kristoff@GENBANK.BIO.NET (Dave Kristofferson) (02/01/91)
NOTE: The NIH Guide may be split into more than one mail message to avoid truncation during e-mail distribution. The first message always begins with the RFP/RFA summary sections followed by the appended texts of the full RFP/RFAs. ---------------------------------------------------------------------- OBJECTIVES AND SCOPE The emphases of this initiative are threefold: (1) to attract new scientific expertise into the study of the basic mechanisms of kidney and urological diseases; (2) to encourage interdisciplinary research; and (3) to extend these basic investigations into innovative clinical and epidemiologic studies of the causes, therapy, and prevention of kidney and urologic diseases and disorders. In approaching the study of these disease processes, it is anticipated that extensive collaboration will be required between individuals in the basic sciences, including cell biology, molecular biology, immunology, genetics, epidemiology, biochemistry, physiology, and pathology with clinical sciences. It is the expressed intent of the announcement to attract into the study of kidney and urologic disorders new investigators not currently active in this field and to explore new basic areas that may have clinical research application. Individual institutions with both basic and clinical research capabilities are eligible to apply. Inter-institutional collaborative research arrangements are also appropriate and are encouraged. NIH GUIDE - Vol. 20, No. 5, February 1, 1991 - Page 17 SPECIAL INSTRUCTIONS FOR INCLUSION OF WOMEN AND MINORITIES IN CLINICAL RESEARCH STUDIES For projects involving clinical research, NIH requires applicants to give special attention to the inclusion of women and minorities in study populations. If women or minorities are not included in the study populations for clinical studies, a specific justification for this exclusion must be provided. Applications without such documentation will not be accepted for review. MECHANISM OF SUPPORT NIDDK expects to award up to six center grants (P50) in fiscal year 1992 on a competitive basis. The receipt of up to six competitive continuation applications from those centers who are current awardees is anticipated. These applications will compete for awards along with other applications received in response to this announcement. Foreign institutions are not eligible to apply. The anticipated awards are for five years and are contingent upon the availability of appropriated funds. The total amount of available funds to support this program (including both direct and indirect costs) is anticipated to be no more than $4.2 million per year. No applicant may request more than $750,000 in total costs (both direct and indirect costs) in the initial budget period. The complete Request for Applications (RFA) and consultation may be obtained from: Dr. Ralph L. Bain Kidney and Urology Research Centers Program Director DKUHD/NIDDK Federal Building, Room 102 9000 Rockville Pike Bethesda, MD 20892 Telephone: (301) 496-8218 REVIEW PROCEDURES Applications for an award of a research center grant will be evaluated in a national competition by the NIH peer review process. Applications will be reviewed initially by a special review committee convened by the NIDDK and subsequently by the National Diabetes and Digestive and Kidney Diseases Advisory Council. METHOD OF APPLYING Potential applicants are urged to submit a letter of intent to the Program Director by March 15, 1991, regarding their application. The letter of intent is nonbinding and is not a precondition for an award. The letter of intent should include the name(s) of the Principal Investigator(s), principal collaborators, a descriptive title of the proposed research center, and the organization(s) involved. Applications must be submitted using PHS Form 398 (Rev. 10/88). The RFA label contained in the application kit must be affixed to the bottom of the face page of the original copy of the application. Failure to use this label could result in delayed processing and review of the application. Complete line 2 of the application face page by inserting the title and number of this RFA and checking the YES box. Mail the completed application (original and four copies) to: Application Receipt Office Division of Research Grants Westwood Building, Room 240 National Institutes of Health Bethesda, MD 20892** Simultaneously submit two copies to: Review Branch, NIDDK 5333 Westbard Avenue Westwood Building, Room 406 Bethesda, MD 20892 The special single receipt date for submissions in response to this announcement is July 16, 1991, with earliest funding August 1, 1992. This program is described in the Catalog of Federal Domestic Assistance No. 93.849, Kidney, Urologic, and Hematologic Diseases Research. Awards will be made under the authority of the Public Health Service Act, Title III, Section NIH GUIDE - Vol. 20, No. 5, February 1, 1991 - Page 18 301 (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. SCIENCE EDUCATION PARTNERSHIP AWARD RFA AVAILABLE: ADAMHA AD-91-01 NIH OD-91-01 P.T. 44; K.W. 0720000, 0710000 Alcohol, Drug Abuse, and Mental Health Administration National Institutes of Health Letter of Intent Receipt Date: March 15, 1991 Application Receipt Date: April 25, 1991 BACKGROUND INFORMATION The President and the Nation's Governors have declared six "National Education Goals," one of which is that by the year 2000, students in the United States will be the world leaders in science and mathematics achievement. Further, unless there are adequate numbers of students entering and remaining in the mathematics and scientific fields of education, the United States will not have a sufficient supply of scientists, engineers, and technicians to meet the Nation's future workforce needs. There is also the need for a scientifically literate society that understands the role of science, biology, and technology. There is a lack of public understanding of behaviors that increase the risk for disease, the use of animals in behavioral and biomedical research, and the necessity for basic research to make progress toward improving health. To help address these issues, the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) and the National Institutes