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NATIONAL HEART, LUNG, AND BLOOD INSTITUTE (NHLBI)

Description:

The NHLBI plans, conducts and supports research, clinical trials and demonstration and education projects related to the causes, prevention, diagnosis and treatment of heart, blood vessel, lung, and blood diseases and sleep disorders. It also supports research on the clinical use of blood and all aspects of the management and safety of blood resources. The NHLBI SBIR/STTR program fosters basic, applied, and clinical research on all product and service development related to the mission of the NHLBI. For more specific information about areas of interest to the NHLBI and a link to the NHLBI Strategic Plan, please visit our home page at http://www.nhlbi.nih.gov. Research topics of interest include, but are not limited to research and development under the following specific initiatives as well as the topic areas listed under each of the NHLBI Divisions below: Phase IIB Competing Renewal Awards The NHLBI will accept Phase IIB SBIR Competing Renewal grant applications from NHLBI-supported Phase II SBIR awardees that propose to perform research required to obtain Food and Drug Administration (FDA) clearance or approval of the Phase II product in the form of a Premarket Notification (510(k)), Investigational Device Exemption (IDE), Premarket Approval Application (PMA), Humanitarian Device Exemption (HDE), Biologics License Application (BLA), Investigational New Drug (IND), or New Drug Application (NDA). This renewal grant should allow small businesses to commercialize their product or get to a stage where interest and investment by third parties is more likely. Such products include, but are not limited to medical devices, biological products, and drugs related to the mission of the NHLBI. The Competing Renewal application must be a renewal and logical extension of a previously completed NHLBI-supported Phase II (R44) SBIR grant. NHLBI grantees seeking SBIR Phase IIB Competing Renewal funding are to submit an application no later than the first six receipt dates following expiration of the previous Phase II project budget period. Exceptions to this submission timing are rare and must first be discussed with NHLBI program staff. Budgets up to $1,000,000 total costs per year and time periods up to 3 years may be requested for this Phase IIB Competing Renewal opportunity. NHLBI Phase II awardees planning to apply to this renewal opportunity are expected to have already initiated interactions with the FDA, so that they understand the regulatory process and factor that into their renewal research plan. Applicants must include a brief description of the FDA regulatory pathway being pursued for their project and a timeline for this pathway in the Experimental/Research Design and Methods Section of the application. An applicant must also submit evidence that they have contacted the appropriate FDA Center and that their research plan and objectives follow FDA requirements or guidance for the further development of their proposed medical device, drug, or biologic. Examples that provide evidence of FDA interaction are letters or emails between the company and the appropriate FDA Center personnel or meeting minutes concerning a presubmission meeting or regarding a 510(k), IDE, PMA, HDE, BLA, IND, or NDA application. Copies of these letters, emails or minutes should be attached in the Letters of Support section in the PHS398 Research Plan Component. Applicants may also provide details of their interaction with the FDA in the description of their regulatory pathway. This should include the FDA contact and date of interaction. An updated commercialization plan is also required. Providing evidence of partnerships between the SBIR Phase IIB Competing Renewal applicant and third-party investors and or/strategic partners is encouraged. Prospective applicants are strongly encouraged to contact NHLBI program staff prior to submission of an SBIR Phase IIB Competing Renewal application. Although it is not required, prospective applicants are strongly encouraged to submit to the program contact a letter of intent that includes the following information: • Descriptive title of the proposed research • Brief project description (less than one page) • Name, address, and telephone number of the Principal Investigator • Names of other key personnel • Participating institutions Examples of research that would be considered responsive to this announcement are listed below for illustrative purposes and are not exclusive of other appropriate activities. • FDA-required pre-clinical studies beyond those conducted under the Phase I (R43) and initial Phase II (R44) grants. • Completion of pre-clinical and clinical studies required by the FDA for an Investigational New Drug (IND) application and New Drug Application (NDA). • FDA-required pre-clinical and clinical safety and effectiveness studies of medical devices and tissue engineered products for an IDE, 510(k) clearance of PMA approval. • FDA-required biocompatibility studies of surface materials of putative medical implants or other studies needed for 510(k) clearance or PMA approval. • FDA-required assessments of novel imaging systems. If the application results in an award from NHLBI, the grantee will be requested to provide information to their Project Officer about the ongoing status of their interactions with the FDA and any regulatory issues that might come up as the project proceeds. If feasible, grantees should formally invite their Project Officer to participate with them in their interactions with the FDA during the course of the project. NHLBI also encourages the