kristoff@GENBANK.BIO.NET (Dave Kristofferson) (03/01/91)
$$XID RFA LM9101 LM-91-01 P1O1 ***************************************** MEDICAL INFORMATICS RESEARCH TRAINING RFA: LM-91-01 P.T. 22; K.W. 1004017, 1004000, 0720005, 0710030 National Library of Medicine Letter of Intent Receipt Date: May 1, 1991 Application Receipt Date: June 10, 1991 PURPOSE The National Library of Medicine (NLM) invites training grant applications in a single competition for predoctoral and postdoctoral research training in medical informatics. Applications may be for the creation of new training centers or for the renewal of existing NLM-supported training programs. Such training will help meet a growing need for qualified, talented investigators, well prepared to address information problems in health care, health professional education, and biomedical research. These investigators will contribute to the growth of science by their studies of knowledge management and by advancing the frontiers of the computer sciences for acquiring, organizing, retrieving, and utilizing health knowledge. The expectation is that trainees will become able, cross-disciplinary informatics specialists. BACKGROUND Medical informatics goes beyond the use of the computer as a computational tool and extends into the process of knowledge representation, acquisition, storage, retrieval, and manipulation largely to support reasoning and decision- making. OBJECTIVES Acceptable applications must clearly indicate that the primary intent of the program is preparation for an academic career in Medical Informatics. Applications must describe the process by which trainees will become familiar with the many relevant disciplines. To prepare trainees for research careers in a demanding research environment, the sponsorship of a research-oriented, academic health sciences institution is critical. It is expected that the core of training will emphasize the synthesis, organization, retrieval, and effective management of knowledge. The curricula should be inter-disciplinary by including topics in medicine and the biological sciences, the cognitive sciences, information science, and computer science. Training sites must offer an excellent setting for instruction in important health computer science research programs, and opportunities for meaningful trainee involvement in such research. In addition to the general goal of assisting in the education of persons to take academic positions to conduct research and teach medical informatics, several more specialized additions to the training programs are likely to become available during the next few years to enhance research training grants approved in the FY 1991 competition. Consequently, NLM invites applicant institutions to include their plans for such possible enhancements within the application. Some potential enhancement areas (described in the following paragraphs) are high performance computing and communication, biotechnology, cancer, and information systems. Dental informatics is another area for which additional training slots may become available in the future. High performance computers and high speed computer networks are key technologies for modern science. Applicants should be aware that the President's Office of Science and Technology Policy has proposed a multi-agency High Performance Computing and Communication Initiative (HPCC). NLM, representing NIH, is included in the HPCC as the biomedical component. These activities will include creation and transmission of digital electronic images, linking of academic health centers via the future high performance communication networks, and development of advanced methods of retrieving biomedical information (as well as molecular biology computing, and training in informatics). Applicants for NLM training program support are encouraged to indicate their experience in any of these Enhancement Areas, and to indicate those areas (if any) in which they may plan to offer training experience, or in which they could in the future accept candidates for training. Increases in funding support in these areas might take the form of supplements to training grants and/or the availability of individual fellowships in one or more of the Enhancement Areas. The recent establishment within NLM of the National Center for Biotechnology Information intensifies the Library's interest and responsibilities in this special area of informatics. The appearance of new experimental methods has greatly increased the rate at which data are accumulating about the molecular control of life processes. Because of their enormous size and subtle complexity, the vast data accumulations can only be analyzed and compared by sophisticated computer methodologies. Applicants are urged to include training in biotechnology informatics in their proposed curriculum, if such training is feasible and appropriate for the institution. The National Cancer Institute (NCI) plans to make available up to $100,000 through this RFA. These funds would support four (4) trainees whose projects deal with the application of medical informatics approaches to the problems of cancer diagnosis and therapy. For support under this special training track, sponsors/preceptors must request consideration for funding by NCI and must describe how their projects will be of benefit to the field of cancer (as described below). The sponsoring institution must have a strong department in the radiological sciences and indicate its awareness of and commitment to the application of medical informatics to radiological research that is relevant to the diagnosis and treatment of cancer. The purpose of this special training track is to stimulate qualified candidates to apply for post-doctoral Medical Informatics fellowships in areas of Radiological Sciences that deal directly with cancer-related topics. When possible, the curricula should be interdisciplinary involving radiation oncology, diagnostic radiology, cognitive sciences, information sciences and/or computer science. Training grant applications which include sponsors/ preceptors who are requesting support for cancer-related projects will be subjected to the same peer review process as all other applications submitted in response to this RFA, and grants selected for an award will be administered by the NLM. Prospective applicants who have an interest in the special training track of the National Cancer Institute should declare their interest and focus that part of the application on areas in the Radiological Sciences that support problem-solving in cancer-related topics. Support of training slots by the NCI will be based on the Initial Review Group's recommendation and percentile score, relevance of the proposed project to the radiological problems that relate to the diagnosis and treatment of the cancer patient, program interests and the availability of funds. The preparation of competent scientists remains the primary goal of