of Health (NIH) are initiating in Fiscal Year 1991 the Science Education Partnership Award (SEPA) Program. To meet their respective missions, the ADAMHA and the NIH are issuing this joint Request for Applications (RFA) for SEPA proposals. Applicants may submit multiple different applications under this RFA; however, substantially similar proposals may not be submitted to the two agencies. PROGRAM DESCRIPTION The SEPA Program will support grants designed to encourage scientists to work with educators and community organizations to improve student and public understanding of science, and increase interest of young people in scientific careers. The focus of student activities is to be at the kindergarten through twelfth grade (K-12) level. The scientists who study disease and illness and those who carry out basic research relating to these disorders, have a major contribution to make by conveying their knowledge and also the excitement in doing research. However, it is also essential that scientists work with educators, school administrators, community leaders, the media, and others in order to make effective contributions to improving science education and improving public understanding of both the process and accomplishments of science. ADAMHA will support partnership projects that focus on any scientific area relevant to the ADAMHA mission. Hence, the focus of this award is on building partnership programs. ADAMHA is especially interested in projects that focus on scientific knowledge about the brain and behavior and their relation to the addictive and mental disorders. This includes the basic sciences underlying these disorders, such as the neurosciences, psychology, pharmacology, genetics, and other relevant sciences. The NIH SEPA Program will support the development of model programs that join working scientists and educators in enhancing the precollege science education and public understanding in such biomedical science areas as molecular biology, molecular genetics, immunology, neuroscience, and bioinformatics, as well as ethical issues, the benefits and risks of genetic engineering, and the role of environmental health. ADAMHA and NIH will consider cofunding of projects focussing on general aspects of health science (e.g., the responsible use of animals in biomedical and behavioral science or biotechnology) or scientific areas that cut across the mission of both agencies (e.g., neurosciences, genetics, and health and behavior). A single application should be submitted for such projects. The ADAMHA and the NIH encourage and support the initiation of cooperative efforts among diverse elements in the scientific and education community, NIH GUIDE - Vol. 20, No. 5, February 1, 1991 - Page 19 including university scientists, elementary and secondary schools, foundations, private industry, the media, and museums, to develop model programs for increasing scientific literacy. The ADAMHA/NIH SEPA Program seeks to focus on the improvement of science education through partnerships between public and private sector organizations and the working scientists. Carefully crafted partnerships can create channels for transferring information about new scientific discoveries, improve curricula, and develop textbooks and other materials that increase and impart to students, teachers, and the general public the utility of biomedical/behavioral research. The essential feature of the program is the active participation of scientists with the scientific and technical knowledge and resources with the knowledge and pedagogical expertise of educators. Research institutions are encouraged to provide, from non-Federal sources, incentives for their scientists to participate in the SEPA Program. These incentives may include the awarding of sabbaticals, time released from other duties, or special institutional recognition to individuals, to permit them to participate in the program. Such applicants are also encouraged to use institutional funds released as a result of the SEPA award (e.g., investigators' salaries) for purposes consistent with this award. ADAMHA and NIH seek the development of model projects and, therefore, priority will be given to applications with the potential for widespread use and replication. MECHANISM OF SUPPORT/AVAILABILITY OF FUNDS This RFA will use the grant-in-aid for education projects (R25). Responsibility for the planning, direction, and execution of the proposed project will be solely that of the applicant. Except as otherwise stated in this RFA, awards will be administered under PHS grants policy as stated in the Public Health Service Grants Policy Statement. This RFA is a one-time solicitation. The ADAMHA and the NIH expect that $2 million will be available to each agency (a total of $4 million) during FY 1991 to support this initiative. Subject to the availability of funds and receipt of a sufficient number of meritorious applications, it is anticipated that approximately ten to twenty projects will be supported. Applicants may request support for up to three years. Annual direct cost requests for the proposed activities are expected to range from approximately $100,000 to $250,000. Indirect costs will be provided. The anticipated award date is September 30, 1991. REVIEW PROCEDURES Applications that are complete and responsive will be evaluated for educational and scientific/technical merit by an appropriate peer review group convened by ADAMHA and NIH. Applications may be subjected to triage by a peer review group to determine their educational and scientific merit relative to other applications received in response to this RFA. Those applications judged to be competitive will undergo further merit review. The second level of review will be provided by the National Advisory Mental Health Council and/or the National Advisory Research Resources Council. METHOD OF APPLYING AND LETTER OF INTENT The Application for Public Health Service Grant Form PHS-398 (revised 10/88) must be used in applying for these grants. These forms are available at most institutional business offices and from the Office of Grants Inquiries, Division of Research Grants, NIH, 5333 Westbard Avenue, Bethesda, Maryland 20892, (301) 496-7441. Prospective applicants must request a copy of the complete