grantee to inform their NHLBI Program Officer when they have received the relevant FDA clearance. Helpful FDA websites for initiating FDA communication: Office of Combination Products http://www.fda.gov/oc/combination/ Center for Drug Evaluation and Research (CDER) http://www.fda.gov/cder/index.htmlhttp://www.fda.gov/cder/ Drug Approval Databasehttp://www.fda.gov/oc/combination/ http://www.accessdata.fda.gov/scripts/cder/drugsatfda/ CDER "Information for Industry" http://www.fda.gov/cder/info/industry.htm Center for Biologics Evaluation and Research (CBER) http://www.fda.gov/cber/index.html Center for Devices and Radiological Health (CDHR) http://www.fda.gov/cdrh/index.html CDRH Device Advice http://www.fda.gov/cdrh/devadvice/ Contacts in CDRH, including DSMICA (Division of Small Manufacturers, International, and Consumer Assistance http://www.fda.gov/cdrh/contacts.html CDRH User Fee Information http://www.fda.gov/cdrh/mdufma/index.html Device Clearances and Approvals http://www.fda.gov/cdrh/mdufma/index.html Select: “Premarket Approvals:” or Premarket Notifications (510(k))s. Direct questions about scientific/research issues to: Cardiovascular Sciences J. Timothy Baldwin, Ph.D. Division of Cardiovascular Sciences National Heart, Lung, and Blood Institute 6701 Rockledge Drive, Room 8206 Bethesda, MD 20892-7940 Telephone: 301-435-0513 Fax: 301-480-1454 Email: baldwint@nhlbi.nih.gov Bishow Adhikari, Ph.D. Division of Cardiovascular Sciences National Heart, Lung, and Blood Institute 6701 Rockledge Drive, Room 8186 Bethesda, MD 20892-7956 Phone: 301-435-0504 Fax: 301-480-7404 Email: adikarb@nhlbi.nih.gov Lung and Sleep Mrs. Ann Rothgeb Division of Lung Diseases National Heart, Lung, and Blood Institute 6701 Rockledge Drive Bethesda, MD 20892-7952 Telephone: 301-435-0202 Fax: 301-480-3557 Email: ar31t@nih.gov Blood Phyllis Mitchell, M.S. Division of Blood Diseases and Resources National Heart, Lung, and Blood Institute 6701 Rockledge Drive, Room 9143 Bethesda, MD 20892-7950 Telephone: 301-435-0481 Fax: 301-480-0867 Email: mitchelp@nhlbi.nih.gov Prevention and Population Sciences Shari Eason Ludlam, MPH Division of Cardiovascular Sciences National Heart, Lung, and Blood Institute 6701 Rockledge Drive, (MSC 7936) Bethesda, MD 20892-7936 Telephone: 301-435-6667 Fax: (301)480-5158 Email: ludlams@nhlbi.nih.gov Paula T. Einhorn, M.D., M.S. Division of Cardiovascular Sciences National Heart, Lung, and Blood Institute 6701 Rockledge Drive, Room 10222 Bethesda, MD 20892-7936 Telephone: 301-435-0563 Fax: 301-480-1773 Email: einhornp@nhlbi.nih.gov Cardiovascular Sciences The NHLBI Division of Cardiovascular Sciences (DCVS) plans and directs research grant, contract, and training programs to support basic, clinical, population, and health services research on the causes, prevention, and treatment of cardiovascular diseases. These programs encompass institute and investigator-initiated basic research, targeted research, specialized centers and clinical trials. The DCVS maintains surveillance over developments in its program areas and assesses the national need for research on the causes, prevention, diagnosis, and treatment of cardiovascular disease. The DCVS ensures that effective new techniques, treatments and strategies resulting from medical research are transferred to the community through professional, patient, and public education programs in a timely manner. DCVS-supported research also includes a broad array of epidemiological studies to describe disease and risk factor patterns in populations and to identify risk factors for disease; clinical trials of interventions to prevent and treat disease; studies of genetic, behavioral, sociocultural, and environmental influences on disease risk and outcomes; and studies of the application of prevention and treatment strategies to determine how to improve clinical care and public health. The Division is comprised of three programs, in which reside eight branches, and the Office of Research Training and Career Development, and the Office of Biostatistics Research. These are described below. Adult and Pediatric Cardiac Research Program Atherothrombosis and Coronary Artery Disease Branch. Supports basic, translational, and clinical research on the etiology, pathogenesis, prevention, diagnosis, and treatment of coronary artery disease and atherothrombosis. Heart Development and Structural Diseases Branch. Supports basic, applied, and clinical research in normal and abnormal cardiovascular development as well as the etiology, pathogenesis, prevention, diagnosis, treatment of pediatric and adult structural heart disease, and heart transplantation. Heart Failure and Arrhythmias Branch. Supports basic, translational, and clinical research on normal cardiac function and pathogenesis to improve the diagnosis, treatment, and prevention of heart failure and arrhythmias. Basic and Early Translational Research Program Advanced Technologies and Surgery Branch. Supports basic, translational, and clinical research on innovative and developing technologies for the diagnosis, prevention, and treatment of cardiovascular diseases. Vascular Biology & Hypertension Branch. Supports basic, translational, and clinical research on vascular biology and the etiology, pathogenesis, prevention, diagnosis, and treatment of hypertension and vascular diseases. Population Sciences Program Clinical Applications and Prevention Branch. Supports, designs, and conducts research on behavioral, environmental, clinical, and healthcare approaches to reduce occurrence and consequences of cardiovascular diseases. Epidemiology Branch. Supports, designs, and conducts research in the epidemiology of