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 applicant’s member institutions/sites have the potential to help contribute to accrual of patients to NCTN clinical trials in rare tumors? Does the applicant demonstrate the ability to meet protocol-specified accrual goals in a timely manner for trials it conducts? 2.6.4 Additional Review Item B – Operational Management Operational Structure, Policies, and Procedures: Are the organizational structure and management policies of the proposed Canadian Collaborating Clinical Trials Network clear and appropriate, including appropriate sound financial management policies and procedures for grant administration, subcontracting with collaborating organizations, purchase service agreements for member institutions/sites, and other related activities (e.g., laboratory testing needed for specific clinical trials)? Does the applicant incorporate procedures and tools that enhance coordination and productivity of operational activities including protocol development? If the applicant proposes to include international institutions/sites as full members of the Canadian Collaborating Clinical Trials Network participating in NCTN trials, does the applicant propose appropriate monitoring plans for these sites as well as performance assessment monitoring to ensure that the NCTN-supported activities meet the same requirements regarding conduct of clinical trials expected of full U.S. member institutions/sites? If the applicant plans to enroll patients on clinical trials that are led by non-NCTN international clinical trials organizations, does the applicant propose appropriate policies and procedures to comply with the applicable regulations and requirements defined in the Terms and Conditions of Award for a Canadian Collaborating Clinical Trials Network? Clinical Trial Operations - Development & Conduct: Are the structure and composition of trial proposal and protocol development teams proposed by the applicant appropriate? How well does the applicant's proposed trial proposal and protocol development process mesh with NCI standard tools and services, including use of Common Data Elements and standard Case Report Form modules? How appropriate are the proposed Canadian Collaborating Clinical Trials Network policies and standardized procedures for development and monitoring of trial proposals and protocols (including its tracking and project management systems) for ensuring that the applicant would meet NCI-mandated trial activation timelines for operational efficiency (i.e., Operational Efficiency Working Group or OEWG timelines)? Does the proposed Canadian Collaborating Clinical Trials Network have appropriate key standard operating procedures related to a Data and Safety Monitoring Board Policy for Phase 3 trials and randomized Phase 2 trials, Data and Safety Monitoring Plans for Phase 1 and Phase 2 trials, Conflict of Interest Policies, and a Model Informed Consent Document for clinical trials that address how it will assure compliance with NCI, NIH, and HHS policies and all U.S. federal regulations regarding the protection of human subjects in clinical research as well as how it will address study monitoring and reporting (e.g., explain how these aspects are covered by the applicant’s policies on Data and Safety and Monitoring, Data Sharing, Biospecimen Sharing, and Onsite Auditing)? Does the applicant demonstrate that it can adhere to regulations regarding 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? Does the applicant demonstrate that it can publish results in Page 180 of 241

PART 2: Submission of New/Competing Application Section III.B.2.6 – Review Criteria Canadian Collaborating Clinical Trials Network peer-reviewed manuscripts in a timely manner consistent with NCTN Program requirements? Compliance/Quality Assurance/Auditing: How well do the applicant's policies and procedures proposed for the conduct of NCTN-supported clinical trials comply with good clinical practice, including all applicable NCI, NIH, and HHS policies and U.S. federal regulations related to clinical trial research with human subjects, as well as with NCI/DCTD requirements related to the NCI/DCTD IP policy, NCI/DCTD CRADAs, CTAs, and CSA for clinical trials conducted under an NCI IND, NCI IDE, or NCI binding collaborative agreements? How appropriate are the applicant's proposed policies and procedures in meeting the onsite audit requirements of the NCI National Clinical Trials Monitoring Branch Guidelines (CTMB) for its member institutions/sites? How appropriate are the applicant's plans to appropriately address issues with member institutions/sites noted at the time of audit, including non-compliance, data quality, data reporting requirement, and timeliness of audits and re-audits? Does the applicant propose a quality assurance program that is adequately proactive in terms of ensuring ongoing quality control of data during trial conduct? 2.6.5 Additional Review Item C - Statistics Analysis and Data Management Program Statistics Analysis: How well has the proposed Canadian Collaborating Clinical Trials Network demonstrated its ability and track record to provide appropriately designed, robust, statistical analysis plans for early phase and especially late phase, definitive, multi-institutional clinical trials in oncology, including integral and integrated biomarker/correlative science studies? Does it appear that the applicant has the necessary expertise and experience to incorporate new molecular and imaging biomarkers into the overall evaluation of NCTN trials appropriately? Are the procedures for sample size estimation, end point selection, and monitoring plans adequately described and justified? Are analytical techniques, procedures, and policies adequate, appropriate, and consistent with accepted standards? Does the sample of trial reports from the Report of Studies indicated appropriate and timely data and study analyses? Data Management: Does the applicant describe well defined policies and procedures for data management of NCTN trials? How appropriate and robust are the data management and study monitoring practices of the organization? How well do the data management systems employed by the proposed SDMC use standard NCTN tools including the NCTN Common Data Management System (CDMS) and use of NCTNapproved 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? Does the proposed Canadian Collaborating Clinical Trials Network have appropriate procedures in place to ensure that the NCTN-supported activities are in compliance for the conduct of clinical trials with respect to NCI/DCTD's IP Option and NCI/DCTD's collaborative binding agreements for NCI/DCTD IND studies? Does the Canadian Collaborating Clinical Trials Network have clear guidelines for institutions/sites related to data timeliness and metrics for data quality for the clinical Page 181 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 />

