Full Text DE-96-002 COLLABORATIVE OPPORTUNITIES FOR RESEARCH ON MINORITY ORAL HEALTH NIH GUIDE, Volume 25, Number 13, April 26, 1996 RFA: DE-96-002 P.T. 34, FF Keywords: Oral Diseases Dentistry National Institute of Dental Research Letter of Intent Receipt Date: May 1, 1997 Application Receipt Date: June 20, 1997 PURPOSE The National Institute of Dental Research (NIDR) invites investigator-initiated research project grant applications for collaborative research grants from investigators at minority institutions. The Collaborative Opportunities for Research on Minority Oral Health (CORMOH) initiative supports collaborative biomedical and behavioral research between scientists at minority institutions and investigators at research-intensive institutions on basic and clinical research within the mission of the NIDR. The purpose of the initiative is to: (a) increase the racial and ethnic diversity of the pool of scientists contributing to the scientific knowledge-base relevant to oral and craniofacial health by enhancing the research capabilities and careers of these individuals; (b) enhance the capacity to conduct scientifically meritorious research at minority institutions; and (c) support basic and clinical research relevant to improving the oral and craniofacial health status of U.S. racial and ethnic minority populations. HEALTHY PEOPLE 2000 The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of "Healthy People 2000," a PHS-led national activity for setting priority areas. This Request for Applications (RFA), Collaborative Opportunities for Research on Minority Oral Health, is related to the priority area of reducing health disparities among Americans by improving the oral health of minority populations. Potential applicants may obtain a copy of "Healthy People 2000" (Full Report: Stock No. 017-001-00474-0 or Summary: Stock No. 017-001-00473-1) through the Superintendent of Documents, Government Printing Office, Washington, DC 20402-9325 (telephone 202/512-1800). ELIGIBILITY REQUIREMENTS Applications may be submitted by domestic, public and private minority institution such as dental or medical schools, research institutions, and universities. Because this initiative focuses on the oral craniofacial fealth status of U.S. racial/ethnic minorities, applications from foreign institutions are not eligible. In order to expand the base of support applications from institutions receiving concurrent funding through the Regional Research Centers in Minority Oral Health (RRCMOH) program. The principal investigator must devote at least 50 percent effort to the research and collaborating investigator(s) may not devote more than a combined total of 20 percent effort. To be eligible, the principal investigator must be a member of a U.S. racial or ethnic minority, an employee of a minority institution, and propose an affiliation with an investigator at one or more research- intensive institutions. Definitions for these terms are given in the section titled Definitions. The principal investigator for a grant under the CORMOH initiative may not have been the principal investigator for a previous National Institute of Health (NIH) supported investigator-initiated research grant (e.g., R01, R29, R41, R43, R44, P01, P30, P50, or P60), cooperative agreement (e.g., U01, U10, U18, U41, U43, or U44) or contract (e.g., N01, N43, or N44), or served as the project director of a subproject on a multi-project grant such as a P01 or center grant. Funding as a principal investigator for other NIH research grants such as small grants (R03) or AREA (R15) grants, however, does not disqualify individuals from applying for and receiving a grant through the CORMOH program. Potential applicants having questions about eligibility should contact Dr. Norman S. Braveman at the address listed under INQUIRIES. Definitions The following definitions are used for the purpose of this RFA: o U.S. Racial or Ethnic Minority - individuals whose heritage is traced to one of the following groups: Black; Hispanic (not Black); Native American; Asian/Pacific Islander. o Minority Institution - an educational, health care or research institution staffed predominantly by ethnic minorities, renders service predominantly to minority groups, and/or whose student population consists primarily of individuals from minority groups. o Evidence must be included in the application documenting the institution's eligibility regarding this criterion. o Research-Intensive Institution - an institution that received more than $50 million or more than 200 research grants and/or cooperative agreements from the NIH during Fiscal Year (FY) 1994. A list of qualifying institutions is available from the program staff listed under INQUIRIES. MECHANISM OF SUPPORT This RFA is a one-time solicitation by the NIDR. The mechanism available for support of applications in response to the RFA is the investigator-initiated research project grant (R01). Applicants may apply for and receive up to five years of support. Responsibility for the planning, direction, and execution of the proposed project will be solely that of the applicant. Issuance of a subsequent request for new and competing continuation applications will be contingent upon program needs and the availability of funds. FUNDS AVAILABLE It is expected that approximately $1.9 million will be