kristoff@GENBANK.BIO.NET (Dave Kristofferson) (01/17/91)
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. ---------------------------------------------------------------------- NIH GUIDE - Vol. 20, No. 3, January 18, 1991 NOTICES NATIONAL WORKSHOPS ON "PROTECTION OF HUMAN SUBJECTS" ...(84/204)............ 1 National Institutes of Health Food and Drug Administration Index: NATIONAL INSTITUTES OF HEALTH FOOD AND DRUG ADMINISTRATION SMALL GRANTS PROGRAM - REVISED GUIDELINES ..............(207/223)........... 2 National Heart, Lung, and Blood Institute Index: HEART, LUNG, BLOOD NOTICES OF AVAILABILITY (RFPs AND RFAs) ALZHEIMER'S DISEASE AND RELATED CEREBRAL DEGENERATIVE DISORDERS (RFA NS/AG-91-03) ...............................(244/328, 884/1313)........ 3 National Institute of Neurological Disorders and Stroke National Institute on Aging Index: NEUROLOGICAL DISORDERS, STROKE, AGING MANAGEMENT OF ALZHEIMER'S DISEASE SYMPTOMS (RFA NR/AG-91-01) ............... 4 National Center for Nursing Research (331/490, 1316/1802) National Institute on Aging Index: NURSING RESEARCH, AGING ANALYSES AND PHYSIOLOGY OF ANTICARCINOGENS IN SOYBEANS (RFA CA-91-06) ...... 6 National Cancer Institute (493/612, 1805/2213) Index: CANCER SITES TESTING OSTEOPOROSIS PREVENTION/INTERVENTION TREATMENTS (RFA AG-91-04) ..................................(615/733, 2215/2603)....... 7 National Institute on Aging Index: AGING SITES TESTING OSTEOPOROSIS PREVENTION/INTERVENTION TREATMENTS: COMPANION STUDIES OF PATHOPHYSIOLOGY AND MECHANISMS (RFA AG-91-08) ......... 9 National Institute on Aging (736/840, 2606/2869) Index: AGING NOTICES NATIONAL WORKSHOPS ON "PROTECTION OF HUMAN SUBJECTS" P.T. 42; K.W. 0783005 National Institutes of Health Food and Drug Administration The National Institutes of Health (NIH) and the Food and Drug Administration (FDA) are continuing to sponsor a series of workshops on the responsibilities of researchers, Institutional Review Boards (IRBs), and institutional officials for the protection of human subjects in research. The workshops are open to everyone with an interest in research involving human subjects. The meetings should be of special interest to those persons currently serving or about to begin serving as a member of an IRB. Issues discussed at these workshops are relevant to all other Public Health Service agencies. The current schedule includes the following: I. WEST COAST WORKSHOP DATES: February 4-5, 1991 WORKSHOP SITE: Meridien Hotel 50 Third Street San Francisco, CA 94103 SPONSOR: University of California at San Francisco Box 0400 San Francisco, CA 94143 REGISTRATION CONTACT: Ms. Phyllis Colbert Workshop Contact Person University of California at San Francisco Box 0400 San Francisco, CA 94143 Telephone: (415) 476-1881 TOPIC: "The Use of Human Subjects in Research: AIDS as a Model of Complexity" II. MIDEAST WORKSHOP DATES: March 4-5, 1991 WORKSHOP SITE: Friday Center Laurel Hill Parkway Chapel Hill, NC 27599-1020 SPONSORS: University of North Carolina at Chapel Hill 300 Bynum Hall Chapel Hill, NC 27599-4100 Shaw University 118 E. South Street Raleigh, NC 27611 REGISTRATION CONTACT: Mr. Al Dawson Director Friday Center Laurel Hill Parkway C. B. 1020 Chapel Hill, NC 27599-1020 Telephone: (919) 962-1106 TOPIC: "Interpreting the Federal Code for the Protection of Human Subjects" NIH GUIDE - Vol. 20, No. 3, January 18, 1991 - Page 1 III. MIDWEST WORKSHOP DATES: April 11-12, 1991 WORKSHOP SITE: Ramada Inn, Lakeshore 4900 South Lake Shore Drive Chicago, IL 60615 SPONSORS: University of Chicago 970 East 58th Street Chicago, IL 60637 Chicago State University 95th Street at King Drive Chicago, IL 60628 REGISTRATION CONTACT: Mr. Arnold L. Aronoff Associate Director Faculty and Administrative Services University Research Administration University of Chicago 970 East 58th Street Chicago, IL 60637 Telephone: (312) 702-8669 TOPIC: "Cultural Diversity, Ethics, and Research: A Workshop on Human Subject Protection" NIH/FDA have planned national human subject protections workshops in other parts of the United States. For further information regarding these workshops contact: Darlene Marie Ross Executive Assistant for Education Division of Human Subject Protections Office for Protection from Research Risks National Institutes of Health 9000 Rockville Pike Building 31, Room 5B59 Bethesda, MD 20892 Telephone: (301) 496-8101 SMALL GRANTS PROGRAM - REVISED GUIDELINES P.T. 34; K.W. 1014006 National Heart, Lung, and Blood Institute The National Heart, Lung, and Blood Institute (NHLBI) announces the availability of revised guidelines for the NHLBI Small Grants Program originally announced in the NIH Guide for Grants and Contracts, Vol. 19, No. 7, February 16, 1990. Copies are available from: Director Division of Extramural Affairs National Heart, Lung, and Blood Institute Westwood Building, Room 7A17 Bethesda, MD 20892 Telephone: (301) 496-7416 NIH GUIDE - Vol. 20, No. 3, January 18, 1991 - Page 2 NOTICES OF AVAILABILITY (RFPs AND RFAs) ALZHEIMER'S DISEASE AND RELATED CEREBRAL DEGENERATIVE DISORDERS RFA AVAILABLE: NS/AG-91-03 P.T. 34; K.W. 0715180, 0705010, 0710010, 1002030, 0755030, 0765033 National Institute of Neurological Disorders and Stroke National Institute on Aging Letter of Intent Receipt Date: April 1, 1991 Application Receipt Date: May 6, 1991 Background The Division of Demyelinating, Atrophic, and Dementing Disorders of the National Institute of Neurological Disorders and Stroke (NINDS) and the Neuroscience and Neuropsychology of Aging Program of the National Institute on Aging (NIA) jointly announce the availability of a Request for Applications (RFA) on Alzheimer's Disease and Related Cerebral Degenerative Disorders. The NINDS and NIA are interested in enhancing the support of innovative research projects designed to elucidate the etiology or pathogenesis of cerebral degenerative disorders such as Alzheimer's disease, to improve diagnosis, and eventually to provide sound bases for effective therapy. Topics of interest include studies in genetics, mechanisms of cell death, nerve growth factors, animal modeling, neuroimaging, and various aspects of differential diagnosis. Applications on related topics or other problem areas are also encouraged. Mechanism of Support The support mechanism for this program will be the regular research grant (R01). The Institutes expect to make at least 20 awards. Review Procedures All applications should be submitted on form PHS 398 (10/88 revision). Applications judged by staff to be nonresponsive to the RFA will be administratively withdrawn and returned to the applicant. All applications that are complete and responsive to this RFA will be evaluated by an NINDS peer review group. Applications judged competitive for award will be subsequently reviewed by the National Advisory Neurological Disorders and Stroke Council and the National Advisory Council on Aging. 