RFA, which includes supplemental instructions for completion of the Form PHS-398, from the staff identified below (see INQUIRIES). Prospective applicants are asked to submit, by March 15, 1991, a letter of intent that includes a descriptive title of the proposed project; 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 the RFA in response to which the application is being submitted. Although a letter of intent is not required, is not binding, and does not enter into the review of subsequent applications, the information that it contains is extremely helpful in planning for the review of applications. It allows staff to estimate the potential review workload and to avoid possible conflict of interest in the review. The ADAMHA letter of intent should be sent to the Deputy Director, Division of Extramural Activities, National Institute of Mental Health, Parklawn Building NIH GUIDE - Vol. 20, No. 5, February 1, 1991 - Page 20 Room 9-105, 5600 Fishers Avenue, Rockville, MD 20857. The NIH letter of intent should be sent to Dr. Marjorie A. Tingle (see address below). A copy of the letter of intent should be addressed to: Anthony Demsey, Ph.D. Associate Director for Referral and Review Division of Research Grants National Institutes of Health Westwood Building, Room 338 5333 Westbard Avenue Bethesda, MD 20892** INQUIRIES Written or telephone inquiries regarding this RFA, and requests for the complete RFA may be directed to either: Dr. Joel W. Goldstein ADAMHA SEPA Program Room 13-103 5600 Fishers Lane Rockville, MD 20857 Telephone: (301) 443-9674 or Marjorie A. Tingle, Ph.D. NIH SEPA Program National Center for Research Resources Westwood Building, Room 10A11 5333 Westbard Avenue Bethesda, MD 20892** Telephone: (301) 496-6743 ADAMHA awards are under the authority of Section 301 of the Public Health Service Act, as amended, (42 U.S.C. 241). NIH awards are 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). All awards will be administered under PHS grant policies and Federal Regulations 42 CFR 52 and 45 CFR Parts 74 and 92. This program is not subject to the intergovernmental review requirements of Executive Order 12372 or Health Systems Agency review. MULTICENTER COOPERATIVE AGREEMENT FOR STUDYING NEURAL TUBE DEFECTS IN MUTANT MICE RFA AVAILABLE: HD-91-01 P.T. 34; K.W. 0710030, 1002004, 1002019, 1002059, 0755030 National Institute of Child Health and Human Development Application Receipt Date: April 22, 1991 OVERVIEW Neural tube defects (NTDs) are among the most common congenital defects, occurring at a rate of 1-2/1000 live births. Despite their frequency the causes of NTDs are still not understood. The National Institute of Child Health and Human Development (NICHD) invites research applications from investigators willing to participate with NICHD assistance under cooperative agreements in a multicenter cooperative program designed to investigate the etiology of neural tube defects. The objective of the study is to bring together a multidisciplinary group of investigators to characterize mammalian neurulation in a mouse genetic model for spina bifida, the curly tail mouse, developed under NICHD contract. Particular emphasis will be given to individual studies examining the molecular, cellular, biophysical, and morphological mechanisms involved in neural tube formation. The cooperative agreement mechanism has been chosen to facilitate identification of the etiology of spina bifida by coordinating research among the individual sites within the program. Analyses of the various aspects of NTD formation will be coordinated among the investigators, and it is anticipated that there will be substantial evolution of the program as new findings are obtained and shared. The benefit of such a cooperative venture will be to better define the mechanisms by which normal neurulation occurs and to characterize the processes leading to NTDs in a well defined mammalian model with an applicability to the human condition. NIH GUIDE - Vol. 20, No. 5, February 1, 1991 - Page 21 MECHANISM OF SUPPORT Support will be available through the cooperative agreement mechanism (U01) between individual investigators and the NICHD. The major difference between a cooperative agreement and a research grant is that there will be substantial programmatic involvement of NICHD staff above and beyond the levels required for traditional program management of grants. It is anticipated that four awards totaling $800,000 (direct costs) for the first year will be made with an award period of five years. REVIEW PROCEDURES Applications will be reviewed by the NICHD staff for responsiveness to the Request for Applications (RFA) and may receive a triage review for relative scientific merit by a peer review group. Scientific and technical merit will be evaluated by a special review committee convened specifically for this purpose by the Division of Scientific Review, NICHD. A second-level review will be done by the National Advisory Child Health and Human Development Council. APPLICATION PROCEDURE Applications must be submitted on form PHS 398, Revised 10/88. ADDITIONAL INFORMATION Potential applicants are encouraged to request the detailed RFA by telephoning: Delbert Dayton, M.D. Genetics and Teratology Branch Center for Research for Mothers and Children National Institute of Child Health and Human Development Executive Plaza North, Room 643 9000 Rockville Pike Bethesda, MD 20892 Telephone: (301) 496-5541 The full RFA is also available on the electronic version of the NIH Guide for Grants and Contracts, the E-Guide. ERRATUM ADDENDUM: NATIONAL INSTITUTE ON DRUG ABUSE - ANNOUNCEMENT AND GUIDELINES - AUGUST 1990 PA: PA-90-31 P.T. 34; K.W. 0404009, 1014006 National Institute on Drug Abuse As an addendum to the National Institute on Drug Abuse (NIDA) Research Grants Program Announcement and Guidelines, PA-90-31 (published in the NIH Guide for Grants and Contracts, Vol. 19, No. 32, September 7, 1990, NIDA wishes to include as part of Research Support Mechanisms the following: (7) Program Project Grants (P01). Although the P01 mechanism was included in the September 7, 1990, NIH Guide notice, the complete, printed copy of the announcement inadvertently omitted it as one of the possible support mechanism acceptable under this announcement. Today's notice is to confirm that the P01 support mechanism is acceptable under announcement PA-90-31. All other aspects of the announcement remain unchanged. **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 NATIONAL INSTITUTES OF HEALTH. 