Full Text PA-96-061 MODERN VACCINES FOR MYCOSES AND MEASLES NIH GUIDE, Volume 25, Number 20, June 21, 1996 PA NUMBER: PA-96-061 P.T. 34 Keywords: Vaccine Fungal Diseases+ Viral Studies (Virology) National Institute of Allergy and Infectious Diseases PURPOSE The National Institute of Allergy and Infectious Diseases (NIAID) gives special consideration for funding to scientifically meritorious applications in response to Program Announcements. Program Announcements identify areas of ongoing research emphasis for the NIAID. The purpose of this PA is to stimulate research on selected emerging and re-emerging diseases for which new or improved vaccines are needed. For the mycoses, the goal is to identify and characterize antigens that induce a protective immune response for coccidioidomycosis, histoplasmosis, blastomycosis, and cryptococcosis. For measles, the goal is to develop safe, new measles vaccines that are highly efficacious when administered in early infancy and that will aid in the control and eventual eradication of measles. HEALTHY PEOPLE 2000 The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of"Healthy People 2000," a PHS-led national activity for setting priority areas. This program announcement, Modern Vaccines for Mycoses and Measles, is related to priority area of immunization-infectious diseases. Potential applicants may obtain a copy of "Healthy People 2000" (Full Report: Stock No. 017-001-00474-0 or Summary Report: Stock No. 017-001-00473-1) through the Superintendent of Documents, Government Printing Office, Washington, DC 20402-0325 (telephone 202-512-1800). ELIGIBILITY REQUIREMENTS Applications may be submitted by domestic and foreign, for-profit and non-profit organizations, public and private, such as universities and colleges, hospitals, laboratories, units of State and local governments, and eligible agencies of the Federal government. Racial/ethnic minority individuals, women, and persons with disabilities are encouraged to apply as Principal Investigators. Foreign institutions are not eligible for the First Independent Research Support and Transition (FIRST) (R29) award. MECHANISM OF SUPPORT Traditional research project grant (R01) ,FIRST award (R29), and small grant (R03) applications may be submitted in response to this program announcement. NIAID uses R03 grants to support small highly innovative or pilot projects. Applicants for R03 grants may request up to $50,000 annual direct costs for a period not to exceed three years. Funds and time requested should be appropriate for the research proposed. Applicants for R03 grants must follow the special application guidelines and Terms and Conditions of Award for NIAID SMALL RESEARCH GRANTS, which appeared in the NIH Guide for Grants and Contracts, Vol. 25, No. 9, March 22, 1996. RESEARCH OBJECTIVES AND SCOPE Background The purpose of this initiative is to advance the development of new vaccines in two specific areas: the mycoses and measles. Prior to AIDS, it was estimated on the basis of skin tests that there were between 25,000 and 100,000 new infections with C. immitis each year. Presently, it is estimated that there are 500,000 new infections of histoplasmosis each year in the United States. The incidence of clinically apparent coccidioidomycosis and histoplasmosis in HIV+ individuals in highly endemic areas, although variable, has been found to be as high as 25 percent for each mycosis. Disease is not limited to immunocompromised hosts. The recent epidemic of coccidioidomycosis in California resulted in more than 3,000 cases in 1992 in Kern County alone, with medical costs estimated at more than $67 million for an 18-month period. A NIAID workshop (September 1991) on Mycology Research in the 1990s stated that vaccines should be considered for histoplasmosis, coccidioidomycosis and cryptococcosis, and recent NIAID workshops have reinforced these concepts. Vaccine approaches for these and selected other fungal diseases are under exploited. The devastating consequences of these diseases, and the less than satisfactory response to available drugs, suggest that research should explore prevention. Between 1981 and 1988, a steady average of 3,000 cases of measles occurred each year. This rate was a reduction of over 99 percent from the 400,000 to 700,000 annual cases reported before the introduction of a vaccine in 1963. A recent resurgence of measles has occurred in the United States. From 1989-1991, 55,165 cases with 123 deaths were reported. The major cause of the re-emergence of measles in the U.S. was the failure to vaccinate children at the appropriate age rather than failure of vaccine efficacy. However, currently licensed vaccines do have deficiencies as public health tools, particularly in regard to efficacy in very young infants. In developing countries, measles continues to be a deadly disease claiming over one and a half million lives each year. In those countries, infants are at greatest risk for serious disease and complications during the interval between loss of maternal antibody and receipt of vaccine at 9-12 months of age. During the recent re-emergence of measles in the U.S., the epidemiology of the disease has changed, and the distribution of cases shifted from older, previously vaccinated, school-age children, to younger, unvaccinated children often less than 1-year-old. Thus, both internationally and domestically, there is a need for an efficacious vaccine that can be safely administered earlier in infancy. Additionally, a need for an improved measles vaccine is foreseen since proposed future immunization schedules will emphasize administration at earlier ages in infancy, and will utilize multiple combinations of vaccines. Unfortunately, measles is a difficult virus to