Department of Health and Human Services

Part 1. Overview Information

Participating Organization(s)

National Institutes of Health (NIH)

Components of Participating Organizations

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Funding Opportunity Title
Limited Competition: Alcohol-associated Hepatitis Clinical Network – Integrated Treatment Clinical Trials – Data Coordinating Center (U24 - Clinical Trial Required)
Activity Code

U24 Resource-Related Research Projects – Cooperative Agreements

Announcement Type
Reissue of RFA-AA-18-004
Related Notices
  • August 31, 2022- Implementation Changes for Genomic Data Sharing Plans Included with Applications Due on or after January 25, 2023. See Notice NOT-OD-22-198.
  • August 5, 2022- Implementation Details for the NIH Data Management and Sharing Policy. See Notice NOT-OD-22-189.
Funding Opportunity Number (FON)
RFA-AA-24-005
Companion Funding Opportunity
RFA-AA-24-004 , U01 Research Project (Cooperative Agreements)
Number of Applications

See Part 2, Section III. 3. Additional Information on Eligibility.

Assistance Listing Number(s)
93.273
Funding Opportunity Purpose

The purpose of this limited competition Notice of Funding Opportunity (NOFO) is to support the Data Coordinating Center of the previously funded program on “Late Phase Clinical Trials and Observational Studies in Alcoholic Hepatitis”. The existing program of “AH Clinical and Translational Network”, hereafter termed Alcohol-associated Hepatitis Network, “AlcHepNet”, has been sponsored by the NIAAA since 2012 and was renewed in 2018. The purpose of this research program is to improve biomedical, psychosocial and quality of life outcomes for patients with advanced alcohol-associated liver disease.

In the next cycle the program will consist of up to six Clinical Study Sites and one Data Coordinating Center to conduct an integrated treatment clinical trial that incorporates active treatment of AUD with treatment of liver disease. The targeted patient population will include severe alcohol-associated hepatitis (sAH) and decompensated alcohol-associated cirrhosis (deAC).

Through this RFA, applications are sought for a Data Coordinating Center (DCC) to provide expert assistance to support the AlcHepNet network-wide common protocol clinical trial and local site ancillary studies on data management, statistical analysis, biospecimen collection, and logistical support under the U24 Resource-Related Research Projects – Cooperative Agreements funding mechanism.

This NOFO requires a Plan for Enhancing Diverse Perspectives (PEDP), which will be assessed as part of the scientific and technical peer review evaluation.  Applications that fail to include a PEDP will be considered incomplete and will be withdrawn.

Applicants are strongly encouraged to read the NOFO instructions carefully and view the available PEDP guidance material.

Key Dates

Posted Date
March 06, 2024
Open Date (Earliest Submission Date)
March 22, 2024
Letter of Intent Due Date(s)

March 24, 2024

Application Due Dates Review and Award Cycles
New Renewal / Resubmission / Revision (as allowed) AIDS - New/Renewal/Resubmission/Revision, as allowed Scientific Merit Review Advisory Council Review Earliest Start Date
Not Applicable April 24, 2024 Not Applicable June 2024 August 2024 September 2024

All applications are due by 5:00 PM local time of applicant organization. 

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.

No late applications will be accepted for this Notice of Funding Opportunity (NOFO).

Expiration Date
April 25, 2024
Due Dates for E.O. 12372

Not Applicable

Required Application Instructions

It is critical that applicants follow the instructions in the Research (R) Instructions in the How to Apply - Application Guide, except where instructed to do otherwise (in this NOFO or in a Notice from NIH Guide for Grants and Contracts).

Conformance to all requirements (both in the Application Guide and the NOFO) 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.

There are several options available to submit your application through Grants.gov to NIH and Department of Health and Human Services partners. You must use one of these submission options to access the application forms for this opportunity.

  1. Use the NIH ASSIST system to prepare, submit and track your application online.
  2. Use an institutional system-to-system (S2S) solution to prepare and submit your application to Grants.gov and eRA Commons to track your application. Check with your institutional officials regarding availability.

  3. Use Grants.gov Workspace to prepare and submit your application and eRA Commons to track your application.


  4. Table of Contents

Part 2. Full Text of Announcement

Section I. Notice of Funding Opportunity Description

Advanced alcohol-associated liver disease (ALD), that includes severe Alcohol-associated Hepatitis (sAH) and decompensated alcohol-associated cirrhosis (deAC), is a serious and potentially fatal consequence of long-term alcohol misuse and Alcohol Use Disorder (AUD). Between 2000-2019, ALD-related deaths increased by 47%. The number of patients with advanced ALD who were listed for liver transplant increased by 63% from 2007 to 2017. The high mortality rates of advanced ALD increase the strain on hospitals and intensive care units and place additional financial burdens on both patients and healthcare providers due to extended hospital stays, specialized treatments, and organ transplant procedures. Management of advanced ALD is, therefore, a major unmet need in the hepatology field.

AH is a severe, sub-acute clinical manifestation of ALD with a high short-term mortality rate of 30% within 3 months of diagnosis. Most AH patients have concomitant underlying cirrhosis that increases the risk of decompensation and results in low survival rates. For example, studies from the Department of Veterans Affairs (VA) demonstrate that patients with co-existed both diseases have a death rate of greater than 60 percent over a 4-year period, with most of the deaths occurring in the first year. 

DeAC occurs when the liver is unable to carry out its normal function. The clinical and laboratory features of deAC are similar to sAH, which include ascites, encephalopathy, jaundice, coagulopathy and gastrointestinal bleeding. All of these features can  occur in sAH with/without cirrhosis.

Currently, there are no FDA approved treatments for sAH or deAC. A growing body of evidence from retrospective observational studies indicates that treatment of the underlying AUD co-morbidity improves clinical outcomes among this patient population  in terms of severity and mortality. However, prospective clinical trials demonstrating effectiveness are lacking. Moreover, the integration of ALD-AUD treatment lacks established guidelines, creating uncertainty regarding when, how, and which treatment regimens to apply. This absence of evidence-based data raises important questions about the effectiveness and optimal strategies for addressing AUD within the context of ALD.

This research program will address these questions by conducting an ALD-AUD integrated treatment clinical trial. The trial will evaluate whether active treatment of AUD will reduce progression of liver disease and improve liver-related outcomes. In addition, the program will build a harmonized biospecimen collection to provide a basis for performing additional ancillary and mechanistic studies to understand factors influencing the course of liver disease and alcohol relapse. 

The program will leverage the existing AlcHepNet infrastructure and resources for the upcoming clinical trial. Initially funded in 2012 as four separate consortia, AlcHepNet was consolidated into a unified entity in 2018. In the next cycle, AlcHepNet will enhance network experience by incorporating specialties essential for holistic care, thereby expanding the team’s breadth of expertise. The structure of AlcHepNet is aimed to increase the efficiency of the program by streamlining processes for designing and conducting clinical trials, reducing administrative redundancy, facilitating complementary interactions across the Network and making optimal use of scientific innovations.

The purpose of AlcHepNet is to improve biomedical, psychosocial and quality of life outcomes for patients with adverse ALD. 

This Data Coordinating Center RFA (U24) runs in parallel with a companion RFA soliciting applications for U01 Clinical Centers (RFA-AA-xx-xxx.).

Network Organization

The AlcHepNet will bring together the Clinical Component (consisting of up to 6 Clinical Site Centers) and the DCC to form a cooperative research platform for performing multi-site common protocol clinical trial and local ancillary studies in patients with advanced ALD. The AlcHepNet will also be supported by the NIAAA, Steering Committee and its subcommittees, Data and Safety Monitoring Board (DSMB), and other committees as needed. The responsibilities of each component of the Network are described in the Terms and Conditions of Award.

Clinical component: will consist of up to 6 collaborative U01 clinical centers conducting common multi-center clinical trial and local site-specific ancillary studies. They will be responsible for proposing protocols, participating in their overall development, conducting the research, and disseminating research findings. The Clinical Center sites will be reimbursed on a per-capita basis for enrollment and biospecimen collection under the common protocol via subcontract by the DCC, but do not receive funding to perform the local study protocols from the DCC.

Data Coordinating Center: one DCC will serve as the Network data management center and central biorepository, provides biostatistical and logistical support, coordinates various trans-Network activities as well as standardizes approaches, procedures and data formats to minimize resources/effort duplication. The DCC is expected to facilitate the sharing of data and biospecimens to the broader research community upon study completion via establishing Data Commons public domain.

The clinical components and DCC will be individually awarded through the respective NOFOs indicated below:

  1. Clinical components under RFA AA 24-004 (collaborative U01) (up to 6 awards)
  2. Data Coordinating Center under RFA AA 24-005 (U24 this RFA) (1 award)

Purpose and Objectives

The main focus of the network will be the conduct of an integrated treatment clinical trial that incorporates active treatment of AUD with treatment of liver disease. Thus, collaborative studies combining expertise in hepatology and addiction medicine will be required and each clinical site center should compose a multidisciplinary team. This diverse team will ensure comprehensive patient care and meaningful research outcome.

