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 Lead Academic Sites network) as well as potentially counterproductive since fewer children would be available for the pediatric Network study if other studies were required to recruit and include children. 4.3.3 Resource Sharing Plans Generally, Resource Sharing Plans (Data Sharing Plan, Sharing Model Organisms if applicable, and GWAS Sharing Plan) are required for all key components of the NCTN Program. However, since it is expected that all data on patients enrolled on NCTN trials by the Network Lead Academic Participating Site Center will be transmitted to the appropriate Network Group SDMCs and Operations Centers, the Resource Sharing Plans of those Operations Centers will be applied to the patient data from the Network Lead Academic Participating Sites. All Network Group Operations Center data sharing plans should comply with the NCTN Program Data Sharing Plan template as described in Part 4 - Appendices - Section VII for Network Group Operations Centers in these Guidelines. Network Group Operations Centers should also have plans in place regarding the following types of resources, as appropriate for the clinical research it conducts: Sharing Model Organisms and Genome Wide Association Studies (GWAS). The Network Lead Academic Participating Site is required to follow and support these policies for the NCTN trials led by the applicable Network Group Operations Center. 4.3.4 Education on the Protection of Human Subjects NIH policy requires education on the protection of human subject for all investigators submitting NIH applications for research involving human subjects and individuals designated as key personnel. This policy is available on the NIH website at: http://grants.nih.gov/grants/guide/notice-files/NOT-OD-00-039.html. 4.3.5 Other Federal Regulations The NIH Public Access Policy ensures that the public has access to the published results of NIH funded research. It requires scientists to submit final peer-reviewed journal manuscripts that arise from NIH funds to the digital archive PubMed Central upon acceptance for publication. To help advance science and improve human health, the Policy requires that these papers are accessible to the public on PubMed Central no later than 12 months after publication. More information about this policy or the submission process is available on the NIH Public Access Policy website at: http://publicaccess.nih.gov/. Information on other federal regulations (and their associated citations/URLs) that may be applicable to the Network Lead Academic Participating Site’s activities is provided in Part 4: Appendices – Section IV.B. 4.4 Conflict of Interest Policy Network Lead Academic Participating Sites receiving NIH funding from a grant or cooperative agreement must be in compliance with all of the DHSS regulatory requirements for conflict of interest as outlined by NIH grants policy available at: http://grants.nih.gov/grants/policy/coi. Network Lead Academic Participating Sites must also comply with the Conflict of Interest Policy of the applicable Network Group Operations Center leading an NCTN trial in which the site participates. These policies should ensure that there is no reasonable expectation that any investigator or staff member of the Network Lead Academic Participating Site involved in the design, conduct, or reporting of research will be biased by any conflict of interest (using the definition of investigator provided in the NIH grants policy). The Network Group Operation Center policies should be in compliance with the NCI/DCTD/CTEP’s Conflict of Interest Policy for NCTN Phase 3 Clinical Trials found on the CTEP website at: http://ctep.cancer.gov/investigatorResources/default.htm#guidelines_policies. Page 70 of 241

PART 1: Overview of NCTN Program Section IV – Terms/Conditions of Award – Network RT & Imaging Core Services Centers 5. Specific Awardee Rights & Responsibilities - Network Radiotherapy and Imaging Core Services Centers Throughout these Terms and Conditions of Award, “Network Group Radiotherapy and Imaging Core Services Centers Center” refers to the organizational structure which is composed of the key personnel (including the scientific and administrative leaders of the Centers) responsible for implementing support for applicable NCTN trials related to quality assurance, credentialing, and image data management for radiotherapy and imaging as well as other support functions. 5.1 General Features and Overview 5.1.1 Governance, Organizational Structure, Policies & Procedures, & Facilities and Equipment Governance & Organizational Structure: The Network Radiotherapy & Imaging Core Services Centers are under the leadership of one or more Principal Investigators, who coordinate all the service support for NCTN trials and related activities as well as coordination with the Network Groups. The Multiple Principal Investigator (PI) option is encouraged for the Network Radiotherapy & Imaging Core Services Centers award(s) given the team science approach of the research support effort. Information on the Multiple PI Option is available at http://grants.nih.gov/grants/multi_pi/index.htm. If this option is used, a “Contact PI” should be designated from among the multiple PIs. The Principal Investigator (or Contact Principal Investigator under the Multiple PI option) or designee is also responsible for all grant-related activities related to this award and for communication about these activities with the appropriate NCI/DCTD staff. Network Radiotherapy & Imaging Core Services Centers are responsible for development and maintenance of a governance and organizational structure for coordinating NCTN support for applicable NCTN trials led by any of the Network Groups. The governance structure should clearly describe how activities of the Centers will be coordinated between each other and with the Network Groups, including the Information Technology (IT) systems for data and image transfer. To facilitate this coordination, the senior leadership team of each Center should include representatives from the Network Groups. The organization structure should have clear and appropriate staff roles and reporting responsibilities, especially with respect to the role and reporting responsibilities of the multiple PIs. Standard Operating Procedures: The Network Radiotherapy & Imaging Core Services Centers are also responsible for the preparation and maintenance of Standard Operating Procedures (SOPs) that cover all aspects of the Centers’ activities, including the process for prioritizing services provided to the Network Groups for their clinical trials approved for conduct in the NCTN. Facilities & Equipment: The Network Radiotherapy & Imaging Core Services Centers’ facilities (i.e., their physical plant and equipment) should provide all the necessary components to provide the applicable Core services to Network Group trials, especially with respect to information technology. This includes the ability to collect, distribute, analyze, and store/archive all appropriate imaging and radiotherapy treatment delivery data for applicable NCTN trials. The Centers should ensure basic interoperability between the radiotherapy and imaging core service components as well as with other key components of the NCTN, including electronic exchange of digital planning data and images and web-based software tools to facilitate trial-specific digital data review by Study Chairs. The Centers should also have basic interoperability with the common data management system (CDMS) used by the Network Groups to collect clinical trial data as well as the Regulatory Support System (RSS) and the Oncology Patient Enrollment Network (OPEN) used by the Network Groups for support of patient enrollment. 5.1.2 Quality Assurance/Onsite Auditing The Core Services Centers should have policies and procedures in place to assure quality assurance and control of the data services provided for NCTN trials and any auditing the Centers Page 71 of 241

