Facilitating International Clinical Trials
Supporting multinational clinical trials is a focus of the 2021 established Global Cardiovascular Research Funders Forum (GCRFF). The Initiative is a sub-group of 8 of the 12 national funders in 10 countries.
It aims to facilitate multinational clinical trials by bringing all potential funders to the table right from the start. Scientists simply submit an "Expression of Interest" (EOI) - the initiative coordinates the matching of national funders.
The process has clear advantages for scientists and funders:
- All funding organisations can get involved in the study design from the beginning. Until now, it has usually been the case that other funding organisations are only brought on board once the study has already been started with one funding organisation.
- The study can be coordinated and started simultaneously in different countries: this increases the chances of success.
- Reduce the risk to the funder(s) because there is greater assurance that the trial will be deliverable and costs are spread.
Want to submit an expression of interest (EOI)?
How it Works
Applicants from Germany do not necessarily have to be members of the DZHK.
A maximum of 2.5 million euros (for the German part of the study) can be applied for from the DZHK. The DZHK can only fund a very limited number of guideline-relevant studies (maximum 1-2 positive funding decisions per year).
The following notes explain the steps in the diagram (red: steps at the DZHK, blue: steps at the GCRFF).
3
Preliminary administrative check of the EOI
The eligibility to apply is checked here. The deadline is 17 days before an EOI submission at the latest. Please send the EOI to clinicalstudies@dzhk.de (Clinical Research Group). The formal check includes three aspects:
- Is the scientist basically established in the DZHK and eligible to apply?
- Does the EOI comply with the rules of the DZHK funding guideline for guideline-relevant studies?
- Are there any overlaps with a DZHK-funded study?
If the formal preliminary check is positive, the EOI including the formally confirmed application authorisation can be submitted to the GCRFF. If the check is not positive, another German funding organisation must be approached for the German part of the study.
Note: A successful formal preliminary check is no guarantee for funding by the DZHK. The DZHK will only fund the German part of the study once a full application has been approved by the Research Coordinating Committee (RCC) (see step 10), the funding law review has been completed and the financing of the entire study has been confirmed.
4
Submit EOI to the GCRFF
The current deadlines can be found at www.bhf.org.uk
The EOI is submitted via the Grants Management System of the British Heart Foundation (BHF).
6
Submit a full application to the Clinical Study Group (CSG) of the DZHK
If the GCRFF has endorsed the study, a full application can be submitted to the Clinical Study Group (CSG) of the DZHK. The CSG will review the full application in the regular procedure. Here you will find the next deadline, information and application documents (DZHK intranet, login required) for a full application.
Note: An endorsement by the GCRFF is no guarantee for funding by the DZHK - but it improves the chances that the German part of the study will be funded by the DZHK.
7
Clinical pitch
The study will be presented to the DZHK clinicians in a short clinical pitch to test the feasibility in DZHK Study Units.
8
Further documents
If there are already positive review results from comparable public funding organisations (e.g. from other funders participating in the GCRFF) for the proposed study design, please submit the complete review documents to us together with the full application.
9
CSG review
The CSG reviews and ranks the full proposal in comparison to other full proposals for guideline-relevant studies.
10
Proof of overall funding
In addition, the implementation of the funding intention is conditional on the funding of the overall international study. This must be demonstrated within 9 months.
The following notes explain the steps in the diagram (red: steps at the DZHK, blue: steps at the GCRFF).
C-E
Submission to the CSG
The submission of the EOI to the GCRFF requires a favourable consultation by the CSG. Please use the deadline for short applications for guideline-relevant studies (GRS) of the DZHK to first present the EOI to the DZHK as potential funder of the study centre and obtain approval for submission. Prior to submission to the GCRFF, the CSG assesses the short application (equivalent in content to an EOI draft) in comparison with other applications for guideline-relevant studies and, if applicable, approves it as promising. The aim is to select promising EOIs (lead in the DZHK) in advance and to propose them to the GCRFF from within the DZHK.
Note: A successful pre-selection by the CSG is no guarantee for funding by the DZHK. The DZHK will only fund the German part of the study once a full application has been approved by the Research Coordinating Committee (RCC) (see step J), the funding law review has been completed and the financing of the entire study has been confirmed.
D
Clinical pitch
The study will be presented to the DZHK clinicians in a short clinical pitch to test its feasibility in DZHK Study Units.