available to fund up to ten awards, if sufficient applications of high scientific merit are received. Although funds for this program are provided for in the financial plans of the NIDR, the award of grants pursuant to this RFA is contingent upon the availability of funds. Subsequent support will be dependent upon submission of a renewal application through established NIH procedures for research grants. Budget increases of up to but not to exceed more than four percent for recurring costs may be requested for each of the subsequent years. The earliest possible award date will be June 1, 1998. RESEARCH OBJECTIVES Background The National Institute of Dental Research (NIDR), in its long-range research plan and in response to recommendations from the National Advisory Dental Research Council as well as other advisory groups, has emphasized the importance of expanding the diversity of the pool of qualified investigators who are knowledgeable in state-of-the-science approaches to biomedical and behavioral research as well as in the more traditional basic science and clinical disciplines. The NIDR has been among the leaders in supporting increased opportunities for access to research careers by racial and ethnic minorities. This RFA was conceived with this focus in mind. The development of the plan was aided by conceptual contributions from participants in dental and oral health research who emphasized the need for consortia arrangements to strengthen the capacity of minority institutions to plan and conduct scientifically meritorious research and to engage in appropriate research training and career development. The concept of the CORMOH Program was introduced to fulfill these needs by improving the research capacity of minority institutions and providing minority investigators with opportunities to conduct basic and clinical biomedical and behavioral oral health research on topics of relevance to improving oral health status of U.S. racial and ethnic minorities. By supporting collaborative activities the NIDR is maximizing the use of scarce resources in a way that will be mutually beneficial to participating partners. As such the CORMOH Program will further expand research opportunities for scientists at minority institutions as well as address the need for continued focused biomedical and behavioral research on minority oral health. Through collaborative affiliations with individuals who have both the resources and experience necessary to successfully compete in the NIH scientific peer review system, minority scientists will have access to scientists with proven scientific and grantsmanship expertise. It is further anticipated that these experiences will not only enhance the research careers of the minority scientists but they also can attract qualified minority undergraduate and graduate students who will follow careers in dental and oral health research to the minority institutions. Research Opportunities The following topics are suggested for inclusion in response to this RFA. These, however, are not listed in priority order nor are they exhaustive. Other research topics within the scope of the purpose of this RFA may be proposed. While it is anticipated that many of the proposed research projects will involve problems directly relevant to minority populations and that clinical research will include female patients as well as those from minority populations, research aimed at a broad understanding of the causes of and mechanisms underlying oral and craniofacial health and disease processes is also encouraged. o SYNTHESIS AND DEGRADATION OF BONE - Basic research on the steps involved in the synthesis and degradation of normal and abnormal bone utilizing the technologies of molecular biology, enzymology and cell culture. Continued research could be focused on genes, gene products and the development of probes that can be used in diagnosis particularly in those bone diseases that disproportionately afflict members of various minority groups. This information could aid in improving diagnosis and treatment. o COMPOSITION OF BONE - Studies on the qualitative and quantitative constituents of bones and teeth (hard tissues) in different ethnic groups and different disease states. There is a long standing interest in the composition and strength of bone as influenced by the presence of fluoride. Determination of genetic differences in composition of bone due to sex or racial origin and alteration in this composition during aging and disease as in osteoporosis would provide valuable information for understanding and treatment of bone pathology. o CARTILAGE AND BONE REPAIR - Clinical studies of cartilage and bone repair in normal and disease states such as periodontal disease, would provide valuable information for treatment. Studies which would lead to a better understanding of the repair of bone and cartilage following injury, birth defects and disease pathology would be of great economic and medical interest particularly as it applies to minority populations. o AUTOIMMUNE DISORDERS - Studies to investigate the oral pathogenesis and treatment of autoimmune disorders such as Sjogren's disease and diabetes and their impact on oral health are of great importance to the health service profession. o THE ROLE OF DIET AND NUTRITION IN ORAL HEALTH - Diet and nutrition are important