From owner-sci-resources@net.bio.net Sun Mar 02 22:00:00 1997
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Subject: NSF - Summary of new documents on STIS, 1 March 1997
Date: 2 Mar 1997 23:28:00 -0800
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This message contains a summary of the documents added to the NSF STIS
system for the week ending March 1, 1997.  Reference material concerning
STIS follows the summary.
------------------------------------------------------------------------
                     ** NEW DOCUMENTS ON STIS **

Document Type: Bulletin

   Title: NSF March Bulletin Vol 24; No 7
               File size (bytes):       48132
               STIS Filename:           bul9703.txt

Document Type: Press Release

   Title: "BAKED ALASKA" MUD VOLCANO DISCOVERED IN NORTH ATLANTIC
               File size (bytes):       5789
               STIS Filename:           pr9717.txt

Document Type: Program Guideline

   Title: NSF 97-44 - Operational Methods in Semiconductor
          Manufacturing
               File size (bytes):       17345
               STIS Filename:           nsf9744.txt

   Title: NSF 97-62 -- CHALLENGES IN COMPUTER AND INFORMATION
          SCIENCE AND ENGINEERING
               File size (bytes):       22688
               STIS Filename:           nsf9762.txt

Document Type: Recruit

   Title: Program Director, AD-4
               File size (bytes):       6653
               STIS Filename:           vex974a1.txt

   Title: Program Analyst, GS-343-13
               File size (bytes):       7516
               STIS Filename:           vgs9739.txt

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

Document Type: Bulletin

   Title: NSF March Bulletin Vol 24; No 7
               File size (bytes):       48132
               STIS Filename:           bul9703.txt

Document Type: Phone Book

   Title: NSF Alphabetical List
               File size (bytes):       114263
               STIS Filename:           phnalpha.txt
               Also available:          phnalpha.dlm

   Title: NSF Organization Directory
               File size (bytes):       128207
               STIS Filename:           phnorg.txt

Document Type: Program Guideline

   Title: NSF 96-06  DATABASE ACTIVITIES IN THE BIOLOGICAL SCIENCES
               File size (bytes):       36465
               STIS Filename:           nsf9606.txt
               Also available:          nsf9606.doc

------------------------------------------------------------------------
               ** FOR YOUR REFERENCE (updated 8/23/96) **
------------------------------------------------------------------------
HOW TO OBTAIN DOCUMENTS 

We are currently migrating to a completely Web-based information
dissemination system.  Please visit our Web site at the following
URL:

           http://www.nsf.gov/

The above files refer to the STIS system, which is being replaced.
If you are familiar with STIS, you can use the information above to
retrieve these files:

Documents via E-mail:

     Send a message to stisserve@nsf.gov
     Use the "STIS Filename" shown above in the "get" command.
     For example, to retrieve nsf9606.txt, the text of your message should be 
     as follows:
                       get nsf9606.txt

Anonymous FTP:

     FTP to stis.nsf.gov.  Use the "STIS Filename" shown above to
     retrieve a file.  For example, to retrieve nsf9606.txt, you would
     enter:
                       ftp> get nsf9606.txt

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

     Send your name and postal mailing address, and the document title
     and number to "pubs@nsf.gov".

If you have problems with the above procedures:

     Send a message to "stis@nsf.gov".

From owner-sci-resources@net.bio.net Mon Mar 03 22:00:00 1997
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From: BIOSCI Administrator <biosci-help@net.bio.net>
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Subject: NIH MAIL No Eguide on 2/28
Date: 4 Mar 1997 11:34:41 -0800
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$$MAIL BEGIN ***********************************************************
The NIH Guide for Grants & Contract will not be published on
February 28, 1997, the next issue of the NIH Guide will be March
7, 1997.  Thank you.
$$MAIL END**************************************************************
$$MAIL END**************************************************************

From owner-sci-resources@net.bio.net Sat Mar 08 22:00:00 1997
Path: biosci!biosci!not-for-mail
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Subject: NIH GUIDE - PAR-97-042 - V26(07) 03/07/97
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INNOVATION GRANT PROGRAM FOR APPROACHES IN HIV VACCINE RESEARCH

NIH GUIDE, Volume 26, Number 7, March 7, 1997

PA NUMBER:  PAR-97-042

P.T. 34; K.W. 0715008, 0765033, 0755020, 079000

National Institute of Allergy and Infectious Diseases

Application Receipt Date:  May 23, 1997

PURPOSE

The National Institute of Allergy and Infectious Diseases (NIAID)
gives special consideration for funding to scientifically meritorious
applications in response to our program announcements (PAs).  PAs
identify current areas of ongoing research emphasis for the NIAID.

The NIAID, National Institutes of Health (NIH) on the recommendation
of the AIDS Vaccine Research Committee (AVRC), seeks to implement a
new program aimed at rapidly exploiting new scientific opportunities
to broaden the base of scientific inquiry in areas related to vaccine
discovery and development.

This program announcement represents the first step in establishing
the INNOVATION Grant Program. The NIAID invites applications,
including those from researchers previously outside the field of AIDS
research, for research projects that involve a high degree of
innovation, risk and novelty-- as well as a clear promise of helping
to improve vaccine design or evaluation-- in the following three
general areas:  1) the structure/function of HIV envelope protein; 2)
creation/improvement of animal models for vaccine evaluation and
pathogenesis studies; and 3) mechanisms of directing antigen
processing in vivo.  This INNOVATION Grant Program utilizes a grant
mechanism which provides the resources to carry out preliminary tests
of feasibility for new research hypotheses, and a rapid and
streamlined review and award process.  This approach will be
evaluated by the AVRC for suitability and responsiveness following
this initial offering.  If successful, other announcements may be
made in the future.

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,
Innovation Grant Program for Approaches in HIV Vaccine Research, is
related to the priority areas of HIV infection, and immunization and
infectious diseases.  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) through the Superintendent
of Documents, government Printing Office, Washington, DC 20402-0325
(telephone 202-512-1800).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic, foreign for-profit and
non-profit organizations, both public and private, such as
universities, colleges, hospitals, laboratories, units of state and
local governments, and eligible agencies of the federal government.
Racial/ethnic minority individuals, women, and persons with
disabilities are encouraged to apply as principal investigators.

MECHANISM OF SUPPORT

Research projects will be supported with the
exploratory/developmental research grant mechanism (R21).  This
mechanism provides short-duration support for preliminary studies of
a highly speculative nature which are expected to yield, within this
time frame, sufficient information upon which to base a well-planned
and rigorous series of further investigations.  Applicants may
request up to two years of support and up to $150,000 per annum in
direct costs, although with compelling justification exceptions can
be made if specific costly reagents, animals, specimens or laboratory
modifications are needed to perform these studies.  Program staff may
be able to advise prospective applicants concerning NIAID-sponsored
resources which may be available to them.  Please contact the program
staff listed under INQUIRIES for further information.  The award is
non-renewable; however, applicants may elect to seek continuing
support for this research through the R01 mechanism.

RESEARCH OBJECTIVES

After an initial examination of the state of the art of HIV vaccine
discovery, the National Institute of Allergy and Infectious Diseases
and the AIDS Vaccine Research Committee seek to broaden the base of
scientific inquiry in three key scientific areas related to HIV
vaccine discovery and development.

o  The structures of HIV envelope proteins as they relate to their
function as immunogens.  Examples of  areas of interest include, but
are not limited to:
-  Understanding the oligomeric structure of the envelope protein
both free and on the virion;
-  Novel approaches to a detailed understanding of  the structure of
Env as it interacts with cellular receptors upon virus entry;
-  Development of methods to preserve native structure and evaluate
different protein forms as immunogens;

o  Creation of new animal models for vaccine evaluation and
pathogenesis studies, or innovations to improve existing animal
models.  Examples of areas of interest include, but are not limited
to:
-   Methods to produce populations of primates that can accept grafts
of hematopoietic cells (e.g., populations of macaques that are twins,
or clonally-derived  or otherwise rendered MHC-compatible);
-   Novel small animal models produced with transgene that render
them sensitive to HIV infection.
-   Creation or study of SCID mice, or other animals, that would
allow for analysis of protective cellular immune responses through
passive transfer of cells from infected immunized, or exposed and
uninfected humans or primates.

o  Mechanisms of directing in vivo antigen processing to maximize immune response.
Examples of areas of interest include, but are not limited to:
-   Defining and comparing pathways of processing various HIV/SIV vaccine classes (e.g.,
subunit, recombinant, whole killed, live attenuated, DNA) by various antigen processing cells
(e.g., APC subsets, macrophages, B cells);
-   Developing methods to expand, in vitro, each of the processing and/or presenting cells
such that they can be charged with SIV/HIV vaccine candidates, ex vivo.
-   Developing assays to test the APC subsets for their ability to stimulate TH1, TH2, CTL
and B cell responses;
-   Identifying cytokines and/or other molecules that improve APC functions;
-   Evaluating vaccine-charged APCs for their ability to induce relevant immunity, in vivo,
(e.g., clearance of HIV infected cells, development of appropriate humoral/mucosal
immunity).

To help meet the research objectives defined by the AIDS Vaccine
Research Committee, research applications intended to produce
preliminary data or precedent for an idea or a concept are
particularly encouraged.

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 are
provided that inclusion is inappropriate with respect to the health
of the subjects of the purpose of the research.  This policy results
from the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43).  All investigators proposing research involving human
subjects should read the "NIH Guidelines for Inclusion of Women and
Minorities as Subjects in Clinical Research", which have been
published in the Federal Register of March 28, 1994 (FR. 59 14508-
14513) and the NIH Guide for Grants and Contracts, Vol. 23, No. 11,
March 18, 1994.

APPLICATION PROCEDURES

Applications are to be submitted on form PHS 398 (rev. 5/95), the
standard application form for research grants.  Application kits are
available at most institutional offices of sponsored research and may
be obtained from the Division of Extramural Outreach and Information
Resources, National Institutes of Health, 6701 Rockledge Drive, MSC
7910, Bethesda, MD 20892-7910, telephone 301/435-0714, email:
ASKNIH@odrockm1.od.nih.gov.  Application kits may also be obtained
electronically via the WWW at
http://www.nih.gov/grants/phs398/phs398.html.  Applicants must adhere
to the format and requirements specified in the PHS 398 application
kit, except as noted below.

A modular budget application format will be pilot tested, in which
budgets and  justifications are simplified.  Applicants may apply for
up to two years of support at up to $150,000 per annum, and total
direct costs may be requested in modular increments of  $10,000.
The form, ~Detailed Budget for Initial Budget Period (page 4 of the
PHS 398 application kit, rev. 5/95),~ is not required and will not be
accepted at the time of application.  Applicants should use the form,
~Budget for Entire Proposed Period of Support (page 5 of the PHS 398
application kit, rev. 5/95),~ leaving blank the categorical budget
table and providing only the requested total direct costs for each
year and total direct costs for the entire proposed period of
support.  The budget justification should begin in the space
provided, using continuation pages as necessary, and should justify
the requested budget on the basis of overall requirements, scientific
aims and scope of the proposed research.  All project personnel
(salaried or unsalaried) should be listed by name, role on project
and per cent effort, and a narrative justification provided for each
person based on his/her role on the project and proposed level of
effort.  All consultants should be identified by name and
organizational affiliation and the services they will perform should
be described.  A narrative justification should be provided for any
major budget items, other than personnel, which would be considered
unusual for the scope of research; otherwise, no specific costs for
items or categories should be shown.  Applications exceeding $150,000
in requested total direct costs will also require a special
justification, identifying the specific costly reagents, animals,
specimens or laboratory modifications which are required.

Key personnel and their level of effort must be specified, and
biosketches provided.  If consortium/contractual costs are requested,
the percentage of the subcontract total costs (direct and indirect)
relative to the total direct cost of the overall project should be
specified.  The subcontract budget justification should be prepared
according to the instructions provided above.

The research plan shall be limited to 10 pages, and any appendices to
10 pages.

