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National Institutes of Health · Department of Health and Human Services

Clinical Trial Readiness for Rare Diseases, Disorders, and Syndromes (R21 Clinical Trial Not Allowed)

Open

Key facts

Deadline
Due Jul 20, 2028 · 652 days left
Award size
Not stated: see the official notice
Match ?
Not required · Work out your budget and match
Who can apply
Special district (utility, fire, etc.), Tribal government, Small business, County government, City or town government, Public college or university, Nonprofit with 501(c)(3), Nonprofit without 501(c)(3), School district, Larger business, Tribal organization, State government, Private college or university, and others named in the official notice
Where
Anywhere in the U.S., including Tennessee

Before you apply: federal grants require an active SAM.gov registration (Unique Entity ID) and a Grants.gov account. Registration is free but can take weeks, so start now, not when the deadline is close. Get-ready checklist

How this fits you

  • Available in Tennessee (nationwide program)
  • No match required
  • Past Tennessee awards on file: 169

Tell us who you are to see whether you're eligible.

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About this grant

This Notice of Funding Opportunity (NOFO) invites researchers to submit applications for support of clinical projects that address critical needs for clinical trial readiness in rare diseases. The initiative seeks applications that are intended to facilitate rare diseases research by enabling efficient and effective movement of candidate therapeutics or diagnostics toward clinical trials, and to increase their likelihood of success. This could be through the development and testing of rigorous biomarkers and clinical outcome assessment measures, or by defining the presentation and course of a rare disease to enable the design of upcoming clinical trials.

Who can apply, from the official notice

Other Eligible Applicants include the following: Alaska Native and Native Hawaiian Serving Institutions; Asian American Native American Pacific Islander Serving Institutions (AANAPISISs); Eligible Agencies of the Federal Government; Faith-based or Community-based Organizations; Hispanic-serving Institutions; Historically Black Colleges and Universities (HBCUs); Indian/Native American Tribal Governments (Other than Federally Recognized); Regional Organizations; Tribally Controlled Colleges and Universities (TCCUs) ; U.S. Territory or Possession; 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 not allowed.

Ask a partner for a letter

Your schedule, working back from the deadline

  1. Oct7
    Check that your SAM.gov registration is active (or start it now)
    Grants.gov: allow up to 10 business days for SAM registration, weeks or months if information isn't verified. It must be renewed every year. Grants.gov
  2. Jun29
    Ask partners for letters of support or commitment
    Suggested: partners need about three weeks to write and sign letters.
  3. Jul13
    Finish a complete draft for a final review
    Suggested: leave about a week for someone else to read the draft.
  4. Jul18
    Submit
    Grants.gov: submit at least 24–48 hours before the deadline: uploads fail, systems slow down, errors need fixing. Grants.gov blog
  5. Jul20
    Deadline
    From the funder.

Save this grant to put these dates in My grants and your private calendar.

Who in Tennessee has won this program

43 awards to Tennessee groups in 2 counties since 1977. Largest shown:

Past Tennessee winners
Past winnerWhereAmountFiscal year
Vanderbilt University Medical CenterNashville, Davidson County$118.6M2017
Vanderbilt University Medical CenterNashville, Davidson County$31.4M2016
Vanderbilt University Medical CenterNashville, Davidson County$24.7M spent that year2025
Vanderbilt University Medical CenterNashville, Davidson County$20.9M2023
Vanderbilt University Medical CenterNashville, Davidson County$19.9M2023
Vanderbilt University Medical CenterNashville, Davidson County$10.1M1977
Vanderbilt University Medical CenterNashville, Davidson County$9.5M2020
Vanderbilt University Medical CenterNashville, Davidson County$9.3M2017
Vanderbilt University Medical CenterNashville, Davidson County$8M spent that year2025
Vanderbilt UniversityNashville, Davidson County$7.6M2018
Vanderbilt UniversityNashville, Davidson County$6.3M2004
Vanderbilt UniversityNashville$5.6M spent that year2025

Source: USAspending.gov, Federal Audit Clearinghouse. Past awards show who this program funds. They don't guarantee future awards.