factors in the prevention and maintenance of oral health. Nutritional factors are reported to have an affect on cell-cell signaling at the molecular level and on the expression and action of cell regulators such as cytokines, lymphokines and adhesion molecules. Dietary components including iron, riboflavin vitamins such as A, C and beta carotene may be key factors in the prevention or amelioration of oral cancer. Nutritional factors are also important in the modulation of cell repair, regeneration and replacement, including cellular and/or tissue damage and influence the mechanisms involved in cell death. Therapy with dietary supplementation is also believed to reduce the oral complications encountered with traditional radiation and chemotherapy. o ORAL MANIFESTATIONS OF AIDS - The oral cavity is often the site of the first indications of the presence of opportunistic infections associated with AIDS. Specific molecular markers or other tests could be used in the oral cavity for diagnosis of the disease and its associated infections. The oral cavity can also serve as the site of the introduction of HIV-1 to the body. Studies of a reported anti viral protein in the saliva and the effect of mucosal immunity in the oral cavity are of great interest as potential protection against HIV infection. o TEMPOROMANDIBULAR JOINT DISORDERS - Determine the molecular and cellular composition of normal, aging, and abnormal tissues of the temporomandibular joint. Determine the molecular , cellular and physiological changes in the joint due to injury and the use of replacement devices. o INFLAMMATION AND PAIN IN THE ORAL CAVITY - Conduct studies to define the mediators and inhibitors of inflammation in orofacial tissues. Study the involvement of nerves in inflammation and injury and ways to prevent or ameliorate the associated pain. o ORAL CANCER - The major risk factors for oral cancer factors for oral cancer are tobacco and alcohol use. Utilization of tobacco is a problem of our youth, particularly those from minority populations, who smoke their first cigarette at age 14 years and use smokeless tobacco in the 4th or 5th grade. Some of the information needed on how the use of tobacco and alcohol result in the development of oral lesions and cancer includes: identifying the chemical, physical, and biological substances that cause or promote the pathology; determining the ways in which cancer-causing agents are activated in the body; discovering how and when carcinogens cause damage to cells (gene mutation and chromosomal alterations); and the reasons for increased cancer susceptibility in certain families and ethnic groups. Of prime importance is research on the behavioral aspects of developing effective means of prevention as well as cessation strategies. o ORAL MUCOSAL IMMUNITY - Studies in the oral cavity examining the protective and therapeutic effects of mucosal immunity against viruses such as human papilloma virus (HPV), herpes viruses, HIV, yeast and bacteria as well as the use of this route of administration for various anti-sera against infectious diseases. o BEHAVIORAL AND EPIDEMIOLOGICAL ORAL HEALTH RESEARCH - Of interest are studies evaluating determinants of clinical decision making, effects of intervention research on adoption and use of preventive or therapeutic measures, and studies of patient or provider behaviors influencing oral health. Also of interest are descriptive and analytic epidemiological and health services studies identifying the magnitude and characteristics of differing levels of oral diseases in the general population or population subgroups and studies clarifying the impact of different health care delivery systems on oral health outcomes and health care costs. o MOTOR, CHEMOSENSORY, AND SOMATOSENSORY FUNCTION - Research on signal transduction in gustatory and olfactory receptors and on biological mechanisms through which oral conditions/diseases or dental treatments influence chemosensory or oral somatosensory function is of interest as are neurophysiological studies on processes controlling complex oral movements and oral dysfunctions (e.g., tardive dyskinesia, apnea). In addition, epidemiological studies are needed on the prevalence and distribution or oral sensory and oral motor disorders in both general and special populations (e.g., the aged). o BIOBEHAVIORAL RESEARCH - Studies examining the interrelationships between behavioral, environmental and biological factors as related to the prevention, treatment and/or etiology of craniofacial and oral conditions are encouraged. INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN SUBJECTS It is the policy of the NIH that women and members of minority groups and their subpopulations must be involved in all NIH supported biomedical and behavioral research projects involving human subjects, unless a clear and compelling rationale and justification is provided that inclusion is inappropriate with respect to the health of the subjects or the purpose of the research. This new policy results from the NIH Revitalization Act of 1993 (Section 492B of Public Law 103-43) and supersedes and strengthens the previous policies (Concerning the Inclusion of Minorities in Study Populations) which have been in effect since 1990. The new policy contains some new provisions that are substantially different from the 1990 policies. All investigators proposing research involving human subjects should read the "NIH Guidelines For Inclusion of Women and Minorities as Subjects in Clinical Research," which have been published in the Federal Register of March 28, 1994 (FR 59 14508-14513), and reprinted in the NIH GUIDE FOR GRANTS AND CONTRACTS of March 28, 1994, Volume 23, Number 11. LETTER OF INTENT Prospective applicants are asked to submit, by May 1, 1997, a letter of intent that includes a descriptive title of the proposed research, the name, postal and email addresses, and fax and telephone number of the Principal Investigator, the identities of other key personnel and participating institutions, and the number and title of this RFA. 