For purposes of identification and processing the application, mark
~YES~ in item 2 on the face page and enter the PA number PAR-97-042
and the title ~INNOVATION Grant Program for Approaches in HIV Vaccine
Research.~

The completed, signed original and three (3) legible, single sided
copies of the application must be sent or delivered to:

Division of Research Grants, National Institutes of Health
6701 Rockledge Drive, Room 1040, MSC 7710
Bethesda, MD 20892-7710
Bethesda, MD 20817-7710 (for express/courier service)

At the same time, two complete copies of the application and all five
copies of any appendices must be sent or delivered to:

Dr. Dianne E. Tingley
National Institute of Allergy and Infectious Diseases
Solar Building, Room 4C07
6003 Executive Boulevard
Rockville, MD  20852-7610
Telephone:  (301) 496-2550

REVIEW CONSIDERATIONS

Review Procedures

Applications will be assigned on the basis of established PHS
referral guidelines. Upon receipt, applications will be reviewed for
completeness by the Division of Research Grants, NIH, and for
responsiveness to the goals of the PA by NIAID staff.  Incomplete
applications will be returned to the applicant without further
consideration.   Applications will be evaluated for scientific and
technical merit by appropriately constituted Scientific Peer Review
Group(s) convened by the NIAID, in accordance with standard NIH
review policies.   As part of the initial merit review, all
applications may undergo a process in which only those applications
deemed to have the highest scientific merit will be assigned a
priority score and receive a second level review by the National
Advisory Council of the National Institutes of Allergy and Infectious
Diseases.

Review Criteria

The Scientific Peer Review Group(s) will consider and score each
application according to the following three dimensions of scientific
merit, and will also assign an overall priority score for the
application.

Impact:  The quality (e.g. innovativeness, significance, importance)
of the idea/hypothesis and the relevance of the idea/concept to
understanding host/pathogen interactions and vaccine development;

Approach:  The appropriateness of the methods, subjects, and
materials chosen to produce data addressing the hypothesis;

Feasibility:  Prospects for accomplishing the objectives, given the
requested budget and term of award,  the qualifications and research
experience of the Principal Investigator and staff, and the access to
necessary resources.

The Scientific Peer Review Group(s) also will examine the provisions
for the protection of human and animal subjects, the safety of the
research environment, and conformance with the NIH Guidelines for the
Inclusion of Women and Minorities as Subjects in Clinical Research.

AWARD CRITERIA

Applications will compete for available funds with all other approved
applications assigned to NIAID.  The following will be considered in
making funding decisions: the scientific and technical merit of the
proposed project as determined by peer review, and the availability
of funds. In the final selection of applications to be funded,
consideration will be given to the ability to achieve balanced
coverage of the scientific areas of emphasis recommended by the AIDS
Vaccine Research Committee.

INQUIRIES

Inquiries are encouraged.  The opportunity to clarify any issues or
questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Carole A. Heilman., Ph.D.
Division of AIDS
National Institute of Allergy and Infectious Diseases
Solar Building, Room 2A16 MSC 7620
6003 Executive Boulevard
Bethesda, MD  20892-7610
Telephone:  (301) 496-0545
FAX:  (301) 402-1505
Email:  ch25v@nih.gov

Direct inquiries regarding fiscal matters to:

Jane Unsworth
Division of Extramural Activities
National Institute of Allergy and Infectious Diseases
Solar Building, 4B25
6003 Executive Blvd.
Rockville, MD 20892-7610
Telephone:  (301) 402-6824
Fax:  (301) 480-3780
Email:  ju3a@nih.gov

Direct inquiries regarding review matters to:

Dianne Tingley, Ph.D.
Division of Extramural Activities
National Institute of Allergy and  Infectious Diseases
Solar Building, 4C07 MSC 7610
6003 Executive Blvd.
Rockville, MD 20892-7610
Telephone:  (301) 496-2550
Fax:  (301) 402-2638
Email: dt15g@nih.gov

AUTHORITY AND REGULATIONS

This program is supported under authorization of the Public Health
Service Act, Sec. 301(c), Public Law 78-410, as amended.  The
Catalogue of Federal Domestic Assistance Citation is  both (No.
93.855 - Immunology, Allergy, and Transplantation Research and No.
93.856 - Microbiology and Infectious Disease Research ).  Awards will
be administered under PHS grants policies and Federal Regulations 42
CFR Part 52 and 45 CFR Part 74.  This program is not subject to the
intergovernmental review requirements of Executive Order 12372 or
Health Systems review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

From owner-sci-resources@net.bio.net Sat Mar 08 22:00:00 1997
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PILOT GRANTS IN GERIATRICS

NIH GUIDE, Volume 26, Number 7, March 7, 1997

PA NUMBER:  PAR-97-041

P.T. 34; K.W. 0710010, 0710030

National Institute on Aging

Application Receipt Dates:  March 17, July 17, November 17, 1997

PURPOSE

The Geriatrics Program of the National Institute on Aging (NIA) is
seeking small grant (R03) applications to stimulate and facilitate
research in underdeveloped topics in specific areas of aging
research. This Small Grant (R03) Program provides support for pilot
research that is likely to lead to a subsequent individual research
project grant (R01) or a First Independent Research Support  and
Transition (FIRST) (R29) award application and/or a significant
advancement of aging research.  These R03 projects include, but are
not limited to, research which is innovative and/or high risk.

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,
Pilot Grants in Geriatrics, is related to the priority area of
chronic disabling conditions.  Potential applicants may obtain a copy
of "Healthy People 2000" (Full Report:  Stock No. 017-001-11474-0 or
Summary Report:  Stock No. 017-001-11473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-512-1800.

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic for-profit and non-profit
organizations, public and private, such as universities, colleges,
hospitals, laboratories, units of State and local governments, and
eligible agencies of the Federal government.  Racial/ethnic minority
individuals, women, and persons with disabilities are encouraged to
apply as Principal Investigators.  Foreign organizations and
institutions are not eligible.  Participation in the program by
investigators at minority institutions is strongly encouraged.

To be eligible for this award, the proposed Principal Investigator
must, at a minimum, be an independent investigator at the beginning
of her/his research career as defined by the eligibility requirements
for a FIRST (R29) award. That is, they should be genuinely
independent of a mentor.  Individuals in the final stages of training
may apply, but individuals can not be in a training status at the
time the award is made.  Established investigators proposing research
unrelated to a currently funded research program are also eligible to
apply for these grants.

MECHANISM OF SUPPORT

Applicants may request up to $50,000 (direct costs) for one year
through the small grant (R03) mechanism.  However, the grants will be
awarded under Expanded Authorities and are eligible for a single
one-year no cost extension.  These awards are not renewable.  Before
completion of the R03, investigators are encouraged to seek
continuing support for research through a research project grant
(R01) or FIRST (R29) award. Salary support may be requested along
with other costs and is included in the $50,000 (direct costs).

Replacement of the Principal Investigator on this award is not
permitted.

RESEARCH OBJECTIVES

The Small Grant program is designed to support new, junior, and
established investigators interested in conducting research on
underdeveloped topics in geriatrics and aging research.  Collection
of new data or secondary analysis of existing data are allowed.
Topics of interest are limited to those listed below and applications
not on these topics will be returned to the applicant without review.

o  Preliminary studies needed for epidemiologic research projects on
genetic factors affecting longevity, active life expectancy, or rate
of progression of age-related pathologies.  Examples of such
preliminary studies include, but are not limited to: analyses of
existing familial, demographic, and/or epidemiologic data for
feasibility and power calculations; pilot testing of
proband-identification and recruitment strategies; identifying,
determining the frequency of, and estimating the relative risk
associated with specific polymorphisms at one or more loci of
interest. (See also related program announcement on "Small Research
Grants (R03) Program: Secondary Analysis in Demography and Economics
of Aging," NIH Guide, Vol. 26, No. 3, January 31, 1997.)  Direct
inquiries on this topic to Dr. Evan Hadley at the address listed
under INQUIRIES.

o  Preliminary clinical studies to explore potential benefits,
feasibility, and/or risks of administering gonadal or adrenal
androgens (e.g., testosterone, DHEA) or their analogs or
secretagogues, to older persons whose levels of these factors are
diminished or dysregulated relative to younger persons (either
chronically or acutely) or to test other potential therapeutic
benefits or risks of administering these agents to older people.
Direct inquiries on this topic to Dr. Sherry Sherman at the address
listed under INQUIRIES.

o  Clinically related studies focusing on a systems physiology or
integrative approach in defining age-associated changes in the
cardiovascular system and how these changes  increase the risk of
cardiovascular disease.  Direct inquiries on this topic to Dr. Andre
Premen at the address listed under INQUIRIES.

o  Preliminary clinical studies designed to contribute to the
improvement of vaccines for use in elderly populations.  This may
include studies of methods to improve the immune response in older
persons including alternate immunization schedules with existing
vaccines or the use of new vaccines.  Clinical studies designed to
characterize immunosenescence in older human populations are also
appropriate as they may contribute to the identification of
potentially correctable deficiencies.  Direct inquiries on this topic
to Dr. Stanley Slater at the address listed under INQUIRIES.

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 are
provided that inclusion is inappropriate with respect to the health
of the subjects or the purpose of the research.  This policy results
from the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43).

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and in the NIH
Guide for Grants and Contracts, Vol. 23, No. 11, March 18, 1994.

APPLICATION PROCEDURES

The submission, review, and award schedule for the Small Grant
Program for 1997/1998 is:

Application Receipt Dates:     Mar 17     Jul 17     Nov 17
Institute Committee Review:    Jun-Jul    Oct-Nov    Feb-Mar
Earliest Funding:              Sep 97     Jan 98     May 98

Only one Small Grant application may be submitted by a Principal
Investigator per receipt date.  Applicants may not submit R01 or R29
applications on the same topic concurrent (to be considered at the
same review cycle) with the submission of a Small Grant application.

Applications are to be submitted on the grant application form PHS
398 (rev. 5/95) and prepared according to the directions in the
application packet, with the exceptions noted below.  Application
kits are available at most institutional offices of sponsored
research and may be obtained from the Division of Extramural Outreach
and Information Resources, National Institutes of Health, 6701
Rockledge Drive, MSC 7910, Bethesda, MD 20892-7910, telephone
301/435-0714, e-mail: asknih@odrockm1.od.nih.gov.  On the face page
of the application: Item 2 Type "Pilot Grants (R03) in Geriatrics."
Check the "YES" box.

Sections 1-4:  Do not exceed a total of ten pages for the following
sections: specific aims, background and significance, progress
report/preliminary studies, and experimental design and methods.
Tables and figures are included in the ten page limitation.
Applications that exceed the page limitation or PHS requirements for
type size and margins  (Refer to PHS 398 application  for details)
will be returned to the investigator without review.  The ten page
limitation does not include Sections 5-9 (Human Subjects, Consortia,
Literature cited).

"Just-in-time" (JIT) is an initiative of the National Institutes of
Health (NIH) Extramural Reinvention Laboratory under the auspices of
the National Performance Review and government-wide efforts to create
a government that works better and costs less.  JIT postpones the
collection of certain information that currently must be included in
all competing applications when submitted.  The information for the
applications with a likelihood of funding is submitted "just-in-time"
for awards to be made.  This program announcement is incorporating
JIT procedures as described below.  Some sections are modified and
others in the application do not need to be completed for the
submission of the application, but WILL be requested if your
application receives a priority score in the fundable range.

Form DD - Page 4 - DETAILED BUDGET PLAN FOR INITIAL BUDGET PERIOD

Do not complete this form on page 4 of the PHS 398 (rev. 5/95).  It
is not required nor will it be accepted at the time of the
application.

Form EE - Page 5 - BUDGET FOR THE ENTIRE PROPOSED PROJECT

Do not complete the categorical budget table form on page 5 in the
PHS 398 (rev. 5/95).  Only the requested total direct costs for each
year and total direct costs for the entire proposed period of support
should be shown.  Begin the budget justification in the space
provided, using continuation pages as needed.

Budget Justification

o  List the name, role on project, and percent effort for all project
personnel (salaried or unsalaried) and provide a narrative
justification for each person based on his/her role on the project
and proposed level of effort.

o  Identify all consultants by name and organizational affiliation
and describe the services to be performed.

o  Provide a narrative justification for any major budget items,
other than personnel, that are requested for the conduct of the
project that would be considered unusual for the scope of the
research.  No specific costs for items or categories should be shown.

o  Indirect costs will be calculated at the time of the award using
the institution's actual indirect cost rate.  Applicants will be
asked to identify the indirect cost exclusions prior to award.

o  If consortium/contractual costs are requested, provide the
percentage of the subcontract total costs (direct and indirect)
relative to the total direct costs of the overall project.  The
subcontract budget justification should be prepared following the
instructions provided above.

