Grants for Early Medical/Surgical Specialists' Transition to Aging Research (GEMSSTAR) (R03 Clinical Trial Optional)

Grants for Early Medical/Surgical Specialists' Transition to Aging Research (GEMSSTAR) (R03 Clinical Trial Optional) is sponsored by National Institutes of Health (NIH / National Institute on Aging). Provides support for early-career clinician-scientists trained in medical or surgical specialties to launch careers as future leaders in aging- or geriatric-focused research by conducting transdisciplinary aging pilot research.

PAR-27-096: Grants for Early Medical/Surgical Specialists' Transition to Aging Research (GEMSSTAR) (R03 Clinical Trial Optional) Department of Health and Human Services Part 1.

Overview Information Participating Organization(s) National Institutes of Health ( NIH ) Components of Participating Organizations NATIONAL INSTITUTE ON AGING ( NIA ) National Institute of Dental and Craniofacial Research ( NIDCR ) National Institute of Nursing Research ( NINR ) National Institute on Minority Health and Health Disparities ( NIMHD ) Note: Not all NIH Institutes, Centers, and Offices (ICOs) participate in Announcements.

Applicants should carefully note which ICOs participate in this announcement and view their respective areas of research interest at the ICO-Specific Scientific Interests website . ICOs that do not participate in this announcement will not consider applications for funding.

Funding Opportunity Title Grants for Early Medical/Surgical Specialists' Transition to Aging Research (GEMSSTAR) (R03 Clinical Trial Optional) Check for any recent Notices of NIH Policy Changes that may impact application requirements. Funding Opportunity Number (FON) Companion Funding Opportunity See Section III. 3.

Additional Information on Eligibility. Assistance Listing Number(s) 93. 866, 93.

361, 93. 121, 93. 307 Funding Opportunity Purpose The goal of the Grants for Early Medical/Surgical Specialists' Transition to Aging Research (GEMSSTAR) program is to provide support for early-career clinician-scientists trained in medical or surgical specialties to launch careers as future leaders in aging- or geriatric-focused research.

In support of the program's goal, this GEMSSTAR Notice of Funding Opportunity (NOFO) invites applications that propose to conduct transdisciplinary aging research that will yield pilot data and experience for subsequent aging research projects.

The GEMSSTAR program encourages candidates to seek out a supportive research environment to further the program's objectives of fostering the development of early-career clinician-scientists in aging- or geriatric-focused research, particularly as it applies to their clinical specialty/discipline. Toward this end, GEMSSTAR candidates should include a Professional Development Plan that reflects this supportive research environment.

In selecting GEMSSTAR recipients, the National Institute on Aging (NIA) will consider the extent to which a candidate's environment is supportive of aging- or geriatric-focused research. Funding Opportunity Goal(s) To encourage biomedical, social, and behavioral research and research training directed toward greater understanding of the aging process and the diseases, special problems, and needs of people as they age.

Open Date (Earliest Submission Date) The following table includes NIH standard due dates marked with an asterisk. Renewal / Resubmission / Revision (as allowed) AIDS - New/Renewal/Resubmission/Revision, as allowed 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. No late applications will be accepted for this Notice of Funding Opportunity (NOFO).

Required Application Instructions It is critical that applicants follow the instructions in the Research (R) Instructions in the How to Apply - Application Guide , except where instructed to do otherwise (in this NOFO or in a Notice from NIH Guide for Grants and Contracts ). Conformance to all requirements (both in the Application Guide and the NOFO) 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.

Use the NIH ASSIST system to prepare, submit and track your application online. 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. Use Grants. gov Workspace to prepare and submit your application and eRA Commons to track your application.

Part 1. Overview Information Part 2. Full Text of Announcement Section I.

Notice of Funding Opportunity Description Section II. Award Information Section III. Eligibility Information Section IV.

Application and Submission Information Section V. Application Review Information Section VI. Award Administration Information Section VII.

Agency Contacts Section VIII. Other Information Part 2. Full Text of Announcement Section I.

Notice of Funding Opportunity Description With the growing number of older adults with complex health challenges, there is an equally growing need for clinician-scientists with training and experience in research focused on optimizing the care of older patients. A pivotal point in the development of clinician-scientists is the completion of specialty training and the first faculty appointment.

At this early stage, limited research experience and publication record preclude competitiveness for many kinds of advanced research opportunities. This transition stage may be particularly difficult for clinicians focusing on aging-related aspects of their specialty/discipline, as multidisciplinary research entails training that is rarely available in conventional programs.

