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 Canadian Collaborating Clinical Trials Network NOTE: The applicants are expected to highlight the track record of the applicant team and its member site for accrual over the past 5 to 6 years, summarized in tables. Use of template Tables #5, #6, and #7 as described in Part 4 - Appendices – Section II.A. of these Guidelines document for the NCTN Program is highly recommended and may be included in the Resources section of the application. 2.3 Sub-section C. Operational Management (up to 6 pages) This sub-section should describe the applicant's organizational structure, governance, standard operating procedures, and operational efficiency program in order to demonstrate the applicant applicant's capability to develop, activate, and conduct clinical trials in a timely manner. The scope and authority of the applicant's leadership team for operations, statistics, and data management, the Director of Operations position, and the Executive/Advisory Committee should be described, including succession planning for key leadership positions. This description should also include the relationship/rules for institutional membership in the Canadian Collaborating Clinical Trials Network as well as financial management policies. For applications designating multiple PD(s)/PI(s), a leadership plan related to the multiple PD/PI designation must be included in the appropriate section of the application (i.e., Multiple Program Director(s)/Principal Investigator(s) (PD(s)/PI(s)) Leadership Plan section of the PHS 398). A rationale for choosing a multiple PD(s)/PI(s) approach should be described. The governance and organizational structure of the leadership team for the Canadian Collaborating Clinical Trials Network should be described including communication plans, process for making decisions on scientific direction, and procedures for resolving conflicts. The roles and administrative, technical, and scientific responsibilities for the organization should be delineated for the PD(s)/PI(s), including responsibilities for human subjects in clinical studies. If budget allocation is planned, the distribution of resources to specific components of the organization and/or the individual PD(s)/PI(s) should be delineated in the Leadership Plan. In the event of an award, the requested allocations may be reflected in a footnote of the Notice of Award. The applicant's plan for operational efficiency in study development, trial activation, and timely completion of studies it leads as well as timely activation within Canada for NCTN trials that the Canadian Collaborating Network decides to participate in. The applicant team should describe how it will provides regulatory support for Canadian sites to participate in NCTN trials led by U.S. Network Groups Also, explain how the Canadian team will use the NCI standard tools and services for the conduct of clinical trials (e.g., Clinical Data Management System, Oncology Patient Enrollment System, and Regulatory Support System for the NCTN). Address how the Canadian Collaborating Network will assure compliance with NCI, NIH, and HHS policies and all applicable U.S. federal regulations regarding the protection of human subjects in clinical research. Explain how the Canadian Collaborating Network will address study monitoring and reporting (e.g., explain how these aspects are covered by the applicant’s policies on Data and Safety Monitoring, Data Sharing, Biospecimen Sharing, Onsite Auditing, and Clinical Trial Registration and Reporting. Describe the applicant’s plan to ensure that results from clinical trials will be published in peer-reviewed manuscripts in a timely manner consistent with NCTN Program requirements. NOTE: The applicant’s capabilities and potential to conduct large-scale operations related to developing, activating, and conducting clinical trials is essential and will be a factor in the Page 146 of 241
PART 2: Submission of New/Competing Application Section II –Budget & Research Plan Canadian Collaborating Clinical Trials Network application merit evaluation. In this sub-section, the applicants are expected to highlight their most relevant achievements over the past 5 to 6 years, in addition to details presented in summary tables. Use of template Tables #8, #9, #10, and #11 as described in Part 4 - Appendices – Section II.A. of these Guidelines for the NCTN Program is highly recommended and may be included in the Resources section of the application. 2.4 Sub-section D. Statistics Analysis Program and Data Management (up to 12 pages) This sub-section should consist of a well-defined organization, approaches, policies, and procedures for statistical analysis and data management of clinical trials led by the applicant (including any approved, multi-center Phase 2 and Phase 3 trials that originated from investigators outside the applicant's organization). The applicant should provide a brief description of the general approach to statistical trial design and analysis plans for multi-institutional clinical trials, including guidelines for interim monitoring and general procedures for sample size estimation and choice of testing and estimation procedures. Examples of robust statistical trial designs and statistical support should be described as well as how the organization provides statistical leadership in design and analysis, including incorporating new, integral and integrated, molecular and imaging biomarkers and laboratory studies into the overall evaluation of NCTN trials. The applicant should also describe how the organization ensures that final study analyses are performed in a manner to provide timely publication of study results and results reporting per NCI and federal regulations. The applicant should provide a brief description of the data management and study monitoring practices of the SDMC, including the flow and review of data following submission from individual institutions/sites and investigators. The applicant should describe the data management systems employed and how the SDMC would use standard NCTN tools including the NCTN Common Data Management System (CDMS) and use of NCTN-approved Common Data Element (CDEs) from the caDSR, the NCTN Regulatory Support System (RSS), the NCTN Oncology Patient Enrollment Network (OPEN), the NCI/DCTD Clinical Data Update Systems (CDUS/CDS), the NCI Expedited Adverse Event Reporting System (AdEERs), the NCI