The targeted patient population will include severe alcohol-associated hepatitis (sAH) and decompensated alcohol-associated cirrhosis (deAC).

Important gaps in knowledge and hurdles to care in patients with advanced ALD that could be addressed include but are not limited to:

  • Effect of integrated treatments targeting both AUD and ALD on ALD patients’ survival.
  • Potential drug-related hepatotoxicity of current AUD medications in patients with ALD.
  • Hurdles to practical approaches (treatment duration, endpoints, outcome measures, etc.) to conducting clinical trials that combine AUD and ALD.
    • Interventional methods and techniques may include, but are not limited to, pharmacologic agents, behavioral, cognitive, and device-based approaches, or a combination thereof.
    • The experimental arm for AUD in the integrated clinical trial should involve an active AUD treatment that assesses whether treating AUD leads to favorable outcomes for liver disease. This approach should be compared to the standard method, which involves asking questions about alcohol consumption and referring patients to addiction specialists.

To achieve the goals of the program, the RFAs will require that AlcHepNet will:

  • Conduct a multi-center multi-disciplinary clinical trial designed to study safety and efficacy of interventions targeting both AUD and liver disease.

First-in-human clinical trials or clinical studies where the objective is to elucidate the pathogenesis of the disease or identify potential therapeutic targets for future clinical trial are considered not responsive to this RFA.

Investigators and the Data Coordinating Center will work towards providing open access of its data for  researchers outside of AlcHepNet.

Responsibilities of the Data Coordinating Center (DCC)

Overall Role. The DCC is responsible for integrating the activities of individual clinical and laboratory study sites. The DCC will serve as the Network data management center and biorepository, provide biostatistical and logistical support, coordinate various trans-Network activities as well as standardize approaches, procedures and data formats to minimize duplication of resources and effort. The DCC is responsible for all necessary regulatory approvals, as well as provision of the necessary drugs, devices or other resources.

Clinical studies. An independent DCC is critical to the integrity of the data collection and intervention delivery because of the need for central coordination of these activities in complex multi-site clinical studies. The DCC will contribute to the study design, ensure appropriate adverse event monitoring and reporting, manage data collection and quality, masking of staff to intervention assignment, and randomization, prepare interim data reports for the DSMB, conduct statistical analyses, and help with the dissemination of the results. The DCC will procure and distribute coded medications (e.g., investigational drugs, matching placebos), arrange for medication masking procedures, and train pharmacy staff in randomization and other study procedures.

Clinical Centers Reimbursement: The reimbursement funds (approximately $450,000 in direct costs) to support execution of the common protocol clinical trial at the Clinical Centers will be a part of the DCC cooperative agreement award. The funds will be distributed back to up to 6 individual Clinical Center sites via subcontract from the DCC on a per-enrollee basis and according to Steering Committee- and NIAAA-approved common protocol budgets. The DCC will be responsible for administration of Clinical Center site subcontracts and other agreements as necessary to facilitate reimbursement for enrollment, biospecimen collection, and biospecimen/data analysis under the common protocol. The common protocol must be approved by the  Steering Committee and NIAAA.

Biorepository. The DCC will establish and support a central storage facility for biospecimens including blood, urine, stool, saliva, and liver biopsy partnered with a carefully constructed database of relevant clinical, pathological, diagnostic, and demographic information. The DCC will create a searchable database for identifying and retrieving biospecimens, review requests for biospecimens and circulate these for approval, and also physically retrieve, prepare, and ship approved biospecimens to provide a complete life cycle of biospecimen management within the AH Network, while ensuring their integrity and regulatory compliance.

Data Management and Analysis. The DCC will provide expert assistance in 1) designing data collection modules, operational procedure manuals and quality control systems of collaborative research projects, and in 2) bioinformatics and biostatistics for the analyses and integration of complex biological data from multiple experimental platforms and other sources.

Data Commons. The DCC will be tasked with organizing, curating, and annotating datasets, enabling controlled internal and external access, fostering collaborations, and ensuring ethical data usage. This will establish a high-quality, organized, a collaborative research environment.

Communication and Collaborations. The DCC will promote the sharing of the data, biospecimens, other materials, and resources. It will work with the Network site investigators to support collaborative project communications, including, but not limited to an internet-based communication platform/website where the protocols, amendments, manual of procedures, and other study communications are stored. The DCC will work with the Steering Committee to facilitate collaborations and enable the individual sites to integrate their projects/protocols so that the group can conduct joint protocols that provide adequate power for studies that require larger numbers than what is available at the individual participating sites.

Logistical support. The DCC will provide logistical support for daily functioning of the Network as well as for the Steering Committee and DSMB teleconferences/meetings; collect and document all Institutional Review Board (IRB) reports and communications; establish an account with clinicaltrials.gov and maintain listings for all Network clinical trials; work together with the Steering Committee on FDA-regulated documents including investigational new drug (IND) applications; create and maintain a public website for the AH Network; develop means to monitor/track research progress of individual projects, and assist the NIAAA project scientist in coordination of the Network.

Standardization. The DCC will provide leadership for identifying common elements in the individual site-specific projects, standardizing definitions, harmonizing data, and developing joint protocols. The DCC will work with the Network clinical site investigators to ensure that the consent language is appropriate for sharing both data and biospecimens.

The DCC, together with Steering Committee and its subcommittees, has the responsibility of assisting and improving implementation of Network projects in achieving the goals on-budget and on-time. It should strive to collect complete, accurate and precise data while minimizing the burden on the participating clinical and laboratory research sites.

DCC staff should have appropriate expertise and experience in project management, biostatistics, informatics and expertise in web-based data management. In addition, DCC staff will need to have expertise and experience in working with AH clinical and laboratory research projects, biorepositories, informed consents and shared data, proteomic, genomic and other "omics" data sets. Prior experience in complex collaborative studies is required. The PD/PI for the DCC cannot be Key Personnel on any other Network awards.

Given these numerous duties, the NIAAA strongly encourages multi-PD/PI application with at least two PDs/PIs; one a senior statistician with demonstrated experience in coordinating large multi-site clinical research studies and another senior investigator with extensive clinical research experience and expertise in the hepatology field.

See Section VIII. Other Information for award authorities and regulations.

Diversity

It is expected that the clinical centers will seek to recruit prospective research team members from diverse backgrounds, including individuals from underrepresented groups.   For more information, seeNOT OD 20-031 (Notice of NIH's Interest in Diversity) and NOT OD 22-019 (Reminder: Notice of NIH's Encouragement of Applications Supporting Individuals from Underrepresented Ethnic and Racial Groups as well as Individuals with Disabilities).

Individuals from underrepresented groups are encouraged to pursue opportunities to serve as key contributors to the biomedical research . In addition, research teams are encouraged to include investigators from various disciplines/departments and specialties.

NIAAA is especially interested in clinical centers which cover patient populations experiencing health disparities.

Plan for Enhancing Diverse Perspectives (PEDP)

  • This NOFO requires a Plan for Enhancing Diverse Perspectives (PEDP) as described in NOT-MH-21-310, submitted as Other Project Information as an attachment (see Section IV).

  • Applicants are strongly encouraged to read the NOFO instructions carefully and view the available PEDP guidance material. The PEDP will be assessed as part of the scientific and technical peer review evaluation, as well as considered among programmatic matters with respect to funding decisions.

Non-Responsive Applications

The following  applications will be considered non-responsive and will be withdrawn prior to review: 

  • Applications proposing the introduction or testing of a new drug candidate for the treatment of ALD.

See Section VIII. Other Information for award authorities and regulations.

Investigators proposing NIH-defined clinical trials may refer to the Research Methods Resources website for information about developing statistical methods and study designs.

Section II. Award Information

Funding Instrument

Cooperative Agreement: A financial assistance mechanism used when there will be substantial Federal scientific or programmatic involvement. Substantial involvement means that, after award, NIH scientific or program staff will assist, guide, coordinate, or participate in project activities. See Section VI.2 for additional information about the substantial involvement for this NOFO.

Application Types Allowed
Renewal

The OER Glossary and the How to Apply Application Guide provide details on these application types. Only those application types listed here are allowed for this NOFO.

Clinical Trial?

Required: Only accepting applications that propose clinical trial(s).

Funds Available and Anticipated Number of Awards

NIAAA intends to commit up to a combined $7 Million in total costs in FY 2024 to fund this RFA and the companion (RFA-AA-24-004).

Award Budget

Application budget is limited to $2,550,000 direct costs in each year of the project period to support three major categories (1) DCC infrastructure and network coordination, (2) Biorepository, and (3) Data Commons. Budgets should reflect the actual needs of the proposed project.

In addition, reimbursement funds ($450,000 in direct costs per year) will be included in the Data Coordinating Center award and will be distributed to the Clinical Centers in accordance with Steering Committee- and NIAAA-approved budgets for the enrollment and execution of studies under a common protocol that governs the collection of a core set of data and biospecimens across all participating sites.

Budgets for DDC applications must reflect the actual needs of the proposed project.

Award Project Period

The scope of the proposed project should determine the project period. The maximum project period is 5 years

NIH grants policies as described in the NIH Grants Policy Statement will apply to the applications submitted and awards made from this NOFO.