Thus, mechanisms that allow these clinicians to initiate research projects and establish research track records are critical for cultivating the next generation of clinician-scientists at the interface of aging and medical, dental, and surgical specialties. The GEMSSTAR program is intended to support an early-career clinician's first independent research project.

The program also provides an opportunity for clinicians who are funded in non-aging-related fields to refocus their research efforts on aging- or geriatrics-related topics. Thus, the program seeks applicants who aspire to continue or shift their research focus to bridge their specialty/discipline and the clinical care of older adults. The GEMSSTAR program provides two years of funding.

Applicants should emphasize integration of gerontologic or geriatric research with the candidate's clinical specialty/discipline. Proposed projects may involve pilot or feasibility studies, secondary analyses of existing data, development of research methodology, development of new research technology, or other similar approaches.

Projects may span the breadth of scientific domains, including basic, translational, clinical, genetic, or epidemiologic science. Human subjects, animal models, and in vitro systems are all acceptable as appropriate to the research questions. Projects should be appropriate to the background and level of experience of the applicant.

Potential research topics may include, but are not limited to, the following: Characterization of an aging-related disease, condition, syndrome, or phenomenon relevant to a clinical specialty/discipline Elucidation of mechanisms underlying specialty/discipline-related diseases in older age Identification of predictors and/or outcomes of specialty/discipline-related interventions specific to older populations Pilot investigation of a specialty/discipline-related intervention in older adults Development of strategies to address and/or integrate important complexities common in older patients typically seen within a clinical specialty/discipline, such as multiple chronic conditions; polypharmacy; multispecialty guideline integration; and preservation of function, cognition, and independence Multidisciplinary care strategies, such as palliative care and transitions across care settings, to improve outcomes in older patients within or across care settings Specific diagnostic, management, and/or decision-making and communication strategies pertaining to older adults with Alzheimer's disease (AD) or AD-related dementias (ADRD) within or across medical and/or surgical specialties and primary care/geriatrics Strategies for screening, primary prevention, and/or secondary prevention of specialty/discipline-related diseases in older adults Initial development of tools to assess the risk and/or prognosis of a specialty/discipline-related disease and/or interventions in older adults Please refer to Section III.

Eligibility Information, Eligible Individuals (Program Director/Principal Investigator) for clarification on eligibility. It is expected that applicants will have expertise in their clinical specialty/discipline, but may be less experienced in geriatric/gerontologic science or in other areas.

As such, applicants should include participation of a senior collaborator with complementary expertise in aging-related research and, if needed, other collaborators and/or consultants in additional areas appropriate to the proposed project.

Geriatricians proposing a research project that integrates their geriatrics expertise with a specific clinical problem that is typically embraced by another specialty should involve a senior collaborator with expertise in that clinical problem as it relates to older patients.

For example, a geriatrician researcher proposing a project focused on chronic kidney disease is encouraged to involve a senior nephrologist or other relevant specialist.

In addition to the research project, candidates must also include a Professional Development Plan that describes an individualized plan to garner resources, activities, collaborations, and/or didactic or practical experiences concurrent with the R03 research project that will 1) lead to enhanced knowledge and skills in aging/geriatrics science, and 2) increase the applicant's likelihood of successful completion of their proposed GEMSSTAR project.

This plan would complement the GEMSSTAR R03 award and would need to be supported independent of the R03 research plan and funding. NOTE TO APPLICANTS CONSIDERING A CLINICAL TRIAL: The limited time and budget provided by this NOFO will constrain the types of clinical trials that can be proposed. In general, only mechanistic trials or small pilot trials are likely to be feasible.

Applicants considering a clinical trial are highly encouraged to contact NIA program staff early to discuss the feasibility of doing so. Refer also to the NIH's policies and requirements for clinical trials . NIA's Commitment to Population Representative Research NIA is committed to supporting and conducting research on aging that improves the health and well-being of all people.

Therefore, NIA will prioritize the advancement of science that represents the population affected by the condition being studied. Applicants should ensure as applicable that they 1) include proposed planned enrollment tables identifying the population(s) affected by the disease/condition, and 2) address the NIH Inclusion Policies for Research Involving Human Subjects , as appropriate.

Investigators proposing NIH-defined clinical trials may refer to the Research Methods Resources website for information about developing statistical methods and study designs. See Section VIII. Other Information for award authorities and regulations.

