AN41--PTSD: Brain Stimulation Study

This is not a solicitation. The Department of Veterans Affairs intends to negotiate a requirement with Mary Hitchcock Memorial Hospital, 1 Medical Center Dr, NH 03756. The applicable NAICS code is 541715 and PSC is AN41. The authority for this action is FAR 13.106-1(b)(2): Only one Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements. Interested persons may contact the Contracting Specialist via email at contact@example.gov regarding this procurement. The determination to conduct a competitive procurement based on responses to this notice is solely within the discretion of the Contracting Officer. B.2 PERFORMANCE WORK STATEMENT Personalized Interventions for Maladaptive Fear Following Traumatic Brain Injury and Posttraumatic Stress Disorder (PTSD) INTRODUCTION: The mission of VA s National Center for PTSD (NCPTSD) is to advance the clinical care and social welfare of America's Veterans and others who have experienced trauma, or who suffer from PTSD, through research, education, and training in the science, diagnosis, and treatment of PTSD and stress-related disorders. We generate, collate, synthesize, disseminate, and promote implementation of the best information about PTSD. SCOPE: Traumatic brain injury (TBI) and PTSD are significant problems for Veterans and can lead to neuropsychiatric symptoms that pose extensive quality of life burdens on affected individuals. Disrupted communication between brain regions is one mechanism thought to perpetuate symptomatology, and thus, targeted brain stimulation is an area of growing interest. There is a critical need to systematically define domains of impairment to guide personalized interventions. The current project will focus on maladaptive fear and will utilize a rodent model of TBI with and without PTSD. Following experimental injuries or trauma exposure, rodents will undergo targeted brain stimulation in combination with brain activity measurement. The proposed work supports ongoing collaborative research conducted by investigators at the White River Junction VA. Key activities to be performed include: 1) Define behavioral deficits, 2) Define neural signatures, and 3) Define treatment outcomes. PERIOD AND PLACE OF PERFORMANCE: This contract anticipates $220,000 in service utilization costs that will occur over the course of one year. The place of performance will be at both the White River Junction VA Healthcare System (WRJ-VAHS) and the contractor location, Mary Hitchcock Memorial Hospital for itself and on behalf of Dartmouth-Hitchcock Clinic (MHMH/DHC). Approximately 25% of the work will be performed at the WRJ-VAHS, and the other 75% of work will be performed in Dr. Wilder Doucette s laboratory at MHMH/DHC. The contract location is located within a 30-minute drive of the WRJ facility to ease transportation of the rodents. It has been determined that transportation can be feasibility performed, due to shared veterinary resource agreement between locations. PROJECT MANAGEMENT AND STAFFING: Wilder Doucette, MD, PhD (Project Lead). Dr. Doucette is a Research Affiliate (WOC) at the WRJ-VAHS and Assistant Professor of Psychiatry and Program Director of the Psychiatry Residency Research Track at the Geisel School of Medicine. His research focuses on the systems-level neural activity underpinnings of behavior and how neuromodulation-based treatments alter this activity and improve dysfunction. His research-informed, part-time clinical practice focuses on interventional and addiction psychiatry, and he has extensive experience with pre-clinical models of neuropsychiatric deficits. Dr. Doucette has experience with pre-clinical interventions, including brain stimulation, and using rodent assays to define neurobehavioral deficits in clinically relevant models of psychiatric illness. Dr. Doucette will be responsible for overseeing the stress induction and injury models, behavioral assessments, and brain activity recording and stimulation for the current project. Dr. Doucette will be involved in data analyses, interpretation of findings and helping to prepare results for dissemination and publication. Elise Bragg, BS, RLATG, Senior Research Associate (WOC). Mrs. Bragg is Dr. Doucette s Lab Manager at MHMH/DHC. She has extensive pre-clinical experience, including neuromodulation and performing neurobehavioral assessments in rodents, and holds a Registered Laboratory Animal Technologist (RLATG) designation by the American Association for Laboratory Animal Science (AALAS). Mrs. Bragg will be responsible for the stress induction, behavioral assays, neuromodulation, and electrophysiologic measures proposed in the current study and overseeing the preparation of study animals for surgery. Jessa Burling (WOC), Graduate Student. Ms. Burling is a second-year graduate student at Dartmouth College under the mentorship of Dr. Wilder Doucette. TBD, Student(s). Dr. Doucette s lab is a training site for various undergraduate, graduate, and medical students, as well as post-doctoral fellows. Under Dr. Doucette and Mrs. Bragg s mentorship and oversight, students will assist with pre- and post-operative care, stress and injury induction, and behavioral testing. Additionally, they will provide data entry and other administrative support to the project. BACKGROUND: The WRJ Translational Neuroscience Research Group aims to identify and evaluate novel interventions for TBI and PTSD. The current project aims to determine how brain stimulation can be used to alter maladaptive fear in rodent models of TBI with and without PTSD. Validated pre-clinical behavioral assays will be used to assess