals, laboratories,
units of State and local governments, and eligible agencies of the
Federal Government.  Applications from minority and women
investigators, minority institutions and institutions that may
contribute substantial minority representation in the trial are
encouraged.

The expertise appropriate for this research program for a Clinical
Center includes a knowledge of the clinical and epidemiological
aspects of urologic diseases as well as experience in the design and
conduct of collaborative clinical trials and/or clinical
investigations.  Experience in recruitment and follow-up of a large
number of patients with urologic diseases in clinical trials as well
as clinical experience with a large number of patients with benign
prostatic hyperplasia is especially useful for Clinical Centers.
Skills in management of multicenter clinical trials, establishing and
maintaining a large data base, and analysis of complex data sets are
appropriate for the Data Coordinating Center.  For the Diagnostic
Center, experience in collection, storage and pathologic diagnosis of
prostate biopsy specimens is important.  The Diagnostic Center must
also have the capabilities to measure prostate-specific antigen and
the hormones noted in the protocol.

An institution may apply to serve as a Clinical Center, the Data
Coordinating Center, and the Diagnostic Center. However, a specific
plan on how the independent operation (i.e., confidentiality of
study-wide data) of each unit will be maintained is required.  A
separate application for each type of center will be required from an
institution applying to serve as a Clinical Center, and/or the Data
Coordinating Center and/or the Diagnostic Center.

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

MECHANISM OF SUPPORT

The administrative and funding instrument to be used for this program
will be a cooperative agreement (U01), which is an assistance
mechanism rather than an acquisition mechanism, in which substantial
NIH scientific and/or programmatic involvement with the awardee is
anticipated during performance of the activity.  Under the
cooperative agreement, the NIH purpose is to support and/or stimulate
the recipient's activity by involvement in and otherwise working
jointly with the award recipient in a partner role, but it is not to
assume direction, prime responsibility, or a dominant role in the
activity.  Details of the responsibilities, relationships and
governance of the study to be funded under cooperative agreement(s)
are discussed later in this document under the section "Terms and
Conditions of Award."

FUNDS AVAILABLE

The estimated funds (total costs) available for the first year of
support for the entire program is approximately $6.9 million.  It is
anticipated that one award for a Data Coordinating Center for
approximately $650,000 (including direct and indirect costs) per year
and one award for a Diagnostic Center for approximately $650,000
(direct and indirect costs).  Fourteen awards will be made for
Clinical Centers.  Funding for any one Clinical Center will be no
more than $400,000 in total costs (direct and indirect costs) for
each year.

Awards and level of support depend on receipt of a sufficient number
of applications of high scientific merit.  Although this program is
provided for in the financial plans of the NIDDK, awards in response
to this RFA are contingent on the availability of funds for this
purpose.

The total project period for applications submitted in response to
the present RFA will be seven years.  The anticipated award date is
April 1, 1995.

RESEARCH OBJECTIVES

Background

Benign prostatic hyperplasia (BPH) is an abnormal, localized
enlargement of the prostate gland of adult men. This enlargement is
known to occur in early adulthood but it remains asymptomatic for
many decades.  The age of onset of symptoms is variable.  The
symptoms vary from those characteristic of bladder outlet obstruction
(e.g. decreased force of urinary stream, hesitancy in initiating the
stream, and significant dribbling after completion of urination) to
those characteristic of bladder irritation (e.g. increased daytime
and nighttime frequency of urination, and urgency in the need to
urinate).  There is frequently a combination of both types of
symptoms. Although enlargement of the prostate gland may be detected
through routine physical examination, there is, at the present time,
no way to determine:

1.  who will develop symptomatic BPH,

2.  at what rate the prostate is enlarging,

3.  which constellation of symptoms will occur,

4.  the relationship between prostate size and the development of
symptoms, and

5.  the interrelationship between chronic abacterial prostatitis and
prostate cancer, although BPH frequently occurs concurrently with
these diseases.

The current standard for management of BPH is by means of surgical
intervention to relieve the obstruction of the enlarged portion of
the prostate.  Costs for this surgical intervention exceed five
billion dollars annually and are increasing.  The costs for this
procedure, the complications of surgical intervention,  and an
increased understanding into the biology of prostate growth, have
prompted the development of pharmacological methods for the treatment
of the symptoms of BPH.

Currently, there are two categories of drugs that have been developed
for the treatment of the symptoms of BPH; one blocks the alpha-1
adrenoreceptors, the other inhibits the enzyme 5-alpha reductase.
Each drug category treats different, unique aspects of BPH symptoms.

There are many unanswered questions about the pharmacologic treatment
of BPH as noted below.

1.  At what stage of prostate growth or symptoms is it best to
intervene to prevent progression or to initiate regression and
cessation of symptoms?

2.  What is the relationship between the reduction in prostate size
and the regression of specific types of symptoms?

3.  Can objective diagnostic and pathological tests determine which
symptomatic patients are candidates for the various pharmacologic
therapies and which patients will not respond to medical therapy and
thus are solely candidates for surgical intervention?

4.  Does pharmacologic therapy affect the other two frequently
concurrent diseases of the prostate, chronic prostatitis and cancer?

BPH Pilot Study

In 1992 the NIDDK issued the RFA, "Treatment of Benign Prostatic
Hyperplasia:  Pilot Study."  Six Clinical Centers, one Data
Coordinating Center, and one Diagnostic Center were selected to
develop the study protocol and carry out a pilot study.  The Pilot
Study protocol was developed from October 1992 through October 1993.
Recruitment, treatment and follow-up of approximately 150 patients
began in December 1993 and will continue through November 1994.  It
is anticipated that the full-scale trial will begin April 1, 1995.

Goal of the Activity

The primary goal of this RFA is to initiate a collaborative
full-scale trial to test whether medical therapy (finasteride and/or
doxazosin) delays or prevents the progression of symptoms of BPH or
if it relieves these symptoms, and the duration of these effects.
The primary outcome will be the time to progression of BPH.  Clinical
progression is defined as the occurrence of the following in the
Pilot Study protocol; (1) acute urinary retention, (2) renal
insufficiency due to BPH, as indicated by a 50 percent increase from
baseline in serum creatinine, (3) recurrent urinary tract infections,
(4) incontinence, and (5) an increase from baseline in the American
Urological Association (AUA) symptom score index of four or more
points.

Scope of the Activity

It is estimated that 2,800 study participants, recruited by 14
clinical centers, will be required for the full-scale trial.  Thus
each Clinical Research Center is expected to randomize at least 200
study participants during an 24- month initial period of recruitment.

The full-scale study will consist of three phases:  (1) a 24-month
period of recruitment, (2) a 48-month period of intervention and
follow-up, and (3) 12 months for data analysis, close-out of the
Clinical Centers, and reporting of results.

Unless otherwise noted in this RFA, applicants should prepare their
applications using patient eligibility criteria set forth in the BPH
Pilot Study protocol.  Major entry and exclusion characteristics are
briefly described as follows.  The study participants in this trial
will be males of all races at least 50 years of age who have a peak
urinary flow rate at least 4 ml/second, but not greater than 15
ml/second, and the voided volume is at least 125 ml.  In addition,
the AUA symptom severity score should be greater than or equal to
eight.  Selected exclusion criteria include any prior medical or
surgical intervention for BPH, prior experimental intervention for
prostate disease, significant renal or hepatic impairment,
orthostatic hypertension, among others.

Study Outline

Investigators should develop their applications for the full-scale
trial based on the inclusion and exclusion criteria and the general
design of the pilot study as outlined in this RFA and the Pilot Study
Protocol. However, contrary to the Pilot Study Protocol, urodynamic
studies will not be conducted during the full-scale trial. It is
expected that investigators will carry out the already developed
protocol, however, modifications to this protocol beyond that noted
above are expected.

