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The NIH Grant Machine Steve Zullo Program Officer NIBIB

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1 The NIH Grant Machine Steve Zullo Program Officer NIBIB
Office or Program Evaluation and Strategic Partnerships Not just Technology,  Technology Development.  Make it count. Increase Your Opportunity to Get That Award: NIH Weekly Guide-Funding Opportunities:

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3 Grantswritership at NIH-
NIH is the steward of medical and behavioral research for the Nation. Its mission is science in pursuit of fundamental knowledge about the nature and behavior of living systems and the application of that knowledge to extend healthy life and reduce the burdens of illness and disability. Grantswritership at NIH- Drinking From The Firehose The goals of the agency are as follows: - foster fundamental creative discoveries, innovative research strategies, and their applications as a basis to advance significantly the Nation's capacity to protect and improve health; - develop, maintain, and renew scientific human and physical resources that will ensure the Nation's capability to prevent disease; - expand the knowledge base in medical and associated sciences in order to enhance the Nation's economic well-being and ensure a continued high return on the public investment in research; and - exemplify and promote the highest level of scientific integrity, public accountability, and social responsibility in the conduct of science. In realizing these goals, the NIH provides leadership and direction to programs designed to improve the health of the Nation by conducting and supporting research: - in the causes, diagnosis, prevention, and cure of human diseases; - in the processes of human growth and development; - in the biological effects of environmental contaminants; - in the understanding of mental, addictive and physical disorders; and - in directing programs for the collection, dissemination, and exchange of information in medicine and health, including the development and support of medical libraries and the training of medical librarians and other health information specialists. 3

4 Applicant: “..don’t need help if I have…”
A great idea to solve a significant biomedical problem An innovative solution The tools to get the job done right team right resources enough data to support feasibility-mechanism dependent Send Outlined the path to get there A compelling application written to the instructions following the format including all administrative requirements Successfully posted the application through grants.gov

5 For everybody else… …Buckle Up: here we go!
… improving health by leading the development and accelerating the application of biomedical technologies

6 Federal Agencies in Science and Technology have different
Research $$ by Discipline (in billions of constant FY08 dollars) Federal Agencies in Science and Technology have different missions cultures rules levels of support expectations Research Support by Agency (in billions of constant FY08 dollars) But the same overall goal protect the security, health, and well being of Americans maintain knowledge and application superiority fuel the engine of US economic growth Federal R&D as % of GDP Total US R&D Investment (in $B) Source:

7 (Intramural Research)
The Broad Reach of the NIH NIH is an institution (Intramural Research) ~ 6,000 scientists ~ 10% of NIH budget NIH supports institutions & people (Extramural Research) > 4,000 institutions > 300,000 scientists & research personnel ~ 85% of the NIH budget

8 One way to succeed at NIH Grant Writing
Finding your NIH niche Get help from the inside Writing competitive grants Getting the right review

9 27 Institutes and Centers (ICs)
Finding your NIH niche NIH is not homogenous. Each IC has different missions & priorities budgets funding strategies

10 What does NIH support? Essential Building Blocks of Research
Finding your NIH niche Essential Building Blocks of Research Mechanisms of biology and behavior, data science, new technologies Cryo-Electron Microscopy Single cell analysis Developing Effective Treatments and Cures Cancer Immunotherapy Tissue Chips; Regenerative Medicine Health Promotion and Disease Prevention Vaccines (e.g. influenza) Implementing 21st Century Cures Act All of Us (Precision medicine) Integrating clinical, environmental, lifestyle, genetic data over time Individual variability effects on disease onset, progression, prevention, treatment Health records of a million volunteers Battling Opioid Addiction New treatments for pain Understanding and managing drug misuse Cancer Moonshot Prevention and early detection Immunotherapy Pediatric cancer Data sharing BRAIN Initiative Fundamental science Neuroimaging and mapping

11 NIBIB – the “Technology Institute” Our Mission
To improve health by leading the development and accelerating the application of biomedical technologies. The Institute is committed to integrating the physical and engineering sciences with the life sciences to advance basic research and medical care. Finding your NIH niche

