High Throughput Sequencing and Rare Diseases Call for Proposals - 2015, January WHOLE GENOME SEQUENCING (WGS) PRE-PROPOSAL APPLICATION FORM Submission deadline for pre-proposals: February 18, 2015 (midnight) This file must be sent: by email to: ngs@fondation-maladiesrares.com Instructions for sending documents: - The application must be written in English. - The present cover page must be removed. - Annexes should be included in the research project and not on separate documents. - The Word file must not exceed 2 Mo (compress any figures). - Document title: 2015-1-Name of applicant-WGS-RD - Do not send pdf documents, or scanned documents. 1/7 1. IDENTIFICATION OF THE PROJECT Project title (maximum 120 signs): Disease: Group of diseases: Research area: - main: - secondary: Rare diseases project: Yes No Previous exome sequencing for the same disease? Yes No Previous exome sequencing on the same samples? Yes No Number of samples for the present WGS project: Request (tick the appropriate boxes): Monogenic disorder: Yes No Genetic heterogeneity: Yes Likely Multifactorial disorder: Yes No No Mode of inheritance of the disease Ascertained Anticipated Autosomal dominant Complete penetrance Other: Autosomal recessive Yes No Unknown X-linked dominant Phenocopies Yes X-linked recessive No Cases Have large genomic rearrangements been excluded (CGH arrays…)? Yes No Have all known disease related-genes been tested? Yes No Cases history: o Familial - Yes Consanguineous No Non consanguineous ‘High throughput sequencing and rare diseases’- WGS pre-proposal application form Call 2015-1 - Fondation maladies rares 2/7 - Large - Number of patients in each family (nbx/Fx; nby/Fy; etc): - Available DNA for: - patients (nb): - parents (Y/N): - Genome wide linkage analyses performed: Yes No Yes No Small families Number of families: Conclusive linkage Not feasible If yes, specify: - the region delineated (and size): - the maximum lod score obtained: o Sporadic Yes No - Consanguineous - From a clinically homogeneous cohort - Number of patients: - Available DNA for: - patients (nb): Non consanguineous families Yes No - parents (Y/N): Principal investigator of the project (from a French team): Name First name Position Institution / department Laboratory name Identification of the laboratory (unit n°) Name of the team (if relevant) Name, first name of the lab. director Name, first name / head of the team Full postal address Email address Phone number Fax Team members involved in the project: Name, first name 1 Title Laboratory / Team Role and contribution PI 2 3 Number of persons involved in the project (person-months): Partners/collaborations: Name, first name Title Laboratory (complete name, address) Role and contribution 1 2 3 ‘High throughput sequencing and rare diseases’- WGS pre-proposal application form Call 2015-1 - Fondation maladies rares 3/7 Signature of the principal investigator I, the undersigned, full name, agree to be the principal investigator of the submitted project, as it is described in the present application. Electronic signature* : Date * The electronic signature is a scan of the signature as a jpeg image. ‘High throughput sequencing and rare diseases’- WGS pre-proposal application form Call 2015-1 - Fondation maladies rares 4/7 2. DESCRIPTION OF THE PROJECT 1. Scientific project (1 page maximum, arial 10, single space) Context of the proposal, objectives, strategy, expected results and impacts, relevance of the project in relation to the state of knowledge. 2. Preliminary results on this research program (1/2 page maximum, arial 10, single space) 3. Abstract (not exceeding 1000 characters without spaces) 4. Rationale (1/2 page maximum, arial 10, single space) Clearly state and justify the choice of the whole genome sequencing strategy, the choice of patients included in the study and expected impacts of the project. *Note that in full proposal application, results of previous WES studies on the same disease and/or on the selected patients must be fully detailled.* 5. Data analysis (1/2 page maximum, arial 10, single space) Indicate how data analysis will be managed and specify bioinformatics resources available. 6. Main publications (5) List of 5 main publications and/or patents of the last three years with particular attention to those related to the project (from the principal investigator and associated teams). Please specify any potential conflict of interest: - ‘High throughput sequencing and rare diseases’- WGS pre-proposal application form Call 2015-1 - Fondation maladies rares 5/7 3. BUDGET INFORMATION ONGOING funded projects related to the current application (principal investigator and associated teams) which include funding for NGS Name (coordinator or associated team) Name of the call for projects/ Funding body/funding amount Project title Project period * Add as many columns as needed Projects with requested funding for NGS related to the current application UNDER EVALUATION (principal investigator and associated teams) Name (coordinator or associated team) Name of the call for projects/ Source/funding amount Project title Project period * Add as many columns as needed Previous funding by GIS-Institut des maladies rares or by Fondation maladies rares of sequencing projects since 2009 Name (coordinator or associated team) Project title Call session Funding amount (HT) * Add as many columns as needed *Please mention all the funded projects of the TEAM. A detailed report on the results and impacts for each project will be provided at full proposal stage* ‘High throughput sequencing and rare diseases’- WGS pre-proposal application form Call 2015-1 - Fondation maladies rares 6/7 Annex : WGS Full proposal application form - Description of the project: indicative list of items to be detailed In the full proposal, the following items should be described in details (indicative and non exhaustive list): 1. Objectives 2. Description of samples available for the study Description of clinical phenotype, pedigree, available linkage studies for patients analyzed in the project Criteria used for samples inclusion in the project 3. Strategy Justification of the choice of the whole genome sequencing strategy considering all criteria: pathology, modes of inheritance, cases, genetic heterogeneity, etc. Context - If whole-exome studies have already been performed on the same disease and/or on the selected patients, detailed results of these studies must be provided: technical aspects: sequencing platform, coverage/depth sequencing, complete process of data analysis, variants interpretation and validation…) 4. Expertise of the laboratory in analysis, annotation and sequences interpretation to be produced in this project and strategy for mutations validation Management for data sequencing analysis and bioinformatics resources associated Cohorts available for validating results 5. Description of the downstream research intended to be performed (including possible collaboration) ‘High throughput sequencing and rare diseases’- WGS pre-proposal application form Call 2015-1 - Fondation maladies rares 7/7