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NIAID's investigator-initiated clinical trial implementation R01 is a research project grant that includes milestones for meeting recruitment and other targets. In their applications, applicants must describe each stage of the clinical trial, provide criteria for completing it, and give contingency plans if they do not meet the milestones.
The R01 does not have the substantial scientific involvement by NIAID staff that the clinical trial U01 implementation cooperative agreement has because the R01 is for clinical trials that are not high risk, which we define as follows:
For studies that are high risk, applicants may apply for a clinical trial implementation U01 cooperative agreement. If for other reasons we determine that substantial staff involvement is necessary, we may ask you to apply for a U01.
For more information, read the Investigator-Initiated Clinical Trial U01 Implementation Awards questions and answers.
Implementation refers to activities related to the conduct of the clinical trial such as:
We define a milestone as a scheduled event in the project timeline, signifying the completion of a major project stage or activity.
Your application must describe a series of milestones for completing the clinical trial and contingency plans should there be delays. Milestones will be peer reviewed and become part of the terms of award. See How do I comply with requirements for human subjects? below.
If the clinical trial you propose is not high risk, apply for an R01. If the clinical trial is high risk, apply for a clinical trial implementation U01. For NIAID's definition of risk, see What is a milestone-driven R01 clinical trial implementation grant?
No. However, you must have ready all the documentation you would have prepared during an R34 clinical trial planning grant.
Yes. NIAID staff will monitor progress toward meeting your milestones during your annual progress review. They will also oversee the management and reporting of adverse events and have regular communications with you and your study team.
Yes. NIAID program staff may be able to help you access Institute-funded resources, for example, those in existing networks, facilities, and laboratories.
Here are the points to consider:
Follow the instructions in the SF 424 Application Guide and NIAID Clinical Trial Implementation Grant (R01) Guide notice. Do not use the Appendix to circumvent the page limits. Applications that do not comply with page limits may face a delay in peer review.
Yes. NIAID Clinical Terms of Award will be part of the terms and conditions of award. See the NIAID Clinical Trial Implementation Grant (R01) Guide notice for sample terms and conditions of award, which will be modified for each cooperative agreement.
No. Randomization is required only if it is an appropriate element of trial design.
Yes, in one of these three situations:
In any case, you should speak to the NIAID point of contact listed in the NIAID Clinical Trial Implementation Grant (R01) Guide notice to confirm.
Although we will fund most successful applications for non-high-risk trials as R01s, we may convert some R01s to U01 cooperative agreements on a case-by-case basis.
Treatment or prophylaxis is not a clinical trial if subjects are receiving medical treatment or prophylaxis according to standard intervention or the best judgment of their treating physician. If you can obtain the samples you need with less than high risk to the subjects, an R01 application is appropriate.
Make sure your application clearly states that the treating physician is independent of the research proposal. For further advice, discuss your project with the NIAID point of contact listed in the NIAID Clinical Trial Implementation Grant (R01) Guide notice.
Yes, as long as providing samples for your studies represents minimal additional risk to the clinical trial subjects. You should explicitly state that you are not requesting support for the clinical trial. You will need to provide documentation that the clinical trial sponsor is aware of your proposal and will provide necessary access to the samples.
For additional advice, discuss your project with the NIAID point of contact listed in the NIAID Clinical Trial Implementation Grant (R01) Guide notice.
Each application has unique circumstances, so we will decide on a case-by-case basis. For help, call the NIAID point of contact listed in the NIAID Clinical Trial Implementation Grant (R01) Guide notice.
You may also wish to read Are there circumstances where the investigator-initiated clinical trial process is not required or appropriate?
Discuss your project with the NIAID point of contact listed in the NIAID Clinical Trial Implementation Grant (R01) Guide notice.
Go to Investigator-Initiated Clinical Trial Resources main page for resources, and contact staff listed in the NIAID Clinical Trial Implementation Grant (R01) Guide notice.
No. However, we do strongly encourage you to request a prior consultation with NIAID staff. Learn more in the Investigator-Initiated Clinical Trial Planning and Implementation Awards SOP.
We recommend that you follow these steps:
See Requesting Prior Consultation to Discuss Submission of a Clinical Trial Planning (R34) or Implementation (R01 or U01) Application and the questions below for details.
Yes, the limit is five pages.
A program officer will send you a letter summarizing the prior consultation and signed by the NIAID division director to include with your R01 application.
We expect to respond to you within six weeks of receiving your formal written request.
No, you may submit more than one application provided each is scientifically distinct.
No, each R01 application will support the implementation of one clinical trial.
Request resources and time appropriate to complete the clinical trial. You may request up to five years of support.
If you are requesting a budget over $500,000 in direct costs in any one year, include a section for approval of a big grant application in your request for prior consultation.
Although a large budget requires approval, we will handle both requests together. Read the Investigator-Initiated Clinical Trial Planning and Implementation Awards SOP for details.
Go to these NIAID resources:
Contact the appropriate NIAID point of contact in the NIAID Clinical Trial Implementation Grant (R01) Guide notice for division-specific procedures.
Prepare your application using the SF 424 Grant Application Package. Read the NIAID Clinical Trial Implementation Grant (R01) Guide notice for details.
Here is an overview of the key elements for an R01 application:
Attach a PDF file in the PHS 398 Cover Letter File of the Grant Application Package.
Your Research Plan is limited to one page for the Specific Aims, 12 pages for the Research Strategy.