Study Components

1.  Clinical Centers

A Clinical Center is an institution that is actively involved in the
recruitment, evaluation, treatment, and follow-up of study
participants.  It should consist of an interdisciplinary team of
clinical investigators and appropriate personnel, such as a research
coordinator, and clerical staff.  An application for a Clinical
Center should provide evidence that the investigators are capable of
randomizing at least 200 participants into the study during the
24-month period of recruitment.  Of the 200 randomized participants
at each Clinical Center, 40 (20%) will have prostate biopsies
performed.  Applicants for Clinical Centers should describe the
target population from which they expect to randomize the required
number of study participants.  Clinical Centers will be required to
submit protocol data expeditiously.  Clinical Centers must work in
concert with the Data Coordinating Center to implement procedures for
data audits and other data quality control procedures as established
by the study protocol.  The Principal Investigator and
Co-Investigators in each Clinical Center should be skilled in
collaborative clinical investigation.  There should be evidence of
strong institutional support for the Clinical Center, including
adequate space in which to conduct clinic activities and office space
for staff.  An organizational structure for the Clinical Center
should be set forth in the application delineating lines of authority
and responsibility for dealing with problems in all general areas as
well as stated willingness to follow the stated common protocol.

The applicant should include a succinct discussion of previous
relevant investigational efforts.  The applicant also should discuss
in detail the recruitment strategies to procure the expected number
of randomized participants, approaches to attain high levels of
adherence to the intervention, and high rates of follow-up.

In order to attain the required number of randomized study
participants it is anticipated that Clinical Centers will have to
rely on referrals from individual physicians and recruit from health
maintenance organizations, physician group practices, and other
sources.  Clinical Centers may wish to consider the establishment of
procedures to follow-up study participants recruited from "satellite"
clinics and/or the sites of recruitment noted above.  However, the
technical feasibility and cost of such an approach should be clearly
described in the application.

2.  Central Functions

The Data Coordinating Center will have primary responsibility for
collecting, editing, storing, and analyzing data generated by the
Clinical Centers.  It should be prepared to assume a key role in
overseeing implementation and adherence to the protocol, and assuring
quality control of the data collected.  The Data Coordinating Center
will be expected to provide appropriate biostatistical, data
management, and coordination expertise.  The Data Coordinating Center
also will be expected to provide appropriate detailed reports to the
Steering Committee and to the External Advisory Committee at regular
intervals and will be responsible for the logistics and planning of
meetings of these committees and their subcommittees.  Applicants for
the Data Coordinating Center should provide a detailed description of
prior experience in multicenter studies.

The Diagnostic Center will have primary responsibility for
collecting, storing and analyzing serum samples and pathological
tissue, including prostate biopsy specimens, provided by the Clinical
Centers.  The Diagnostic Center will also be responsible for
interpreting radiological studies of the prostate carried out by the
Clinical Centers.  The Principal Investigator of the Diagnostic
Center should be skilled in pathology or urology.  The results of all
of these studies will be reported to the Data Coordinating Center.
The results of selected studies may be transmitted directly to the
Clinical Centers for patient management.  For any component of the
Diagnostic Center supported by a subcontract, all NIH policies and
procedures governing consortium grants must be followed.

3.  Steering Committee

The primary governing body of the study will be the Steering
Committee comprised of each of the Principal Investigators of the
Clinical Centers, the Data Coordinating Center, and the Diagnostic
Center, the Chairperson of the Steering Committee, the NIDDK Urology
Program Director and the NIDDK Project Coordinator (described in
detail under Terms and Conditions).

4.  External Advisory Committee

An independent committee supported by the NIDDK and composed of
experts in urology, pathology, biostatistics, clinical trials, and
bioethics who are not otherwise involved in the study will be
established to review periodically the progress of the study
(described in detail under Terms and Conditions).  This Committee
will also be responsible for reviewing the acceptability of initial
data quality monitoring plans established by the Steering Committee
and the subsequent monitoring of data quality by means of reports
prepared by the Data Coordinating Center.

5.  Project Coordinator

The Clinical Trial Program Director, Division of Kidney, Urologic and
Hematologic Diseases will be the Project Coordinator for the
full-scale trial.  The Project Coordinator will assist the Steering
Committee and External Advisory Committee in carrying out the study
(described in detail under Terms and Conditions).

Study Phases

The randomized full-scale clinical trial will include 14 Clinical
Centers, one Data Coordinating Center and one Diagnostic Center for a
period of 84 months. It will have the following three phases:

1.   Participant Recruitment: 24 months
2.   Intervention and Follow-up: 48 months
3.   Study Close-Out and Data Analysis:  12 months

It is expected that each Clinical Center will randomize at least 200
study participants during an initial 24-month period.  Follow-up
procedures will be carried out over a period of 48-months.  It is
important to note, however, that as participants are randomized,
intervention and follow-up will begin immediately.  A 12-month period
is planned for close-out of Clinical Centers, data analysis, and
reporting of results.

It is expected that all data will be submitted centrally and that
access to data and publications will be by the mechanism(s) defined
in the protocol.  The External Advisory Committee, appointed by the
Institute, will review progress at least semi-annually and provide
advice to the Institute.

Guidelines for Budget Preparation by Study Phases

Each applicant for a Clinical Center, the Data Coordinating Center or
the Diagnostic Center should submit an adequately justified yearly
budget for the entire anticipated project period of 84 months.  The
budgets for each budget period of the study should be clearly
delineated.  The following information is provided to assist
applicants in the preparation of budgets.  Detailed budgets will vary
according to policies of the applicant and specific needs identified
in the response to this announcement.

Budget
Period         Time Period              Activity*

1        4/1/95 through 3/31/96         Recruitment, Intervention and
                                        Follow-Up

2       4/1/96 through 3/31/97         Recruitment, Intervention and
                                       Follow-Up

3       4/1/97 through 3/31/98         Intervention & Follow-Up

4       4/1/98 through 3/31/99         Intervention & Follow-Up

5       4/1/99 through 3/31/2000       Intervention & Follow-Up

6       4/1/2000 through 3/31/2001     Intervention & Follow-Up

7       4/1/2001 through 3/31/2002     Close-Out of Clinical
                                       Centers/Data Analysis and
                                       Reporting of Results

*An initial recruitment period of 24 months is delineated to obtain a
sample size of 2,800 among 14 Clinical Centers.  However,
intervention and follow-up will begin immediately after
randomization.

For a Clinical Center, the budget should request support for the
minimum number of full-and/or part-time staff to successfully carry
out the trial.  A Clinical Center could include a Principal
Investigator, Co-Investigator, study coordinator, and data entry
clerk.  Support for travel for two key investigators to attend
quarterly meetings of the Steering Committee should also be included
within the budget.  Steering Committee meetings will be held in the
Washington, DC area.  Travel for centralized training of the study
coordinator and data entry clerk must also be budgeted (assume
central training to be held in the Washington, DC area annually
during years 1 through 6).

For applications for the Data Coordinating Center, the budget should
also include the time and effort of key personnel needed to conduct
the trial and the required number and cost of computers to be used at
the Clinical Centers for distributed data entry.  Travel to the
Washington, DC area for External Advisory Committee meetings (two per
year), Steering Committee meetings (three per year), site visits
(seven trips annually for years 1 through 5 of the project period) is
also to be included in the budget.  The Data Coordinating Center
should also budget for travel for the Chairperson of the Steering and
Planning Committee (three meetings per year).

Staff for the Diagnostic Center could include a Principal
Investigator, Co-investigator, laboratory technologist and support
staff to process specimens.  Travel to the Steering Committee
meetings and centralized training as noted above should also be
budgeted.

Terms and Conditions of Award

The administrative and funding instrument to be used for this program
will be a cooperative agreement (U01), an "assistance" mechanism
(rather than an "acquisition" mechanism) in which substantial NIH
scientific and/or programmatic involvement with the awardee is
anticipated during performance of the activity.  Under the
cooperative agreement, the NIH purpose is to support and/or stimulate
the recipient's activity by involvement in and otherwise working
jointly with the award recipient in a partner role, but it is not to
assume direction, prime responsibility, or a dominant role in the
activity.  Consistent with this concept, the dominant role and prime
responsibility for the activity resides with the awardee(s) for the
project as a whole, although specific tasks and activities in
carrying out the studies will be shared among the awardees and the
Institute Project Coordinator.

These special terms of award are in addition to, and not in lieu of,
otherwise applicable OMB administrative guidelines, HHS Grant
Administration Regulations at 45 CFR part 74, and other HHS, PHS, and
NIH grant administration policy statements.