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 NIH GUIDE - Vol. 20, No. 5, February 1, 1991 - Page 22 ------------------------- Full text of RFAs ------------------------- REQUEST FOR APPLICATIONS DEVELOPMENT OF MODELS FOR PEDIATRIC AIDS RFA AVAILABLE: AI-91-04 P.T. 34; K.W. 0715008, 0755020, 0770005 National Institute of Allergy and Infectious Diseases Letter of Intent Receipt Date: March 11, 1991 Application Receipt Date: April 22, 1991 The National Institute of Allergy and Infectious Diseases (NIAID) invites applications for individual research project (RO1) grants to conduct basic research in the development of animal models and in vitro models for pediatric human immunodeficiency virus (HIV) infection and disease. HIV is now recognized as the causative agent of the Acquired Immunodeficiency Syndrome (AIDS). However, the disease that occurs in the pediatric population is different from the disease that occurs in adults. Disease in very young children progresses more rapidly than in adults and the range of opportunistic infections (OIs) differs with more bacterial infections occurring in children. Further, the immunosuppressive effects of HIV are superimposed on immature immune and nervous systems in children. Thus, the pathogenesis of lentivirus infections and the associated opportunistic infections are likely to be different from adults in developing animals. Animal models of fetal or neonatal infection with lentiviruses related to HIV and in vitro models of placental infection are needed to study these aspects of disease and facilitate the identification and evaluation of therapies with greatest potential for treating these special populations. Research efforts considered responsive to this RFA include delineation of the events leading to the establishment of primary infection in fetal or neonatal animals, the mechanisms of virus spread, viral or placental factors modulating infection, and the outcomes of infection during development, including immune suppression and opportunistic infections. Investigators should plan to apply the models described above to the design of new anti-HIV therapies to prevent or interrupt the transmission of HIV from mother to offspring. The models should also be applicable for testing the efficacy of such therapies. I. BACKGROUND NIAID is playing a central role in the investigation of AIDS. Research efforts directed toward the pathogenesis, prevention, and treatment of the disease and its sequelae have intensified. The NIAID has undertaken a lead role in organizing scientists into National Cooperative Drug Discovery Groups for the Treatment of HIV Infection (NCDDG-HIV) and of the opportunistic infections associated with AIDS (NCDDG-OI). In vitro screening of potential therapies and the more targeted approach of the NCDDG's have proven extremely valuable and have led to identification of several new therapies currently undergoing preclinical development as well as several therapies in clinical trials. The NIAID also supports individual investigators in their research efforts toward the discovery and development of therapies for AIDS. The NIAID supports and oversees the AIDS Clinical Trials Groups (ACTG), the premier NIH-funded U.S. clinical trials effort for the evaluation of agents directed against HIV and against the IOs and malignancies that are sequelae of HIV infection. To date most preclinical drug development efforts have concentrated on generating data to support clinical trials in HIV-infected adults. Studies focused on the unique aspects of infection of the fetus and of the neonate need to be expanded so that information can be gained concerning the unique targets for therapies that might be present in this population. Children born to HIV-positive women are one of the fastest growing populations of AIDS patients. Therefore, the NIAID now wishes to expand the scope of research currently being conducted in this area. The rational design and optimization of therapies for preventing transmission or treating the neonate and pediatric populations require a thorough understanding of the disease process in the fetus and in developing animals. If more effective therapies are to be found for pediatric HIV disease, the disease and mechanisms of infection must be more clearly defined. Aggressive research is necessary to develop models in which questions of pathogenesis and mechanism of infection may be answered. Elucidation of the mechanisms of transplacental infection of the fetus (via free virus or infected cells) and the effects of infection on the developing immune system and nervous system is critical. This research needs to include investigation of the regulation of virus expression in fetal or placental tissues and definition of viral and/or cellular factors that may effect transplacental infection. Such research in appropriate models will facilitate the identification and exploitation of methods to prevent HIV transmission and/or prevent the spread of infection in the fetus, neonate or pediatric patients. II. OBJECTIVES AND SCOPE NIAID wishes to stimulate research to develop animal models and in vitro models to study the origin, consequences, and treatment of pediatric infection with HIV, lentiviruses, or relevant retroviruses closely related to HIV. The models should be used to examine the pathogenesis of infection in the fetus or neonate, to examine effects of infection on developing rather than adult organisms, to investigate infection of the placenta and mechanisms of transplacental infection, and to define viral and placental factors that affect transplacental infection. Specifically, research efforts considered responsive to this Request for Applications (RFA) are to develop and use: (i) an in vitro model of infection of placenta with HIV suitable for examining the regulation and pathogenesis of HIV and for identifying unique targets for new therapies; and/or (ii) an animal model of transmission of virus, studying transplacental transport of virus or infected cells, the mechanisms of