Opportunity Information: Apply for PA 16 036

  • The HHS-NIH11 in the education, health sector is offering a public funding opportunity titled "Improving Outcomes in Cancer Treatment-Related Cardiotoxicity (R21)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.393, 93.837,.
  • This funding opportunity was created on Nov 17, 2015 and posted on Nov 17, 2015.
  • Applicants must submit their applications by Jan 07, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $200,000.00 in funding.
  • 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 (see text field entitled Additional Information on Eligibility for clarification).
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Opportunity Summary:

The grant opportunity titled "Improving Outcomes in Cancer Treatment-Related Cardiotoxicity (R21)" (Funding Opportunity Number PA 16-036) is a National Institutes of Health (NIH) discretionary research grant aimed at improving how clinicians and researchers identify, understand, and ultimately reduce heart-related side effects that can occur as a result of cancer therapy. The focus is on cancer treatment-related cardiotoxicity, meaning cardiovascular injury or dysfunction linked to anti-cancer treatments, with the practical goal of protecting heart health without compromising the effectiveness of cancer care. This is positioned as a collaborative effort, encouraging teams that bridge oncology and cardiology (and related disciplines) to develop approaches that better predict risk, detect problems early, and manage complications more effectively.

A central theme of the announcement is risk identification and characterization. Applications are expected to contribute to recognizing which patients are most likely to develop cardiotoxicity, and to clarifying how that risk presents across different patient populations and treatment contexts. Rather than treating cardiotoxicity as an after-the-fact complication, the FOA emphasizes evaluating cardiac risk prior to initiating cancer treatment. That means proposed research may involve new or improved ways to screen patients before therapy begins, stratify them into risk categories, and use that information to guide treatment planning and follow-up care.

The FOA also stresses integration: evidence-based cancer treatment regimens should be paired with appropriate screening, diagnostic, and management strategies aimed at preventing or mitigating cardiovascular dysfunction. In other words, it is not just about discovering biomarkers or building prediction models in isolation; it is also about how those tools would be used alongside real-world cancer treatment plans to reduce harm. The announcement seeks approaches that can be applied during active cancer treatment as well as throughout long-term survivorship, acknowledging that cardiotoxic effects can emerge immediately, accumulate over time, or become apparent years after therapy ends.

The scope of cancer therapies covered is broad and includes traditional cytotoxic chemotherapies, targeted agents, immunomodulatory therapies, and radiation therapy. The adverse cardiac outcomes of interest are those defined using cardiac-specific Common Terminology Criteria for Adverse Events (CTCAE), signaling that applicants should align their endpoints and toxicity definitions with standardized clinical criteria used in oncology research and practice. This emphasis on CTCAE helps ensure that proposed studies speak a common language for grading and tracking cardiovascular adverse events, which is important for comparability and eventual translation into clinical workflows.

Administratively, this is an NIH R21 mechanism, which typically supports early-stage, exploratory, or developmental research that can generate foundational data, validate a promising concept, or establish feasibility for a larger study. The listed award ceiling is $200,000, reflecting the smaller, proof-of-concept nature common to R21 projects. The opportunity was posted on November 17, 2015, created the same day, and shows a closing date of January 7, 2019 (with the same original and current closing date listed in the source information).

Eligibility is wide-ranging and includes many types of domestic organizations that commonly participate in federally funded research. Eligible applicants include state, county, city or township, and special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments as well as other tribal organizations; public housing authorities and Indian housing authorities; nonprofit organizations with or without 501(c)(3) status (excluding institutions of higher education in those nonprofit categories as listed); for-profit organizations other than small businesses; and small businesses. The sponsoring agency is listed as HHS-NIH11, and the program aligns with CFDA numbers 93.393 and 93.837, which correspond to NIH health research funding areas connected to cancer and heart, lung, and blood research.

Overall, this FOA is designed to stimulate practical, team-based research that reduces the cardiovascular toll of modern cancer therapy. It is geared toward projects that can meaningfully inform clinical decision-making by identifying who is at risk, evaluating risk before treatment begins, and testing integrated strategies for monitoring, diagnosing, and managing cardiotoxicity during treatment and across survivorship, all while keeping cancer outcomes front and center.

Frequently Asked Questions (FAQs)

What is the title and funding opportunity number for this grant?

The opportunity is titled "Improving Outcomes in Cancer Treatment-Related Cardiotoxicity (R21)" and the Funding Opportunity Number is PA 16-036.