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. Method of Application Applications must be received by May 6, 1991. The review for scientific and technical merit of applications judged responsive to the RFA will take place in June/July 1991 and Council review will be in September 1991. Awards will begin prior to October 1, 1991. Potential applicants may receive the full RFA by E-Guide or on request from: Eugene J. Oliver, Ph.D. Health Scientist Administrator Division of Demyelinating, Atrophic, and Dementing Disorders National Institute of Neurological Disorders and Stroke National Institutes of Health Federal Building, Room 806 Bethesda, MD 20892 Telephone: (301) 496-1431 or NIH GUIDE - Vol. 20, No. 3, January 18, 1991 - Page 3 Carl D. B. Banner, Ph.D. Program Director, Etiology of Alzheimer's Disease Dementias of Aging Branch, NNA National Institute on Aging National Institutes of Health Building 31, Room 5C35 Bethesda, MD 20892 Telephone: (301) 496-9350 MANAGEMENT OF ALZHEIMER'S DISEASE SYMPTOMS RFA AVAILABLE: NR/AG-91-01 P.T. 34; K.W. 0715180, 0785035, 0404000 National Center for Nursing Research National Institute on Aging Letter of Intent Receipt Date: April 8, 1991 Application Receipt Date: May 20, 1991 The National Center for Nursing Research (NCNR) and the National Institute on Aging (NIA) invite applications for R01 research proposals for preliminary investigations that will lead to large-scale clinical studies on the assessment and nonpharmacological management of secondary symptoms exhibited by patients with Alzheimer's disease and related disorders (AD). The Alzheimer's Association is cooperating with NCNR and NIA in this Request for Applications (RFA). Estimates indicate that 4 million Americans presently suffer from Alzheimer's disease or related dementias. The impact of AD on patients, families, and society is severe and is anticipated to grow as older persons, the group most at risk for AD, continue to increase in number. Although it may not yet be possible to prevent, treat, or permanently alter the course of the underlying disease, interventions can be developed and systematically tested that reduce the patient's secondary symptoms and preserve function. In addition to cognitive symptoms, non-cognitive secondary symptoms, which are frequently seen across the course of Alzheimer's disease and present significant management problems, are of special concern. These may include, but are not limited to, wandering, disturbed sleep, pacing, agitation, feeding and dressing difficulties, incontinence and toileting difficulties, screaming and other vocalizations, aggression and violence, and inappropriate sexual behavior. These symptoms not only contribute to decisions to institutionalize affected individuals, but also lead to the use of chemical and physical restraints. While there exists a great deal of clinical and anecdotal information about methods that can effectively deal with individual symptoms, little data exist that have been obtained with the rigor of design and procedures of the controlled clinical trial. Therefore, applications are solicited for preliminary investigations and feasibility studies that will lay the groundwork for the development of rigorously controlled clinical trials to test interventions for the management of the secondary symptoms. Applications are invited for support of projects to address issues including, but not limited to: o the identification of underlying factors in research subjects that result in behavioral symptoms and methods to address these factors. o the development of preliminary work and early investigations that will lead to the nonpharmacologic management and treatment of the secondary symptoms exhibited by patients with Alzheimer's disease and related disorders. o provision of a rigorous scientific base that will lead to controlled clinical trials in institutional or noninstitutional settings by delineating approaches for the management of symptoms, the duration of change, and the procedures required to maintain the change, if possible. o development of instruments to assess behavioral problems and monitor changes. o careful scientific observations of the natural history/ clinical course of the behavioral changes that occur during the progression of Alzheimer's disease. NIH GUIDE - Vol. 20, No. 3, January 18, 1991 - Page 4 MECHANISM OF SUPPORT NCNR and NIA are allocating up to $75,000 in direct costs for each award for each funding year, not to exceed three years. The intent is to fund ten to fifteen R01 grants by September 30, 1991. Following the standard NIH peer review process, Principal Investigators may submit their applications and summary statements to the Alzheimer's Association for funding consideration. The Alzheimer's Association may fund selected grants at a maximum level of $45,000 total costs each year with a 10 percent ceiling on indirect costs, for a maximum of three years. The Alzheimer's Association project start dates for funding may not coincide with the NCNR or NIA award dates. Applicants may not receive funding from both NIH and the Alzheimer's Association for the same application. SPECIAL INSTRUCTIONS FOR INCLUSION OF WOMEN AND MINORITIES IN CLINCAL 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 or represented in the study populations for clinical studies, a special justification for this exclusion or inadequate representation must be provided. Applications without such documentation will not be accepted for review. REVIEW PROCEDURES AND CRITERIA The individual research grant application form PHS-398 (revised 10/88 or 9/89) must be used to apply for these grants. Upon receipt, applications will be reviewed by NIH staff for completeness and responsiveness. Incomplete applications will be returned to the applicant without further consideration. Applications not responsive to the scientific intent identified in the RFA or to the timeframe and budget guidelines will be returned to DRG for review with other unsolicited grant applications during the next available NIH review cycle. Applications may be subjected to triage by a peer review group to determine their scientific merit relative to other applications received in response to this RFA. The NIH will administratively withdraw those applications judged to be noncompetitive and notify the applicant and institutional official. Those applications judged to be complete, responsive, and competitive will be evaluated in accordance with the NIH review criteria for scientific/technical merit by an appropriate peer review group convened by the NCNR and NIA. The second level of review will be provided by the NCNR and NIA National Advisory Councils. Although not a prerequisite for applying, potential applicants are encouraged to submit a non-binding letter of intent by April 8, 1991, to John C. Chah, PhD, National Center for Nursing Research, Building 31, Room 5B19, 9000 Rockville Pike, Bethesda, MD 20892. The letter of intent should include a descriptive title of the proposed research, the name, address, and telephone number of the Principal Investigator, the names of other key personnel, and any other participating institution(s). Applications must be received by May 20, 1991. Potential applicants are strongly encouraged to obtain the full Request for Applications (RFA) and to direct inquiries to: Mary D. Lucas, PhD, RN Teresa S. Radebaugh, Sc.D. Chief, Acute & Chronic Chief, Dementias of Aging Illness Branch Neuroscience and National Center for Nursing Neuropsychology of Aging Research National Institute on Aging Building 31, Room 5B03 Building 31, Room 5C21 Bethesda, MD 20892 Bethesda, MD 20892 Telephone: (301) 496-0523 Telephone: (301) 496-9350 Other institutes and agencies are also interested in research dealing with Alzheimer's disease and related disorders, including: The National Institute of Mental Health (NIMH) is interested in research dealing with the behavioral and emotional consequences of Alzheimer's disease and related disorders. The scope of NIMH interest is delineated in the announcement "Alzheimer's Disease Treatment and Family Stress." For more information, contact Enid Light, PhD, NIMH, Room 11C-03, 5600 Fishers Lane, Rockville, MD 20857, telephone (301) 443-1185. NIH GUIDE - Vol. 20, No. 3, January 18, 1991 - Page 5 The National Institute of Neurological Disease and Stroke program contact for Alzheimer's disease related research is Dr. Eugene J. Oliver, NINDS, Federal Building, Room 806, Bethesda, MD 20892, telephone (301) 496-1431. This RFA is in addition to the ongoing program announcement on "Alzheimer's Disease and Related Disorders: Issues in Caregiving," published in