infection, and targets for therapies; or (iii) an animal model of lentivirus infection of fetal or neonatal animals for studying the pathogenesis of the virus, development of disease, and the action of therapies designed to prevent transmission; and/or (iv) an animal model, using a lentivirus or relevant retrovirus, to define the viral and/or cellular factors that effect transplacental infection and that represent potential targets for new therapies. Investigators should plan to apply the models described above to the design and preclinical evaluation of anti-HIV therapies to prevent or interrupt the transmission of HIV from mother to offspring. In addition, use of HIV or a lentivirus such as SIV is preferred. Use of other retroviruses may be considered responsive IF there is evidence presented that it models HIV disease closely. Applications that involve collaborating scientists or institutions are encouraged, but not required, for response to this announcement. Research plans to: (i) solely evaluate various compounds for their ability to cross the placenta in an animal model, (ii) evaluate vaccine-related therapies or immune responses, (iii) develop or use models that employ murine leukemia retroviruses, or (iv) develop or use transgenic models or models in which virus is injected directly into fetuses as a model of transmission are not considered responsive to this announcement. Recent reports have documented HIV infection of cells within the human placenta. However, little is known about regulation of HIV expression, viral replication, or mechanisms of infection in the placenta. For example, Hofbauer cells, macrophage-like cells present within the placenta, may act as a reservoir for infection of both maternal and fetal cells. Factors that regulate HIV expression in the placenta should also be investigated to determine whether there are unique potential therapeutic targets in the placenta. Similarly, there may be viral and/or cellular factors that modulate HIV expression, infectivity, or transmission within the placenta. Studies directed toward these and other questions related to infection of human placenta by HIV are greatly needed. Although it is assumed that HIV infection of the fetus occurs by some type of transplacental transmission of the virus, virtually nothing is known about the actual mechanism(s) of virus transport. Questions remain about whether virus is transmitted as free virus or by infected cells and little information is available on virus uptake or release from cells within the placenta. Once the routes of transport of virus are determined, the rational selection or design of therapies to interrupt transmission will be greatly facilitated. For example, if transmission occurs via infected cells, therapies to reduce free virus are not likely to be effective. While certain information may be obtained from studies using HIV and human placental cells in vitro, other models using pregnant animals, and other lentiviruses may contribute valuable information on transmission in vivo. Prenatal or perinatal infection with several pathogens is known to occur in humans. For CMV, HSV, rubella, and toxoplasma, disease and consequences of infection in the infant are different from consequences in adults. This difference in disease course and severity may reflect the immature immune system of the infant at the time of infection. Targets for HIV infection include the immune system and the nervous system, both of which are still developing after birth in humans and most primates. The pathogenesis of HIV may differ in the fetus or neonate compared to adults due to the immaturity of the target organs and, in particular, the immaturity of the immune system. Indeed, OIs differ in infants and adults infected with HIV. There may also be broader differences in the response of the developing organism to infection. For example, failure to thrive or delayed growth are associated with HIV infection of very young children but have no real correlate in adult patients. These differences point to a critical need to develop new animal models using a lentivirus or relevant retrovirus infection that accurately reflect the characteristics of disease unique to developing animals. Animal models are also needed to evaluate the role of the developing immune system in the pathogenesis of HIV infection and the impact of infection on specific developmental patterns, including the effects of infection on development of the immune and nervous systems. Results from this research on the origin and consequences of lentivirus infection of the placenta and developing animals should be applied to the identification and evaluation of methods to prevent HIV transmission, spread, and its sequelae. III. MECHANISM OF SUPPORT This RFA will use the R01 grant mechanism. The NIAID has allocated $1,000,000 (total costs) for the initial year of funding applications received in response to this RFA. It is anticipated that three to five applications will be funded. The award of grants pursuant to this RFA is contingent upon the continuing availability of funds for this purpose and upon receipt of a sufficient number of applications of high scientific merit. This RFA is a one-time solicitation. Generally, future unsolicited competing continuation applications will compete with all investigator-initiated applications and be reviewed by a Division of Research Grants study section. However, should the NIAID determine that there is a sufficient continuing program need, the NIAID may announce a request for renewal applications. IV. MINIMUM REQUIREMENTS FOR APPLICATION Any domestic or foreign institution, university, medical college, hospital, or laboratory or other public, private, or for-profit institution is eligible. Applicants may request up to four years of support. V. LETTER OF INTENT Prospective applicants are asked to submit by March 11, 1991, a letter of intent that includes a descriptive title and a description (not to exceed one page) of the proposed research. The letter of intent is requested in order to 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: Polly R. Sager, Ph.D. Senior Scientist Developmental Therapeutics Branch Division of AIDS, NIAID 6003 Executive Blvd., Room 244P Bethesda, MD 20892 FAX Number: (301) 