F
Submit EOI to the GCRFF
You can find the current deadlines at www.bhf.org.uk
The EOI is submitted via the Grants Management System of the British Heart Foundation (BHF).
H-J
Submit a full application to the Clinical Study Group (CSG) of the DZHK
If the GCRFF has endorsed the study, a full application can be submitted to the Clinical Study Group (CSG) of the DZHK. The CSG will review the full application in the regular procedure. Here you can find the next deadline, information and application documents (DZHK intranet, login required) for a full application.
Note: An endorsement by the GCRFF is no guarantee for funding by the DZHK - but it improves the chances that the German part of the study will be funded by the DZHK.
I
Submit further assessment results
If there are already positive review results from comparable public funding organisations (e.g. from other funders participating in the GCRFF) for the study design applied for, please submit the complete review documents to us together with the full application. The CSG evaluates and ranks the full proposal in comparison to other full proposals for guideline-relevant studies.
J
Proof of overall funding
In addition, the realisation of the funding intention is conditional on the funding of the overall international study. This must be proven within 9 months.
If you are not a member of the DZHK, and are therefore not eligible to apply for funding from the DZHK, you should plan to apply for national funding for the German component of your study, for example from the Federal Ministry of Education and Research (BMBF) or the German Research Foundation (DFG).
The EOI is submitted via the Grants Management System der British Heart Foundation (BHF) .
What must be included in the EOI?
- Please note, the EOI must include co-applicants from the countries of the national funders who have been named in the funding request. Co-applicants should have been fully engaged in the development of the study and should have inputted into the EOI.
- If you have already secured funding for elements of the study, please provide details (funders name, amount awarded, date of award) in the EOI.
- Also, outline any formal applications for funding that have been submitted, where a result is awaited. Give the details of the funder, funding scheme and the date when a decision will be reached.
Detailed information on the process and criteria can be found on the British Heart Foundation website:
How it works
Criteria for submitting an Expression of Interest
How to apply
Deadlines & Panel Dates 2024
26th JAN 2024, 10:00 (CET): Submit EOI
21st MAR 2024: Expert Advisory Panel meeting
24th MAY 2024, 10:00 (CET): Submit EOI
18th JUL 2024: Expert Advisory Panel meeting
27th SEP 2024, 10:00 (CET): Submit EOI
26th NOV 2024: Expert Advisory Panel meeting
Deadlines & Panel Dates 2025
24th JAN 2025, 10:00 (CET): Submit EOI
20th MAR 2025: Expert Advisory Panel meeting
23rd MAY 2025, 10:00 (CET): Submit EOI
17th JUL 2025: Expert Advisory Panel meeting
26th SEP 2025, 10:00 (CET): Submit EOI
25th NOV 2025: Expert Advisory Panel meeting
The EOI is submitted via the Grants Management System of the British Heart Foundation (BHF):
Please note
The GCRFF Multinational Clinical Trials Initiative provides a mechanism to support better coordination of consideration of multinational trial funding. It does not fund trials directly, nor does it guarantee funding by individual funders.
About the Global Cardiovascular Research Funders Forum (GCRFF)
We've joined forces with leading cardiovascular research funders in a new global partnership. The Global Cardiovascular Research Funders Forum (GCRFF) aims to accelerate the pace of progress by creating opportunities for cross-border coordination and collaboration between world-leading cardiovascular researchers and organisations. Its members will initially collaborate by sharing information on research funding priorities, strategic initiatives, and clinical trials.
The Forum includes many of the biggest independent funders of cardiovascular research in the world, which together support more than US$600 million in research annually.
The 12 members in 10 countries are:
Australia - National Heart Foundation of Australia
Canada - The Heart and Stroke Foundation of Canada ; Institute of Circulatory and Respiratory Health, Canadian Institutes of Health Research, Canada
Denmark - Danish Heart Foundation (Hjerteforeningen)
France - Leducq Foundation
Germany - German Centre for Cardiovascular Research
Netherlands - Dutch Heart Foundation (Hartstichting)
New Zealand - National Heart Foundation of New Zealand
Switzerland - Swiss Heart Foundation
UK - British Heart Foundation
USA - American Heart Association ; National Heart, Lung and Blood Institute
Despite the astonishing progress that cardiovascular research has made in recent decades, cardiovascular diseases remain the biggest cause of death and disability globally, meaning urgent progress is needed.
International funders aim to improve global heart health (22.06.2021) press release