EXPIRED
National Institutes of Health (NIH)
National Institute on Aging (NIA)
Exploratory Analyses of Adherence Strategies and Data Sets from CALERIE to Investigate Behavioral and Psychosocial Aspects of Sustained Caloric Restriction in Humans (R21 Clinical Trial Not Allowed)
R21 Exploratory/Developmental Research Grant
New
PA-18-826
93.866
The National Institute on Aging (NIA) invites applications for new exploratory research projects (R21) involving secondary analyses of data in the Computerized Tracking System (CTS) database from the CALERIE (Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy) trial to explore behavioral and psychosocial aspects of sustained caloric restriction (CR) in humans, including the translation of the CR adherence strategies used in the trial to promote healthy behaviors, especially for the prevention of weight gain with age. CALERIE was the first trial in humans to specifically focus on the effects of sustained CR. It demonstrated feasibility of sustained human CR (for at least two years) and favorable effects on predictors of longevity, as well as on cardiometabolic risk factors. The sustained weight loss in CALERIE has not been previously attained in any clinical study in non-obese individuals.
June 8, 2018
September 16, 2018
Not Applicable
Standard dates apply, by 5:00 PM local time of applicant organization. All types of non-AIDS applications allowed for this funding opportunity announcement are due on these dates.
Applicants are encouraged to apply early to allow adequate time to make any corrections to errors found in the application during the submission process by the due date.
Not Applicable
Standard dates apply
Standard dates apply
Standard dates apply
September 8, 2021
Not Applicable
It is critical that applicants follow the Research (R) Instructions in the SF424 (R&R) Application Guide, except where instructed to do otherwise (in this FOA or in a Notice from the NIH Guide for Grants and Contracts). Conformance to all requirements (both in the Application Guide and the FOA) is required and strictly enforced. Applicants must read and follow all application instructions in the Application Guide as well as any program-specific instructions noted in Section IV. When the program-specific instructions deviate from those in the Application Guide, follow the program-specific instructions. Applications that do not comply with these instructions may be delayed or not accepted for review.
Part 1. Overview Information
Part 2. Full Text of the Announcement
Section
I. Funding Opportunity Description
Section II. Award Information
Section III. Eligibility Information
Section IV. Application and Submission
Information
Section V. Application Review Information
Section VI. Award Administration Information
Section VII. Agency Contacts
Section VIII. Other Information
Caloric restriction (CR) has been shown in several but not all laboratory models to increase life span and to delay or slow the progression of a wide variety of aging changes and age-related pathologies.
The CALERIE (Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy) clinical trial was the first study to specifically focus on the effects of sustained CR in humans. Importantly, CALERIE demonstrated feasibility of sustained human CR (for at least two years) and favorable effects on predictors of longevity and cardiometabolic risk factors. The sustained weight loss achieved in CALERIE has not been previously attained in any clinical study in non-obese individuals. The CALERIE intervention employed an intensive behavioral approach coupled with dietary modifications (i.e., toolbox methodology) anticipated to enhance adherence to CR to achieve these results. These features, combined with careful attention to detail during data collection, make CALERIE data sets and biospecimens a valuable research resource for investigating various hypotheses about the biological effects of CR on human aging physiology and psychology, behavioral aspects of sustained CR intervention and for translational research to develop strategies for promoting health span (e.g., healthy behaviors and/or novel therapeutics).
Study Design:
The CALERIE trial was conducted in two phases. Phase 1 supported pilot/feasibility studies, the results of which informed the design of the full-scale CALERIE Phase 2 trial. Completed in May 2013, the CALERIE Phase 2 trial was a two-year, three-site randomized controlled trial in young and middle-aged (age range 21-50 years) non-obese (22.0 ≤ BMI < 28 kg/m2) healthy men and women. It compared outcomes in a group assigned a target of 25% CR (i.e., a 25% reduction in energy intake below baseline levels) to an ad libitum diet control group.
A unique feature of the CALERIE Phase 2 trial design was the objective measurement of caloric intake. To accomplish this, CALERIE used the intake-balance method to calculate energy intake from the difference between changes in energy stores (assessed by dual energy X-ray absorptiometry or DXA) and total energy expenditure (TEE) assessed by the doubly-labeled water method (DLW). The CALERIE data set includes these measures made at baseline and at intervals after the start of the study. The baseline TEE information collected on each study participant were used to define the caloric restriction prescription. Follow-up TEE information measured by the DLW method were used to:
(1) determine the effects of the treatment on energy expenditure, and
(2) estimate energy intake (together with body composition measurements by DXA).
