Opportunity Information: Apply for RFI NOT FD 18 014
The Food and Drug Administration (FDA), within the Department of Health and Human Services, issued this Request for Information (RFI) to gather input from the public on how to build a coordinated effort to create publicly available, standardized "core sets" of Clinical Outcome Assessments (COAs) and related endpoints for specific disease areas. The central idea is to identify, for a given condition, a minimum set of outcomes that should be measured consistently because they capture what matters most to patients and are sensitive enough to show meaningful change over time. These core sets are meant to cover key aspects of the patient experience, such as disease burden (how the condition affects daily life), treatment burden (the practical and physical costs of managing care), and, when relevant, physical functioning.
The FDA is not simply looking for new instruments; it is seeking information that can shape a program designed to develop these core sets in a disciplined, transparent way. The envisioned approach relies on qualified third parties running a clearly managed and methodologically sound process under a development protocol. That protocol would emphasize four main features: first, consistent use of appropriate methods for COA development, including alignment with FDA patient-focused drug development methodological guidance; second, prioritizing already-public measures that have been extensively vetted, to avoid reinventing the wheel and to reduce unnecessary proprietary fragmentation; third, publishing interim outputs at each milestone so that concepts, draft recommendations, and candidate measures are visible and usable by the broader community as they evolve; and fourth, structured engagement of major stakeholder groups at key points through public meetings and workshops. Those stakeholders include patient advocacy organizations, FDA medical product reviewers, industry sponsors, government and academic researchers, clinicians, health technology assessment groups, payers, and others involved in healthcare decision-making.
The rationale comes from the FDA's patient-focused work since 2012, when it began holding disease-specific meetings to hear directly from patients about how diseases affect their lives and what tradeoffs they face with existing treatments. The FDA frames this as more than contextual background; patient input can and should translate into stronger evidence of benefits and risks in clinical development, especially when trials use COA tools and endpoints that are scientifically sound. When COAs are well-developed and properly used in trials, their results can support regulatory decision-making and can sometimes be reflected in product labeling, which then helps clinicians and patients make better informed treatment choices at the point of care.
A major problem the RFI highlights is that COA development has been happening in a fragmented and uncoordinated way across many diseases. Patient groups, sponsors, and consultants often work independently, leading to a patchwork of different measures and, frequently, proprietary tools. That creates repeated "learning curves" for new programs, drives up costs, and reduces efficiency and sustainability over time. It can also produce uneven quality, because not every group has the same technical expertise, resources, or experience in COA development. The FDA notes that inconsistent COA quality reduces the usefulness of data for decision-makers and can undermine confidence in outcomes evidence, which in turn can discourage companies from investing in capturing the patient perspective, even though doing so could improve how therapies are developed and evaluated.
In practical grant and administrative terms, the opportunity is listed as discretionary and uses a cooperative agreement funding instrument, with an award ceiling of $1,000,000 and an expectation of one award. It is cataloged under CFDA 93.103 and categorized under Agriculture, Consumer Protection, Food and Nutrition (reflecting FDA's broader mission categories rather than the disease-focused nature of the work). The funding opportunity number is RFI NOT FD 18 014, it was created July 31, 2018, and the original closing date was October 15, 2018. Eligibility is broadly described as "Others," with additional eligibility specifics referenced in the full announcement materials.
Overall, this RFI is best understood as the FDA laying groundwork for a structured, multi-stakeholder program to standardize patient-centered outcome measurement in clinical trials. Instead of many disconnected efforts producing different endpoints and tools, the FDA is signaling interest in a common infrastructure: shared, public, high-quality COA core sets that can be used across studies in a disease area, lowering startup burden, improving consistency, and strengthening the credibility and decision value of patient-focused evidence.Apply for RFI NOT FD 18 014
- The Department of Health and Human Services, Food and Drug Administration in the agriculture, consumer protection, food and nutrition sector is offering a public funding opportunity titled "Request for Information (RFI): FDA Standard Core Clinical Outcome Assessments and Endpoints" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.103.
- This funding opportunity was created on Jul 31, 2018.
- Applicants must submit their applications by Oct 15, 2018. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $1,000,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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