Section III. Eligibility Information

1. Eligible Applicants

Eligible Organizations

Higher Education Institutions

  • Public/State Controlled Institutions of Higher Education
  • Private Institutions of Higher Education

The following types of Higher Education Institutions are always encouraged to apply for NIH support as Public or Private Institutions of Higher Education:

  • Hispanic-serving Institutions
  • Historically Black Colleges and Universities (HBCUs)
  • Tribally Controlled Colleges and Universities (TCCUs)
  • Alaska Native and Native Hawaiian Serving Institutions
  • Asian American Native American Pacific Islander Serving Institutions (AANAPISIs)

Nonprofits Other Than Institutions of Higher Education

  • Nonprofits with 501(c)(3) IRS Status (Other than Institutions of Higher Education)
  • Nonprofits without 501(c)(3) IRS Status (Other than Institutions of Higher Education)

For-Profit Organizations

  • Small Businesses
  • For-Profit Organizations (Other than Small Businesses)

Local Governments

  • State Governments
  • County Governments
  • City or Township Governments
  • Special District Governments
  • Indian/Native American Tribal Governments (Federally Recognized)
  • Indian/Native American Tribal Governments (Other than Federally Recognized)

Federal Governments

  • Eligible Agencies of the Federal Government
  • U.S. Territory or Possession

Other

  • Independent School Districts
  • Public Housing Authorities/Indian Housing Authorities
  • Native American Tribal Organizations (other than Federally recognized tribal governments)
  • Faith-based or Community-based Organizations
  • Regional Organizations
Foreign Organizations

Non-domestic (non-U.S.) Entities (Foreign Organizations) are not eligible to apply.

Non-domestic (non-U.S.) components of U.S. Organizations are not eligible to apply.

Foreign components, as defined in the NIH Grants Policy Statement, are not allowed. 

Required Registrations

Applicant Organizations

Applicant organizations must complete and maintain the following registrations as described in the SF 424 (R&R) Application Guide to be eligible to apply for or receive an award. All registrations must be completed prior to the application being submitted. Registration can take 6 weeks or more, so applicants should begin the registration process as soon as possible. Failure to complete registrations in advance of a due date is not a valid reason for a late submission, please reference NIH Grants Policy Statement Section 2.3.9.2 Electronically Submitted Applications for additional information

  • System for Award Management (SAM) – Applicants must complete and maintain an active registration, which requires renewal at least annually. The renewal process may require as much time as the initial registration. SAM registration includes the assignment of a Commercial and Government Entity (CAGE) Code for domestic organizations which have not already been assigned a CAGE Code.
    • NATO Commercial and Government Entity (NCAGE) Code – Foreign organizations must obtain an NCAGE code (in lieu of a CAGE code) in order to register in SAM.
    • Unique Entity Identifier (UEI) - A UEI is issued as part of the SAM.gov registration process. The same UEI must be used for all registrations, as well as on the grant application.
  • eRA Commons - Once the unique organization identifier is established, organizations can register with eRA Commons in tandem with completing their Grants.gov registrations; all registrations must be in place by time of submission. eRA Commons requires organizations to identify at least one Signing Official (SO) and at least one Program Director/Principal Investigator (PD/PI) account in order to submit an application.
  • Grants.gov – Applicants must have an active SAM registration in order to complete the Grants.gov registration.

Program Directors/Principal Investigators (PD(s)/PI(s))

All PD(s)/PI(s) must have an eRA Commons account.  PD(s)/PI(s) should work with their organizational officials to either create a new account or to affiliate their existing account with the applicant organization in eRA Commons. If the PD/PI is also the organizational Signing Official, they must have two distinct eRA Commons accounts, one for each role. Obtaining an eRA Commons account can take up to 2 weeks.

Eligible Individuals (Program Director/Principal Investigator)

Any individual(s) with the skills, knowledge, and resources necessary to carry out the proposed research as the Program Director(s)/Principal Investigator(s) (PD(s)/PI(s)) is invited to work with their organization to develop an application for support. Individuals from diverse backgrounds, including underrepresented racial and ethnic groups, individuals with disabilities, and women are always encouraged to apply for NIH support. See, Reminder: Notice of NIH's Encouragement of Applications Supporting Individuals from Underrepresented Ethnic and Racial Groups as well as Individuals with Disabilities, NOT-OD-22-019.

For institutions/organizations proposing multiple PDs/PIs, visit the Multiple Program Director/Principal Investigator Policy and submission details in the Senior/Key Person Profile (Expanded) Component of the How to Apply Application Guide.

Only current AlcHepNet recipients  funded through RFA-AA-18-004 are eligible to apply.

Investigators with demonstrated experience in coordinating large multi-site clinical research studies and another senior investigator with extensive clinical research experience and expertise in the field of hepatology are recommended.

2. Cost Sharing

This NOFO does not require cost sharing as defined in the NIH Grants Policy Statement NIH Grants Policy Statement Section 1.2 Definition of Terms.

3. Additional Information on Eligibility

Number of Applications

Applicant organizations may submit more than one application, provided that each application is scientifically distinct.

The NIH will not accept duplicate or highly overlapping applications under review at the same time, per NIH Grants Policy Statement Section 2.3.7.4 Submission of Resubmission Application. This means that the NIH will not accept:

  • A new (A0) application that is submitted before issuance of the summary statement from the review of an overlapping new (A0) or resubmission (A1) application.
  • A resubmission (A1) application that is submitted before issuance of the summary statement from the review of the previous new (A0) application.
  • An application that has substantial overlap with another application pending appeal of initial peer review (see NIH Grants Policy Statement 2.3.9.4 Similar, Essentially Identical, or Identical Applications).

Section IV. Application and Submission Information

1. Requesting an Application Package

The application forms package specific to this opportunity must be accessed through ASSIST, Grants.gov Workspace or an institutional system-to-system solution. Links to apply using ASSIST or Grants.gov Workspace are available in Part 1 of this NOFO. See your administrative office for instructions if you plan to use an institutional system-to-system solution.

2. Content and Form of Application Submission

It is critical that applicants follow the instructions in the Research (R) Instructions in the How to Apply - Application Guide except where instructed in this notice of funding opportunity to do otherwise. Conformance to the requirements in the Application Guide is required and strictly enforced. Applications that are out of compliance with these instructions may be delayed or not accepted for review.

Letter of Intent

Although a letter of intent is not required, is not binding, and does not enter into the review of a subsequent application, the information that it contains allows IC staff to estimate the potential review workload and plan the review.

By the date listed in Part 1. Overview Information, prospective applicants are asked to submit a letter of intent that includes the following information:

  • Descriptive title of proposed activity
  • Name(s), address(es), and telephone number(s) of the PD(s)/PI(s)
  • Names of other key personnel
  • Participating institution(s)
  • Number and title of this funding opportunity

The letter of intent should be sent to:

Philippe Marmillot, Ph.D.
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Telephone: 301-443-2861
Email: philippe.marmillot@nih.gov

Page Limitations

All page limitations described in the How to Apply – Application Guide and the Table of Page Limits must be followed.

Instructions for Application Submission

The following section supplements the instructions found in the How to Apply – Application Guide and should be used for preparing an application to this NOFO.

SF424(R&R) Cover

All instructions in the How to Apply Application Guide must be followed.

SF424(R&R) Project/Performance Site Locations

All instructions in the How to Apply Application Guide must be followed.

SF424(R&R) Other Project Information

All instructions in the How to Apply Application Guide must be followed.

Other Attachments:

Plan for Enhancing Diverse Perspectives

  • In an "Other Attachment" entitled "Plan for Enhancing Diverse Perspectives," all applicants must include a summary of strategies to advance the scientific and technical merit of the proposed project through expanded inclusivity
  • The PEDP should provide a holistic and integrated view of how enhancing diverse perspectives is viewed and supported throughout the application and can incorporate elements with relevance to any review criteria (significance, investigator(s), innovation, approach, and environment) as appropriate.
  • Where possible, applicant(s) should align their description with these required elements within the research strategy section
  • The PEDP will vary depending on the scientific aims, expertise required, the environment and performance site(s), as well as how the project aims are structured
  • The PEDP may be no more than 1-page in length and should include a timeline and milestones for relevant components that will be considered as part of the review

Examples of items that advance inclusivity in research and may be part of the PEDP can include, but are not limited to:

  • Discussion of engagement with different types of institutions and organizations (e.g., research-intensive, undergraduate-focused, minority-serving, community-based).
  • Description of any planned partnerships that may enhance geographic and regional diversity.
  • Plan to enhance recruiting of women and individuals from groups historically under-represented in the biomedical, behavioral, and clinical research workforce.
  • Proposed monitoring activities to identify and measure PEDP progress benchmarks.
  • Plan to utilize the project infrastructure (i.e., research and structure) to support career-enhancing research opportunities for diverse junior, early- and mid-career researchers.
  • Description of any training and/or mentoring opportunities available to encourage participation of students, postdoctoral researchers and co-investigators from diverse backgrounds.
  • Plan to develop transdisciplinary collaboration(s) that require unique expertise and/or solicit diverse perspectives to address research question(s).
  • Publication plan that enumerates planned manuscripts and proposed lead authorship.
  • Outreach and planned engagement activities to enhance recruitment of individuals from diverse groups as research participants including those from under-represented backgrounds.

