Core objective: Accelerate the development and testing of evidence-based cancer-related interventions using pragmatic trial designs.
Focus: Improve cancer-related outcomes across the cancer control continuum in diverse populations and settings in the United States.
Target recipient: Diverse U.S.-based organizations, including higher education, non-profits, for-profits, and government entities.
SECTOR-SPECIFIC: Healthcare, Public Health, Cancer Research.
Geographic scope: United States. Foreign organizations and foreign components of U.S. organizations are not eligible to apply for primary awards.
Key filtering criteria: Must propose a clinical trial, specifically a pragmatic trial, for cancer-related interventions. Not for drug/device development or explanatory trials.
Grant frequency/context: A specific Notice of Funding Opportunity (NOFO) that is a reissue of a previous PAR, indicating a recurring focus area for NCI.
Payment mechanism: Awards are made, and funds may be requested from the designated HHS payment system.
Currency: USD.
Funding rate: Implied 100.0% of eligible direct costs up to the stated limits, as cost sharing is not required.
Eligibility Requirements
Organization Types
Eligible: Higher Education Institutions (public/state controlled, private), Nonprofits (with/without 501(c)(3) status), For-Profit Organizations (Small Businesses, others), Local Governments (State, County, City/Township, Special District, Federally Recognized/Other Indian/Native American Tribal Governments), Federal Governments (Eligible Agencies), and Other (Independent School Districts, Public Housing Authorities/Indian Housing Authorities, Native American Tribal Organizations, Faith-based or Community-based Organizations, Regional Organizations).
Ineligible: Non-domestic (non-U.S.) Entities (Foreign Organizations). Non-domestic (non-U.S.) components of U.S. Organizations are not eligible to apply.
Note: Foreign components (e.g., a specific research site or partner abroad) are allowed if part of an otherwise eligible U.S. organization.
Project Specifics
Must propose a clinical trial.
Must be a pragmatic trial designed to determine intervention effects in 'usual' contexts, focusing on informing decision-making.
Must include at least one intervention condition and at least one control or comparison condition.
Must propose milestones for both the UG3 (preparatory) and UH3 (pragmatic trial) phases.
Exclusion Criteria: Applications that propose to test cancer-related therapies, imaging, diagnostics, biologics, or devices (e.g., first-in-human studies or drug/device safety trials) are non-responsive and will not be reviewed.
Required Registrations
System for Award Management (SAM) with active registration (annual renewal required).
Unique Entity Identifier (UEI) obtained via SAM.gov.
eRA Commons account for the organization (Signing Official) and for the Program Director/Principal Investigator (PD/PI).
Assessment of the likelihood for the project to exert a sustained, powerful influence on the research field(s).
Scored Review Criteria
Importance of the Research (Significance and Innovation):
Significance of the health problem and justification for proposed cancer-related intervention's impact.
Evidence that the problem and outcome are a priority among key collaborators/decision-makers.
How the intervention fills a gap in evidence-based cancer interventions, supported by compelling information/data.
Rigor and Feasibility (Approach):
Description of proposed activities for UG3 phase (pilot testing, refining intervention, finalizing plans for pragmatic trial).
Description of the proposed pragmatic trial for UH3 phase (design elements, justification of control/comparison, statistical/data analytic plans, power analyses, sample size, handling missing data, rigor of randomized/non-randomized design).
Adherence to NIH Policy on Good Clinical Practice Training.
Inclusion of clear, specified, quantifiable, and scientifically justified milestones for both UG3 (for transition to UH3) and UH3 (annual).
Expertise and Resources (Investigator(s) and Environment):
Demonstration of multidisciplinary scientific expertise of the research team.
Evidence of appropriate collaborators and decision makers involved, and successful collaboration.
Additional Review Criteria (Not Scored, but Considered)
Protections for Human Subjects: Justification for involvement, proposed protections, potential benefits, importance of knowledge, data and safety monitoring for clinical trials.
Vertebrate Animals: Justification for use, appropriateness of species, interventions to minimize discomfort, justification for euthanasia method (if applicable).
Biohazards: Evaluation of hazards and proposed protections.
Additional Review Considerations (Not Scored)
Authentication of Key Biological and/or Chemical Resources: Plans for validating resources.
Budget and Period of Support: Justification and reasonableness of requested budget and project period.
Other
Applications are encouraged to focus on including minority health populations and populations experiencing health disparities, and settings/communities with limited resources.
Compliance & Special Requirements
Regulatory Compliance
Adherence to NIH Grants Policy Statement, 2 CFR Part 200 (Uniform Administrative Requirements).
Compliance with all applicable non-discrimination laws, requiring submission of HHS-690 Assurance of Compliance.
Compliance with federal statutes and regulations relevant to federal financial assistance.
For health IT activities, use of health IT meeting standards in 45 CFR part 170, Subpart B, and certified under ONC Health IT Certification Program (if applicable).
Reporting of violations of federal criminal law (fraud, bribery, gratuity) to the NIH Chief Grants Management Officer and HHS Office of Inspector Grant Self Disclosure Program.
Research Ethics and Oversight
Human Subjects Research: Compliance with 45 CFR Part 46, requiring Institutional Review Board (IRB) or Independent Ethics Committee (IEC) approval.
Data and Safety Monitoring: Required for all human biomedical and behavioral intervention studies (clinical trials).
Investigational New Drug (IND) or Investigational Device Exemption (IDE): Required for projects involving investigational therapeutics/devices.
Data Management and Intellectual Property
Data Management and Sharing Plan: Required for all research generating scientific data, consistent with the 2023 NIH Policy.
Intellectual Property: Recipients retain custody and primary rights to data and software developed under the award, subject to Government access policies.
Cybersecurity
If handling HHS-owned/operated information or PII/PHI, recipients must develop plans/procedures modeled after the NIST Cybersecurity framework.
Programmatic Structure
UG3/UH3 Phased Cooperative Agreement: This award mechanism involves two distinct phases. The UG3 phase (up to 2 years) focuses on preparatory activities and refining the intervention. Transition to the UH3 phase (up to 4 years) for the main pragmatic trial is contingent on meeting UG3 milestones and administrative review.
Substantial Federal Involvement: NIH/NCI staff will be actively involved scientifically and programmatically, providing guidance and coordination, beyond a typical oversight role.
Dispute Resolution: A specific procedure is outlined for disagreements between recipients and NIH on scientific or programmatic matters.
Strategic Focus
Strong encouragement to focus on minority health populations and populations experiencing health disparities, as well as settings and communities with limited resources.
Grant Details
pragmatic trials
cancer control
cancer intervention
clinical trial
public health
health disparities
health equity
cancer survivorship
behavioral research
epidemiology
genomics
healthcare delivery
nci
nih
ug3
uh3
cooperative agreement
implementation science
cancer prevention
early detection
treatment
quality of life
health outcomes
united states
u.s.
research
medical research
health
disease
prevention
treatment
patient care
community health
health systems
pilot studies
research methodology
data sharing
clinical research
underserved populations
minority populations
rural health
health technology
evidence-based interventions
Pragmatic Trials across the Cancer Control Continuum (UG3/UH3 Clinical Trial Required)
PAR-25-072
National Institutes of Health (NIH) - National Cancer Institute (NCI)