1.  Awardee Activities

The tasks or activities in which awardees will have substantial and
lead responsibilities include protocol revision, patient recruitment
and follow-up, data collection, data quality control, final data
analysis and interpretation, and preparation of publications.  The
awardee agrees to follow the common protocol and manual of operations
developed for the Pilot Study and as amended.  The awardees also
agree to transmit all study data to a central Data Coordinating
Center for combination and analysis.

Awardees will retain custody of and have primary rights to the data
developed under these awards, subject to Government rights of access
consistent with current HHS, PHS, and NIH policies.

2.  NIDDK Activities

The function of the NIDDK Project Coordinator and the Urology Program
Director, Division of Kidney, Urologic and Hematologic Diseases will
be to assist the Steering Committee and External Advisory Committee
in carrying out the trial.  The NIDDK Project Coordinator will assist
in quality control, interim data analysis, safety monitoring, and
final data analysis and interpretation, preparation of publications,
and coordination and performance monitoring.

The Urology Program Director will assist in clarification of specific
clinical and scientific problems and concerns.

The NIDDK Urology Program Director and NIDDK Project Coordinator will
have voting membership (one vote between them) on the Steering
Committee, and as appropriate, its subcommittees.

The NIDDK reserves the right to terminate or curtail the study (or an
individual award) in the event of a substantial shortfall in
participant recruitment, follow-up, data reporting, quality control
or other major breach in the program.  Early termination may also
occur due to adverse effects of the interventions and reaching study
endpoints.  If the NIDDK does not agree with the protocol approved by
the Steering Committee, the arbitration process described elsewhere
should be used to resolve the differences between the parties.

3.  Cooperative Activities

A Steering Committee, composed of the Principal Investigator of each
Clinical Center, the principal investigator of the Data Coordinating
Center, the NIDDK Project Coordinator, the NIDDK Urology Program
Director and the Chairperson of the Steering Committee will be the
main governing board of the study and will have primary
responsibility for facilitating the conduct, monitoring interim
measures of trial progress, and reporting trial results.  The
Steering Committee, or one of its subcommittees, will have primary
responsibility for the ongoing monitoring of the quality of
study-wide data provided by the Clinical Centers.  The chairperson,
who will be someone other than the NIDDK staff members, will be
selected by the Steering Committee from among their members, or
alternatively, from among experts in the fields of urology or
clinical trials who are not participating directly in the trial.
Subcommittees will be established by the Steering Committee, as it
deems appropriate; the NIDDK Project Coordinator and Urology Program
Director will serve on subcommittees as he/she deems appropriate.

Any changes to the collaborative protocol will be developed by the
Steering Committee.  Data will be submitted centrally to the Data
Coordinating Center.  Protocols will define rules regarding access to
data and publications.

It is anticipated that awardees will have lead responsibilities in
all joint tasks and activities.

Awardees will be required to accept and implement the common protocol
and procedures approved by the Steering Committee.

4.  Governance

The primary governing body of the study will be the Steering
Committee.  Each member of the Steering Committee will have one vote.
However, the NIDDK Urology Program Director and the NIDDK Program
Director will have one vote between them.  It is anticipated that the
Steering Committee will meet on a quarterly basis during the course
of the trial, or more often if deemed necessary.  Subcommittees of
the Steering Committee may be established as necessary and will meet
as necessary.  The NIDDK Project Coordinator or the Urology Program
Director and the Data Coordinating Center will be represented on each
subcommittee.

An independent External Advisory Committee supported by the NIDDK and
composed of experts in relevant medical, statistical and bioethical
fields who are not otherwise involved in the study will be
established to review periodically the progress of the study.  The
committee will oversee participant safety, evaluate results, monitor
data quality, and provide operational and policy advice to the
Steering Committee and the NIDDK regarding the status of the study.
The Principal Investigator of the Data Coordinating Center, the NIDDK
Project Coordinator, the NIDDK Urology Program Director and the
Director of the Division of Kidney, Urologic and Hematologic Diseases
may participate as ex-officio, non-voting members of this Committee.
Committee members will be appointed by the NIDDK in consultation with
members of the Steering Committee.

5. Arbitration

Any disagreement that may arise in scientific-programmatic matters
between award recipients and NIDDK may be brought to arbitration.  An
arbitration panel will be composed of three members--one selected by
the Steering Committee (with NIDDK member not voting) or by the
individual awardees in the event of an individual disagreement, a
second member selected by NIDDK and the third member selected by the
two prior members.  This special arbitration procedure in no way
affects the awardees' right to appeal an adverse action that is
otherwise appealable in accordance with the PHS regulations at 42 CFR
part 50, Subpart D.

The special terms of award (1-5) described above are in addition to,
and not in lieu of, otherwise applicable OMB administrative
guidelines, HHS Grant Administration Regulations at 45 CFR parts 74
and 92, and other HHS, PHS, and NIH grant policy statements.

STUDY POPULATIONS

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
from the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations) which
have been in effect since 1990.  The new policy contains some new
provisions that are substantially different from the 1990 policies.

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 9, 1994 (FR 59 11146-11151), and reprinted
in the NIH GUIDE FOR GRANTS AND CONTRACTS of March 18, 1994, Volume
23, Number 11.

Investigators may obtain copies from these sources or from the
program staff or contact person listed below.  Program staff may also
provide additional relevant information concerning the policy.

Since only men have prostate glands, discussion of issues related to
recruitment of women need not be included in the application.

LETTER OF INTENT

Prospective applicants are asked to submit, by August 2, 1994, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.

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

A letter of intent is to be sent to:

Dr. Robert D. Hammond
Division of Extramural Activities
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 605
Bethesda, MD  20892

APPLICATIONS PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these awards.  These forms are available at most
institutional offices of sponsored research; 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; and from the NIH program administrators
listed under INQUIRIES.

Use the conventional format for research project grant applications
and ensure that the points identified in the "Review Criteria"
section below are fulfilled.  To identify the application as a
response to the RFA, Check "YES" on item 2a of page 1 of the
application and enter the title "Medical Therapy of Benign Prostatic
Hypertrophy:  Full Scale Trial" and enter the RFA number DK-94-018 in
the space provided.

The RFA label available in the PHS 398 (rev. 9/91) application form
must be affixed to the bottom of the face page of the original
completed application form.  Failure to use the label could result in
delayed processing of the application such that it may not reach the
review committee in time for review.

Send or deliver the completed, signed application and three complete
photocopies to the following office, making sure that the original
application with the RFA label attached is on top to:

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

Send two additional copies of the application to Dr. Hammond at the
address listed under LETTER OF INTENT.  It is important to send these
two copies at the same time as the original and three copies are sent
to the Division of Research Grants, otherwise the NIDDK cannot
guarantee that the application will be reviewed in competition for
the RFA.

Applications must be received by August 30, 1994.  An application not
received by this date will be returned to the applicant.

REVIEW CONSIDERATIONS

Upon receipt, applications will be reviewed for completeness by the
Division of Research Grants and for responsiveness by the NIDDK.
Incomplete applications will be returned to the applicant without
further consideration. If the application is not responsive to the
RFA, NIDDK staff will return the application to the applicant.

Applications that are complete and responsive to the RFA will be
evaluated for scientific and technical merit by an appropriate peer
review group convened by the NIDDK in accordance with the review
criteria stated below.  As part of the initial merit review, a
process (triage) may be used by the initial review group in which
applications will be determined to be competitive or non-competitive
based on their scientific merit relative to other applications
received in response to the RFA.  Applications judged to be
competitive will be discussed and be assigned a priority score.
Applications determined to be non-competitive will be withdrawn from
further consideration and the Principal Investigator and the official
signing for the applicant organization will be notified.

Review Criteria

The Initial Review Group evaluates the merit of each grant
application on the meeting agenda according to specific criteria.
The principal criteria for the initial review of all research
applications, as required in the PHS Scientific Peer Review
Regulations, include:

1.  scientific, technical, or medical significance and originality of
the proposed research;

2.  appropriateness and adequacy of the experimental approach and
methodology to be used;

3.  qualifications of the principal investigator and staff in the
area of the research;

4.  the principal investigator's experience and record in previous
research activity;

5.  reasonable availability of resources;

6.  reasonableness and adequacy of justification of the proposed
budget and duration of support; and

7.  adequacy of the proposed means for protecting against adverse
effects upon humans, vertebrate animals, or the environment.