the NIH Guide for Grants and Contracts, Vol. 18, No. 6, February 24, 1989, sponsored by the National Institute on Aging, National Center for Nursing Research, National Institute of Mental Health, and the National Center for Health Services Research (now the Agency for Health Care Policy Research). ANALYSES AND PHYSIOLOGY OF ANTICARCINOGENS IN SOYBEANS RFA AVAILABLE: CA-91-06 P.T. 34; K.W. 0715035, 1007009, 0745027, 0710095 National Cancer Institute Letter of Intent Receipt Date: March 1, 1991 Application Receipt Date: April 29, 1991 The Division of Cancer Prevention and Control, National Cancer Institute (NCI), invites applications for grants to quantify levels of total and individual anticarcinogens in soybeans and soy products and to study their absorption and metabolism in humans. BACKGROUND Epidemiologic and animal studies suggest soybean-rich diets may reduce cancer risk. Populations consuming predominantly plant-based diets, for whom legumes frequently represent an important protein source, tend to have lower rates of several cancers than populations who rely heavily on animal products. One legume, soybeans, via a variety of soy products (tofu, miso, tempeh, soymilk, natto), is commonly consumed throughout much of East Asia where breast and colon cancer rates are low in comparison to Western countries. Soybeans contain several classes of compounds in particularly high concentrations with demonstrated anticancer activity, such as isoflavones, protease inhibitors, phytosterols, saponins, and inositol hexaphosphate. Others may also exist. Basic research on the absorption and metabolism of these compounds in humans and accurate analytical data on the levels of these compounds in commonly consumed soy products are needed. These data will help to determine the potential impact of soybeans on cancer prevention. The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of "Healthy People 2000", a PHS-led national activity for setting priority areas. This RFA, "Analyses and Physiology of Anticarcinogens in Soybeans," is related to the priority area of cancer prevention. OBJECTIVES AND SCOPE The purpose of this Request for Applications (RFA) is to solicit applications from qualified investigators to quantify levels of total and individual anticarcinogens in soybeans and soy products and to study their absorption and metabolism in humans. The analytical work should focus only on those compounds in soybeans and soy products that have demonstrated anticancer activity and are unique to soybeans and soy products or present at substantially high levels (relative to other foods). Total as well as individual anticarcinogens (e.g., total isoflavones and individual isoflavones, daidzein, genistein) should be quantified. All factors potentially effecting anticarcinogen levels/activity should be considered for investigation. For the clinical work, studies on the absorption and metabolism of compounds in soybeans and soy products with demonstrated anticancer activity are to be conducted. When feasible, dose-response relationships between soy product/anticarcinogen intake and anticarcinogen levels in blood and urine, and/or feces and bile should be conducted. When available, both commonly consumed soy products as well as soybean extracts or pure soybean anticarcinogens should be studied. Both long-term feeding studies, in which anticarcinogen levels in subjects consuming soy products/extracts over an extended period of time, and short-term studies, in which anticarcinogen levels for a minimal period after the consumption of a single administration of soy products, extracts, or pure compounds are studied, are appropriate under this RFA. NIH GUIDE - Vol. 20, No. 3, January 18, 1991 - Page 6 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 or adequately represented in the study populations for clinical studies, a specific justification for this exclusion or inadequate representation must be provided. Applications without such documentation will not be accepted for review. MECHANISM OF SUPPORT The support mechanism for this program will be the individual research grant (RO1). This RFA is a one-time solicitation. Future unsolicited competing renewal applications will compete with all investigator-initiated applications and be reviewed by the Division of Research Grants (DRG). Approximately $900,000 in total costs per year for 3 years will be committed to specifically fund applications that are submitted in response to this RFA. It is anticipated that 3 to 4 awards will be made. REVIEW PROCESS All applications submitted in response to this RFA will be evaluated for scientific and technical merit by an initial review group that will be convened for this purpose by the Division of Extramural Affairs. Those applications judged to be both competitive and responsive will be further evaluated for scientific and technical merit by an appropriate peer review group convened by the Division of Extramural Activities, NCI. The second level of review by the National Cancer Advisory Board considers the special needs of the Institute and the priorities of the National Cancer Program. METHOD OF APPLYING Potential applicants are asked to submit a letter of intent and that includes a descriptive title of the proposed research, the name and address of the principal investigator, the names of other key personnel, the participating institutions, and the number and title of the RFA in response to which the application is being submitted. This letter should be received no later than March 1, 1991. Potential applicants should write or phone the individual listed below for the full RFA document: Mark J. Messina, Ph.D., Program Director National Cancer Institute, DCPC 9000 Rockville Pike, EPN 212C Bethesda, MD 20892 Telephone: (301) 496-8573 The RFA label available in the 10/88 revision of Application Form 398 must be affixed to the bottom of the face page. Failure to use this label could result in delayed processing of the application such that it may not reach the review committee in time for review. SITES TESTING OSTEOPOROSIS PREVENTION/INTERVENTION TREATMENTS RFA AVAILABLE: AG-91-04 P.T. 34; K.W. 0705050, 0745027, 0755015, 0710010 National Institute on Aging Letter of Intent Receipt Date: March 15, 1991 Application Receipt Date: April 29, 1991 The National Institute on Aging (NIA) invites applications for cooperative agreements to develop and test interventions to lessen, prevent, or reverse loss of bone strength in the hip to reduce risk of hip fractures in older persons. BACKGROUND, GOALS, SCOPE, AND ELIGIBILITY REQUIREMENTS The enormous public health impact of osteoporosis is concentrated heavily among persons 65 years old and older. In particular, the vast majority of hip fractures occur in this age range. Several clinical trials of interventions against osteoporosis have reported promising results, but trials have included few subjects over age 65, few trials have studied effects on bone density in NIH GUIDE - Vol. 20, No. 3, January 18, 1991 - Page 7 the hip, and no trials have adequate statistical power to determine the effect of interventions on hip fractures in this population. The Request for Applications (RFA) solicits projects which will test the efficacy of interventions (or combinations of interventions) against osteoporosis of the hip in persons aged 65 or older. Proposed studies must measure effects in the hip but may also include measures of effects at additional skeletal sites. Subjects for inclusion in proposed trials must be age 65 or over. Studies may also measure effects of osteoporosis treatment on fractures of the hip and other sites. A pilot phase for safety and feasibility testing and protocol refinement of intervention studies may be proposed. The Principal Investigators and