NCI National Clinical Trials Network (NCTN) Program Guidelines
NCI National Clinical Trials Network (NCTN) Program Guidelines NCI National Clinical Trials Network (NCTN) Program Guidelines
PART 2: Submission of New/Competing Application Section II –Budget & Research Plan Network Lead Academic Participating Sites E. Network Lead Academic Participating Site Application Specific instructions are provided on the following pages for the Network Lead Academic Participating Site application. In general, except where noted below, all applications should conform to the instructions in the PHS 398/SF424. An application must be submitted by an academic institution/organization defined as a hospital and/or clinic program providing direct medical care to patients that is considered one integral organizational entity under a single financial management system and governance structure. Academic centers for the purposes of this award are distinguished from large medical centers whose primary mission is patient care. In addition to patient care, academic centers have comprehensive medical training programs and have preclinical laboratories that perform basic research. Hospitals, clinics, military or VA hospitals or treatment facilities, and health care organizations that may provide services in collaboration with the applicant institution in a network, but which are not an integral component of the organization under a single financial management system and governance structure that comprises the applicant institution (i.e., Network Lead Academic Participating Site consisting of an academic center and its essential components), may not be considered part of that institution for the purposes of this award with respect to how the budget request for the application should be estimated, as described in Part 2 - Section II.E.1 in these Guidelines. These other organizations may, however, be considered “affiliates” of the Lead Academic Participating Site and may be included in the application under that designation (i.e., “affiliate”), if the Lead Academic Participating Site will provide complete management services for the affiliate site related to enrollment of patients on NCTN trials (although the complete management services do not have to include IRB services). Affiliate(s) that meet this description are allowed to be included in the application of the academic center for ease of administration for the academic center (i.e., so that the NCI funding for data management of NCTN enrollments at the affiliate(s) go to the academic center directly from the NCI, but these affiliate(s) do NOT have to be included in the application. The accrual and other activities of the affiliate(s) are NOT part of the review criteria for the academic center application – affiliate accrual is only included to justify the budget request of the academic center as the goal of the academic center award is to provide funding for academic centers that have the potential to provide significant scientific leadership and accrual to the NCTN (it is not a goal of the award to build affiliate or regional networks). Thus, an academic center can have all its affiliates or some of its affiliates funded outside of the application. In the circumstance that an affiliate of an academic center with a Lead Academic Participating Site grant is not funded via the grant, the affiliate would receive its “per-case management” funding via the Network Group it credits with the accrual per the membership funding rules of that Network Group. If an affiliate is included in a Lead Academic Participating Site application, then that affiliate will receive ALL NCI funding for data management associated with patient enrollment to any NCTN trial via the grant and any budget request in the application related to the affiliate should follow the methodology for budget preparation as described below (i.e., the affiliate cannot be an affiliate of another institution for purposes of its NCTN program participation in treatment and advanced imaging trials). Other applicant organizations that are not eligible to apply for the Network Lead Academic Participating Site awards include Community Clinical Oncology Program Groups (CCOPs) and Minority-based Clinical Oncology Program Groups (MB-CCOPs) funded by the NCI Division of Cancer Prevention (DCP). Applications must come from academic institutions/organizations that meet the eligibility definition of a Lead Academic Participating Site. In addition, however, all prospective formally eligible applicants must be alerted that they will be expected to convincingly demonstrate the potential to accrue at least 55 to 70 patients per year to treatment interventions and/or advanced imaging interventions (excluding pilot studies) on adult cancer clinical trials. Applications that fail to do so would be unlikely to be competitive at the time of peer review. 1. Detailed Budget for the Initial Budget Period 1.1 Estimation of Total Cost Budget Request Based on Potential Accrual to NCTN Trials The total cost budget that can be requested by the Lead Academic Participating Sites in its application should be based on 2 components: (1) an algorithm used to estimate the cost of the data collection/management and biospecimen collection (i.e., “per case data management” funding associated with enrolling patients on NCTN trials for the academic Page 128 of 241
PART 2: Submission of New/Competing Application Section II –Budget & Research Plan Network Lead Academic Participating Sites center and any affiliates for which it provided complete management services related to patient enrollment and (2) an algorithm used to estimate the cost for scientific leadership activities at the academic center for NCTN trials. Guidelines for amounts to use in developing the total cost budget request for Type 1 applications are provided in Part 4- Appendices-Section IV of these Guidelines. Applicants must use the amounts specified in these Guidelines for the different categories of “per case management” funding for participating sites in preparing their budget. Applicants are not required to use the specific estimated ranges for infrastructure costs provided in these guidelines (i.e., estimated ranges for infrastructure costs may be adjusted by the applicant to fit its particular funding needs). However, Network Lead Academic Participating Site total cost budgets that include infrastructure costs based on estimated ranges that are in significant excess of the estimated ranges provided in these Guidelines for infrastructure costs are unlikely to be supported. The various categories of NCI/DCTD supported “per case management” funding that should be included in a Network Lead Academic Participating Site application are described below. Note: “Special per case management” funding is not part of the Lead Academic Participating Site application budget as it will be provided periodically as administrative supplements for specific trials, if needed. “High performance” per case funding is provided for the academic center only (not affiliates). Affiliates may be eligible for administrative supplements on an annual basis if they are selected as a high performing site based on accrual and data quality for a particular year (see Part 1 – Section III.D.2. of these Guidelines). � 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. Basic interventional per case management would be provided for affiliates included in the Network Lead Academic Participating Site application because the academic center provides all management services for affiliate enrollment of patients to NCTN trials. � 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 Page 129 of 241
