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 RT & Imaging Core Services Centers perform related to their own operations. The Centers should also have the capacity to provide data to the Network Groups if needed for onsite auditing for their members for specific clinical trials. 5.2 Radiotherapy and Imaging Core Services Centers 5.2.1 Scientific and Technical Expertise The Network Radiotherapy & Imaging Core Services Centers should provide the scientific expertise in Advanced Medical Imaging (including PET and MR), radiotherapy, and information technology to provide appropriate quality assurance for data and image management to support applicable NCTN trials as well as for other approved NCI-supported clinical trials (e.g., NCI early phase clinical trials) evaluating advanced radiotherapy treatments and imaging techniques/procedures. The PI(s)/PD(s) and Centers’ staff should also be able to provide appropriate expertise to help Network Groups in hypothesis formulation and trial design during the early stages of developing of trial proposals. The Centers should also provide expertise in information technology (IT) to facilitate collection, qualification, analysis, archive, and transfer of radiotherapy assessment and imaging data. 5.2.2 Credentialing of Institutions and Services The Network Radiotherapy & Imaging Core Services Centers should have policies and procedures in place to provide qualification and credentialing of institutions as needed for both delivery of appropriate protocol-specified radiotherapy as well as performance of specific advanced imaging technology. 5.3 Program for Collaborations and Participation in Collective Management The Network Radiotherapy & Imaging Core Services Centers should have the capacity to provide Core Services to NCTN trials that result from collaborations between the Network Groups and other NCIsupported programs and investigators. The Network Radiotherapy & Imaging Core Services Centers should also be able to develop collaborations with other NCI-sponsored programs and investigators (e.g., SPOREs, Cancer Centers, R01/P01 investigators) to augment and enhance the core services provided by the Centers for NCTN trials as well as to collaborate with other organizations providing these types of services to enhance services and provide best practices and/or standards for selected assessments of radiotherapy and advanced imaging techniques. The Centers will also be responsible for providing similar services for collaborations with other NCIsupported clinical trials programs (e.g., NCI early phase clinical trials) when directed by NCI as part of the NCTN Program. In addition, the Network Radiotherapy & Imaging Core Services Centers is also responsible for participating in the collective management of the Network including participation in appropriate NCTN Program activities and initiatives and through the NCTN Leadership Management Committee by making recommendations to NCI for modifications to the Program as well as to standard NCTN common tools and services. 5.4 Compliance with Federal Regulations for Clinical Research The Network Radiotherapy & Imaging Core Services Centers awardee should have policies and procedures for ensuring that any work performed is in compliance with federal regulations regarding the protection of human subjects in clinical trials. In particular, policies and procedures related to confidentiality, integrity, and security of patient data should be in compliance with the Health Insurance Portability and Accountability Act (HIPAA). There should also be adequate safe-guards to ensure the technical integrity of quality assurance programs in support of NCTN clinical trial research. Policies and guidelines to be addressed include the following: Page 72 of 241

PART 1: Overview of NCTN Program Section IV – Terms/Conditions of Award – Network RT & Imaging Core Services Centers 5.4.1 IRB Review of the Network Radiotherapy & Imaging Core Services Centers Institutional Review Board (IRB) review of the Network Radiotherapy & Imaging Core Services Centers grant is required. The IRB should determine and document that the Centers have sufficient mechanisms in place to ensure appropriate data management and analysis of radiotherapy and imaging data for quality assurance and credentialing with respect to ensuring the protection of the confidentiality of patient data, given the nature of the research involved. Information on this requirement for IRB review can be obtained on the OHRP website at: http://www.hhs.gov/ohrp/policy/aplrev.html. 5.4.2 Inclusion of Women, Minorities, and Children in Clinical Research NIH policy requires that women and members of minority groups and ethnic subgroups be included in all NIH-supported biomedical and behavioral clinical research projects involving human subjects at: http://grants.nih.gov/grants/funding/women_min/women_min.htm. Compliance with this policy requires appropriate study designs, targets for total protocol accrual with distribution by ethnic/racial categories and by sex/gender, as well as reporting of accrual by ethnic/racial categories and by sex/gender. Since Network Groups conduct multiple phase 3 clinical trials, the amended NIH Policy on inclusion of women and minorities in research also applies (see NIH Guide Notice on NIH Guidelines on the Inclusion of Women and Minorities as Subjects in Clinical Research – Amended October 2001 at: http://grants.nih.gov/grants/guide/notice-files/NOT-OD-02-001.html, with a complete copy of the updated Guidelines available at: http://grants.nih.gov/grants/funding/women_min/guidelines_amended_10_2001.htm. A description of plans to conduct analyses, as appropriate, by sex/gender and/or ethnic/racial groups must be included in clinical trial protocols and the Network Group SDMC should ensure that it has appropriate procedures in place to address this requirement. Cumulative subject accrual and progress in conducting subset analyses must be reported to NIH in the annual Progress Reports. Final analyses of sex/gender and ethnic/racial differences must be reported in the required Final Progress Report or any future competitive renewal applications. The Network Radiotherapy & Imaging Core Services Centers should ensure that, when appropriate, data collected in support of NCTN trials by the Centers are incorporated into these reporting requirements by the Network Group Operations Centers and associated Network Group Statistics and Data Management Centers and have a policy in place to address this requirement. NIH policy requires that children (i.e., individuals under 21 years of age) must be included in all human subjects research, conducted or supported by the NIH, unless there are clear and compelling reasons not to include them as described at: http://grants.nih.gov/grants/funding/children/children.htm. Since the Network Radiotherapy & Imaging Core Services Centers may support any applicable trial conducted under the NCTN Program, the Centers will collect data to support clinical trial research in children via their association with the pediatric Network Group Operations Center and associated SDMC. 5.4.3 Resource Sharing Plans Generally, Resource Sharing Plans (Data Sharing Plan, Sharing Model Organisms if applicable, and GWAS Sharing Plan) are expected for this FOA. Since it is expected that the Network Radiotherapy and Imaging Core Services Centers will follow the Resource Sharing Plans of the associated Network Groups' Operations Centers, the Network Radiotherapy and Imaging Core Services Centers should submit a Resource Sharing Plan in its application that indicates that it understands and is bound by these plans. An example of a Data Sharing Plan for Network Group Operations Centers and associated Network Group Statistics and Data Management Centers for the NCTN Program is provided in Part 4 - Appendices - Section VII in the Guidelines document for the NCTN Program. 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 Page 73 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 />