cardiovascular, lung, blood and sleep diseases and disorders. Women’s Health Initiative Branch. Supports clinical trials and observational studies to improve understanding the causes and prevention of major diseases affecting the health of women. Current studies focus on cardiovascular disease, cancer, and fractures, in collaboration with NCI, NIAMS, NIA, NINDS, and ORWH. Office of Research Training and Career Development. This office supports research training and career development programs for individuals at many educational levels, from high school to faculty, as well as training programs for individuals from under-represented groups. Many of these programs are designed to take emerging and promising scientific and technological advances from discovery through pre-clinical and clinical studies. A K12 institutional training program, Research Career Development in Vascular Medicine, was established in 2007 to provide comprehensive clinical research training for physicians wanting to specialize in vascular medicine. The office also collaborates with the scientific community and professional organizations to ensure that training programs meet both the current and future needs of the cardiovascular research workforce. Office of Biostatistics Research (OBR). Provides statistical expertise to members of all Divisions of the NHLBI and performs diverse functions in planning, designing, implementing and analyzing NHLBI-sponsored studies. The OBR is concerned with designing efficient studies and monitoring data while studies are ongoing. The OBR’s methodological interest concern survival analysis, longitudinal data analysis, and efficient study designs, including the monitoring of ongoing clinical studies for efficacy and safety. Recently the OBR has made contributions to statistical genetics and has extended its expertise to bioinformatics. Research topics of interest to the Division of Cardiovascular Sciences include but are not limited to the following: A. Clinical research/intervention studies designed to improve cardiovascular disease outcomes 1. Approaches to facilitating adoption of evidence-based guidelines 2. Approaches to improving care of cardiovascular patients transitioning from hospital to ambulatory or home care 3. Approaches to improving prevention and treatment of ischemic heart disease (IHD), including prevention of recurring events and optimization of functional capacity in patients with IHD B. New or improved clinical trial methodologies, including modeling and simulations and “value-of-information” research C. Novel and improved lifestyle interventions, including matching patients to lifestyle, intervention, or treatment D. Health-care systems and outcomes research, including development of new quality measures for evidence-based cardiovascular health care E. Models of behavior modification and other approaches to behavior change F. Preventative Approaches 1. Nutrition and dietary interventions and products 2. Technologies to control weight 3. Stress reduction interventions 4. Smoking cessation interventions 5. Physical activity interventions 6. Interventions to promote healthy lifestyles, adherence to medications, and cardiac rehabilitation, including stress and exercise G. New or improved treatment agents or strategies, including medications and devices H. New or improved methods, tools, and techniques for: 1. Screening, assessment, and tracking of hypertension, coronary heart disease, heart failure and other cardiovascular risk factors and diseases 2. Communication of research results 3. Collection, transmission, management and analysis of clinical data 4. Population tracking 5. Communication with minority and low-income populations 6. Disease self-management, including telemetric monitoring 7. Assessing polypharmacy, particularly for the elderly I. New or improved measures, analytical methods, and instruments for: 1. Gene expression in individuals 2. Heart failure, including diastolic heart failure 3. Small vessel disease 4. Behavioral and lifestyle variables, e.g., diet and physical activity (Note: Measures include survey questionnaires.) 5. Psychosocial assessment, especially in minority populations, including chronic social stress, depression, and discrimination 6. Sleep useful for population based studies 7. Impaired glucose tolerance 8. Nutrition and physical activity 9. Patient responses to behavioral or medical interventions 10. Quality of life and other components of health status 11. Patient adherence/compliance 12. Cell immortalization, storage and distribution service J. Materials and Devices 1. Angioscopes with increased flexibility and enhanced resolution 2. Medical implants (heart valves, vascular grafts, stents, pacemakers, defibrillators, intracardiac hemodynamic monitors, etc.): a. Novel technologies (e.g., nanofabrication), designs and materials b. Failure prediction/analysis c. Manufacturing d. Monitoring e. Preservation methods f. Quality assurance and quality control g. Reference biomaterials for evaluation of biocompatibility h. Reliability i. Biological response j. Devices designed specifically for pediatric patients and/or patients with congenital heart disease 3. Circulatory support systems: a. Artificial heart b. Ventricular assistance c. Automatic control d. New animal models for in vivo testing e. Percutaneous and transcutaneous transmission of electrical energy f. Implantable rechargeable batteries and alternate power sources 4. Percutaneous valve technology 5. Molecular probes 6. Biological, chemical, and mechanical sensors 7. Diagnostic instrumentation for the mouse and rat 8. Devices to improve resuscitation outcomes 9. Point-of-care (POC) devices for