12 Targeting IC priorities – an example
Finding your NIH niche Developing and accelerating the application of biomedical technologies… [via] integrating the physical and engineering sciences with the life sciences to advance basic research and medical care… NIBIB mission NIGMS mission …supports basic research that increases understanding of biological processes, lays foundation for advances in disease diagnostics... BASIC RESEARCH* TECHNOLOGY DEVELOPMENT Novel sensing approach using a chemical signaling process Fundamental understanding of a chemical signaling process Application of the chemical sensor: NIGMS <- To further research To diagnostics -> NIBIB

13 Everything you need is online - really
How do I apply for funding? Does the NIH support my type of research? Which funding opportunities are available? & your Institute or Center (IC) of interest

14 I’m lost, gotta call NIH-where’s the signal?
Get help from the inside I’m lost, gotta call NIH-where’s the signal?

15 Who do I contact to discuss my proposal?
Who to contact… Who do I contact to discuss my proposal? Get help from the inside about the scientific and technical aspects of your application (pre-application, post-review, during the award…)… Program Director (PD) Find them on the solicitation See also the IC’s programmatic descriptions for questions during the review… Scientific Review Officer (SRO) Listed on the eRA Commons link to your submitted proposal See also the review group rosters at the CSR web site Pre-Application Assess the “fit” to the IC, Program(s) Start the conversation early: develop your ideas together Choose the right activity/mechanism Brief on Review Issues: Dos/Don’ts Post Review Analyze the Summary Statement: deeper insights from the Review Understand the rating and assess the likelihood of funding BEWARE! Nothing is certain until you have it in writing During the Award Discuss problems in execution (rebudgeting, re-scoping, extensions…) Find an administrator to address unusual issues Brag about important discoveries – share your publications Anytime Arrange introductions so you can serve on advisory boards, workshop panels, etc. Discover what’s New and Coming Soon in Funding Opportunities for help with the business aspects of a proposal… Grants Specialist (GS) Listed on the eRA Commons link to your submitted proposal See also the FOA and points of contact

16 Getting to the Top: Writing Great Grants
… improving health by leading the development and accelerating the application of biomedical technologies Getting to the Top: Writing Great Grants Components of successful applications Strong Idea Strong Science Strong Team Strong Presentation Match idea/science to the right NIH Institute Every IC has specific mission Hone high-quality grant writing skills Articulate the need to capture the opportunity Communicate scientific content compellingly Follow all the instructions, and ‘write for the reviewers’ 16

17 NIH RePORTER

18 How does NIH solicit applications?
Funding Opportunity Announcements (FOA) published through the NIH Guide ( grants.gov Parent Announcements cover basic activity codes investigator-initiated applications Special Opportunities to fill gaps Requests for Applications (RFA), a one-time call with set aside funds Program Announcement (PA) highlights areas of focus Program Announcement with Special Review (PAR) for special consideration and “protected” review Program Announcement with Set Aside (PAS) essentially, an RFA with multiple receipt dates

19 Funding Mechanisms R01 (4-5 yrs, $250 - 400K+, renewable)
R21: NIBIB 2 types: NO PRELIMINARY DATA, Exploratory/Developmental Research Grant, 2 yrs, innovative, high-risk/high-reward, early stage R21: NIBIB TRAILBLAZER-New Investigator PI only R03: Small Grant Program, 1-2 yrs, feasibility/pilot studies, collection of preliminary data, secondary data analysis R01: Research Project Grant, 3-5 yrs, strong preliminary data R15 / AREA awards: for institutions with little NIH funding SBIR / STTR Cooperative Agreements – U series: substantial programmatic involvement by the awarding Institute Training grants – F series, K series, K99/R00 Program Project / Center Grants: P series: large, multi-project efforts with a diverse array of research activities Resource Grants – R24, R25, X01 Conference Grants – R13, U13 R01 (4-5 yrs, $ K+, renewable) Convincing preliminary data for each aim Longer term questions Multiple complexities R21 ($275K spread over 2 yrs, non-renewable) High(er) risk and reward Little/no supporting data R03 (2 yrs, $50K per year, non-renewable) succinct task(s)

