Opportunity Information: Apply for RFA AT 24 011

This funding opportunity (RFA-AT-24-011) from the National Institutes of Health supports new Demonstration Projects within the NIH-DoD-VA Pain Management Collaboratory (PMC) under the HEAL Initiative. The core aim is to fund efficient, large-scale pragmatic clinical trials and/or implementation science projects that test non-opioid approaches to pain management for U.S. veterans, active-duty military personnel, and their families, including attention to pain-related comorbid conditions. The work is intended to produce practical, real-world evidence that can be adopted in the health systems that serve these populations, rather than remaining confined to highly controlled research environments.

The award uses a UG3/UH3 phased cooperative agreement structure and requires a clinical trial. In practice, this means applicants propose a two-stage project where the initial UG3 phase is typically used to finalize key start-up activities (for example, confirming feasibility, refining protocols, establishing site readiness, and meeting defined milestones), and the UH3 phase supports full implementation and execution of the pragmatic trial and/or implementation study once those milestones are met. Because this is a cooperative agreement, NIH involvement is more hands-on than in a standard grant mechanism, with NIH program staff expected to have substantial scientific and programmatic involvement during the project.

A defining feature of the opportunity is that projects must be conducted within the existing PMC infrastructure. The PMC includes a Coordinating Center established in 2017 that provides national leadership and technical expertise across PMC studies. Awardees can expect coordinated support related to pragmatic trial methods, implementation science approaches, data and informatics considerations, regulatory and operational alignment across sites, and other common challenges that arise when conducting large-scale studies in military and veteran health care contexts. The overall intent is to accelerate high-quality, scalable research by leveraging this shared infrastructure instead of building trial operations from scratch.

The topic focus is squarely on non-opioid pain management solutions, aligning with the HEAL Initiative, an NIH-wide effort to address the opioid crisis partly by identifying and validating effective pain treatments that reduce reliance on opioids. In addition, the National Center for Complementary and Integrative Health (NCCIH) is highlighting a whole person approach to pain management as a priority emphasis, meaning applicants are encouraged to consider pain in the broader context of physical, behavioral, and social factors and how integrated care strategies may improve outcomes. Partnering NIH Institutes, Centers, and Offices may also bring additional priority areas as long as they include pain as a component, so projects that thoughtfully connect pain management with relevant comorbidities may be particularly responsive.

Eligibility is broad across public, nonprofit, and private sectors. Eligible applicants include state, county, and local governments; special district governments; independent school districts; public housing authorities/Indian housing authorities; public and state-controlled institutions of higher education; private institutions of higher education; nonprofit organizations with or without 501(c)(3) status (other than institutions of higher education); for-profit organizations (other than small businesses); small businesses; and federally recognized Native American tribal governments and certain tribal organizations. The announcement also explicitly calls out additional eligible groups such as Alaska Native and Native Hawaiian Serving Institutions, Asian American Native American Pacific Islander Serving Institutions (AANAPISIs), Hispanic-serving Institutions, Historically Black Colleges and Universities (HBCUs), Tribally Controlled Colleges and Universities (TCCUs), faith-based or community-based organizations, regional organizations, U.S. territories or possessions, and eligible agencies of the federal government.

Foreign participation is constrained. Non-domestic (non-U.S.) entities are not eligible to apply, and non-domestic components of U.S. organizations are not eligible to apply. However, foreign components, as defined in the NIH Grants Policy Statement, are allowed, which generally means a U.S.-based applicant may include certain foreign elements when clearly justified and allowable under NIH policy.

Administratively, the opportunity is categorized as a discretionary program and uses the cooperative agreement funding instrument type in the health activity category, with CFDA numbers 93.213, 93.273, and 93.866. The original application closing date listed is 2024-11-07, and the notice was created on 2024-08-09. Award ceiling and expected number of awards are not specified in the provided listing, so applicants would need to consult the full NOFO for budget limits, project period expectations, and any caps or set-asides.

Overall, the opportunity is designed for teams that can run a required clinical trial in real-world military and veteran care settings, using pragmatic and/or implementation science methods, and that can work within the PMC framework to generate results that are credible, operationally relevant, and ready for adoption as non-opioid pain management solutions.

  • The National Institutes of Health in the health sector is offering a public funding opportunity titled "HEAL Initiative: NIH-DOD-VA Pain Management Collaboratory Pragmatic and/or Implementation Science Demonstration Projects ((UG3/UH3) Clinical Trial Required)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.213, 93.273, 93.866.
  • This funding opportunity was created on 2024-08-09.
  • Applicants must submit their applications by 2024-11-07. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.
Apply for RFA AT 24 011

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