PART 1: Overview of <strong>NCTN</strong> <strong>Program</strong> Section IV – Terms/Conditions of Award – <strong>Network</strong> RT & Imaging<br />

Core Services Centers<br />

5. Specific Awardee Rights & Responsibilities - <strong>Network</strong> Radiotherapy and Imaging Core Services Centers<br />

Throughout these Terms and Conditions of Award, “<strong>Network</strong> Group Radiotherapy and Imaging Core<br />

Services Centers Center” refers to the organizational structure which is composed of the key personnel<br />

(including the scientific and administrative leaders of the Centers) responsible for implementing support for<br />

applicable <strong>NCTN</strong> trials related to quality assurance, credentialing, and image data management for<br />

radiotherapy and imaging as well as other support functions.<br />

5.1 General Features and Overview<br />

5.1.1 Governance, Organizational Structure, Policies & Procedures, & Facilities and Equipment<br />

Governance & Organizational Structure: The <strong>Network</strong> Radiotherapy & Imaging Core Services<br />

Centers are under the leadership of one or more Principal Investigators, who coordinate all the<br />

service support for <strong>NCTN</strong> trials and related activities as well as coordination with the <strong>Network</strong><br />

Groups. The Multiple Principal Investigator (PI) option is encouraged for the <strong>Network</strong><br />

Radiotherapy & Imaging Core Services Centers award(s) given the team science approach of the<br />

research support 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, a “Contact PI” should be<br />

designated from among the multiple PIs. The Principal Investigator (or Contact Principal<br />

Investigator under the Multiple PI option) or designee is also responsible for all grant-related<br />

activities related to this award and for communication about these activities with the<br />

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

<strong>Network</strong> Radiotherapy & Imaging Core Services Centers are responsible for development and<br />

maintenance of a governance and organizational structure for coordinating <strong>NCTN</strong> support for<br />

applicable <strong>NCTN</strong> trials led by any of the <strong>Network</strong> Groups. The governance structure should<br />

clearly describe how activities of the Centers will be coordinated between each other and with<br />

the <strong>Network</strong> Groups, including the Information Technology (IT) systems for data and image<br />

transfer. To facilitate this coordination, the senior leadership team of each Center should<br />

include representatives from the <strong>Network</strong> Groups. The organization structure should have clear<br />

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

reporting responsibilities of the multiple PIs.<br />

Standard Operating Procedures: The <strong>Network</strong> Radiotherapy & Imaging Core Services Centers are<br />

also responsible for the preparation and maintenance of Standard Operating Procedures (SOPs)<br />

that cover all aspects of the Centers’ activities, including the process for prioritizing services<br />

provided to the <strong>Network</strong> Groups for their clinical trials approved for conduct in the <strong>NCTN</strong>.<br />

Facilities & Equipment: The <strong>Network</strong> Radiotherapy & Imaging Core Services Centers’ facilities<br />

(i.e., their physical plant and equipment) should provide all the necessary components to<br />

provide the applicable Core services to <strong>Network</strong> Group trials, especially with respect to<br />

information technology. This includes the ability to collect, distribute, analyze, and store/archive<br />

all appropriate imaging and radiotherapy treatment delivery data for applicable <strong>NCTN</strong> trials. The<br />

Centers should ensure basic interoperability between the radiotherapy and imaging core service<br />

components as well as with other key components of the <strong>NCTN</strong>, including electronic exchange of<br />

digital planning data and images and web-based software tools to facilitate trial-specific digital<br />

data review by Study Chairs. The Centers should also have basic interoperability with the<br />

common data management system (CDMS) used by the <strong>Network</strong> Groups to collect clinical trial<br />

data as well as the Regulatory Support System (RSS) and the Oncology Patient Enrollment<br />

<strong>Network</strong> (OPEN) used by the <strong>Network</strong> Groups for support of patient enrollment.<br />

5.1.2 Quality Assurance/Onsite Auditing<br />

The Core Services Centers should have policies and procedures in place to assure quality<br />

assurance and control of the data services provided for <strong>NCTN</strong> trials and any auditing the Centers<br />

Page 71 of 241

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