key staff of STOP/IT (Sites Testing Osteoporosis Prevention/Intervention Treatments) projects, under the terms of awards, will meet with the NIA Program Administrator every six months to review the progress of their studies. Funds for such travel will be included in awards. A maximum of $550,000 first year total (direct plus indirect) costs may be requested per application and a total of no more than $3.1 million may be requested per application for the entire project duration. This RFA is a one-time solicitation. Up to $2.1 million (total cost) for first-year expenses and additional approved expenses for up to five years will be committed in Fiscal Year 1991 to fund applications in response to this RFA. It is anticipated that up to four awards will be made in FY 1991. Additional proposals in response to this RFA may be funded in Fiscal Year 1992 depending on quality of applications and availability of funds. Issuance of awards pursuant to this RFA is contingent on the availability of funds for this purpose. The earliest feasible start date for the initial awards will be September 30, 1991. Applicants responding to this RFA are also encouraged to submit concurrent companion research project grant applications for studies on the pathophysiology of osteoporosis in advanced age and the mechanisms affecting response to treatment in older persons, as described in NIA RFA AG-91-08 in this issue of the NIH Guide for Grants and Contracts. No elements of these proposed companion studies should duplicate any elements of studies proposed in response to this RFA (AG-91-04). MECHANISM OF SUPPORT Support of this program will be through cooperative agreements (U01) between each awardee and NIA. Under the terms of these cooperative agreements, the awardee defines the design and details of the project under the terms of this RFA, retains primary responsibility for performance of the research and for analyzing and publishing results, and agrees to accept assistance from the NIA Program Administrator in the following: o Participation in the monitoring of intervention study issues relating to recruitment, treatment, follow-up, quality control, and adherence to protocol. o Consideration of adjustments of intervention study designs and protocols. o Assistance in analysis and reporting of intervention study results. REVIEW PROCEDURES AND CRITERIA Applications will be received by the NIH Division of Research Grants and will be assigned to the NIA. Responsive applications will be assigned to a special review group organized by NIA. Following this review, applications will be considered by the National Advisory Council on Aging. Applications will be evaluated on customary criteria for scientific merit and the adequacy of applicants' plans for meeting the special program requirements of this RFA. Applications will be evaluated regarding issues relating to inclusion of women and minorities. (Note following special instructions.) 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 or adequately represented in the study populations for clinical studies, a specific justification for this exclusion or inadequate representation must be provided. Applications without such justification will not be accepted for review. NIH GUIDE - Vol. 20, No. 3, January 18, 1991 - Page 8 METHOD OF APPLYING: Applicants should request the full RFA from the NIA staff contact listed below. A letter of intent to submit an application, while not required, is requested to be sent to the same staff contact by March 15, 1991. The deadline for receipt of applications is April 29, 1991. The full RFA may be obtained from: Stanley L. Slater, M.D. Geriatrics Program National Institute on Aging Building 31, Room 5C27 National Institutes of Health Bethesda, MD 20892 Telephone: (301) 496-6761 SITES TESTING OSTEOPOROSIS PREVENTION/INTERVENTION TREATMENTS: COMPANION STUDIES OF PATHOPHYSIOLOGY AND MECHANISMS RFA AVAILABLE: AG-91-08 P.T. 34; K.W. 0705050, 0745027, 0710010, 0765035 National Institute on Aging Application Receipt Date: April 29, 1991 BACKGROUND: The National Institute on Aging (NIA) has issued a Request for Applications (RFA): SITES TESTING OSTEOPOROSIS PREVENTION/INTERVENTION TREATMENTS (STOP/IT) (AG-91-04), soliciting projects to test the efficacy of interventions (or combinations of interventions) against osteoporosis in the hip, in persons aged 65 or more. That RFA provides funds for intervention studies only. Because evidence is increasing that the disease process may differ in significant respects in this age range compared to younger ages, and because much remains to be learned about mechanisms accounting for these differences, NIA wishes to increase gains in knowledge from these intervention studies by supporting companion studies to explore mechanisms underlying the interaction of the disease process with interventions being explored in the clinical trials funded under AG-91-04. Therefore, only institutions responding to AG-91-04 may submit applications in response to this RFA. Those not eligible for this RFA who wish support for studies on osteoporosis in advanced age are encouraged to submit applications at any regularly scheduled submission deadline, as described in the NIA/NIAMS program announcement: Type II Osteoporosis (NIH Guide for Grants and Contracts 17, No. 28, September 2, 1988). RESEARCH GOALS AND SCOPE: The screening and recruitment of subjects over age 65, as requested in AG-91-04, will provide opportunities for studies on the pathophysiology of osteoporosis in advanced age, and the mechanisms affecting response to treatment in older persons. Studies are encouraged on factors affecting the progress of the disease in women many years after menopause and in older men, as well as studies of factors specifically affecting bone loss in the hip in this age range. Applicants responding to this RFA are also invited to explore or verify mechanisms underlying the effects (or lack of effects) of interventions on bone mass, bone density, and/or bone strength in older persons. Because comorbidity and use of multiple medications are extremely common among persons over age 65, studies of the impact of these complicating factors on the disease process and responses to interventions are also appropriate. MECHANISM OF SUPPORT: Support of this program will be through the Public Health Service grant-in-aid. Only the RO1 grant mechanism can be used. Awards will be administered under PHS grants policy as stated in the Public Health Service Grants policy statement, DHHS Publication No. (OASH) 82-50,000, revised October 1, 1990. This RFA is a one-time solicitation. Up to $1.2 million has been set aside for total (direct plus indirect) first-year costs and additional approved expenses for up to five years to fund applications submitted in response to this RFA. (NIA and the National Institute of Arthritis, Musculoskeletal and Skin Diseases will contribute equal shares of this funding.) No single proposal should request more than $150,000 (direct plus indirect costs) for first-year expenses. Future year annual increases will generally be limited to no more than four percent. Multiple proposals may be submitted by each applicant institution. It is anticipated that approximately 8 awards will be made in Fiscal Year 1991. Additional applications submitted in response to this RFA may be funded in Fiscal Year 1992. The award of grants pursuant to this RFA is contingent on receipt of applications of high scientific merit and the availability of funds for this purpose. NIH GUIDE - Vol. 20, No. 3, January 18, 1991 - Page 9 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. REVIEW PROCEDURES AND CRITERIA: Applications will be received by the NIH Division of Research Grants and will be assigned to NIA. Responsive