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Simpler Grants

No. PAR-25-450 · National Institutes of Health

Open

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

Dealbreakers No cost share required Audit: not stated Reimbursement-only: not stated
Award range
Not specified
Expected awards
Not specified
Application deadline
Jul 20, 2028
Posted
Sep 22, 2025
Last verified
6 days ago

At a glance

AI summary

This program funds clinical projects that improve readiness for future clinical trials in rare diseases by validating biomarkers or clinical outcome measures, or by defining disease natural history and patient characteristics needed for trial design. It does not fund clinical trials, biomarker discovery, assay characterization, standalone patient registries, new trial networks, or intervention studies focused on safety, pharmacokinetics, efficacy, or effectiveness. Eligible applicants include U.S. higher education institutions, nonprofits, for-profits, governments, tribal organizations, faith-based or community-based organizations, and foreign organizations are not eligible; foreign components are not allowed. Awards may request up to $275,000 in direct costs for a 2-year project period, with no more than $200,000 in direct costs in any single year, and cost sharing is not required.

AI-generated summary — verify against the announcement

What it funds

  • Health
  • Income Security and Social Services
  • Research & Discovery
  • Patients & People with Health Conditions
  • Researchers & Scholars
  • Biomedical & Disease Research
Official description from grants.gov

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

  • City or township governments
  • County governments
  • For-profit organizations other than small businesses
  • Independent school districts
  • Native American tribal governments (Federally recognized)
  • Native American tribal organizations (other than Federally recognized)
  • Nonprofits with 501(c)(3) status (other than higher education)
  • Nonprofits without 501(c)(3) status (other than higher education)
  • Others
  • Private institutions of higher education
  • Public and State controlled institutions of higher education
  • Public housing authorities / Indian housing authorities
  • Small businesses
  • Special district governments
  • State governments
Geographic restriction None found in the announcement — likely nationwide

Program history

USASpending.gov

Assistance listing 93.350 · National Center for Advancing Translational Sciences

Real awards this federal program has made — the whole assistance listing (93.350), not just this notice.

Fiscal year Awards Median award Middle half
FY 2026 (so far) 106 $427,386 $166,500 – $755,137
FY 2025 110 $427,602 $178,000 – $1,833,042
FY 2024 137 $463,150 $176,720 – $2,139,478
FY 2023 131 $363,189 $155,500 – $3,024,000
FY 2022 106 $438,741 $156,117 – $1,906,971
FY 2021 76 $324,197 $28,713 – $1,276,814
Who wins it Higher education (344), Business (161), Nonprofit (137) of 666 awards — categories can overlap.
Top states CA (74) · NY (48) · NC (38) · MA (36) · PA (28)
Largest recent awards
  1. ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI $46,369,962 · FY 2022
  2. TRUSTEES OF TUFTS COLLEGE $44,451,810 · FY 2023
  3. PRESIDENT AND FELLOWS OF HARVARD COLLEGE $43,319,327 · FY 2023
  4. REGENTS OF THE UNIVERSITY OF MICHIGAN $39,816,036 · FY 2023
  5. THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER $39,349,638 · FY 2021

Source: USASpending.gov · refreshed Aug 30, 2026

Assistance listing 93.865 · Child Health and Human Development Extramural Research

Real awards this federal program has made — the whole assistance listing (93.865), not just this notice.

Fiscal year Awards Median award Middle half
FY 2026 (so far) 386 $392,826 $79,188 – $593,582
FY 2025 665 $452,972 $178,000 – $1,225,547
FY 2024 785
FY 2023 835
FY 2022 799
FY 2021 764

Dollar figures are based on the 1,000 most recent awards we store, not all 4,234 — award counts are complete.

Who wins it Higher education (3,137), Nonprofit (693), Business (224) of 4,234 awards — categories can overlap.
Top states CA (103) · MA (87) · PA (75) · NY (62) · MI (34)
Largest recent awards
  1. PRESIDENT AND FELLOWS OF HARVARD COLLEGE $16,115,056 · FY 2025
  2. UNIVERSITY OF MIAMI $15,385,183 · FY 2025
  3. UNIVERSITY OF WASHINGTON $6,635,347 · FY 2025
  4. GEORGE WASHINGTON UNIVERSITY (THE) $5,117,920 · FY 2025
  5. RESEARCH TRIANGLE INSTITUTE $4,847,747 · FY 2025

Source: USASpending.gov · refreshed Aug 23, 2026