Opportunity Information: Apply for RFA AG 20 016

The Lucidity in Dementia (R21 Clinical Trial Optional) funding opportunity (RFA-AG-20-016) is a National Institutes of Health (NIH) discretionary grant solicitation focused on improving scientific understanding of lucidity as it occurs in people living with dementia. The central aim is to support an initial wave of exploratory studies that can clarify what lucidity looks like, when and why it happens, how it can be measured, and what it might mean for patients, caregivers, and clinical care. The FOA is explicitly positioned as a “groundwork” initiative, meaning it is meant to build foundational evidence and methods that later, larger studies can rely on, rather than to fully settle the field in one step.

Projects funded under this announcement are expected to use the NIH R21 mechanism, which is designed for exploratory and developmental research. In practical terms, that means the studies should be early-stage but still rigorous, aimed at generating preliminary data, testing feasibility, piloting tools or approaches, or developing initial conceptual and measurement frameworks. The FOA allows for retrospective and/or prospective study designs. Retrospective work could include analyses of existing datasets, medical records, caregiver reports, or previously collected observational data to identify patterns of lucidity. Prospective work could include following individuals over time to document lucid episodes as they occur, testing observational protocols, or evaluating data collection methods in real-world care settings. The “Clinical Trial Optional” designation indicates applicants may propose a clinical trial if it is appropriate for the research question, but a clinical trial is not required.

The opportunity falls under the health funding activity category and is associated with CFDA number 93.866, which aligns with aging and related NIH research portfolios. The award ceiling listed is $200,000, and while the source data notes “Expected Awards:” without a specified number, the intent is to support an initial set of studies rather than a single project. The original closing date for the solicitation was February 3, 2020, and the FOA record indicates it was created on May 6, 2019.

Eligibility is broad, spanning many common applicant types such as state, county, city or township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; and public housing authorities or Indian housing authorities. It also includes a wide range of organizational applicants across nonprofit and for-profit sectors, including nonprofits with or without 501(c)(3) status (as long as they are not institutions of higher education for those categories), for-profit organizations other than small businesses, and small businesses. In addition, the FOA highlights “other eligible applicants,” emphasizing inclusion of institutions and organizations that serve historically underrepresented or specific community populations. These explicitly named groups include Alaska Native and Native Hawaiian Serving Institutions, Asian American Native American Pacific Islander Serving Institutions (AANAPISIs), Hispanic-serving Institutions, Historically Black Colleges and Universities (HBCUs), Tribally Controlled Colleges and Universities (TCCUs), Indian/Native American Tribal Governments (other than federally recognized), faith-based or community-based organizations, eligible federal agencies, regional organizations, U.S. territories or possessions, and non-domestic (non-U.S.) entities (foreign organizations). This breadth suggests NIH was seeking to encourage diverse research settings, perspectives, and participant populations, which is especially relevant for a topic like lucidity in dementia that can be influenced by cultural context, caregiving environments, and differences in health systems.

Overall, this FOA is best understood as a targeted push to establish the early evidence base and research infrastructure for studying lucidity in dementia. It encourages projects that can define and characterize the phenomenon, develop or refine ways to detect and measure it, and generate the preliminary findings needed to justify and design more definitive future studies.

  • The National Institutes of Health in the health sector is offering a public funding opportunity titled "Lucidity in Dementia (R21 Clinical Trial Optional)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.866.
  • This funding opportunity was created on 2019-05-06.
  • Applicants must submit their applications by 2020-02-03. (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 $200,000.00 in funding.
  • 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.
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FAQs: Lucidity in Dementia (R21 Clinical Trial Optional) - RFA-AG-20-016

What is the Lucidity in Dementia funding opportunity (RFA-AG-20-016)?

This is a National Institutes of Health (NIH) discretionary grant solicitation focused on improving scientific understanding of lucidity as it occurs in people living with dementia. It is specifically framed as a groundwork initiative meant to build foundational evidence, concepts, and methods that later studies can build on.

What is the main purpose of this FOA?

The central aim is to support an initial wave of exploratory studies that clarify what lucidity looks like, when and why it happens, how it can be measured, and what it might mean for patients, caregivers, and clinical care.

Is this FOA intended to definitively settle the science of lucidity in dementia?

No. The FOA is explicitly positioned as a groundwork initiative. The expectation is to establish early evidence and research approaches rather than to resolve all major questions in a single project or funding round.