applications will be assigned to a special review group convened by NIA for review. Following this review, applications will be considered by the National Advisory Council on Aging. Scientific review criteria to be used in the evaluation of the applications received in response to this RFA are listed in the full RFA. METHOD OF APPLYING: Applicants should request the full RFA from the NIA staff contact listed at the end of this announcement. A letter of intent to submit an application, while not required, is requested to be sent to the same staff contact by March 15, 1991. Applications should be submitted on the standard PHS 398 application form (revised October 1988), available at most institutional business offices and the Division of Research Grants, NIH, telephone (301) 496-7441. On item 2 of the face page of the application, applicants should enter: NIA (STOP/IT) Companion Studies, AG-91-08. The RFA label available in the 10/88 revision of the Application Form 398 must be affixed to the bottom of the face page. Failure to use this label could result in delayed processing of the application and prevent it from reaching the review committee in time for review. The deadline for receipt of applications is April 29, 1991. The full RFA may be obtained from: Stanley L. Slater, M.D. Geriatrics Program National Institute on Aging Room 5C27, Building 31, NIH Bethesda, MD 20892 Telephone: (301) 496-6761 NIH GUIDE - Vol. 20, No. 3, January 18, 1991 - Page 10 ------------------------- Full text of RFAs ------------------------- SITES TESTING OSTEOPOROSIS PREVENTION/INTERVENTION TREATMENTS: COMPANION STUDIES OF PATHOPHYSIOLOGY AND MECHANISMS RFA AVAILABLE: AG-91-08 P.T. 34; K.W. 0705050, 0745027, 0710010, 0765035 National Institute on Aging Application Receipt Date: April 29, 1991 I. BACKGROUND The enormous public health impact of osteoporosis continues to grow. This burden is concentrated heavily among persons over 65 years old. In particular, the vast majority of hip fractures occur in this age range, causing hospitalization and temporary disability for over 215,000 persons per year, and long-term loss of independence for a significant proportion of these. The National Institute on Aging (NIA) has issued a Request for Applications (RFA): SITES TESTING OSTEOPOROSIS PREVENTION/INTERVENTION TREATMENTS (STOP/IT) (AG-91-04) that solicits projects to test the efficacy of interventions (or combinations of interventions) against osteoporosis in the hip in persons aged 65 or more. That RFA provides funds for intervention studies only. Because evidence is increasing that the disease process may differ in significant respects in this age range compared to younger ages, and because much remains to be learned about mechanisms accounting for these differences, NIA wishes to increase gains in knowledge from these intervention studies by supporting companion studies to explore mechanisms underlying the interaction of the disease process with interventions being explored in the clinical trials funded under AG-91-04. Therefore, only institutions responding to AG-91-04 may submit applications in response to this RFA. Investigators not eligible for this RFA who wish support for studies on osteoporosis in advanced age are encouraged to submit applications at any regularly scheduled submission deadline, as described in the NIA/NIAMS program announcement: Type II Osteoporosis (NIH Guide for Grants and Contracts 17, No. 28, September 2, 1988). II. RESEARCH GOALS AND SCOPE The screening and recruitment of subjects age 65 and older, as requested in AG-91-04, will provide opportunities for studies on the pathophysiology of osteoporosis in advanced age and the mechanisms affecting response to treatment in older persons. All studies should include subjects (or tissues from subjects) over age 65, and may also include subjects (or tissues from subjects) of younger ages, as needed. Studies are encouraged on factors affecting the progress of the disease in women many years after menopause and in older men, as well as studies of factors specifically affecting bone loss in the hip in this age range. Applicants responding to this RFA are also invited to explore or verify mechanisms underlying the effects (or lack of effects) of interventions on bone mass, bone density, and/or bone strength in older persons. Because comorbidity and use of multiple medications are extremely common among persons over age 65, studies of the impact of these complicating factors on the disease process and responses to interventions are also appropriate. Applications submitted in response to this RFA should fully describe all resources, personnel, and methods to be used in proposed studies, so that applications may be reviewed without extensive cross-referencing to the proposed intervention studies solicited in RFA AG-91-04. III. ELIGIBILITY AND MECHANISM OF SUPPORT Only institutions responding to AG-91-04 may submit applications in response to this RFA. Those not eligible for this RFA who wish support for studies on osteoporosis in advanced age are encouraged to submit applications at any regularly scheduled submission deadline, as described in the NIA/NIAMS program announcement: Type II Osteoporosis (NIH Guide to Grants and Contracts 17, No. 28, September 2, 1988). Support of this program will be through the Public Health Service grant-in-aid. Only the RO1 grant mechanism can be used. Awards will be administered under PHS grants policy as stated in the Public Health Service Grants policy statement, DHHS Publication No. (OASH) 82-50,000, revised October 1, 1990. This RFA is a one-time solicitation. Up to $1.2 million has been set aside for total (direct plus indirect) first-year costs and additional approved expenses for up to 5 years, to fund applications submitted in response to this RFA. (NIA and the National Institute of Arthritis, Musculoskeletal and Skin Diseases will contribute equal shares of these funds.) No single proposal may request more than $150,000 (direct plus indirect costs) for first-year expenses. Future year annual increases will generally be limited to no more than 4 percent. Multiple proposals may be submitted by each applicant institution. It is anticipated that approximately eight awards will be made in Fiscal Year 1991. Additional applications submitted in response to this RFA may be funded in Fiscal Year 1992. The award of grants pursuant to this RFA is contingent on receipt of applications of high scientific merit and the availability of funds for this purpose. Generally, future competing renewal applications will compete with all investigator-initiated applications and be reviewed by the Division of Research Grants (DRG). However, should the NIA determine that there is a sufficient continuing program need, the RFA may be reissued. The earliest feasible start date for the initial awards will be September 30, 1991. SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL RESEARCH STUDY POPULATIONS NIH and ADAMHA policy is that applicants for NIH/ADAMHA clinical research grants and cooperative agreements will be required to include minorities and women in study populations so that research findings can be of benefit to all persons at risk of the disease, disorder or condition under study; special emphasis should be placed on the need for inclusion of minorities and women in studies of diseases, disorders and conditions which disproportionately affect them. This policy is intended to apply to males and females of all ages. If women or minorities are excluded or inadequately represented in clinical research, particularly in proposed population-based studies, a clear compelling rationale should be provided. The composition of the proposed study population must be described in terms of gender and racial/ethnic