MISHA Foundation — Grant Strategy

Funding roadmap for the index.

Key Insight: Seed Money Unlocks NIH Grants

From foundation-evolution-playbook (Usher 1F case study):

  • Give $50-100K in preliminary data grants to a researcher (e.g., Holt Lab)
  • Researcher uses that data to apply for $1M+ NIH R01 grant
  • Foundation gets credit, relationship, and co-authorship access
  • This is the standard playbook — don’t try to fund research directly at first

Grant Framing (Critical)

Wrong frame: “We are building a patient registry” Right frame: “We are building natural history data, genotype-phenotype correlation, and trial readiness infrastructure for a Phase 1/2 IND filing”

Grant committees fund research outcomes, not databases.

Funding Sources by Phase

Phase 1 (Year 1) — Seed Grants

SourceAmountNotes
Personal (Egor)$5,000-25,000First grant to Holt Lab for preliminary data
NORD fiscal sponsor fundEarly donationsAfter fiscal sponsor approval

Phase 2 (Year 2-3) — Institutional Grants

SourceAmountNotes
HMRF (HK Government)HKD 1.5M (~$200K USD)Needs academic PI (Shu or Holt). Apply via CLG
CZI Rare As One5-year grantCurrent cycle: channelopathies/ciliopathies. STRC (IEM) may qualify in future cycles. Apply when ready
NIH R01$1M+Via Holt Lab (they apply, foundation co-funds)

Phase 3 (Year 3-5) — Major Grants

SourceAmountNotes
NIH R21 (exploratory)$275K for 2yrPreliminary data from Phase 1 grant needed
ARO (Association for Research in Otolaryngology)VariesAnnual conference, present registry data

IRB / Ethics Requirements

  • Anonymous survey (variant + audiogram data): no IRB needed
  • Full patient registry with PII: IRB required
  • Best path: piggyback on Holt Lab’s Boston Children’s IRB (free, most credible, fastest)
  • Alternative: Independent central IRB ($3-5K)

Next Actions

  • Give Holt permission to share analysis (puts Egor’s name in front of STRC team)
  • Ask Holt and Shu to serve as Scientific Advisors (needed for HMRF and CZI applications)
  • Send mini-STRC hypothesis page to Holt for review (strc.egor.lol/mini-strc)
  • Find NORD fiscal sponsorship application (for Phase 2 donor receipts)
  • Present at ARO conference Year 2

Realistic Financial Projections (from 7-foundation analysis)

  • Year 1: $25-50K grassroots (family, rare disease community)
  • Year 3: $150-550K with academic partnership grants
  • Year 5+: $1M+ if NIH R01 comes through via Holt Lab

Connections