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 1: Overview of NCTN Program Section IV – Terms/Conditions of Award – Network Group Ops Centers Membership Roster: The Network Group Operations Center is responsible for having a comprehensive and consolidated membership roster of all its sites and associated investigators and research staff and for maintaining the roster for both auditing and financial management purposes with “real-time” status of all members within the Regulatory Support System (RSS) of the NCI Cancer Trials Support Unit (CTSU). All member institutions/sites must have appropriate and accurate NCI institutional codes approved by NCI. Institutions/sites are assigned to one of the following mutually exclusive categories across the entire Network for the NCTN Program for purposes of NCI/DCTD funding and crediting of accrual: (1) Lead Academic Participating Site (academic center and its essential components); (2) Affiliates included in a Lead Academic Site award (because they are completely managed by the Lead Academic Participating Site); (3) CCOP; (4) MB-CCOP; (5) Pediatric site; and (6) other Network Group member institutions/sites. For example, a site that is a CCOP has that designation across the NCTN Program regardless of the number of Network Groups to which it belongs. Collection and Transmission of Data and Biospecimens: All data, as well as any biospecimens collected, for an NCTN trial must be sent by the institutions/sites participating in the trial to the Network Group that is leading the trial, unless an exception is approved by the NCI/DCTD to accommodate the needs of a specific trial. The Network Group Operations Center is responsible for overseeing the timely collection and transmission of data and biospecimens from all its member institution/sites to NCTN trials for patient accruals that are credited to the Network Group. Collection and banking of tissues and other biological specimens is an increasingly important aspect of Network Group clinical research. For NCTN trials that it leads, the Network Operations Center is responsible for coordinating the acquisition and shipping of protocol-specified tumor specimens and biological fluids (with relevant clinical data) to the appropriate laboratories for testing and to a tumor/specimen repository for storage of specimens for future correlative science laboratory studies. The Network Group Operations Center is also responsible for ensuring that all its members submit required biospecimens for NCTN trials when the Network Group Operations Center is credited with the accrual even if the Network Group is not leading the trial. Trial Access and Crediting of Patient Enrollment: Network Groups member institutions/sites must be able to enroll patients on all adult phase 3 trials (and selected phase 2 trials) conducted by the Network, irrespective of the specific Network Group which is leading the trial and providing data management and statistical analysis for it. Member institutions/sites of the adult Network Groups are allowed to credit any Network Group to which they belong for patient accrual except that non- Canadian international sites must credit the Network Group that is leading the NCTN if they are a member of that Group to ensure consistency of regulatory oversight outside North America. Canadian sites that belong to more than 1 Network Group may also have to credit the Network Group that holds a Clinical Trial Application (CTA) for the trial in Canada if a CTA is required per Health Canada regulations. Note: International sites (i.e., non-U.S. sites) that are full members of any of the Network Group Operations Center or the Canadian Collaborating Clinical Trials Network may not be able to participate in all NCTN trials because of special regulatory issues specific to the country of the international member. The Network Group Operations Centers must specify any potential restrictions related to enrollment from international members prior to trial activation. It is also anticipated that affiliates of main members for a particular Network Group will follow the crediting decision of the main member for a particular trial; however, that is at the discretion of the Network Groups through their membership rules. Institutions/sites that are members of the pediatric Network Group must credit the pediatric Network Group when it is leading a trial. Use of the NCI Central Institutional Review Board: All U.S. institutions/sites participating in NCTN trials as members of 1 or more Network Groups (including Network Lead Academic Participating Sites, CCOPs, and MB-CCOPs) are required to use the pediatric and/or adult NCI Central Institutional Review Board for any NCTN trial under an NCI CIRB’s purview. This requirement may be waived by the Lead NCTN Program Director through an exemption review process if the institution/site can adequately Page 40 of 241

