Opportunity Information: Apply for RFA NS 19 030
The Neuropathological Assessment of TBI-related Neurodegeneration and Neurocognitive Decline - Center Without Walls (NATBI CWOW) funding opportunity (RFA NS 19 030) is a National Institutes of Health cooperative agreement that supports a single, coordinated, multisite effort to study how traumatic brain injury (TBI) is linked to later-life neurodegeneration and cognitive decline. The overall goal is to build a comprehensive picture of the brain changes seen after TBI by combining standardized neuropathology with rich clinical histories, then connecting those postmortem findings to symptoms documented while individuals were alive. The project is structured as a "Center Without Walls," meaning it is meant to operate as a distributed consortium across sites rather than as a single physical center, with strong coordination and harmonized methods across participating institutions.
The scientific focus is on systematically characterizing neuropathological features in people with a history of TBI and determining how those features relate to neurocognitive outcomes and neurodegenerative disease. Applications are expected to examine how individual factors such as sex, age at the time of injury, and time since injury may shape neuropathological burden and clinical presentation. In parallel, the study should account for injury-related factors including severity and frequency of TBI, recognizing that a single severe injury and repeated mild injuries may produce different long-term patterns. A central expectation is to describe associations between the amount and type of neuropathology found at autopsy and antemortem clinicopathologic symptoms, meaning cognitive, behavioral, motor, and other neurologic changes observed prior to death that might align with specific pathological signatures.
A key deliverable is a clear estimate of the prevalence of several TBI-associated neurodegenerative outcomes within the participating brain bank populations. Specifically, the consortium is expected to outline how commonly it observes TBI-related parkinsonism, TBI-related Alzheimer's disease-like pathology, and chronic traumatic encephalopathy (CTE) among the cases available to the network. This implies not only identifying these entities using agreed-upon neuropathological criteria, but also placing them in context across sites so that differences in ascertainment, demographics, and injury exposure can be understood rather than confounded.
Data and resource sharing is not treated as optional in this announcement; it is a defining feature of the program. The FOA emphasizes broad sharing of both clinical and neuropathological data, with the intent of accelerating progress beyond the immediate awardee group. To support that, applicants are expected to develop a digital resource that enables distribution and sharing of assessed neuropathological tissue, which suggests a structured, accessible platform tied to standardized tissue assessment and associated metadata. In practice, this kind of resource is typically meant to make it easier for external investigators to discover what has been collected, understand how it was processed and scored, and request access under appropriate governance, while also encouraging consistency in how future samples are evaluated.
From an administrative standpoint, the mechanism is a U54 cooperative agreement, which generally signals substantial scientific or programmatic involvement by NIH staff in partnership with the awardee. The opportunity is labeled "Clinical Trial Not Allowed," indicating the funded activities should not include prospective interventional clinical trials. The eligible applicant pool is broad and includes federal-recognized tribal governments and tribal organizations, state and local governments, public and private institutions of higher education, nonprofit organizations with or without 501(c)(3) status, for-profit organizations (including small businesses), independent school districts, special district governments, and other entities as allowed by the FOA's eligibility details. The Department of Health and Human Services is the parent agency, with NIH as the awarding component, and the CFDA numbers listed are 93.853 and 93.866.
Logistically, the FOA anticipated one award, which reinforces that NIH intended to fund a single consortium able to bring multiple sites and brain bank resources into a unified framework. The award ceiling is listed as 0, which typically means applicants must refer to the FOA text for budget guidance rather than relying on a fixed maximum in the summary fields. The original posting date was February 25, 2019, with an original closing date of April 15, 2019, positioning it as a time-limited competition aimed at launching a coordinated national effort around neuropathology, clinical correlation, and open, reusable research resources for the TBI-neurodegeneration field.Apply for RFA NS 19 030
- The Department of Health and Human Services, National Institutes of Health in the health sector is offering a public funding opportunity titled "Neuropathological Assessment of TBI-related Neurodegeneration and Neurocognitive decline - Center Without Walls (NATBI CWOW) (U54 Clinical Trial Not Allowed)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.853, 93.866.
- This funding opportunity was created on Feb 25, 2019.
- Applicants must submit their applications by Apr 15, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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