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 provides will assist in planning for the timely review of applications. Receipt of such letters will allow NIDR staff to estimate the potential review workload and make review plans that will avoid possible conflict of interest. NIDR staff will provide no response to letters of intent. The letter of intent is to be addressed to Dr. Norman Braveman at the address and listed under INQUIRES. APPLICATION PROCEDURES Prospective applicants are encouraged to communicate with program and grants management staff of the NIDR's Division of Extramural Research as early as possible in the planning phase of application preparation. Advice and suggestion by staff may materially assist applicants in insuring that the objectives of the CORMOH initiative are met and that the application format and structure, including the budget, are acceptable. Applicants should include written assurance from the appropriate institutional official(s), e.g., department chair or dean, outlining arrangements that will be made to allow sufficient release time from teaching and other administrative responsibilities for the principal investigator to devote at least 50 percent effort to the research project. Further, while regional proximity between the applicant and collaborating institutions may be an asset to successful collaboration, it is not a requirement of the CORMOH initiative. In all instances, applicants are asked to provide written evidence of procedures and/or processes that will be used to facilitate collaborative activities, particularly those in which the institutions are geographically separated. Applications are to be prepared on grant application form PHS 398 (rev. 5/95). Applications kits are available at most institutional offices of sponsored research and may be obtained from the Grants Information Office, Office of Extramural Outreach and Information Resources, National Institutes of Health, 6701 Rockledge Drive, MSC 7910, Bethesda, MD 20892-7910, telephone 301/710-0267, email: ASKNIH@odrockm1.od.nih.gov. The RFA label available in the PHS 398 application form must be affixed to the bottom of the face page. Failure to use this label could result in delayed processing of the application such that it may not reach the review committee in time for review. In addition, the RFA title ("CORMOH") and number (DE-96-002) must be typed on line 2 of the face page of the application form and the YES box must be checked. Specific attention should be given to efforts to contain costs and ensure cost-competitive implementation of the project~s research goals. Investigators are also encouraged to examine the potential for securing supplementary funds for the project from non-NIDR sources, such as foundations or industry. If additional financial support from non-NIDR sources is planned to complement or expand the research proposed for support by the NIDR, the applicant should explain how such activities will further the goals of the project and make it more cost-effective. Awardees will be expected to update this information on an annual basis. Submit a signed, typewritten original of the application, including the Checklist, and three signed photocopies, in one package to: DIVISION OF RESEARCH GRANTS NATIONAL INSTITUTES OF HEALTH 6701 ROCKLEDGE DRIVE, ROOM 1040 - MSC 7710 BETHESDA, MD 20892-7710 BETHESDA, MD 20817 (for express/courier service) At the time of submission, two additional copies of the application must also be sent to: Dr. H. George Hausch Division of Extramural Research National Institute of Dental Research Natcher Building, Room 4AN-44F 45 Center Drive, MSC 6402 Bethesda, MD 20892-6402 Applications must be received by June 20, 1997. If an application is received after that date, it will be returned to the applicant without review. The Division of Research Grants (DRG) will not accept any application in response to this RFA that is essentially the same as one currently pending initial review, unless the applicant withdraws the pending application. However, it is allowable to submit the same project as both an RO1 or R29 and as a component project of a program project. The DRG will not accept any application that is essentially the same as one already reviewed. This does not preclude the submission of substantial revisions of applications previously reviewed. Such applications must not only include an introduction addressing the previous critique but also be responsive to this RFA. Applicants or collaborators from institutions that have a General Clinical Research Center (GCRC) funded by the National Center for