20 NIBIB Notices of Special Interest (NOSI)
“NOSI” replaces “Parent Announcements” at NIH; First NIBIB NOSIs Follow up from Innovations in Technologies to Extend the Golden Hour Workshop 3/2019. Physiological Monitoring and Point of Care Technologies for Trauma Care, NOT-EB Ultrasound and Optics-based Devices for Trauma Care, NOT-EB Radiation Monitoring for Trauma Care, NOT-EB X-ray-based Devices for Trauma Care, NOT-EB From NIH Scientific Data Council Strategic Plan and Guide Notice recommendation on Fast Healthcare Interoperability Resources (FHIR®) Standard, NOT-OD Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) Applications Directed at the Adoption of the Fast Healthcare Interoperability Resources (FHIR®) Standard, NOT-OD Šeila Selimović Tiffani Lash Randy King The Innovations in Technologies to Extend the Golden Hour Workshop was held in March and organized by NIBIB and USUHS (Seila Selimovic worked with Col. Todd Rasmussen from USUHS to chair this meeting) with support from HHS, NIH, ASPR, BARDA, DARPA, CCCRP, and FDA. Program Contact: Seila Selimovic Todd Merchak George Zubal

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23 Begin here… Project Title: really a quick summary of the project
Writing competitive grants Project Title: really a quick summary of the project Principal Investigator(s) and Key Personnel: defines role, commitment Overall goal: resolve an important issue in a timely manner Specific goal: best stated as a hypothesis (a strong claim, substantiated by data) Impact: 2-3 sentences, define success, distill innovation and significance

24 Significance – Innovation – Investigator(s) – Approach – Environment
Specific Aims page - formula for success Writing competitive grants Tell your story in five compelling, concise, plain-language paragraphs! 1. Outline an important medical problem and your timely, innovative solution. Describe the big picture quantitatively. How can science/engineering help? 2. Define the challenge for this application. What is your specific target and hypothesis? How will you get there? How do you know? 3. State each of your Specific Aims in a single sentence in bold face. Identify strategies, methods, assays to be used, and data expected. 4. Overview of the competencies of the team and the resources. Why is this the right group at the right place and time? Outline your specific skill sets. 5. What happens when you succeed? What are the next steps? How will paradigms shift or treatment change, and what will this project contribute? (6. Contingency-Flexibility-Ideas Changes might be needed for success? ) Significance – Innovation – Investigator(s) – Approach – Environment

25 Research strategy Demonstrate that the investigator has:
Significance (10% of available space): Reviewers will not hunt for the value in your application Stand out in your ideas and execution plans Significance is about context: find and target the best Study Section Innovation (5% of available space) Innovative aspects must be obvious Does not have to be a new idea, but could be a new approach Succinct analysis of the literature is key – do you know your field? Balance feasibility with bold research Are you offering something new or is your approach incremental? Approach Explicitly state Scientific Premise – does your idea make sense? Previous studies – (not only yours) do you know your field? Support feasibility- be careful of any restrictions on preliminary data How is your approach not just different, but better? Experimental design and methods – do you know how to do research? Demonstrate that the investigator has: mastery of (and/or access to) the required techniques ability to manage and work with partners sufficient attention to key details (i.e. accurate, carefully assembled figures, tables, graphs) Provide sufficient, relevant details in your application! Consider your reviewers’ time! Writing competitive grants

26 Research strategy / Approach
Methods: how will the research be done? Do tasks relate to the Specific Aims? Provide an overview and conceptual framework. Connect all the dots. Are the experiments logical, grounded, and well-integrated? Why are the proposed methods the best way to go? Be sure this study is not “a technology looking for a problem” Less detail needed for established techniques Alternatives for high risk elements add to the feasibility Explain inclusion/exclusion of biological variables (e.g. sex, age) Biohazards identified here, then fully discussed in a subsequent section Are end-points/milestones clearly defined, with appropriate benchmarks? Is there a sensible timeline? Is the appropriate statistical analysis included? Demonstrate rigor. Cite relevant data, especially yours! Integrate observations from other fields: be disruptive BUT… Connect the dots Propose alternatives for the riskier aspects Writing competitive grants

27 Placement in Application
Enhancing Reproducibility: Rigor and Transparency New!! Element Definition Placement in Application Notes Scientific Premise Key data justifying project Significance Exploratory science may need more explanation Scientific Rigor Robust, unbiased experimental design, methodology, analysis, interpretation, results reporting Approach Transparency establishes firm research foundation, supports innovation Relevant Biological Variables Critical factors affecting health or disease (e.g. sex, age, source, weight, genetic strain) Consideration of sex required for human/animal studies Key Resource Authentication Integral components with inherent variability or unique characteristics (e.g. cell lines, biologics, specialty chemicals) Attach plan (single page) as appendix Not factored into scoring, but required prior to funding Writing competitive grants