the training program. However, NLM recognizes that informatics specialists are often called upon for assistance in addressing information needs of a health center, and strongly encourages program directors to provide trainees with some exposure to the problems of managing and integrating academic information systems. Such training may be of particular interest to students enrolled in an Master of Library Science program. Institutions wishing to include the research experience gained by a trainee toward the research requirements of Board certification may do so at their discretion. Proposals designed as preparation for certification in toto in medical specialties will not be acceptable. MECHANISM OF SUPPORT NLM plans to make available approximately $3 million for this program in FY 1992. It is expected that six to ten training grants will be awarded; however, actual award of grants pursuant to this RFA is necessarily contingent upon receipt of funds appropriated for this purpose. The specific number will also depend upon the merit and scope of applications received as well as the availability of funds. These awards are authorized by the Medical Library Assistance Act and are not part of the National Research Service Awards Program of the Public Health Service. However, the policies and requirements of the NLM program are similar to Public Health Service National Research Service Awards. Trainees must be citizens or non-citizen nationals of the United States or have been lawfully admitted for permanent residence at the time of appointment. Individuals on temporary or student visas are not eligible. Predoctoral students who have been accepted as candidates for the doctor of philosophy of science or equivalent degree at their institutions may be appointed as predoctoral trainees for a period not to exceed three years. Individuals who wish to interrupt their medical, veterinary, dental, or other professional school studies for a year or more to engage in full-time research training before completing their professional degrees are eligible. Also eligible are students enrolled in MLS programs. The current stipened level for predoctoral individuals at all levels of experience is $8,800 per annum. There is no payback requirement. Postdoctoral individuals must have received, as of the beginning date of appointment, a Ph.D., M.D., D.O., D.D.S., D.V.M., O.D., D.P.M., Sc.D., Eng.D., Dr.P.H., D.N.Sc., or equivalent degree from an accredited domestic or foreign institution. Certification by an authorized official of the degree-granting institution that all degree requirements have been met is acceptable. The postdoctoral stipend for the first year of support is determined by the number of years of relevant postdoctoral experience at the time of appointment. Relevant experience may include research experience (including industrial), teaching, internship, residency, or other time spent in full-time studies in a health-related field beyond that of the qualifying doctoral degree. The stipend for each additional year of support is the next level on the stipend structure. Current postdoctoral stipends are as follows: Years of Relevant Experience Stipend 0 $18,600 1 19,700 2 25,600 3 26,900 4 28,200 5 29,500 6 30,800 7 or more 32,300 Stipends may be supplemented by an institution from non-Federal funds. No Federal funds may be used for stipend supplementation unless specifically authorized under the terms of the program from which funds are derived. Under no circumstances may the conditions of stipend supplementation detract from or prolong the training. Tuition, fees, and medical insurance are allowable trainee costs if such charges are required of all persons in a similar training status at the institution, without regard to their source of support. Tuition at the postdoctoral level is limited to that required for specific courses in support of the approved training program. Costs of trainee travel, including attendance at scientific meetings that the institution determines to be necessary to the individual's training, may be requested. Institutional costs of up to $1,500 per year per predoctoral trainee and up to $2,500 per year per postdoctoral trainee may be requested to defray the costs of training-related expenses such as staff salaries, consultant costs, equipment, research supplies, staff travel, and other expenses. The availability of funds may modify the maximum levels of institutional costs awarded. An indirect cost allowance based on 8% of total allowable direct costs or actual indirect costs, whichever is less, may be requested. In their proposed budgets, applicants should request trainee travel funds for a two-day meeting each year, most likely to be held at the NLM in Bethesda. The purpose of these meetings will be to exchange information among trainees, program directors, NLM program staff, and other selected participants. NLM recognizes that the technological fields upon which medical informatics is based are advancing at a rapid rate. Special hardware, new software, and access to centralized databases and information sources continue to evolve, and the trainees must be given the opportunity to work with the latest equipment. The necessity for this support is a unique one occasioned by the nature of the field of medical informatics and the type of training required. The budget requested may not exceed $6,000 per trainee and must relate reasonably to the provision of computer and information support. Short-term traineeships are available for students in medical or other professional schools of the health sciences. Such training is intended to give a limited number of selected students summer or "off-quarter" opportunities for involvement in research so that they might consider medical informatics as a career option. Students selected should be encouraged to have two or more short-term training appointments during the period of their professional school years, thus giving an individual student multiple periods of exposure to research training. Senior students would not normally be eligible for a first appointment to a short-term traineeship; exceptions may be requested from NLM. The stipend level for such short-term traineeships is at an $8,800 annual rate. Recognizing that training programs of this nature require reasonably long-term continuity, NLM is prepared to approve awards for five-year periods. At an appropriate time, the availability of renewal support for these training program grants will be announced. REVIEW PROCEDURES AND CRITERIA Prior to initial scientific merit review, a triage mechanism may be employed to screen out applications that are clearly noncompetitive. Applications will be evaluated initially by an NLM peer review committee for scientific and technical merit. A second review will be conducted by the Board of Regents of the National Library of Medicine. The training programs should demonstrate an ability to recruit