Computerized Tracking System (CTS) adherence strategies and data set:
The CALERIE trial employed intensive behavioral strategies involving a combination of individualized and group counseling sessions to enhance CR adherence. Individual counseling sessions were used as the primary means of promoting CR adherence and the group counseling sessions were used to disseminate information to complement the individualized sessions and to provide social support. The CTS was established to track adherence to CR (change in body weight was used as a proxy measure) and to guide individualized counseling sessions in the form of toolbox options (based on an individual's needs and preferences). Examples of toolbox options included cognitive behavioral strategies, problem-solving strategies involving behavioral contracts, increased training in portion size and caloric estimation skills, use of structured meal plans, recipes, and shopping lists, and possible involvement of family/friends in individual counseling sessions. Further details on the CALERIE trial, including the CTS and its data set can be found at: https://calerie.duke.edu.
CTS data includes information on use of toolbox options (e.g., cognitive-behavioral strategies, motivational interviewing, modification of meal patterns), appetite ratings, ratings of satisfaction with the type and amount of food being eaten, frequent (approximately weekly) body weights, individual energy intake targets, self-reported food intake, and attendance. Additional CALERIE data includes health-related quality of life, and psychological and cognitive function data collected from the study participants. Changes in these latter measures were assessed in the CALERIE trial at four-time points: baseline, months 6, 12, and 24. The measures of quality of life and psychological assessments involved the use of self-report (self-administered) questionnaires. Cognitive bias measures were administered to individual participants by a trained evaluator. Measures of cognitive impairment were computer-administered.
In addition to the CR adherence strategies, the CALERIE CTS data set includes variables related to:
Public Availability of Research Resources generated by the CALERIE Phase 2 trial:
The CALERIE Research Network was established in 2015 to make the unique research resources (i.e., clinical datasets, CTS toolbox information, biospecimens) generated by the trial publicly available, to facilitate data sharing, and to expand the current network of CALERIE investigators for further analyses of caloric restriction's effects in humans. Further details about the CALERIE Phase 2 trial, publications (primary and secondary outcomes, exploratory outcomes) and detailed documentation on data sets and stored biospecimens can be found at the CALERIE Research Network website: https://calerie.duke.edu/.
It is important to highlight the potential synergism of approaches between the CALERIE CTS database on behavioral and psychological factors involved in adherence and the ongoing research in the NIH Science of Behavior Change (SOBC) Common Fund Program. The SOBC (https://commonfund.nih.gov/behaviorchange) aims to promote basic research on the initiation, personalization, and maintenance of behavior change. The Program is posed to implement a mechanisms-focused, experimental medicine approach to behavior change research and to develop the tools required to implement such an approach. SOBC's goal is to identify key mechanisms underlying successful change across a broad array of health-related behaviors, including diet and exercise, and to use this knowledge to develop more effective behavioral interventions. SOBC's effort are complementary and germane to the types of behavioral investigations and data analyses that can be implemented through the CALERIE CTS database. The exploitation of SOBC's resources in the analysis of the CALERIE CTS data set is of value and encouraged.
The goal of this FOA is to support exploratory and developmental research projects (R21) involving secondary data analyses of the CALERIE Computerized Tracking System (CTS) adherence strategies and data set to explore behavioral and psychosocial aspects of sustained caloric restriction (CR) in humans, including the translation of the CR adherence strategies to promote healthy behaviors, especially for the prevention of weight gain. In human research, the extent to which CR affects an individual's perception of their quality of life and psychology have not been fully studied. Health-related quality of life has been shown to correlate directly with level of obesity in individuals seeking treatment for weight loss, with the most severely obese reporting the poorest quality of life. In CALERIE, compared to the ad libitum group, sustained CR in non-obese individuals resulted in improved health-related quality of life, improved mood, increased vigor and better sleep quality.