28 Human and Animal Subjects
Writing competitive grants Important considerations in overall application scoring (feasibility of the work) and as pre-award administrative issues. Safeguarding the rights and welfare of individuals as subjects in research based on DHHS regulations and established, internationally recognized ethical principles. INCLUSION requirements have changed! CLINICAL TRIALS definitions!! OHRP Office of Human Research Protections Research involving a living individual about whom an investigator obtains either data through interaction or identifiable, private information… Blood/sample collection Test compound/medicine administration Environment manipulation Survey or Interview Psychological testing Know name, SSN, or other identification Collect data Test a new educational technique Involve children, prisoners, pregnant women Unless the study is exempt, b/c #1. is conducted in an educational setting involving normal practice #2. uses low risk tests, interverviews, observations and unidentifiable subjects #4. collects of uses existing data or specimens if publicly available or de-identified Additional documentation needed for funding: FWA (Federal-Wide Assurance with OHRP IRB approval, granted annually EDU (Human Subjects Education, certified by the institution) Grantees are responsible for the humane care and treatment of animals under NIH- supported activities. grants.nih.gov/grants/olaw 28

29 Clinical Trial Optional Clinical Trial Required
Clinical Trials Writing competitive grants Does your study Involve one or more human subjects? Prospectively assign participants (s) to intervention(s)? Evaluate the effects on the subject(s)? Have a health-related biomedical or behavioral outcome? If “yes” to all… Clinical Trial Optional Clinical Trial Required Clinical Trial not allowed FOAs now come in three flavors: enhancing transparency in clinical research

30 New Investigators (NI): never had a large NIH award
Biosketches Writing competitive grants Required for all investigators Each participant in a Multiple-PI application must show complementary and integrated expertise List degrees chronologically A. Personal statement: your experience, qualifications needed for this project, with up to four publications as evidence B. List positions, honors, concluding with current position C. Contributions to Science Brief description of five areas: historical background, findings and impact May include up to four publications (or other data, e.g. patents) as evidence Include a link to complete publication list in PubMed D. Research Support: overview, distinguish from proposed Ongoing and completed projects over past three years Listed by relevance to the proposed work New Investigators (NI): never had a large NIH award Early Stage Investigator (ESI): within 10 years of terminal degree (NI subset)

31 Resources and Facilities
Identify and justify Facilities Laboratory and offices, clinical sites, animal housing/handling, machine/electronics shops - if applicable Multiple performance sites, as applicable Equipment (especially if unusual) How the environment will contribute to success institutional support, intellectual rapport, access to subject populations For Early Stage Investigators: institutional investment in your success classes, training, collegial support, mentorship programs, logistical support, protected time for research with salary support, etc. Handling of biohazards Consider safety of research personnel and/or environment Writing competitive grants

32 Budgetary issues http://grants.nih.gov/grants/developing_budget.htm
Writing competitive grants 32

33 Getting funded in an emerging field
Writing competitive grants NIH funds high risk/high reward research if there is… Potential for high impact Novel approach, not necessarily a new idea (a fundamental publication builds credibility) Deep expertise in the general area on the team (confidence in capability is key) A compelling research plan—anticipate obstacles and propose alternatives

34 How to win over the peer reviewers
Own your impact: tackle an important and difficult problem engineers beware: lead with an urgent issue, NOT your cool tools/technologies discovery (basic) science or technology development (non-hypothesis driven) ok Hit all review criteria on the Specific Aims page Balance premise (the possible) with novelty (the new and exciting) feasibility = most relevant previous (foundational) data + sound, logical pathway defend assertions with publications (especially yours, but citing reviewers a plus) Keep it clear short term objectives inform long term goals milestones > bold, general ideas, contingencies experience, expertise count Define success and point to the next grant/activity Employ good grantswritership limit jargon/acronyms reinforce (don’t repeat) important ideas use legible/sensible figures strategically place an overview as “eye candy” proofread! Get other eyes to see it also! Writing competitive grants