monitoring, diagnostics, and personalized medicine a. Biosensors for detection of early ischemia in the absence of necrosis b. Minimally-invasive monitoring of heart rhythm, cardiac hemodynamics and/or blood pressure K. Computing and Informatics 1. New or Improved Software for: a. Clinical trials b. Epidemiology studies c. Literature abstracting d. Meta-analysis e. Statistical analysis f. Shared clinical decision-making g. Monitoring and providing feedback to patients and providers in clinical care settings h. Analysis of context-dependent genetic effects i. Longitudinal data analysis j. Microarray data analysis k. Automated systems for genotyping quality control and error checking l. Sequencing data analysis 2. Computerized systems to support evidence-based clinical practice in prevention and treatment of hypercholesterolemia, coronary heart disease, heart failure, hypertension, and other cardiovascular risk factors and diseases 3. Interactive databases 4. Computational Modeling: a. Systems biology approaches to study complex disease b. Mathematical and computer modeling of the cardiovascular system in health and disease. Examples include: vessel wall biology; hemodynamics in complex congenital heart disease; structure, function, and electrical activity of the normal and diseased heart; blood pressure regulation c. Optimization of implantable defibrillator algorithms for arrhythmia prediction, efficient intervention, device fault detection or early failure detection 5. Informatics: a. Novel use of information technology to enhance adherence to medical regimens or promote translational research. Examples include: use of the Electronic Health Record (EHR) to improve clinical care; research to interface clinical trial and registry data bases with common source data found in the EHR. b. Approaches to integrating diverse types of data from cardiovascular research, including genomic data L. Animal Models 1. Development of phenotypic screening methods in the mouse for cardiovascular diseases 2. Animal models for assessing genetic determinants of disease 3. Animal models of cardiovascular diseases. Examples include: complications of diabetes mellitus, cerebrovascular disease, arrhythmias, aortic aneurysms, and lower extremity arterial disease M. OMICS Methods and Analytical Approaches 1. Genetics and epigenetics: a. Relationship, structure, and function of genes and their products b. Technologies for gene discovery, assessment, and diagnostics c. Genetics of complex diseases –gene/gene and gene/environment interactions, epigenetics (heritable, non-sequence variations in DNA and its associated proteins) d. Pharmacogenetics/Pharmacogenomics and personalized medicine 2. Genomics 3. Metabolomics 4. Proteomics 5. RNA - Development of new and improved antisense agents and RNA interference (RNAi) technologies for cardiovascular disease therapies 6. Sequencing 7. Integration and combined analysis of OMICS data N. Preventive Approaches 1. Nutrition and dietary interventions and products 2. Technologies to assess energy balance and control weight O. Transplantation 1. Methods to induce tolerance to cardiac allografts 2. Non-invasive methods to diagnose cardiac allograft vasculopathy and cellular and antibody mediated rejection 3. Strategies to enhance donor utilization such as better preservation methods for cardiovascular tissues or organs 4. Immunosuppression-including renal sparing strategies 5. Pediatric heart transplantation P. Training and Education 1. Community education and demonstration research studies 2. Studies of cardiovascular disease information, education, prevention, and treatment systems for use in primary medical care and home care, including care by family caregivers 3. Training techniques and modules 4. Interactive web-based programs for health promotion 5. Instructional, research, and clinical computer programs for the normal and abnormal cardiovascular system 6. Educational materials and approaches targeting self-directed or supervised exercise therapy for (1) treatment and management of peripheral arterial disease, coronary heart disease, or heart failure and (2) for children and adults with congenital heart disease to improve exercise capacity and to prevent or treat obesity in this population. Q. Diagnostic and Therapeutic Approaches 1. Device-Related: a. Interventions to improve resuscitation outcomes b. Device-based approaches aimed at preventing cardiac ischemia/reperfusion injury c. Improved devices and technologies to detect and treat arrhythmias d. Robotics in treatment of cardiovascular disease. For example: treatment of congenital heart disease e. Computer-assisted surgery for treating cardiovascular diseases f. Point-of-care (POC) approaches and techniques g. Technologies targeting self-directed or supervised exercise therapy for treatment and management of peripheral arterial disease h. Non-invasive device strategy to monitor ambulatory heart rhythm over extended period 2. Cell or Gene-Based: a. Development of gene-based or cell-based therapies for cardiovascular diseases b. Tissue engineering and cell or gene-based approaches for repair or replacement of damaged or diseased tissue c. Genetic testing or screening for inherited cardiovascular diseases and defects d. Biomarkers and surrogate markers for risk assessment, detection, and monitoring of cardiovascular diseases e. Biomarkers for long term exposure to environmental factors including diet, physical activity, smoking, alcohol, and contaminants f. Development of viral and non-viral vectors for gene therapy for cardiovascular diseases g. Pro- and anti-angiogenic and vasculogenic genes, proteins and drugs 3. Other: a. Prognostic assays