Opportunity Information: Apply for W81XWH 11 GWIRP ITEA
Apply for W81XWH 11 GWIRP ITEA
- The Dept. of the Army USAMRAA in the science and technology and other research and development sector is offering a public funding opportunity titled "DoD FY11 Gulf War Illness Innovative Treatment Evaluation Award" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 12.420 Military Medical Research and Development.
- This funding opportunity was created on Apr 27, 2011 and posted on Apr 27, 2011.
- Applicants must submit their applications by Aug 24, 2011. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $1,440,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 2 candidate(s).
- Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
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Opportunity Summary:
The DoD FY11 Gulf War Illness Innovative Treatment Evaluation Award (ITEA) is a Gulf War Illness Research Program (GWIRP) funding opportunity run through the Congressionally Directed Medical Research Programs (CDMRP) to support early, systematic testing of promising treatments for Gulf War Illness (GWI) in human subjects. The program is built around the idea that many potentially helpful interventions have not yet been tried in ill Gulf War veterans, and that small, well-designed early phase trials can generate proof-of-principle evidence to justify larger, more definitive studies later. In FY11, GWIRP offered two related clinical-trial mechanisms: the ITEA for smaller, earlier-stage evaluations and the separate Clinical Trial Award (CTA) for larger Phase II/III trials when substantial preliminary and preclinical evidence already exists.
ITEA specifically targets early phase or pilot clinical trials, generally Phase II or Phase I/II for drugs and FDA device Classes I through III for devices, and it explicitly does not require preliminary data. Innovation is a central expectation: proposals can be innovative by testing a novel approach for GWI, or by adapting an intervention that has been used or studied in related chronic multi-symptom illnesses (such as fibromyalgia or chronic fatigue syndrome) but has not been evaluated in Gulf War veterans with GWI. Even when borrowing from another field, the research has to remain clearly centered on GWI rather than shifting the focus to another disease. The award is meant to accommodate a broad range of treatment approaches, including conventional pharmacologic or physiological interventions, complementary approaches, and combination strategies, as long as they are tested prospectively in a clinical trial framework.
A wide variety of prospective study designs are allowed, reflecting the pilot nature of the mechanism. Examples called out include systematic case series, prospective outcome evaluations, small randomized trials, hybrids of these approaches, and other creative prospective methods suitable for early testing. Interventions grounded in biological alterations observed in veterans with GWI are also encouraged. Importantly, the announcement treats all intervention studies as clinical trials regardless of whether the design is randomized, and it draws a bright line excluding retrospective or non-interventional work from this mechanism (those belong under other GWIRP funding options). Funding under ITEA must support a clinical trial and cannot be used for preclinical research.
The outcomes the program wants investigators to measure include changes in global health (including biomarkers) and/or functional status, as well as improvements across the symptom complexes commonly seen in GWI. The announcement highlights cognitive issues, musculoskeletal pain, gastrointestinal symptoms, fatigue, respiratory problems, skin abnormalities, and sleep difficulties, and it emphasizes that these symptoms may interact with each other. The program is also interested in analyses that consider GWI subgroups defined by symptom patterns or other clinical characteristics, which reflects the multi-symptom, heterogeneous nature of the illness.
There are clear topic boundaries. Projects focused primarily on treatment of psychiatric conditions, including PTSD, are not eligible for funding under this announcement. The program also will not accept proposals focused on ALS, even though Gulf War veterans have elevated ALS rates; ALS work is directed to a separate FY11 ALS Research Program. For eligibility within GWI, applicants must clearly define what constitutes a GWI case for the study and must cite a published case definition that recognizes the multisymptom nature of GWI. The announcement points investigators to the 2008 Research Advisory Committee on Gulf War Veterans Illnesses report for background on case definitions and prior treatment research.