group. In addition, gender and racial/ethnic issues should be addressed in developing a research design and sample size appropriate for the scientific objectives of the study. This information should be included in the form PHS 398 in Section 2, A-D of the Research Plan AND summarized in Section 2, E, Human Subjects. Applicants/offerors are urged to assess carefully the feasibility of including the broadest possible representation of minority groups. However, NIH recognizes that it may not be feasible or appropriate in all research projects to include representation of the full array of United States racial/ethnic minority populations (i.e., Native Americans (including American Indians or Alaskan Natives), Asian/Pacific Islanders, Blacks, Hispanics). The rationale for studies on single minority population groups should be provided. For the purpose of this policy, clinical research includes human biomedical and behavioral studies of etiology, epidemiology, prevention (and preventive strategies), diagnosis, or treatment of diseases, disorders or conditions, including but not limited to clinical trials. The usual NIH policies concerning research on human subjects also apply. Basic research or clinical studies in which human tissues cannot be identified or linked to individuals are excluded. However, every effort should be made to include human tissues from women and racial/ethnic minorities when it is important to apply the results of the study broadly, and this should be addressed by applicants. For foreign awards, the policy on inclusion of women applies fully; since the definition of minority differs in other countries, the applicant must discuss the relevance of research involving foreign population groups to the United States' populations, including minorities. If the required information is not contained within the application, the application will be returned. Peer reviewers will address specifically whether the research plan in the application conforms to these policies. If the representation of women or minorities in a study design is inadequate to answer the scientific question(s) addressed AND the justification for the selected study population is inadequate, it will be considered a scientific weakness or deficiency in the study design and will be reflected in assigning the priority score to the application. All applications for clinical research submitted to NIH are required to address these policies. NIH funding components will not award grants or cooperative agreements that do not comply with these policies. IV. REVIEW PROCEDURES AND CRITERIA Applications will be received by the NIH Division of Research Grants and will be assigned to NIA. Responsive applications will be assigned to a special review group convened by NIA for review. Proposals judged by the NIA to be non-responsive (those not directed at the goals of this RFA) will be administratively withdrawn and returned to the applicant without review. Proposals may first receive a preliminary review by a subcommittee of the review panel to establish those applications deemed to be competitive. Those proposals judged noncompetitive will be so designated, and an abbreviated summary statement noting the major areas of concern will be sent to the Principal Investigator. Applications judged to be competitive will be given full review. Following review by the initial review group, the applications will be considered by the National Advisory Council on Aging. Listed below are the major review criteria to be used in the evaluation of the applications received in response to this RFA: o scientific merit of the research proposed; o significance of the research project to the goals of the RFA; o qualifications, experience, and commitment of the investigators, and their ability to devote the required time and effort to the project; o appropriateness of the total budget and budgetary requests; and o institutional commitment to the requirements of the project. V. Method of Applying A letter of intent to submit an application, while not required, is requested. The letter should include a descriptive title, the name and address of the principal investigator and other key investigators as well as identifying any other participating institutions. This letter must be addressed to the staff contact listed below (see VI below) by March 15, 1991. Applications must be submitted on the standard PHS-398 application form (revised October 1988), available at most institutional business offices or from the Division of Research Grants, NIH, telephone (301) 496-7441. Institutions submitting multiple proposals must submit each on a separate PHS-398 form. On item 2 of the face page of the application, applicants must enter: NIA RFA-- STOP/IT Companion Studies, AG-91-08. The RFA label available in the 10/88 revision of the Application Form 398 must be affixed to the bottom of the face page and placed on the top of the entire package. Failure to use this label could result in delayed processing of the application and prevent it from reaching the review committee in time for review. The deadline for receipt of applications is April 29, 1991. The completed application and four copies must be sent to: Application Receipt Office Division of Research Grants National Institutes of Health Westwood Building, Room 240 Bethesda, MD 20892** When the application is submitted to the Division of Research grants, two copies of the application must be sent to: Chief, Scientific Review Office National Institute on Aging Building 31, Room 5C12 9000 Rockville Pike Bethesda, MD 20892 Failure of these copies to be received by the deadline may prevent the application from being reviewed under this announcement in time to be considered for an award. VI. STAFF CONTACT Potential applicants interested in obtaining further information may write or call: Stanley L. Slater, M.D. Geriatrics Program National Institute on Aging Room 5C27, Building 31 National Institutes of Health Bethesda, MD 20892 Telephone: (301) 496-6761 This program is described in the Catalog of Federal Domestic Assistance, Number 93.866. Grants are awarded under the authority of the Public Health Service Act (Section 301 42 USC 241) 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. SITES TESTING OSTEOPOROSIS PREVENTION/INTERVENTION TREATMENTS RFA AVAILABLE: AG-91-04 P.T. 34; K.W. 0705050, 0745027, 0755015, 0710010 National Institute on Aging Letter of Intent Receipt Date: March 15, 1991 Application Receipt Date: April 29, 1991 The National Institute on Aging (NIA) invites applications for cooperative agreements to develop and test interventions to lessen, prevent, or reverse loss of bone strength in the hip to reduce risk of hip fractures in older persons. I. BACKGROUND The enormous public health impact of osteoporosis continues to grow. This burden is concentrated heavily among persons 65 years old and older. In particular, the vast majority of hip fractures occur in this age range causing hospitalization and temporary disability for more than 215,000 persons per year and long-term loss of independence for a significant fraction of these. Understanding of the causes of osteoporosis has progressed significantly in recent years, and several clinical trials of interventions have reported promising results. However, most trials have included relatively few subjects over age 65, few trials have studied effects on bone density in the hip, and no trials have had adequate statistical power to determine the effect of interventions on hip fractures in this population. This Request for Applications (RFA) seeks to fill the above gaps in knowledge. II. RESEARCH GOALS, SCOPE, AND ELIGIBILITY REQUIREMENTS The RFA solicits projects that will test the efficacy of interventions (or combinations