The evaluation of applications for Clinical Centers, the Data
Coordinating Center and the Diagnostic Center will be based primarily
on the scientific merit of the proposed study.  Specific criteria for
review of applications will be as follows:

For Clinical Centers:

1.  Documentation of the specific competence and previous experience
of professional, technical, and administrative staff pertinent to the
operation of a Clinical Center in the proposed Clinical Trial.
Evaluation will include the following:  familiarity with and
experience in recruiting participants in a randomized trial; handling
laboratory specimens; working in collaboration with other
investigators under a common protocol; ability to implement study
procedures, and meticulous and expeditious handling of study data.

2.  Documentation of access to patient population(s) from which a
substantial number of trial participants can be recruited in
sufficient numbers to meet the goals specified in the RFA.

3.  Ability to recruit representative minority populations.

4.  Understanding and awareness of the scientific, ethical, and
practical issues underlying the proposed trial and appropriateness of
plans to deal with them.

5.  Responsible budgeting and staffing and distribution of available
resources appropriate for the work proposed.

6.  Adequacy of the proposed facility and space.

7.  Evidence of the degree of institutional commitment and support
for the proposed program, including the relative position of the
proposed project staff within the applicant's organizational
structure.

8.  Willingness to work cooperatively with other centers in the
manner summarized in the RFA.

9.  Willingness to carry out a developed study protocol.

10.  Adequacy of plans to ensure accurate collection and timely
transmission of study data.

For the Data Coordinating Center:

1.  Documentation of the specific competence and previous experience
of professional, technical, and administrative staff pertinent to the
operation of a Data Coordinating Center for a collaborative clinical
trial, as well as availability of the medical consultation of a
qualified urologist, and the time these professionals will devote to
the project.  Prior experience in similar studies, in the collection
of data and patient  specimens from multiple clinical sites, as well
as experience in monitoring the quality and timeliness of such data,
must be demonstrated.

2.  A knowledge of the potential problems associated with the conduct
of this study and possible solutions must be demonstrated.

3.  Suitability of proposed data management and data analysis plans.

4.  Ability to design, implement and maintain a distributed data
entry system for the Clinical Centers.

5.  The approach to and likelihood of soliciting cooperation from the
participating Clinical Centers and exercising appropriate leadership
in matters of study design and protocol revision, and data
acquisition, management, and analysis.  Specific plans for ensuring
quality control of data collection across all study sites (Clinical
Centers and Diagnostic Center) are required.

6.  Appropriateness of the budget for the work proposed.

7.  The adequacy of the proposed facility, technical hardware, and
space.

8.  The organizational and administrative structure of the proposed
program.

9.  Evidence of the degree of commitment and support of the
organization/institution for the proposed program, including the
relative position of the proposed project staff within the
applicant's organizational structure.

For the Diagnostic Center:

1.  Documentation of the specific competence and previous experience
of professional, technical, and administrative staff pertinent to the
operation of a Diagnostic Center for a collaborative clinical trial
as defined in the Pilot Study protocol.

2.  Suitability of proposed plans for collection and testing of
patient samples and evaluation of diagnostic tests carried out by the
Clinical Centers.

3.  Appropriateness of a plan to correlate results of testing patient
samples with the major endpoints of the trial.

4.  Acceptability of a sampling and analysis scheme for prostate
biopsies in a subset of study participants.

5.  Appropriateness of the budget for the proposed work.

6.  The adequacy of the proposed facility, technical hardware and
space.

7.  Evidence of the degree of commitment and support of the
organization/institution for the proposed program, including the
relative position of the proposed project staff within the
applicant's organizational structure.

8.  Evidence of willingness to work cooperatively with other centers
in the manner summarized in the RFA and Pilot Study protocol.

9.  Plans for internal quality control and quality control for
specimen collection by the Clinical Centers.

AWARD CRITERIA

Applications recommended by the National Diabetes and Digestive and
Kidney Diseases Advisory Council will be considered for award based
upon (a) scientific and technical merit; (b) program balance,
including in this instance, sufficient compatibility of features to
make a successful collaborative program a reasonable likelihood; (c)
availability of funds; (d) appropriate minority representation in the
trial; and (e) geographic balance among clinical centers.

INQUIRIES

Written and telephone inquiries concerning this RFA are encouraged.
The opportunity to clarify any issues or questions from potential
applicants is welcome.  Applicants are encouraged to request a copy
of the pilot study protocol.

Direct inquiries regarding programmatic issues to:

John W. Kusek, Ph.D.
Division of Kidney, Urologic and Hematologic Diseases
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 3A04
Bethesda, MD  20892
Telephone:  (301) 594-7522
FAX:  (301) 594-7501

Inquiries regarding fiscal matters may be directed to:

Trude H. McCain
Division of Extramural Activities
National Institute of Diabetes and Digestive and Kidney Diseases
Westwood Building, Room 653
Bethesda, MD  20892
Telephone:  (301) 594-7543
FAX:  (301) 594-7594

Schedule

The timetable for receipt, peer review, and funding of this RFA is as
follows:

Letter of Intent Receipt Date:  August 2, 1994
Application Receipt Date:       August 30, 1994
Initial Review:                 November/December 1994
Review by Council:              February 1995
Anticipated Award Date:         April 1, 1995

Request for Applications for Basic Research in BPH

As noted previously, a separate RFA, "Basic Research Studies in
Benign Prostatic Hyperplasia" may be issued no later than February
28, 1995.  Those institutions selected as Clinical Centers for the
full-scale will be eligible to apply for supplements to the
cooperative agreements (U01).  It is anticipated that patient
material and data acquired by the Clinical Centers during the
full-scale trial will be available for use in the studies proposed in
response to this RFA, contingent upon agreement by the Steering
Committee.

AUTHORITY AND REGULATIONS

This program is described in the catalog of Federal Domestic
Assistance No. 93.849-Kidney, Urologic and Hematologic Diseases
Research.  Awards are made under the authority of the Public Health
Service Act, Title IV Part A (Public Law 78-410, as amended by Public
Law 99-158, 42 USC 241 and 285) and administered under 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.

The Public Health Service strongly encourages all grant recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  This is consistent with the PHS mission to protect and
advance the physical and mental health of the American people.

From owner-sci-resources@net.bio.net Mon Jun 13 23:00:00 1994
Path: biosci!biosci!not-for-mail
From: Dave Kristofferson <kristoff@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - RFA AA-94-008 - V23(22) 06/10/94
Date: 14 Jun 1994 11:50:19 -0700
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$$XID RFA AA94008 AA-94-008 P1O1 ***************************************

ALCOHOL RESEARCH CENTER GRANTS

NIH GUIDE, Volume 23, Number 22, June 10, 1994

RFA:  AA-94-008

P.T. 04; K.W. 0404003, 0710030

National Institute on Alcohol Abuse and Alcoholism

Letter of Intent Receipt Date:  December 1, 1994
Application Receipt Date:  January 19, 1995

PURPOSE

The National Institute on Alcohol Abuse and Alcoholism (NIAAA)
provides grant support for Alcohol Research Centers to conduct
interdisciplinary research on alcoholism and alcohol abuse.  The
Center grants program is interrelated with and complementary to all
other research support mechanisms and scientific activities that
comprise the NIAAA programs of research on the nature, causes, and
consequences of alcohol abuse and alcoholism, including diagnosis,
treatment, prevention, and health services research related to
prevention and treatment of alcoholism.

The NIAAA currently supports 14 Centers and anticipates that the
level of support for this program will not expand during this
competition.  Support for four of the current five-year Center grant
awards will expire in late 1995.  Research within each of these four
Centers is organized around a central theme, respectively, adolescent
alcohol abuse, alcoholism treatment, epidemiology of alcohol
problems, and pathologic effects of alcohol.  Applications for new
Centers in these and other research areas will be accepted with
applications from currently funded Centers seeking renewal support.

