JOHNS HOPKINS UNIVERSITY CENTER FOR POINT-OF-CARE TESTS FOR SEXUALLY TRANSMITTED DISEASES ANNOUNCEMENT OF FUNDING OPPORTUNITY PART 1. OVERVIEW INFORMATION 1. A. Solicitation Title POINT OF CARE TESTS FOR CHLAMYDIA AND OTHER STDS 1. B. Sponsoring Organizations Johns Hopkins University Applied Physics Laboratory, member of the Johns Hopkins Center for STD Point-of-Care Tests. 1. C. Solicitation Release Site http://www.hopkinsmedicine.org/Medicine/std/2015_funding_announcement/index.html 1. D. Key Dates and Deadlines Application and Anticipated Award Deadlines: Solicitation Release On or before July 1, 2015 Full Fast Track Proposals Due July 23, 2015; October 7, 2015; December 16, 2015 by 4 pm EST/ET Approximately 112 days following submission Approximately 120 days following submission Approximately 30 days following notification of successful application (anticipated) Notification of Successful Applicants Review Notification to all Applicants Funds Awarded 1 1. E. Purpose The Johns Hopkins Center Point-of-Care Tests for STDs (JHU C POCT STD) is seeking to facilitate the development of novel detection technologies for Point of Care Tests. Successful applications will describe the development of tests which minimally: can detect less than 5,000 elementary bodies of chlamydia/ml are rapid (time from sample to result under 4 hours) have low-labor burden for sample preparation and assay, and will be low cost (under $30/test). Multiplex assays which can detect chlamydia as well as other sexually transmitted diseases are encouraged. 1. F. Submissions The solicitation will be posted at http://www.hopkinsmedicine.org/Medicine/std/. Look for the link on the menu labeled ANNOUNCEMENT OF 2015-2016 FUNDING OPPORTUNITIES for the 2015 solicitation. Past solicitations and descriptions of winning proposals are also posted on the website. It is strongly suggested that applicants review information on past awardees and past announcements when preparing their proposal. Potential applicants are invited and encouraged to discuss their proposals with Center staff prior to the solicitation closing date. Proposals are not reviewed for funding by Center staff but are reviewed by external scientific consultants who are independent from the Center. PDF files may be uploaded and sent by email to: POCT-STD@jhuapl.edu. Only electronic submissions are accepted. Proposals must be electronically time stamped as received prior to or at the time listed above under 1. D. Key Dates and Deadlines. JHU APL is not responsible for proposals which are sent before but not time-stamped as received by the time listed. These proposals will be considered late and not considered for review. The subject line should state “Proposal for POCT-STD” and follow the requirements listed in this solicitation. Files must be submitted as a single PDF and may not exceed 48 Megabytes including the message text and all attachments. Information which is critical to your organization should be marked “Business Sensitive” or “Proprietary”. Classified information or markings must NOT be used in any part of the submission. 1. G. Mechanism of Support The Johns Hopkins Center for Point-of-Care Tests for STDs will subcontract to successful applicants using funding from the National Institute of Biomedical Imaging and Bioengineering, NIH, under the authority of the parent RFA-EB06-002, Point-ofCare Technologies Research Network U54 (https://grants.nih.gov/grants/guide/rfafiles/RFA-EB-11-002.html) ). All NIH guidelines, terms and conditions of award stated in this parent RFA apply to this funding opportunity. 2 1. H. Funds Available APL anticipates awarding at least one contract with a period of performance of six months at each announcement deadline (see above), dependent of Center funds, for a maximum single award not to exceed $50,000. A second award for technologies that successfully complete their first award will be considered, if needed. Organizations may not be considered for a second award until completion of their first award. The amount of total funding available for a project will not exceed $100,000 in total for all awards. 1. I. Eligibility Applications from all sources will be considered including domestic or foreign, public or private, or non-profit or for-profit. Awards under this solicitation may be made only to NIH-eligible applicants. Details regarding specific requirements can be found in the NIH Grants Policy Statement Part II: Terms and Conditions of NIH Grant Awards (http://grants.nih.gov/grants/policy/nihgps_2013/nihgps_2013.pdf). Foreign parties (governments, universities, corporations, or individuals) will be screened against the various US Government restricted party lists. These lists include persons that have been debarred from exporting or US government contracting, Government-known terrorists and their supporters, narcotics traffickers, proliferators of weapons of mass destruction, and other parties. The JHU APL Contracts and Procurement Groups screen companies prior to entering into a contract with a foreign company, and prior to sending a request for proposal to foreign vendors. 