persons with high potential for academic research careers and for continuing in the field of Medical Informatics. The trainees should be recognized as potential scientific leaders, able to build new departments and strengthen existing ones. Although postdoctoral candidates for training should be clearly destined for health research careers in this field, their doctorates may have been earned in any appropriate field of endeavor, such as medicine, dentistry, nursing, computer science, engineering or any of the biological sciences. Sites should be academic medical centers; however, consortium training arrangements with other graduate schools and institutions are encouraged. The NIH and NLM policy is to promote broader and systematic efforts to recruit women and individuals from minority groups who are currently underrepresented in biomedical and behavioral research. Initial review groups will address the following points: o The applicant's specific plans for the recruitment of individuals from underrepresented groups. o The applicant's past record in selecting representatives from underrepresented groups and in training them for research programs. Accomplishments in these areas will ensure that the underrepresented are progressively better represented in biomedical and behavioral research. Applications which do not have satisfactory plans for the recruitment of trainees from such groups will not be funded. Effective July 1, 1990, all competing institutional training grant applications must include a description of the formal or informal activities related to instruction in the responsible conduct of research that will be incorporated into the proposed research training program. A statement of NIH policy on instructions in the responsible conduct of research appeared in the NIH Guide for Grants and Contracts on December 22, 1989 (Vol. 18, No. 45., Page 1) and an update of this announcement appeared in the NIH Guide for Grants and Contracts on August 17, 1990. Review criteria will include the curricular offerings and participation in or involvement with on-going research in the field of medical informatics. Program directors and their colleagues must demonstrate success in obtaining research support. Reviewers will assess the strength of linkages with other relevant disciplines in medicine and the computer sciences. These linkages may be forged within the institution or with others, possibly in a consortium. The positive sponsorship and contribution of resources by the applicant institution will be significant to reviewers. Institutional prospects for growth of the computer sciences, including research career opportunities, will also be significant. LETTER OF INTENT: Prospective applicants are asked to submit by May 1, 1991, a letter of intent that includes a descriptive title, the name and The letter of intent is requested in order to address of the Principal Investigator, the names and addresses of any other key investigators, and the names of other participating institutions. provide an indication of the number and scope of applications to be reviewed. The letter of intent is not binding, nor is it a requirement for submission of an application. The letter of intent should be sent to: Roger W. Dahlen, Ph.D. Chief, Biomedical Information Support Branch Extramural Programs National Library of Medicine 8600 Rockville Pike Building 38A, Room 5S522 Bethesda, MD 20894 Telephone: (301) 496-4221 FAX: (301) 402-0421 METHOD OF APPLYING Applications for these training awards must be submitted on PHS 398 (rev. 10/88). Forms may be obtained from institutional application control offices and upon request from: Office of Grants Inquiries Division of Research Grants National Institutes of Health Westwood Building, Room 448 Bethesda, MD 20892 Telephone: (301) 496-7441 Applicants should clearly identify the application as a response to this RFA by entering the title, "Medical Informatics Research Training," and the RFA number on line 2 of the face page. The mailing label available in the 10/88 revision (reprinted 9/89) of the form 398 should be used and the RFA label should be stapled to the bottom of the face page. Failure to use this label could result in delayed processing of the application such that it may not reach the review committee in time for review. Send or deliver the completed application and six (6) signed, exact photocopies to: Division of Research Grants National Institutes of Health Westwood Building, Room 240 Bethesda, MD 20892 Applications must be received by June 10, 1991. The initial review group will meet in July/August, and the Board of Regents of the NLM will conduct a final review in September 1991. NLM will notify successful applicants about an intention to award shortly after the Board meeting. Although notification of intent to award cannot assure an award, only those so notified will be considered for funding. It is intended to issue awards with a July 1, 1992 begin date. In the administration of awards, the policies and requirements of the grant programs of the Public Health Service apply. Inquiries about the program and this announcement may be directed to program officials at: Biomedical Information Support Branch Extramural Programs National Library of Medicine Bethesda, MD 20894 Telephone: (301) 496-4221 For fiscal and administrative matters, contact: Ruth Bortz National Library of Medicine 8600 Rockville Pike Building 38A, Room 5S522 Bethesda, MD 20892 Telephone: (301) 496-4253 This program is described in the Catalog of Federal Domestic Assistance, Medical Library Assistance, 13.879. Grants will be awarded under the authority of the Public Health Service Act, Section 472 (42 USC 286b-3) and administered under PHS grant policies and Federal Regulations, most specifically at 42 CFR Part 52 and 45 CFR Part 74. This program is not subject to review by a Health Systems Agency nor to the requirements of OMB Circular A-95. $$XID RFA AG9109 AG-91-09 P1O1 ***************************************** REQUEST FOR PROGRAM PROJECT APPLICATIONS DRUG DISCOVERY GROUPS FOR THE TREATMENT OF COGNITIVE IMPAIRMENT ASSOCIATED WITH ALZHEIMER'S DISEASE RFA: AG-91-09 P.T. 34; K.W. 0715180, 0740020, 0755025 National Institute on Aging Application Receipt Date: May 21, 1991 Letter of Intent Receipt Date: April 1, 1991 The National Institute on Aging (NIA) invites program project applications (P01) for the establishment of Drug Discovery Groups for the Treatment of Cognitive Impairment Associated With Alzheimer's Disease. There are no present plans to reissue this Request for Applications (RFA) at any future time. The NIA intends to invite competitive renewal applications upon expiration of the initial funding period, contingent on the continued availability of funds for this purpose. I. BACKGROUND Alzheimer's disease (AD) is one of the most persistent and devastating dementing disorders of old age, because it eventually leads to a complete loss of