b. Approaches and technologies to measure lipid content in the blood c. Standardized assays of glycosolated hemoglobin d. Non-invasive methods of detecting cardiac rejection, particularly in infants and young children e. Non-toxic and selective molecular cages for delivering short-lived vasoactive agents to the vasculature f. High-throughput assays or screening for cardiovascular research and disease detection g. Non-invasive diagnostic tests. For example: salt sensitivity; vascular and renal tubular fluid dynamics h. Heart failure, early detection and treatment strategies i. Novel approaches to reduce cardiac ischemia/reperfusion injury following myocardial infarction j. Anti-hypertensive drugs from natural and synthetic sources k. Vaccines for the prevention or treatment of atherosclerosis or other cardiovascular diseases l. Technologies, tools, and/or processes to better study transient molecular complexes that are an integral part of normal cell physiology or that play a role in cardiovascular disease processes m. Tools to investigate mitochondrial functions and interactions with cell components in vivo or in intact single cells n. Atrial fibrillation, tools for non-invasive strategy for early detection and management R. Imaging 1. Molecular and cellular imaging, including imaging to detect gene expression and to track viable implanted stem cells 2. Imaging methods to measure molecular events in living cells in real time. For example: luminescent dyes to measure toxic metabolic intermediates; optical imaging methods for dynamic tracking of reactive species within organelles; echogenic molecular imaging agents that signal early events in calcific aortic valve disease 3. New medical imaging systems, enhancements, equipment, materials, software, and applications 4. Imaging characterizing vessel walls and lesions 5. Clinical imaging in congenital heart disease 6. Neuro-imaging in hypertension 7. Radiologic phantoms mimicking the human cardiovascular system 8. High resolution functional and molecular imaging of the human lymphatic system 9. 3-D fetal echocardiography or magnetocardiography 10. Image-guided therapy: Catheter and imaging guidance system for mapping and ablation to treat cardiac arrhythmias 11. MRI-compatible diagnostic electrophysiology catheters and MRI-compatible ablation catheters 12. New ambulatory imaging of cardiac rhythm to detect irregular or aberrant atrial or ventricular impulses over long (week(s)) period of observation. Lung Diseases The NHLBI Division of Lung Diseases (DLD) maintains surveillance over developments in pulmonary research and assesses the Nation's need for research on the causes, prevention, diagnosis, and treatment of pulmonary diseases. Also within the purview of the Division are: technology development, application of research findings, and research training and career development in pulmonary diseases. The DLD plans and directs the research and training programs which encompass basic research, applied research and development, clinical investigations, clinical trials, and demonstration and education research. The Division has three branches: the Airway Biology and Disease Branch, the Lung Biology and Disease Branch, and the National Center on Sleep Disorders Research. Airway Biology and Disease Branch. Focuses on basic and clinical research, education and training related to chronic obstructive pulmonary disease, asthma, cystic fibrosis, bronchiolitis, lung imaging, and airway function in health and disease. Lung Biology and Disease Branch. Supports research, education, and training programs in lung cell and vascular biology, including pulmonary hypertension, lung development and pediatric lung diseases, stem cell biology, acute lung injury and critical care medicine, lung immunobiology and interstitial lung diseases, lung transplantation, lymphangioleiomyomatosis, lung imaging, and pulmonary conditions associated with AIDS including tuberculosis. National Center for Sleep Disorders Research. Focuses on basic research using state-of-the-art approaches to elucidate the functions of sleep including the fundamental regulation of genomic function and circadian timing in peripheral tissues; patient-oriented research to improve the diagnosis and treatment of sleep disorders; and applied research to evaluate the scope and health consequences of sleepiness and sleep disorders, especially sleep disordered breathing. Research topics of interest to the Division of Lung Diseases include but are not limited to the following: A. Diagnostic Tools 1. Computer algorithms for reading and comparing chest radiographs and scans (computed tomography, radioisotopes, etc.) using digitized images 2. Tools to diagnose and treat respiratory abnormalities during sleep in infants, children, and adults 3. Diagnostic proteomics and metabolomics, including methods for early diagnosis of lung disease and characterization of the function/dysfunction of particular cell types 4. Non-invasive measurement of blood gases, hemodynamics and respiratory function in infants, in children, and in adults 5. Non-invasive methodologies for measuring airways inflammation in asthma 6. Non-invasive markers of lung disease activity 7. Non-invasive methods to detect pulmonary thromboembolism, hypertension, and edema 8. Probes to monitor peripheral tissue oxygenation in vivo 9. Probes to non-invasively monitor arterial carbon dioxide 10. Use of ambulatory monitoring techniques to diagnose and manage respiratory disorders of sleep 11. Ambulatory monitoring of oxygenation in infants 12. Computerized tomography to quantify and monitor pulmonary disease processes 13. Virtual bronchoscopy (this is a radiologic 3D