Tennessee groups that got this money through a state agency or another organization

This federal money also reaches local groups as pass-through grants. 126 pass-through grants on file. Largest shown:

Tennessee pass-through grant winners
Past winnerWhereThroughAmountFiscal year
Vanderbilt University Medical CenterNashville, Davidson CountyDuke Clinical Research Institute$1.7M spent that year2025
Ut-Battelle LLCOak RidgeGeorgetown University$1.4M2024
Vanderbilt University Medical CenterNashville, Davidson CountyUniversity of California, San Diego$1.3M2024
Vanderbilt UniversityNashville, Davidson CountyVanderbilt University Medical Center$1.1M2023
Meharry Medical CollegeNashville, Davidson CountyVanderbilt University Medical Center$798K spent that year2025
Vanderbilt UniversityNashville, Davidson CountyUniversity of Texas at Austin$669K2023
Vanderbilt UniversityNashville, Davidson CountyVanderbilt University Medical Center$652K2026
St. Jude Children's Research Hospital, Inc.Memphis, Shelby CountyHarvard Medical School$600K spent that year2025
St. Jude Children's Research Hospital, Inc.Memphis, Shelby County5P01Hd103133-03$592K spent that year2023
Vanderbilt UniversityNashvilleVumc$576K spent that year2024
St Jude Children's Research Hospital IncMemphis, Shelby CountyHarvard College President & Fellows of$495K2023
Meharry Medical CollegeNashville, Davidson CountyVanderbilt University Medical Center$486K2026

Source: USAspending.gov pass-through reports (the first recipient reports each one of $30,000 or more).

About the federal program

National Center for Advancing Translational Sciences, also called “NCATS”
Program number 93.350 (the federal Assistance Listing number) · U.S. Department of Health and Human Services, National Institutes of Health · Cooperative agreement (a grant with close agency involvement)

How applications are judged

The major elements in evaluating proposals include assessments of: (1) The scientific merit and general significance of the proposed study and its objectives; (2) the technical adequacy of the experimental design and approach; (3) the competency of the proposed investigator or group to successfully pursue the project; (4) the adequacy of the available and proposed facilities and resources; (5) the necessity of the budget components requested in relation to the proposed project; and (6) the relevance and importance to announced program objectives and (7) the availability of funds.

Match

None required (federal program listing).

This program on SAM.gov

About the federal program

Child Health and Human Development Extramural Research, also called “Child Health and Human Development”
Program number 93.865 (the federal Assistance Listing number) · U.S. Department of Health and Human Services, National Institutes of Health · Project grant

How applications are judged

The major elements in evaluating proposals include assessments of the significance of the proposed research; approach; innovation; investigators; and environment. The following criteria will be used in considering the scientific and technical merit of SBIR/STTR Phase I grant applications: (1) The soundness and technical merit of the proposed approach; (2) the qualifications of the proposed principal investigator, supporting staff, and consultants; (3) the technological innovation of the proposed research; (4) the potential of the proposed research for commercial application; (5) the appropriateness of the budget requested; (6) the adequacy and suitability of the facilities and research environment; and (7) where applicable, the adequacy of assurances detailing the proposed means for (a) safeguarding human or animal subjects, and/or (b) protecting against or minimizing any adverse effect on the environment. Phase II grant applications will be reviewed based upon the following criteria: (1) The degree to which the Phase I objectives were met and feasibility demonstrated; (2) the scientific and technical merit of the proposed approach for achieving the Phase II objectives; (3) the qualifications of the proposed principal investigator, supporting staff, and consultants; (4) the technological innovation originality, or societal importance of the proposed research; (5) the potential of the proposed research for commercial application; (6) the reasonableness of the budget...

Match

None required (federal program listing).

Examples of funded projects

Fiscal year 2025: The following is a tiny sample of fiscal year 2025 NICHD funded grants within the discretionary award class type. 1) Understanding the role of early life social determinants and sex-specific pubertal pathways in the development of adolescent chronic pain. 2) Improving In Vitro Fertilization Success through Multiplexed Optical Metabolic Imaging. 3) Genetic Studies of Large Palindromes. 4) A Safe, Fast, and Cost-Effective System for Tissue Removal in Laparoscopic Hysterectomy and Other Minimally Invasive Surgery. The following is a tiny sample of fiscal year 2025 NICHD funded grants within the cooperative agreement award class type. 1) Study of Treatment and Reproductive outcomes. 2) Pediatric HIV/AIDS Cohort Study (PHACS): Research on Immune Aging, Sexual and Reproductive Health, and Perinatal Acquisition: Elucidating Relationships in HIV (RISE). 3) Pelvic Floor Disorders Network Data Coordinating Center. 4) NICHD Maternal-Fetal Medicine Units (MFMU) Network: Data Coordinating Center. Fiscal year 2026: The following is a tiny sample of fiscal year 2026 NICHD funded grants within the discretionary award class type. 1) Placental Proteins and Prematurity. 2) In...

This program on SAM.gov

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