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,
Alcohol Research Center Grants, is related to the priority area of
alcohol abuse and alcoholism reduction.  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

Any domestic public (non-Federal) or private non-profit or for-profit
institution may apply for a Center grant.  However, the proposed
Center must be affiliated with an institution, such as a university,
medical center, or research center, that has the resources to sustain
a long-term, coordinated research program.  An applicant institution
must demonstrate the ability to attract high-quality scientists from
biomedical, behavioral, and/or social science disciplines who are
willing to make a long-term commitment to research.  An application
must also have a detailed five-year plan for a proposed research
program.  In addition, the applicant must assure that research
training opportunities will be available.  Women and minority
investigators are encouraged to apply.

MECHANISM OF SUPPORT

The Alcohol Research Centers Grant program is designed to complement
the regular research project grants program of the NIAAA by providing
long-term (typically, for five years) support for interdisciplinary
research programs with a distinct focus on a particular theme
relating to alcoholism, alcohol abuse, and other alcohol-related
problems.  The program is intended to encourage outstanding
scientists from biomedical, behavioral, social science, and other
relevant disciplines to bring a full range of expertise, approaches,
and advanced technologies to the study of problems related to alcohol
abuse and alcoholism.  Center grants help to provide a stable
environment for investigators to engage in alcohol research in a
coordinated and integrated effort.  A Center is expected to be a
source of scientific excellence and, through sustained excellence, to
become a significant regional or national research resource.  In
addition, the applicant institution is expected to afford
opportunities for research training to persons from various
disciplines and professions.

A specialized Center (P50) is a comprehensive, broad-based
multidisciplinary, multi-investigator, long-term program of combined
research and research support activity planned around a specific
major research objective or research theme.  In addition to providing
support for shared resources, this type of Center supports a full
range of basic, developmental, clinical, and/or applied research
components; allows for growth and development through pilot projects;
and is intended to provide state-of-the-art leadership in the alcohol
field.

FUNDS AVAILABLE

It is estimated that approximately $6 to 7 million will be available
in FY 1996 to fund approximately four Centers.  The total cost for a
Center may not exceed $1.7 million per year.  Continuation support in
the future years is anticipated.

RESEARCH OBJECTIVES

All proposed research to be conducted within a Center must be clearly
directed toward one or more of the following goals: prevalence,
etiology, diagnosis, prediction, clinical course, management or
treatment of alcohol abuse, alcoholism, or alcohol-related health
problems; health services research; consequences of alcoholism or
alcohol abuse; and factors that relate to prevention of alcohol
abuse, alcoholism, or other problems associated with alcohol
consumption.  For example, research to improve knowledge of the
impact of alcohol use on related health problems, such as liver and
gastrointestinal disorders; nicotine and other drug abuse;
neurological impairment; and mental disorders that co-occur with
alcohol abuse disorders, is also encouraged.

The Alcohol Research Center grant provides a mechanism for fostering
interdisciplinary cooperation in a group of established investigators
conducting high-quality alcohol research.  Therefore, existence of a
strong research capability is fundamental to the establishment of a
new Center or the continuation of an existing Center.  A Center
should be an identifiable organizational unit within an institutional
or organizational structure such as a university, medical center, or
a consortium of affiliated cooperating institutions.

Center Components

The following paragraphs describe the specific components of
a Center application:

Administrative Core Component

A Center should promote synergistic interaction of broad and diverse
elements that require clearly specified lines of authority and
accountability by appropriate institutional officials.  The purpose
of the administrative core component is to provide the organizational
framework for the management, direction, and coordination of the
Center.  The administrative core component must be managed by the
Center Director or Scientific Director and may include funds for
scientific enrichment activities such as special lectures, visiting
scientists, symposia, seminars, workshops etc.; and for education and
research dissemination activities for the public.

Scientific Core Components

Core components for this RFA are defined as shared research resources
that enhance productivity or in other ways benefit a group of
investigators working in alcohol-related research to accomplish the
stated goals of the Center.  A core component is a laboratory,
facility, service, or other resource that interacts synergistically
with research projects of the Center.  Research projects that use the
core may be funded primarily from the Center grant award (Specialized
Research Center), from other support mechanisms such as Research
Project Grants, Program Projects, or a combination thereof, that have
relevance to the NIAAA mission.  Core components should provide
investigators with some technique, instrumentation, service, or
resource in a way that will enhance research progress and contribute
to effectiveness.  Each core component is directed by an investigator
with established expertise relative to the support or service to be
provided, usually a faculty-level individual. Some examples of
research support that core components typically provide are:  (1)
technology that implements automation or large batch preparation; (2)
tissue and/or cell culture facilities; (3) complex instrumentation,
e.g., electron microscopy, mass spectrometry, electrophysiology; (4)
animal care and preparation; (5) service and training; (6) patient
coordination; and (7) information processing, data management, and
statistical services.

Research Components

Research components are individual scientific research projects,
interrelated within the overall Center program so that the components
contribute collectively to the goals of the Center program to a
greater extent than if each project were pursued separately.  Each
research component must be a highly focussed project under the
direction of a component director.  The component director should be
an established researcher of independent and scientifically
recognized standing who is responsible for the scientific direction
and conduct of the individual research component.  A Center Director
or Scientific Director may also serve as a component director.

Pilot Project Component

The purpose of pilot projects is to provide the Center with a
flexible means to develop and explore new research activities or
directions, and unique scientific opportunities that could evolve
into independently funded research projects.  These funds are not
intended to supplement ongoing research projects.  Pilot projects
must be in a separate pilot project component that incorporates all
of the pilot studies of the proposed Center grant.

SPECIAL REQUIREMENTS

The following paragraphs describe the general requirements for a
Center application.  Details for preparing the application are
provided in the "Supplemental Instructions," which are available from
the program staff listed under INQUIRIES.

Center grant applications should be organized into discrete
components that comprise a proposed program of research.  Each
component is either a research component or a core component for
which a separate detailed budget is included in the application.  The
application must include an administrative core and at least three
research components; it may also include shared resource cores and/or
a pilot project component.

The minimum acceptable combined number of research components and
core components is four (an administrative core and three research
components).  The maximum combined number of research components and
core components, including a pilot project component, is 10 for the
total project period.  More than a total of 10 components is not
acceptable even if some components are in operation for less than the
five-year period.  The research plan for each core component and each
research component is limited to 25 pages.  Pages not used for one
component may not be used to extend the page limit of other
components/cores.  These page limits do not apply to pilot projects.
For pilot project requirements, see section entitled "Pilot Project
Component," (below).

Administrative Core Component

The administrative core component plays a key role in the
coordination and operation of the Center.  This core should be
described in sufficient detail to assure that all proposed components
and related activities will function optimally.  An important
function of this core is the administration of the budget.  Through
this component, the Center Director provides substantive leadership
and manages the administrative core component.  This component may
also include the costs of scientific enrichment, education, and
information dissemination activities.  The administrative core should
also provide for integration of Center functions.

Scientific Core Components

Each shared resource component should be clearly described in terms
of the services/resources to be provided to investigators.  The
description should include a discussion of the core's contributions
to the research objectives of the Center.  Relevant aspects of cost
effectiveness, time-saving, and increased efficiency attributable to
the existence of the cores should also be addressed.  A core
component may support Center grant research components and separately
funded research project grants that are related to the Center's
theme.  Each separately funded research project associated with the
Center and utilizing core facilities should have a brief description
that includes its research objectives and how the Center's core
facility will impact upon it.  The minimum number of research
components/projects supported by a core component is two.  A core
component director who has documented experience and scientific
expertise relative to the purpose of the core must be designated for
each core.  This person should be an established scientist in his or
her field.  The description of the organization and mode of operation
of the shared resource core should include discussion of quality
control for the service or resource, and the procedures for
evaluating and selecting projects eligible for use of the facility.
Training in complex techniques and methods should be described if
they are functions in proposed cores.  Core components are intended
to enhance opportunities for investigators at the Center to include
new technologies that broaden their research initiatives.  Research
support or evaluation activity is appropriate for a core when it is
directly related to improving operation, resources, quality, or
utility of the core.

In renewal applications, ongoing or completed core activity that has
enhanced or facilitated research should be described.  Past
performance and accomplishments of cores should be described, as
should the effect of services provided by cores on investigators'
productivity.