For further information on the Plan for Enhancing Diverse Perspectives (PEDP), please see https://braininitiative.nih.gov/about/plan-enhancing-diverse-perspectives-pedp

SF424(R&R) Senior/Key Person Profile

All instructions in the Ho to Apply Application Guide must be followed.

R&R Budget

All instructions in the How to Apply Application Guide must be followed.

Application Direct Costs must plan for the following:

Staff, infrastructure, and costs necessary to support all activities of the DCC.

Also include the cost related to:

  • Expenses related to the development and implementation of the common protocol, including designing case report forms, informed consent documents, a manual of procedures, methods for timely safety monitoring and reporting of adverse events to the appropriate entities, study monitoring reports to track patient accrual, follow-up rates, adherence to protocol, and data quality.
  • Expenses related to managing the Steering Committee to include travel expenses for two DCC representatives to attend at least one meeting occurring biennially in-person in Bethesda, Maryland, and other meetings occurring by conference call.
  • Expenses related to managing the Data Safety Monitoring Board to include remuneration for services provided and teleconference costs.
  • Site monitoring activities that will be conducted via centralized monitoring to the extent possible, but provisions for site visits to improve training and site performance as needed.
  • Expenses associated with contracting and the day-to-day oversight and operational management up to 6 individual CC sites for training on GCP, the implementation of the common protocol and related data and biospecimen collection.
  • Expenses associated with the day-to-day operations of a centralized biorepository: to include the expenses associated with procurement and storage of common protocol biospecimens from the CC sites to the DCC, and other study personnel to obtain the data and biospecimens for shared protocols in a uniform manner, and instituting quality control measures. Expenses associated with obtaining the data and biospecimens for local site protocols will not come from the DCC, but rather the individual CC budgets as proposed in their respective applications. Costs for biospecimen quality assurance should be described. The biospecimen collection plan will be finalized by the SC, but the DCC should present a vision and budget for the biospecimen collection.
  • Expenses associated with providing statistical support to the CCs and analysis of aggregate common protocol data, including the development and maintenance of systems for data entry, transmission, quality control, and analysis.
  • Costs related to the design and maintenance of an AlcHepNet website.
  • Costs to engage a single IRB (sIRB) for all AlcHepNet-supported studies.
  • Other expenses related to DCC core activities as appropriate.
  • For the first award year, allocate funds specifically for the one-time transfer of biosamples collected in the previous cycles and stored at UMASS to a local biorepository. Subsequently, these funds will be included in the allocations designed to support biorepository’s operations and maintenance.
  • Expenses associated with the creation and maintenance of internal Data Commons to coordinate efficient workflow, assessment of progress, and enable open access of study data to AlcHepNet investigators, as well as related costs to ensure compliance with the NIH Data Management and Sharing Policy.
  • Reimbursement funds (approximately $450,000 in direct costs per year) to develop and execute the network-wide common protocol studies will be part of the Data Coordinating Center award and will be distributed by the DCC to clinical centers in accordance with budgets approved by the Steering Committee and NIAAA.
    • As such, the DCC should request a line item for Protocol Costs in total cost amounts of $450,000 for each year of the project period, money which will be restricted for this use only. Only research-related costs above those incurred as part of usual clinical care are eligible to be covered by reimbursement via reimbursement funds from the DCC.
    • The budget justification for reimbursement funds should include a table that apportions the direct costs among the following categories:  patient care costs, core lab costs, biorepository costs, clinical network, and site subcontracts. 

PEDP implementation costs

 A multi-PD/PI application with at least two PDs/PIs may be considered. Demonstrated expertise in coordinating large multi-site clinical research studies and extensive clinical research experience and expertise in the field of hepatology are recommended.

R&R Subaward Budget

All instructions in the How to Apply Application Guide must be followed.

PHS 398 Cover Page Supplement

All instructions in the How to Apply Application Guide must be followed.

PHS 398 Research Plan

All instructions in the How to Apply Application Guide must be followed, with the following additional instructions:

In the applications for the U24 DCC, a clear AH Network organization chart should be provided. DCC project must not include mechanistic and hypothesis driven studies

Specific Aims: Applicants should describe a concise set of specific aims that explain the overall goals and expected outcomes of the DCC.

Research Strategy: The Research Strategy attachment of the application should include the following sub-sections A, B, and C.

Applicants should describe a broad plan for how the DCC will accomplish the goal of facilitating the work of the AH Network, including a description of how the specific activities listed below will be accomplished. 

Sub-section A. DCC overview.

In this sub-section, the following criteria must be addressed as applicable:

  • The scientific vision of the proposed DCC;
  • The significance of the proposed DCC team to the success of multi-center AH Network program;
  • Major strengths and critical experience of the research team particularly in coordinating multi-center programs (explain collective strengths without repeating information in individual biosketches);
  • Innovative aspects of the DCC and its potential for support and coordinating the trans-disciplinary research conducted through the entire Network;

Sub-section B. Staffing plan and summary of capabilities and commitment as applicable:

  • The structure and organization of the DCC;
  • The proposed staffing of the DCC;
  • Description of plans to achieve synergy and interaction among key investigators to ensure efficient cooperation, communication and coordination across the clinical and laboratory research sites, without duplicating the description in the biosketches;
  • Description of organizational plan to as a focal entity to to provide scientific, infrastructure and logistical support for the Network to facilitate its objectives;
  • Detailed description of relevant expertise and capabilities, evidence of successful past performance, and history of collaboration.

Sub-section C. Research plan detailing the strategy to be used in carrying out DCC’s activities and functions, including a description of how the specific activities listed below will be accomplished.

As applicable for the project proposed, specifically address:

  • Assistance with the design, implementation and coordination of clinical and mechanistic studies;
  • Data management, data systems and quality control;
  • Continued implementation and upgrading of procedures that ensure the safety and confidentiality of all records;
  • Acquisitions, storage and retrieval of biospecimens;
  • Bioinformatics services;
  • Regulatory support;
  • Reports, datasets and study documentation;
  • Logistical and other support services;
  • Facilitation of interactions and functions;
  • Creation and management of private and public websites;
  • Assistance with the preparation of scientific reports and publications.

Resource Sharing Plan: Individuals are required to comply with the instructions for the Resource Sharing Plans as provided in the  How to Apply Application Guide.

Other Plan(s): Note: Effective for due dates on or after January 25, 2023, the Data Management and Sharing Plan will be attached in the Other Plan(s) attachment in FORMS-H application forms packages.

All instructions in the How to Apply Application Guide must be followed, with the following additional instructions:

  • All applicants planning research (funded or conducted in whole or in part by NIH) that results in the generation of scientific data are required to comply with the instructions for the Data Management and Sharing Plan. All applications, regardless of the amount of direct costs requested for any one year, must address a Data Management and Sharing Plan.
  • Applications that include human subject research are expected to describe basic plans for submitting grant-related human subjects data to the NIAAA-sponsored data repository, as described in NOT-AA-23-001 and NOT-AA-23-002.

Appendix: Only limited Appendix materials are allowed. Follow all instructions for the Appendix as described in the How to Apply Application Guide.

  • No publications or other material, with the exception of blank questionnaires or blank surveys, may be included in the Appendix.

PHS Human Subjects and Clinical Trials Information

When involving human subjects research, clinical research, and/or NIH-defined clinical trials (and when applicable, clinical trials research experience) follow all instructions for the PHS Human Subjects and Clinical Trials Information form in the How to Apply Application Guide, with the following additional instructions:

If you answered “Yes” to the question “Are Human Subjects Involved?” on the R&R Other Project Information form, you must include at least one human subjects study record using the Study Record: PHS Human Subjects and Clinical Trials Information form or Delayed Onset Study record.

Study Record: PHS Human Subjects and Clinical Trials Information

All instructions in the How to Apply Application Guide must be followed.

Delayed Onset Study

Note: Delayed onset does NOT apply to a study that can be described but will not start immediately (i.e., delayed start). All instructions in the How to Apply Application Guide must be followed.

PHS Assignment Request Form

All instructions in the How to Apply Application Guide must be followed.

3. Unique Entity Identifier and System for Award Management (SAM)

See Part 2. Section III.1 for information regarding the requirement for obtaining a unique entity identifier and for completing and maintaining active registrations in System for Award Management (SAM), NATO Commercial and Government Entity (NCAGE) Code (if applicable), eRA Commons, and Grants.gov

4. Submission Dates and Times

Part I. contains information about Key Dates and times. Applicants are encouraged to submit applications before the due date to ensure they have time to make any application corrections that might be necessary for successful submission. When a submission date falls on a weekend or Federal holiday, the application deadline is automatically extended to the next business day.