1. J. Solicitation Policies Please note that NIH regulations prohibit secondary subcontracts under this funding program. While sub-awards of any type are prohibited, proposals that split award funding directly to two institutions are permitted under one proposal. Each co-applicant institution must submit budget information under the same proposal submission. Details describing the full proposal processes for this application can be found under sections 3.B and 3.C below, respectively. All budget information prior to final proposal award must be consistent with the original NIH award guidelines for this solicitation which can be found at: http://grants.nih.gov/grants/guide/rfa-files/RFA-EB-11-002.html. Proposals accepted for award will be requested to provide additional budget information. Animal studies and human clinical trials may not be proposed under this solicitation. Testing of human clinical samples is not permitted for assays developed under this protocol with the exception of use of de-identified clinical materials provided by Johns Hopkins Medical Institutes under their protocol. Due to the rigorous development schedule anticipated for proposals, the time to gain approval for animal and human studies at both proposer’s home institutions and by The Johns Hopkins Medicine Institutional Review Board would be incompatible with the needs and anticipated funding levels of this program. 3 PART 2: FUNDING OPPORTUNITY DESCRIPTION 2. A. Background Under an award from the National Institute of Biomedical Imaging and Bioengineering (NIBIB) to establish a Center to coordinate development, clinical evaluation, and reduction to practice of new POC devices, the Johns Hopkins University School of Medicine has created the Johns Hopkins Center for Point-of-Care Tests for STDs (JHU C POCT STD). This Center is a collaboration between the Johns Hopkins University School of Medicine (SOM), the Johns Hopkins University Applied Physics Laboratory (JHU/APL), the University of Maryland Baltimore County (UMBC), and the University of Cincinnati. The technologies are intended to bridge the gap in current biomedical sensors used in laboratory or research settings for use at the bedside, in the clinic or in the home care scenario. The goal of the Center is the development of integrated systems that address unmet POC testing clinical needs for Sexually Transmitted Disease (STDs). The need to develop acceptable and more easily available POCT for diagnosing sexually transmitted diseases for all high-risk populations is highly significant. These infections are particularly hazardous to women since many, if not most, infections are asymptomatic and only detected through screening or presentation by infected women for testing if they are notified of sexual contacts to infected partners or they perceive themselves at-risk. Five of the top ten reportable diseases to the Centers for Disease Control and Prevention (CDC) in the United States are STDs. Point of Care diagnostics can include tests for rapid diagnosis in the Emergency Department (ED) in which the time from sample to result is four hours or less, diagnostics for rapid diagnosis in a community clinic or non-traditional health care setting in which the time from sample to result is less than one hour and for the home testing market in which the time from sample to result should be less than 15 minutes. There is an additional need for POCT for resource-limited settings, such as developing countries. It should be noted that the user (the person conducting the test) is significantly different in each of these scenarios and may encompass the medical doctor, trained health professional, or lay person with no medical background. 2. B. Research Objectives While the types of POC technologies considered will include both novel detection technologies and novel enabling technologies, this initial solicitation is seeking primarily to provide “tactical” funding to develop or improve on novel detection technologies. “Tactical funding” is described as funding directed to a critical experiment(s) which if successful would 1) provide preliminary data, 2) enable first demonstration, 3) verify proof of principal/concept or 4) complete a seedling effort to enable organizations to seek additional funding for more robust technology development. These awards while narrow in scope if successful should open the path to more robust and detailed development of a detection or enabling technology or integration of both. Detection technologies are defined as technologies in which the device is able to identify and discriminate the infectious agent using a clinically relevant sample. Enabling technologies are defined as technologies which can be used with currently available diagnostic rapid tests to improve and simplify sample preparation or rapid development 4 of new specific reagents (antibodies, aptamers, etc.) for use in existing detectors with potential to be transferred into a health care setting or home use. 2. B. 1. Technologies considered for award will include the following features: a) Currently able to detect Chlamydia trachomatis or b) Demonstrated ability to rapidly detect pathogens similar to Chlamydia, in addition to other important sexually transmitted infections such as Neisseria gonorrhoeae, Trichomonas vaginalis, Treponema pallidum, Haemophilus ducreyi and Herpes Simplex Virus. or c) Detect genetic or protein based components of the organism or d) Detect combinations of general optical or electrical characteristics which can be determined to be unique to the organism. or e) Detect surrogate markers as long as the clinical significance of the surrogate marker is well established. 