Part 1. Overview Information

The National Institute on Drug Abuse (NIDA) seeks research for the discovery and development of medications to prevent and treat opioid use disorder (OUD) and/or psychostimulant (cocaine or methamphetamine) use disorder (PsUD) and overdose.

Key Dates

Posted Date September 01, 2022 Open Date (Earliest Submission Date) September 03, 2022 Letter of Intent Due Date(s)

30 days prior to submission date

Application Due Date(s)


Applications will be accepted on a rolling basis, beginning on September 3, 2022.

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 Applications are due by 5:00 PM local time of applicant organization. All types of non-AIDS applications allowed for this funding opportunity announcement are due on the listed date(s)

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.

AIDS Application Due Date(s)


Applications will be accepted on a rolling basis, beginning on September 3, 2022.

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 Applications are due by 5:00 PM local time of applicant organization. All types of non-AIDS applications allowed for this funding opportunity announcement are due on the listed date(s)

Scientific Merit Review

Applications received by January 3, 2023 will be reviewed by April 1, 2023; Applications received by May 1, 2023 will be reviewed by August 1, 2023; Applications received by September 1, 2023 will be reviewed by December 1, 2023; Applications received by January 2, 2024 will be reviewed by April 1, 2024; Applications received by May 1, 2024 will be reviewed by August 1, 2024; Applications received by September 3, 2024 will be reviewed by December 1, 2024; Applications received by January 2, 2025 will be reviewed by April 1, 2025; Applications received by May 1, 2025 will be reviewed by August 1, 2025; Applications received by September 2 , 2025 will be reviewed by December 1, 2025.

Advisory Council Review

Applications will be handled on an expedited review basis.

Earliest Start Date

Applications will be handled on an expedited review and award basis to meet the goals of this program.

Expiration Date September 02, 2025 Due Dates for E.O. 12372 Required Application Instructions

It is critical that applicants follow the instructions in the Research (R) Instructions in the SF424 (R&R) Application Guide, except where instructed to do otherwise (in this FOA or in a Notice from NIH Guide for Grants and Contracts ).

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

Table of Contents

Part 2. Full Text of Announcement

Section I. Funding Opportunity Description

Background

There is a devastating illicit drug overdose crisis in the United States. Drug overdose is the leading cause of accidental death in the US, with an estimation of 100,000 deaths in 2021. Deaths involving synthetic opioids other than methadone (primarily fentanyl) continued to rise, with 56,516 overdose deaths reported in 2020. Deaths involving psychostimulants with abuse potential (primarily methamphetamine) also continued to increase to 23,837 individuals; and those involving cocaine rose steadily from 5,419 in 2014 to 19,447 in 2020.

Although there are safe and effective pharmacotherapies for opioid use disorders and to prevent/reverse overdose, their use has some limitation or they are largely underutilized. Methadone and buprenorphine are approved by the FDA to treat OUDs but long term efficacy and treatment adherence are sub-optimal. Naltrexone is approved by the FDA to prevent opioid use relapse in people with no physical dependence to opioids but initiation and adherence to treatment are low. Naloxone is approved to reverse opioid overdose but it has a short action, may precipitate opioid withdrawal, and put the person at risk of overdose. Lofexidine is FDA-approved for the treatment of opioid withdrawal in adults but it is not approved to treat pregnant women and neonatal opioid withdrawal syndrome. Unfortunately, there are no FDA-approved medications to treat PsUD or an antidote to treat overdoses due to psychostimulants. Therefore, there is an urgent need to develop safe and effective medications to prevent and treat OUD and/or PsUD and overdose.

Advances in the understanding of OUD and PsUDand overdose provide new opportunities to improve the treatment of these disorders and contribute to reduce the current drug overdose crisis. Some of these advances include the new findings of receptors, neurotransmitters, neuromodulators, and brain circuits associated with these disorders, a greater understanding of the endogenous opioid system, and the risk and protective factors for the onset and progression of these disorders. New targets and medications, new formulations and delivery systems of medications may be ready to be evaluated. Better understanding of pain mechanisms has revolutionized our understanding of addiction and pain and new, non-addictive pain medicines are urgently needed to prevent the initiation or progression of OUDs and prevent overdoses. Furthermore, advances in the development of biologics can offer an opportunity to investigate vaccines and monoclonal antibodies for the prevention or treatment of OUD and/or PsUD,and drug overdose. Therefore, multiple therapeutic approaches may be poised for the next step in the FDA approval process and concerted efforts are needed to advance these potential pharmacotherapies to approval.

Research Focus

NIDA seeks preclinical and clinical research studies that will have high impact and quickly yield the necessary results to advance closer to FDA approval, medications that are safe and effective to prevent and treat OUD and/or PsUD, and overdose.

Applications should focus on studying new chemical entities (NCEs), medications already marketed for other indications, biologics (e.g., vaccines, monoclonal antibodies) or combination of medications.