480-5703 VI. CONSEQUENCES OF LACK OF RESPONSIVENESS TO THE RFA Applications that are incomplete for review or nonresponsive to this RFA will be screened out by NIH staff upon receipt and returned to the applicants without further consideration. VII. REVIEW METHOD AND PEER REVIEW CRITERIA Those applications that are complete and responsive may be subjected to a triage by a peer review group to determine their scientific merit relative to the other applications received in response to this RFA. The NIH will withdraw from competition those applications judged by triage to be noncompetitive and notify the applicant and institutional business official. Those applications judged to be competitive will be further reviewed for scientific and technical merit by a Review Committee convened by the Division of Research Grants, NIH. The second level of review will be provided by the National Advisory Allergy and Infectious Disease Council. Awards will be based on scientific and technical merit, significance, originality, adequacy of research experience, commitment, and time availability of the Principal Investigator and other key personnel, adequacy of facilities, and reasonable cost. VIII. METHOD OF APPLYING A. Receipt Date The deadline for receipt of applications is April 22, 1991. Applications received after this date will be considered not responsive to this RFA and will be returned without review. B. General 1. The research grant application form PHS-398 (rev. 10/88) must be used in applying. These forms are available at most institutional business offices and from the Division of Research Grants, National Institutes of Health, Westwood Building, Room 449, 9000 Rockville Pike, Bethesda, Maryland 20892. Submit a signed, typewritten original of the application, including the Checklist, and 23 signed, exact, single-sided photocopies, in one package to: Division of Research Grants National Institutes of Health Westwood Building, Room 240 Bethesda, MD 20892** 2. TO ASSURE THE IDENTIFICATION OF YOUR APPLICATION WITH THIS RFA: a. The application form should have "DEVELOPMENT OF MODELS FOR PEDIATRIC AIDS" (RFA AI-91-04) typed on line 2 of the face page of the application form. b. The RFA label provided with the instructions must be affixed to the bottom of the face page. Failure to use this label could result in delayed processing of your application so that it may not reach the review committee in time for review. IX. INQUIRIES Additional information may be obtained from: Polly R. Sager, Ph.D. Developmental Therapeutics Branch Division of AIDS, NIAID 6003 Executive Blvd., Room 244P Bethesda, MD 20892 Telephone: (301) 496-0636 This program is described in the Catalog of Federal Domestic Assistance, 93.856 - Microbiology and Infectious Diseases Research and 93.855 - Allergy, Immunology and Transplantation Research. Grants are awarded under the authority of the Public Health Service Act, Title IV, Section 301, as amended, Public Law 78-410, Public Law 97-219, Public Law 99-158, Public Law 99-500, and Report 99-711 to accompany HR 5233 and administered under PHS grant 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. REQUEST FOR APPLICATIONS DEVELOPMENT OF MODELS FOR PLACENTAL AND PEDIATRIC METABOLISM, TOXICITY, AND TRANSPORT OF anti-HIV DRUGS RFA: AI-91-05 P.T. 34; K.W. 0785170, 0715008, 0740012, 1007009, 0755025 National Institute of Allergy and Infectious Diseases Letter of Intent Receipt Date: March 11, 1991 Application Receipt Date: April 22, 1991 The National Institute of Allergy and Infectious Diseases (NIAID) invites applications for individual research project (RO1) grants to conduct basic research in the development of animal models and in vitro models to assess the metabolism, transport, and toxicity of anti-HIV drugs in the placenta, the fetus and the neonate. HIV is now recognized as the causative agent of the Acquired Immunodeficiency Syndrome (AIDS). Children born to HIV-positive mothers and HIV-infected women are now the fastest growing populations of AIDS patients. Traditionally, new therapies were available to children and pregnant women only after extensive clinical experience in other adult populations. However, because of the magnitude and severity of the AIDS epidemic, therapies are now being tested in children and pregnant women early in clinical development. Frequently, there is minimal information available from preclinical studies to provide a scientific basis for the use of therapeutics in these specific patient populations. Some of the therapeutic agents now in use or being considered for use in clinical trials of pregnant women and their children include: azidothymidine (AZT), dideoxyinosine (ddI), other nucleoside analogs, soluble CD4-conjugates, protease inhibitors, and immunoglobulins. Animal models and in vitro models are needed to assess the metabolism and transport of AIDS therapies in the placenta and in the fetus and neonate. In addition, the mechanisms of toxicity of therapeutics to the placenta, fetus, and neonate must be examined. This preclinical information will facilitate optimizing the efficacy and minimizing the toxicity of drugs evaluated in these patient populations. NIAID now wishes to stimulate research to develop animal models and in vitro models to assess the metabolism, transport, and toxicity of anti-HIV drugs in the placenta, fetus, and neonate. Applications that involve collaborating scientists or institutions are encouraged but not required for response to this announcement. Research plans to evaluate standard teratology, reproductive toxicology, or pharmacokinetics in rodents are not considered responsive to this announcement. I. BACKGROUND NIAID is playing a central role in the investigation of AIDS. Research efforts directed toward the pathogenesis, prevention, and treatment of the disease and its sequelae have intensified. The NIAID has undertaken a lead role in organizing scientists into National Cooperative Drug Discovery Groups for the Treatment of HIV infection (NCDDG- HIV) and of the opportunistic infections associated with AIDS (NCDDG-OI). In vitro screening of potential therapies and the more targeted approach of the NCDDG's have proven extremely valuable and have led to identification of several new therapies currently undergoing