The following three sections comprise the Research Strategy: Significance, Innovation, and Approach. In addition, the Research Strategy may not exceed 12 pages and must include:
What do I have to include in my application to ensure it's responsive?
You must include an appropriate Clinical Protocol Synopsis, Statistics Analysis Plan, Data Safety and Monitoring Plan, Milestone Plan and Complete Clinical Protocol, and informed consent. If applicable, also include assent forms, comprehensive laboratory plan, and Table of Contents for the Manual of Operations.
If you omit any of these components, your application will be considered nonresponsive and will not be reviewed. Read the NIAID Clinical Trial Implementation Grant (R01) Guide notice for full instructions.
Closely follow the instructions in the Part II Supplemental Instructions for Preparing the Protection of Human Subjects Section of the Research Plan and in the NIAID Clinical Trial Implementation Grant (R01) Guide notice.
Clinical Protocol Synopsis
The Clinical Protocol Synopsis should be included at the end of the Human Subjects section. Applications that lack the Clinical Protocol Synopsis will not be peer reviewed. The Clinical Protocol Synopsis may not exceed three pages and must include the following information:
Data and Safety Monitoring Plan
A Data and Safety Monitoring (DSM) Plan that is commensurate with the risk level of the proposed clinical research must be included for all clinical trials—see the NIH Policies and IC Guidance for Data and Safety Monitoring of Clinical Trials portal.
All applications or study protocols must include a general description of the monitoring plan, policies, procedures, responsible entities, and approaches to identifying, managing, and reporting reportable events (adverse events and unanticipated problems), to the applicable regulatory agencies, e.g., institutional review board, NIAID, NIH Office of Biotechnology Activities (if appropriate), Office of Human Research Protections, FDA, and any data and safety monitoring board.
The DSM Plan must address the following areas:
Milestone Plan and Complete Clinical Protocol
A Milestone Plan and Complete Clinical Protocol must be included as a single PDF attachment to the Other Project Information component of the SF 424 application.
Complete clinical protocol documents will not count toward the page limit for the Research Plan. Applications that lack the Milestone Plan or complete clinical protocol will not be reviewed.
Applicants must provide detailed project performance and timeline objectives in a section called Milestone Plan. This section may not exceed three pages and must include:
Complete Clinical Protocol
A Complete Clinical Protocol must be included immediately after the Milestone Plan. Please see the Trans-NIAID Clinical Research Toolkit for clinical protocol guidance and templates. We urge you to be succinct.
Yes, as applicable:
Prepare a modular budget if you are applying from a single domestic institution and the budget is less than $250,000 in direct costs in any year.
Prepare a detailed budget if your budget is more than $250,000 in direct costs in any year, you are applying from a foreign institution, or your application involves multiple institutions—see How do I prepare an application that involves multiple institutions?
If you propose research at multiple institutions, designate one institution as the prime institution and the other as a subcontract (subaward) to be administered by the prime institution.
For a detailed budget (over $250,000 in direct costs in any year), the prime institution submits the Research & Related Budget component. Attach the individual budgets for the subawards separately to the Research & Related Subaward Budget Attachment Form.
For a modular budget (less than $250,000 in direct costs in all years), the prime institution submits the PHS 398 Modular Budget component only. Provide information on the subaward's budget in the budget justification; do not provide separate budgets for subawards.
Follow the Grant Application Guide for further instructions.
Yes, if you follow procedures for a multiple PI application.
Apply electronically using the SF 424 Grant Application Package. Learn more in the NIAID Clinical Trial Implementation Grant (R01) Guide notice.
Find general information about electronic application in our Applying for a Grant questions and answers.
For both AIDS and non-AIDS applications, you may submit in September, January, and May. See the NIAID Clinical Trial Implementation Grant (R01) Guide notice for details.
An NIAID special emphasis panel will peer review it.
Yes, below are the factors added to the standard review criteria. Be aware that your application will also be reviewed for protection of human subjects.
Significance. If mechanistic studies are proposed, how do they contribute to the understanding of the disease or treatment?
Investigator(s). Is there adequate expertise and ability of the investigator and the clinical trial team to organize, manage, and execute the proposed trial? Does the investigative team include statisticians, data managers and study coordinators? Are committee structures appropriate to the complexity of the trial?
For multicenter trials, does the application identify a core of potential center investigators and staffing for a coordinating center? Is the organizational structure appropriate?
Innovation. Nothing added.
Environment. Does the application adequately address plans to add or drop enrollment centers; the availability of the requisite eligible patient pool; the availability of children, women and minority individuals as trial participants and specific recruitment and retention plans for their inclusion; plans for recruitment outreach and, as appropriate, follow-up procedures to ensure collection of data at stated intervals?
If international sites are proposed, does the application adequately address the complexity of executing the clinical trial?
Yes, one time. Before resubmitting a revised application, we strongly suggest that you repeat the prior consultation process with the appropriate NIAID program official.
Use the results from the previous review to strengthen your project. To resubmit, follow the suggested format in the grant application package.
NIAID will not peer review or fund any investigator-initiated clinical trial application that is nonresponsive. We encourage you to contact other NIH institutes to see if they might accept your application.
You may be able to apply for an extension. To learn more, read the NIAID Policy for Extension of Investigator-Initiated Clinical Trials Guide notice.
Also see our Investigator-Initiated Clinical Trial Administrative Extensions SOP and Investigator-Initiated Clinical Trial Administrative Extensions questions and answers.
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Last Updated September 16, 2014
Last Reviewed September 16, 2014