study because there are no satisfactory animal models. An RFA issued by NIAID in late 1992 stimulated measles research and resulted in the development of a number of potentially new measles vaccine candidates and promising new animal model systems. This PA will attempt to stimulate the preclinical development and comparative evaluation of these potential new vaccines, and the further establishment and definition of animal models. Research Objectives and Experimental Approaches Mycoses: Given the advances in molecular biology, it should now be possible to engineer candidate antifungal vaccines based upon specific immunoreactive molecules. Recent evidence derived from investigators working independently confirm that these approaches are possible with the medically important fungi. It is anticipated that coordinated research supported under this PA will result in the identification of antigens with immunoprotective effects demonstrable in animal models for one or more of the endemic mycoses, and/or cryptococcosis. Relevant projects for the mycoses could address one or more of the following objectives: o The identification of fungal antigens that generate a protective immune response. Studies could be focused on the isolation and identification of antigens that can be utilized in vaccine production to prevent or treat the above mentioned mycoses and their evaluation in the appropriate model system. o The modification or presentation of fungal antigens in a manner that affords maximal immunoprotective effect. Studies could include, for example, epitope mapping; construction of multiple antigenic peptides; use of adjuvants or immune enhancers; use of improved conjugation techniques for enhanced immogenicity. Measles This program announcement is intended to stimulate innovative research on measles, with a strong emphasis on studies to develop improved vaccines that can safely overcome the maternal antibody barrier and induce long-lasting protective immunity. Research projects are sought which investigate topics including, but not limited to, those listed below. Relevant projects for measles will address one or more of the following issues: o Determination of which measles antigens are required to safely elicit long-lasting, protective humoral and cellular immunity in the developing immune system of the young infant. o Elucidation of the impact of maternal antibody on infant immune response, and development of strategies to overcome maternal antibody as a block to effective immunization in very young infants. o Development of an animal model of measles virus infection and disease which parallels human disease, and which could be used to study the multiple host and viral factors influencing establishment of protective immunity in the young infant. o Elucidation of viral and host factors contributing to measles immunization-induced adverse events. o Investigation of elements of measles virus pathogenesis, including virus-induced immune suppression, and viral correlates of virulence and attenuation. o Characterization of the quantitative and qualitative differences between measles vaccine-induced and naturally-induced protective immunity. o Pre-clinical development of efficient immunization methods for the safe delivery of appropriate measles antigens required for the establishment of protective immunity. INCLUSIONS OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN SUBJECTS It is the policy of the NIH that women and members of minority groups and their subpopulations must be included in all NIH supported biomedical and behavioral research projects involving human subjects, unless a clear and compelling rationale and justification is provided that inclusion is inappropriate with respect to the health of the subjects or the purpose of the research. This new policy results from the NIH Revitalization Act of 1993 (Section 492B of Public Law 103-43) and supersedes and strengthens the previous policies (Concerning the Inclusion of Women in Study Populations, and Concerning the Inclusion of Minorities in Study Populations), which have been in effect since 1990. The new policy contains some provisions that are substantially different from the 1990 policies. All investigators proposing research involving human subjects should read the "NIH Guidelines For Inclusion of Women and Minorities as Subjects in Clinical Research," which have been published in the Federal Register of March 28, 1994 (FR 59 14508-14513) and printed in the NIH Guide for Grants and Contracts, Volume 23, Number 11, March 18, 1994. Investigators also may obtain copies of the policy from the program staff listed under INQUIRIES. Program staff may also provide additional relevant information concerning the policy. APPLICATION PROCEDURES APPLICANTS FOR SMALL RESEARCH (R03) GRANTS ARE TO FOLLOW THE APPLICATION GUIDELINES IN THE "NIAID SMALL RESEARCH GRANTS" NOTICE WHICH APPEARED IN THE NIH GUIDE FOR GRANTS AND CONTRACTS, Vol. 25, No. 9, March 22, 1996 and are available from program staff listed under INQUIRIES. Applicants are strongly encouraged to call NIAID program staff with any questions regarding the responsiveness of their proposed project to the goals of this PA. Applications are to be submitted on the grant application form PHS 398 (rev. 5/95) and will be accepted on the standard application deadlines as indicated in the application kit. Application kits are available at most institutional offices of sponsored research and may be obtained from the Office of Extramural Outreach and Information, National Institutes of Health, 6701 Rockledge Drive, MSC 7910, Bethesda, MD 20892-7910, telephone (301) 710-0267, email: asknih@odrockm1.od.nih.gov. Each application must be identified by checking "YES" on line 2 of the