memory and of the ability to function independently. It is estimated that about four million people in the United States have AD in its various stages at an estimated cost to society of $90 billion per year, and it is projected that 14 million people could be victims of Alzheimer's disease by the middle of the next century. The disease presents enormous problems not only to the affected individual but also to the families and raises many complex social and economic issues for the country. AD provides a complex neurochemical puzzle and present efforts to treat it have not yet produced any reliable compounds. The U.S. Congress has recognized this problem, and as part of the FY91 appropriation for NIA, has mandated that NIA "explore new treatment and management methods, including testing promising drugs, such as nerve growth factor and acetylcarnitine, that could safely and effectively slow or reverse the symptoms of Alzheimer's disease." The NIA has responded to the Congressional language and the need for a broader research effort in two ways. The goal of this RFA is to promote the development of a broader range of potentially efficacious compounds beyond the current examples of cholinesterase inhibitors, cholinergic agonists, nerve growth factor, and acetylcarnitine. The goal of a companion RFA (AG-91-10) is to assess the efficacy of a large number of compounds in short-term clinical studies as a preliminary measure to fully developed long-term clinical trials. The etiology of AD is not known, and the pathobiological processes that underlie the steady progression of the clinical course of this disease are not well understood. It is clear, however, that mechanisms of cell to cell communication are disrupted. These involve several different types of neurotransmitter, neuropeptide, and neuromodulator systems, neurochemical processes, and elements of the oxidative and cellular energy metabolism processes. The hallmark of the disease involves progressive cell dysfunction, cell loss, and the accumulation of a wide variety of abnormal protein and cytoskeletal abnormalities. At present it is not known when and how the degenerative process begins; for example, it is not clear whether fragments of amyloid protein initiate the degenerative process or the formation and accumulation of the protein is the end result of gradual cell atrophy and death initiated by some other agent or process. At present there are no generally safe and effective treatments for AD. The few agents that are available have demonstrated only modest effects in slowing the rate of progression of the cognitive decline for short periods in subsets of patients. The majority of the compounds considered candidate drugs have been developed primarily for other disorders and have generally been designed to modify the synthesis, release, or degradation of neurotransmitters. Most of the agents have been targeted towards the cholinergic system which is an especially vulnerable neural population in AD and cognitive function. The NIA currently supports extramural and intramural projects for the study of the epidemiology, etiology, diagnosis, and treatment of AD. Notwithstanding these efforts, the increasing numbers of affected individuals, the unknown etiology, the emotional, social, and economic costs to the victims, caregivers, and society, and the fact that there is no compound which can uniformly slow or reverse the progression of the disease or ameliorate the symptoms, all require that the most creative scientific talents in all relevant scientific disciplines and organizations be mobilized into groups which will aggressively pursue a concerted effort to discover compounds and strategies for the treatment of the disease. Agents are needed which can ameliorate the symptoms of the disease even for a short time, because such agents would provide needed relief, however brief, to the victims and their families. II. RESEARCH OBJECTIVES AND SCOPE The objective of this solicitation is to stimulate multi- center multi-disciplinary preclinical research in the design, development and testing of novel compounds aimed at slowing, halting, or, if possible, reversing the progressive decline in cognitive function in Alzheimer's disease victims. This initiative is intended to stimulate basic research and development efforts which go beyond those already underway or likely to be undertaken by pharmaceutical firms in the foreseeable future. The goal of this effort is not to duplicate or compete with pharmaceutical companies but to encourage, complement, and accelerate the process of discovering new, innovative, and effective treatments for cognitive impairment in Alzheimer's disease. The development of compounds for ameliorating, modifying, or improving potential aberrations in the neuronal signal transduction pathway is encouraged. These treatments should be designed to ameliorate fundamental processes of the neural dysfunction and cell death associated with the disease by targeting aspects of the signal transduction pathway; e.g. membrane, second and third messenger, phosphorylation, and signal amplification stages. To the extent it is possible and practical, this initiative would encourage cooperation and collaboration with scientists associated with pharmaceutical and biotechnology companies. The drug development group should include the perspectives, skills, and knowledge not only of neuropharmacologists but also of medicinal chemists, membrane biophysicists, protein chemists, molecular biologists, neurophysiologists, and behavioral pharmacologists. Research directed toward drug discovery utilizing one or more of the following examples or other novel approaches will be considered responsive to this RFA. 1. Design and synthesis of compounds directed toward altering, modifying, or regulating the following aspects of signal transduction mechanisms: o Membrane and cytoskeletal composition, structure and function; o Protein phosphorylation and dephosphorylation; o Channel function and structure; o Second and/or third messengers; o Gene expression or transcription; o Neurotrophic and growth promoting factors; o Mitochondrial function and cellular energy metabolism; o Formation of abnormal proteins; o Synthesis and degradation of proteins; o Ionic transport. 2. The isolation, identification and characterization of promising naturally occurring products or synthetic chemical compounds. 