Which agency is offering this funding opportunity?

The sponsoring agency is the National Institutes of Health (NIH), listed as HHS-NIH11.

What type of grant mechanism is this?

This is an NIH R21 mechanism, which is typically used for early-stage, exploratory, or developmental research designed to generate foundational data, validate a concept, or establish feasibility for future work.

What is the primary goal of this FOA?

The primary goal is to improve how clinicians and researchers identify, understand, and reduce heart-related side effects (cardiotoxicity) that can occur as a result of cancer therapy, while protecting heart health without compromising effective cancer care.

What does "cancer treatment-related cardiotoxicity" mean in this FOA?

It refers to cardiovascular injury or dysfunction linked to anti-cancer treatments, including effects that can arise during treatment, accumulate over time, or appear years after therapy ends.

What kinds of research approaches does the FOA emphasize?

The FOA emphasizes practical approaches that support clinical decision-making, including improving risk prediction, enabling early detection, and strengthening monitoring and management strategies for cardiotoxicity in the context of real-world cancer treatment plans.

Does the FOA focus only on discovering biomarkers or prediction models?

No. The FOA specifically stresses integration, meaning research should connect screening, diagnostic, and management strategies with evidence-based cancer treatment regimens, rather than developing tools in isolation.

What is meant by evaluating cardiac risk prior to initiating cancer treatment?

It means proposed research may focus on assessing cardiac risk before therapy begins, potentially through new or improved screening methods, risk stratification approaches, and ways to use that information to guide treatment planning and follow-up care.

Is the FOA interested in differences in risk across patient populations and treatment contexts?

Yes. A central theme is risk identification and characterization, including recognizing which patients are most likely to develop cardiotoxicity and clarifying how risk presents across different patient populations and treatment contexts.

At what points in the cancer care timeline should cardiotoxicity be addressed?

The FOA highlights approaches that can be applied during active cancer treatment as well as throughout long-term survivorship, acknowledging that cardiotoxic effects may occur immediately, develop gradually, or show up years later.

What cancer therapies are within the scope of this FOA?

The scope is broad and includes traditional cytotoxic chemotherapies, targeted agents, immunomodulatory therapies, and radiation therapy.

How should adverse cardiac outcomes be defined for studies under this FOA?

The FOA points to using cardiac-specific Common Terminology Criteria for Adverse Events (CTCAE) to define and grade cardiovascular adverse events, supporting standardized endpoints and comparability across studies.

Why does the FOA emphasize CTCAE for cardiotoxicity outcomes?

Because CTCAE is a standardized clinical framework used in oncology research and practice for grading adverse events. Aligning cardiac endpoints with CTCAE helps studies use a common language that can support comparison and translation into clinical workflows.

What is the maximum award amount mentioned for this opportunity?

The listed award ceiling is $200,000, consistent with the proof-of-concept nature common to R21 projects.

When was this funding opportunity posted and when does it close?

The opportunity was posted on November 17, 2015 (and created the same day). The closing date shown is January 7, 2019, with the same date listed as both the original and current closing date in the provided source information.

Who is eligible to apply for this grant?

Eligibility is broad and includes many domestic organization types, including:

  • State governments
  • County governments
  • City or township governments
  • Special district governments
  • Independent school districts
  • Public and state-controlled institutions of higher education
  • Private institutions of higher education
  • Federally recognized Native American tribal governments
  • Other Native American tribal organizations
  • Public housing authorities
  • Indian housing authorities
  • Nonprofit organizations with or without 501(c)(3) status (excluding institutions of higher education in those nonprofit categories as listed)
  • For-profit organizations other than small businesses
  • Small businesses

Does the FOA encourage collaboration across disciplines?

Yes. It is positioned as a collaborative effort that encourages teams bridging oncology and cardiology (and related disciplines) to develop better ways to predict risk, detect cardiotoxicity early, and manage complications.

What is the practical clinical emphasis of this funding opportunity?

The practical emphasis is on reducing cardiovascular harm from modern cancer therapy by improving risk assessment before treatment, integrating monitoring and management with cancer treatment plans, and supporting patient health during treatment and survivorship without sacrificing cancer outcomes.

Which CFDA numbers are associated with this opportunity?

The program aligns with CFDA numbers 93.393 and 93.837, described in the provided information as NIH health research funding areas connected to cancer and to heart, lung, and blood research.

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