reconstruction of the lungs with imaging to approximate bronchoscopy) 14. Novel methods for bioassays 15. Methodologies that provide an objective and semi-quantitative assessment of sleepiness in children and adults 16. Non-invasive imaging technologies to assess neurophysiological and regional brain blood flow changes associated with sleep disorders and other causes of excessive daytime sleepiness 17. Develop placebos for inhaled medications used in clinical trials of lung diseases 18. Detection of injury and repair of the lungs (e.g. after aspiration, near drowning, ARDS) 19. Develop a spectrum of clinically relevant biomarkers (biosensors, bioimaging) on rate-limiting and downstream effects of CF and COPD pathophysiology (mucus production, hydration, inflammation, ion transport, lung disease heterogeneity) 20. Develop new sensitive markers of CF lung disease onset and progression in infants and young children that link to clinically meaningful outcomes and are suitable for showing a response to disease intervention. This might include radiographic (or other imaging) measures of structural lung disease in concert with measures of physiologic function at the macroscopic level B. Information and Health Education Tools 1. Health information technologies to promote adoption and implementation of asthma clinical practice guidelines in medical practice 2. Health education methodologies for patients, families, or communities to prevent or cope with lung diseases or to reduce their impact, especially among people with asthma who are minorities or living in poverty 3. Information systems to coordinate patient management and monitoring among patients and health care professionals 4. Innovative smoking cessation programs 5. Interventions to reduce passive smoking exposure in infants and children 6. Use of interactive and computer technology to teach self management to asthma and chronic obstructive lung disease patients 7. Educational interventions to reduce the risk of cardiopulmonary disease and improve worksite productivity and school performance through the prevention and management of insufficient sleep and poor sleep environment conditions 8. Methods to improve patient adherence with sleep disordered breathing treatments 9. Develop and test novel and effective approaches to educate the public, physicians, and/or health care systems to increase patient and provider participation in lung and sleep research 10. Develop and test novel and effective approaches to increase patient and/or provider adherence to clinical practice guidelines for management of lung diseases and respiratory sleep disorders 11. Develop and test novel and effective approaches to build capacity for self-management of chronic lung diseases and sleep disorders C. Materials and Devices 1. Blood substitutes to improve gas exchange 2. Emergency, portable, and servo-controlled ventilatory support devices 3. Improved aerosol delivery systems, particularly for young infants and/or children 4. Improved aerosol delivery systems for ventilated patients 5. Improved devices for continuous oxygen administration, including airline travel 6. Improved extracorporeal or implantable devices for blood gas exchange (artificial lung) 7. New approaches and technologies that can be used to engineer functional tissue, in vitro, for replacement or repair of damaged or diseased lung tissue, in vivo 8. Thrombo-resistant materials for extracorporeal or implantable devices for blood gas exchange and for indwelling catheters 9. Development of miniaturized devices for home monitoring and assessment of periodic breathing, infant apneas associated with hypoxemia, and sleep disordered breathing in adults. 10. Improved CPAP interfaces (i.e., nasal, face masks) for young children and individuals with craniofacial abnormalities 11. Devices to correct congenital disorders of the upper airway 12. Improved low-flow oxygen delivery systems (including cannula) that permit mobility for young children 13. Devices/materials for chest wall disorders (including scoliosis), such as minimally invasive spinal growth modulation instrument; implantable devices for self expansion (child to adult); absorbable biomaterials (rather than metal plates) for fracture repair 14. Develop placebos for inhaled medications used in clinical trials of lung disease D. Methods 1. “Clean” animal models for Pneumocystis carinii infections 2. Culture Pneumocystis carinii in vitro 3. Determine viability and enumeration of infectious Pneumocystis carinii organisms 4. Development and standardization of in vitro systems for the study of pulmonary epithelial (airway) cells and pulmonary endothelial (vascular) cells 5. Identification of genes causing and modifying lung diseases 6. Identify and detect lung cell specific differentiation markers 7. Identify loss of epithelial integrity 8. Measurement of exhaled nitric oxide 9. Measurement of airway surface liquid 10. Measurement of pH in airways 11. Identify lung stem cell types 12. Identify species and strain differences of Pneumocystis carinii 13. Isolate, identify, and characterize cells found in pulmonary granulomas 14. Three-dimensional static, mathematical, cell culture models of airways and alveoli to define parameters determining aeropollutant absorption, deposition, and effects 15. Develop technologies and tools for use in genomic or proteomic investigations of pulmonary diseases 16. New technologies and instrumentation scaled for high-throughput phenotypic characterization of sleep in animal models 17. Development of high throughput screening methods of pharmaceuticals for lung diseases; for example, using induced pluripotent stem cells derived from lungs