of interventions) against osteoporosis of the hip in persons aged 65 or older. All proposed studies must measure effects in the hip but may also include measures of effects at additional skeletal sites. Studies may also measure effects of osteoporosis treatment on fractures of the hip and other skeletal sites. Subjects for inclusion in proposed trials must be age 65 or over. To achieve the required number of subjects for a study, applicants may require performance sites at more than one institution. Applicants considering this approach should contact program staff listed below regarding administrative options. Applicants are encouraged to consider designs that will permit determination of intervention efficacy in different age groups and sexes within the population over age 65, in older subjects with low bone mass compared to the average for their age, and in subjects whose rates of bone loss are faster than the average for their age, or at high risk for such accelerated loss. Such designs are, however, not required. A pilot phase for safety and feasibility testing and protocol refinement may be proposed. NIA anticipates that bone mass and/or bone density will be a primary outcome variable in most, if not all, proposed studies. However, because development of interventions that will increase bone strength is the goal of this RFA, applicants are encouraged also to include studies that will provide information on the effects of their interventions on bone strength. Because comorbidity and use of multiple medications are extremely common among persons over age 65, the ability to screen, characterize, and monitor study subjects regarding diseases and medications is essential in these studies. Similarly, study designs should address potential confounding issues posed by the presence of concurrent diseases and medication use. Applicants may find it useful to include staff with geriatric research expertise to address the above considerations. All proposed intervention studies should be blinded to the maximum extent feasible. The Principal Investigators and key staff of STOP/IT (Sites Testing Osteoporosis Prevention/Intervention Treatments) projects, under the terms of the awards, will meet with the NIA Program Administrator every six months to review the progress of their studies. Funds for such travel will be included in awards. A maximum of $550,000 first year total (direct plus indirect) costs may be requested per application and a total of no more than $3.1 million may be requested per application for the entire project duration. This RFA is a one-time solicitation. Up to $2.1 million (total cost) for first-year expenses and additional approved expenses for up to five years will be committed in Fiscal Year 1991 to fund applications submitted in response to this RFA. It is anticipated that up to four awards will be made in FY 1991. This funding level is dependent on the receipt of a sufficient number of applications of high scientific merit. In addition to FY 1991 awards, other proposals responding to this RFA may be funded in Fiscal Year 1992, depending on quality of proposals and availability of funds. Issuance of awards pursuant to this RFA is contingent on the availability of funds for this purpose. Generally, future competing continuation applications will compete with all investigator-initiated applications and be reviewed by the Division of Research Grants (DRG). However, should the NIA determine that there is a sufficient continuing program need, the RFA will be reissued. The earliest feasible start date for the initial awards will be September 30, 1991. COMPANION STUDIES ON OSTEOPOROSIS IN ADVANCED AGE. Screening and recruitment of subjects age 65 and older in these studies will provide opportunities for studies on the pathophysiology of osteoporosis in advanced age, and the mechanisms affecting response to treatment in older persons. Hence, applicants are encouraged to submit concurrent proposals on these topics in response to NIA's accompanying RFA (AG-91-08) for companion research project grants (R01s) on these topics. Such proposed studies should in no way compromise the proposed clinical trials. III. MECHANISM OF SUPPORT Support of this program will be through Cooperative Agreements (UO1) between each awardee and NIA. Under the terms of these cooperative agreements, the awardee defines the design and details of the project under the terms of this RFA, retains primary responsibility for performance of the research and for analyzing and publishing results, and agrees to accept assistance from the NIA Program Administrator in the following: o Participation in the monitoring of intervention study issues relating to recruitment, treatment, follow-up, quality control, and adherence to protocol. o Consideration of refinements and adjustments of intervention study designs and protocols. o Assistance in analysis and reporting of intervention study results. The rationale for the above types of participation by the NIA Program Administrator results from the fact that this RFA has the objective of determining the efficacy of osteoporosis interventions in older populations with a complex variety of medical conditions and lifestyle factors that can affect responses to treatment and compliance with protocols. These interactions cannot always be foreseen before the start of intervention studies. Even after scientific merit, personnel, and resources of projects have been assessed by peer review, needs for protocol modifications and additional data analyses may arise during the course of the award. There is need for the Program Administrator to work cooperatively with awardees in considering these needs and options for modifications and additions to ensure that they permit achieving the goals of this RFA. The NIA Program Administrator may provide advice on staffing, statistical requirements, and implementation of intervention studies, and will cooperate with awardees in considering protocol adjustments. In instances where there has been significant involvement in study design and analysis by the NIA Program Administrator, he/she may cooperate with awardees as co-authors in preparing manuscripts that report results from these intervention studies. Cooperative Agreements are subject to the same administrative requirements as grants. Projects will be supported by the Cooperative Agreement (U01) mechanism. The regulations (Code of Federal Regulations, Title 42, Part 52 and Title 45, Part 74) and policies that govern the research grant programs of the PHS will prevail. The awarding of funds pursuant to this RFA is contingent on availability of funds. All pertinent DHHS, PHS, and NIH grant regulations, policies, and procedures are applicable. Business management aspects of the awards will be administered in accordance with DHHS and PHS grant administration requirements by the NIH, as stated in the Public Health Service Grants policy statement, DHHS Publication No. (OASH) 82-50,000, revised October 1, 1990. IV. REVIEW PROCEDURES AND CRITERIA Applications will be received by the NIH Division of Research Grants and will be assigned to the NIA. Responsive applications will be assigned to a special review group organized by NIA. Proposals judged by the NIA Program Adminstrator to be non-responsive (those not directed at the goals of this RFA) will be returned to the applicant without review. Proposals may first receive a preliminary review by a subcommittee of the NIA review panel to establish those applications deemed to be competitive. Those proposals judged non-competitive will be so designated, and an abbreviated summary statement noting the major areas of concern will be sent to the Principal Investigator. Applications judged to be competitive will be given full