Section II. Award Information Grant: A financial assistance mechanism providing money, property, or both to an eligible entity to carry out an approved project or activity. Application Types Allowed The OER Glossary and the How to Apply Application Guide provide details on these application types.

Only those application types listed here are allowed for this NOFO. Optional: Accepting applications that either propose or do not propose clinical trial(s). Need help determining whether you are doing a clinical trial?

Funds Available and Anticipated Number of Awards NIA intends to commit $3,000,000 in each of FY 2027, FY 2028, and FY 2029 to fund 15 awards focused on general aging topics. NIA intends to commit $800,000 in each of FY 2027, FY 2028, and FY 2029 to fund 4 awards focused on Alzheimer's disease (AD) or AD-related dementias.

The actual number of awards is contingent upon NIH appropriations and the submission of a sufficient number of meritorious applications. Application budgets are limited to $125,000 in direct costs per year. Indirect costs are those for a common or joint purpose across more than one project and that cannot be easily separated by project.

Learn more at 45 CFR 75. 414 , Indirect Costs. To charge indirect costs applicants can select one of two methods: Method 1 – Approved rate.

The applicant organization currently has an indirect cost rate approved by the applicant organization's cognizant federal agency. Method 2 – De minimis rate. Per 45 CFR 75.

414(f) , if the applicant organization has never received a negotiated indirect cost rate or is awaiting approval of an indirect cost proposal, they may elect to charge a de minimis rate. If choosing this method, costs included in the indirect cost pool must not be charged as direct costs. This rate is 10% of modified total direct costs (MTDC).

See 45 CFR 75. 2 for the definition of MTDC. Organizations can use this rate indefinitely.

The project period is limited to 2 years. NIH grants policies as described in the NIH Grants Policy Statement will apply to the applications submitted and awards made from this NOFO. Section III.

Eligibility Information Higher Education Institutions - Includes all types Public/State Controlled Institutions of Higher Education Private Institutions of Higher Education Nonprofits Other Than Institutions of Higher Education Nonprofits with 501(c)(3) IRS Status (Other than Institutions of Higher Education) Nonprofits without 501(c)(3) IRS Status (Other than Institutions of Higher Education) For-Profit Organizations (Other than Small Businesses) City or Township Governments Special District Governments Indian/Native American Tribal Governments (Federally Recognized) Indian/Native American Tribal Governments (Other than Federally Recognized).

Eligible Agencies of the Federal Government U.S. Territory or Possession Independent School Districts Public Housing Authorities/Indian Housing Authorities Native American Tribal Organizations (other than Federally recognized tribal governments) Faith-based or Community-based Organizations Foreign Organizations/International Collaborations Non-domestic (non-U.S.) Entities (Foreign Organizations) are not eligible to apply.

Non-domestic (non-U.S.) components of U.S. Organizations are not eligible to apply. Foreign components, as defined in the NIH Grants Policy Statement , are allowed. NIH will no longer issue awards (i.e., new, renewal, or non-competing continuation) to domestic or foreign entities that involve foreign subawards/subcontracts.

All NIH-funded research involving foreign subawards/subcontracts must be submitted in response to a NOFO that is specifically designated for funded international collaborations. See NIH Grants Policy Statement 16. 8 Collaborative International Research Awards .

Applications involving foreign subawards/subcontracts submitted in response to this NOFO will be deemed noncompliant and will not be considered for funding.

This policy applies to all monetary international collaborations resulting in foreign subawards/subcontracts, however, it does not preclude unfunded international collaborations or foreign components , funding for foreign consultants, or procurement of unique equipment or supplies from foreign vendors.

Applicant organizations must complete and maintain the following registrations as described in the How to Apply- 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.

Failure to complete registrations in advance of a due date is not a valid reason for a late submission, please reference the NIH Grants Policy Statement Section 2. 3. 9.

2 Electronically Submitted Applications for additional information. System for Award Management (SAM) – Applicants must complete and maintain an active registration, which requires renewal at least annually . The renewal process may require as much time as the initial registration.

SAM registration includes the assignment of a Commercial and Government Entity (CAGE) Code for domestic organizations which have not already been assigned a CAGE Code. Foreign organizations must obtain a NATO Commercial and Government Entity (NCAGE) Code (in lieu of a CAGE code) in order to register in SAM. Unique Entity Identifier (UEI)- A UEI is issued as part of the SAM.

gov registration process. The same UEI must be used for all registrations, as well as on the grant application. eRA Commons - Once the unique organization identifier is established, organizations can register with eRA Commons in tandem with completing their Grants.

gov registrations; all registrations must be in place by time of submission. eRA Commons requires organizations to identify at least one Signing Official (SO) and at least one Program Director/Principal Investigator (PD/PI) account in order to submit an application. Grants.

gov – Applicants must have an active SAM registration in order to complete the Grants. gov registration. Program Directors/Principal Investigators (PD(s)/PI(s)) All PD(s)/PI(s) must have an eRA Commons account.