Biographical Sketch - A biographical sketch is required for all key
personnel, following the modified instructions below.  Do not exceed
the two-page limit for each person.

o  Complete the education block at the top of the form page;

o  List current position(s) and those previous positions directly
relevant to the application;

o  List selected peer-reviewed publications directly relevant to the
proposed project, with full citation;

o  Provide information on research projects completed and/or research
grants participated in during the last five years that are relevant
to the proposed project.  Title, principal investigator, funding
source, and role on project must be provided.

Other Support - Do not complete the other support page (format page 7
of the PHS 398 (rev. 5/95)).  Information on active support for key
personnel will be requested prior to award.

Checklist - Do not submit the checklist page.  For amended
applications, applicants must complete the block in the upper right
corner of the face page to indicate the previous grant number.  A
completed checklist will be required prior to award.

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

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM 1040 -MSC-7710
BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for courier/overnight service)

In addition, to expedite the review of the application, submit two
additional exact photocopies of the application directly to:

Chief, Scientific Review Office
National Institute on Aging
Gateway Building Suite 2C212, MSC 9205
7201 Wisconsin Avenue
Bethesda, MD  20892-9205

In order not to delay review, it is important that applicants comply
with this request.

REVIEW CONSIDERATIONS

Small grant applications will be assigned on the basis of established
Public Health Service referral guidelines.  Applications will be
reviewed for scientific and technical merit by a review committee of
the National Institute on Aging, in accordance with the standard NIH
peer review procedures.  Applications will be evaluated with respect
to the following criteria:

o  Importance of the area to aging research

o  Feasibility of the proposed exploratory research

o  Likelihood of the proposed pilot project leading to the
development of an R01/R29 grant application, or significant
advancement of aging research.

o  Adequacy of approach and scientific originality and significance

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

o  Qualifications and research experience of the principal
investigator.

o  Availability of resources necessary for the research, including
any needed to supplement the budget.

o  The adequacy of the proposed means for protecting against or
minimizing potential adverse effects upon humans, animals, or the
environment.

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

AWARD CRITERIA

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

o  quality of the proposed project as determined by peer review;
o  availability of funds;
o  program priority.

INQUIRIES

Inquiries are encouraged.  The opportunity to clarify any issues or
questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Evan Hadley, M.D.
Geriatrics Program
National Institute on Aging
Gateway Building, Room 3E327
Bethesda, MD  20892-9205
Telephone:  (303) 435-3044
FAX:  (301) 402-1784
Email:  hadleye@gw.nia.nih.gov

Sherry Sherman, Ph.D.
Endocrinology and Musculoskeletal Branch
National Institute on Aging
Gateway Building, Room 3E327
Bethesda, MD 20892-9205
Telephone:  (301) 496-3048
FAX:  (301) 402-1784
Email:  shermans@gw.nia.nih.gov

Andre Premen, Ph.D.
Cardiovascular Research Program
National Institute on Aging
Gateway Building, Room 3E327
Bethesda, MD  20892-9205
Telephone:  (301) 496-6761
FAX:  (301) 402-1784
Email:  premena@gw.nia.nih.gov

Stanley L. Slater, M.D.
Geriatrics Program
National Institute on Aging
Gateway Building, Room 3E327
Bethesda, MD  20892-9205
Telephone:  (301) 496-6761
FAX:  (301) 402-1784
Email:  slaters@gw.nia.nih.gov

Direct inquiries regarding fiscal matters to:

Mr. David Reiter
Grants and Contracts Management Office
National Institute on Aging
Gateway Building, Suite 2N212
7201 Wisconsin Avenue MSC 9205
Bethesda, MD  20892
Telephone:  (301) 496-1472
FAX:  (301) 402-3672
Email:  David_Reiter@nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance No. 93.866.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410), as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

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NIA PILOT RESEARCH GRANT PROGRAM IN NEUROSCIENCE AND BIOLOGY

NIH GUIDE, Volume 26, Number 7, March 7, 1997

PA NUMBER:  PAR-97-040

P.T. 34; K.W. 1002030, 1002006, 0710010

National Institute on Aging

Application Receipt Dates:  March 17, July 17, November 17, 1997

PURPOSE

The National Institute on Aging (NIA) is seeking small grant (R03)
applications to: (1) stimulate and facilitate the entry of promising
new investigators into the neuroscience and biology of aging and (2)
encourage established investigators to enter new targeted, high
priority areas in these research fields.  This Small Grant (R03)
Program provides support for pilot research that is likely to lead to
a subsequent individual research project grant (R01) or a First
Independent Research Support and Transition (FIRST) (R29) award
application and /or a significant advancement of aging research.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas. This program
announcement, NIA Pilot Research Grant Program in Neuroscience and
Biology, is related to the priority areas of unintentional injuries,
diabetes and chronic disabling conditions, and immunization and
infectious diseases.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-11474-0 or
Summary Report:  Stock No. 017-001-11473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-512-1800).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic for-profit and non-profit
organizations, public and private, such as universities, colleges,
hospitals, laboratories, units of State and local governments, and
eligible agencies of the Federal government. Racial/ethnic minority
individuals, women, and persons with disabilities are encouraged to
apply as principal investigators. Foreign organizations and
institutions are not eligible. Participation in the program by
investigators at minority institutions is strongly encouraged.  Pilot
project grants awarded through this Program Announcement may not be
used to support thesis or dissertation research.

To be eligible for this award as a new investigator in aging, the
proposed Principal Investigator (PI) should be an independent
investigator at the beginning of her/his career.  If the applicant is
in the final stages of training, it is permissible to apply for an
R03 but awards cannot be made to anyone still in training status at
the time of award.  Established investigators proposing research
unrelated to a currently funded research program are also eligible to
apply for these grants.

MECHANISM OF SUPPORT

Applicants may request up to $50,000 (direct costs) for one year
through the small grant (R03) mechanism.  However, the grants will be
awarded under Expanded Authorities and are eligible for a single
one-year no cost extension.  These awards are not renewable.  Before
completion of the R03, investigators are encouraged to seek
continuing support for research through a research project grant
(R01) or FIRST (R29) award.

The award may not be used for salary support for the principal
investigator, but may be used to support the costs of technicians or
fellows to carry out the research.

Replacement of the Principal Investigator on this award is not
permitted. Revisions of applications previously reviewed under this
initiative but unfunded are not permitted.

RESEARCH OBJECTIVES

The Small Grant program is designed to support independent basic and
clinical scientists who are interested in entering the research
fields of the neuroscience or biology of aging.

Targeted aims

For 1997, investigators may apply for a small grant to support
research on one of the following topics relevant to aging research:

o  Age-related factors in HIV infection, latency, progression and
severity; and the susceptibility of the aging nervous system to HIV
infection and AIDS-associated opportunistic infections.

o  Immunobiology of aging including cellular and molecular
approaches, as well as neural and neuroendocrine mechanisms and
pathways modulating the aging immune system.

o  Molecular mechanisms regulating age-related alterations in gene
expression including transcriptional, post-transcriptional, and
translational processes and protein structural or conformational
changes in either neural or non-neural tissues.

o  Development of novel biological resources for aging research
(e.g., animal models, other models, molecular reagents and probes).

o  Basic underlying mechanisms of musculoskeletal aging (muscle,
bone, cartilage).

o  Molecular basis of cardiovascular aging.

o  Nutritional factors and aging.

o  Biology of age-related prostate growth.

o  Mechanisms underlying changes in sleep and circadian processes in
older organisms.

o  Neural mechanisms of age-related changes in attention and frontal
lobe executive processes.

o  Mechanisms underlying changes in sensory and motor processing in
the aging nervous system.

o  Novel tract-tracing procedures to identify age-related changes in
neuronal connections and degeneration in post-mortem tissues.

o  Investigations into neuroglia function in aging that examine
cellular and molecular factors controlling glial cell activation,
death, neurotransmitter receptor and transport functions, and
mitochondrial and other abnormalities leading to neuronal oxidative
damage.

Applications for support in areas other than those stated will be
returned to the proposed Principal Investigator without review. The
National Institute on Aging will modify the selected topic areas
annually by reissuing the program announcement. Information on other
initiatives supported by NIA may be found at the following internet
address: http://www.nih.gov/nia .

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 are
provided that inclusion is inappropriate with respect to the health
of the subjects or the purpose of the research.  This policy results
from the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43).

All investigators proposing research involving human subjects should
read the "NIH Guidelines for Inclusion of Women and Minorities as
Subjects in Clinical Research," which have been published in the
Federal Register of March 28, 1994 (FR 59 14508-14513) and in the NIH
Guide for Grants and Contracts, Vol. 23, No. 11, March 18, 1994.

APPLICATION PROCEDURES

Applications are to be submitted on the grant application form PHS
398 (rev. 5/95) and prepared according to the directions in the
application packet, with the exceptions noted below. Application kits
are available at most institutional offices of sponsored research and
may be obtained from the Division of Extramural Outreach and
Information Resources, National Institutes of Health, 6701 Rockledge
Drive, MSC 7910, Bethesda, MD 20892-7910, telephone (301) 435-0714,
Email: ASKNIH@ODROCKM1.OD.NIH.GOV.  On the face page of the
application: Item 2 Type "NIA PILOT RESEARCH GRANT PROGRAM IN
NEUROSCIENCE AND BIOLOGY". Check the "YES" box.

Only one Small Grant application may be submitted by a principal
investigator per receipt date.  Applicants may not submit R01 or R29
applications on the same topic concurrent (to be considered at the
same review cycle) with the submission of a Small Grant application.
The submission, review, and award schedule for this Small Grant
Program for 1997 is:

Application Receipt Dates:     Mar 17     Jul 17     Nov 17
Institute Committee Review:    Jun-Jul    Oct-Nov    Feb-Mar
Earliest Funding:              Sep 97     Jan 98     May 98

In a cover letter, identify the specific research topic relevant to
your research from the bulleted items in the RESEARCH OBJECTIVES
section of this program announcement.  Also indicate whether you are
a new investigator to aging or an established investigator entering a
new area of aging research.

Sections 1-4:  Do not exceed a total of ten pages for the following
sections:  specific aims, background and significance, progress
report/preliminary studies, and experimental design and methods.
Tables and figures are included in the ten page limitation.
Applications that exceed the page limitation or PHS requirements for
type size and margins  (Refer to PHS 398 application for details)
will be returned to the investigator.  The ten page limitation does
not include Sections 5-9 (Human Subjects, Consortia, Literature
cited).

"Just-in-Time" Instructions:

"Just-in-Time" (JIT) is an initiative of the National Institutes of
Health Extramural Reinvention Laboratory under the auspices of the
National Performance Review and government-wide efforts to create a
government that works better and costs less.  JIT postpones the
collection of certain information that previously was included in all
competing applications when submitted.  The information for the
applications with a likelihood of funding is submitted "just-in-time"
for awards to be made.  This delayed exchange of information
significantly relieves the administrative burden for the 75 to 80
percent of applicants who will not receive an award.  In addition,
the information that is exchanged "just-in-time" for award will be
current, rather than several months old as is currently the case
(which often necessitates a request for updated information, e.g.,
for other support).

Detailed Budget for Initial Budget Period - Do not complete form page
4 of the PHS 398 (rev. 5/95).  It is not required nor will it be
accepted at the time of application.  In some cases it may be
requested prior to award.

Budget for Entire Proposed Period of Support - Do not complete the
categorical budget table on form page 5 in the PHS 398 (rev. 5/95).
Only the requested total direct costs for each year and total direct
costs for the entire proposed period of support should be shown.
Begin the budget justification in the space provided, using
continuation pages as needed.

Budget Justification

o  List the name, role on project and percent effort for all project
personnel (salaried or unsalaried) and provide a narrative
justification for each person based on his/her role on the project
and proposed level of effort.

o  Identify all consultants by name and organizational affiliation
and describe the services to be performed.

o  Provide a narrative justification for any major budget items,
other than personnel, that are requested for the conduct of the
project that would be considered unusual for the scope of research.
No specific costs for items or categories should be shown.

o  Indirect costs will be calculated at the time of the award using
the institution's actual indirect cost rate.  Applicants will be
asked to identify the indirect cost exclusions prior to award.

o  If consortium/contractual costs are requested, provide the
percentage of the subcontract total costs (direct and indirect)
relative to the total direct costs of the overall project.  The
subcontract budget justification should be prepared following the
instructions provided above.