The adherence strategies and data on psychosocial variables contained in the CALERIE CTS (https://calerie.duke.edu/sites/calerie.duke.edu/files/9.0_evaluation_protocols.pdf) provide a unique opportunity to explore a variety of innovative research questions. Exploitation of SOBC's resources in the analysis of the CALERIE CTS data set is of value and encouraged. Examples of potential research topics to explore include but are not limited to:
Please note that there are two companion funding opportunity announcements (FOAs): "Analyses of CALERIE Data and Biospecimens to Elucidate Mechanisms of Caloric Restriction (CR)-Induced Effects in Humans" (R01 and R21) that specifically address analyses of CALERIE data and biospecimens to improve our understanding of the mechanisms and effects of CR on risk factors for chronic diseases, to identifying potential therapeutic targets and strategies for promoting health span.
See Section VIII. Other Information for award authorities and regulations.
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All instructions in the SF424 (R&R) Application Guide must be followed.
All instructions in the SF424 (R&R) Application Guide must be followed.
All instructions in the SF424 (R&R) Application Guide must be followed.
All instructions in the SF424 (R&R) Application Guide must be followed.
All instructions in the SF424 (R&R) Application Guide must be followed.
All instructions in the SF424 (R&R) Application Guide must be followed.
All instructions in the SF424 (R&R) Application Guide must be followed.
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Important Update: See NOT-OD-18-228 for updated review language for due dates on or after January 25, 2019.
Only the review criteria described below will be considered in the review process. As part of the NIH mission, all applications submitted to the NIH in support of biomedical and behavioral research are evaluated for scientific and technical merit through the NIH peer review system.
For this particular announcement, note the following:
The R21 exploratory/developmental grant supports investigation of novel scientific ideas or new model systems, tools, or technologies that have the potential for significant impact on biomedical or biobehavioral research. An R21 grant application need not have extensive background material or preliminary information. Accordingly, reviewers will emphasize the conceptual framework, the level of innovation, and the potential to significantly advance our knowledge or understanding. Appropriate justification for the proposed work can be provided through literature citations, data from other sources, or, when available, from investigator-generated data. Preliminary data are not required for R21 applications; however, they may be included if available.
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Does the project address an important problem or a critical barrier to progress in the field? Is there a strong scientific premise for the project? If the aims of the project are achieved, how will scientific knowledge, technical capability, and/or clinical practice be improved? How will successful completion of the aims change the concepts, methods, technologies, treatments, services, or preventative interventions that drive this field?
Are the PD(s)/PI(s), collaborators, and other researchers well suited to the project? If Early Stage Investigators or those in the early stages of independent careers, do they have appropriate experience and training? If established, have they demonstrated an ongoing record of accomplishments that have advanced their field(s)? If the project is collaborative or multi-PD/PI, do the investigators have complementary and integrated expertise; are their leadership approach, governance and organizational structure appropriate for the project?
Does the application challenge and seek to shift current research or clinical practice paradigms by utilizing novel theoretical concepts, approaches or methodologies, instrumentation, or interventions? Are the concepts, approaches or methodologies, instrumentation, or interventions novel to one field of research or novel in a broad sense? Is a refinement, improvement, or new application of theoretical concepts, approaches or methodologies, instrumentation, or interventions proposed?
Are the overall strategy, methodology, and analyses well-reasoned and appropriate to accomplish the specific aims of the project? Have the investigators presented strategies to ensure a robust and unbiased approach, as appropriate for the work proposed? Are potential problems, alternative strategies, and benchmarks for success presented? If the project is in the early stages of development, will the strategy establish feasibility and will particularly risky aspects be managed? Have the investigators presented adequate plans to address relevant biological variables, such as sex, for studies in vertebrate animals or human subjects?
If the project involves human subjects and/or NIH-defined clinical research, are the plans to address 1) the protection of human subjects from research risks, and 2) inclusion (or exclusion) of individuals on the basis of sex/gender, race, and ethnicity, as well as the inclusion or exclusion of children, justified in terms of the scientific goals and research strategy proposed?
Will the scientific environment in which the work will be done contribute to the probability of success? Are the institutional support, equipment and other physical resources available to the investigators adequate for the project proposed? Will the project benefit from unique features of the scientific environment, subject populations, or collaborative arrangements?
As applicable for the project proposed, reviewers will evaluate the following additional items while determining scientific and technical merit, and in providing an overall impact score, but will not give separate scores for these items.
For research that involves human subjects but does not involve one of the six categories of research that are exempt under 45 CFR Part 46, the committee will evaluate the justification for involvement of human subjects and the proposed protections from research risk relating to their participation according to the following five review criteria: 1) risk to subjects, 2) adequacy of protection against risks, 3) potential benefits to the subjects and others, 4) importance of the knowledge to be gained, and 5) data and safety monitoring for clinical trials.