of patients with genetic lung disorders 18. High volume, inexpensive assays to assess variations in gene expression related to circadian and behavioral state (sleep and wakefulness) 19. Simultaneous assessment of physical activity and sleep. Dual-purpose ambulatory devices, equally suitable for the objective assessment of physical activity and sleep in population-based cohorts 20. Develop nanotechnology for non-invasive airway sampling E. Treatments 1. Delivery of specific drugs (e.g., antioxidants, artificial proteinase inhibitors, surfactant) and cell-based reagents to the lungs for treatment of pulmonary and non-pulmonary diseases 2. Gene therapy for cystic fibrosis, alpha-1-antitrypsin deficiency, primary pulmonary hypertension, and other inborn errors of metabolism affecting the lungs 3. Improved aerosol delivery systems 4. Novel pharmacologic and gene therapy approaches for asthma, acute lung injury, idiopathic pulmonary fibrosis, and bronchopulmonary dysplasia 5. Pharmacological means of stimulating growth and repair of alveoli and reparative or restorative elastogenesis in lungs suffering emphysematous changes 6. Countermeasures for excessive daytime sleepiness, including methods that alter the output of the circadian clock to optimize sleep and wakefulness 7. New pharmacological agents for the treatment of sleep disorders, especially sleep disordered breathing 8. New vaccination/immunomodulatory strategies to prevent exacerbations of Chronic Lung Disease 9. Design of new and effective non-viral vectors and delivery systems for gene therapy targeted to lung disease. Blood Diseases and Resources The NHLBI Division of Blood Diseases and Resources (DBDR) plans and directs research and research training and career development programs, on the causes, prevention, and treatment of nonmalignant blood diseases, including anemias, sickle cell disease, and thalassemia; premalignant processes such as myelodysplasia and myeloproliferative disorders; hemophilia and other abnormalities of hemostasis and thrombosis; and immune dysfunction. Funding encompasses a broad spectrum of research ranging from basic biology to medical management of blood diseases. The Division has a major responsibility for research to improve the adequacy and safety of the nation's blood supply. It also plays a leading role in transfusion medicine research and applying stem cell biology to the development of new cell-based therapies to repair and regenerate human tissues and organs. The Division has three branches: the Blood Diseases Branch, the Thrombosis and Hemostasis Branch, and the Transfusion Medicine and Cellular Therapeutics Branch. Blood Diseases Branch. Supports research and training for sickle cell disease, thalassemia, aplastic anemia and other red cell disorders from basic research on globin genes to clinical management. Thrombosis and Hemostasis Branch. Supports research and training in occlusive disorders involved in deep vein thrombosis, in cardiovascular diseases and stroke, and in bleeding disorders. Transfusion Medicine and Cellular Therapeutics Branch. Supports research and training in transfusion medicine, blood safety and resources, stem cell biology and disease, clinical cellular medicine; and Resource Programs that provide phenotypically-characterized biospecimens and GMP-grade cell therapies to the scientific community. Research topics of interest to the Division of Blood Diseases and Resources include but are not limited to the following: A. Animal models for blood diseases 1. Anemias including: sickle cell disease (development of larger animal models), thalassemia, Fanconi anemia, Diamond Blackfan anemia, and other anemias 2. Bleeding disorders including: hemophilia and von Willebrand disease 3. Inherited and acquired thrombocytopenias 4. Thrombosis and thrombolysis 5. Hereditary hemorrhagic telangiectasia 6. Paroxysmal nocturnal hemoglobinuria 7. Hemochromatosis 8. Myelodysplastic syndrome (MDS) and myeloproliferative disorders (MPD) B. Animal models for complications associated with transfusion of blood products or cell-based therapies 1. Transfusion Related Acute Lung Injury (TRALI) 2. Transfusion-associated immuno and inflammatory complications including alloimmunization 3. Transfusion-transmitted infections such as Transmissible Spongiform Encephalopathy (TSE) 4. Graft versus Host Disease 5. Microoxygenation models to evaluate the effect of RBC transfusion C. Animal models for the demonstration of safety and efficacy of novel cellular therapies including hemoglobin oxygen carriers (HBOC) D. Tools, reagents, and assays for investigations of blood diseases and cellular therapies 1. Nanotechnologies 2. Proteomics 3. Glycomics 4. Genomics 5. Non-invasive approaches to analytes E. Assays and technologies 1. Automated screening of therapeutic agents for blood diseases 2. Anti-thrombotic drug monitoring and thrombosis screening 3. Platelet functional tests 4. von Willebrand disease 5. Thrombotic Thrombocytopenia Purpura (TTP) 6. Multiplexed system for hemostatic factors, cytokines, and inflammatory agents 7. Non-invasive methodology to diagnose DVT and PE 8. Iron overload 9. Blood-borne infectious agents transmitted by blood transfusion, including agents causing babesiosis, dengue fever, malaria, and the transmissible spongiform encephalopathies such as variant Creutzfeldt-Jakob Disease (vCJD) 10. Diagnosis of inherited blood disorders 11. Information systems to manage and monitor continuous anti-coagulation 12. Prolonging the storage of transfusable blood components for therapeutic uses 13. Identification and characterization of microparticles and other bioactive substances in stored transfusable blood