Biographical Sketch - Biographical sketches are required for all key
personnel, following the modified instructions below.  Do not exceed
the two-page limit for each person.

o  Complete the education block at the top of the form page;

o  List current position(s) and those previous positions directly
relevant to the application;

o  List selected peer-reviewed publications directly relevant to the
proposed project, with full citation;

o  Provide information on research projects completed and/or research
grants participated in during the last five years that are relevant
to the proposed project.  Title, principal investigator, funding
source, and role on project must be provided.

Other Support - Do not complete the other support page (format page 7
of the PHS 398 (rev. 5/95)).  Information on active support for key
personnel will be requested prior to award.

Checklist - Do not submit the checklist page. A completed checklist
will be required prior to award.

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

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM 1040-MSC-7710
BETHESDA, MD   20892-7710
BETHESDA, MD   20817 (for courier/overnight service)

In addition, to expedite the review of the application, submit two
additional exact photocopies of the application directly to:

Chief, Scientific Review Office
National Institute on Aging
Gateway Building Suite 2C212, MSC 9205
7201 Wisconsin Avenue
Bethesda, MD  20892-9205

In order not to delay review, it is important that applicants comply
with this request.  Amended applications will not be allowed.

REVIEW CONSIDERATIONS

Applications will be assigned on the basis of established Public
Health Service referral guidelines.  Applications will be reviewed
for scientific and technical merit by a review group of NIA, in
accordance with the standard NIH peer review procedures. Applications
will be evaluated with respect to the following criteria:

o  Importance of the area to aging research.

o  Feasibility of the proposed exploratory research.

o  Likelihood of the proposed pilot project leading to the
development of an R01/R29 grant application, or significant
advancement of aging research.

o  Adequacy of approach and scientific originality and significance.

o  Potential for high gain, perhaps with high risk.

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

o  Qualifications and research experience of the principal
investigator.

o  Availability of resources necessary for the research, including
any needed to supplement the budget.

o  The adequacy of the proposed means for protecting against or
minimizing potential adverse effects upon humans, animals, or the
environment.

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

AWARD CRITERIA

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

o  quality of the proposed project as determined by peer review
o  availability of funds
o  program priority

INQUIRIES

Inquiries are encouraged.  The opportunity to clarify any issues or
questions from potential applicants is welcome.

Direct inquiries regarding programmatic issues to:

Dr. David B. Finkelstein
Biology of Aging Program
Telephone:  (301) 496-6402
FAX:  (301) 402-0010
Email:  BAPquery@gw.nia.nih.gov

Dr. Judy Finkelstein
Neuroscience and Neuropsychology of Aging Program
Telephone:  (301) 496-9350
FAX:  (301) 496-1494
Email:  NNAquery@gw.nia.nih.gov

The address and general E-mail address for all the above is:

National Institute on Aging
Gateway Building, Suite 2C212
7201 Wisconsin Avenue MSC 9205
Bethesda, MD  20892
Email:  NIAPILOT@gw.nia.nih.gov

Direct inquiries regarding fiscal matters to:

Robert Pike
Grants and Contracts Management Office
National Institute on Aging
Gateway Building, Suite 2N212
7201 Wisconsin Avenue MSC 9205
Bethesda, MD  20892
Telephone:  (301) 496-1472
FAX:  (301) 402-3672
Email:  pikeR@gw.nia.nih.gov

AUTHORITY AND REGULATIONS

This program is described in the Catalogue of Federal Domestic
Assistance No. 93.866.  Awards are made under authorization of the
Public Health Service Act, Title IV, Part A (Public Law 78-410), as
amended by Public Law 99-158, 42 USC 241 and 285) and administered
under PHS grants policies and Federal Regulations 42 CFR 52 and 45
CFR Part 74.  This program is not subject to the intergovernmental
review requirements of Executive Order 12372 or Health Systems Agency
review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

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PIVOTAL CLINICAL TRIALS FOR CHEMOPREVENTION AGENT DEVELOPMENT

NIH GUIDE, Volume 26, Number 7, March 7, 1997

RFA:  CA-97-014

P.T. 34; K.W. 0715035, 0755015, 0740018

National Cancer Institute

Letter of Intent Receipt Date:  April 3, 1997
Application Receipt Date:  May 22, 1997

PURPOSE

The Division of Cancer Prevention and Control (DCPC), National Cancer
Institute (NCI) invites applications to further the drug development
efforts of the Chemoprevention Branch by carrying out
intermediate-sized Phase II/III efficacy trials of promising
chemopreventive agents in major cancer target organs, particularly
prostate, breast, lung, colon, and bladder.

Currently, most NCI-sponsored Phase II clinical trials enroll fewer
than 100 participants and evaluate a spectrum of potential SEBs as
study endpoints over a relatively brief study period (2 weeks 6
months).  This is in contrast to the large Phase III clinical
chemoprevention trials with tamoxifen, finasteride (Proscar), and
aspirin conducted under the direction of the Community Oncology &
Rehabilitation Branch or the Chemoprevention Branch which are
enrolling 10,000 22,000 participants and evaluating clinical
parameters, such as cancer incidence reduction, over many years.
This comparison emphasizes the need for Phase II/III chemoprevention
clinical trials of intermediate size and duration which are designed
to establish the efficacy of promising agents and the validity of the
most promising histopathologic and laboratory-based SEBs currently
held to be "reasonably certain" predictors of cancer prevention.
Because of the critical nature of the biomarkers used in Phases I IIb
of clinic al chemopreventive drug development, the careful scientific
conduct of these biomarker assessments is considered essential to
progress in chemoprevention.  Measurement of these biomarkers is
crucial.  It is anticipated that biomarkers validated through these
intermediate Phase II/III studies could be used in future efficacy
evaluations of new chemopreventive compounds and in clinical and
regulatory decision-making.

As described above, the intermediate-sized clinical trials supported
through this RFA are a pivotal decision point in the NCI
chemoprevention drug development program.  The consensus view of a
Working Group from the NCI and the FDA acknowledges that "the interim
analysis of a validated surrogate endpoint of cancer incidence may
facilitate the timely and cost-effective marketing of efficacious
drugs (Kelloff et al., Cancer Epidemiol. Biomark. Prev. 4:  1-10,
1995)."  Thus the efficacy and safety data from these studies
potentially supports FDA marketing approval (NDA applications) for
chemoprevention indications, and certainly facilitates decisions
regarding the most appropriate recommendations for subsequent large,
community-based efficacy studies.

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,
Pivotal Clinical Trials for Chemoprevention Agent Development, is
related to the priority area of cancer.  Potential applicants may
obtain a copy of "Healthy People 2000" (Full Report:  Stock No.
017-001-00474-0 or Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-512-1800).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of state and local
governments, and eligible agencies of the Federal government.
Applications from minority and women investigators are encouraged.
For those respondents affiliated with the Community Clinical Oncology
Program (CCOPs), it is suggested that proposals be submitted through
the CCOPs mechanism.

MECHANISM OF SUPPORT

This RFA will use the cooperative agreement (U01) mechanism. The
cooperative agreement is an assistance mechanism in which substantial
involvement of the NCI with the recipient is anticipated during the
performance of the planned activity.  The nature of the NCI's
involvement is described under SPECIAL REQUIREMENTS, 2.
Responsibility for the planning, direction, and execution of the
proposed project will be solely that of the applicant/awardee.

The total project period for applications submitted in response to
the present RFA may not exceed five years.  The anticipated award
date is September 1997.  This RFA is a one-time solicitation.  Future
unsolicited competitive continuation applications will compete with
all other investigator-initiated research applications and be peer
reviewed by a study section in the Division of Research Grants (DRG),
NIH.  However, if it is determined that there is a sufficient
continuing need, the NCI will invite recipients of awards made under
this RFA in FY 97 to submit competitive continuing applications for
review according to procedures described below under APPLICATION
PROCEDURES and REVIEW CONSIDERATIONS.

FUNDS AVAILABLE

Approximately $3 million in total costs for the first year of support
for the program will be committed specifically to fund applications
submitted in response to this RFA.  It is anticipated that 3-4 awards
will be made.  Because the nature and scope of the research proposed
in response to this RFA may vary, it is anticipated that the size of
the awards will vary also.  Awards and the 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
NCI, awards made pursuant to this RFA will be contingent on the
continued availability of funds for this purpose.

RESEARCH OBJECTIVES

Background

The purpose of this initiative is to enhance clinical cancer
prevention research.  This RFA seeks to build on information from
Chemoprevention Branch contract-supported agent identification,
preclinical testing, and Phase I and early Phase II clinical studies
of promising agents by supporting their continued systematic
development in longer, intermediate-sized Phase II/III clinical
trials.

The goals for these pivotal clinical studies comprise (1) expansion
and refinement of information from the smaller Phase II trials on
efficacy, participant recruitment and retention, adverse effects, and
acceptability of treatment over time; (2) validation of surrogate
endpoint biomarkers (SEBs) selected from experience in the Phase II
studies; and (3) diversification of the target populations for the
chemopreventive interventions.  Results of these pivotal clinical
trials may support New Drug Applications (NDAs) to the FDA, where
appropriate, for chemoprevention indications and larger
community-based cancer prevention clinical trials with incidence
reduction endpoints.

As our understanding of carcinogenesis increases, preventive
interventions become increasingly practical for many primary cancer
sites.  While prevention of carcinogen exposures and lifestyle
changes may eventually alter cancer incidence, pharmacologic
interventions offer an attractive approach with the potential for
more immediate results.  The drug development process for these
chemopreventive agents, in contrast to that for cancer therapy drugs,
has unique requirements because of the generally good health status
of their target populations, the anticipated long duration of use,
and the low level of acceptable toxicity.

The NCI's chemoprevention drug development program has the mission of
identifying safe and effective chemical agents for preventing human
cancer.  This program is an applied drug development science effort
with clinical trials as its endpoint.  It begins with the
identification of candidate agents for development and the
characterization of these candidates for efficacy using in vitro and
animal screens. Promising agents are then further tested in animal
models to explore their potential for clinical application, with
regard to both safety and efficacy.  The most successful agents then
progress to clinical trials.  The ultimate goal of this process is to
achieve accurate and reliable information on long-term efficacy and
safety that will support marketing approval and widespread clinical
use.

In contrast to the development of therapeutic agents, the
identification and validation of biomarkers characterizing the
neoplastic process are key aspects of the chemoprevention drug
development process.  SEBs are defined as measurable and modulatable
biological or chemical properties that are highly correlated to
cancer incidence and that may serve as indicators of the likely
incidence or progression of cancer.  While traditional Phase I drug
development studies focus on pharmacokinetics and tolerability of the
investigational agent, Phase I chemoprevention studies are designed
to develop and evaluate biologic markers of drug effect and SEBs,
besides obtaining required pharmacokinetic and safety information.
Phase II chemoprevention studies characterize dose-biomarker response
and more common chronic toxicities, to identify safe and effective
doses for further studies.  When clearly defined and standardized
biomarkers are not known, Phase IIa dose-response studies are
undertaken to evaluate the feasibility of candidate biomarker
measurements (for drug effects and/or SEBs) and to standardize assay
conditions and develop quality control procedures.  Phase IIb
chemoprevention studies are done subsequently to establish the
dose-response relationship of SEB modulation and the toxicities
associated with chronic administration in order to select a safe and
effective dose for Phase III clinical trials.