Research Components

For each proposed research component, a clear description of the
major goals, objectives, and its integration with the other
components in relation to the overall Center program should be
provided.

o  The question(s) to be addressed and the hypotheses to be tested by
the proposed research should be highly focused and fully explained.

o  A discussion of the design and procedures should describe the
strategies proposed to accomplish the specific aims of the project
and highlight innovative aspects of the approach.

o  A description of the resources and working arrangements required
to implement and conduct the proposed research should be fully
elaborated with particular attention devoted to a description of
necessary resources, subjects, clinical populations, tissue
resources, etc., which will be involved in proposed studies.

All proposed research components need not be ongoing at any one time,
but may be phased in at different time points during the life of the
proposed Center grant.  At least 3 research components must be
ongoing at all times, and no more than 10 research and/or core
components may be proposed over the entire project period.  This
aspect should receive careful attention in the application and
individual component preparation.

Pilot Project Component

Pilot projects should be adequately, though concisely described.  For
every year that funds are requested for pilot projects, the
application must provide descriptions of the project to be supported.
While the specific number of pilot projects to be proposed is at the
discretion of the applicant, requested funding for pilot studies may
not exceed $100,000 or 10 percent (whichever is larger) of the direct
cost budget proposed for any one year.  All proposed pilot projects
need not be ongoing at any one time, but may be phased in at
different points during the life of the proposed Center grant. It is
also recognized that the relative priority or need for specific pilot
projects may change over the course of time.

While the Center's framework for management of pilot funds and the
mechanism for operating the program are left to the discretion of the
Center, the application must provide specific information to enable
adequate scientific evaluation by a peer review committee.  The
application should include:
o  A full description of the management of the pilot project
component, including a description of the process to be followed by
the Center Director in selecting new pilot projects should a need
arise to replace any of the pilots contained in the application.

o  A full description of each proposed pilot study including its
rationale, objectives, approach, investigators, and significance for
the Center.  The research description of any individual pilot project
may not exceed eight pages; the entire narrative for this Pilot
Project Component may not exceed 50 pages irrespective of the number
of pilot projects proposed.

o  For competing renewal applications, information should be provided
on the past experience of the Center in utilizing pilot funds to
further the goals.  The narrative should include an assessment of the
overall benefits derived from the availability of pilot resources.

A budget should be submitted for the pilot project component as a
whole.  In addition, budget information should be provided for each
individual pilot project.

See "Supplemental Instructions" for further information on pilot
project description requirements.

Renewal Applications

A comprehensive progress report is required for competing
continuation (renewal) applications.  A statement must be included in
the application regarding the progress made by the Center as a whole
in its development as a national or regional research resource.  In
addition, for each research component of the existing Center grant, a
succinct account of its published and unpublished results must be
provided, indicating progress toward achieving aims regardless of
whether the component has been submitted for renewal.  More specific
details are provided in the special instructions appended to this
announcement.

Facilities and Environment

Applicants must demonstrate the availability of adequate laboratory,
clinical, and office facilities needed to carry out the objectives of
the proposed Center program.  Although not required, it is desirable
for all Centers to have a commitment for sufficient contiguous space
so that the Center has a high degree of cohesion and visibility.
Reference facilities affording access to the relevant literature must
be readily available.  It is expected that such reference facilities
will be the primary repository of additional reference materials that
may be obtained through Center funding.  Relevant support services,
including adequate data processing facilities, must also be readily
accessible within or through the institution.  Assurances of such
support must be included with the proposal.

Organization and Administration

A Center must be an identifiable organizational unit with an
administrative structure and clear lines of authority which will
facilitate coordination among Center personnel to assure maximum
accountability and efficiency in Center operations.  An applicant
must designate an institutional official to serve as principal
investigator for the Center grant and as Director of the Center.  The
institutional appointment of this person must provide sufficient
authority to allocate space, personnel, and other resources essential
to the Center.  This individual must demonstrate the ability to
organize, administer, and direct the Center.  The Director of the
Center will have responsibility for planning and coordination of the
Center program, preparation of the budget and oversight of
expenditures, staff appointments, space allocation, and other aspects
of management and operation of the Center.

Overall program management, coordination, communication, progress
assessment, and quality control are typically responsibilities of the
Director and are facilitated through the administrative core.  The
administrative core should be described in sufficient detail to
assure that all proposed components and related activities will
function optimally.  In addition, day-to-day operations involving
procurement, finances, personnel, planning, and budgeting should be
detailed in the description of this core.

The applicant may also designate a Scientific Director who will be
responsible to the Center Director and provide direct supervision of
the scientific and operational aspects of the research program.  Such
a person should be an individual who has established scientific
credentials and who is capable of providing the leadership essential
to the success of the research program.  The Scientific Director will
be responsible for assuring interaction and collaboration among
scientists conducting research within the Center to facilitate a
concerted approach to the research goals of the Center.  The
Scientific Director also will be responsible for the direct
monitoring of ongoing research and for identifying (with the
assistance of colleagues) research activities to be expanded or
decreased and needs for additional resources or reallocation of
resources.  If the Center Director also serves as the Scientific
Director, his or her functions as Scientific Director should also be
described.

Key professional staff, such as directors of individual research
components and core components of the Center, should have the
necessary training/experience to assure that the objectives and goals
of the proposed studies will be achieved.  Such persons must be
established investigators with proven track records.

A Program Advisory Committee shall be established and chaired by the
Center Director.  Its membership, selected by the Center Director
from individuals outside the Center, should be composed of at least
five members who should be identified in the application.  Members
should be persons of recognized scientific standing who are generally
familiar with the Center's activities and represent a cross-section
of disciplines that are relevant to the work of the proposed Center.
It shall be the responsibility of this Committee to review and make
recommendations to the Center Director on the conduct of all
activities of the Center, including the conduct of pilot projects.

Training

While the primary function of each Center is the conduct of
high-quality interdisciplinary research, an important component
related to the Center and its research efforts is the training of
research and clinical personnel.  The applicant institution must
therefore demonstrate or give reasonable assurances that it has:

(a)  the capacity to train predoctoral and/or postdoctoral students
for careers in alcohol research; and

(b)  the capacity to conduct programs of continuing education in the
Center's designated research theme in the medical, behavioral, and
health service fields.

While the Center need not necessarily have formal training programs
of its own, there must be specific provision for coordination between
the Center and the training programs of the applicant institution
and/or affiliated institutions.  Center grant funds may not be used
to pay stipends or other trainee costs; however, Center staff may
participate in the development of training programs, and Center
resources may be made available for use of trainees.

STUDY POPULATIONS

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
from the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations) which
have been in effect since 1990.  The new policy contains some new
provisions that are substantially different from the 1990 policies.
All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research", which have been published in the
Federal Register of March 9, 1994 (FR 59 11146-11151), and reprinted
in the NIH GUIDE FOR GRANTS AND CONTRACTS of March 18, 1994, Volume
23, Number 11.

Investigators may obtain copies from these sources or from the
program staff or contact person listed below.  Program staff may also
provide additional relevant information concerning the policy.

Terms and Conditions of Support

Center grant funds may be requested for support of core components
and individual research components associated with the Center
program.  Administrative core resources may include, for example,
salaries of personnel responsible for management of the Center,
program enrichment activities such as special lectures, visiting
scientists, symposia, seminars, workshops, etc., and costs related to
dissemination of research information to the scientific community and
lay public.  Funds may be requested for costs associated with
individual research components which are part of the Center program.
Examples of such costs include:  research staff salaries, supplies,
travel, special consultation, research patient costs, publication
costs, and the like.  Funds also may be requested for the allowable
indirect costs of the applicant organization.  In addition, costs of
advisory committees, steering committees, and consultants may be
included in the administrative core.  Consultants for specific
research components should be included in the budgets for those
components.  If committees other than the Program Advisory Committee
are included, specific plans as to how the committees will be
selected and how they will function should be presented in the
application.

Alcohol Research Center grant funds may be used only for costs that
are necessary to carry out the research and research support
activities of the Center program, and must be in conformance with HHS
cost principles (encompassed in 45 CFR Part 74) and the Public Health
Service Grants Policy Statement (rev. 4/94).  This publication should
be available from your office of sponsored research.