3. Development of delivery systems to target compounds to the brain. The above-mentioned areas of investigations are representative and not meant to be inclusive. Investigators are encouraged to explore other avenues to identify potential therapeutic agents. Many single institutions may not have either the critical mass of all of the talents or the ancillary resources needed to translate leads from basic studies into new entities and strategies for AD treatment. Units in which these research talents and resources are combined are termed "DRUG DISCOVERY GROUPS FOR ALZHEIMER'S DISEASE" (DDG-AD). They are envisioned as having the capacity to generate new approaches and strategies for the treatment of AD and to rapidly translate their concepts into potentially effective treatment. Results from the research proposed should be used to identify and develop information for long term planning of potential therapeutic approaches or to recommend new potential treatments worthy of further development to clinical trial. Projects or cores with proposed animal model development or efficacy testing in animal models must be integrated within the major goal of targeted drug discovery and are required to attain the Group's objectives. Large-scale random screening of compounds will not be supported under this RFA. Extensive studies required for the clinical development of identified potential treatments are beyond the scope of this RFA. However, funds should be budgeted in the later years of this project (years 3-5) for investigating underlying mechanisms of toxicity, including studies of pharmacokinetics and pharmacodynamics, of promising compounds to begin preparing the data necessary to support initial human testing. III. MECHANISM OF SUPPORT A. Awards will be made as PROGRAM PROJECTS. The interaction of academic and non-profit research institutions with commercial (including industrial) organizations and Government is encouraged to favor the efficient invention of new entities and strategies for treatment and to facilitate their subsequent development to clinical trial. However, if employees of commercial organizations are involved, an agreement must be worked out with the Principal Investigator and other participants with respect to proprietary rights and publications before the individual begins work on the project. B. NIA has set aside $2.25 million in total costs for the initial year's funding of this RFA. The amount spent will be dependent on the continuing availability of funds for this purpose and the quality and diversity of approved applications. Funding of 3 awards is anticipated. The dollar value of each DDG-AD award is limited to $750,000 in total costs. The starting date for the initial annual period will be on or before September 30, 1991. C. Awards will be made to successfully competing applicant institutions. Support of all Group activities will be coordinated through a Central Operations Office located within the applicant organization. An award will be made only to the Principal Investigator's institution. D. All policies and requirements that govern the grant program of the U.S. Public Health Service and the NIH apply. E. Although this program is provided for in the financial plans of NIA, the award of Program Projects pursuant to this RFA is also contingent upon the continuing availability of funds for this purpose. IV. DEFINITIONS CORE COMPONENT - Laboratory facilities for equipment and/or services that shall be shared by two or more projects of the DDG-AD. Examples of core components are neurochemical laboratories, animal model development or efficacy testing, and scale-up synthesis of drugs (ten grams or less). The core can be defined as any facility with established techniques and assays which performs a service function or results in an economy of effort and savings in the overall costs of the DDG-AD. DISCOVERY - The term "discovery" is used explicitly to limit activities of the DDG-AD to preclinical identification, design, and development of new entities. INVENTION - A new drug or innovative treatment that is or may be patentable under Title 35 of the United States Code. DRUG DISCOVERY GROUP FOR ALZHEIMER'S DISEASE (DDG-AD) - In this RFA the terms DRUG DISCOVERY GROUP, DDG-AD, and "Group" are synonymous. A number of laboratory research projects representing diverse scientific disciplines and organizations that join together under a single Principal Investigator and that function as a unit with a common goal: the conceptualization, invention, and evaluation of new entities and strategies for the treatment of AD. Groups must consist of at least three independent Projects conducted by at least three separate and independent investigators. A CORE COMPONENT cannot be used toward fulfillment of the three Projects requirement. NEW DRUG - In the context of the DDG-AD program, the term "drug" is used broadly to encompass new synthetic agents, natural and biological products as novel therapeutic strategies, or inventions designed to effectively treat cognitive impairment in AD patients. PRINCIPAL INVESTIGATOR - The person who assembles the DDG-AD, assembles a single application with the information provided by the Project Leaders, submits the application in response to this RFA, and is responsible for the performance of the Group as a whole and each of the Project Leaders. The Principal Investigator must lead one of the research projects of the Group and is expected to coordinate Group activities scientifically and administratively. The Principal Investigator's (awardee) institution establishes and operates the Central Operations Office that funds Group members and is legally and fiscally accountable for the disposition of funds awarded. PROJECT LEADER - The leader of one of the scientific research projects of the DDG-AD. SCIENTIFIC ADVISORS PANEL - A panel, comprised of 2-3 peers from the scientific community, whose mission is to provide the Principal Investigator with a comprehensive review of the Group's activities and progress, consult on future goals and strategies, and recommend alternative directions, as appropriate. Selection and appointment of the Panel is the responsibility of the Principal Investigator. Members of the Panel will not be affiliated with any of the institutions comprising the Group. A Scientific Advisors Panel is required only of Groups funded for more than three years. The proposed composition of the Panel will be provided in the Noncompetitive Renewal Application at the completion of year one of funding. The Panel will provide a comprehensive review of the Group's activity in years two through five of funding. These reviews will encompass timeliness of progress in individual projects relative to original projections; progress relative to Group's objectives and needs; continued relevance of a given project to Group's goals; continued coordination of Group's objectives with the objectives of the DDG-AD Program; and recommendations for new directions, as appropriate. V. COMPOSITION OF A DDG-AD A. The DDG-AD will consist of the following: 1. A Principal Investigator; 2. Project Leaders, each to head a research project. The research projects will utilize diverse scientific disciplines that are appropriate to the realization of Group objectives (e.g., neurochemistry, neuropharmacology, molecular neurobiology, medicinal chemistry, organic chemistry, behavioral pharmacology, etc.). Interdisciplinary projects are encouraged; 3. (OPTIONAL) Core components that would provide for laboratory facilities, equipment, and services to be shared by two or more projects. It may also include support for an Administrative Core that would provide the administrative, purchasing, and secretarial services. Items described above are to be requested and funded only if they are classified as direct costs at the applicant institution. 