Scope and Objectives

This RFA will support Phase II/III randomized, placebo-controlled
clinical trials to evaluate the chemopreventive efficacy of selected
agents or regimens in target populations consistent with the Clinical
Development Plans of the DCPC Agent Development Committee (see
Journal of Cellular Biochemistry Supplement 20, 1994 and Supplement
26, 1996).  Investigators may propose any cohort, intervention, or
drug for which justification and developmental support can be
provided.  The following list is provided as an example only but for
which preclinical, early clinical, drug supply, and regulatory
support may be available:

1.  Prevention of colorectal adenomas in patients having a history of
colorectal adenomas or early stage colon carcinoma using selected
nonsteroidal antiinflammatory drugs (NSAIDs, including less toxic
derivatives), 2-difluoromethylornithine (DFMO), Oltipraz, or the
combinations of calcium with vitamin D or an NSAID and of DFMO with
an NSAID;

2.  Prevention of prostatic intraepithelial neoplasia (PIN), its
progression, and cancer incidence by antiandrogens (e.g., flutamide
or bicalutamide), vitamin E, selenium, the combination of vitamin E
with selenium, fluasterone (DHEA analog 8354), selected retinoids
[e.g., all-trans-N-(4-hydroxyphenylretinamide) (4-HPR) or
9-cis-retinoic acid], or 5`-reductase inhibitors (e.g., finasteride);

3.  Prevention of bronchial dysplasia, its progression, or second
primary upper aerodigestive cancer in patients with a history of
resected early stage NSCLC or laryngeal cancer by retinoids (e.g.,
4-HPR, 9-cis-retinoic acid or all-trans retinoic acid, possibly in
aerosolized formulations), Oltipraz, N-acetyl-l-cysteine (NAC), or
the combinations of Oltipraz with NAC or 4-HPR;

4.  Modulation of biomarkers (including mammographic patterns) and
new proliferative or precancerous lesions in patients with atypical
ductal or lobular hyperplasia or lobular carcinoma in situ by
anti-estrogens, retinoids (e.g., 4-HPR or 9-cis-retinoic acid),
fluasterone or low-dose DHEA, DFMO, or the combination of vitamin E
with selenium;

5.  Prevention of dysplastic oral leukoplakia, its progression, and
oral cancer by Oltipraz (in chronic smokers), 4-HPR, DFMO or
curcumin;

6.  Prevention of cervical intraepithelial neoplasia (CIN II/III),
its progression, and cervical cancers by 4-HPR, DFMO, Oltipraz, or
selected NSAIDs;

7.  Prevention of recurrence or new lesions in patients with Ta/T1
bladder carcinoma with or without TIS (post-BCG) by 4-HPR, DFMO, or
selected NSAIDs;

8.  Prevention of precancerous lesions in Barrett's esophagus, their
progression, and esophageal cancers by DFMO, retinoids, or Oltipraz.

9.  Progression of precancerous lesions of the skin, their
progression, and skin cancer by DFMO, retinoids or Curcumin.

Study endpoints should include changes in the most promising SEBs
(such as those in preinvasive disease or proliferative disease), the
development of new premalignant lesions, and, as appropriate, the
occurrence of new invasive cancers. This emphasis on SEBs requires
that the research team include strong collaborative support from the
areas of pathology, biochemistry and molecular biology, and cancer
biology and carcinogenesis.

The clinical trial design should include an adequate number of
participants and should be of sufficient duration to assure
statistical power to address the study questions of chemopreventive
efficacy, long-term safety and acceptability, and SEB validation.  To
this end, biostatistics and clinical trial design expertise should be
included from the first efforts in study planning and design.  Study
size and duration will vary according to specific study hypotheses,
target population, agent(s), and SEBs and other endpoints.

SPECIAL REQUIREMENTS

General

Currently, most NCI-sponsored Phase II clinical trials enroll fewer
than 100 participants and evaluate a spectrum of potential SEBs as
study endpoints over a relatively brief study period (2 weeks 6
months).  This is in contrast to the large Phase III clinical
chemoprevention trials with tamoxifen, finasteride (Proscar ), and
aspirin conducted under the direction of the Community Oncology and
Rehabilitation Branch or the Chemoprevention Branch which are
enrolling 10,000 22,000 participants and evaluating clinical
parameters, such as cancer incidence reduction, over many years.
This comparison emphasizes the need for Phase II/III chemoprevention
clinical trials of intermediate size and duration which are designed
to establish the efficacy of promising agents and the validity of the
most promising histopathologic and laboratory-based SEBs currently
held to be "reasonably certain" predictors of cancer prevention.
Because of the critical nature of the biomarkers used in Phases I IIb
of clinic al chemopreventive drug development, the careful scientific
conduct of these biomarker assessments is considered essential to
progress in chemoprevention.  Measurement of these biomarkers is
crucial.  It is anticipated that biomarkers validated through these
intermediate Phase II/III studies could be used in future efficacy
evaluations of new chemopreventive compounds and in clinical and
regulatory decision-making.

As described above, the intermediate-sized clinical trials supported
through this RFA are a pivotal decision point in the NCI
chemoprevention drug development program.  The consensus view of a
Working Group from the NCI and the FDA acknowledges that "the interim
analysis of a validated surrogate endpoint of cancer incidence may
facilitate the timely and cost-effective marketing of efficacious
drugs (Kelloff et al., Cancer Epidemiol.  Biomark.  Prev.  4:  1 10,
1995)."  Thus the efficacy and safety data from these studies
potentially supports FDA marketing approval (NDA applications) for
chemoprevention indications, and certainly facilitates decisions
regarding the most appropriate recommendations for subsequent large,
community-based efficacy studies.

Applications funded under this RFA will be supported through the
cooperative agreement (U01) mechanism.  An assistance relationship
will exist between NCI and the awardees to accomplish the research
objectives.  As described more fully below, the recipients will have
primary responsibility for the development and performance of the
activity.  However, there will be government involvement with regard
to (1) assistance in securing an Investigational New Drug (IND)
approval from the Food and Drug Administration (FDA), (2)
coordination and assistance in obtaining the chemopreventive agent,
and (3) monitoring of study safety and conduct.  If an investigator
anticipates requiring considerable assistance in obtaining the
chemopreventive agent and/or in securing an IND permit from the FDA,
such assistance should be sought in writing to and approved by the
NCI Program Director, prior to submitting an application.  Awards
will not be made until all arrangements for obtaining the IND and the
agent are  completed.  Cost of agent and necessary formulation should
be included in the budget.

Definitions

Program Director - the NCI Program Staff official (see INQUIRIES
section of this RFA) responsible for the stewardship and monitoring
of the award.  The Program Director may also function as the Staff
Collaborator.

Staff Collaborator - the NCI Program Staff Collaborator responsible
for contributing expert advice on the scientific design and conduct
of the research.

Data Safety and Monitoring Committee - the committee composed of
external, non-participating scientists appointed by the Principal
Investigator to monitor patient safety, conduct data audits, and
document progress to the NCI Program Director.

Terms and Conditions of Award

A. Applicability.  These special Terms and Conditions of Award are in
addition to and not in lieu of otherwise applicable OMB
administrative guidelines, HHS grant administration regulations in 45
CFR part 74 and 92, and other HHS, PHS and NIH grant administration
policy statements.

The administrative and funding instrument used shall be a cooperative
agreement, an "assistance" mechanism (rather than an "acquisition"
mechanism) in which substantial NCI scientific and/or programmatic
involvement with the awardee is anticipated during performance of the
activity.  Under the cooperative agreement, the NCI 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 the above concept, the dominant role and prime
responsibility for the activity reside 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
NCI Staff Collaborator

Under the cooperative agreement, a relationship will exist between
the recipient of these awards and the NCI, in which the performers of
the activities are responsible for the requirements and conditions
described below, and agree to accept program assistance from a named
NCI Staff Collaborator in achieving project objectives.

Failure of an awardee to meet the performance requirements, including
these special terms and conditions of award, or significant changes
in the level of performance, may result in a reduction of budget,
withholding of support, suspension and/or termination of the award.

B. Awardee Rights and Responsibilities.

The Awardee is responsible for:

1.  Research design and protocol development, including definition of
objectives and approaches, planning, implementation, participant
recruitment and follow-up, data collection, quality control, interim
data and safety monitoring, final data analysis and interpretation,
and publication of results.

2.  Establishing an external Data Safety and Monitoring Committee to
review data.  The Principal Investigator will name external,
non-participating investigators to serve as members on a Data Safety
and Monitoring Committee and schedule meetings periodically.  The NCI
Staff Collaborator will be a non-voting member.

3.  Designating Protocol Chairs.  The Principal Investigator shall
designate a single Protocol Chairperson (if the P.I. does not assume
this role).  The Protocol Chairperson shall function as the
scientific coordinator for the protocol and shall assume
responsibility for developing and monitoring the protocol.  All
proposed protocol modifications will be submitted by the Chair
through the Principal Investigator to the NCI Program Director, for
review and approval, subject to negotiation with the awardee.

4.  Implementing the data collection method and strategy.

5.  Establishing mechanisms for quality control and monitoring.
Awardees are responsible for ensuring accurate and timely assessment
of the progress of each study, including development of procedures to
ensure that data collection and management are:  (1) adequate for
quality control and analysis; (2) for clinical trials, as simple as
appropriate in order to encourage maximum participation of physicians
and patients and to avoid unnecessary expense; and (3) sufficiently
staffed.

6.  Submitting interim progress reports, when requested, to the NCI
Program Director including as a minimum, summary data on protocol
performance.  The Data Safety and Monitoring Committee may require
additional information. Such reports are in addition to the annual
awardee noncompeting continuation progress report.

7.  Establishing procedures, where applicable, to comply with FDA
regulations of 21 CFR Part 312 for studies involving investigational
agents and to comply with the requirements of 45 CFR Part 46 for the
protection of human subjects.  For IND's sponsored by the NCI, the
Principal Investigator is responsible for obtaining approval from
both the Institutional Review Board and the NCI Program Director to
enroll patients and to change the protocol.  The Principal
Investigator is also responsible for all aspects of investigational
drug acquisition, formulation, distribution, etc.

8.  Cooperating in the reporting of the study findings.  The NCI will
have access to and may periodically review all data generated under
an award.  Where warranted by appropriate participation, plans for
joint publication with NCI of pooled data and conclusions are to be
developed by the Principal Investigator, as applicable.  NIH policies
governing possible co-authorship of publications with NCI staff will
apply in all cases.  In general, to warrant co-authorship, NCI staff
must have contributed to the following areas:  (a) design of the
concepts or experiments being tested; (b) performance of significant
portions of the activity; and (c) preparation and authorship of
pertinent manuscripts.  The awardee(s) 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.

C. NCI Staff Responsibilities

It is expected that the dominant role and prime responsibility for
the activity will reside 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 NCI Staff
Collaborator who will provide expert advice to the awardee(s) on
specific scientific and/or analytic issues as described below.  The
NCI Staff Collaborator will be named later based upon the subject
matter of the award.  However, the NCI Program Director will retain
overall programmatic responsibility for the award and will be the
contact point for all facets of interaction with the awardee related
to stewardship and monitoring of the award.

NCI Program Staff responsibilities will include:

1.  Interacting with the Principal Investigator(s) on a regular basis
to monitor study progress.  Monitoring may include:  regular
communications with the Principal Investigator and staff, periodic
site visits for discussions with awardee research team, observation
of field data collection and management techniques, quality control,
fiscal review, and other relevant matters; as well as attendance at
Data Safety and Monitoring Committee and related meetings.  The NCI
retains, as an option, the right to act as Sponsor for an IND filed
to support the clinical research and to conduct periodic external
review of progress.

2.  Participating in the Data Safety and Monitoring Committee
meetings.  The NCI Staff Collaborator will be an invited attendee and
participant of the Data Safety and Monitoring Committee and, if
applicable, subcommittees, but will not have a vote on any committee.

3.  Serving as a resource with respect to other ongoing NCI
activities that may be relevant to the protocol to facilitate
compatibility and avoid unnecessary duplication of effort.

4.  Involvement assisting in the design and coordination of research
activities for awardees as elaborated below:

a. Assisting by providing advice in the management and technical
performance of the investigations, coordinating clearances for
investigational agents held by NCI.  The NCI reserves the right to
crossfile or independently file an Investigational New Drug
Application form with the FDA.

b. Through participation in meetings/correspondence of the research
team, with the agreement of the Principal Investigator, the NCI Staff
Collaborator may assist in the design, development, and coordination
of the research or clinical protocol, in the statistical evaluations
of data, in the preparation of questionnaires and other data
recording forms, and in the publication of results.

c. Reviewing and approving protocols to insure they are within the
scope of peer review and for safety considerations, as required by
Federal regulations.  The NCI Program Director will monitor protocol
progress, and may request that a protocol study be closed to accrual
for reasons including:  (a) accrual rate insufficient to complete
study in a timely fashion; (b) accrual goals met early; (c) poor
protocol performance; (d) patient safety and regulatory concerns; (e)
study results that are already conclusive; and (f) emergence of new
information that diminishes the scientific importance of the study
question. The NCI will not permit further expenditures of NCI funds
for a study after requesting closure (except for patients already
on-study).

d. Reviewing and providing advice regarding the establishment of
mechanisms for quality control and study monitoring.