components 14. In vitro reduction, inactivation or removal of microorganisms and other infectious moieties from blood, blood components, and plasma derivatives 15. Platelet storage methods that preserve biological efficacy 16. Synthesizing, screening, and evaluating the safety and efficacy of therapeutic oxygen carriers 17. Synthesizing or purifying plasma proteins for therapeutic use 18. Measuring iron non-invasively 19. Non-invasive measurement of blood cell counts or other blood components 20. MHC haplotype determination by methods such as DNA fingerprinting techniques and single nucleotide polymorphisms 21. Tracking of engrafted cells using imaging and/or other techniques 22. Technologies to measure tissue microoxygenation 23. Development of HLA and HNA antibody assays 24. Cord blood collection devices 25. Microfluid assays for blood coagulation assessment 26. Quantitative technologies to predict engraftment of cell therapies including cord blood, peripheral blood and bone marrow F. Technologies and strategies to improve blood donor screening practices G. Drugs to Treat Hematologic Diseases and Cytopenic States 1. Anti-coagulants, including novel small molecule compounds 2. Specific agents to reverse the action of anti-coagulants 3. Oral anti-thrombotic agents 4. Dual action: anti-coagulants/anti-inflammatory agents 5. Anti-sickling agents or other pharmacologic approaches to the vasculopathy of sickle cell disease 6. Fetal hemoglobin enhancing agents 7. Fibrinolytic and anti-fibrinolytic agents 8. Iron chelation therapy including modification of existing agents to enhance efficacy 9. Replacement agents for hematologic factor deficiencies H. Cellular Therapies 1. Expansion of cell populations including ex vivo expansion of cord blood, peripheral blood and bone marrow 2. Production and standardization of immune-modulating cytokines or monoclonal antibodies 3. Directed in vitro stem cell differentiation 4. Development of in vivo techniques to monitor survival, growth and development and differentiation of engrafted cells 5. Reprogramming differentiated cells to increase their lineage potential including the creation of induced pluripotent stem cells I. Gene therapy vectors and delivery systems for the treatment of hematologic genetic diseases J. Prothrombotic and hemorrhagic biomarkers and risk factors K. Computational models for blood diseases and complications associated with transfusion of blood products and cellular therapies L. Bioinformatics to store and analyze genes, proteins, and biomarkers for hemostasis M. Equipment and procedures for the collection, separation, processing, preservation, storage, and distribution of blood and blood components and other cell therapies N. Education 1. Patient and physician health education programs to improve patient management and to prevent or reduce the impact of blood diseases 2. Physician education programs to evaluate effectiveness and improve adherence to transfusion medicine clinical guidelines 3. Physician education materials to evaluate the effectiveness of cell therapies including cord blood, peripheral blood, and bone marrow transplantation O. Public Health Education 1. Tutorials for community-based providers 2. Community health education programs in sickle cell disease, suitable for use in faith-based organizations or other community settings 3. Community health education programs to increase blood donation P. Newborn Screening 1. Genetic counseling programs for families of infants with hemoglobinopathies or trait 2. Innovative data or systems to track follow-up and patient outcomes For additional information on research topics, contact: Cardiovascular Sciences J. Timothy Baldwin, Ph.D. Division of Cardiovascular Sciences National Heart, Lung and Blood Institute 6701 Rockledge Drive, Room 8206 Bethesda, MD 20892-7940 301-435-0513, Fax: (310) 480-1454 Email: baldwint@nhlbi.nih.gov Pothur R. Srinivas, Ph.D. Division of Cardiovascular Sciences National Heart, Lung and Blood Institute 6701 Rockledge Drive, Room 8162 Bethesda, MD 20892-7956 301-435-0550, Fax: (310) 480-2858 Email: srinivap@nhlbi.nih.gov Bishow Adhikari, Ph.D. Division of Cardiovascular Sciences National Heart, Lung, and Blood Institute 6701 Rockledge Drive, Room 8186 Bethesda, MD 20892-7956 Phone: 301-435-0504 Fax: 301-480-7404 Email: adikarb@nhlbi.nih.gov Shari Eason Ludlam, MPH Division of Cardiovascular Sciences National Heart, Lung, and Blood Institute 6701 Rockledge Drive, (MSC 7936) Bethesda, MD 20892-7936 Telephone: 301-435-6667 Fax: 301-480-5158 Email: ludlams@nhlbi.nih.gov Dr. Paula Einhorn, M.D. Division of Cardiovascular Sciences 6701 Rockledge Drive, Room 10222 Bethesda, MD 20892-7938 301-435-0563, Fax: 301-480-1773 Email: einhornp@nhlbi.nih.gov Lung Diseases and Sleep Disorders Ms. Ann Rothgeb Division of Lung Diseases 6701 Rockledge Drive Bethesda, MD 20892-7952 301-435-0202, Fax: 301-480-3557 Email: ar31t@nih.gov Blood Diseases and Resources Ms. Phyllis Mitchell Division of Blood Diseases and Blood Resources 6701 Rockledge Drive, Room 9143 Bethesda, MD 20892-7950 301-435-0481, Fax: 301-480-0867 Email: pm154p@nih.gov For program information, contact: Ms. Susan Pucie National Heart, Lung, and Blood Institute NHLBI SBIR/STTR Program Coordinator 6701 Rockledge Drive, Room 9138 Bethesda, MD 20892-7950 301-435-0079, Fax: 301-480-0867 Email: sp34j@nih.gov For administrative and business management questions, contact: Mr. Robert Vinson National Heart, Lung, and Blood Institute Office of Grants Management 6701 Rockledge Drive, Suite 7044 Bethesda, MD 20892-7926 301-435-0166, Fax: 301-451-5462 Email: vinsonr@nhlbi.nih.gov
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