4. A Scientific Advisors Panel to be designated at the end of year one of funding by Groups funded for more than three years (see Section IV, "DEFINITIONS: SCIENTIFIC ADVISORS PANEL"). The Panel will work together with the Group, evaluate and advise on Group's progress, future goals, strategies, and new directions, as appropriate. Members of the Panel will not be affiliated with any of the institutions comprising the Group. B. The Principal Investigator, in addition to providing scientific and administrative leadership, must direct a research project. Project Leaders will be directly responsible to the Principal Investigator. The formation of the Group, the application in response to this RFA, the overall management of the Group, and the allocation of funds to the various laboratory projects will be the responsibility of the Principal Investigator and the Principal Investigator's institution in accordance with PHS policies. C. The composition of the Group and its research projects should depend on the talents required to accomplish its scientific and technical objectives as perceived by the Principal Investigator and Project Leaders. The major consideration in structuring a DDG-AD should be the mobilization of maximum intellectual strength and the ability to carry out the proposed research. D. A DDG-AD may have more than one project from the same institution. However, the varied talents and commitment required for effective drug discovery may not be present in one institution, and the Project Leaders within a Group could be from more than one institution. E. A minimum of three but no maximum number of research projects per Group is stipulated. However, the Principal Investigator could experience difficulty in providing the desirable level of guidance and Project Leaders might communicate and collaborate less efficiently if the Group were to contain more than five or six research projects, including the Principal Investigator's project. F. In forming Groups, Principal Investigators should remain cognizant of the need for communication, including regular meetings of the members, and funds should be budgeted for these meetings. Additionally, funds should be budgeted for the investigators to attend an annual meeting of all the DDG- AD's at which all Principal Investigators and Project Leaders will present findings in symposium format. While it is not a requirement of this RFA, the formation of Groups on a geographically regional basis may be advantageous. This is a particularly important factor to be considered if the applicant proposes laboratory projects in foreign countries. G. A DDG-AD is encouraged to include scientists from academia, non-profit institutions, and/or commercial organizations. The active participation of industry is encouraged because it will allow this sector of the scientific community to contribute its intellectual and material resources and will favor expeditious development of effective anti-AD therapies. However, if employees of commercial organizations are involved, an agreement must be worked out with the Principal Investigator and other participants with respect to proprietary rights and publications before the individual begins work on the project. VI. RESEARCH GOALS AND SCOPE A. The overall goals of the DDG-AD are the conceptualization, discovery, and preclinical development and testing of compounds which will lead to the selection of potential therapies designed to effectively treat the cognitive impairment in individuals suffering from AD. B. Applications for a DDG-AD should stress innovative approaches to the discovery of effective therapies to treat AD and should emphasize the following: 1. specific objectives of the proposed DDG-AD; 2. research approaches to the realization of objectives and the provision of comprehensive information (including citations) in support of the rationale(s) for the proposed approaches; and 3. the scientific and technical areas of expertise (Project Leaders) required to attain Group objectives and the leadership ability of the Principal Investigator. C. The Group's objectives and goals should be relevant and compatible with NIA Program's missions and directions as stated in this RFA. VII. PATENT COVERAGE Since the discovery of agents active against cognitive impairment in AD patients is the objective of this effort, and since active involvement by industrial laboratories is facilitated by the existence of adequate patent coverage, it is essential that applicants provide plans to assure such coverage. With multiple institutions involved, the patent situation could be complicated. Each applicant Group must, therefore, provide a detailed description of the approach to be used for obtaining patent coverage and for licensing where appropriate, in particular where the invention may involve investigators from more than one institution. In addition each Group must provide a detailed description of the procedures to be followed for the resolution of legal problems that may develop. All Group members can be full partners in the research and in any inventions resulting therefrom. The specific patenting arrangements among the institutions may vary, and could include joint patent ownership and exclusive licensing arrangements. Applicants are encouraged to develop an arrangement that is most suitable for their own particular circumstances. For successful applicants, the patent agreement among the institutions comprising the group, signed and dated by the organizational officials authorized to enter into patent arrangements for each Group member and member institution, must be sent to Program Director, Treatment and Management, Neuroscience and Neuropsychology of Aging Program, National Institute on Aging, 9000 Rockville Pike, Bldg. 31, room 5C35, Bethesda, MD 20892 before an award can be made. Federal regulation clause 37CFR401 and HHS Inventions regulations at 45 CFR Parts 6 and 8 require that NIH be informed of inventions and licensing occurring under NIH funded research. Invention and licensing reports must be submitted to Extramural Invention Reports Office, Office of Extramural Research, Building 31, Room 5B41, NIH, with copy to Program Director, Treatment and Management, at the above address. VIII. MINIMUM REQUIREMENTS FOR APPLICATION Applicants seeking funding as a DDG-AD must meet the following requirements: The application must be from an eligible institution and must: A. Name a single Principal Investigator who is an employee of the applicant institution and who will be responsible for the application, for