PD(s)/PI(s) should work with their organizational officials to either create a new account or to affiliate their existing account with the applicant organization in eRA Commons. Obtaining an eRA Commons account can take up to 2 weeks. All PD(s)/PI(s) must be registered with ORCID .

The personal profile associated with the PD(s)/PI(s) eRA Commons account must be linked to a valid ORCID ID. For more information on linking an ORCID ID to an eRA Commons personal profile see the ORCID topic in our eRA Commons online help .

Eligible Individuals (Program Director/Principal Investigator) Any individual(s) with the skills, knowledge, and resources necessary to carry out the proposed research as the Program Director(s)/Principal Investigator(s) (PD(s)/PI(s)) is invited to work with their organization to develop an application for support.

For institutions/organizations proposing multiple PDs/PIs, visit the Multiple Program Director/Principal Investigator Policy and submission details in the Senior/Key Person Profile (Expanded) Component of the How to Apply-Application Guide. Candidates for this award must have a clinical doctoral degree.

Such degrees include, but are not limited to, the MD, DO, DDS, DMD, OD, DC, PharmD, ND (Doctor of Naturopathy), PsyD, DNP, DPT, and DVM. Individuals holding a research doctoral degree, such as the PhD, are generally ineligible. The GEMSSTAR award is intended for early career clinician-scientists aiming to get a "foot in the door" in research related to aging in their clinical specialty area.

This award is not intended for candidates who have already received funding as a principal investigator on an NIH aging-related career development (excluding K38 and K99) or research award (e.g., R01, P01). However, candidates who have received support through institutional awards, such as KL2, R25, or NIA Center (P30) Research Education Component (REC), may apply.

Early-career clinician-scientists who have had a previous NIH individual mentored career development or research award in a non-aging-related field and who wish to refocus their research efforts on aging-related science are eligible to apply.

However, such individuals must provide strong justification in their application explaining how their proposed research will entail a meaningful shift towards aging-related science within their clinical specialty or discipline. Merely supplementing one's current research efforts with aging-related science would not be considered a meaningful shift.

The R03 application and Professional Development Plan proposal will be reviewed closely for substantial evidence of a commitment to aging research. Such applicants are strongly encouraged to discuss their eligibility with NIA program staff early in the application process.

Applicants considering applying for a mentored K award and a GEMSSTAR award concurrently are strongly encouraged to contact NIA program staff to ensure their plans are consistent with NIH policy and NIA programmatic interests. The aims of the two applications must not overlap per NIH submission policies. NIA will weigh an applicant's funding from other NIA and NIH awards in making GEMSSTAR funding decisions.

Note that NIH policy now allows investigators with K awards to receive salary compensation from Federal or non-Federal sources for effort not directly supported by their K award (see NOT-OD-17-094 ). Eligibility is limited to candidates who have, or will have, a faculty appointment at the start of GEMSSTAR funding.

Candidates in the last year of training should provide documentation of institutional commitment for a faculty appointment as described in Letters of Support in Section IV. Faculty appointments that are contingent on receiving a GEMSSTAR award are not acceptable. Candidates should typically be within 10 years of completing their training, although exceptions may be granted.

Candidates should still be early in their careers with respect to aging-related research. Contact NIATraining@mail. nih.

gov with questions. It is expected that GEMSSTAR applications will have a single PD/PI and that other personnel will be listed as collaborators or consultants. This NOFO does not require cost sharing as defined in the NIH Grants Policy Statement Section 1.

2 Definition of Terms . 3. Additional Information on Eligibility Applicant organizations may submit more than one application, provided that each application is scientifically distinct.

The NIH will not accept duplicate or highly overlapping applications under review at the same time, per NIH Grants Policy Statement Section 2. 3. 7.

4 Submission of Resubmission Application . This means that the NIH will not accept: A new (A0) application that is submitted before issuance of the summary statement from the review of an overlapping new (A0) or resubmission (A1) application. A resubmission (A1) application that is submitted before issuance of the summary statement from the review of the previous new (A0) application.

An application that has substantial overlap with another application pending appeal of initial peer review (see NIH Grants Policy Statement 2. 3. 9.