35 Submitting your application
Writing competitive grants Contact your PO prior to submission: Mandatory: Application with budget >$500,000 direct costs for any single year; R13 Conference Grants; Training grants Optional: When RFA’s request a Letter of Intent Recommended: When you think about applying for any grant Submitting your application on Grants.gov: Only the Authorized Organizational Representative (AOR) has the authority to submit applications. You are responsible for verifying that the application is viewable in the eRA Commons. If you can’t view the application in the Commons, we can’t review it. You must correct all errors before the eRA system will assemble an application image. If you experience a system issue that you believe threatens your ability to submit on time, carefully follow guidelines to document your problems and continue working to resolve your issues. Grants.gov is the portal for NIH applications eRA Commons is the doorway to the NIH system 35

36 Receipt and Referral, Center for Scientific Review (CSR)
Once your application is submitted… Getting the right review Receipt and Referral, Center for Scientific Review (CSR) Electronic SF424 R&R submitted through grant.gov and the eRA Commons Error free, warnings addressed to an NIH Institute (IC) To Integrated Review Group (IRG) and then study section (SRG) CSR Referral Office assigns the application… Application assessed for completeness & eligibility unique identifier (application number) 1 R01 EB Notice of assignment available in eRA Commons in 4 weeks. Check your eRA Commons account for updates! 36

37 CSR Study sections – peer review
Vascular and Hematology (VH) AICS, ELB, HM, HP, MCH, VCMB, F10B Molecular, Cellular and Developmental Neuroscience (MDCN) BPNS, CMBG, CMND, DDNS, MNPS, NCF, NDPR, NOMD, NTRC, SYN Behavior and Behavioral Processes (BBBP) APDA, BRLE, CP, CPDD, LCOM, MESH, MFSR Bioengineering Sciences and Technology (BST) BDMA, BMBI, GDD, ISD, MABS, NANO Biology of Development and Aging (BDA) International/Cooperative Projects Cell Biology (CB) BVS, NCSD, CMAD, CSRS, DEV1/2, ICI, MBPP, MIST Healthcare Delivery and Methodologies (HDM) BCHI, BMRD, CIHB, CLHP, DIRH, HDEP, HSOD, NRCS Infectious Diseases and Microbiology (IDM) BACP, CRFS, DDR, HIBP, PTHE, VB, VIRA/B, F13 AIDS and AIDS Related Research (AARR) ACE, ADDT, AIP, AMCB, AOIC, BSCH, BSPH, NAED, VACC >200 Standing Scientific Review Groups (SRGs or Study Sections) housed in 25 Integrated Review Groups at CSR Surgical Sciences and Biomedical Imaging and Bioengineering (SBIB) BMIT-A/B, BTSS, CMIP, MEDI, SAT, F15 Brain Disorders and Clinical Neuroscience (BDCN) ANIE, ASG, BINP, CDIN, CNBT, CNN, CNNT, DBD, DPVS, NPAS, PMDA Endocrinology, Metabolism, Nutrition and Reproductive Systems (EMNR) MCE, ICER, CMIR, PN, CADO, IPOD, CIDO, INMP, F06 Biological Chemistry and Molecular Biophysics (BCMB) BBM, MSFA/B/D/C/D, SBCA/B Immunology (IMM) CMIA/B, HAI, IHD, III, IMM-M, TTT, VMD, F07 Risk Prevention and Health Behavior (RPHB) BMIO, PDRP, PRDP, RPIA, SPIP, F16 Genes, Genomes and Genetics (GGG) MGA/B, GCAT, GVE, GHD, PCMB, TAG Musculoskeletal Oral and Skin Diseases (MOSS) ACTS, MRS, MTE, ODCS, SBDD, SBSR, SMEP Interdisciplinary Medical Sciences and Training (IMST) EBIT, various training Oncology 1 – Basic Translational (OBT) CAMP, CE, CG, MONC, TCB, TME, TPM Digestive, Kidney and Urological Systems (DKUS) CIMG, GMPB, HBPP, KMBD, PBKD, UGPP, XNDA Cardiovascular and Respiratory Sciences (CVRS) CCHF, CDD, CICS, ESTA, LCMI, LIRR, MIM, RIBT, F10A Emerging Technologies and Training in Neuroscience (ETTN) MNG, BNVT, NOIT, F01/2/3 & Oncology 2 – Translational and Clinical (OTC) BMCT, CBSS, CDP, CII, CONC, DMP, DT, RTB Population Science and Epidemiology (PSE) BGES, CASE, EPIC, IRAP, KNOD, NAME, SSPA/B Integrative, Functional and Cognitive Neuroscience (IFCN) AUD, LAM, NAL, NMB, NNRS, SCS, SMI, SPC 37

