In this context, the first FORCE call for projects aims to support international pragmatic clinical trials designed to optimize diagnostic and therapeutic strategies for patients with rare and/or hard-to-treat cancers, while strengthening the integration of robust, decision-relevant evidence generation across heterogeneous clinical settings. Particular emphasis is placed on the systematic incorporation of quality of life as a central component of trial evaluation.
Supported projects are expected to:
Evaluate interventions already established in clinical practice, including approved or repurposed medicines, radiotherapy and surgery.
Address practical questions not resolved by traditional regulatory trials, such as dose optimization, treatment duration, sequencing or combination strategies, de-escalation approaches, streamlined care pathways, patient stratification, or reduction of treatment burden while maintaining clinical outcomes.
Be designed according to principles of pragmatism, including:
- broad and representative eligibility criteria,
- recruitment in usual care settings,
- delivery of the intervention under real-world clinical conditions,
- minimal additional burden for patients and clinicians,
- use of routine care data when appropriate.
Integrate patient-centred endpoints, including prespecified and methodologically robust PROs assessing health-related QoL, symptoms, functioning, and treatment burden.
Demonstrate active patient involvement throughout the research process, including identifying unmet needs, assessing the relevance and importance of the research question for patients, informing trial design, evaluating and minimizing the burden of study participation, contributing to trial conduct, participating in the interpretation of study findings, and contributing to dissemination activities.
Provide a clear implementation plan outlining how the trial results could be rapidly adopted within European healthcare systems and inform clinical practice, guidelines, and policy.
Total budget
The estimated total budget for the FORCE first call is approximately 13 million EUR, provided by 11 funding organisations of the FORCE consortium. No maximum budget per trial is defined. The requested budget should be determined by the scientific and medical needs of the proposed trial and must be clearly justified. The FORCE consortium aims to fund around three to four clinical trials through the first FORCE Call. Applicants need to plan their budget in line with the strategic priorities of the call. As all participating funding organisations are charitable foundations, applicants are expected to propose a cost-conscious budget and ensure that all requested costs are necessary, proportionate, and clearly justified in relation to the patient needs, study design, and scientific objectives of the requested funding.
This is the most important evaluation criterion.
Competitive proposals demonstrate:
Reviewers assess whether the project advances beyond the current state of the art and addresses important scientific or technological challenges.
The EU places exceptional emphasis on impact.
Competitive proposals clearly explain how the project will contribute to:
Applications must describe both the expected outcomes during the project and the longer-term impacts beyond it.
Implementation is a formal evaluation criterion.
Competitive proposals include:
A scientifically strong project can lose points if the implementation plan is weak.
Every Horizon Europe topic contains:
Successful proposals directly address all elements of the published call text.
Poor alignment with the call is one of the most common reasons for rejection.
Most Horizon Europe collaborative projects require international consortia.
Competitive consortia typically include:
Reviewers evaluate whether each partner contributes complementary expertise.
Competitive projects demonstrate:
Incremental improvements are generally less competitive unless explicitly requested by the call.
A distinctive feature of EU funding is the requirement for a comprehensive strategy covering:
Dissemination
Exploitation
Communication
These activities are evaluated explicitly.
Reviewers assess:
The consortium should collectively demonstrate the ability to deliver the project successfully.
The EU strongly encourages:
These aspects are integrated into Horizon Europe evaluation and project implementation.
Competitive proposals justify:
Reviewers evaluate whether the requested resources are appropriate for the planned work.
The clinical study must be designed, initiated, conducted, and sponsored under the full responsibility of a non-industrial, non-profit sponsor, irrespective of its legal status (organised under public or private law). Trials sponsored by industry are not eligible.
The host institution (legal entity) is the official recipient of FORCE funding and will be the contracting party. Project Leaders and National Coordinators must be affiliated with an eligible institution and have the authority and capacity to ensure appropriate conduct of the study (if needed differentiate between requirements on international and national level) Funding may be granted to the following types of institutions:
Public research institutions
Non-profit organisations
Hospitals or other healthcare providers (organised under public, private or non-profit law)
Cooperative research groups: As a general principle, cooperative groups may participate in FORCE
-funded projects either as beneficiaries or as collaborators. Following exceptions apply:
- Cooperative research groups in Spain are not eligible as direct beneficiaries and therefore cannot act as Project Leaders or National Coordinators. They may, however, participate as collaborators. Funding is then allocated to an eligible host institution (e.g. hospital or research institution), which enters into the funding agreement and collaborates with the cooperative group.
For cooperative groups in the Netherlands, the national budget guidelines of KWF apply. (See section 5.5)
Costs are considered eligible if they:
are necessary to answer the research question, and
would not have been incurred in the absence of the trial. All costs must be reasonable, proportionate to the planned work, and in line with national standards.
Eligible Countries:
Sponsor Institute/Organizations: European Union
Sponsor Type: Government/Federal
Address: Berlaymont Building, Rue de la Loi 200, 1040 Brussels
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Sep 21, 2026
Sep 21, 2026
$14,792,960
13 million EUR
Affiliation: European Union
Address: Berlaymont Building, Rue de la Loi 200, 1040 Brussels
Website URL: https://force4cancer.eu/wp-content/uploads/2026/06/FORCE-Joint-Call-2027.pdf
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