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National Institute of Allergy and Infectious Diseases NIAID’s HIV/AIDS Clinical Trials Networks & the Community Rona Siskind, M.H.S. Division of AIDS, NIAID April 21, 2010 DAIDS Scientific Approach Division of AIDS (DAIDS) Long-Range Priorities Integration of prevention and treatment strategies – Antivirals as prevention Cure HIV infection – Eradicate reservoirs Re-cast the HIV/AIDS clinical trials networks – Integration of HIV with significant co-infections Division of AIDS HIV/AIDS Scientific Priorities Translational Research / Drug Development HIV Vaccines Mother to Child Transmission Microbicides Prevention of HIV Infection Optimization of Clinical Management including Co-Morbidities Populations DAIDS-funded HIV/AIDS Clinical Trials Networks AIDS Clinical Trials Group (ACTG) International Maternal Pediatric Adolescent AIDS Clinical Trials Group (IMPAACT) International Network for Strategic Initiatives in Global HIV Trials (INSIGHT) DAIDS-funded HIV/AIDS Clinical Trials Networks Microbicide Trials Network (MTN) HIV Prevention Trials Network (HPTN) HIV Vaccine Trials Network (HVTN) Layers of Community Education/Outreach National Strategies Community Partners NetworkLevel CABs Site-Level CABs NIAID/DAIDS & Partner NIH Institute and Centers Strategic Working Group Leadership Groups for HIV/AIDS Clinical Trials Networks Global Community Advisory Boards Units for HIV/AIDS Clinical Trials Networks Site Community Advisory Boards Evaluation Plan Community Partners Clinical Research Mgmt Support Contract Network Leaders Community Partners Goal: Define, harmonize & improve the role of community in the research process Assist leadership as they seek community input & engagement Foster a stronger partnership Specific Objectives: – Facilitate information exchange between community and Network/ DAIDS leadership – Enhance inter-network community communication – Identify and develop programs to meet the CAB needs, e.g., training – Identify and address challenges to participation in clinical trials Community Partners Activities Development of Recommendations for Community Involvement Training Programs: – Understanding the Clinical Research Process – The Role of a CAB Working Groups: – Site funding of CAB activities – Site evaluation of CAB activities – Scientific priorities Network Recompetition 2013 Why? Networks funded for 7 years – What do we hope to gain? Align our clinical research activities to address the rapidly evolving scientific questions of HIV+ and at risk populations Establish multi-disease research capacity by capitalizing on infrastructure of the HIV/AIDS clinical trials networks Build in flexibility Assumptions Don’t re-compete it all at once Don’t fix what isn’t broken (avoid seismic changes) Expand disease mandate (e.g., TB, hepatitis) Free sites to work with more than one leadership group Support for sites’ clinical activity Continued community involvement in the research endeavor Process for Developing NIAID Request for Applications Summer 2011 Winter 2010 Consultations NIAID Staff, Stakeholder Groups Additional Consultations for Feedback Stakeholder Groups Writing the RFA Spring/Fall 2013 Competition Providing Input Individual Network meetings Electronic mechanism for broad stakeholder comments “Town Hall” Meeting(s) – dates to be determined Stakeholder consultations Questions???