4 Similar, Essentially Identical, or Identical Applications ). Section IV. Application and Submission Information 1.

Requesting an Application Package The application forms package specific to this opportunity must be accessed through ASSIST, Grants. gov Workspace or an institutional system-to-system solution. Links to apply using ASSIST or Grants.

gov Workspace are available in Part 1 of this NOFO. See your administrative office for instructions if you plan to use an institutional system-to-system solution. 2.

Content and Form of Application Submission It is critical that applicants follow the instructions in the Research (R) Instructions in the How to Apply - Application Guide except where instructed in this notice of funding opportunity to do otherwise (in this NOFO, in a policy notice , or other notice from NIH Guide for Grants and Contracts ). Conformance to the requirements in the Application Guide is required and strictly enforced.

Applications that are out of compliance with these instructions may be delayed or not accepted for review. All page limitations described in the How to Apply- Application Guide and the Table of Page Limits must be followed. Instructions for Application Submission The following section supplements the instructions found in the How to Apply- Application Guide and should be used for preparing an application to this NOFO.

All instructions in the How to Apply - Application Guide must be followed. SF424(R&R) Project/Performance Site Locations All instructions in the How to Apply- Application Guide must be followed. SF424(R&R) Other Project Information All instructions in the How to Apply- Application Guide must be followed.

Other attachments : Applicants must include an attachment titled "Professional Development Plan" (PDP) that describes an individualized plan to garner resources, activities, collaborations, and/or didactic or practical experiences concurrent with the R03 research project that will 1) lead to enhanced knowledge and skills in aging/geriatrics science, and 2) increase the applicant's likelihood of successful completion of their proposed GEMSSTAR project.

This separately supported PDP should be complementary to the applicant's R03 research plan. Support for a PDP is not included in the NIA R03 budget and needs to be supported independent of the R03 research plan and funding. PDP support should begin at the start of R03 funding and run concurrently with the 2-year award.

The level of funding and effort should be commensurate with the activities proposed in the PDP. Every PDP is different and, as such, will require a different level of funding support depending on what the applicant proposes given their level of aging/geriatrics research knowledge and skills, and what is needed to successfully complete their research and initiate a career in aging research.

The amount of secured funding or protected time should be enough to provide for a GEMSSTAR applicant's serious and meaningful development into a successful aging-focused clinician-scientist. Although it is unlikely that applicants will have PDP funding secured by the time of R03 submission, applicants should list the potential PDP funding sources they are seeking in their applications.

Applicants who obtain PDP funding support after submission of the R03 application may include documentation in their Just-In-Time submission as Other Support. If PDP funding support is known at the time of application, an official letter from the institution, society, foundation, or other source should be provided that indicates the amount and duration of funding and any stipulations for use of funds.

This can be submitted as an "Other Attachment." Mentorship should be included in needed areas. If the PDP includes a mentorship plan, the mentor(s) should have sufficient expertise in specific techniques and skills related to aging research.

We encourage you to seek out geriatricians or gerontologists at your institution who may be able to provide you with appropriate mentorship on unique aspects of clinical and/or research in aging/geriatrics. PDPs with multiple mentors should also describe how interactions will be coordinated interactions among the mentorship team.

Mentors and other collaborators who play a role in an applicant's PDP should submit a Letter of Support to be included with the R03 application. PDP letters of support should be uploaded under 'Letters of Support' in the R03 application, rather than with the PDP itself. The elements of a Professional Development Plan may differ for each applicant based on career stage, research experience, institutional resources, or other factors.

Applicants are encouraged to tailor their plans to meet their individual professional development needs in relation to their proposed GEMSSTAR project. Moreover, applicants are encouraged to describe specific activities that will augment their skills in geriatrics and/or aging research in order to develop into independent researchers in aging science. This section is limited to 5 pages.

SF424(R&R) Senior/Key Person Profile All instructions in the How to Apply- Application Guide must be followed. Applicants should use the biographical sketch of the principal investigator to illustrate how this award will advance the investigator's career in aging research.

Applicants should use biographical sketches of all investigators to illustrate complementary and integrated expertise in aging and/or geriatrics among the research team, and the appropriateness of each person's role to advance the specific aims of the project.

The GEMSSTAR award offers an opportunity for investigators without substantial aging research experience to gain the necessary skills, exposure and pilot data in aging or geriatrics-related research.

