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 III.B.2.6 – Review Criteria Canadian Collaborating Clinical Trials Network Approach Are the overall strategy, methodology, and analyses well-reasoned and appropriate to accomplish the specific aims of the proposed Canadian Collaborating Clinical Trials Network? Are potential problems, alternative strategies, and benchmarks for success presented? If the project is in the early stages of development, will the strategy establish feasibility and will particularly risky aspects be managed? Since the proposed Canadian Collaborating Clinical Trials Network will conduct clinical research, are the plans for 1) protection of human subjects from research risks, and 2) inclusion of minorities and members of both sexes/genders, as well as the inclusion of children, if applicable, justified in terms of the scientific goals and research strategy proposed? Environment Will the scientific environment in which the work will be done contribute to the probability of success? Are the institutional support, equipment and other physical resources available to the investigators adequate for the project proposed? Will the clinical research conducted by the proposed Canadian Collaborating Clinical Trials Network benefit from unique features of the scientific environment, subject populations, or collaborative arrangements? Additional Review Criteria - Overall As applicable for the research that the Canadian Collaborating Clinical Trials Network applicant has proposed, reviewers will evaluate the following additional items A-C listed below while determining scientific and technical merit, and in providing an overall impact/priority score, but will not give separate scores for these items. 2.6.3 Additional Review Item A - Clinical Trial Development & Member Site Accrual Program Overall Research Strategy: Does the applicant articulate a clear, well-developed, overall research strategy to achieve the stated clinical research goals with respect to complementing the research of the U.S. Network Groups of the NCTN Program? Is the research strategy for complementing research activities of the NCTN Program practical and feasible? Are the disease areas included in the applicant’s overall research strategy appropriate and beneficial to the NCTN? How well would the applicant contribute to the development of and/or accrual to clinical trials in rare cancers? Clinical Trial Quality: Do the clinical trials currently being conducted as well as those proposed by the applicant address important clinical treatment questions based on strong hypotheses and preliminary data and indicate that the applicant can contribute meaningfully in the NCTN? Do the trials use scientifically rigorous approaches to trial design with use of innovative approaches as appropriate and with sound justification? Do the trials contain integral and integrated translational science research questions that are appropriate and well-justified to answer specific research questions? Is the past record of results from the trials completed by the applicant scientifically important? Do these results provide new information that advances the field and provide guidance for future trials? Will (or have) the results lead (led) to meaningful practice changes for cancer care, supported FDA approvals of oncologic drugs or devices, changes in practice guidelines, or other meaningful impacts (e.g., phase 2 trials leading to phase 3 trials conducted by government or private sector, provision of important toxicity or dosing information)? Does the applicant's record of past results Page 178 of 241

PART 2: Submission of New/Competing Application Section III.B.2.6 – Review Criteria Canadian Collaborating Clinical Trials Network indicate it will present and publish results from clinical trials it leads in a timely manner? Senior Group Leadership for Clinical Trials Development: How complete and comprehensive is the expertise of the applicant's investigators overall and the Senior Leadership of the applicant's organization (operations, statistics, and data management)? How well can the PD(s)/PI(s) and the entire team of investigators assembled by the applicant provide scientific leadership for state-of-the-art early and late phase clinical trials? Will these investigators be able to work as a cohesive research team to efficiently and expeditiously develop and conduct NCTN clinical trials? Does the applicant have appropriate and clearly defined succession and transition plans for the senior leadership of the proposed Canadian Collaborating Clinical Trials Network? Are the scope and authority of the senior leadership, Director of Operations position, and Executive/Advisory Committee for the organization clearly and appropriately addressed? Are the background and expertise of the proposed Director of Operations appropriate to oversee the operational management of the Group? Is the Director of Operations identified as key personnel in the application? Are the policies and procedures for institution/site membership (included in the Constitution and By-laws of the proposed Canadian Collaborating Clinical Trials Network) clear and appropriate for the NCTN Program? If the application includes multiple PD(s)/PI(s), are the proposed leadership governance, organizational structure, and decision-making processes and interactions among the members of the leadership team for the application optimal for achieving the goals of the application and the overall NCTN Program? Do the research experience and qualifications of the leadership of the applicant's Scientific Research Committees provide multi-disciplinary representation (e.g., medical oncology, radiation oncology, imaging, surgery, pathology, translational science, patient advocacy) across a broad range of diseases appropriate to the stated research goals? Are the experience and qualifications of the leadership of the applicant's Administrative Committees appropriate for development and oversight of the administrative management categories needed for conducting both early phase and especially late phase, multi-institutional clinical trials (e.g., support functions for trials including involvement of patient advocates, support programs for enrollment of underserved patient populations, financial management)? Training and Investigator Leadership Mentoring/Training: Does the applicant have appropriate training programs for study chairs and Clinical Research Associates? Does the applicant have a mentorship/training program for new and junior investigators that provides opportunities for leadership of clinical trials (e.g., developing concepts for trial proposals, serving as study chairs for trials, participating in scientific committees in support or leadership roles, participating in other clinical trial activities) at appropriate levels as well as the potential to provide opportunities to these investigators to participate in the future in NCTN activities or initiatives? Accrual Potential: Given its past track record of accrual, does the applicant have the potential to provide accrual to clinical trials conducted across the NCTN as a whole, especially in the applicant's stated areas/diseases of research interest, given the patient population of Canada? Does the applicant have the potential to contribute to accrual of Canadian minority and underserved patient populations to trials? Do the Page 179 of 241