2.B.2. Wherever possible and appropriate, applicants should address how the institution currently achieves or expects to achieve performance metrics required for POCT for STDs. Evaluation of detection technologies under consideration for award will include an assessment of the following technology performance metrics: a) Achieves an analytic detection of less than 5,000 Chlamydia trachomatis elementary bodies/ml in standard diluents b) Achieves a sensitivity ≥80% when compared to the current clinical reference standard. c) Demonstrates enhanced specificity of the target organism compared to expected confounding or commensal organisms d) Demonstrates a detection time from sample collection to result in less than four hours e) Performed by experienced user such as a medical professional. f) Should not include more than 4 steps exclusive of sample acquisition. g) Must be prepared for storage at room temperature or 4oC for at least 6 months. h) Assay readout must not be subjective. i) Provides single sample format for at least one organism (Chlamydia trachomatis) j) Tests must include all necessary controls for quality assurance and assay performance. Other General Notes about the Research Objectives Proposals which describe conceptual ideas or theoretical detector data are not within the scope of this proposal. 5 Proposals that describe component systems which have not been integrated or breadboard systems with preliminary results are eligible under this solicitation but must describe specifically how they intend to reach the developmental level required to participate in clinical studies in future years. Proposals which describe devices based on detection of surrogate markers will be considered as long as the clinical significance of the surrogate marker is well established or supported in the proposal. Proposals using component based systems where some of the components are already in use in food, medical or environmental markets should emphasize which components are under development and which are novel developments. While preference is given to proposals which can meet the needs of the point of care test market and limited resource settings as described in the solicitation, proposals which can meet the needs of other intended user markets, i.e. Emergency Department, doctor’s offices, or community health clinic will also be considered. The development award can be modified for improvement of existing rapid laboratory tests for use in the clinic or home market. Batched assays which can be developed for single use assays are acceptable under this proposal. Size, weight and storage conditions of assay reagents are not restricted for entry into clinical evaluation All devices must work with standard power (115V) or batteries. Devices which work from batteries should be able to be recharged. Further details about successful test characteristics Successful technologies must demonstrate detection of Chlamydia trachomatis (or other important STDs, as described above). Comparative measures of sensitivity will vary by organism, however, for the example of Chlamydia, a successful technology would be expected to achieve an analytic detection of less than 5,000 elementary bodies/ml when presented in relevant diluents, which include phosphate buffered saline, DEPC treated water, or TRIS borate buffer. Other acceptable measures of sensitivity would be technologies that achieve a sensitivity ≥80% when compared to the current clinical reference standard. For Chlamydia, the current accepted clinical reference standard is an endocervical NAAT test. The test must show specificity of the organism compared to expected confounding or commensal organisms. For the example of Chlamydia, the technology would be expected to differentiate between C. trachomatis, C. pneumoniae and C. psittaci. Another measure of specificity is a technology that achieves >90% specificity compared to the current clinical reference standard. It is expected that the preclinical development will include testing the device versus known dilutions of cultured organisms 6 Desired are multiplex detection technologies which can discriminate Chlamydia from other important STDs including Neisseria spp. and Trichomonas spp. Additional second tier infections of interest to distinguish include Treponema pallidum, Haemophilus ducreyi and Herpes Simplex virus (HSV). Successful technologies will achieve an analytic detection limit for Chlamydia of less than 5,000 organisms/ml when presented in relevant diluents. If required for the success of the detection technology, concentration methods for samples must be included as part of the assay protocol. The test must show specificity of Chlamydia trachomatis when tested against other organisms including, but not limited to: Neisseria gonorrhoeae, N. lactamica, Escherichia coli, Trichomonas vaginalis Staphylococcus spp., Acinetobacter spp. Candida albicans The test must have a detection time from sample collection to result in less than four hours and have a protocol developed for an experienced user such as a medical professional. Protocols should be written to eventually accommodate users with at least an 8th grade reading level. Protocols may be supplemented by up to one day of training for experienced users. The assay from sample collection to result should not include more than 4 steps exclusive of sample acquisition. The detector and assay reagents must be prepared for storage at room temperature or 4oC for at least 6 months. Assays must be single test assays not batched for multiple subject analysis. Assay readout must not be subjective but be easy to read using color change readout, digital or graphic formats. Tests which require the user to interpret single color variations are not acceptable. Tests must include controls for interpretation of positive and negative values and a control for verification of assay performance. Proposers should have the ability to provide at least 500-700 individual tests and at least two testing (i.e. reading) devices (if required by the assay) for clinical evaluation. There are no requirements regarding the final size or packaging of the device at completion of funding. 