Funds provided under this program may not be used for the purchase of
land; nor for the purchase, construction, preservation, or repair of
any building.  However, costs of alteration and renovation of
existing facilities necessary to accomplish the objectives of the
grant may be allowed subject to PHS grants policy limitations.  Funds
provided through Center grants may not be used for support of trainee
stipends, fees, or other expenses directly relating to training
activities.  Support will be provided for a period of up to five
years (renewable for subsequent periods) subject to continued
availability of funds and scientific progress.  Applicants may
request up to $1.7 million total cost (including direct and indirect
costs combined) per year.  The actual amount of support awarded will
depend upon consideration of factors listed under AWARD CRITERIA.

The Center grant is neither expected nor intended to cover all costs
of running a successful Alcohol Research Center program.  Research
and training activities associated with the Center may receive
additional funding from Federal sources as well as from State and
local sources.  NIAAA expects and encourages the institution and
scientists attracted to such Centers to seek and compete actively for
such funding.  Research staff in funded Centers may submit
applications for independent research project grants for support of
research projects that do not overlap with their Center project.

Centers will be required to submit detailed annual progress reports
including substantive information about research results to date,
status of ongoing research, research plans for the next year, and any
modifications in long-term research plans.  Also required are
reporting of inventions, reports of expenditures, final reports, and
other reports in accordance with PHS policy.

LETTER OF INTENT

Prospective applicants are asked to submit, by December 1, 1994, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the identities of other key personnel and participating
institutions, and the number and title of the RFA in response to
which the application may be submitted.

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

The letter of intent is to be sent to:

Ernestine Vanderveen, Ph.D.
Centers Program
National Institute on Alcohol Abuse and Alcoholism
Willco Building, Suite 402
6000 Executive Boulevard
Rockville, MD  20892-7003
Telephone:  (301) 443-1273
FAX:  (301) 594-0673

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/91) is to be used
in applying for these grants.  These forms are available at most
institutional offices of sponsored research; from the Office of Grant
Information, Division of Research Grants, National Institutes of
Health, 5333 Westbard Avenue, Room 449, Bethesda, Maryland 20892,
telephone 301-594-7248; and from the NIAAA program administrator
named below under INQUIRIES.  Applications must be received by
January 19, 1995.

The RFA label available in the PHS (rev. 9/91) application form must
be affixed to the bottom of the face page of the application.
Failure to use this label could result in delayed processing of the
application such that it may not reach the review committee in time
for review.  In addition, the RFA title and number must be typed on
line 2a of the face page of the application form and the YES box must
be marked.  Page limits and limits on size of type are strictly
enforced.  Page limitations, including those for appendices, are
specified in the Supplemental Instructions for Preparing an Alcohol
Research Center Grant application.  Non-conforming applications will
be returned without being reviewed.

Applicants from institutions that have a General Clinical Research
Center (GCRC) funded by the NIH Division of Research Resources may
wish to identify the Center as a resource for conducting the proposed
research.  If so, a letter of agreement from either the GCRC program
director or principal investigator should be included in the
application material.

The signed original, including the checklist, and three signed,
legible copies of the completed application must be sent to:

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

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

Mark Green, Ph.D.
Extramural Project Review Branch
National Institute on Alcohol Abuse and Alcoholism
Willco Building, Suite 409
6000 Executive Boulevard
Rockville, MD  20892-7003
Telephone:  (301) 443-4375
FAX:  (301) 443-6077

REVIEW CONSIDERATIONS

The Division of Research Grants (DRG), NIH, serves as a central point
for receipt of applications for most discretionary PHS grant
programs.  Upon receipt, applications will be reviewed for
completeness by DRG and responsiveness by the NIAAA.  Incomplete
applications will be returned to the applicant without further
consideration.  If NIAAA staff find that the application is not
responsive to the RFA, it will be returned without further
consideration.

Applications that are complete and responsive to the RFA will be
evaluated for scientific and technical merit by an appropriate peer
review group convened by the NIAAA in accordance with the review
criteria stated below.  As part of the initial merit review, a
process (triage) may be used by the initial review group in which
applications will be determined to be competitive or non-competitive
based on their scientific merit relative to other applications
received in response to the RFA.  Applications judged to be
competitive will be discussed and be assigned a priority score.
Applications determined to be non-competitive will be withdrawn from
further consideration and the principal investigator/program director
and the official signing for the applicant organization will be
promptly notified.

Review Criteria

The initial review for scientific and technical merit of applications
will emphasize two major aspects:  (1) review of the Center as an
integrated research effort focused on a central theme, including the
administrative core; and (2) the review of each research component
and all other core components.  The review will also include an
assessment of the academic and physical environment and special
considerations, e.g., compliance with human subject and animal
welfare requirements, and compliance with policies concerning
inclusion of women and minorities in clinical research study
populations.

1.  The Center as an Integrated Effort

o  The significance of the overall research goals and development of
a well-defined central research theme.

o  Multidisciplinary scope of the Center.

o  Center cohesiveness, coordination, and interrelation; and the
synergistic potential among the Center components and core units.

o  The qualifications, experience, and administrative competence of
the Center Director; and his or her commitment and ability to devote
substantial time and effort to the Center.

o  The scientific ability of the Scientific Director and his or her
professional experience and leadership.

o  The justification of the core components in terms of accomplishing
the Center objectives, and their usefulness to the research
components and/or independently supported investigators who utilize
the core services or facilities.

o  The justification of individual research components in terms of
the overall research goals and the central research theme of the
Center and their relation to other research components.

o  The scientific qualifications and ability of the directors of the
research project components and/or the core components, the extent to
which each of the directors will contribute to overall Center goals,
and their commitment to the Center.

o  Administrative arrangements and organizational structure of the
administrative core to facilitate and monitor attainment of Center
objectives and maintain quality control of ongoing projects.  These
factors include:

-  plans for communication and cooperation among investigators
involved in the Center;

-  mechanisms for allocation of funds and core resources and
selecting meritorious replacement pilot projects if this becomes
necessary;

-  quality control, oversight;

-  day-to-day management, long-term planning, and periodic
evaluation;

-  contractual and consortium arrangements; and

-  procedures for replacement of key persons, if necessary.

o  Appropriateness of the overall budget for the work proposed in the
Center.

o  Potential of the Center to become or maintain itself as a regional
and national resource, including capacity to provide quality research
training, opportunities for independent research career development,
and plans for research information dissemination and education
activities.

o  In addition, applications for renewal support will be evaluated in
terms of the degree to which the Center has achieved stated goals
with special attention to:

-  the scientific merit of completed research;

-  recruitment of new scientists into alcohol research;

-  development of a multidisciplinary research team; and

-  coalescence of the Center staff into an effective team.

2.  Individual Research Components and Core Components, including the
Pilot Project Component

o  The scientific and technical merit of each research component and
each core component.

o  The significance of each research and core component and its
relation to the central theme of the Center.

o  Evidence of quality control of proposed core component's services,
resources, facilities.

o  The qualifications, experience, and commitment of the component
director responsible for the research component and/or core
component, including his or her ability to devote adequate time and
effort to the Center.

o  The appropriateness of the budget request for each of the proposed
research project components and/or core components, administrative
core, and any pilot project core component.

o  For pilot projects, the potential of the proposed study as a
building block in the development of future research.

3.  Resources and Environment

In addition to the scientific components, e.g., research project and
core components, the initial review group will also evaluate:

o  The academic and physical environment in which the research will
be conducted, including availability of space, equipment, research
subjects and materials, and the potential for interaction with
scientists from other departments and other institutions.

o  The institutional strength, stability, commitment to research and
support for the Center, including fiscal responsibility and
management capability to assist the Center Director and staff in
complying with HHS, PHS, and NIH policies.

o  Opportunities for research training and education for persons from
various disciplines and professions.

4.  Other Considerations

o  When an application proposes research or research-related activity
that involves potential risks to human subjects, animals, and/or the
environment, the adequacy of the proposed means for protecting
against such risks must be demonstrated for each component.

o  Specific statements addressing compliance with NIH policies on
inclusion of women and minorities in studies involving human
subjects.