5.  Making recommendations for continued funding based on: a) overall
study progress, including sufficient patient and/or data accrual; b)
cooperation in carrying out the research (e.g., attendance at Data
Safety and Monitoring Committee meetings, implementation of group
decisions, compliance with the terms of award and reporting
requirements); and/or c) maintenance of a high quality of research,
which will allow pooling of data and comparisons across multiple
cooperative agreement awards for common data elements.

D. Collaborative Responsibilities

In addition to the interactions defined above, NCI Staff and Awardees
shall share responsibility for the following activities:

1.  Data Safety and Monitoring Committee.  A Committee organized by
the Principal Investigator will be the main oversight body of the
clinical trial.  The Data Safety and Monitoring Committee has primary
responsibility to review progress, monitor patient accrual, data
management, and patient safety, and cooperate on the publication of
results. The Data Safety and Monitoring Committee will document
progress in written reports to the NCI Program Director, and will
provide periodic supplementary reports to designated NCI staff upon
request.

The Data Safety and Monitoring Committee will be composed of
external, non-participating peer Investigators, including those of
data coordinating/statistical centers, if any, and the NCI Staff
Collaborator.  An initial meeting of the Data Safety and Monitoring
Committee will be convened early after award by the Principal
Investigator.  The final structure of the Data Monitoring Committee
will be established at the first meeting; the Principal Investigator
will not be a member or routine attendee of the Committee after the
first meeting.  The NCI Staff Collaborator will have nonvoting
membership on the Committee, and as appropriate, its subcommittees.
Such a Committee usually will meet at least yearly.

A Chairperson, other than the NCI representative, will be selected by
a vote of the members.  The Chairperson is responsible for
coordinating the Committee activities, for preparing meeting agendas,
and for scheduling and chairing meetings.

E. Arbitration

Any disagreement that may arise on scientific/programmatic matters
(within the scope of the award), between award recipients and the NCI
may be brought to arbitration.  An arbitration panel will be composed
of three members -- one selected by the awardee, a second member
selected by NCI, and the third member selected by the two prior
selected members.  These special arbitration procedures in no way
affect the awardee's right to appeal an adverse action that is
otherwise appealable in accordance with PHS regulations at 42 CFR
Part 50, Subpart D, and HHS regulations at 45 CFR Part 16.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is NIH policy that women and members of minority groups and their
subpopulations must be included in all NIH-supported biomedical and
behavioral research projects involving human subjects, unless a clear
and compelling rationale and justification is provided that inclusion
is inappropriate with respect to the health of the subjects or the
purpose of the research.  This policy results from the NIH
Revitalization Act of 1993 (Section 492B of Public Law 10-43) and
supersedes and strengthens previous policies (Concerning the
Inclusion of Women in Study Populations), which have been in effect
since 1990.

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 published in the Federal
Register, March 28, 1994 (59 FR 14508-14513)  and in the NIH GUIDE
FOR GRANTS AND CONTRACTS, March 18, 1994, Volume 23, Number 11.

LETTER OF INTENT

Prospective applicants are asked to submit, by April 3, 1997, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the names of other key personnel, the participating
institutions, and the number and title of this RFA.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subsequent applications, it is requested
to provide an indication of the number and scope of applications and
to avoid conflict of interest in the review.

The letter of intent is to be sent to:

Gary J. Kelloff, M.D.
Division of Cancer Prevention and Control
National Cancer Institute
6130 Executive Boulevard, Suite 201
Bethesda, MD  20892
Rockville, MD 20852 (for express/courier services)
Telephone:  (301) 496-8563
FAX:  (301) 402-0553
Email:  kelloffg@dcpcepn.nih.nci.gov

APPLICATION PROCEDURES

The research grant application form PHS 398 (rev. 9/95) is to be used
for these cooperative agreements.  Applications kits are available at
most institutional offices of sponsored research and may be obtained
from the Division of Extramural Outreach and Information Resources,
National Institutes of Health, 6701 Rockledge Drive, MSC 7910,
Bethesda, MD 20892-7910, telephone 301/435-0714, email:
ASKNIH@odrockm1.od.nih.gov.

The RFA label available in PHS-398 must be affixed to the bottom of
the face page.  Failure to use this label could delay processing of
the application such that it may not reach the review committee in
time for review.  Additionally, the title of the RFA, PIVOTAL
CLINICAL TRIALS FOR CHEMOPREVENTION AGENT DEVELOPMENT and the RFA
number CA-97-014, must be typed in line 2 of the face page and the
YES box must be marked.

A signed, typewritten original of the application, including the
Checklist and three signed, clear, and single-sided photocopies must
be submitted in one package to:

DIVISION OF RESEARCH GRANTS
NATIONAL INSTITUTES OF HEALTH
6701 ROCKLEDGE DRIVE, ROOM 1040 - MSC 7710
BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for express/courier service)

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

Ms. Toby Friedberg
Division of Extramural Activities
National Cancer Institute
6130 Executive Boulevard, Room 636
Bethesda, MD  20892
Rockville, MD 20852 (for express/courier service)

Applications must be received by May 22, 1997.  If an application is
received after that date, it will be returned to the applicant
without review.  The Division of Research Grants (DRG) will not
accept any application in response to this RFA that is essentially
the same as one currently pending initial review, unless the
applicant withdraws the pending application.  The DRG will not accept
any application that is essentially the same as one already reviewed.
this does not preclude the submission of substantial revisions of
applications already reviewed, but such applications must include an
introduction addressing the previous critique.

Preparation of the Application

The general instructions provided in PHS-398 for the preparation of
applications must be used.  Because the Terms and Conditions of Award
(discussed in the SPECIAL REQUIREMENTS Section), will be included in
all awards issued as a result of this RFA, it is critical that each
applicant provide specific plans for responding to the terms and
conditions of award and requirements stated in the RFA. Plans must
take into account NCI staff involvement as well as how all the
responsibilities of awardees will be fulfilled.

The following items apply to all applications:

1.  Clinical trial designs should include an adequate number of
participants and should be of sufficient duration to assure
statistical power to address the study questions of chemopreventive
efficacy, long-term safety and acceptability, and surrogate endpoint
biomarker (SEB) validation.  To this end, biostatistics and clinical
trial design expertise should be included from the first efforts in
study planning and design.

2.  A discussion of the evaluation of SEBs, including relevance to
the test agent and target population should be provided.

3.  A rationale for each test agent should be provided, including
relevant epidemiological and laboratory data. Preclinical and
clinical toxicity data should also be presented.  Where the
availability or safety of the agent are in doubt, the applicant
should consult with the NCI Program Director or the manufacturer
prior to preparing the application.  As noted above, applicants
anticipating the need of considerable assistance in obtaining the
chemopreventive agent(s) to be studied or in securing IND approval,
e.g. with respect to adequate preclinical toxicology data, should
seek this assistance from the NCI Program Director in writing.  The
request should be made to the Program Director prior to submission of
the application.

4.  A rationale for selection of the target patient cohort and an
estimate of the number of participants required to complete the
clinical studies should be provided.  Criteria and calculations used
to estimate sample size should be included.  The patient cohort
should be described and its selection justified.  The cohort should
be defined, as appropriate by age, sex, race, dietary customs,
education, geographic location, occupational or lifestyle risk
factors, and relevance to a specific cancer problem or its prevention
by the test agent.  Accrual rate should be estimated.  If multiple
institutions are involved, the proposal should include verification
of the co-investigators' willingness to participate, and pertinent
additional information regarding the cooperating institutions' staff
qualifications, resources, research plans, including patient
availability and data flow, as well as corresponding budget
requirements.

5.  Clinical chemistry and biologic aspects of the studies should be
completely described, including sample collection, storage, handling,
analysis, and quality control.  The methods and equipment to be used
and the technical qualifications and experience of the personnel
involved should be addressed.  If these aspects of the studies are to
be conducted by groups other than at the applicant's institution, a
letter from the cooperating institutions indicating their willingness
to participate should be included.

6.  Any known or potential toxicity considerations should be
described, along with the techniques and procedures to monitor any
adverse events and dose modifications to be made based on toxicity.

7.  Methods to monitor patient compliance and, as appropriate,
methods to document nutrient intake should be specified.

8.  A willingness to work cooperatively with the NCI Program Director
in the implementation and conduct of the study should be indicated.

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

REVIEW CONSIDERATIONS

A. Review Procedures

Upon receipt, applications will be reviewed by the Division of
Research Grants (DRG) for completeness and by the NCI for
responsiveness.  Incomplete and/or non-responsive applications will
be returned to the applicant without further consideration.

Applications that are complete and responsive to the Request for
Applications will be evaluated for scientific and technical merit in
accordance with the review criteria stated below by an appropriate
peer review group convened by the NCI.  As part of the initial merit
review, all applications will receive a written critique and may
undergo a process in which only those applications deemed to have the
highest scientific merit will be discussed, assigned a priority
score, and receive a second level review by the National Cancer
Advisory Board.

The review group will assess the scientific merit of the studies
using the following review criteria:

B. Review Criteria

Review Criteria for the Proposed Clinical Trial

o  Scientific merit of the proposed research.  This includes design,
methodology (including considerations of toxicity, quality assurance,
endpoint analyses, and power), and the clinical study protocol.

o  The significance and importance of the objectives.  Basic and
clinical scientific significance, as well as originality of the
proposed research.  Particularly important are the definition of the
high-risk target populations and the evaluation biomarkers relative
to clinical interventions.

o  Documentation of relevant prior successful accrual.

o  The qualifications of the Principal Investigator to serve as both
the scientific and administrative leader of the proposed research.
The Principal Investigator should be an established scientist with a
substantial record of independent research.

o  The adequacy of the commitment (percent effort) of the
Principal Investigator to the proposed research.  There
should be a specific commitment to both the scientific and
administrative aspects of the proposed research though it is
not mandatory that the Principal Investigator be a project
leader of an individual research project.

o  The qualifications of Co-Investigators and support
personnel.

o  The presence of an organizational and administrative
structure appropriate for effective attainment of the
proposed research objectives.

o  The mechanisms for internal quality control of the
research.

o  The institutional environment in which the research is
conducted, including the availability of space, equipment
and patients as well as the physical proximity of
participants.  For applications involving more than one
institution, the mechanisms for assuring close coordination
and interaction are evaluated.

o  The adequacy of the proposed means for early detection of
and protection against potential adverse effects upon humans
and the environment.

o  The appropriateness of the statistical design and
mechanism for the rigorous management and verification of
research data.  Adequacy of methods for data and tissue
collection and analysis.  Documentation of validated
bioanalytical procedures (method sensitivity, specificity,
quality control, etc.) and of prior experience with
endpoints to-be-evaluated.

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

o  The appropriateness of the budget.  A realistic budget
reflects the project leader's understanding of the scope of
work.

o  Adequacy of plans for NCI Program staff involvement with
the proposed research.

AWARD CRITERIA

The earliest feasible start date for the initial awards will
be September 1997.  Besides technical merit, NCI will base
funding decisions on how well the applicant institutions
meet the goals and objectives of the program described in
the RFA, as well as on availability of resources and study
populations.

INQUIRIES

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

Inquiries regarding programmatic issues may be directed to:

Gary J. Kelloff, M.D.
Division of Cancer Prevention and Control
National Cancer Institute
6130 Executive Boulevard, Suite 201
Bethesda, MD  20892
Rockville, MD  20852 (for express/courier service)
Telephone:  (301) 496-8563
FAX:  (301) 402-0553
Email:  kelloffg@dcpcepn.nih.nci.gov

Inquiries regarding fiscal matters may be addressed to:

Ms. Carolyn Mason
Grants Administration Branch
National Cancer Institute
6120 Executive Boulevard, Suite 243
Bethesda, MD  20892
Rockville, MD  20852 (for express/courier service)
Telephone:  (301) 496-7800 Ext. 259

AUTHORITY AND REGULATIONS

This program is described in the Catalog of Federal Domestic
Assistance Number 93.399, Cancer Control.  Awards will be made under
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 258); and
administered under PHS grant policies and Federal Regulations 42 CFR
Parts 52 and 45 CFR Part 74.  This program is not subject to the
intergovernmental review requirement of Executive Order 12372 or
Health Systems Agency review.