There is particular interest in the development of compounds for indications such as:

The following types of applications will not be considered responsive and will be withdrawn without review:

Milestones

Because the development of medications is likely to be high risk, grant applications should provide clear milestones to be accomplished at the end of the UG3. It is anticipated that there will be attrition of some projects that do not meet the of milestones the UG3. Objective milestones of success and go/no-go rules for medications development progression will be required, and both should have quantitative criteria associated with them.

Some examples of Milestones include:

Hit Identified

Compound(s) identified, and confirmed, with at least micromolar affinity for the target and some selectivity vs. counter targets

Lead Identified

Chemical structure identified that can serve as a starting point for SAR to improve potency, selectivity, and/or pharmacokinetic parameters

Candidate Identified

Single compound identified with adequate affinity, selectivity, pharmacokinetic and tox properties to initiate advanced tox/safety/DDI studies

IND accepted

Investigational New Drug application submitted to FDA with no clinical-hold imposed by the FDA

Phase I SAD/MAD successfully completed

Completion of initial single and multiple dose clinical studies with no significant medical safety or pharmacokinetic issues identified

Phase Ib Clinical Lab Study successfully completed

Completion of initial clinical efficacy testing in patients with no significant medical safety issues identified and preliminary efficacy supported

Phase II Clinical study successfully completed

Completion of clinical studies in intermediate-size patient groups with safety and efficacy demonstrated

Phase III Clinical study(s) sucessfully completed

Completion of clinical studies in large patient groups with safety and efficacy demonstrated.

FDA approval

Compound is approved for marketing by the FDA

Special Considerations

National Advisory Council on Drug Abuse Recommended Guidelines for the Administration of Drugs to Human Subjects:

The National Advisory Council on Drug Abuse (NACDA) recognizes the importance of research involving the administration of drugs with abuse potential, and dependence or addiction liability, to human subjects. Potential applicants are encouraged to obtain and review these recommendations of Council before submitting an application that will administer compounds to human subjects. The guidelines are available on NIDA's Web site at http://www.nida.nih.gov/about/organization/nacda/CouncilStatement.html.

Points to Consider Regarding Tobacco Industry Funding of NIDA Applicants:

The National Advisory Council on Drug Abuse (NACDA) encourages NIDA and its grantees to consider the points it has set forth with regard to existing or prospective sponsored research agreements with tobacco companies or their related entities and the impact of acceptance of tobacco industry funding on NIDA's credibility and reputation within the scientific community. Please see (http://ww2.drugabuse.gov/about/organization/nacda/points-to-consider.html) for details.

Data Harmonization for Substance Abuse and Addiction via the PhenX Toolkit:

NIDA strongly encourages investigators involved in human-subject studies to employ a common set of tools and resources that will promote the collection of comparable data across studies and to do so by incorporating the measures from the Core and Specialty collections, which are available in the Substance Abuse and Addiction Collection of the PhenX Toolkit (www.phenxtoolkit.org). Please see NOT-DA-12-008 (http://grants.nih.gov/grants/guide/notice-files/NOT-DA-12-008.html) for further details.

Data sharing:

NIDA strongly encourages investigators to share data with other investigators. NIDA expects that applicants to NIDA funding opportunity announcements: 1) submit their data to one of the NIH data archives for sharing; 2) include specific required elements in the Resource Sharing Plan including a description of whether and how the consents that will be used to obtain that data will affect the research that can be done with that data; and 3) include costs attributed to data preparation and submission to a data archive in grant applications.

Plan for Enhancing Diverse Perspectives (PEDP):

NIH supports the formation of research teams that represent diverse perspectives, backgrounds and academic and technical disciplines (see NOT-OD-20-031 and NOT-OD-22-019), as well as the submission of research applications from all eligible institutions. In accordance with the NIDA REI Initiative, applications to this FOA should reflect the full diversity of potential applicants and applicant institutions. Applications from researchers with diverse backgrounds underrepresented across roles and positions in research, including underrepresented racial and ethnic groups, persons with disabilities, and women are strongly encouraged to apply to this Funding Opportunity Announcement.

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 support 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 FOA.

Application Types Allowed New
Resubmission
Revision

The OER Glossary and the SF424 (R&R) Application Guide provide details on these application types. Only those application types listed here are allowed for this FOA.

Clinical Trial?

Optional: Accepting applications that either propose or do not propose clinical trial(s).

Funds Available and Anticipated Number of Awards

The number of awards is contingent upon NIH appropriations and the submission of a sufficient number of meritorious applications.

Award Budget Application budgets are limited to $3 million per year for direct costs. Award Project Period

The maximum period of support 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 FOA.

Section III. Eligibility Information

1. Eligible Applicants

Eligible Organizations

Higher Education Institutions

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

Nonprofits Other Than Institutions of Higher Education

Foreign Institutions

Non-domestic (non-U.S.) Entities (Foreign Institutions) are eligible to apply.

Non-domestic (non-U.S.) components of U.S. Organizations are eligible to apply.

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. The NIH Policy on Late Submission of Grant Applications states that failure to complete registrations in advance of a due date is not a valid reason for a late submission.