maladaptive fear. Brain stimulation will be delivered via customized electrodes targeting clinically relevant brain regions. Neural activity biomarkers will be collected to assess how systems-level brain activity relates to behavioral deficits and response to treatment. Animals will be assessed at various time points throughout the study. PERFORMANCE OBJECTIVES/DELIVERY SCHEDULE: Define behavioral deficits associated with TBI and PTSD (deliver data set and report within 6 months of contract start date). Determine the utility of neural activity biomarkers to identify animals with behavioral deficits (deliver data set and report within 6 months of contract start date). Determine the utility of treatment to improve behavioral deficits (deliver data set and report defining proof-of-concept data within 12 months of contract start date). Determine the utility of neural activity biomarkers to personalize treatment (deliver data set and report within 12 months of contract start date). Summarize study findings (deliver data set and report within 12 months of contract start date). Acceptable completion of deliverables will be determined through receipt of complete data sets that include details of all procedures, behavioral outcomes, and statistical comparisons. All deliverables include estimated personnel and supply costs associated with planned studies. OPERATING CONSTRAINTS: Adult male or female Sprague-Dawley rats will be randomly assigned to study conditions, which include naïve (control) animals, TBI/Sham injury, PTSD/Sham exposure, and Active/Sham treatment. Shockwave-induced brain injuries will be administered with a blast tube (ORA, Inc.) located at the WRJ-VAHS according to published protocols. Post-traumatic stress disorder will be experimentally induced according to published protocols. Behavioral assays will be conducted to assess maladaptive fear according to published protocols including the platform-mediated avoidance task that assesses approach/avoidance behavior . Brain stimulation and recordings. Custom-built electrode arrays will be implanted using stereotactic surgery targeting brain regions, which include but are not limited to the infralimbic cortex, prelimbic cortex, nucleus accumbens core, and the central nucleus of the amygdala. Electrophysiological measures (i.e., local field potentials) will be recorded from brain regions with and without treatment. PUBLICATION/COLLABORATION ON RESULTS: The VA and MHMH/DHC will maintain joint ownership of work product and intellectual property rights. OTHER REQUIREMENTS: Prior to commencement of work described, all personnel will be required to obtain and maintain all appropriate certifications for performing preclinical research at the VA and MHMH/DHC, including CITI and Bioraft training, IACUC approval, and VA-Without Compensation (WOC) research affiliate designation. B.3 PRICE/COST SCHEDULE ITEM INFORMATION ITEM DESCRIPTION OF QUANTITY UNIT UNIT PRICE AMOUNT NUMBER SUPPLIES/SERVICES 0001 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1.00 - - - - - - - - JB - - - - - - - - - $100,000.00 - - - - - - $100,000.00 Define behavioral deficits associated with TBI and PTSD Contract Period: Base POP Begin: 09-17-2025 POP End: 09-16-2026 Estimated Invoice: 6 months 0002 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1.00 - - - - - - - - JB - - - - - - - - - $80,000.00 - - - - - - - - $80,000.00 Determine the utility of neural activity biomarkers to identify animals with behavioral deficits Contract Period: Base POP Begin: 09-17-2025 POP End: 09-16-2026 Estimated Invoice: 6 months 0003 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1.00 - - - - - - JB - - - - - - - - - $30,000.00 - - - - - - - - $30,000.00 Determine the utility of treatment to improve behavioral deficits Contract Period: Base POP Begin: 09-17-2025 POP End: 09-16-2026 Estimated Invoice: 12 months 0004 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1.00 - - - - - - - JB - - - - - - - - - - $9,000.00 - - - - - - - - $9,000.00 Determine the utility of neural activity biomarkers to personalize treatment Contract Period: Base POP Begin: 09-17-2025 POP End: 09-16-2026 Estimated Invoice: 12 months 0005 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1.00 - - - - - JB - - - - - - - - - - $1,000.00 - - - - - - - - $1,000.00 Summarize study findings Contract Period: Base POP Begin: 09-17-2025 POP End: 09-16-2026 Estimated Invoice: 12 months Records Management 1. Citations to pertinent laws, codes and regulations such as 44 U.S.C chapters 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228. 2. Contractor shall treat all deliverables under the contract as the property of the U.S. Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. 3. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government IT equipment and/or Government records. 4. Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act. 5. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract. 6. The Government Agency owns the rights to all data/records produced as part of this contract. 7. The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractor must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data. 8. Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.]. 9. No disposition of documents will be allowed without the prior written consent of the Contracting Officer. The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules. 10. Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, this contract. The Contractor (and any sub-contractor) is required to abide by Government and Agency guidance for protecting sensitive and proprietary information.