preclinical development as well as several therapies in clinical trials. The NIAID also supports individual investigators in their research efforts toward the discovery and development of therapies for AIDS. The NIAID oversees and supports the AIDS Clinical Trials Groups who conduct clinical trials to evaluate therapies for HIV infections and the opportunistic infections associated with AIDS. To date, most preclinical drug development efforts have concentrated on generating data in support of clinical trials in HIV-infected adults. Preclinical studies to investigate the unique aspects of treating pregnant women who are HIV-positive or their children need to be expanded. Treatment of infants is complicated by the fact that approximately 30% of children born to HIV-positive mothers are infected with HIV, while about 70% are uninfected. Currently, there are no methods readily available to determine before or soon after birth which children are actually infected. Thus, consequences of exposure to therapies in uninfected children must be considered. The NIAID wishes to expand the scope of research currently being conducted to examine pharmacology, pharmacokinetics, and toxicity issues that are specific to optimizing the use of AIDS therapies in pregnant women and children. The optimal design of clinical trials of AIDS therapies in HIV- positive pregnant women and their infants requires a basic understanding of the pharmacology, pharmacokinetics, and mechanisms of toxicity of AIDS therapeutic agents in these populations. There is a paucity of information related to mechanisms of drug handling and toxicity of therapeutics used to treat HIV-infected pregnant women and their children. Aggressive research is necessary to develop models in which questions of mechanism of transplacental transfer, placental and fetal metabolism, and placental and developmental toxicity of AIDS therapies may be answered. Specifically, models are needed to: (i) define mechanisms of transport of therapies across the placenta; (ii) investigate metabolism of therapies in the placenta, fetus, and neonate; (iii) define the distribution and pharmacokinetics parameters of drugs administered to pregnant and neonatal animals; (iv) elucidate the mechanisms of toxicity related to AIDS therapies in the placenta, fetus, and neonate. II. OBJECTIVES AND SCOPE NIAID wishes to stimulate research to develop animal models and in vitro models to assess the metabolism, transport, and toxicity of anti-HIV drugs in the placenta and in the fetus and neonate. Specifically, research efforts considered responsive to this RFA are to develop and use: (i) in vitro models to assess the metabolism, transport, and mechanisms of toxicity of anti-AIDS therapies in the placenta; (ii) animal models to assess the transplacental transport of AIDS therapies and to determine pharmacokinetics parameters to serve as the basis for clinical trials in humans; (iii) animal models to assess the metabolism and distribution of AIDS therapies in the fetus and neonatal animals to serve as the basis for clinical trials in humans; (iv) animal models to assess mechanisms of toxicity relevant to use of drugs in pregnant women and very young infants. The emphasis should be on issues of pharmacology and toxicity that are specific to the use of AIDS therapies in pregnant women and children born to HIV-positive women. The Developmental Therapeutics Branch of the Division of AIDS will assist in providing therapeutic agents to be studied and, where possible, analytical methods for detection of drug. It has been presumed that in order for a therapy to be most effective in preventing prenatal/perinatal transmission of HIV, the therapy must cross the placenta. Because the exact timing of infection of the fetus with HIV is not known, drugs have been sought that exert anti-viral activity in maternal tissues and in the fetus; this requires transport of the therapeutic from maternal to fetal circulation. However, little is known about the mechanisms of transplacental transport for most AIDS therapies now in the clinic or proposed for use in pregnant women. Therefore, models are needed to define the transport of drugs either in vitro, using human placentae, or in animals such as non-human primates having placental structure and function similar to humans. The information gained from these models should be applicable to the design of clinical trials in pregnant women. Similar models to those developed for the transport studies described above are needed to define the pharmacokinetics parameters for therapies to be used in HIV-positive pregnant women and neonates. For example, information on drug clearance in pregnant versus non-pregnant animals, on the plasma half-time of drugs in maternal and fetal circulation, on accumulation of drug in the amniotic fluid, and pharmacokinetics in the neonate would contribute greatly to the preclinical development of new therapies and the design of clinical protocols. The capacity to metabolize drugs varies with tissue and organ type and with age. The placenta itself contains a variety of enzymes, including p450s that metabolize drugs. The human fetus has very limited capacity to metabolize drugs, but metabolic enzymes increase during late gestation and in the early postnatal period. These metabolic parameters may affect the distribution and pharmacokinetics of administered drugs. Thus, there is a need to investigate, using human placenta in vitro and animal models, the metabolism of AIDS therapies within the placenta, in the fetus, and in the neonate. The information from these studies should assist in the interpretation of data on transport and pharmacokinetics of therapeutic agents. Treatment of HIV-infected pregnant women and their potentially uninfected infants in utero requires that the consequences of exposure to therapy be considered. Toxicity related to treatment may occur directly, affecting the function of the placenta. For example, drugs that demonstrate placental toxicity may act on the microvasculature of the placenta. Other mechanisms of direct toxicity are related to regulation of hormones necessary to maintain placental function. Questions of direct placental toxicity may be examined using human placenta in vitro or using animal