Organizations must submit applications to Grants.gov (the online portal to find and apply for grants across all Federal agencies). Applicants must then complete the submission process by tracking the status of the application in the eRA Commons, NIH’s electronic system for grants administration. NIH and Grants.gov systems check the application against many of the application instructions upon submission. Errors must be corrected and a changed/corrected application must be submitted to Grants.gov on or before the application due date and time.  If a Changed/Corrected application is submitted after the deadline, the application will be considered late. Applications that miss the due date and time are subjected to the NIH Grants Policy Statement Section 2.3.9.2 Electronically Submitted Applications.

Applicants are responsible for viewing their application before the due date in the eRA Commons to ensure accurate and successful submission.

Information on the submission process and a definition of on-time submission are provided in the How to Apply – Application Guide.

5. Intergovernmental Review (E.O. 12372)

This initiative is not subject to intergovernmental review.

6. Funding Restrictions

All NIH awards are subject to the terms and conditions, cost principles, and other considerations described in the NIH Grants Policy Statement.

Pre-award costs are allowable only as described in the NIH Grants Policy Statement Section 7.9.1 Selected Items of Cost.

7. Other Submission Requirements and Information

Applications must be submitted electronically following the instructions described in the How to Apply Application Guide. Paper applications will not be accepted.

Applicants must complete all required registrations before the application due date. Section III. Eligibility Information contains information about registration.

For assistance with your electronic application or for more information on the electronic submission process, visit How to Apply – Application Guide. If you encounter a system issue beyond your control that threatens your ability to complete the submission process on-time, you must follow the Dealing with System Issues guidance. For assistance with application submission, contact the Application Submission Contacts in Section VII.

Important reminders:

All PD(s)/PI(s) must include their eRA Commons ID in the Credential field of the Senior/Key Person Profile form. Failure to register in the Commons and to include a valid PD/PI Commons ID in the credential field will prevent the successful submission of an electronic application to NIH. See Section III of this NOFO for information on registration requirements.

The applicant organization must ensure that the unique entity identifier provided on the application is the same identifier used in the organization’s profile in the eRA Commons and for the System for Award Management. Additional information may be found in the How to Apply Application Guide.

See more tips for avoiding common errors.

Applications must include annual milestones. Applications that fail to include annual milestones will be considered incomplete and will be withdrawn. Applications must include a PEDP submitted as Other Project Information as an attachment. Applications that fail to include a PEDP will be considered incomplete and will be withdrawn before review.

Upon receipt, applications will be evaluated for completeness and compliance with application instructions by the Center for Scientific Review and responsiveness by components of participating organizations, NIH. Applications that are incomplete, non-compliant and/or nonresponsive will not be reviewed.

In order to expedite review, applicants are requested to notify the {IC} Referral Office by email at {xxxx@mail.nih.gov} when the application has been submitted. Please include the FON and title, PD/PI name, and title of the application.

Post Submission Materials

Applicants are required to follow the instructions for post-submission materials, as described in the policy

Any instructions provided here are in addition to the instructions in the policy.

Section V. Application Review Information

1. Criteria

Only the review criteria described below will be considered in the review process.  Applications submitted to the NIH in support of the NIH mission are evaluated for scientific and technical merit through the NIH peer review system.

A proposed Clinical Trial application may include study design, methods, and intervention that are not by themselves innovative but address important questions or unmet needs. Additionally, the results of the clinical trial may indicate that further clinical development of the intervention is unwarranted or lead to new avenues of scientific investigation.

Overall Impact

Reviewers will provide an overall impact score to reflect their assessment of the likelihood for the project to exert a sustained, powerful influence on the research field(s) involved, in consideration of the following review criteria and additional review criteria (as applicable for the project proposed).

Scored Review Criteria

Reviewers will consider each of the review criteria below in the determination of scientific merit and give a separate score for each. An application does not need to be strong in all categories to be judged likely to have major scientific impact. For example, a project that by its nature is not innovative may be essential to advance a field.

 

Does the proposed Center address the needs of the research [programs/projects/network/consortium/resource] that it will [coordinate/administer/serve]? Is the scope of activities proposed for the [Center] appropriate to meet those needs? Will successful completion of the aims bring unique advantages or capabilities to the research [program/projects/network/consortium/resource]?

Are the scientific rationale and need for a clinical trial to test the proposed hypothesis or intervention well supported by preliminary data, clinical and/or preclinical studies, or information in the literature or knowledge of biological mechanisms? For trials focusing on clinical or public health endpoints, is this clinical trial necessary for testing the safety, efficacy or effectiveness of an intervention that could lead to a change in clinical practice, community behaviors or health care policy? For trials focusing on mechanistic, behavioral, physiological, biochemical, or other biomedical endpoints, is this trial needed to advance scientific understanding?

Specific to this NOFO: Does the proposed DCC address the needs of the research for the AH Network that it will serve? Is the scope of activities proposed for the DCC appropriate to meet those needs? Will successful completion of the aims bring unique advantages or capabilities to the research conducted by the Network? Does the DCC fulfill other roles and duties that are critical to the success of the AH Network including data management, biostatistical and logistical support, biorepository, coordination of various trans-Network activities as well as standardization of approaches, procedures and data formats to minimize resources/effort duplication? To what extent do the efforts described in the Plan for Enhancing Diverse Perspectives further the significance of the project?

 

Are the PD(s)/PI(s) and other personnel well suited to their roles in the Center? Do they have appropriate experience and training, and have they demonstrated experience and an ongoing record of accomplishments in managing [adjective] research? Do the investigators demonstrate significant experience with coordinating collaborative [basic or clinical] research? If the Center is multi-PD/PI, do the investigators have complementary and integrated expertise and skills; are their [leadership approach, governance, plans for conflict resolution, and organizational structure] appropriate for the Center? Does the applicant have experience overseeing selection and management of subawards, if needed?

With regard to the proposed leadership for the project, do the PD/PI(s) and key personnel have the expertise, experience, and ability to organize, manage and implement the proposed clinical trial and meet milestones and timelines? Do they have appropriate expertise in study coordination, data management and statistics? For a multicenter trial, is the organizational structure appropriate and does the application identify a core of potential center investigators and staffing for a coordinating center?

Specific to this NOFO: Do the PD(s)/PI(s) have appropriate experience and training, and have they demonstrated experience and an ongoing record of accomplishments in managing the research and clinical resource? Do the investigators possess appropriate and adequate knowledge and experience in areas relevant to the conduct of collaborative clinical and laboratory/mechanistic studies including experience in research design, execution, data management, and quality control in AH? Does the applicant have experience overseeing selection and management of sub-awards, if proposed? Are the expertise and commitment of the PD(s)/PI(s) and other key personnel adequate for the required scope and objectives of the DCC? Are there key personnel in place to conduct the AH Network operations ranging from clinical and laboratory/mechanistic studies, statistics, bioinformatics, and biorepository to managing resource requests, managing websites and communication portals, and ensuring high quality data is received from the clinical sites and made available to the Network investigators? Do the PD(s)/PI(s) have experience with database platforms and data security? Is there evidence of experience in analyzing data from randomized clinical trials, observational studies, mechanistic and biomarker studies? Have the PD(s)/PI(s) budgeted sufficient time to ensure appropriate oversight of the DCC?   To what extent will the efforts described in the Plan for Enhancing Diverse Perspectives strengthen and enhance the expertise required for the project?

 

Does the application propose novel [organizational concepts, management strategies, or instrumentation] in coordinating the research [program/projects/network/consortium/resource] the [Center] will serve? Are the concepts, strategies, or instrumentation novel to one type of research program or applicable in a broad sense? Is a refinement, improvement, or new application of [organizational concepts, management strategies or instrumentation] proposed?

Does the design/research plan include innovative elements, as appropriate, that enhance its sensitivity, potential for information or potential to advance scientific knowledge or clinical practice?

Specific to this NOFO: Does the application propose novel management strategies and statistical approaches in coordinating the AH Network the DCC will serve? Do the PD(s)/PI(s) propose innovative approaches and practices in data and inventory management systems, biorepository, database capacity, and communications in support of the clinical, laboratory and banking operations? To what extent will the efforts described in the Plan for Enhancing Diverse Perspectives meaningfully contribute to innovation?

 

Are the overall strategy, operational plan, and organizational structure well-reasoned and appropriate to accomplish the goals of the research [program/projects/network/consortium/ resource] the [Center] will serve? Will the investigators promote strategies to ensure a robust and unbiased scientific approach across the [program/projects/network/consortium/resource], as appropriate for the work proposed? Are potential problems, alternative strategies, and benchmarks for success presented? If the [program/projects/network/consortium/ resource] is in the early stages of operation, does the proposed strategy adequately establish feasibility and manage the risks associated with the activities of the [program/projects/network/consortium/resource]? Are an appropriate plan for work-flow and a well-established timeline proposed? Have the investigators presented adequate plans to ensure consideration of relevant biological variables, such as sex, for studies of vertebrate animals or human subjects?

Does the application adequately address the following, if applicable

Study Design

Is the study design justified and appropriate to address primary and secondary outcome variable(s)/endpoints that will be clear, informative and relevant to the hypothesis being tested? Is the scientific rationale/premise of the study based on previously well-designed preclinical and/or clinical research? Given the methods used to assign participants and deliver interventions, is the study design adequately powered to answer the research question(s), test the proposed hypothesis/hypotheses, and provide interpretable results? Is the trial appropriately designed to conduct the research efficiently? Are the study populations (size, gender, age, demographic group), proposed intervention arms/dose, and duration of the trial, appropriate and well justified?