Group research activities, and for the support of Group activities through a Central Operations Office; B. Identify the single applicant organization (awardee institution) that will provide the Central Operations Office and be legally and financially responsible and be accountable for the use and disposition of funds awarded on the basis of this RFA; show availability of personnel and facilities capable of performing and supporting the administrative functions of the DDG-AD; C. Provide a statement that the Group plans to assure adequate patent coverage of new inventions that may issue as a result of Government funding of the proposed work; NOTE: For successful applicants, a formal statement of Patent Agreement among all Group members and their institutions, as well as a detailed description of procedures to be followed for the resolution of legal problems that may develop, signed and dated by the organizational official authorized to enter into patent arrangements for each Group member and member institution, is to be submitted to Program Director, Treatment and Management, as described under Section VII, "PATENT COVERAGE," before an award will be made. D. The application must provide a statement that the applicant institution and any other institutions involved have written policy guidelines on conflict of interest and the avoidance thereof as prescribed in the PHS Grants Policy Statement [DHHS Publication No. (OASH) 90-50,000, revised October 1, 1990] and 45 CFR Part 74, Sub-part P and 45 CFR Part 92.36. This is intended to preclude any potential conflict of interest of investigators regarding relationships with and holdings in for-profit pharmaceutical, biotechnology, or venture capital companies. For the successful applicant, these guidelines must be provided to NIA staff upon request. E. Provide a clear, concise plan in narrative and diagrammatic form that depicts the interrelationships among the members of the Group and the contribution of each to fulfillment of Group objectives; provide an organizational chart of the Group showing the name, organization, and scientific discipline of the Principal Investigator and Project Leaders; provide an organizational chart for each laboratory project within the Group showing relationships among the key personnel; F. Provide a plan to assure the maintenance of close collaboration and effective communication among members of the Group that will include letters of commitment to this plan. G. Demonstrate that each component research project contributes to the attainment of the Group's objectives and that each has available the professional and technical personnel to permit efficient and successful conduct of the proposed research; show that total personnel of the Group are sufficient in quality and quantity to assure successful conduct of the proposed research; NOTE: Other activities which are essential to maintaining or achieving the objectives of the stated research projects (e.g., large-scale production of reagents, animal maintenance) should be included under the budget for core resources. H. Demonstrate that each component laboratory project and the Group as a whole have available the facilities required for conduct of the proposed research; include a description of the Institutional Safety Guidelines and administrative approval procedures for each proposed laboratory project. I. As indicated above, extensive studies required for the clinical development of identified potential treatments are beyond the scope of this RFA. However, funds should be budgeted in the later years of this project (years 3-5) for investigating underlying mechanisms of toxicity, including studies of pharmacokinetics and pharmacodynamics, of promising compounds to begin preparing the data necessary to support initial human testing. IX. REVIEW PROCEDURES AND PEER REVIEW CRITERIA A. REVIEW PROCEDURES Applications will be reviewed by NIA staff to determine administrative and programmatic responsiveness to this RFA; those judged to be nonresponsive will be returned to the applicant without review. Those applications that are complete and responsive may be subjected to a preliminary review by a subcommittee of the review group to determine those applications deemed to be competitive. Those applications judged to be noncompetitive will be administratively withdrawn and will be returned to the applicant investigator with an abbreviated summary statement noting the major deficiencies. Those applications judged to be competitive will be further reviewed for scientific and technical merit by a special review committee convened by the Scientific Review Office, NIA. Following review by an initial review group, the application will be considered by the National Advisory Council on Aging. All applications must be complete in themselves. Since it is unlikely that site visits will be conducted, each application should be prepared as if no such visit will occur. In preparing applications, applicants should follow the instructions for PHS form 398 (revised 10/88, reprinted 9/89) and the specific supplemental instructions included in this RFA. Applicants are urged to have all Institutional Animal Care and Use Committee (IACUC) approvals complete and submitted with the application or received within 30 days of the application receipt deadline or earlier if requested by the Executive Secretary. It is incumbent upon the applicant to ensure that the Executive Secretary receives all clearances by the established deadline or the application will not be reviewed. B. REVIEW CRITERIA The application must be directed towards the attainment of the stated programmatic goals (see Section VI, "RESEARCH GOALS AND SCOPE"). The following factors will be considered in the scientific and technical review of the application. 1. Relevance of applicant's (Group) objectives to the discovery of new entities and strategies for the treatment of cognitive impairment in AD patients; 2. Scientific and technical significance; 3. Likelihood that the proposed approaches will lead to realization of objectives; 4. Relevance and compatibility of Group's objectives with NIA Program's missions and directions; 5. Specific competencies of the Principal Investigator and Project Leaders to conduct the proposed work, research experience, commitment, and time availability of Principal Investigator, Project Leaders, and other key personnel. While there is no maximum percent effort set, it is anticipated that, due to the complexity and time required to maintain a well-coordinated and productive research effort, at least 20% effort by the Principal Investigator and each Project Leader should be devoted to the study, unless there is compelling evidence to the contrary; 6. Likelihood that new potential therapy will be identified during the course of the proposed study; 7. Technical sufficiency of methods for evaluation of new discoveries, laboratory test systems, models, etc.; 