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PART 2: Submission of New/Competing Application Section II –Budget & Research Plan<br />
<strong>Network</strong> Lead Academic Participating Sites<br />
E. <strong>Network</strong> Lead Academic Participating Site Application<br />
Specific instructions are provided on the following pages for the <strong>Network</strong> Lead Academic Participating Site<br />
application. In general, except where noted below, all applications should conform to the instructions in the PHS<br />
398/SF424. An application must be submitted by an academic institution/organization defined as a hospital<br />
and/or clinic program providing direct medical care to patients that is considered one integral organizational<br />
entity under a single financial management system and governance structure. Academic centers for the<br />
purposes of this award are distinguished from large medical centers whose primary mission is patient care. In<br />
addition to patient care, academic centers have comprehensive medical training programs and have preclinical<br />
laboratories that perform basic research.<br />
Hospitals, clinics, military or VA hospitals or treatment facilities, and health care organizations that may provide<br />
services in collaboration with the applicant institution in a network, but which are not an integral component of<br />
the organization under a single financial management system and governance structure that comprises the<br />
applicant institution (i.e., <strong>Network</strong> Lead Academic Participating Site consisting of an academic center and its<br />
essential components), may not be considered part of that institution for the purposes of this award with<br />
respect to how the budget request for the application should be estimated, as described in Part 2 - Section II.E.1<br />
in these <strong>Guidelines</strong>.<br />
These other organizations may, however, be considered “affiliates” of the Lead Academic Participating Site and<br />
may be included in the application under that designation (i.e., “affiliate”), if the Lead Academic Participating<br />
Site will provide complete management services for the affiliate site related to enrollment of patients on <strong>NCTN</strong><br />
trials (although the complete management services do not have to include IRB services). Affiliate(s) that meet<br />
this description are allowed to be included in the application of the academic center for ease of administration<br />
for the academic center (i.e., so that the <strong>NCI</strong> funding for data management of <strong>NCTN</strong> enrollments at the<br />
affiliate(s) go to the academic center directly from the <strong>NCI</strong>, but these affiliate(s) do NOT have to be included in<br />
the application. The accrual and other activities of the affiliate(s) are NOT part of the review criteria for the<br />
academic center application – affiliate accrual is only included to justify the budget request of the academic<br />
center as the goal of the academic center award is to provide funding for academic centers that have the<br />
potential to provide significant scientific leadership and accrual to the <strong>NCTN</strong> (it is not a goal of the award to<br />
build affiliate or regional networks). Thus, an academic center can have all its affiliates or some of its affiliates<br />
funded outside of the application. In the circumstance that an affiliate of an academic center with a Lead<br />
Academic Participating Site grant is not funded via the grant, the affiliate would receive its “per-case<br />
management” funding via the <strong>Network</strong> Group it credits with the accrual per the membership funding rules of<br />
that <strong>Network</strong> Group. If an affiliate is included in a Lead Academic Participating Site application, then that<br />
affiliate will receive ALL <strong>NCI</strong> funding for data management associated with patient enrollment to any <strong>NCTN</strong><br />
trial via the grant and any budget request in the application related to the affiliate should follow the<br />
methodology for budget preparation as described below (i.e., the affiliate cannot be an affiliate of another<br />
institution for purposes of its <strong>NCTN</strong> program participation in treatment and advanced imaging trials).<br />
Other applicant organizations that are not eligible to apply for the <strong>Network</strong> Lead Academic Participating Site<br />
awards include Community <strong>Clinical</strong> Oncology <strong>Program</strong> Groups (CCOPs) and Minority-based <strong>Clinical</strong> Oncology<br />
<strong>Program</strong> Groups (MB-CCOPs) funded by the <strong>NCI</strong> Division of Cancer Prevention (DCP).<br />
Applications must come from academic institutions/organizations that meet the eligibility definition of a Lead<br />
Academic Participating Site. In addition, however, all prospective formally eligible applicants must be alerted<br />
that they will be expected to convincingly demonstrate the potential to accrue at least 55 to 70 patients per year<br />
to treatment interventions and/or advanced imaging interventions (excluding pilot studies) on adult cancer<br />
clinical trials. Applications that fail to do so would be unlikely to be competitive at the time of peer review.<br />
1. Detailed Budget for the Initial Budget Period<br />
1.1 Estimation of Total Cost Budget Request Based on Potential Accrual to <strong>NCTN</strong> <strong>Trials</strong><br />
The total cost budget that can be requested by the Lead Academic Participating Sites in its<br />
application should be based on 2 components: (1) an algorithm used to estimate the cost of<br />
the data collection/management and biospecimen collection (i.e., “per case data<br />
management” funding associated with enrolling patients on <strong>NCTN</strong> trials for the academic<br />
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