Research Services may wish to identify the GCRC as a resource for conducting the proposed research. If so, a letter of agreement from either the GCRC program director should be included with the application. REVIEW CONSIDERATIONS Upon receipt, applications will be initially reviewed by the DRG for completeness. Incomplete applications will be returned to the applicant without further consideration. Evaluation for responsiveness to the program requirements and criteria stated in the RFA is an NIH staff function. If the application is not responsive to the RFA, NIH staff will contact the applicant to determine whether it should be returned to the applicant, or whether it should be held until the next regular receipt date and reviewed in competition with all other applications. All applications that are complete and responsive to the RFA will be evaluated for scientific and technical merit by the appropriate peer review group convened by the NIDR in accordance with the review criteria stated below. As part of the initial merit review, a streamlined review process may be used by the initial review group in which the applications will be determined to be competitive or non-competitive based on their scientific merit relative to other applications received in response to the RFA. Applications judged to be competitive will be discussed and assigned a priority score. Applications determined to be non-competitive will be withdrawn from further consideration and the Principal Investigator and the official signing for the applicant organization will be notified. Those applications judged to be competitive will be reviewed for scientific and technical merit in accordance with the usual NIH peer review procedures by an initial review group convened for this RFA by the Scientific Review Office, NIDR. Successful applications will be given a secondary review by the National Dental Research Advisory Council. Review criteria for this RFA are generally the same as those for unsolicited research grant applications and include: o scientific merit of the project, including its significance, originality, feasibility and experimental design; o training, experience and research competence of the mix of the investigators from the minority institution and the research-intensive institution and their documented commitment to the accomplishment of the goals and objectives of this RFA; o adequacy of the combined facilities, resources and administrative capabilities; o appropriateness of the period of support and budget requested; o availability and appropriateness of study populations and the utilization of minorities and women as study subjects in clinical studies; o institutional commitment to provide release time for the principle investigator to provide at least 50 percent time commitment to the project; and o adequacy of the administrative and organizational structure to ensure efficient inter- and intra-institutional collaboration, interaction and dissemination of information among investigators necessary to attain the objectives of this RFA. AWARD CRITERIA The anticipated date of award is June 1, 1998. Funding decisions will be made on the basis of the scientific and technical merit as determined by peer review, program priorities and the availability of funds. INQUIRIES Written and telephone inquires concerning this RFA are encouraged. The opportunity to clarify any issues or questions from potential applicants is welcome. Inquires regarding programmatic issues may be directed to: Dr. Norman S. Braveman Division of Extramural Research National Institute of Dental Research Natcher Building, Room 4AN-24B 45 Center Drive MSC 6402 Bethesda, MD 20892-6402 Telephone: (301) 594-2089 FAX: (301) 480-8318 Email: BravemanN@DE45.NIDR.NIH.GOV Direct inquires regarding grants management issues to: Mr. Martin Rubinstein Division of Extramural Research National Institute of Dental Research Natcher Building, Room 4AN-44A 45 Center Drive MSC 6402 Bethesda MD 20892-6402 Telephone: (301) 594-4800 Email: RubinsteinM@DE45.NIDR.NIH.GOV Schedule Letter of Intent Receipt Date: May 1, 1997 Application Receipt Date: June 20, 1997 Scientific Review: September/October 1997 Advisory Council Date: January/February 1998 Earliest Award Date: June 1, 1998 AUTHORITY AND REGULATIONS This program is described in the Catalog of Federal Domestic Assistance No. 93.848. Awards are made under authorization of the Public Health Service Act, Title IV, Part A (Public Law 78-410, as amended by Public Law 99-158, 42 USC 241 and 285) and administered under PHS grants policies and Federal Regulations 42 CFR 52 and 45 CFR Part 74. This program is not subject to the intergovernmental review requirements of Executive Order 12372 or Health Systems Agency review. The PHS strongly encourages all grant and contract recipients to provide a smoke-free workplace and promote the non-use of all tobacco products. In addition, Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in certain facilities (or in some cases, any portion of a facility) in which regular or routine education, library, day care, health care or early childhood development services are provided to children. This is consistent with the PHS mission to protect and advance the physical and mental health of the American people. .
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