38 Cover letters help target your review
Applicants can suggest Review Group assignment Expertise necessary for a full and fair review Primary (and secondary) Institute or Center (IC) assignment Reviewers with potential conflicts Getting the right review Do not suggest possible reviewers, they will be disqualified. Other Important Information Reasons for a late submission Note eligibility for continuous submission Highlight this application as one of a set, if applicable Acknowledge NIH approval for acceptance of A budget >$500K/yr Conference grant Suggested format and other information at

39 NIH scoring system Getting the right review
Impact Full description Score Descriptor Exceptionally strong with essentially no weaknesses Extremely strong with negligible weaknesses Very strong with only some minor weaknesses Strong but with numerous minor weaknesses Strong but with at least one moderate weakness Some strengths but also some moderate weaknesses Some strength but with at least one major weaknesses A few strengths and a few major weaknesses Very few strengths and numerous major weaknesses Exceptional Outstanding Excellent Very Good Good Satisfactory Fair Marginal Poor High Medium Low Minor weakness: Easily addressable weakness that does not substantially lessen impact. Moderate Weakness: Impact lessened. Major Weakness: Impact severely limited. overall impact score = panel average x 10 Most scores are then percentiled for comparison across review groups.

40 NIH’s review system for grants
Getting the right review Scientific Review Group (SRG) Independent outside review Evaluate scientific merit, significance Recommend length and level of funding 1st level Output: Priority Score and Summary Statement Advisory Council assess quality of SRG process offers recommendation to Institute Staff evaluates program priorities and relevance advises on policy 3 - 7 months 2nd level Output: Funding Recommendations Institute Director makes final decision based on Council input, programmatic priorities Must also Pass Administrative Review months Output: Awards or Resubmission 40

41 Who makes actual funding decisions?
The Institute Director! Paylines vary. Funding strategies vary. Factors Considered: Scientific merit Contribution to Institute mission Program balance Availability of Funds 41

42 Close, but no award? You get one more try. Or write a new application.
It’s not personal Revise and resubmit Absorb the critiques make suggested changes provide additional justification for your original approach Explain the changes in a one page “Introduction” You get one more try. Or write a new application.

43 Common problems Low/No significance
Unimportant problem limits significance Unconvincing case limits impact; feasibility questionable Irrelevant, inconsistent, or insufficient reference to published work Weak PI/Research team: Insufficient experience with essential methodologies Lack of innovation: evolutionary not revolutionary Questionable reasoning in experimental approach Errors in design = FATAL FLAW Failure to consider potential pitfalls and alternatives Diffuse, superficial, or unfocused research plan Lack of critical experimental detail Unrealistically large amount of work proposed No clear milestones, decision points Poor environment: weakly documented institutional support Serious/unresolvable human/animal/biohazard issues, concerns

44 Take home messages Lots of directions and opportunities at the NIH
Monitor Institute websites and the NIH Guide ( Get to know the Program Director(s) for your scientific area and discuss your ideas Fit with institute mission and priorities Best grant mechanism or program Best study section for review Participate in workshops and symposia Get fresh ideas and directions for your research Become known to your peers (i.e. reviewers) Write the best proposal you can Participate in review of grant applications (serve on study sections)

45 Keep up with new policies
Rigor, Reproducibility, Transparency Scientific premise now a scorable criteria; must be justified by data Data processing must include statistical analysis (where applicable) Relevant biological variables (sex, age, etc.) must be considered in experimental design New Rules! IC Participation in R21(and R03) FOAs Read the Solicitation! Some ICs do not use these mechanisms Some ICs have their own basic versions, or use these mechanisms only for specific topics Amount, type of PRELIMINARY DATA a key consideration for R21 Human Subjects Inclusion Tables now required for all non-exempt human subjects research NIH defines a CLINICAL TRIAL very broadly (answer the four questions) FOAs recently subdivided into three types, based on clinical trials (not allowed, optional, required). Be sure to use the correct template! Clinical trials funded by NIH grants must be registered at ClinicalTrials.gov and report findings Notices Read the Solicitation several times throughout your application process, watch out for Notices!

46 Thank you!

47 NIH’s support for biomedical research is…
highly complex confusing difficult to navigate often frustrating unpredictable robust flexible broad timely reliable


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