From an execution and readiness standpoint, the DoD signals that this mechanism is intended for trials that can get moving quickly and recruit the right population. Trials are expected to begin within 12 months of the award date, and the intervention (drug or device) should already be available in sufficient quantity and be ready for clinical use in the proposed trial at the time of award. Applicants must demonstrate access to an appropriate Gulf War veteran population and provide a credible accrual plan, including how enrollment targets will be met and how standards of care could affect recruitment. Collaboration with investigators who have established access to ill and healthy Gulf War veterans, particularly within the U.S. Department of Veterans Affairs, is encouraged. Applications are also expected to include a clear statistical analysis plan and a power analysis tied to the study objectives, along with a discussion of potential impact for ill Gulf War veterans. Operationally, the program expects a study coordinator to manage IRB and regulatory processes, coordinate multi-site activities if applicable, and support participant accrual, and it also requires evidence of institutional support.
Regulatory expectations are spelled out for investigational products. If the trial uses a drug not approved by the FDA for the proposed investigational use, an IND may be required and must be submitted to the FDA prior to grant submission. If the trial uses an investigational device not approved or cleared for the proposed clinical use, IDE requirements may apply and an IDE submission must be made prior to grant submission. The government reserves the right to withdraw funding if documentation of IND or IDE status is not obtained within 6 months of the award date.
Administratively, this opportunity (Funding Opportunity Number W81XWH-11-GWIRP-ITEA) was posted April 27, 2011, with an application deadline of August 24, 2011, and an archive date of September 23, 2011. It is a discretionary research and development funding opportunity offered by the Department of the Army (USAMRAA/CDMRP) using a grant/cooperative agreement instrument type. Eligibility is listed as unrestricted (open to any entity type, subject to any additional eligibility language in the full announcement). The program anticipated making about two awards, with an estimated total funding amount of $1,440,000, and it did not require cost sharing or matching.
FY11 DoD Gulf War Illness Innovative Treatment Evaluation Award (ITEA) - FAQs
1. What is the FY11 Gulf War Illness Innovative Treatment Evaluation Award (ITEA)?
The FY11 ITEA is a Gulf War Illness Research Program (GWIRP) funding opportunity run through the Congressionally Directed Medical Research Programs (CDMRP). It supports early, systematic testing of promising treatments for Gulf War Illness (GWI) in human subjects through a clinical trial.
2. What is the main goal of the ITEA mechanism?
The goal is to generate early proof-of-principle evidence by funding small, well-designed early phase or pilot clinical trials in ill Gulf War veterans. These early results are intended to justify larger, more definitive trials later.
3. How is ITEA different from the FY11 Clinical Trial Award (CTA)?
ITEA is aimed at smaller, earlier-stage evaluations (generally Phase II or Phase I/II). The separate FY11 Clinical Trial Award (CTA) is intended for larger Phase II/III trials when substantial preliminary and preclinical evidence already exists.
4. What kinds of clinical trials are supported under ITEA?
ITEA targets early phase or pilot clinical trials, generally Phase II or Phase I/II for drugs. For devices, it includes FDA device Classes I through III, as long as the work is conducted prospectively as a clinical trial.
5. Is preliminary data required to apply?
No. The ITEA announcement explicitly does not require preliminary data.
6. What does the program mean by "innovation"?
Innovation can mean testing a novel approach for GWI, or adapting an intervention that has been used or studied in related chronic multi-symptom illnesses (for example, fibromyalgia or chronic fatigue syndrome) but has not been evaluated in Gulf War veterans with GWI. Even if an approach is borrowed from another field, the research must remain clearly centered on GWI.
7. What types of interventions can be tested?
A broad range of treatment approaches can be tested, including conventional pharmacologic or physiological interventions, complementary approaches, and combination strategies, as long as they are tested prospectively within a clinical trial framework.
8. What study designs are allowed under ITEA?
Because this is a pilot mechanism, a wide variety of prospective study designs are allowed. Examples include systematic case series, prospective outcome evaluations, small randomized trials, hybrids of these approaches, and other creative prospective methods suitable for early testing.
9. Are non-randomized studies still treated as clinical trials under this announcement?
Yes. The announcement treats all intervention studies as clinical trials regardless of whether the design is randomized.
10. Are retrospective studies eligible under ITEA?
No. Retrospective or non-interventional work is explicitly excluded from this mechanism and is expected to be submitted under other GWIRP funding options.