Are potential ethical issues adequately addressed? Is the process for obtaining informed consent or assent appropriate? Is the eligible population available? Are the plans for recruitment outreach, enrollment, retention, handling dropouts, missed visits, and losses to follow-up appropriate to ensure robust data collection? Are the planned recruitment timelines feasible and is the plan to monitor accrual adequate? Has the need for randomization (or not), masking (if appropriate), controls, and inclusion/exclusion criteria been addressed? Are differences addressed, if applicable, in the intervention effect due to sex/gender and race/ethnicity?

Are the plans to standardize, assure quality of, and monitor adherence to, the trial protocol and data collection or distribution guidelines appropriate? Is there a plan to obtain required study agent(s)? Does the application propose to use existing available resources, as applicable?

Data Management and Statistical Analysis

Are planned analyses and statistical approach appropriate for the proposed study design and methods used to assign participants and deliver interventions? Are the procedures for data management and quality control of data adequate at clinical site(s) or at center laboratories, as applicable? Have the methods for standardization of procedures for data management to assess the effect of the intervention and quality control been addressed? Is there a plan to complete data analysis within the proposed period of the award?

Specific to this NOFO: Are the overall strategy, operational plan, and organizational structure well-reasoned and appropriate to accomplish the goals of the research resource the DCC will provide? Have the PD(s)/PI(s) appropriately addressed the responsibility of developing the logistics and communications that are necessary to coordinate the AH Network activities? Has the application described how appropriate training will be conducted to ensure rapid, high quality data and biospecimens collection, submission to the database/biorepository, and query of the database/biorepository? Is the approach for working with the clinical and laboratory/mechanistic research site PD(s)/PI(s) and Steering Committee members reasonable and synergistic? Does the application provide examples of procedures for communication of relevant information among investigators during the conduct of the clinical and mechanistic studies, and examples of procedures for dissemination of the results to the public at large when such results become available? Does the application describe how they will conduct reporting to the investigators within multi-center trials and observational studies with respect to monthly reports, study subject enrollment, and DSMB experience? Does the application describe and provide examples of their past experience with the ability to arrange meetings and conference calls and support the complexity of workflow within the network? Does the application clearly demonstrate the willingness to work and cooperate with AH Network centers and the NIAAA? Does the application incorporate novel technologies to enhance the tracking of the Network investigator requests and query tools? Are there plans to address the safety and confidentiality of all records? Are the timeline and milestones associated with the Plan for Enhancing Diverse Perspectives well-developed and feasible? 

 

Will the institutional environment in which the [Center] will operate contribute to the probability of success in facilitating the research [program/projects/network/consortium] it serves? Are the institutional support, equipment and other physical resources available to the investigators adequate for the [Center] proposed? Will the [Center] benefit from unique features of the institutional environment, infrastructure, or personnel? Are resources available within the scientific environment to support electronic information handling?

If proposed, are the administrative, data coordinating, enrollment and laboratory/testing centers, appropriate for the trial proposed?

Does the application adequately address the capability and ability to conduct the trial at the proposed site(s) or centers? Are the plans to add or drop enrollment centers, as needed, appropriate?

If international site(s) is/are proposed, does the application adequately address the complexity of executing the clinical trial?

If multi-sites/centers, is there evidence of the ability of the individual site or center to: (1) enroll the proposed numbers; (2) adhere to the protocol; (3) collect and transmit data in an accurate and timely fashion; and, (4) operate within the proposed organizational structure?

Specific to this NOFO: Will the institutional environment in which the Center will operate contribute to the probability of success in facilitating the AH network it serves? Will the project benefit from unique features of the institutional environment, infrastructure, or personnel? Are resources available within the scientific environment to support electronic information handling? Is there institutional assurance to provide support to the study in such areas as fiscal administration, personnel management, space allocation, procurement, planning, and budgeting? Does the environment in which the work will be done contribute to the probability of the success of the Network DCC and PD(s)/PI(s) in addressing the multifaceted responsibilities? To what extent will features of the environment described in the Plan for Enhancing Diverse Perspectives (e.g., collaborative arrangements, geographic diversity, institutional support) contribute to the success of the project? 

Additional Review Criteria
 

Is the study timeline described in detail, taking into account start-up activities, the anticipated rate of enrollment, and planned follow-up assessment? Is the projected timeline feasible and well justified? Does the project incorporate efficiencies and utilize existing resources (e.g., CTSAs, practice-based research networks, electronic medical records, administrative database, or patient registries) to increase the efficiency of participant enrollment and data collection, as appropriate?

Are potential challenges and corresponding solutions discussed (e.g., strategies that can be implemented in the event of enrollment shortfalls)?

 

For research that involves human subjects but does not involve one of the 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 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 individuals of all ages (including children and older adults) 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 three points: (1) a complete description of all proposed procedures including the species, strains, ages, sex, and total numbers of animals to be used; (2) justifications that the species is appropriate for the proposed research and why the research goals cannot be accomplished using an alternative non-animal model; and (3) interventions including analgesia, anesthesia, sedation, palliative care, and humane endpoints that will be used to limit any unavoidable discomfort, distress, pain and injury in the conduct of scientifically valuable research. Methods of euthanasia and justification for selected methods, if NOT consistent with the AVMA Guidelines for the Euthanasia of Animals, is also required but is found in a separate section of the application. For additional information on review of the Vertebrate Animals Section, please refer to the Worksheet for Review of the Vertebrate Animals 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.

 

Not applicable

 

For Renewals, the committee will consider the progress made in the last funding period.

 

Not applicable

Additional Review Considerations

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.

Non Applicable.

 

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 Resource Sharing Plan(s) (e.g., Sharing Model Organisms) or the rationale for not sharing the resources, is reasonable.

 

For [programs/projects/networks/consortia/resources] involving key biological and/or chemical resources, reviewers will comment on the brief plans proposed for identifying and ensuring the validity of those resources.

 

Reviewers will consider whether the budget and the requested period of support are fully justified and reasonable in relation to the proposed research.

2. Review and Selection Process

Applications will be evaluated for scientific and technical merit by (an) appropriate Scientific Review Group(s) convened by NIAAA, in accordance with NIH peer review policies and practices, using the stated review criteria. Assignment to a Scientific Review Group will be shown in the eRA Commons.

As part of the scientific peer review, all applications will receive a written critique.

Applications may undergo a selection process in which only those applications deemed to have the highest scientific and technical merit (generally the top half of applications under review) will be discussed and assigned an overall impact score.

Appeals of initial peer review will not be accepted for applications submitted in response to this NOFO.

Applications will be assigned on the basis of established PHS referral guidelines to the appropriate NIH Institute or Center. Applications will compete for available funds with all other recommended applications submitted in response to this NOFO. Following initial peer review, recommended applications will receive a second level of review by the appropriate national Advisory Council or Board. The following will be considered in making funding decisions:

  • Scientific and technical merit of the proposed project as determined by scientific peer review.
  • Availability of funds.
  • Relevance of the proposed project to program priorities.

3. Anticipated Announcement and Award Dates

After the peer review of the application is completed, the PD/PI will be able to access his or her Summary Statement (written critique) via the eRA Commons. Refer to Part 1 for dates for peer review, advisory council review, and earliest start date.

Information regarding the disposition of applications is available in the NIH Grants Policy Statement Section 2.4.4 Disposition of Applications.

Section VI. Award Administration Information

1. Award Notices

If the application is under consideration for funding, NIH will request "just-in-time" information from the applicant as described in the NIH Grants Policy Statement.

A formal notification in the form of a Notice of Award (NoA) will be provided to the applicant organization for successful applications. The NoA signed by the grants management officer is the authorizing document and will be sent via email to the recipient's business official.

Recipients must comply with any funding restrictions described in Section IV.6. Funding Restrictions. Selection of an application for award is not an authorization to begin performance. Any costs incurred before receipt of the NoA are at the recipient's risk. These costs may be reimbursed only to the extent considered allowable pre-award costs.

Any application awarded in response to this NOFO will be subject to terms and conditions found on the Award Conditions and Information for NIH Grants website.  This includes any recent legislation and policy applicable to awards that is highlighted on this website.

Individual awards are based on the application submitted to, and as approved by, the NIH and are subject to the IC-specific terms and conditions identified in the NoA.

ClinicalTrials.gov: If an award provides for one or more clinical trials. By law (Title VIII, Section 801 of Public Law 110-85), the "responsible party" must register and submit results information for certain “applicable clinical trials” on the ClinicalTrials.gov Protocol Registration and Results System Information Website (https://register.clinicaltrials.gov). NIH expects registration and results reporting of all trials whether required under the law or not. For more information, see https://grants.nih.gov/policy/clinical-trials/reporting/index.htm

Institutional Review Board or Independent Ethics Committee Approval: Recipient institutions must ensure that all protocols are reviewed by their IRB or IEC. To help ensure the safety of participants enrolled in NIH-funded studies, the recipient must provide NIH copies of documents related to all major changes in the status of ongoing protocols.