applicant’s member institutions/sites have the potential to help contribute to accrual<br />

of patients to <strong>NCTN</strong> clinical trials in rare tumors? Does the applicant demonstrate the<br />

ability to meet protocol-specified accrual goals in a timely manner for trials it<br />

conducts?<br />

2.6.4 Additional Review Item B – Operational Management<br />

Operational Structure, Policies, and Procedures: Are the organizational structure and<br />

management policies of the proposed Canadian Collaborating <strong>Clinical</strong> <strong>Trials</strong> <strong>Network</strong><br />

clear and appropriate, including appropriate sound financial management policies and<br />

procedures for grant administration, subcontracting with collaborating organizations,<br />

purchase service agreements for member institutions/sites, and other related<br />

activities (e.g., laboratory testing needed for specific clinical trials)? Does the<br />

applicant incorporate procedures and tools that enhance coordination and<br />

productivity of operational activities including protocol development?<br />

If the applicant proposes to include international institutions/sites as full members of<br />

the Canadian Collaborating <strong>Clinical</strong> <strong>Trials</strong> <strong>Network</strong> participating in <strong>NCTN</strong> trials, does<br />

the applicant propose appropriate monitoring plans for these sites as well as<br />

performance assessment monitoring to ensure that the <strong>NCTN</strong>-supported activities<br />

meet the same requirements regarding conduct of clinical trials expected of full U.S.<br />

member institutions/sites? If the applicant plans to enroll patients on clinical trials<br />

that are led by non-<strong>NCTN</strong> international clinical trials organizations, does the applicant<br />

propose appropriate policies and procedures to comply with the applicable<br />

regulations and requirements defined in the Terms and Conditions of Award for a<br />

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

<strong>Clinical</strong> Trial Operations - Development & Conduct: Are the structure and<br />

composition of trial proposal and protocol development teams proposed by the<br />

applicant appropriate? How well does the applicant's proposed trial proposal and<br />

protocol development process mesh with <strong>NCI</strong> standard tools and services, including<br />

use of Common Data Elements and standard Case Report Form modules? How<br />

appropriate are the proposed Canadian Collaborating <strong>Clinical</strong> <strong>Trials</strong> <strong>Network</strong> policies<br />

and standardized procedures for development and monitoring of trial proposals and<br />

protocols (including its tracking and project management systems) for ensuring that<br />

the applicant would meet <strong>NCI</strong>-mandated trial activation timelines for operational<br />

efficiency (i.e., Operational Efficiency Working Group or OEWG timelines)?<br />

Does the proposed Canadian Collaborating <strong>Clinical</strong> <strong>Trials</strong> <strong>Network</strong> have appropriate<br />

key standard operating procedures related to a Data and Safety Monitoring Board<br />

Policy for Phase 3 trials and randomized Phase 2 trials, Data and Safety Monitoring<br />

Plans for Phase 1 and Phase 2 trials, Conflict of Interest Policies, and a Model<br />

Informed Consent Document for clinical trials that address how it will assure<br />

compliance with <strong>NCI</strong>, NIH, and HHS policies and all U.S. federal regulations regarding<br />

the protection of human subjects in clinical research as well as how it will address<br />

study monitoring and reporting (e.g., explain how these aspects are covered by the<br />

applicant’s policies on Data and Safety and Monitoring, Data Sharing, Biospecimen<br />

Sharing, and Onsite Auditing)?<br />

Does the applicant demonstrate that it can adhere to regulations regarding trial<br />

registration in the <strong>NCI</strong> <strong>Clinical</strong> <strong>Trials</strong> Reporting <strong>Program</strong> (CTRP) and in the U.S.<br />

<strong>National</strong> Library of Medicine (NLM) (www.clinicaltrials.gov) along with results<br />

reporting, as applicable? Does the applicant demonstrate that it can publish results in<br />

Page 180 of 241

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