11. Can ITEA funds be used for preclinical research?
No. Funding under ITEA must support a clinical trial and cannot be used for preclinical research.
12. What outcomes does the program want investigators to measure?
The program is interested in changes in global health (including biomarkers) and/or functional status, as well as improvements across the symptom complexes commonly seen in GWI.
13. Which Gulf War Illness symptom areas are specifically highlighted?
The announcement highlights cognitive issues, musculoskeletal pain, gastrointestinal symptoms, fatigue, respiratory problems, skin abnormalities, and sleep difficulties. It also emphasizes that these symptoms may interact with each other.
14. Does the program encourage analysis of different subgroups of GWI?
Yes. The program is interested in analyses that consider GWI subgroups defined by symptom patterns or other clinical characteristics, reflecting the heterogeneous nature of GWI.
15. Are projects focused on PTSD or other psychiatric conditions eligible?
No. Projects focused primarily on treatment of psychiatric conditions, including PTSD, are not eligible under this announcement.
16. Are projects focused on ALS eligible under ITEA?
No. Proposals focused on ALS are not accepted under this announcement. ALS work is directed to a separate FY11 ALS Research Program.
17. How must applicants define a Gulf War Illness case for eligibility?
Applicants must clearly define what constitutes a GWI case for the study and must cite a published case definition that recognizes the multisymptom nature of GWI.
18. Does the opportunity reference any specific resource for case definitions and prior research?
Yes. The announcement points investigators to the 2008 Research Advisory Committee on Gulf War Veterans Illnesses report for background on case definitions and prior treatment research.
19. How quickly must trials begin after an award is made?
Trials are expected to begin within 12 months of the award date.
20. What readiness expectations exist for the intervention (drug or device) at the time of award?
The intervention should already be available in sufficient quantity and be ready for clinical use in the proposed trial at the time of award.
21. What are the expectations regarding access to Gulf War veteran participants?
Applicants must demonstrate access to an appropriate Gulf War veteran population and provide a credible accrual plan that explains how enrollment targets will be met and how standards of care could affect recruitment.
22. Is collaboration with the U.S. Department of Veterans Affairs encouraged?
Yes. Collaboration with investigators who have established access to ill and healthy Gulf War veterans, particularly within the U.S. Department of Veterans Affairs, is encouraged.
23. What is required for the statistical approach?
Applications are expected to include a clear statistical analysis plan and a power analysis tied to the study objectives.
24. Are there operational staffing expectations for running the trial?
Yes. The program expects a study coordinator to manage IRB and regulatory processes, coordinate multi-site activities if applicable, and support participant accrual. Evidence of institutional support is also required.
25. When is an IND required, and what is the timing requirement?
If the trial uses a drug not approved by the FDA for the proposed investigational use, an IND may be required and must be submitted to the FDA prior to grant submission.
26. When is an IDE required, and what is the timing requirement?
If the trial uses an investigational device not approved or cleared for the proposed clinical use, IDE requirements may apply and an IDE submission must be made prior to grant submission.
27. Can funding be withdrawn due to IND/IDE documentation issues?
Yes. The government reserves the right to withdraw funding if documentation of IND or IDE status is not obtained within 6 months of the award date.
28. What is the funding opportunity number for this award?
The Funding Opportunity Number is W81XWH-11-GWIRP-ITEA.
29. When was this opportunity posted, and what were the key dates?
It was posted on April 27, 2011. The application deadline was August 24, 2011, and the archive date was September 23, 2011.
30. Which agency is offering this opportunity, and what type of funding instrument is used?
This is a discretionary research and development opportunity offered by the Department of the Army (USAMRAA/CDMRP) using a grant/cooperative agreement instrument type.
31. Who is eligible to apply?
Eligibility is listed as unrestricted, meaning it is open to any entity type, subject to any additional eligibility language in the full announcement.
32. How many awards were anticipated and what was the estimated total funding?
The program anticipated making about two awards, with an estimated total funding amount of $1,440,000.
33. Is cost sharing or matching required?
No. The opportunity did not require cost sharing or matching.
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