Data and Safety Monitoring Requirements: The NIH policy for data and safety monitoring requires oversight and monitoring of all NIH-conducted or -supported human biomedical and behavioral intervention studies (clinical trials) to ensure the safety of participants and the validity and integrity of the data. Further information concerning these requirements is found at http://grants.nih.gov/grants/policy/hs/data_safety.htm and in the application instructions (SF424 (R&R) and PHS 398).

Investigational New Drug or Investigational Device Exemption Requirements: Consistent with federal regulations, clinical research projects involving the use of investigational therapeutics, vaccines, or other medical interventions (including licensed products and devices for a purpose other than that for which they were licensed) in humans under a research protocol must be performed under a Food and Drug Administration (FDA) investigational new drug (IND) or investigational device exemption (IDE).

2. Administrative and National Policy Requirements

All NIH grant and cooperative agreement awards include the NIH Grants Policy Statement as part of the NoA. For these terms of award, see the NIH Grants Policy Statement Part II: Terms and Conditions of NIH Grant Awards, Subpart A: Generaland Part II: Terms and Conditions of NIH Grant Awards, Subpart B: Terms and Conditions for Specific Types of Grants, Recipients, and Activities, including of note, but not limited to:

If a recipient is successful and receives a Notice of Award, in accepting the award, the recipient agrees that any activities under the award are subject to all provisions currently in effect or implemented during the period of the award, other Department regulations and policies in effect at the time of the award, and applicable statutory provisions.

If a recipient receives an award, the recipient must follow all applicable nondiscrimination laws. The recipient agrees to this when registering in SAM.gov. The recipient must also submit an Assurance of Compliance (HHS-690). To learn more, see the HHS Office for Civil Rights website.

HHS recognizes that NIH research projects are often limited in scope for many reasons that are nondiscriminatory, such as the principal investigator’s scientific interest, funding limitations, recruitment requirements, and other considerations. Thus, criteria in research protocols that target or exclude certain populations are warranted where nondiscriminatory justifications establish that such criteria are appropriate with respect to the health or safety of the subjects, the scientific study design, or the purpose of the research. For additional guidance regarding how the provisions apply to NIH grant programs, please contact the Scientific/Research Contact that is identified in Section VII under Agency Contacts of this NOFO.

In accordance with the statutory provisions contained in Section 872 of the Duncan Hunter National Defense Authorization Act of Fiscal Year 2009 (Public Law 110-417), NIH awards will be subject to the Federal Awardee Performance and Integrity Information System (FAPIIS) requirements. FAPIIS requires Federal award making officials to review and consider information about an applicant in the designated integrity and performance system (currently FAPIIS) prior to making an award. An applicant, at its option, may review information in the designated integrity and performance systems accessible through FAPIIS and comment on any information about itself that a Federal agency previously entered and is currently in FAPIIS. The Federal awarding agency will consider any comments by the applicant, in addition to other information in FAPIIS, in making a judgement about the applicant’s integrity, business ethics, and record of performance under Federal awards when completing the review of risk posed by applicants as described in 2 CFR Part 200.206 “Federal awarding agency review of risk posed by applicants.” This provision will apply to all NIH grants and cooperative agreements except fellowships.

Cooperative Agreement Terms and Conditions of Award

The following special terms of award are in addition to, and not in lieu of, otherwise applicable U.S. Office of Management and Budget (OMB) administrative guidelines, U.S. Department of Health and Human Services (HHS) grant administration regulations at 2 CFR Part 200, and other HHS, PHS, and NIH grant administration policies.  

The administrative and funding instrument used for this program will be the cooperative agreement U24, an "assistance" mechanism (rather than an "acquisition" mechanism), in which substantial NIH programmatic involvement with the recipients is anticipated during the performance of the activities. Under the cooperative agreement, the NIH purpose is to support and stimulate the recipients' activities by involvement in and otherwise working jointly with the award recipients in a partnership role; it is not to assume direction, prime responsibility, or a dominant role in the activities. Consistent with this concept, the dominant role and prime responsibility resides with the recipients for the project as a whole, although specific tasks and activities may be shared among the recipients and the NIH as defined below.

The PD(s)/PI(s) will have the primary responsibility for:

  • The Program Director(s)/Principle Investigator(s) (PD(s)/PI(s)-will be primarily responsible for defining the objectives and approaches, planning, conduct, analysis, and publication of results, interpretations, and conclusions of studies conducted under the terms and conditions of the cooperative agreement award.
  • The PD(s)/PI(s) will establish a Steering Committee to implement, coordinate, and manage the project(s). Recipient(s) will name investigators to serve as members on a Steering Committee and other subcommittees. Recipients will be required to accept and implement the common protocol(s) and procedures approved by the Steering Committee.
  • The PD(s)/PI(s) will establish procedures, where applicable, for all participating institutions in coordinated awards to comply with FDA regulations for studies involving investigational agents or devices and to comply with the requirements of 45 CFR Part 46 for the protection of human subjects, and the NIH policy requirements for the inclusion of women, minorities and children.
  • PD(s)/PI(s) will have the responsibility for medical safety and protection of study participants.
  • PD(s)/PI(s)  have the responsibility to submit a detailed Data and Safety Monitoring Plan (DSMP) for theclinical trial conducted under the  AlcHepNet to the Program Official from NIAAA for approval. The DSMP should be developed using “NIAAA Data and Safety Monitoring Plan Requirements for NIAAA-funded Clinical Trials” at https://www.niaaa.nih.gov/ResearchInformation/ExtramuralResearch/ResourcesAppGrantees/guidelines.htm.
  • The PD(s)/PI(s) will accept close coordination and participation of the NIAAA Project Scientist in those aspects of scientific and technical management of the study as stated in these terms and conditions.
  • The PD(s)/PI(s) will retain custody of and primary rights to their data developed under the award, subject to current government policies regarding rights of access consistent with current DHHS, PHS, and NIH policies.
  • The PD(s)/PI(s) will have control over the project's operating budget.PD(s)/PI(s) will be responsible for themselves and their staff in maintaining confidentiality of the information as developed by the Network, including, without limitation, study protocols, data analysis, conclusions, etc. per policies approved by the Steering Committee as well as any confidential information received by third party collaborators.
  • The PD(s)/PI(s) will be responsible for maintaining collaborative interactions between investigators, Steering Committee and NIAAA Project Scientist.
  • The PD(s)/PI(s) will have the responsibility of submitting annual progress reports to the NIAAA to inform on the progress of the project(s) conducted under this award, including advances, obstacles and steps taken to remedy them, and a summary of any NIAAA-approved changes and departures from the approved study protocol, as well as any human-subjects issues.
  • When appropriate, and in accordance with NIH policies, as well as NIAAA policies, recipients will be expected to collaborate on all aspects of research activities including to share novel reagents, biomaterials, methods and models and resources; as well as to share both positive and negative results that would help guide the research activities of other Network members.
  • The PD(s)/PI(s) will agree to establish agreements among themselves through Steering Committee to address the following issues:
  • Procedures for safeguarding confidential information, including without limitation, any data generated by the Network as well as information and/or data received from external collaborators;
  • Procedures for addressing ownership of intellectual property that result from aggregate multi-party data;
  • Procedures for sharing biospecimens among Network members that operationalizes material transfer in an efficient and expeditious manner;
  • Procedures for reviewing publications and determining authorship.
  • Recipients must agree to comply with the processes and goals as delineated within the NOFO.

NIH staff have substantial programmatic involvement that is above and beyond the normal stewardship role in awards, as described below:

The cooperative agreement will be assigned an NIAAA Project Scientist (PS) who will have substantial programmatic involvement that is above and beyond the normal stewardship role in awards and will be named in the award notice. This includes helping to maintain the overall scientific balance in the program commensurate with new research and emerging research opportunities, facilitating communication and coordination among the recipients, and ensuring that the activities of the recipients are consistent with the mission of the NIAAA and AH Network. Specifically, the PS will have primary responsibility for:

  • participating in the definition of objectives and approaches, and in planning, conducting, analyzing, and advising on the publication of results, interpretations, and conclusions of their studies. However, the dominant role and prime responsibility for the activity reside with the recipient(s) for the project as a whole, but not necessarily for each task;
  • serving as a resource to aid in resolving scientific and regulatory issues as they arise;
  • cooperation or coordination with, or assistance to, receipients in performing project activities, e.g., development of research protocols; data collection, analyses, and interpretations; or re-direction of objectives during the course of a project;
  • overseeing adverse event management and reporting, and having regular communications with the PD/PI and study team, which may include attendance at the safety monitoring meetings (or DSMB) or Steering Committee meetings;
  • advising and assisting reprogramming efforts, including options to modify, halt or close any cooperative agreement for reasons including but not limited to: a) patient safety; b) failure to achieve enrollment and completion milestones, c) emergence of already conclusive study results and d) emergence of new information that diminishes the scientific importance of the study question;
  • serving as a resource with respect to other ongoing NIH activities that may be relevant to this study to facilitate compatibility and avoid unnecessary duplication of effort;
  • participation on committees (other than peer review, see below) as a voting member or in other functions in helping to guide the course of long-term projects or activities;
  • participation in the presentation of research results, including publications from the project.