PHS face page, and the number and title of this program announcement must be typed in section 2a. The completed original and five legible, single-sided copies of the application must be sent or delivered to: DIVISION OF RESEARCH GRANTS NATIONAL INSTITUTES OF HEALTH 6701 ROCKLEDGE DRIVE, ROOM 1040, MSC 7710 BETHESDA, MD 20892-7710 BETHESDA, MD 20817-7710 (for express/courier service) FIRST (R29) applications must include at least three sealed letters of reference attached to the face page of the original application. FIRST applications submitted without the required number of reference letters will be considered incomplete and will be returned without review. Applicants from institutions that have a General Clinical Research Center (GCRC) funded by the NIH National Center for Research Resources may wish to identify the Center as a resource for conducting the proposed research. If so, a letter of agreement from the GCRC Program Director must be included in the application material. REVIEW CONSIDERATIONS APPLICANTS FOR SMALL RESEARCH (R03) GRANTS ARE TO FOLLOW THE APPLICATION GUIDELINES IN THE "NIAID SMALL RESEARCH GRANTS" NOTICE WHICH APPEARED IN THE NIH GUIDE FOR GRANTS AND CONTRACTS, Vol. 25, No. 9, March 22, 1996 and are available from program staff listed under INQUIRIES. Applications will be assigned on the basis of established PHS referral guidelines. Program staff will be responsible for determining whether an application is responsive to the goals of the PA. Applications will be reviewed for scientific and technical merit by study sections of the Division of Research Grants, NIH, in accordance with the standard NIH peer review procedures. Following scientific/technical review, the applications will receive secondary review by the appropriate national advisory council. As part of the initial merit review, all applications will receive a written critique and undergo a process in which only those applications deemed to have the highest scientific merit, generally the top half of the applications under review will be discussed, assigned a priority score, and receive a second level review by the appropriate national advisory council. Review Criteria o scientific, technical, or medical significance and originality of the proposed research; o appropriateness and adequacy of the experimental approach and methodology proposed to carry out the research; o qualifications and research experience of the Principal Investigator and staff, particularly, but not exclusively, in the area of the proposed research; o availability of the resources necessary to perform the research; o appropriateness of the proposed budget and duration in relation to the proposed research; o adequacy of plans to include both genders and minorities and their subgroups as appropriate for the scientific goals of the research. Plans for the recruitment and retention of subjects will also be evaluated. The initial review group will also examine the provisions for the protection of human and animal subjects and the safety of the research environment. AWARD CRITERIA Applications will compete for available funds with all other favorably recommended applications. The following will be considered when making funding decisions: quality of the proposed project as determined by peer review, program balance among research areas of the announcement, and availability of funds. INQUIRIES Written and telephone inquiries are encouraged. The opportunity to clarify any issues or questions from potential applicants is welcome. Direct inquiries regarding mycoses programmatic (eligibility and responsiveness) issues to: Dennis M. Dixon, Ph.D. Division of Microbiology and Infectious Diseases National Institute of Allergy and Infectious Diseases Solar Building, Room 3A-06 6003 Executive Boulevard - MSC 7630 Bethesda, MD 20892-7630 Telephone: (301) 496-7728 FAX: (301) 402-0508 Email: dd24a@nih.gov Direct inquiries regarding fiscal matters to: Louise Kreh Division of Extramural Activities National Institute of Allergy and Infectious Diseases Solar Building, Room 4B-27 6003 Executive Boulevard MSC 7610 Bethesda, MD 20892-7610 Telephone: (301) 496-7075 FAX: (301) 480-3780 Email: lk5k@nih.gov Direct inquiries regarding review issues and special instructions for application preparation and mail two copies of the R03 application and all five sets of any appendices to: Stanley Oaks, Ph.D. Division of Extramural Activities National Institute of Allergy and Infectious Diseases Solar Building, Room 4C06 6003 Executive Boulevard - MSC 7610 Bethesda, MD 20892-7610 Telephone: (301) 496-7042 FAX: (301) 402-7042 Email: sol4s@nih.gov AUTHORITY AND REGULATIONS This program is described in the Catalog of Federal Domestic Assistance No. 93.856, Microbiology and infectious Disease Research. Awards are made under authorization of the Public Health Service Act, Title IV, Part A (Public Law 78-410, as amended by Public Law 99-158, 42 USC 241 and 285) and administered under PHS grants policies and Federal Regulations 42 CFR 52 and 45 CFR Part 74. This program is not subject to the intergovernmental review requirements of Executive Order 12372 or Health Systems Agency review. The PHS strongly encourages all grant and contract recipients to provide a smoke-free workplace and promote the non-use of all tobacco products. In addition, Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in certain facilities (or in some cases, any portion of a facility) in which regular or routine education, library, day care, health care or early childhood development services are provided to children. This is consistent with the PHS mission to protect and advance the physical and mental health of the American people. .
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