review. Following review by the initial review group, the applications will be considered by the National Advisory Council on Aging. Listed below are the major review criteria to be used in the evaluation of the applications received in response to this RFA: o scientific merit of the research proposed. o significance of the research project to the goals of the RFA, i.e., the ability to obtain information on the effects of the intervention(s) being tested on bone loss in the hip in persons age 65 or older. o qualifications, experience, and commitment of the investigators (particularly regarding osteoporosis research, clinical trials, and research involving older persons), and their ability to devote the required time and effort to the project. o appropriateness of the total budget and budgetary requests. o institutional commitment to the requirements of the project. o plans for assurance and monitoring of safety of human subjects. o plans to implement special program requirements under this RFA, including cooperation with the Program Administrator concerning transmission and review of data on recruitment, treatment, follow-up, quality control, and adherence to protocol in the proposed study. o issues relating to inclusion of women and minorities (see following special instructions). SPECIAL INSTRUCTIONS TO APPLICANTS REGARDING IMPLEMENTATION OF NIH POLICIES CONCERNING INCLUSION OF WOMEN AND MINORITIES IN CLINICAL RESEARCH STUDY POPULATIONS: NIH policy is that applicants and offerors for NIH grants, cooperative agreements, and contracts will be required to include minorities and women in study populations so that research findings can be of benefit to all persons at risk of the diseases, disorders, or conditions under study; special emphasis should be placed on the need for inclusion of minorities and women in studies of diseases, disorders, and conditions that disproportionately affect them. This policy is intended to apply to males as well as females of all ages. If women and minorities are excluded or inadequately represented in clinical research, particularly in proposed population-based studies, a clear compelling rationale for exception to the policy should be provided. The composition of the proposed study population must be described in terms of gender and racial/ethnic groups, together with a rationale for its choice. In addition, gender and racial/ethnic issues should be addressed in developing a research design and sample size appropriate for the scientific objectives of the study. This information should be included in the form PHS 398 in Section 2, A-D of the Research Plan AND summarized in Section 2, E, Human Subjects. Applicant/offerors are urged to assess carefully the feasibility of including the broadest possible representation of minority groups. However, NIH recognizes that it may not be feasible or appropriate in all research projects to include representation of the full array of United States racial/ethnic minority populations (i.e, Native Americans (including American Indians or Alaskan Natives, Asian/Pacific Islanders, Blacks, Hispanics) The rationale for studies on single minority populations should be provided. For the purpose of this policy, clinical research includes human biomedical and behavioral studies of etiology, diagnosis, or treatment of diseases, disorders or conditions, including but not limited to clinical trials. The usual NIH policies concerning research on human subjects also apply. Basic research or clinical studies in which human tissues cannot be identified or linked to individuals are excluded. However, every effort should be made to include human tissues from women and racial/ethnic minorities when it is important to apply the results of the study broadly, and this should be addressed by applicants. For foreign awards, the policy on inclusion of women applies fully; since the definitions of minority differs in other countries, the applicant must discuss the relevance of research involving foreign population groups to the United States' population, including minorities,. If the required information is not contained within the application, the application will be returned. Peer reviewers will address specifically whether the research plan in the application conforms to these policies. If the representation of women or minorities in a study is inadequate to answer the scientific questions(s) addressed AND the justification for the selected study population is inadequate, it will be considered a scientific weakness or deficiency in the study design and will be reflected in assigning the priority score to the application. All applications for clinical research submitted to NIH are required to address these policies. NIH funding components will not award grants or cooperative agreements that do not comply with these policies. V. METHOD OF APPLYING A letter of intent to submit an application, while not required, is requested. This letter should be sent to the staff contact listed below (see VI below) by March 15, 1991. The letter of intent should include a descriptive title, the name and address of the principal investigator and other key investigators as well as identification of any other participating institutions. Applications should be submitted on the standard PHS 398 application form (revised October 1988, reprinted 9/89), available at most institutional business offices and from the Division of Research Grants, NIH, telephone (301) 496-7441. The deadline for receipt of applications is April 29, 1991. On item 2 of the face page of the application, applicants should enter: NIA RFA--Sites Testing Osteoporosis Prevention/Intervention Treatments (STOP/IT), AG-91-04. The RFA label available in the 10/88 revision of the Application Form PHS 398 must be affixed to the bottom of the face page and placed on the top of the entire package. Failure to use this label could result in delayed processing of the application and prevent it from reaching the review committee in time for review. The completed application and four copies must be sent to: Application Receipt Office Division of Research Grants National Institutes of Health Westwood Building, Room 240 Bethesda, MD 20892** When the application is submitted to the Division of Research grants, two copies of the application should be sent to: Chief, Scientific Review Office National Institute on Aging Building 31, Room 5C12 9000 Rockville Pike Bethesda, MD 20892 Failure of these copies to be received by the deadline may prevent the application from being reviewed under this announcement in time to be considered for an award. VI. STAFF CONTACT Potential applicants interested in obtaining further information may write or call: Stanley L. Slater, M.D. Geriatrics Program National Institute on Aging Room 5C27, Building 31 National Institutes of Health Bethesda, MD 20892 Telephone: (301) 496-6761 This program is described in the Catalog of Federal Domestic Assistance, Number 93.866. Awards are made under the authority of the Public Health Service Act, Section 301 (42 USC 241) and administered under PHS grant policies and Federal Regulations, most specifically at 42 CFR Part 52 and 45 CFR Part 74. Special Terms of Awards applying to projects funded in response to this RFA are in addition to, and not in lieu of, otherwise applicable OMB administrative guidelines, HHS grant administrative regulations at 45 CFR Part 74, and other HHS, PHS, and NIH grant administration policies. Awardees will maintain custody of and primary rights to their data developed under their awards, subject to Government rights of access, consistent with current HHS, PHS, and NIH policies. This program is not subject to the intergovernmental review requirements of Executive Order 12372 or Health Systems Agency review.