These activities could result in a real and/or perceived bias about the project that might prohibit independent evaluation of the progress of the award. Accordingly, the NIAAA PS will not:

  • attend peer review meetings of Renewal/Revision/Administrative extension applications unless IC waiver obtained per IC procedures for management of concern about bias;
  • have decision-making authority on matters of budgetary and funding actions, grants management actions, and management of intellectual property.

Additionally, an agency Program Officer and Grants Management Specialist will be responsible for the normal program stewardship and administrative oversight of the cooperative agreement and will be named in the award notice.

The release of each annual funding by NIAAA will be based on the review by NIAAA officials of progress made towards achieving the research goals, interim objectives and milestones. NIAAA reserves the right to terminate or curtail a study (or any individual award) in the event of inadequate progress, poor quality, or other major breach of the approved project. Final decisions will be made based on established institute procedures.

The specific timelines, interim objectives and funding levels agreed to by the recipientand the NIAAA shall be included in the terms and conditions of award. Given the nature of product development, it is recognized that timelines and interim objectives may require revision and renegotiation during the course of the project period.

Areas of Joint Responsibility include:

Steering Committee (SC) is the main governing body of the AH Network that integrates the efforts of all Network recipients and provides oversight of collaborative activities. The SC will be composed of the following voting members: all PD(s)/PI(s) representing each AH Network U01/U24  award; and the NIAAA Project Scientist.

Chair of the SC. Oneprincipal investigator with advanced expertise will be selected to serve as chair of the SC by vote. The chair of the SC, in collaboration with the Project Scientist, will perform the following duties:

  • provide leadership to the Committee by conducting the SC meetings and prioritizing meeting agenda;
  • serve as the Network’ and SC’s contact persons to external oversight committees and NIAAA;
  • appoint ad hoc committees as needed;
  • coordinate operational management and mediate internal conflict resolution.

Primary responsibilities of the Steering Committee include, but are not limited to, the following activities:

  • establishing Network policies and procedures;
  • establishing policies and procedures for reviewing and recommending changes in underperforming projects in order to meet the goals of AH Network, and making recommendations to the NIAAA for replacing the project with more promising ones with revised scope and adjusted budget (increase in the budget will not be permitted);
  • evaluating protocols proposed by the Network investigators and developing consensus protocols;
  • establishing a Data and Safety Monitoring Board for clinical studies as appropriate to ensure protection of human subjects;
  • promoting and fostering the inclusion of women and ethnic minorities in clinical studies and assuring the completeness of informed consent;
  • tracking and reporting, with the assistance from DCC, the Network research progress and assuring that the results of laboratory research and clinical studies are published in peer-reviewed journals in a timely manner and in accordance with the publication policies of the Network;
  • planning one face-to-face meeting every 12 months during the Network project period;
  • working with the DCC and the Network on questionnaires and other data recording forms, establishing and maintaining quality control among recipients, standardization of data management, and cooperation on the publication of results.

The SC is expected to meet in-person biennially and by teleconference at a frequency decided by the Steering Committee. Each PI/PD will have one vote.  Project scientists will have one collective vote and other NIH staff will serve as non-voting members.  Decisions will be made by consensus or majority vote when needed. Additional non-voting members will include representatives from sub-committees and working groups. Additional non-voting members may participate on the SC in an advisory capacity on an as needed basis and decided by the existing voting committee members. Additional NIH staff members may participate in SC meetings as non-voting members as needed (for example to provide additional expertise).

Subcommittees of the SC will be established as necessary, but will include, at a minimum: 1) Publications and Presentations, 2) Clinical, and 3) Ancillary Studies subcommittees. The Publications and Presentations Subcommittee will facilitate and supervise preparation of collaborative manuscripts prior to submission for publication. The clinical sub-committee will oversee and guide clinical trials and observational studies. The Ancillary sub-committee will coordinate the ancillary research effort across the Network.

Data Safety and Monitoring Board will review interim results periodically as established in the data and safety monitoring plan in accordance with NIAAA policies for monitoring purpose. The DSMB will provide feedback to the Network Steering Committee, IRB, and NIAAA.

Single Institutional Review Board of Record (sIRB) is expected to streamline IRB approvals, provide the ethical review, and maintain patient safety while reducing the inefficiencies and burden of each clinical site conducting their own IRB review (see NOT-OD-17-027, https://grants.nih.gov/grants/guide/notice-files/NOT-OD-17-027.html).

Dispute Resolution:

Any disagreements that may arise in scientific or programmatic matters (within the scope of the award) between award recipients and the NIH may be brought to Dispute Resolution. A Dispute Resolution Panel composed of three members will be convened. It will have three members: a designee of the Steering Committee chosen without NIH staff voting, one NIH designee, and a third designee with expertise in the relevant area who is chosen by the other two; in the case of individual disagreement, the first member may be chosen by the individual receipient. This special dispute resolution procedure does not alter the recipient's right to appeal an adverse action that is otherwise appealable in accordance with PHS regulation 42 CFR Part 50, Subpart D and DHHS regulation 45 CFR Part 16.

3. Data Management and Sharing

Consistent with the 2023 NIH Policy for Data Management and Sharing, when data management and sharing is applicable to the award, recipients will be required to adhere to the Data Management and Sharing requirements as outlined in the NIH Grants Policy Statement. Upon the approval of a Data Management and Sharing Plan, it is required for recipients to implement the plan as described.

4. Reporting

When multiple years are involved, recipients will be required to submit the Research Performance Progress Report (RPPR) annually and financial statements as required in the NIH Grants Policy Statement.

Recipients will provide updates at least annually on implementation of the PEDP.

A final RPPR, invention statement, and the expenditure data portion of the Federal Financial Report are required for closeout of an award, as described in the NIH Grants Policy Statement. NIH NOFOs outline intended research goals and objectives. Post award, NIH will review and measure performance based on the details and outcomes that are shared within the RPPR, as described at 2 CFR Part 200.301.

The Federal Funding Accountability and Transparency Act of 2006 as amended (FFATA), includes a requirement for recipients of Federal grants to report information about first-tier subawards and executive compensation under Federal assistance awards issued in FY2011 or later.  All recipients of applicable NIH grants and cooperative agreements are required to report to the Federal Subaward Reporting System (FSRS) available at www.fsrs.gov on all subawards over the threshold.  See the NIH Grants Policy Statement for additional information on this reporting requirement.

In accordance with the regulatory requirements provided at 2 CFR Part 200.113 and Appendix XII to 2 CFR Part 200, recipients that have currently active Federal grants, cooperative agreements, and procurement contracts from all Federal awarding agencies with a cumulative total value greater than $10,000,000 for any period of time during the period of performance of a Federal award, must report and maintain the currency of information reported in the System for Award Management (SAM) about civil, criminal, and administrative proceedings in connection with the award or performance of a Federal award that reached final disposition within the most recent five-year period.  The recipient must also make semiannual disclosures regarding such proceedings. Proceedings information will be made publicly available in the designated integrity and performance system (currently FAPIIS).  This is a statutory requirement under section 872 of Public Law 110-417, as amended (41 U.S.C. 2313).  As required by section 3010 of Public Law 111-212, all information posted in the designated integrity and performance system on or after April 15, 2011, except past performance reviews required for Federal procurement contracts, will be publicly available.  Full reporting requirements and procedures are found in Appendix XII to 2 CFR Part 200 – Award Term and Condition for Recipient Integrity and Performance Matters.

Section VII. Agency Contacts

We encourage inquiries concerning this funding opportunity and welcome the opportunity to answer questions from potential applicants.

Application Submission Contacts

eRA Service Desk (Questions regarding ASSIST, eRA Commons, application errors and warnings, documenting system problems that threaten submission by the due date, and post-submission issues)

Finding Help Online: https://www.era.nih.gov/need-help (preferred method of contact)
Telephone: 301-402-7469 or 866-504-9552 (Toll Free)

General Grants Information (Questions regarding application instructions, application processes, and NIH grant resources)
Email: GrantsInfo@nih.gov (preferred method of contact)
Telephone: 301-480-7075

Grants.gov Customer Support (Questions regarding Grants.gov registration and Workspace)
Contact Center Telephone: 800-518-4726
Email: support@grants.gov

Scientific/Research Contact(s)

Joe Wang, Ph.D.
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Telephone: 301.451.0747
Email:  wangh4@mail.nih.gov

Zhigang (Peter) Gao, M.D.
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Telephone: 301.443.6106
Email:  gaozh@mail.nih.gov

Peer Review Contact(s)

Ranga Srinivas, Ph.D.
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Telephone: 301-451-2067
Email: srinivar@mail.nih.gov

Financial/Grants Management Contact(s)

Judy Fox
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Telephone: 301-443-4704 
Email: jfox@mail.nih.gov

Section VIII. Other Information

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.

Authority and Regulations

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 2 CFR Part 200.

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