Preterm birth remains the leading cause of perinatal morbidity and mortality, the rate of preterm birth continues to increase, and effective interventions to prevent preterm birth remain illusive. Investigators in the Center for Research in Women's Health at our institution have provided strong clinical research leadership in this area for 25 years. We have successfully acquired millions of dollars in federal funding to conduct clinical studies designed to improve our understanding of the pathophysiology of preterm birth as well as to test many potential interventions in prospective randomized trials. The productivity of our group has resulted in hundreds of publications in the area of preterm birth and its prevention. Our excellence in performing high- quality well-designed clinical trials is widely known. Germane to this application is our particular strength and success in performing multi-center trials and providing a leadership role in research networks including the NICHD Maternal-Fetal Medicine Units Network in which we have been a participating institution for nearly 15 years. Indeed, UAB was ranked first in overall performance among the 14 centers in this Network in the most recent objective ranking of member institutions. Thus, we believe that we are particularly well- positioned, not only to effectively participate, but also to provide leadership as a Clinical Core Center in the proposed Genomic and Proteomic Network. In this application, we will describe in detail our extremely successful clinical research facilities and infrastructure. We will also emphasize our well-documented strengths including patient accrual and retention, high-quality data acquisition and entry, rapid ramp-up to initiate new trials, protocol adherence, analysis and publication productivity, and collaborative success in protocol development and implementation in the NICHD MFMU Network which appears to be a model upon which the proposed new network is based. We believe that our enthusiasm and commitment to this project will be evident and we believe that our qualifications will be very competative for consideration.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project--Cooperative Agreements (U01)
Project #
5U01HD050094-04
Application #
7567571
Study Section
Special Emphasis Panel (ZHD1-DSR-T (02))
Program Officer
Spong, Catherine
Project Start
2006-03-01
Project End
2011-01-31
Budget Start
2009-02-01
Budget End
2010-01-31
Support Year
4
Fiscal Year
2009
Total Cost
$179,420
Indirect Cost
Name
University of Alabama Birmingham
Department
Obstetrics & Gynecology
Type
Schools of Medicine
DUNS #
063690705
City
Birmingham
State
AL
Country
United States
Zip Code
35294
Manuck, Tracy A; Esplin, M Sean; Biggio, Joseph et al. (2016) Predictors of response to 17-alpha hydroxyprogesterone caproate for prevention of recurrent spontaneous preterm birth. Am J Obstet Gynecol 214:376.e1-8
Esplin, M Sean; Manuck, Tracy A; Varner, Michael W et al. (2015) Cluster analysis of spontaneous preterm birth phenotypes identifies potential associations among preterm birth mechanisms. Am J Obstet Gynecol 213:429.e1-9
Manuck, Tracy A; Barbour, Kelli; Janicki, Lindsay et al. (2015) Conversion of Society for Maternal-Fetal Medicine abstract presentations to manuscript publications. Am J Obstet Gynecol 213:405.e1-6
Zhang, Heping; Baldwin, Don A; Bukowski, Radek K et al. (2015) A genome-wide association study of early spontaneous preterm delivery. Genet Epidemiol 39:217-26
Manuck, Tracy A; Esplin, M Sean; Biggio, Joseph et al. (2015) The phenotype of spontaneous preterm birth: application of a clinical phenotyping tool. Am J Obstet Gynecol 212:487.e1-487.e11
Parry, Samuel; Zhang, Heping; Biggio, Joseph et al. (2014) Maternal serum serpin B7 is associated with early spontaneous preterm birth. Am J Obstet Gynecol 211:678.e1-12
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Watterson, Kenneth; Sankala, Heidi; Milstien, Sheldon et al. (2003) Pleiotropic actions of sphingosine-1-phosphate. Prog Lipid Res 42:344-57