NCI National Clinical Trials Network (NCTN) Program Guidelines

NCI National Clinical Trials Network (NCTN) Program Guidelines NCI National Clinical Trials Network (NCTN) Program Guidelines

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PART 2: Submission of New/Competing Application Section II – Budget/Research Plan Network Group Ops Center institutions/sites are described below. Note: “Special per case management” funding is not part of the Network Group Operations Center budget as it will be provided periodically as administrative supplements for specific trials, if needed, and “High-Performance intervention per case Management” funding is not part of the budget for adult Network Group Operations Centers as their member institutions/sites that qualify for that funding will receive it either via direct grant funding in a Network Lead Academic Participating Site award, CCOP/MB-CCOP award, or via a special initiative program administered by the NCI Cancer Trials Support Unit (CTSU) at NCI/DCTD’s direction. � Screening Per Case Management Funding: Funding to cover data management costs for patients enrolled on a trial that require specific screening with informed consent as part of the trial (e.g., investigational molecular test of their tumor) and who do not subsequently undergo the study treatment/intervention and/or randomization because of the screening results. � Basic Intervention Per Case Management Funding: Funding to cover data management costs for enrolled patients who undergo the study treatment/intervention and/or randomization. Basic intervention funding is divided into therapeutic (treatment intervention or pilot studies) or advanced imaging interventions. This base amount is set at the same level for all treatment trials; however, the base amount for advanced imaging trials may be different. This funding category also includes funding for average follow-up per case data management for an NCTN trial (i.e., separate payments for follow-up are not provided). Please note that the basic intervention per case cost includes any screening performed (i.e., per case funding is provided for an enrolled patient for either screening or intervention but not both). Likewise, intervention per case management funding is provided at either the basic level or the high-performance level, but not both – see the information on high-performance intervention per case management funding below. � Advanced Imaging Trial Per Case Management Funding: Funding to cover data management and imaging costs for complex imaging used in advanced imaging trials (above the base intervention per case amount described above) would be provided to all NCTN participating sites by the Network Group Operations Center with a specialty focus in this area that leads these trials (including providing the funding to other Network Group Operations Centers for their members which participate in the trials) as these studies are expected to be limited in number relative to the number of treatment trials. This funding is provided on a trial by trial basis as approved by NCI/DCTD. � Biospecimen Collection Per Case Management Funding: Funding to cover biospecimen collection and any associated management costs for patients enrolled on study who undergo the study treatment/intervention and/or randomization for trials with required or optional biospecimen collections – this category of funding would not be expected to be given in association with screening per case funding except in unusual circumstances. This funding is provided on a trial by trial basis as approved by NCI/DCTD. � Quality of Life Per Case Management Funding: Funding to cover data collection/management costs associated with patient enrollment in quality of life substudies incorporated into NCTN treatment or advanced imaging clinical trials is not provided by NCI/DCTD except in special circumstances as described below. “Quality of Life Per Case Management” funding is provided by the NCI Division of Cancer Prevention (DCP) through the CCOP/MB-CCOP grants and to other member Page 106 of 241

PART 2: Submission of New/Competing Application Section II – Budget/Research Plan Network Group Ops Center institutions/sites of the Network Groups (including the Network Lead Academic Participating Sites) through DCP grants to the Network Groups as CCOP Research Bases. If a Network Group in the NCTN Program (including the Canadian Collaborating Clinical Trials Network) does not have a CCOP Research Base grant from DCP, “quality of life per case management” funding for approved quality of life studies incorporated into NCTN trials, which are led by other Network Groups, can be provided in the grant to the Network Group Operations Center and/or the Canadian Collaboration Clinical Trials Network by NCI/DCTD for participation in these studies by the member institutions/sites of that Network Group which is not a CCOP Research Base. Note: This exception is provided in order to ensure that approved quality of life studies incorporated into NCTN trials are available to all members of the Network participating in the NCTN trial. However, NCI/DCTD funding cannot be used, under any circumstances, by a Network Group that does not have a CCOP Research Base grant to develop quality of life studies or provide “quality of life per case management” for NCTN trials that it leads as the NCI/NIH peer-review for such research activities is part of the CCOP Research Base grants (i.e., it is not part of the NCI/NIH peer review of the NCTN Program grants). In this situation, a Network Group that does not have a CCOP Research Base grant may wish to collaborate with a Network Group which does have a grant and can conduct the quality of life study. 1.5 Per Case Management Funding - Pediatric Network Group Operations Center Budget (Restricted) NCI/DCTD funding given to the pediatric Network Group Operations Center for its member institutions/sites which are not CCOPs or MB-CCOPs is provided to these sites through purchase service agreements or subcontracts using a special algorithm for either “Basic intervention per case management” or “High-Performance per case management” funding to a site as well as other funding “per case” categories as described above for adult Network Group Operations Centers. The amounts to be used for budget requests for Type 1 applications are specified in Part 4: Appendices – Section IV for these Guidelines. The “High- Performance per case management” funding is based on a different threshold for patient accrual than that used for adult patient accrual given the smaller pediatric patient population and more limited sources of private funding available for pediatric trials. Guidelines for this threshold as a percentage of all interventional accrual (anticipated therapeutic accrual and ½ of advanced imaging interventional accrual) is provided in the same section. 1.6 Infrastructure Funding for Pediatric Network Group Member Institutions/Sites The pediatric Network Group Operations Center may also provide additional infrastructure support to “high-performance” pediatric sites based on the overall level of patient accrual at those sites since they are not eligible for the adult Network Academic Participating Site awards which provide this type of support to high-performance sites engaged in NCTN trials that enroll adult cancer patients. Guidelines for this component of the pediatric Network Group Operations Center budget are also provided in Part 4 – Appendices – Section IV of these Guidelines. The pediatric Network Group Operations Center application may also include a specification/algorithm with justification for distributing this infrastructure support over a broader range of sites (i.e., distribute this funding over a wider group of sites and/or at more than 1 set dollar level). This justification can be presented in the Budget Section of the application. 1.7 Consortium Arrangements Consortium arrangements and all other contractual arrangements, including all mechanisms for providing per case management funding, must be formalized in writing in accordance Page 107 of 241

