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NCI National Clinical Trials Network (NCTN) Program Guidelines

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PART 1: Overview of <strong>NCTN</strong> <strong>Program</strong> Section III – General Management & <strong>Network</strong> Operating/Funding Principles<br />

charitable funds, and/or specific administrative supplements to the Cooperative Agreements under the<br />

<strong>NCTN</strong> <strong>Program</strong> in special situations.<br />

2. Funding for Data Collection/Management & Biospecimen Collection on “Per Case” Basis<br />

<strong>NCI</strong> funding for institutions participating in all <strong>NCTN</strong> trials to cover the costs related to data<br />

collection/management and biospecimen collection (also called “per case management funding”)<br />

associated with enrolled patients is provided in 2 ways:<br />

1) grant funding from <strong>NCI</strong> to Lead Academic Participating Sites, CCOPs, and MB-CCOPs or<br />

(2) grant funding from <strong>NCI</strong> to <strong>Network</strong> Groups which then contract with member institutions/sites<br />

via purchase service or subcontract agreements on a “per-case” basis.<br />

Any threshold level of accrual used to determine budgets/funding is based on accrual to all <strong>NCTN</strong> trials<br />

regardless of which <strong>Network</strong> Group Operations Center is credited with the accrual by the enrolling site.<br />

These threshold levels are also based on the number of patients who are enrolled on intervention<br />

treatment or advanced imaging arms of clinical trials only (i.e., threshold levels are not based on number of<br />

patients who undergo screening when it is part of the clinical trial or for whom biospecimens are collected).<br />

Also, advanced imaging interventions are weighted at 50% of a treatment intervention given the more<br />

limited intervention and follow-up required in those studies.<br />

2.1 <strong>Network</strong> Lead Academic Participating Sites Funding<br />

<strong>NCI</strong>/DCTD funding given to adult <strong>Network</strong> Lead Academic Participating Sites is based on a “level-ofeffort”<br />

as outlined in their budget application. This “level-of-effort” budget covers data<br />

collection/management and biospecimen collection for a certain number of adult cancer patients<br />

enrolled on an annual basis (accrual threshold) as well as other infrastructure support to the sites.<br />

This “level-of-effort” is based on a “per-case” algorithm utilizing the amounts estimated for “High-<br />

Performance Per Case Management” funding as well as other funding categories as specified in Part 4:<br />

Appendices – Section IV of these <strong>Guidelines</strong> for the portfolio of trials that the site anticipates it will<br />

support. In addition, the Lead Academic Participating Sites may receive administrative supplements<br />

to cover costs associated with the enrollment of additional patients above the threshold for this type<br />

of award.<br />

2.2 CCOPs and MB-CCOPs Funding<br />

Funding to CCOPs and MB-CCOPs for enrollment of patients to <strong>NCTN</strong> trials is provided by the Division<br />

of Cancer Prevention based on a similar system as the one used for the <strong>Network</strong> Academic<br />

Participating Sites but with different thresholds for patient accrual used to estimate the level of<br />

funding provided via their grant awards.<br />

2.3 Pediatric <strong>Network</strong> Group Member Institutions/Sites Funding<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 purchase<br />

service agreements or subcontracts using a special algorithm for either “Intervention Per Case<br />

Management” or “High-Performance Per Case Management” funding to a site as well as other funding<br />

“Per Case” categories as specified in Part 4: Appendices – Section IV. The “High-Performance Per Case<br />

Management” funding is based on a different threshold for patient accrual than that used for adult<br />

patient accrual given the smaller pediatric patient population and more limited sources of private<br />

funding available for pediatric trials. In addition, pediatric sites may also receive additional<br />

infrastructure support based on the overall level of patient accrual at their site since they are not<br />

eligible for the adult <strong>Network</strong> Academic Participating Sites awards which provide this type of support<br />

to high-performance sites engaged in <strong>NCTN</strong> trials that enroll adult cancer patients on <strong>NCTN</strong> trials.<br />

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