To achieve this goal, there should be at least one senior research collaborator with such complementary aging research experience as documented through aging-related publications, funding, and resources to be made available to the GEMSSTAR candidate. This information should be conveyed in the senior collaborator's biographical sketch.

For individuals who are not Senior/Key Personnel or Other Significant Contributors but who may have input into the application, a Letter of Support is encouraged. For example, the Division/Department Chair or other Institutional leader may submit a Letter of Support outlining available resources or commitments of protected time for the proposed research. All instructions in the How to Apply- Application Guide must be followed.

Applicants should use the Modular Budget format. Annual direct costs can be requested in multiples of $25,000 up to $125,000. Applicants should budget for travel to the annual GEMSSTAR grantees meeting supported by the Clin-STAR Coordinating Center.

Except in unusual circumstances, only the PD/PI may be supported by R03 funds to travel to the grantees meeting. There is no specific line item in the Modular Budget format in which to list travel costs; instead, the proposed travel should be described in the budget justification section.

Salary support can be received from a GEMSSTAR award as long as 1) there is no significant budget or scientific overlap with any concurrent source of funding, and 2) the candidate is not also receiving an NIH mentored K or other award that prohibits salary supplementation from Federal sources. All instructions in the How to Apply - Application Guide must be followed.

PHS 398 Cover Page Supplement All instructions in the How to Apply - Application Guide must be followed.

All instructions in the How to Apply - Application Guide must be followed, with the following additional instructions: Research Strategy: In accordance with the goals of the GEMSSTAR program, the Research Strategy should emphasize how the candidate's proposed research will advance the understanding of aging- or geriatrics-related science in the candidate's specialty/discipline, as well as facilitate the candidate's transition specifically into aging research.

Applicants should address to what extent the proposed project introduces aging-related research questions to the applicant's clinical specialty/disciplinary area, as well as its potential contribution to new and meaningful knowledge of geriatric or gerontologic science related to the applicant's clinical specialty/discipline.

Clinical Trials: Without duplicating information in the PHS Human Subjects and Clinical Trials Information Form, applicants proposing a clinical trial, ancillary, or feasibility study should describe the planned analyses and statistical approach and how the expected analytical approach is suited to the available resources, proposed study design, project scope, and methods used to assign trial participants and deliver interventions.

If proposing an ancillary study to an ongoing clinical trial, applicants should provide a brief description of its relationship to the larger clinical trial.

If proposing a feasibility study to begin to address a clinical question, applicants should provide justification as to why this is warranted and how it will contribute to the overall goals of the research project, including planning and preliminary data for future, larger-scale clinical trials.

Applicants should describe the proposed timelines for the proposed clinical trial, feasibility, or ancillary study, including any potential challenges and solutions (e.g., enrollment shortfalls or inability to attribute causal inference to the results of an intervention when performing a small feasibility study).

Letters of Support: Letters of support from department or division chairs, other institutional leaders, senior collaborators, and other contributors should describe, where appropriate, the following: Support from the applicant's institution, department, or division for the applicant's successful completion of the proposed research project Efforts from the letter's author to promote transdisciplinary aging research within the author's specialty/discipline Scientific roles of senior collaborator(s) or other contributors to the applicant's professional development For applicants in their last year of training, documentation of the institution's commitment to the applicant's faculty appointment, which should commence no later than the start of the GEMSSTAR R03 award Letters of support associated with a Professional Development Plan, if included, should be placed in the Letters of Support section.

Resource Sharing Plan : Individuals are required to comply with the instructions for the Resource Sharing Plans as provided in the How to Apply - Application Guide . All instructions in the How to Apply - Application Guide must be followed, with the following additional instructions: A Data Management and Sharing Plan (DMS Plan) is required for any NIH-funded or conducted research that will generate scientific data.

Applicants must submit the DMS Plan at the time of application using the NIH DMS Plan Format Page . The DMS Plan must address the elements in the structured format. Where the DMS Plan Format Page requires a "Yes or No" response, no additional narrative is allowed.

Appendix: Only limited Appendix materials are allowed. Follow all instructions for the Appendix as described in the How to Apply - Application Guide . No publications or other material, with the exception of blank questionnaires or blank surveys, may be included in the Appendix.

PHS Human Subjects and Clinical Trials Information When involving human subjects research, clinical research, and/or NIH-defined clinical trials (and when applicable, clinical trials research experience) follow all instructions for the PHS Human Subjects and Clinical Trials Information form in the How to Apply- Application Guide , with the following additional instructions: If you answered "Yes" to the question "Are Human Subjects Involved?"

on the R&R