PART 2: Submission of New/Competing Application Section II – Budget/Research Plan<br />

<strong>Network</strong> Group Ops Center<br />

institutions/sites of the <strong>Network</strong> Groups (including the <strong>Network</strong> Lead Academic<br />

Participating Sites) through DCP grants to the <strong>Network</strong> Groups as CCOP Research Bases.<br />

If a <strong>Network</strong> Group in the <strong>NCTN</strong> <strong>Program</strong> (including the Canadian Collaborating <strong>Clinical</strong><br />

<strong>Trials</strong> <strong>Network</strong>) does not have a CCOP Research Base grant from DCP, “quality of life per<br />

case management” funding for approved quality of life studies incorporated into <strong>NCTN</strong><br />

trials, which are led by other <strong>Network</strong> Groups, can be provided in the grant to the<br />

<strong>Network</strong> Group Operations Center and/or the Canadian Collaboration <strong>Clinical</strong> <strong>Trials</strong><br />

<strong>Network</strong> by <strong>NCI</strong>/DCTD for participation in these studies by the member institutions/sites<br />

of that <strong>Network</strong> Group which is not a CCOP Research Base.<br />

Note: This exception is provided in order to ensure that approved quality of life studies<br />

incorporated into <strong>NCTN</strong> trials are available to all members of the <strong>Network</strong> participating<br />

in the <strong>NCTN</strong> trial. However, <strong>NCI</strong>/DCTD funding cannot be used, under any<br />

circumstances, by a <strong>Network</strong> Group that does not have a CCOP Research Base grant to<br />

develop quality of life studies or provide “quality of life per case management” for <strong>NCTN</strong><br />

trials that it leads as the <strong>NCI</strong>/NIH peer-review for such research activities is part of the<br />

CCOP Research Base grants (i.e., it is not part of the <strong>NCI</strong>/NIH peer review of the <strong>NCTN</strong><br />

<strong>Program</strong> grants). In this situation, a <strong>Network</strong> Group that does not have a CCOP<br />

Research Base grant may wish to collaborate with a <strong>Network</strong> Group which does have a<br />

grant and can conduct the quality of life study.<br />

1.5 Per Case Management Funding - Pediatric <strong>Network</strong> Group Operations Center Budget<br />

(Restricted)<br />

<strong>NCI</strong>/DCTD funding given to the pediatric <strong>Network</strong> Group Operations Center for its member<br />

institutions/sites which are not CCOPs or MB-CCOPs is provided to these sites through<br />

purchase service agreements or subcontracts using a special algorithm for either “Basic<br />

intervention per case management” or “High-Performance per case management” funding<br />

to a site as well as other funding “per case” categories as described above for adult <strong>Network</strong><br />

Group Operations Centers. The amounts to be used for budget requests for Type 1<br />

applications are specified in Part 4: Appendices – Section IV for these <strong>Guidelines</strong>. The “High-<br />

Performance per case management” funding is based on a different threshold for patient<br />

accrual than that used for adult patient accrual given the smaller pediatric patient<br />

population and more limited sources of private funding available for pediatric trials.<br />

<strong>Guidelines</strong> for this threshold as a percentage of all interventional accrual (anticipated<br />

therapeutic accrual and ½ of advanced imaging interventional accrual) is provided in the<br />

same section.<br />

1.6 Infrastructure Funding for Pediatric <strong>Network</strong> Group Member Institutions/Sites<br />

The pediatric <strong>Network</strong> Group Operations Center may also provide additional infrastructure<br />

support to “high-performance” pediatric sites based on the overall level of patient accrual at<br />

those sites since they are not eligible for the adult <strong>Network</strong> Academic Participating Site<br />

awards which provide this type of support to high-performance sites engaged in <strong>NCTN</strong> trials<br />

that enroll adult cancer patients. <strong>Guidelines</strong> for this component of the pediatric <strong>Network</strong><br />

Group Operations Center budget are also provided in Part 4 – Appendices – Section IV of<br />

these <strong>Guidelines</strong>. The pediatric <strong>Network</strong> Group Operations Center application may also<br />

include a specification/algorithm with justification for distributing this infrastructure support<br />

over a broader range of sites (i.e., distribute this funding over a wider group of sites and/or<br />

at more than 1 set dollar level). This justification can be presented in the Budget Section of<br />

the application.<br />

1.7 Consortium Arrangements<br />

Consortium arrangements and all other contractual arrangements, including all mechanisms<br />

for providing per case management funding, must be formalized in writing in accordance<br />

Page 107 of 241

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