PART 1: Overview of NCTN Program Section IV – Terms/Conditions of Award – Network Group Ops Centers show that NCTN studies can be reviewed in a timely manner by its local IRB (or other Central IRB) that is equivalent to the review timelines for the NCI CIRB (i.e., about 35 to 48 days for initial review) or if the institution/site can demonstrate other exceptional circumstances that preclude it from using the NCI CIRB. This requirement does not apply to international (non-U.S.) institutions/sites participating in NCTN trials (including member institutions/sites of the Canadian Collaborating Clinical Trials Network), given different regulatory requirements/procedures covering human subjects protection in other countries. Exemption requests with supporting documentation of the timely IRB review from member institution/sites of the Network Group must be submitted to the Lead NCTN Program Director by the supporting Network Group. If an exemption is granted, the Network Group Operations Center is responsible for including reports of IRB timelines for their sites that have received an approved exemption in its annual progress report as well as any other pertinent information. The Lead NCTN Program Director may withdraw the exemption and require that the institution/site use the NCI CIRB for applicable NCTN studies if justification for the exemption is not warranted on a continuing basis. 1.3 Operational Management 1.3.1 Governance, Organizational Structure, Policies & Procedures, and Membership The Group’s Operations Center is responsible for coordinating study proposals, protocol development, protocol submission, study conduct, performance reporting, quality assurance including quality control and study monitoring, protocol amendments/status changes, adherence to requirements regarding investigational agent management and all federal regulations. In addition, the Operations Center is responsible for the financial management of the Network Group Operations Center, including issuing subcontracts or purchased services agreements related to per case funding as well as overall management of the funds associated with the Cooperative Agreement. The Network Group Operations Center is also responsible for specifying the mix of funding available for the trial that it leads prior to trial activation as well as for providing information in a timely manner on appropriate modifications in funding on the trial during the course of accrual. The Network Group is also responsible for providing this information if it is the primary lead in the U.S. for an international trial (excepting trials led by the Canadian Collaborating Clinical Trials Network). Specific responsibilities of the Operations Center include the following: Governance: The Network Group Operations Center is under the leadership of a “designated” Network Group Chair elected by the Network Group membership, who coordinate(s) all the scientific and administrative decisions related to Network Group-funded activities and the Network Group’s institutional members with the assistance of the staff of the associated Network Group’s Statistics and Data Management Center. The Multiple Principal Investigator (PI) option is encouraged for the Network Group Operations Center award given the team science approach of the research effort. Information on the Multiple PI Option is available at http://grants.nih.gov/grants/multi_pi/index.htm. If this option is used, the Network Group Operations Center should designate a “Contact PI” among the multiple PIs. The designated Network Group Chair (or Contact Principal Investigator under the Multiple PI option) is also responsible for all grant-related activities and for communication about these activities with the appropriate NCI/DCTD staff. Organizational Structure, By-laws, and Standard Operating Procedures: The Network Group Operations Center is responsible for development and maintenance of an organizational structure for the Network Group, including a Constitution and By-laws for the Group. The organizational structure of the Network Group Operations Center should be established with clear and appropriate staff roles and reporting responsibilities, especially with respect to the role and reporting responsibilities of the Network Group Director of Operations (who must also be listed as key personnel in the Network Group Operations Center application and award). The Page 41 of 241

PART 1: Overview of <strong>NCTN</strong> <strong>Program</strong> Section IV – Terms/Conditions of Award – <strong>Network</strong> Group Ops Centers<br />

show that <strong>NCTN</strong> studies can be reviewed in a timely manner by its local IRB (or other Central IRB) that<br />

is equivalent to the review timelines for the <strong>NCI</strong> CIRB (i.e., about 35 to 48 days for initial review) or if<br />

the institution/site can demonstrate other exceptional circumstances that preclude it from using the<br />

<strong>NCI</strong> CIRB. This requirement does not apply to international (non-U.S.) institutions/sites participating in<br />