PART 2: Submission of New/Competing Application Section III.B.2.6 – Review Criteria<br />

Canadian Collaborating <strong>Clinical</strong> <strong>Trials</strong> <strong>Network</strong><br />

indicate it will present and publish results from clinical trials it leads in a timely<br />

manner?<br />

Senior Group Leadership for <strong>Clinical</strong> <strong>Trials</strong> Development: How complete and<br />

comprehensive is the expertise of the applicant's investigators overall and the Senior<br />

Leadership of the applicant's organization (operations, statistics, and data<br />

management)? How well can the PD(s)/PI(s) and the entire team of investigators<br />

assembled by the applicant provide scientific leadership for state-of-the-art early and<br />

late phase clinical trials? Will these investigators be able to work as a cohesive<br />

research team to efficiently and expeditiously develop and conduct <strong>NCTN</strong> clinical<br />

trials? Does the applicant have appropriate and clearly defined succession and<br />

transition plans for the senior leadership of the proposed Canadian Collaborating<br />

<strong>Clinical</strong> <strong>Trials</strong> <strong>Network</strong>?<br />

Are the scope and authority of the senior leadership, Director of Operations position,<br />

and Executive/Advisory Committee for the organization clearly and appropriately<br />

addressed? Are the background and expertise of the proposed Director of Operations<br />

appropriate to oversee the operational management of the Group? Is the Director of<br />

Operations identified as key personnel in the application? Are the policies and<br />

procedures for institution/site membership (included in the Constitution and By-laws<br />

of the proposed Canadian Collaborating <strong>Clinical</strong> <strong>Trials</strong> <strong>Network</strong>) clear and appropriate<br />

for the <strong>NCTN</strong> <strong>Program</strong>?<br />

If the application includes multiple PD(s)/PI(s), are the proposed leadership<br />

governance, organizational structure, and decision-making processes and interactions<br />

among the members of the leadership team for the application optimal for achieving<br />

the goals of the application and the overall <strong>NCTN</strong> <strong>Program</strong>?<br />

Do the research experience and qualifications of the leadership of the applicant's<br />

Scientific Research Committees provide multi-disciplinary representation (e.g.,<br />

medical oncology, radiation oncology, imaging, surgery, pathology, translational<br />

science, patient advocacy) across a broad range of diseases appropriate to the stated<br />

research goals? Are the experience and qualifications of the leadership of the<br />

applicant's Administrative Committees appropriate for development and oversight of<br />

the administrative management categories needed for conducting both early phase<br />

and especially late phase, multi-institutional clinical trials (e.g., support functions for<br />

trials including involvement of patient advocates, support programs for enrollment of<br />

underserved patient populations, financial management)?<br />

Training and Investigator Leadership Mentoring/Training: Does the applicant have<br />

appropriate training programs for study chairs and <strong>Clinical</strong> Research Associates? Does<br />

the applicant have a mentorship/training program for new and junior investigators<br />

that provides opportunities for leadership of clinical trials (e.g., developing concepts<br />

for trial proposals, serving as study chairs for trials, participating in scientific<br />

committees in support or leadership roles, participating in other clinical trial activities)<br />

at appropriate levels as well as the potential to provide opportunities to these<br />

investigators to participate in the future in <strong>NCTN</strong> activities or initiatives?<br />

Accrual Potential: Given its past track record of accrual, does the applicant have the<br />

potential to provide accrual to clinical trials conducted across the <strong>NCTN</strong> as a whole,<br />

especially in the applicant's stated areas/diseases of research interest, given the<br />

patient population of Canada? Does the applicant have the potential to contribute to<br />

accrual of Canadian minority and underserved patient populations to trials? Do the<br />

Page 179 of 241

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