The PHS strongly encourages all grant and contract recipients to
provide a smoke-free workplace and promote the non-use of all tobacco
products.  In addition, Public Law 103-227, the Pro-Children Act of
1994, prohibits smoking in certain facilities (or in some cases, any
portion of a facility) in which regular or routine education,
library, day care, health care or early childhood development
services are provided to children.  This is consistent with the PHS
mission to protect and advance the physical and mental health of the
American people.

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CHEMOPREVENTION IN GENETICALLY-IDENTIFIED HIGH-RISK GROUPS:
INTERACTIVE RESEARCH AND DEVELOPMENT PROJECTS

NIH GUIDE, Volume 26, Number 7, March 7, 1997

RFA:  CA-97-005

P.T. 34; K.W. 0740018, 0745003, 0715035, 0411005, 0710030

National Cancer Institute

Letter of Intent Receipt Date:  April 3, 1997
Application Receipt Date:  May 22, 1997

PURPOSE

The purpose of this initiative is to establish integrated,
multidisciplinary research programs that define and evaluate
chemopreventive strategies in asymptomatic subjects at high risk for
cancer.  This Request for Applications (RFA) seeks programs with
administrative core functions supporting at least three independent
but integrated research projects that share a common focus directed
at designing and evaluating chemopreventive strategies in high-risk
cohorts.  This includes groups with on-going administrative clinical
trials core functions and laboratory support such as cooperative
groups, CCOP Research Bases and NCI designated cancer centers.  At
least two of the individual projects must involve Phase I/II or Phase
II clinical chemoprevention trials or translational research needed
for chemoprevention applications.

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,
Chemoprevention in Genetically-Identified High-Risk Groups:
Interactive Research and Development Projects, is related to the
priority area of cancer.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0 or
Summary Report:  Stock No. 017-001-00473-1) through the
Superintendent of Documents, Government Printing Office, Washington,
DC 20402-9325 (telephone 202-512-1800).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic for-profit and non-profit
organizations, public and private, such as universities, colleges,
hospitals, laboratories, units of state and local governments, and
eligible agencies of the Federal government.  Applications from
minority and women investigators are encouraged.  For those
respondents affiliated with the Community Clinical Oncology Program
(CCOPs), it is suggested that applications be submitted through the
CCOPs mechanism.

MECHANISM OF SUPPORT

This RFA will use the research program cooperative agreement (U19)
mechanism.  The U19 is essentially the cooperative agreement version
of the P01 (Program Project Grant) funding mechanism.  Therefore the
applicant should use the NCI P01 guidelines in preparing the
application.  The P01 guidelines are available from the NCI Referral
Officer (Ms. Toby Friedberg), listed under APPLICATION PROCEDURES.
The cooperative agreement is an assistance mechanism in which
substantial involvement of the NCI program with the recipient is
anticipated during the performance of the planned activity.  The
nature of the NCI's involvement is described under SPECIAL
REQUIREMENTS and in the TERMS AND CONDITIONS section.  Responsibility
for the planning, direction, and execution of the proposed project
will be solely that of the awardee.

The U19 cooperative agreement builds on the leadership of a key
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.  Individual investigators may apply their
specialized research capabilities to basic, developmental, and
clinical aspects, as they relate to the focused, central theme of the
overall project.  This grant mechanism also offers a way to achieve
economy of effort through the sharing of personnel, facilities,
equipment, data, ideas, and concepts.

The total project period for applications submitted in response to
the present RFA may not exceed five years.  The anticipated award
date is September 1997.  This RFA is a one-time solicitation.  Future
unsolicited competitive continuation applications will compete with
all other investigator-initiated research applications and be peer
reviewed by a study section in the Division of Research Grants (DRG),
NIH.  However, if it is determined that there is a sufficient
continuing need, the NCI will invite recipients of awards made under
this RFA in FY 97 to submit competitive continuing applications for
review according to procedures described below under APPLICATION
PROCEDURES and REVIEW CONSIDERATIONS.

FUNDS AVAILABLE

Approximately $3 million in total costs for support of the first year
of the program will be committed specifically to fund applications
submitted in response to this RFA.  It is anticipated that three to
four awards will be made.  Because the nature and scope of the
research proposed in response to this RFA may vary, it is anticipated
the sizes of awards will vary also.  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
NCI, awards made pursuant to this RFA will be contingent on the
continued availability of funds for this purpose.

RESEARCH OBJECTIVES

Background

High risk for cancer may be attributable to inherited or acquired
genetic lesions, lifestyle or environmental factors, or combinations
of these parameters.  Program components include, but are not limited
to (1) definition of cohorts, (2) identification and characterization
of early precancerous lesions/biomarkers that may contribute to
defining cohorts, serve as endpoints for clinical studies, or both,
and (3) clinical studies to evaluate the chemopreventive strategies.
Successful programs will require expertise in general and molecular
cancer epidemiology, genetics, molecular biology, descriptive and
quantitative pathology, pharmacology, oncology, and clinical science
with attendant capabilities in biostatistics, bioanalytical
methodologies, data management and clinical trials management.
Support of the translational research needed to bring relevant basic
research findings to clinical application in the high-risk cohorts is
a major objective.

Increasing knowledge of the 20 40 year process of human
carcinogenesis is providing many new opportunities for early
intervention and prevention, and, specifically, for chemoprevention.
A significant part of this knowledge is the association of increased
cancer risk with inherited or acquired genetic lesions.  Genetic
predisposition includes well-characterized germline mutations, many
of which are associated with lost tumor suppressor function.
Examples are APC (familial adenomatous polyposis leading to
colorectal cancer), BRCA1 and BRCA2 (breast and ovarian cancers), and
p53 mutations resulting in Li-Fraumeni syndrome (multiple cancers
including breast, colorectal, brain and leukemia).  Other
cancer-predisposing genes such as MLH1 and MSH2 (both linked to
hereditary nonpolyposis colon cancer) cause defective DNA repair.
Also, recent cancer epidemiology and pharmacogenetic studies have
suggested the importance of genetic polymorphisms affecting the
ability to detoxify carcinogens e.g., glutathione S-transferase
(GSTM1, GSTM2, GSTP1), N-acetyltransferase (NAT1, NAT2), cytochrome
P450 (CYP450IAI), and steroid 5 alpha-reductase type II (SRD5A2).
Mutations and changes in expression of tumor suppressors acquired
during carcinogenesis are also important.  Similarly, oncogenes and
growth factors activated by mutation or overexpressed during
carcinogenesis (e.g., ras, EGFR, c-erbB2) are significant genetic
lesions in cancer as are mutations in cyclin and cyclin-related genes
implicated in cell cycle control. Besides these specific genetic
lesions, general indicators of genetic susceptibility have been
developed, for example, mutagen sensitivity as measured by
bleomycin-induced DNA break frequency.  Although it is not likely
that any of these lesions will be eradicated by chemopreventive
agents, their presence and activity may be decreased by damping the
signal transduction pathways in which they participate, thereby
selecting against proliferation of progeny cells containing the
lesions or inducing apoptosis in these cells.

Environmental, hormonal, lifestyle and other etiological factors
contribute to cancer risk and may enhance the risks from genetic
predisposition.  It is estimated that while approximately 5 percent
of cancers are due to genetic predisposition and 15 percent occur
spontaneously, the remaining 80 percent are attributable to the
environment and environmental-genetic interactions.  Chemoprevention
strategies should be useful in these situations to reduce mutational
frequency and clonal evolution.  For example, smokers who are
continually exposed to gene-damaging agents may be good candidates
for chemopreventive intervention with antimutagens.  Also, women at
high risk for breast cancer may benefit from chemopreventive
intervention that controls breast cell proliferation.

Scope and Objectives

The purpose of this initiative is establishment of integrated,
multidisciplinary research programs that define and evaluate
chemopreventive strategies in subjects at high risk for cancer.  This
RFA is seeking programs with administrative core functions supporting
at least three independent research projects which share a common
focus directed at designing and evaluating chemopreventive strategies
in high-risk cohorts.  Program components might include, but are not
limited to groups with on-going administrative clinical trials core
functions and laboratory support such as cooperative groups, CCOP
Research Bases and NCI designated cancer centers.

The programs should be directed to further characterizing and
defining high-risk cohorts for major cancers, such as those listed
above.  High-risk may be defined by clinical and epidemiological
criteria, linkage analysis or DNA testing or combinations of these
parameters.  Applications using clinical criteria or linkage analysis
should include provisions for tissue collection and storage for
future DNA testing.  Applicants are strongly encouraged to pursue
research objectives consistent with the Clinical Development Plans
for chemopreventive agents published by the NCI, DCPC Agent
Development Committee (see Journal of Cellular Biochemistry
Supplement 20, 1994 and Supplement 26, 1996) for which preclinical
efficacy and toxicity information has been developed and for which
IND support and drug are available.  However, applications should
reflect the interests and insights of the investigators.  Examples of
theme areas for which projects may be proposed, for the purpose of
illustration only, might include the following:

1.  Women at high risk for breast cancer with atypical epithelial
hyperplasia or epithelial hyperplasia and one or more of aneuploidy,
elevated PCNA, EGFR or hormone receptors, or mutated p53 by baseline
fine-needle aspiration cytology might be randomized to
chemopreventive treatment and placebo groups.  Primary endpoints of
treatment might include cytology, nuclear/nucleolar morphometry,
PCNA, EGFR or hormone receptors, p53, and apoptosis (bcl-2/bax).
Additional areas of investigation could include genetic analysis of
BRCA-1, -2 relative to function and penetrance, LOH at 11q12-13,
methylation, other risk factor analysis (e.g., hormone receptor
types), and surveillance (e.g., as related to DCIS, LCIS, and ovarian
cancer), or other basic research questions explored using animal
model or cell culture techniques.  Correlative studies using NMR,
digital imaging mammography, sonoelastography, neoangiogenesis MRI,
etc.  could also be undertaken.

2.  Patients with familial adenomatous polyposis coli who are found
at baseline colonoscopy endoscopic biopsy to have 100 or more
colorectal adenomas or APC truncation mutation and 10 or more
colorectal polyps of which two or more are adenomas might be
randomized to chemopreventive treatment (or compare treatments) and
placebo groups.  Primary endpoints of treatment might include colon
polyp incidence, colon crypt proliferation kinetics, and apoptosis.
Additional areas of investigation could include translational
research involving the MIN and MSH mouse models and analysis of COX2
modulation through MIN and MOM pathways, analysis of aberrant crypt
formation and zonal proliferation, and other areas relevant to HNPCC
and mutational spectra.

3.  Former smokers (30 or more pack years) with moderate/severe
bronchial dysplasia on fluorescence bronchoscopy and random bronchial
biopsy might be randomized to chemopreventive treatment and placebo
groups.  In addition to the primary endpoint of treatment, bronchial
dysplasia grade, investigations might include nuclear polymorphism,
ploidy, LOH at 3p and 5q, p53, rb, CDKN2, microsatellite instability,
PCNA, telomerase, apoptosis, and GST.  These investigations might be
undertaken in biopsy material and in the context of developing
transgenic animal models for lung dysplasia/cancer showing high
frequencies of tumor mutations.

At least two of the individual projects must be Phase I/II or Phase
II clinical chemoprevention trials or translational research needed
for chemoprevention applications.  Phase II studies should include
molecular biomarkers or other intermediate biomarkers as surrogate
endpoints for cancer incidence (cancer incidence may be beyond the
scope and/or duration of this initiative for most clinical
situations). Translational research projects will primarily involve
the characterization, quantitation and evaluation of the early
molecular biomarkers that identify high-risk cohorts and serve as
surrogate endpoints for cancer incidence in chemoprevention trials in
these populations.  The programs will build on existing resources for
identifying and recruiting participants to the clinical studies
(e.g., genetic testing programs, risk registries).

The NCI will conduct a safety and protocol review of the studies
prior to their initiation.  This review is required to assure that
all safety, conduct, monitoring, and reporting conform to FDA IND
guidelines.  The awardee institutions and Principal Investigators
must agree to comply with the recommendations of the review.

Core functions provided in the programs might include (1) tissue
storage for later analysis, (2) a data management system with
validated statistical and quality assurance procedures, and (3)
safety and conduct monitoring of clinical trials with oversight by
scientists with expertise in genetic and epidemiological research.