What grant mechanism does this opportunity use?

Projects are expected to use the NIH R21 mechanism, which is designed for exploratory and developmental research.

What kind of studies are appropriate under an NIH R21 for this topic?

The FOA emphasizes early-stage but rigorous work. Examples described include generating preliminary data, testing feasibility, piloting tools or approaches, and developing initial conceptual and measurement frameworks related to lucidity in dementia.

Are retrospective study designs allowed?

Yes. The FOA allows retrospective designs, including analysis of existing datasets, medical records, caregiver reports, or previously collected observational data to identify patterns of lucidity.

Are prospective study designs allowed?

Yes. The FOA allows prospective designs, such as following individuals over time to document lucid episodes as they occur, testing observational protocols, or evaluating data collection methods in real-world care settings.

Does the project have to be a clinical trial?

No. The FOA is labeled "Clinical Trial Optional," meaning applicants may propose a clinical trial if it fits the research question, but a clinical trial is not required.

What does "Clinical Trial Optional" mean in this context?

It means the applicant can include a clinical trial if it is appropriate for the aims (for example, if testing an approach requires a trial structure), but the FOA also welcomes non-trial exploratory and observational research designs.

What kinds of research questions does the FOA prioritize?

Based on the description provided, the FOA prioritizes studies that can: define and characterize lucidity in dementia; determine when and why it happens; develop, refine, or test methods to detect and measure it; and explore implications for patients, caregivers, and clinical care.

What is the award ceiling for this opportunity?

The listed award ceiling is $200,000.

How many awards are expected?

The source information includes "Expected Awards:" but does not specify a number. The intent is described as supporting an initial set of studies rather than a single project.

What is the CFDA number associated with this FOA?

The opportunity is associated with CFDA number 93.866, which aligns with aging and related NIH research portfolios.

What type of funding activity category does this fall under?

This opportunity falls under the health funding activity category.

When was the FOA created, and what was the original closing date?

The FOA record indicates it was created on May 6, 2019. The original closing date listed for the solicitation was February 3, 2020.

Which applicant organizations are eligible to apply?

Eligibility is broad and includes state, county, city or township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; and public housing authorities or Indian housing authorities.

Are nonprofits and for-profit organizations eligible?

Yes. The FOA includes a wide range of organizational applicants across nonprofit and for-profit sectors, including nonprofits with or without 501(c)(3) status (for the categories specified, as long as they are not institutions of higher education), for-profit organizations other than small businesses, and small businesses.

Does the FOA encourage applications from organizations serving historically underrepresented communities?

Yes. The FOA highlights "other eligible applicants" and explicitly names institutions and organizations that serve historically underrepresented or specific community populations, indicating an intent to encourage diverse research settings and perspectives.

Which specific community-serving or underrepresented-serving institutions are explicitly mentioned as eligible?

The explicitly named groups include Alaska Native and Native Hawaiian Serving Institutions; Asian American Native American Pacific Islander Serving Institutions (AANAPISIs); Hispanic-serving Institutions; Historically Black Colleges and Universities (HBCUs); Tribally Controlled Colleges and Universities (TCCUs); and Indian/Native American Tribal Governments (other than federally recognized).

Are faith-based or community-based organizations eligible?

Yes. Faith-based or community-based organizations are explicitly listed among "other eligible applicants."

Are U.S. territories or possessions eligible?

Yes. U.S. territories or possessions are explicitly listed as eligible.

Are foreign (non-U.S.) organizations eligible to apply?

Yes. The FOA explicitly includes non-domestic (non-U.S.) entities (foreign organizations) among eligible applicants.

Are eligible federal agencies included as applicants?

Yes. Eligible federal agencies are explicitly included in the list of "other eligible applicants."

Why does the FOA emphasize diverse research settings and populations?

The provided description suggests NIH was encouraging diversity because lucidity in dementia can be influenced by cultural context, caregiving environments, and differences in health systems. Broad eligibility supports research across varied communities and care settings.

What outcomes or products are most aligned with this FOA's "groundwork" intent?

Aligned outputs include early evidence about what lucidity looks like and when it occurs, feasibility results, pilot data, and initial tools, protocols, or measurement frameworks that make future, larger studies more feasible and more rigorous.

Does this FOA support only one specific research approach?

No. The FOA supports exploratory R21 work and explicitly allows both retrospective and prospective designs, with a clinical trial being optional rather than required.

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