For research that involves human subjects and meets the criteria for one or more of the six categories of research that are exempt under 45 CFR Part 46, the committee will evaluate: 1) the justification for the exemption, 2) human subjects involvement and characteristics, and 3) sources of materials. For additional information on review of the Human Subjects section, please refer to the Guidelines for the Review of Human Subjects.
When the proposed project involves human subjects and/or NIH-defined clinical research, the committee will evaluate the proposed plans for the inclusion (or exclusion) of individuals on the basis of sex/gender, race, and ethnicity, as well as the inclusion (or exclusion) of children to determine if it is justified in terms of the scientific goals and research strategy proposed. For additional information on review of the Inclusion section, please refer to the Guidelines for the Review of Inclusion in Clinical Research.
The committee will evaluate the involvement of live vertebrate animals as part of the scientific assessment according to the following criteria: (1) description of proposed procedures involving animals, including species, strains, ages, sex, and total number to be used; (2) justifications for the use of animals versus alternative models and for the appropriateness of the species proposed; (3) interventions to minimize discomfort, distress, pain and injury; and (4) justification for euthanasia method if NOT consistent with the AVMA Guidelines for the Euthanasia of Animals. Reviewers will assess the use of chimpanzees as they would any other application proposing the use of vertebrate animals. For additional information on review of the Vertebrate Animals section, please refer to the Worksheet for Review of the Vertebrate Animal Section.
Reviewers will assess whether materials or procedures proposed are potentially hazardous to research personnel and/or the environment, and if needed, determine whether adequate protection is proposed.
For Resubmissions, the committee will evaluate the application as now presented, taking into consideration the responses to comments from the previous scientific review group and changes made to the project.
Not Applicable
Not Applicable
As applicable for the project proposed, reviewers will consider each of the following items, but will not give scores for these items, and should not consider them in providing an overall impact score.
Reviewers will assess whether the project presents special opportunities for furthering research programs through the use of unusual talent, resources, populations, or environmental conditions that exist in other countries and either are not readily available in the United States or augment existing U.S. resources.
Reviewers will assess the information provided in this section of the application, including 1) the Select Agent(s) to be used in the proposed research, 2) the registration status of all entities where Select Agent(s) will be used, 3) the procedures that will be used to monitor possession use and transfer of Select Agent(s), and 4) plans for appropriate biosafety, biocontainment, and security of the Select Agent(s).
Reviewers will comment on whether the following Resource Sharing Plans, or the rationale for not sharing the following types of resources, are reasonable: (1) Data Sharing Plan; (2) Sharing Model Organisms; and (3) Genomic Data Sharing Plan (GDS).
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Reviewers will consider whether the budget and the requested period of support are fully justified and reasonable in relation to the proposed research.
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Not Applicable
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eRA Service Desk (Questions regarding ASSIST, eRA Commons
registration, submitting and tracking an application, documenting system
problems that threaten submission by the due date, post submission issues)
Finding Help Online: http://grants.nih.gov/support/ (preferred method of contact)
Telephone: 301-402-7469 or 866-504-9552 (Toll Free)
Grants.gov
Customer Support (Questions
regarding Grants.gov registration and submission, downloading forms and
application packages)
Contact Center Telephone: 800-518-4726
Email: support@grants.gov
GrantsInfo
(Questions regarding application instructions and process, finding NIH grant
resources)
Email: GrantsInfo@nih.gov (preferred method of contact)
Telephone: 301-945-7573
Giovanna Zappal , Ph.D., M.P.H.
National Institute on Aging (NIA)
Telephone: 301-827-6240
Email: Giovanna.Zappala@nih.gov
Examine your eRA Commons account for review assignment and contact information (information appears two weeks after the submission due date).
Mahasin Ingram
National Institute on Aging (NIA)
Telephone: 301-402-7736
Email: Mahasin.Ingram@nih.gov
Recently issued trans-NIH policy notices may affect your application submission. A full list of policy notices published by NIH is provided in the NIH Guide for Grants and Contracts. All awards are subject to the terms and conditions, cost principles, and other considerations described in the NIH Grants Policy Statement.
Awards are made under the authorization of Sections 301 and 405 of the Public Health Service Act as amended (42 USC 241 and 284) and under Federal Regulations 42 CFR Part 52 and 45 CFR Part 75.