SPECIAL REQUIREMENTS

General

High risk for cancer may be attributable to inherited or acquired
genetic lesions, lifestyle or environmental factors, or combinations
of these parameters.  This initiative is to establish integrated,
multidisciplinary research programs around a theme in an area of
defining and evaluating chemopreventive strategies in subjects at
high risk for cancer, including but not limited to, the definition of
cohorts, the identification and characterization of early
precancerous lesions/biomarkers for both cohort identification and
endpoint analysis, and the clinical evaluation of chemopreventive
strategies.  This RFA is seeking programs with administrative core
functions supporting at least three independent but integrated
research projects which share a common focus directed at designing
and evaluating chemopreventive strategies in high-risk cohorts.
Studies may involve multiple institutions.  This includes groups with
on-going administrative clinical trials core functions and laboratory
support such as cooperative groups, CCOP Research Bases and NCI
designated cancer centers.  At least two of the individual projects
must involve Phase I/II or Phase II clinical chemoprevention trials
or translational research needed for chemoprevention applications.

Applications funded under this RFA will be supported through the
cooperative agreement (U19) mechanism.  An assistance relationship
will exist between NCI and the awardees to accomplish the research
objectives.  It is expected that each submission will describe plans
for a mixture of basic, developmental, and clinical research
activities, all directed to the meet the objectives of this RFA.  As
described more fully below, the recipients will have primary
responsibility for the development and performance of the research
activities.  However, there will be government involvement,
particularly on clinical studies, with regard to (1) assistance in
securing an Investigational New Drug (IND) approval from the Food and
Drug Administration (FDA), (2) coordination and assistance in
obtaining the chemopreventive agent, and (3) monitoring of study
safety and conduct.  If an investigator anticipates requiring
considerable assistance in obtaining the chemopreventive agent and/or
in securing an IND perm it from the FDA, documentation of such
assistance from the NCI should be obtained, prior to submitting an
application.  Awards will not be made until all arrangements for
obtaining the IND and the agent are completed.  Cost of agent and
necessary formulation should be included in the budget.

Definitions

Program Director - the NCI Program Staff official (see INQUIRIES
section if this RFA) responsible for the stewardship and monitoring
of the award.  The Program Director may also function as the Staff
Collaborator.

Staff Collaborator - the NCI Staff Collaborator responsible for
contributing expert advice on the scientific design and conduct of
the research.

Advisory Committee - the committee composed of external,
non-participating scientists appointed by the Principal Investigator
to oversee the research activities and provide advice to the
Principal Investigator who is responsible for reporting progress to
the NCI Program Director.

Data Safety and Monitoring Committee - Composed of external,
non-participating scientists assigned by the NCI Program Director to
monitor patient safety, conduct data audits, and document progress to
the NCI Program Director and Advisory Committee.

Terms and Conditions of Award

A. Applicability.  These special Terms and Conditions of Award are in
addition to and not in lieu of otherwise applicable OMB
administrative guidelines, HHS grant administration regulations in 45
CFR part 74 and 92, and other HHS, PHS and NIH grant administration
policy statements.

The administrative and funding instrument used shall be a cooperative
agreement, an "assistance" mechanism (rather than an "acquisition"
mechanism) in which substantial NCI scientific and/or programmatic
involvement with the awardee is anticipated during performance of the
activity.  Under the cooperative agreement, the NCI 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 the above concept, the dominant role and prime
responsibility for the activity reside 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
NCI Staff Collaborator.

Under the cooperative agreement, a relationship will exist between
the recipient of these awards and the NCI, in which the performers of
the activities are responsible for the requirements and conditions
described below, and agree to accept program assistance from a named
NCI Staff Collaborator in achieving project objectives.

Failure of an awardee to meet the performance requirements, including
these special terms and conditions of award, or significant changes
in the level of performance, may result in a reduction of budget,
withholding of support, suspension and/or termination of the award.

B. Awardee Rights and Responsibilities.

The Awardee is responsible for:

1.  Research design and protocol development, including definition of
objectives and approaches, planning, implementation, participant
recruitment and follow-up, data collection, quality control, interim
data and safety monitoring, final data analysis and interpretation,
and publication of results.

2.  Establishing an external Advisory Committee to oversee projects
and review data.  The Principal Investigator will name external,
non-participating investigators to serve as members on an Advisory
Committee and schedule meetings periodically.  The NCI Staff
Collaborator will be a non-voting member.

3.  Designating Clinical Study Protocol Chairs.  The Principal
Investigator shall designate a single Protocol Chairperson (if the
P.I. does not assume this role) for each protocol within the
described research plan.  The Protocol Chairperson shall function as
the scientific coordinator for the protocol and shall assume
responsibility for developing and monitoring the protocol.  All
proposed protocols and modifications will be submitted by the Chair
through the Principal Investigator to the NCI Program Director, for
review and approval, subject to negotiation with the awardees.

4.  Implementing the data collection method and strategy.

5.  Establishing mechanisms for quality control and monitoring.
Awardees are responsible for ensuring accurate and timely assessment
of the progress of each study, including development of procedures to
ensure that data collection and management are:  (1) adequate for
quality control and analysis; (2) for clinical trials, as simple as
appropriate in order to encourage maximum participation of physicians
and patients and to avoid unnecessary expense; and (3) sufficiently
staffed.

6.  Submitting interim progress reports, when requested, to the NCI
Program Director including as a minimum, summary data on protocol
performance.  The Advisory Committee may require additional
information.  Such reports are in addition to the annual awardee
noncompeting continuation progress report.

7.  Establishing procedures, where applicable, to comply with FDA
regulations of 21 CFR Part 312 for studies involving investigational
agents and to comply with the requirements of 45 CFR Part 46 for the
protection of human subjects.  For IND's sponsored by the NCI, the
Principal Investigator is responsible for obtaining approval from
both the Institutional Review Board and the NCI Program Director to
enroll patients and to change the protocol.  The Principal
Investigator is also responsible for all aspects of investigational
drug acquisition, formulation, distribution, etc.

8.  Cooperating in the reporting of the study findings.  The NCI will
have access to and may periodically review all data generated under
an award.  Where warranted by appropriate participation, plans for
joint publication with NCI of pooled data and conclusions, are to be
developed by the Principal Investigator or Advisory Committee, as
applicable. NIH policies governing possible co-authorship of
publications with NCI staff will apply in all cases.  In general, to
warrant co-authorship, NCI staff must have contributed to the
following areas:  (a) design of the concepts or experiments being
tested; (b) performance of significant portions of the activity; and
(c) preparation and authorship of pertinent manuscripts.  The
awardee(s) 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.

C. NCI Staff Responsibilities

It is expected that the dominant role and prime responsibility for
the activity will reside 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 NCI Staff
Collaborator who will provide expert advice to the awardee on
specific scientific and/or analytic issues as described below.  The
NCI Staff Collaborator will be named later based upon the subject
matter of the award.  However, the NCI Program Director will retain
overall programmatic responsibility for the award and will be the
contact point for all facets of interaction with the awardee related
to stewardship and monitoring of the award.

NCI Staff responsibilities will include:

1.  Interacting with the principal investigator(s) on a regular basis
to monitor study progress Monitoring may include:  regular
communications with the principal investigator and staff, periodic
site visits for discussions with awardee research teams, observation
of field data collection and management techniques, quality control,
fiscal review, and other relevant matters; as well as attendance at
Advisory Committee and related meetings.  The NCI retains, as an
option, the right to act as Sponsor for an IND filed to support the
clinical research and to conduct periodic external review of
progress.

2.  Participating in the Advisory Committee meetings.  The NCI Staff
Collaborator will be an invited attendee and a participant on the
Advisory Committee and, if applicable, subcommittees, but will not
have a vote on any committee.

3.  Serving as a resource with respect to other ongoing NCI
activities that may be relevant to the protocol to facilitate
compatibility and avoid unnecessary duplication of effort.

4.  Involvement assisting in the design and coordination of research
activities for awardees as elaborated below:

a. Assisting by providing advice in the management and technical
performance of the investigations, coordinating clearances for
investigational agents held by NCI.  The NCI reserves the right to
crossfile or independently file an Investigational New Drug
Application form with the FDA.

b. Through participation in the Advisory Committee and with the
agreement of the Principal Investigator, the NCI Staff Collaborator
may assist in the design, development, and coordination of the
research or clinical protocol, in the statistical evaluations of
data, in the preparation of questionnaires and other data recording
forms, and in the publication of results.

c. Reviewing and approving protocols to insure they are within the
scope of peer review and for safety considerations, as required by
Federal regulations.  The NCI Program Director will monitor protocol
progress, and may request that a protocol study be closed to accrual
for reasons including:  (a) accrual rate insufficient to complete
study in a timely fashion; (b) accrual goals met early; (c) poor
protocol performance; (d) patient safety and regulatory concerns; (e)
study results that are already conclusive; and (f) emergence of new
information that diminishes the scientific importance of the study
question. The NCI will not permit further expenditures of NCI funds
for a study after requesting closure (except for patients already
on-study).

d. Reviewing and providing advice regarding the establishment of
mechanisms for quality control and study monitoring.

5.  Making recommendations for continued funding based on: a) overall
study progress, including sufficient patient and/or data accrual; b)
cooperation in carrying out the research (e.g., attendance at
Advisory Committee meetings, implementation of group decisions,
compliance with the terms of award and reporting requirements);
and/or c) maintenance of a high quality of research, which will allow
pooling of data and comparisons across multiple cooperative agreement
awards for common data elements.

D. Collaborative Responsibilities

In addition to the interactions defined above, NCI Staff and Awardees
shall share responsibility for the following activities:

1.  Advisory Committee.  An Advisory Committee organized by the
Principal Investigator will be the main oversight body of the
proposed research.

The Advisory Committee has primary responsibility to oversee research
activities and provide advice to the Principal Investigator.  The
Principal Investigator will document progress in written reports to
the NCI Program Director, and will provide periodic supplementary
reports upon request.

The Advisory Committee will be composed of external,
non-participating peer Investigators, including the NCI Staff
Collaborator.  An initial meeting of the Advisory Committee will be
convened early after award by the Principal Investigator.  The final
structure of the Advisory Committee will be established at the first
meeting.  The NCI Staff Collaborator will attend and participate in
the Advisory Committee, and as appropriate, its subcommittees but
will not be a voting member of any committee.  Such a committee
usually will meet at least yearly.

2.  Data Safety and Monitoring Committee.  The NCI Program Director
will facilitate and the awardee shall allow for interim data auditing
and patient safety monitoring.  The Data Safety and Monitoring
Committee may assist in clinical protocol coordination and IND
submission, subject to discussion with the Principal Investigator,
and will review interim results periodically and report to NCI and
the Advisory Committee, as appropriate.

E. Arbitration

Any disagreement that may arise on scientific/programmatic matters
(within the scope of the award), between award recipients and the NCI
may be brought to arbitration.  An arbitration panel will be composed
of three members -- one selected by the awardee, a second member
selected by NCI, and the third member selected by the two prior
selected members.  These special arbitration procedures in no way
affect the awardee's right to appeal an adverse action that is
otherwise appealable in accordance with PHS regulations at 42 CFR
Part 50, Subpart D, and HHS regulations at 45 CFR Part 16.

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is NIH policy that women and members of minority groups and their
subpopulations must be included in all NIH-supported biomedical and
behavioral research projects involving human subjects, unless a clear
and compelling rationale and justification is provided that inclusion
is inappropriate with respect to the health of the subjects or the
purpose of the research.  This policy results from the NIH
Revitalization Act of 1993 (Section 492B of Public Law 10-43) and
supersedes and strengthens previous policies (Concerning the
Inclusion of Women in Study Populations), which have been in effect
since 1990.

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 published in the Federal
Register, March 28, 1994 (59 FR 14508-14513) and in the NIH GUIDE FOR
GRANTS AND CONTRACTS, March 18, 1994, Volume 23, Number 11.

LETTER OF INTENT

Prospective applicants are asked to submit, by April 3, 1997, a
letter of intent that includes a descriptive title of the proposed
research, the name, address, and telephone number of the Principal
Investigator, the names of other key personnel, the participating
institutions, and the number and title of this RFA.

Although a letter of intent is not required, is not binding, and does
not enter into the review of subse