AWARD CRITERIA

Applications recommended for approval by the National Advisory
Council on Alcohol Abuse and Alcoholism will be considered for
funding on the basis of the overall merit of the application, as well
as such considerations as program balance, relevance to the mission
and goals of NIAAA, research program priorities, equitable geographic
distribution, continuity of support, and availability of funds.
Awards will be made for up to five-year project periods with separate
fiscal awards made annually.

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:

Ernestine Vanderveen, Ph.D.
Centers Program
National Institute on Alcohol Abuse and Alcoholism
Willco Building, Suite 402
6000 Executive Boulevard
Rockville, MD  20892-7003
Telephone:  (301) 443-1273
FAX:  (301) 594-0673

Direct inquiries regarding fiscal matters to:

Edward Ellis
Office of Planning and Resource Management
National Institute on Alcohol Abuse and Alcoholism
Willco Building, Suite 504
6000 Executive Boulevard
Rockville, MD  20892-7003
Telephone:  (301) 443-4703
FAX:  (301) 443-3891

Relationship to NIAAA

In view of the special significance of this program, close
coordination and communication between the NIAAA staff and staff of
the Alcohol Research Centers is intended.  The NIAAA program official
will have responsibility for maintaining liaison with appropriate
Center leadership, serving as resource consultant to the Center
program, and keeping NIAAA staff informed on progress and
accomplishments of the Centers.  In addition, the program official
with other NIAAA staff and consultants will, from time to time, make
on-site visits for purposes of program coordination and exchange of
information.

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance, No. 93.891.  Awards are made under the authorization of
the Public Health Service Act, Sections 301 and 464J, and
administered under the PHS policies and Federal Regulations at Title
42 CFR Part 549, "Grants for National Alcohol Research Centers;"
Title 45 CFR Parts 74 and 92, "Administration of Grants;" and 45 CFR
Part 46, "Protections of Human Subjects."  This program is not
subject to the intergovernmental review requirements of Executive
Order 12372 or Health Systems Agency review.

The Public Health Service strongly encourages all grant recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  This is consistent with the PHS mission to protect and
advance the physical and mental health of the American people.

From owner-sci-resources@net.bio.net Mon Jun 13 23:00:00 1994
Path: biosci!biosci!not-for-mail
From: Dave Kristofferson <kristoff@net.bio.net>
Newsgroups: bionet.sci-resources
Subject: NIH GUIDE - PAR-94-073 - V23(22) 06/10/94
Date: 14 Jun 1994 11:50:11 -0700
Organization: BIOSCI International Newsgroups for Molecular Biology
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$$XID RFA PAR94073 PAR-94-073 P1O1 *************************************

CENTERS FOR RESEARCH ON SERVICES FOR PEOPLE WITH MENTAL HEALTH
DISORDERS

NIH GUIDE, Volume 23, Number 22, June 10, 1994

PA NUMBER:  PAR-94-073

P.T. 04; K.W. 0730057, 0710030

National Institute of Mental Health

Application Receipt Date:  October 1

PURPOSE

The National Institute of Mental Health (NIMH) announces the
availability of support for multidisciplinary Centers for Research on
Services for People with Mental Disorders.  The purpose of these
Centers is to promote, develop, and conduct multidisciplinary
research that can help to improve the organization, financing,
delivery, quality, effectiveness, and outcomes of services for
persons of all ages with mental disorders.

Support is available for research centers focused in whole or in part
on mental health services for children and adolescents, adults,
elderly persons including those with Alzheimer's disease and other
dementia, and persons with mental disorders who are involved with or
at risk of becoming involved with the legal system.  Support is also
available for centers focused in whole or in part on mental health
economics and on methodological issues in mental health services
research.  Centers are encouraged to include minorities and women in
all facets of their research program; however, centers focused
entirely on services for minority populations should apply for
support under Program Announcement 92-122, "Minority Mental Health
Research Centers."

This program announcement (PA) addresses one of the major
recommendations set forth in Caring for People with Severe Mental
Disorders: A National Plan of Research to Improve Services.  It
complements the NIMH report, "Implementation of Caring for People
with Severe Mental Disorders: A National Plan of Research to Improve
Services," which invites applications for research project grants,
research demonstrations, and career development applications in
support of this National Plan.

This PA also addresses recommendations for services research
contained in the National Plan for Research on Child and Adolescent
Mental Disorders and in the NIMH announcement, "Implementation of The
National Plan for Research on Child and Adolescent Mental Disorders."

This PA supersedes and replaces NIMH program announcements PA-92-94,
"Centers for Research on Services for People with Severe Mental
Disorders," and PA-92-20, "Centers for Research on Mental Health
Services for Children and Adolescents."  Its scope is broader than
these two earlier program announcements, because discussions of
health care reform have emphasized the need for the NIMH to develop a
center program that covers the entire mental health service system,
including services provided in general medical settings and other
agency, institutional, and community contexts.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This PA,
Centers for Research on Services for People with Mental Disorders, is
related to the priority area of mental health and mental disorders.
Potential applicants may obtain a copy of "Healthy People 2000" (Full
Report:  Stock No. 017-001-00474-0) or "Healthy People 2000" (Summary
Report:  Stock No. 017-001-00473-1) through the Superintendent of
Documents, Government Printing Office, Washington, DC 20402-9325
(telephone 202/783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by for-profit and non-profit domestic
organizations and by public and private institutions, 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

This PA will use the National Institutes of Health (NIH) Specialized
Center (P50) 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 in
response to this PA may not exceed five years.

The funding cap for a Center for Research on Services for People with
Mental Disorders is $600,000 in direct costs for the initial project
year, with annual increases of four percent thereafter, plus
negotiated institutional indirect costs.  Applications that request
direct costs in excess of this amount will be returned to the
applicant without review.

RESEARCH OBJECTIVES

Examples of the types of services research issues that might be
addressed by a Center are listed below.  The list is illustrative,
rather than comprehensive.  It is expected that additional relevant
and important research topics will be identified by investigators who
respond to this program announcement.

o  Studies of the prevalence of mental disorders (including
co-occurring substance abuse disorders) and associated disability in
various types of service settings

o  Studies of access to needed mental health services and barriers to
care

o  Research on clinical and related services provided to persons with
mental disorders by mental health professionals, general health care
personnel, and other providers in different types of service
settings, including accuracy of diagnoses, appropriateness, quality,
and effectiveness of care, and short- and long-term outcomes for
patients and their families

o  Research on rehabilitation services for persons with mental
disorders

o  Research on the organization and financing of services for persons
with mental disorders, including services provided and paid for by
State and local governments and the private sector

o  Studies of costs and cost-effectiveness of services for persons
with  mental disorders in various settings, including new and
alternative types of services and case management

o  Research on cost-containment strategies in mental health care
(e.g., managed care, capitated care, contracted care)

o  Studies of effects of major changes and innovations in the
structure, financing and delivery of mental health services at
various levels of government and in the private sector

o  Research on the interface between mental health services and other
types of services needed to maintain people with mental disorders in
the community, including research on models of coordinated and
consolidated care

o  Studies of self-help programs, groups, and organizations for
persons with mental disorders

o  Research on the role of families in caring for persons with mental
disorders, including assessment of appropriateness and effectiveness
of family education programs and family support programs

o  Studies of the impact of various mental health laws, civil rights
legislation, and administrative regulations on delivery and
effectiveness of mental health services

o  Research to test the validity and reliability of measurement
instruments for use in services research (e.g., outcome measures)

o  Research on development of methodology for mental health services
research

Program specifications.  A Center should be planned and organized for
the purpose of addressing major gaps in scientific knowledge in the
field of mental health services research on people with mental
disorders.  Centers must be multidisciplinary, including
investigators from disciplines such as psychiatry, general internal
medicine, family medicine, pediatrics, geriatric medicine,
pharmacology, psychology, social work, nursing, epidemiology,
biostatistics, economics, sociology, public health, law, and
political science.

The Principal Investigator will serve as Director of the Center and
provide scientific and administrative leadership by devoting at least
50 percent of his/her time to the Center, including time spent on
Center research projects that are clearly related to and supportive
of the overall Center plan for research on services for people with
sev