Opportunity Information: Apply for RFA CA 19 017

The grant opportunity "Approaches to Identify and Care for Individuals with Inherited Cancer Syndromes (U01 Clinical Trial Required)" (RFA-CA-19-017) is a National Cancer Institute (NCI) cooperative agreement announcement under the U.S. Department of Health and Human Services and the NIH. It sits within the Beau Biden Cancer Moonshot initiative, a national effort designed to speed up progress in cancer research and translate that progress into real-world benefits. The central idea behind this FOA is practical and prevention-focused: more people who carry inherited genetic risks for cancer need to be identified, connected to the right follow-up care, and supported over time so they actually receive evidence-based screening, prevention, and early detection services.

The program is framed around a specific Cancer Moonshot Blue Ribbon Panel scientific priority (Recommendation G), which emphasized strengthening early detection, genetic testing, genetic counseling, and the broader knowledge base around mechanisms and biomarkers related to cancer development. In other words, the FOA is not simply asking for more genetic discoveries in the lab. It is asking applicants to build and test workable approaches that improve how healthcare systems find individuals and families with hereditary cancer syndromes, confirm risk through appropriate genetic evaluation, and then ensure those individuals receive recommended surveillance and preventive care. The emphasis on "demonstration projects" signals that NCI is looking for practical models that can be implemented, evaluated, and potentially scaled, with outcomes that matter to patients and health systems, such as lives saved, quality of life improvements, and reduced healthcare costs through prevention and earlier detection.

The announcement specifically invites applications using a multi-Program Director/Principal Investigator structure, reflecting how complex hereditary cancer care is across real clinical settings. These projects are expected to bring together the expertise needed to solve problems that often span multiple domains: oncology, primary care, genetics, genetic counseling, public health, health services research, informatics, and community engagement. The goal is to identify and validate best practices for both case ascertainment (finding the right people, including those who may not realize they are at high risk) and follow-up care (making sure identified individuals actually get guideline-based management, such as appropriate screening intervals, risk-reducing options when indicated, and cascade testing or outreach to family members where appropriate).

A key structural feature is that this is a cooperative agreement (U01), meaning awardees should expect substantial scientific and programmatic involvement from NIH/NCI staff compared with a typical investigator-initiated grant. Cooperative agreements are commonly used when the funder anticipates that close coordination, shared standards, or active oversight will help align projects with program goals, promote harmonization across sites, and generate results that are comparable and useful beyond a single institution. The title also indicates "Clinical Trial Required," which generally means applicants must include a clinical trial component as defined by NIH, such as prospective testing of an intervention or strategy related to identifying at-risk individuals and improving their care pathways, with measurable outcomes.

In terms of who can apply, eligibility is broad and includes many types of organizations positioned to influence hereditary cancer identification and care. Eligible applicants include state, county, and local governments; tribal governments and tribal organizations; public and private institutions of higher education; nonprofit organizations with or without 501(c)(3) status; public housing authorities/Indian housing authorities; for-profit organizations (other than small businesses) as well as small businesses; and other entities as described in the FOA. This wide eligibility list aligns with the reality that improving identification and follow-up for inherited cancer risk may require partnerships that extend beyond academic medical centers, including public health infrastructure, community-based health systems, payers, and organizations serving populations that have historically had limited access to genetic services.

Administratively, the FOA was created on August 10, 2018, with an original closing date of January 9, 2019. It is listed under CFDA numbers 93.393 and 93.399, which are commonly associated with NCI research support mechanisms. The announcement anticipated making about four awards. The award ceiling is listed as 0, which typically indicates that a specific cap was not provided in the summary field and that applicants should rely on the detailed FOA instructions or NCI guidance for budget expectations and project scope.

Overall, the opportunity is best understood as an implementation and care-delivery improvement initiative focused on hereditary cancer syndromes. It prioritizes improving real-world pathways: identifying individuals and families at inherited risk, connecting them to genetic evaluation and counseling as appropriate, and ensuring that evidence-based prevention and early detection practices are actually delivered and sustained. The bigger-picture aim is to demonstrate approaches that not only improve clinical outcomes for high-risk individuals, but also create replicable models that health systems can adopt to reduce preventable cancer burden and associated costs.

  • The Department of Health and Human Services, National Institutes of Health in the education, health sector is offering a public funding opportunity titled "Approaches to Identify and Care for Individuals with Inherited Cancer Syndromes (U01 Clinical Trial Required)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.393, 93.399.
  • This funding opportunity was created on Aug 10, 2018.
  • Applicants must submit their applications by Jan 09, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 4 candidate(s).
  • 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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