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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 IV – Terms/Conditions of Award – <strong>Network</strong> Group<br />

Statistics and Data Management Centers (SDMCs)<br />

(caDSR) (see https://cabig.nci.nih.gov/community/concepts/caDSR/ ); (b) <strong>NCTN</strong> information<br />

system for tracking biospecimen collection from <strong>NCTN</strong> trials (in development); (c) <strong>NCTN</strong><br />

Oncology Patient Enrollment <strong>Network</strong> (OPEN) and Regulatory Support Services (RSS) via the<br />

Cancer <strong>Trials</strong> Support Unit (CTSU) for central registration and randomization of patients<br />

onto <strong>NCTN</strong> trials; (d) the <strong>NCI</strong> Common Terminology Criteria for Adverse Events (CTCAE); and<br />

(e) the Comprehensive Adverse Event and Potential Risks (CAEPR) for agents, if available.<br />

During the approval process for study protocols and amendments, <strong>NCI</strong>/DCTD ensures that these<br />

standard <strong>NCTN</strong> tools and services are used. In addition, <strong>Network</strong> Group trial protocols will be<br />

periodically audited by <strong>NCI</strong>/DCTD to ensure that the tools related to common data elements in<br />

compliance with the <strong>NCTN</strong> <strong>Program</strong> approved sections of the data dictionary for common data<br />

elements in caDSR are used in the data collection instruments for the <strong>NCTN</strong> trials. If issues with<br />

compliance are identified, the <strong>NCI</strong>/DCTD will work with the <strong>Network</strong> Group to develop a<br />

corrective action plan.<br />

2.2.2 Data Reporting Requirements<br />

The SDMC must have policies and procedures in place to ensure that data reporting<br />

requirements are fulfilled in a timely manner including the major data reporting requirements<br />

outlined below.<br />

Adverse Events: The SDMC should assist its associated <strong>Network</strong> Group Operations Center in<br />

meeting its responsibility for adverse event reporting. This includes using the most recently<br />

approved version of the Common Terminology Criteria for Adverse Events Version (CTCAE),<br />

which is the <strong>NCI</strong>’s standard language for reporting adverse events in clinical trials, and is<br />

provided on the <strong>NCI</strong>/DCTD/CTEP website at: http://ctep.cancer.gov/reporting/ctc.html.<br />

Expedited reporting of all serious adverse events should be performed via CTEP’s Adverse Event<br />

Expedited Reporting System or AdEERS (or its successor system), as described at<br />

http://ctep.cancer.gov/protocolDevelopment/electronic_applications/adeers.htm according to<br />

the guidelines specified in each protocol.<br />

<strong>Clinical</strong> Data Update System (CDUS/CDS): The SDMC, working with the associated <strong>Network</strong><br />

Group Operations Center, is responsible for coordinating the timely reporting of data from<br />

<strong>Network</strong> Group clinical trials to CTEP using the <strong>Clinical</strong> Data Update System (CDUS) or its<br />

successor application as described at<br />

http://ctep.cancer.gov/protocolDevelopment/electronic_applications/cdus.htm. For clinical<br />

trials that do not use CTEP IND agents, reporting to CTEP will generally consist of CDUS<br />

abbreviated procedures (primarily demographic data). For studies using CTEP IND agents, CDUS<br />

complete reporting procedures may be required to capture demographic, adverse event<br />

information (by course), and response data. CDUS complete reporting is required for phase 1<br />

studies and phase 2 studies using CTEP IND agents, while abbreviated CDUS reporting is usually<br />

used for phase 3 studies; however, complete reporting of CDUS data on adverse events may be<br />

required for phase 3 trials by CTEP under certain circumstances.<br />

<strong>Clinical</strong> <strong>Trials</strong> Reporting <strong>Program</strong> (CTRP) & <strong>Clinical</strong>trials.gov Reporting System: The SDMC,<br />

working with the associated <strong>Network</strong> Group Operations Center, is responsible for coordinating<br />

the registration of and reporting on <strong>Network</strong> Group studies to the <strong>NCI</strong> <strong>Clinical</strong> <strong>Trials</strong> Reporting<br />

<strong>Program</strong> (CTRP) as described at: http://www.cancer.gov/clinicaltrials/conducting/ncictrp/main<br />

as well as the U.S. <strong>National</strong> Library of Medicine clinical trials database (i.e., at<br />

www.clinicaltrials.gov). Changes in the trial design and accrual as well as results reporting from<br />

<strong>NCTN</strong> trials are also required to be reported in clinicaltrials.gov as required under the Food and<br />

Drug Administration Amendments Act (FDAAA), Section 801.<br />

Report of Studies: The SDMC, working with the <strong>Network</strong> Group Operations Center, is<br />

responsible for providing a semi-annual Report of Studies on all <strong>Network</strong> Group trials. The<br />

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