perform related to their own operations. The Centers should also have the capacity to provide<br />

data to the <strong>Network</strong> Groups if needed for onsite auditing for their members for specific clinical<br />

trials.<br />

5.2 Radiotherapy and Imaging Core Services Centers<br />

5.2.1 Scientific and Technical Expertise<br />

The <strong>Network</strong> Radiotherapy & Imaging Core Services Centers should provide the scientific<br />

expertise in Advanced Medical Imaging (including PET and MR), radiotherapy, and information<br />

technology to provide appropriate quality assurance for data and image management to support<br />

applicable <strong>NCTN</strong> trials as well as for other approved <strong>NCI</strong>-supported clinical trials (e.g., <strong>NCI</strong> early<br />

phase clinical trials) evaluating advanced radiotherapy treatments and imaging<br />

techniques/procedures. The PI(s)/PD(s) and Centers’ staff should also be able to provide<br />

appropriate expertise to help <strong>Network</strong> Groups in hypothesis formulation and trial design during<br />

the early stages of developing of trial proposals. The Centers should also provide expertise in<br />

information technology (IT) to facilitate collection, qualification, analysis, archive, and transfer of<br />

radiotherapy assessment and imaging data.<br />

5.2.2 Credentialing of Institutions and Services<br />

The <strong>Network</strong> Radiotherapy & Imaging Core Services Centers should have policies and procedures<br />

in place to provide qualification and credentialing of institutions as needed for both delivery of<br />

appropriate protocol-specified radiotherapy as well as performance of specific advanced imaging<br />

technology.<br />

5.3 <strong>Program</strong> for Collaborations and Participation in Collective Management<br />

The <strong>Network</strong> Radiotherapy & Imaging Core Services Centers should have the capacity to provide Core<br />

Services to <strong>NCTN</strong> trials that result from collaborations between the <strong>Network</strong> Groups and other <strong>NCI</strong>supported<br />

programs and investigators. The <strong>Network</strong> Radiotherapy & Imaging Core Services Centers<br />

should also be able to develop collaborations with other <strong>NCI</strong>-sponsored programs and investigators<br />

(e.g., SPOREs, Cancer Centers, R01/P01 investigators) to augment and enhance the core services<br />

provided by the Centers for <strong>NCTN</strong> trials as well as to collaborate with other organizations providing<br />

these types of services to enhance services and provide best practices and/or standards for selected<br />

assessments of radiotherapy and advanced imaging techniques.<br />

The Centers will also be responsible for providing similar services for collaborations with other <strong>NCI</strong>supported<br />

clinical trials programs (e.g., <strong>NCI</strong> early phase clinical trials) when directed by <strong>NCI</strong> as part of<br />

the <strong>NCTN</strong> <strong>Program</strong>.<br />

In addition, the <strong>Network</strong> Radiotherapy & Imaging Core Services Centers is also responsible for<br />

participating in the collective management of the <strong>Network</strong> including participation in appropriate <strong>NCTN</strong><br />

<strong>Program</strong> activities and initiatives and through the <strong>NCTN</strong> Leadership Management Committee by making<br />

recommendations to <strong>NCI</strong> for modifications to the <strong>Program</strong> as well as to standard <strong>NCTN</strong> common tools<br />

and services.<br />

5.4 Compliance with Federal Regulations for <strong>Clinical</strong> Research<br />

The <strong>Network</strong> Radiotherapy & Imaging Core Services Centers awardee should have policies and<br />

procedures for ensuring that any work performed is in compliance with federal regulations regarding<br />

the protection of human subjects in clinical trials. In particular, policies and procedures related to<br />

confidentiality, integrity, and security of patient data should be in compliance with the Health<br />

Insurance Portability and Accountability Act (HIPAA). There should also be adequate safe-guards to<br />

ensure the technical integrity of quality assurance programs in support of <strong>NCTN</strong> clinical trial research.<br />

Policies and guidelines to be addressed include the following:<br />

Page 72 of 241

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