Common Terminology Criteria for Adverse Events (CTCAE) for data management for NCTN trials, and trial registration in the NCI Clinical Trials Reporting Program (CTRP) and in the U.S. National Library of Medicine (NLM) (www.clinicaltrials.gov) along with results reporting, as applicable. Brief descriptions of training for investigators (including mentorship for junior investigators), Clinical Research Associates, and study chairs related to data management and study monitoring for clinical trials should be provided. The applicant should also describe procedures for study monitoring as well as for data quality control and accuracy verification, including how the organization conducts auditing activities. The applicant's method for active trial monitoring, including procedures for accrual and biospecimen collection tracking, assessing case, eligibility and evaluability, ensuring timely medical review and assessment of patient data, monitoring of data timeliness, and facilitating staff interactions with study chairs should be described briefly. The applicant should describe the organization's guidelines for institutions/sites for data timelines, including a summary of data quality and timeliness as an indication of its potential to operate efficiently within the NCTN Program. This information may be summarized in a table. Information on the Statistics Analysis and Data Management Program may be summarized in a series of tables. Use of template Tables #1, #2, and #3 as described in Part 4 – Appendices – Section II.B. of these Guidelines is highly recommended and may be included in the Resources section of the application. Page 147 of 241
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PART 2: Submission of New/Competing Application Section II –Budget & Research Plan<br />
Canadian Collaborating <strong>Clinical</strong> <strong>Trials</strong> <strong>Network</strong><br />
NOTE: The applicants are expected to highlight the track record of the applicant team and<br />
its member site for accrual over the past 5 to 6 years, summarized in tables. Use of<br />
template Tables #5, #6, and #7 as described in Part 4 - Appendices – Section II.A. of these<br />
<strong>Guidelines</strong> document for the <strong>NCTN</strong> <strong>Program</strong> is highly recommended and may be included in<br />
the Resources section of the application.<br />
2.3 Sub-section C. Operational Management (up to 6 pages)<br />
This sub-section should describe the applicant's organizational structure, governance,<br />
standard operating procedures, and operational efficiency program in order to demonstrate<br />
the applicant applicant's capability to develop, activate, and conduct clinical trials in a timely<br />
manner.<br />
The scope and authority of the applicant's leadership team for operations, statistics, and<br />
data management, the Director of Operations position, and the Executive/Advisory<br />
Committee should be described, including succession planning for key leadership positions.<br />
This description should also include the relationship/rules for institutional membership in<br />
the Canadian Collaborating <strong>Clinical</strong> <strong>Trials</strong> <strong>Network</strong> as well as financial management policies.<br />
For applications designating multiple PD(s)/PI(s), a leadership plan related to the multiple<br />
PD/PI designation must be included in the appropriate section of the application (i.e.,<br />
Multiple <strong>Program</strong> Director(s)/Principal Investigator(s) (PD(s)/PI(s)) Leadership Plan section of<br />
the PHS 398). A rationale for choosing a multiple PD(s)/PI(s) approach should be described.<br />
The governance and organizational structure of the leadership team for the Canadian<br />
Collaborating <strong>Clinical</strong> <strong>Trials</strong> <strong>Network</strong> should be described including communication plans,<br />
process for making decisions on scientific direction, and procedures for resolving conflicts.<br />
The roles and administrative, technical, and scientific responsibilities for the organization<br />
should be delineated for the PD(s)/PI(s), including responsibilities for human subjects in<br />
clinical studies. If budget allocation is planned, the distribution of resources to specific<br />
components of the organization and/or the individual PD(s)/PI(s) should be delineated in the<br />
Leadership Plan. In the event of an award, the requested allocations may be reflected in a<br />
footnote of the Notice of Award.<br />
The applicant's plan for operational efficiency in study development, trial activation, and<br />
timely completion of studies it leads as well as timely activation within Canada for <strong>NCTN</strong><br />
trials that the Canadian Collaborating <strong>Network</strong> decides to participate in. The applicant team<br />
should describe how it will provides regulatory support for Canadian sites to participate in<br />
<strong>NCTN</strong> trials led by U.S. <strong>Network</strong> Groups<br />
Also, explain how the Canadian team will use the <strong>NCI</strong> standard tools and services for the<br />
conduct of clinical trials (e.g., <strong>Clinical</strong> Data Management System, Oncology Patient<br />
Enrollment System, and Regulatory Support System for the <strong>NCTN</strong>). Address how the<br />
Canadian Collaborating <strong>Network</strong> will assure compliance with <strong>NCI</strong>, NIH, and HHS policies and<br />
all applicable U.S. federal regulations regarding the protection of human subjects in clinical<br />
research. Explain how the Canadian Collaborating <strong>Network</strong> will address study monitoring<br />
and reporting (e.g., explain how these aspects are covered by the applicant’s policies on<br />
Data and Safety Monitoring, Data Sharing, Biospecimen Sharing, Onsite Auditing, and <strong>Clinical</strong><br />
Trial Registration and Reporting. Describe the applicant’s plan to ensure that results from<br />
clinical trials will be published in peer-reviewed manuscripts in a timely manner consistent<br />
with <strong>NCTN</strong> <strong>Program</strong> requirements.<br />
NOTE: The applicant’s capabilities and potential to conduct large-scale operations related to<br />
developing, activating, and conducting clinical trials is essential and will be a factor in the<br />
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