<strong>NCTN</strong> trials (including member institutions/sites of the Canadian Collaborating <strong>Clinical</strong> <strong>Trials</strong> <strong>Network</strong>),<br />

given different regulatory requirements/procedures covering human subjects protection in other<br />

countries.<br />

Exemption requests with supporting documentation of the timely IRB review from member<br />

institution/sites of the <strong>Network</strong> Group must be submitted to the Lead <strong>NCTN</strong> <strong>Program</strong> Director by the<br />

supporting <strong>Network</strong> Group. If an exemption is granted, the <strong>Network</strong> Group Operations Center is<br />

responsible for including reports of IRB timelines for their sites that have received an approved<br />

exemption in its annual progress report as well as any other pertinent information. The Lead <strong>NCTN</strong><br />

<strong>Program</strong> Director may withdraw the exemption and require that the institution/site use the <strong>NCI</strong> CIRB<br />

for applicable <strong>NCTN</strong> studies if justification for the exemption is not warranted on a continuing basis.<br />

1.3 Operational Management<br />

1.3.1 Governance, Organizational Structure, Policies & Procedures, and Membership<br />

The Group’s Operations Center is responsible for coordinating study proposals, protocol<br />

development, protocol submission, study conduct, performance reporting, quality assurance<br />

including quality control and study monitoring, protocol amendments/status changes,<br />

adherence to requirements regarding investigational agent management and all federal<br />

regulations. In addition, the Operations Center is responsible for the financial management of<br />

the <strong>Network</strong> Group Operations Center, including issuing subcontracts or purchased services<br />

agreements related to per case funding as well as overall management of the funds associated<br />

with the Cooperative Agreement. The <strong>Network</strong> Group Operations Center is also responsible for<br />

specifying the mix of funding available for the trial that it leads prior to trial activation as well as<br />

for providing information in a timely manner on appropriate modifications in funding on the trial<br />

during the course of accrual. The <strong>Network</strong> Group is also responsible for providing this<br />

information if it is the primary lead in the U.S. for an international trial (excepting trials led by<br />

the Canadian Collaborating <strong>Clinical</strong> <strong>Trials</strong> <strong>Network</strong>). Specific responsibilities of the Operations<br />

Center include the following:<br />

Governance: The <strong>Network</strong> Group Operations Center is under the leadership of a “designated”<br />

<strong>Network</strong> Group Chair elected by the <strong>Network</strong> Group membership, who coordinate(s) all the<br />

scientific and administrative decisions related to <strong>Network</strong> Group-funded activities and the<br />

<strong>Network</strong> Group’s institutional members with the assistance of the staff of the associated<br />

<strong>Network</strong> Group’s Statistics and Data Management Center. The Multiple Principal Investigator<br />

(PI) option is encouraged for the <strong>Network</strong> Group Operations Center award given the team<br />

science approach of the research effort. Information on the Multiple PI Option is available at<br />

http://grants.nih.gov/grants/multi_pi/index.htm. If this option is used, the <strong>Network</strong> Group<br />

Operations Center should designate a “Contact PI” among the multiple PIs. The designated<br />

<strong>Network</strong> Group Chair (or Contact Principal Investigator under the Multiple PI option) is also<br />

responsible for all grant-related activities and for communication about these activities with the<br />

appropriate <strong>NCI</strong>/DCTD staff.<br />

Organizational Structure, By-laws, and Standard Operating Procedures: The <strong>Network</strong> Group<br />

Operations Center is responsible for development and maintenance of an organizational<br />

structure for the <strong>Network</strong> Group, including a Constitution and By-laws for the Group. The<br />

organizational structure of the <strong>Network</strong> Group Operations Center should be established with<br />

clear and appropriate staff roles and reporting responsibilities, especially with respect to the role<br />

and reporting responsibilities of the <strong>Network</strong> Group Director of Operations (who must also be<br />

listed as key personnel in the <strong>Network</strong> Group Operations Center application and award). The<br />

Page 41 of 241

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