2. C. Review Process and Criteria Proposals which are responsive will specifically address the items noted in 2.B.1 and 2.B.2 as appropriate. Full proposals will be evaluated for the following: Scientific and technical merit Appropriately scoped to the amount of funding and period of performance requirements of this solicitation The ability to fulfill the specific research objectives as stated above • Significance and relevance to the JHU C POCT-STD mission • Pre-analytical efficiency and rapid analytical speed of assay using laboratory strains • Sensitivity and specificity compared to gold standard results • Potential to apply technology to Chlamydia and other STDs using multiplex diagnostic testing • Limit of detection • Ability of the POCT to require storage not lower than 4o C. • Appropriate quality assurance (e.g. assay and device controls, within performance/calibration controls for devices) • Competence and experience of the investigative team • Bioengineering and research environment in which the work will be performed 7 • Likelihood of success when used in one of the scenarios identified as physicians’ offices, Emergency rooms, low resource medical facilities, home care or community clinics by minimally trained staff • Practical suitability for use in near-patient applications in ED, clinic or home care settings • Incorporation of testing principles or assay improvements that can be reduced to one or more operating prototypes within the two-year term • Plan for effective evaluation of the diagnostic method using archived clinical samples 2. D. General Award Information Awards will be for six months or less. A second 6-month award for technologies that are successful in their first period of performance will be considered if needed. A technology monitor from JHU/ APL will meet with successful awardees regularly to review progress and achievement of critical milestones and deliverables. Awardees are expected to provide a project update every 30 days of the sub-award period to the technology monitor and a detailed final report at the end of the sub-award. PART 3: APPLICATION PROCESS 3. A. General Application Information The format of the full proposal must include the following: Format item Page Limit Cover page (not included in proposal page limit) 1 Technical Proposal and Short Budget Critical Information Title, Technical and Financial Contact and Address Information, Solicitation Number & Submission Date, Total Cost (Section limited to 8 pages) Suggested Page Limits Concise statement of technology development needed and approach I. Project Objectives II. Impact Statement 1.5 III. Impact on the JHU Center for POCT for Sexually Transmitted Diseases IV. Tactical Funding Path forward towards Commercialization 1 V. Innovative Claims, Technical Rationale and Approach 8 How does technical innovation improve overall diagnosis of STDs? How does technical innovation complement mission of JHUCPOCT for STD? Document successful use or potential use of technology in diagnostics These two sections VII. Detailed Technical Approach and should Statement of Work (SOW) not exceed 4 pages VIII. Organization Background and 0.5 Future Development Pathway IX. Project Metrics Plan and Timeline 0.5 of Milestones and Deliverables VI. Prior Work and Background X. Summary Budget by Year & Budget Justification 0.5 Describe scientific or technical methods used to carry out aims Describe goal and specific aims proposed List expected Milestones and Deliverables by month as they apply to the goals and aims described in the SOW (see below) Follow form listed (see below) Pages will be 8.5 x 11 and in a font no smaller than 11 point with 1 inch margins. Figures and tables are included in the page limits. Project Milestones, Deliverables and Timeline Schedule Table (sample) Milestone (M) or Deliverable (D) Budget Table (sample) Project Month (not to exceed Month 6) Measure of Success/Completion Total Budget by Fiscal Year(s) Period Category Total (all months) (Oct-Dec 2014) Period (Jan- July 2015) Labor * Materials Consumables Indirect Costs Total Direct and Indirect *In budget narrative list all staff and the number of staff months assigned to this effort. Note: Subcontracts and equipment are not permitted under this award. Travel may be permitted if justified as essential to the completion of the work proposed. Travel must be justified by number of personnel, location and time period. 9 3. B. Submission Information All documents must be uploaded as a single PDF document electronically before the date and time indicated in the table above (Section 1D). Applicants (and co-applicants if splitting award between two institutions) may only submit a single proposal under this announcement but institutions may submit multiple proposals from different applicants at their facilities. Questions regarding this solicitation or proposal process can be directed electronically to joany.jackman@jhuapl.edu at least 7 business days prior to the submission date. If needed, questions and answers and/or clarifications of the announcement will be posted as supplemental information regarding this proposal under the” Funding 2015” tab at the JHU C POCT STD website: http://hopkinsmedicine.org/medicine/std. The JHU C POCT STD encourages and considers it the responsibility of intended applicants to review solicitation site for any updates to this announcement prior to submission deadlines. All efforts will be made to provide information in a timely manner prior to the submission deadline. The review dates and dates for informing applicants of the outcome of their proposals are estimated and may be extended as needed. 10