models with placental function similar to humans. Drugs may also have toxic effects on the fetus exposed to drug in utero, or on the neonate directly receiving drug. These effects may range from frank terata to subtle effects on developmental progress observed only much later. In addition, toxic effects, as defined in adult animals or humans, may differ in organisms still undergoing development. For example, neurotoxicity that may be clearly defined in adults may appear as a more diffuse, generalized syndrome if exposure occurred during development. While standard protocols exist and are routinely used for assessing the teratogenic potential of drugs, the more delayed effects are not well studied or understood. Thus, models in which to investigate the effects of therapy on the developing organism are needed; special attention needs to be paid to effects on development of the immune system and immune function and on the nervous system, examining development of motor, sensory, and cognitive function. Information from these model systems would be invaluable in the design of clinical trials using therapies during pregnancy and during early infancy. Research plans to evaluate standard teratology, reproductive toxicology, or pharmacokinetics in rodents are not considered responsive to this announcement. III. MECHANISM OF SUPPORT This Request for Applications (RFA) will use the R01 grant mechanism. The NIAID has allocated $1,000,000 (total costs) for the initial year of funding applications received in response to this RFA. It is anticipated that three to five applications will be funded. The award of grants pursuant to this RFA is contingent upon the continuing availability of funds for this purpose and upon receipt of a sufficient number of applications of high scientific merit. This RFA is a one-time solicitation. Generally, future unsolicited competing continuation applications will compete with all investigator-initiated applications and be reviewed by a DRG study section. However, should the NIAID determine that there is a sufficient continuing program need, the NIAID may announce a request for renewal applications. IV. MINIMUM REQUIREMENTS FOR APPLICATION Any domestic or foreign institution, university, medical college, hospital, and laboratory or other public, private or for-profit institution is eligible. Applicants may request up to four years of support. V. LETTER OF INTENT Prospective applicants are asked to submit, by March 11, 1991, a letter of intent that includes a descriptive title and a description (not to exceed one page) of the proposed research. The letter of intent is requested in order to provide an indication of the number and scope of applications to be reviewed. The letter of intent does not commit the sender to submit an application, nor is it a requirement for submission of an application. The letter of intent should be sent to: Polly R. Sager, Ph.D. Senior Scientist Developmental Therapeutics Branch Division of AIDS, NIAID 6003 Executive Blvd., Room 244P Bethesda, MD 20892 FAX number: (301) 480-5703 VI. CONSEQUENCES OF LACK OF RESPONSIVENESS TO THE RFA Applications that are incomplete for review or nonresponsive to this RFA will be screened out by NIH staff upon receipt and returned to the applicants without further consideration. VII. REVIEW METHOD AND PEER REVIEW CRITERIA Those applications that are complete and responsive may be subjected to a triage by a peer review group to determine their scientific merit relative to the other applications received in response to this RFA. The NIH will withdraw from competition those applications judged by triage to be noncompetitive and notify the applicant and institutional business official. Those applications judged to be competitive will be further reviewed for scientific and technical merit by a Review Committee convened by the Division of Research Grants, NIH. The second level of review will be provided by the National Advisory Allergy and Infectious Disease Council. Awards will be based on scientific and technical merit significance, originality, adequacy of research experience, commitment, and time availability of the Principal Investigator and other key personnel, adequacy of facilities, and reasonableness of cost. VIII. METHOD OF APPLYING A. Receipt Date The deadline for receipt of applications is April 22, 1991. Applications received after this date will be considered as not responsive to this RFA and will be returned without review. B. General 1. The research grant application form PHS-398 (rev. 10/88) must be used in applying. These forms are available at most institutional business offices and from the Division of Research Grants, National Institutes of Health, Westwood Building, Room 499, 9000 Rockville Pike, Bethesda, Maryland 20892. Submit a signed, typewritten original of the application, including the Checklist, and 23 signed, exact, single-sided photocopies, in one package to: Division of Research Grants National Institutes of Health Westwood Building, Room 240 Bethesda, MD 20892** 2. TO ASSURE THE IDENTIFICATION OF YOUR APPLICATION WITH THIS RFA: a. The application form must have "DEVELOPMENT OF MODELS FOR PLACENTAL AND PEDIATRIC METABOLISM, TOXICITY, AND TRANSPORT OF anti-HIV DRUGS" (RFA AI-91-05) typed on line 2 of the face page of the application form. b. The RFA label provided with the instructions must be affixed to the bottom of the face page. Failure to use this label could result in delayed processing of your application so that it may not reach the review committee in time for review. IX. INQUIRIES Additional information may be obtained from: Polly R. Sager, Ph.D. Developmental Therapeutics Branch Division of AIDS, NIAID 6003 Executive Blvd., Room 244P Bethesda, MD 20892 Telephone: (301) 496-0636 This program is described in the Catalog of Federal Domestic Assistance, 93.856 - Microbiology and Infectious Diseases Research and 93.855 - Allergy, Immunology and Transplantation Research. Grants are awarded under the authority of the Public Health Service Act, Title IV, Section 301, as amended, Public Law 78-410, Public Law 97-219, Public Law 99-158, Public Law 99- 500, and Report 99-711 to accompany HR 5233 and administered under PHS grant 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