8. Administrative experience and competence of the Principal Investigator in the development, implementation, and management of comprehensive research programs; 9. Plans for effective intra-group communication and for assuring Group cohesiveness; 10. Adequacy of existing physical facilities and resources of the Principal Investigator and Project Leaders; 11. Documented commitment of institutions represented by Group members; documented capability of Principal Investigator's institution to serve as Central Operations Office for the Group; 12. Mechanism for selecting and replacing key professional or technical personnel using the framework of the RFA; 13. Conformance to "MINIMUM REQUIREMENTS FOR APPLICATION" (Section VIII); 14. Reasonableness of cost. X. METHOD OF APPLYING A. The application must be submitted on the 10/88 revision (reprinted 9/89) of the form PHS 398. To identify applications as being responsive to the RFA, check "yes" on item 2 of page 1 of the application and enter the title: "NIA:DDG-AD" and the RFA number (AG-91-09). The mailing label available in the 10/88 revision (reprinted 9/89) of the form 398 should be used and the RFA label should be stapled to the bottom of the face page. Failure to use this label could result in delayed processing of the application such that it may not reach the review committee in time for review. B. Before preparing an application, the prospective applicant should carefully read the NIA Information Brochure on Program Project and Center Grants. The Information Brochure may be obtained from Dr. Neil Buckholtz or the Chief, SRO at the addresses given below. The Information Brochure contains special instructions for preparing multi-project applications, review procedures, review criteria, and other important information. It is important to follow the instructions for preparing the application as outlined in the Information Brochure as well as the specific supplemental instructions in this RFA. Failure to do so may result in an application with insufficient information for appropriate scientific review. Questions regarding instructions in the brochure or responsiveness to the RFA should be directed to Dr. Neil Buckholtz. C. Organization of Application and Suggested Modifications of Form PHS-398 (revised 10/88, reprinted 9/89). This RFA requires the submission of a single application for the proposed DDG-AD. Because of the multi-institutional nature of an DDG-AD and the special requirements in this RFA, additional questions regarding format and/or budget can be directed to Dr. Buckholtz or Mr. Ellis (see below). The special requirements of this RFA will also necessitate the following modification. The Introductory Section should apply to the proposed DDG-AD as a whole with respect to goals, objectives, and overall research plan. The Introductory Section, not to exceed two pages, should contain any additional information about the proposed Principal Investigator or his/her institution as evidence of capability to carry out the scientific and administrative duties required in this RFA and the functions of the Central Operations Office. In addition, the Introductory Section must include the following elements to be considered responsive to minimum requirements (See Section VIII, "MINIMUM REQUIREMENTS FOR APPLICATION", of this RFA): 1. the name of a single Principal Investigator in accordance with Section VIII, Part A; 2. the name of the single applicant organization that will provide and operate the Central Operations Office in accordance with Section VIII, Part B; 3. a statement assuring adequate patent coverage of new inventions that may issue as a result of Government funding in accordance with Section VIII, Part C; 4. a statement assuring compliance with written policy guidelines on conflict of interest in accordance with Section VIII, Part D; 5. a description of the inter-relationships among members of the Group and organizational charts in accordance with Section VIII, Part E; and 7. a plan to assure maintenance of close collaboration and effective communication among members of the Group in accordance with Section VIII, Part F. Although not a prerequisite for applying, potential applicants are encouraged to submit to Dr. Buckholtz at the address below a non-binding letter of intent to apply by April 1, 1991. The letter of intent is not mandatory and does not influence review or funding decisions, but it will enable the NIA to plan the review, and will ensure that each potential applicant receives relevant program information prior to expending considerable effort in application preparation. Applications must be complete and received by May 21, 1991 for a start date on or before September 30, 1991. If received late, the application will be returned without review. Application kits may be secured from institutional offices of grants and contracts or from: Office of Grants Inquiries Division of Research Grants National Institutes of Health Westwood Building, Room 449 Bethesda, MD 20892** Mail the complete application and four copies to: Division of Research Grants National Institutes of Health Westwood Building, Room 240 Bethesda, MD 20892** To expedite review, two exact copies should be sent to: Chief, SRO, OEA, NIA, NIH Building 31, Room 5C12 9000 Rockville Pike Bethesda, MD 20892 XI. INQUIRIES Applicants are strongly encouraged to obtain supplemental information and to discuss their plans with and direct any other inquiries to: Neil Buckholtz, Ph.D. Program Director, Treatment and Management NNA, NIA, NIH Building 31, Room 5C35 9000 Rockville Pike Bethesda, MD 20892 Telephone: (301) 496-9350 FAX: (301) 496-1494 Inquiries regarding matters pertaining to the review of this application should be addressed to: Dr. Michael Oxman Chief, SRO, OEA, NIA, NIH Building 31, Room 5C12 9000 Rockville Pike Bethesda, MD 20892 Telephone: (301) 496-9666 Inquiries regarding fiscal matters may be addressed to: Mr. Joseph Ellis Grants Management Offiver National Institute on Aging Building 31, Room 5C07 Bethesda, MD 20892 **The mailing address given for sending applications to the Division of Research Grants or contacting program staff in the Westwood Building is the central mailing address for the NIH. Applicants who use express mail or a courier service are advised to follow the carrier's requirements for showing a street address. The address for the Westwood Building is: 5333 Westbard Avenue, Bethesda, Maryland 20816. This program is described in the Catalog of Federal Domestic Assistance No. 93.866, Neuroscience and Neuropsychology of Aging. Awards will be made under the authority of the Public Health Service Act, Title III, Section 301 (Public Law 78.410, as amended; 42 USC 241) and administered under PHS grant policies and Federal Regulations 42 CFR Part 52 and 45 CFR Part 74. This program is not subject to the intergovernmental review requirements of Executive Order 12372 or Health Systems Agency review.