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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>NCI</strong>/DCTD Responsibilities<br />

C. <strong>NCI</strong>/DCTD Staff Responsibilities<br />

The role of the <strong>NCI</strong> Division of Cancer Treatment and Diagnosis (DCTD) staff, as described throughout these<br />

Terms and Conditions of Award, is to assist, facilitate, and ensure optimal coordination of <strong>NCTN</strong> activities. The<br />

<strong>NCTN</strong> is part of a larger <strong>NCI</strong>-sponsored clinical trials program that also includes investigational agent<br />

development. The Cancer Therapy Evaluation <strong>Program</strong> (CTEP) staff has very specific and well-defined<br />

responsibilities for the oversight and review of <strong>Network</strong> Group clinical trials and for investigational agent<br />

development that meets DCTD/CTEP responsibilities as sponsor of Investigational New Drug Applications (INDs)<br />

and Investigational Device Exemption (IDE) as defined in the Code of Federal Regulations (CFR) 21 Part 312. The<br />

Cancer Imaging <strong>Program</strong> (CIP) staff has similar responsibilities with respect to INDs for investigational imaging<br />

agents in applicable <strong>NCTN</strong> trials. The responsibilities of <strong>NCI</strong>/DCTD staff are described below.<br />

1. Coordination of <strong>National</strong> Priorities<br />

<strong>NCI</strong>/DCTD staff is responsible for maintaining a clear set of national priorities for treatment research, based<br />

upon substantial consultation with experts in the field. In selected disease areas, particularly when<br />

spontaneous planning does not occur within the <strong>Network</strong> Groups, <strong>NCI</strong>/DCTD staff with support from the<br />

Coordinating Center for <strong>Clinical</strong> <strong>Trials</strong> (CCCT) will help in coordinating the organization of <strong>Clinical</strong> <strong>Trials</strong><br />

Planning Meetings under the auspices of the <strong>NCI</strong> Scientific Steering Committees. In addition, <strong>NCI</strong>/DCTD<br />

staff may support ad hoc scientific meetings to help achieve consensus on critical clinical problems. These<br />

<strong>Clinical</strong> <strong>Trials</strong> Planning meeting and ad hoc meetings will be composed of investigators with established<br />

expertise in the particular field of interest and will consist primarily of extramural scientists. <strong>NCI</strong> staff will<br />

be responsible for prompt dissemination of the recommendations from these meetings, particularly<br />

regarding statements of research priorities from <strong>Clinical</strong> <strong>Trials</strong> Planning meetings, and the <strong>Network</strong> Groups<br />

will be encouraged to address these priorities.<br />

2. Scientific Resource and Liaison Activities<br />

<strong>NCI</strong>/DCTD staff serves as both a resource and liaison for <strong>Network</strong> Groups and their members, as well as the<br />

other key components of the <strong>NCTN</strong> <strong>Program</strong>.<br />

2.1 Scientific Resource for <strong>NCTN</strong> <strong>Clinical</strong> Investigations<br />

The Lead <strong>NCTN</strong> <strong>Program</strong> Director, the Associate Director (AD), CTEP, DCTD and staff of the various CTEP<br />

branches, including the <strong>Clinical</strong> Investigations Branch (CIB), the Investigational Drug Branch (IDB), the<br />

Regulatory Affairs Branch (RAB), the Pharmaceutical Management Branch (PMB), and the <strong>Clinical</strong> <strong>Trials</strong><br />

Monitoring Branch (CTMB), as well as staff from other DCTD programs, including the Biometric<br />

Research Branch (BRB), the Cancer Imaging <strong>Program</strong> (CIP), the Radiation Research <strong>Program</strong> (RRP), and<br />

the Cancer Diagnosis <strong>Program</strong> (DCP), all serve as resources available to <strong>Network</strong> Groups for specific<br />

scientific information with respect to treatment regimens, clinical trial design, investigational agent<br />

management, regulatory issues, etc. The <strong>NCI</strong>/DCTD staff also work closely with the <strong>NCI</strong>/DCP staff to<br />

coordinate operating processes and procedures for the <strong>Network</strong> Groups as well as to ensure there is a<br />

high level of integration of complementary research efforts on specific trials.<br />

The <strong>NCI</strong> DCTD staff listed above will assist the <strong>Network</strong> Groups, their members, and other key<br />

components of the <strong>NCTN</strong> <strong>Program</strong>, as appropriate, in developing information concerning the scientific<br />

basis for specific trials, operational and regulatory issues, and will also be responsible for advising the<br />

<strong>Network</strong> Groups of the nature and results of relevant trials being carried out nationally or<br />

internationally. CIB and IDB staff will also provide updated information to the <strong>Network</strong> Groups on the<br />

efficacy and adverse events associated with new investigational agents supplied to <strong>Network</strong> Group<br />

members under a CTEP-sponsored IND. In addition, CIB staff advises the Groups of potential<br />

agents/interventions that will be relevant to new avenues of cancer therapy.<br />

2.2 Scientific and Administrative <strong>Program</strong> Directors & Liaison Activities<br />

The Lead <strong>NCTN</strong> <strong>Program</strong> Director is the NIH/<strong>NCI</strong> <strong>Program</strong> Official responsible for the routine scientific<br />

and programmatic stewardship of all the awards for the <strong>NCTN</strong> <strong>Program</strong> and will be named in the award<br />

notice. Co-<strong>Program</strong> Directors may also be named in the award notice for some of the key components<br />

Page 76 of 241

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