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 – NCI/DCTD Responsibilities 3.1 Proposal Review General Information: Study proposals for treatment or advanced imaging clinical trials are evaluated as either Letters of Intent (LOI) or Concepts depending on the whether the proposal is reviewed/evaluated by the NCI/DCTD Cancer Therapy Evaluation Program (CTEP) Protocol Review Committee (PRC) or by an NCI Scientific Steering Committee (i.e., disease-specific or clinical imaging Steering Committees) as described below. An illustration of the study review/evaluation process for NCTN study proposals and associated information is also provided in Part 4 – Appendices - Section III of these Guidelines. The terms NCI/DCTD PRC and CTEP PRC are used interchangeably in these Guidelines. Trials proposals prioritized by NCI Scientific Steering Committee (SSC) undergo expedited review by CTEP before final approval is given in order to ensure significant safety, feasibility, and regulatory issues are adequately addressed, including ensuring that there are adequate resources available for the trial given the resource allocation constraints for the disease area, and to prevent duplication. However, it is expected that this final review/approval by CTEP can be accomplished in an expedited manner in most cases as designated NCI/DCTD staff participate as full members on the various NCI and significant issues in these areas are incorporated into the evaluation/prioritization discussion. NCI/DCTD staff (i.e., 3 representatives - one representative from BRB, the Lead NCTN Program Director or his/her designee, and the physician liaison from the Clinical Investigations Branch or the Cancer Imaging Program) are full members on the disease-specific and Clinical Imaging Scientific Steering Committees. The Clinical Investigations Branch physician in the related disease area for the diseasespecific Steering Committee (or Cancer Imaging Program representative for the Clinical Imaging Steering Committee) have special responsibilities on the NCI SSCs, including developing meeting agendas with the SSCs co-Chairs, preparing the Consensus Evaluations for proposals evaluated by the committees, and working with the SSC Co-Chairs on the scientific direction of the committee. Any change in the policies and procedures of the NCI SSCs related to composition of committee membership, conflict of interest, and evaluation/prioritization procedures for NCTN clinical trials requires review and approval by the Lead NCTN Program Director and the Associate Director, CTEP, DCTD/NCI to ensure that procedures are consistent with the intent of the NCTN Program and the Terms and Conditions of Award under the Cooperative Agreements for all key components of the NCTN Program. Proposal Review Process Based on Type of Study: Review of study proposals for the NCTN Program is based on the type of study (including intervention study, non-intervention study, trial phase), IND status, patient population (adult vs. pediatric), and sample size. The review process based on these study attributes are described below. � All phase 1 trial proposals, pilot studies, and any trial proposal submitted by Network Group Operations Centers in response to mass solicitations or specific solicitations from the NCI/DCTD Cancer Therapy Evaluation Program (CTEP) are evaluated as LOIs by the CTEP’s PRC. � All phase 3, phase 2/3, and large phase 2 trial proposals (i.e., phase 2 trials requiring sample sizes of 100 patients or more) are first evaluated and prioritized by the appropriate NCI Scientific Steering Committee as Concepts with final expedited approval/disapproval by CTEP with consideration of the feasibility and resources available to the NCTN to conduct the study. (Note: This applies only when the study proposal is not part of a mass solicitation or other specific solicitation by NCI/DCTD or an adult pilot study). � All small phase 2 and phase 1/2 adult study proposals (i.e., trials requiring a total sample size of less than 100 patients) are evaluated as LOIs by the CTEP’s PRC. However, at CTEP’s discretion, if these trial proposals have total sample sizes close to 100 patients (i.e., in the low 90s to 100), CTEP Page 78 of 241

PART 1: Overview of NCTN Program Section IV – Terms/Conditions of Award – NCI/DCTD Responsibilities may forward these for evaluation/prioritization by the appropriate NCI Scientific Steering Committee. Network Groups submitting these types of trial proposals, especially proposals with sample sizes of 90 or more patients, are encouraged to use the Concept submission form in case the proposal is forwarded to an NCI Scientific Steering Committee. For pediatric studies (including studies for adolescents and young adults submitted from the pediatric Network Group), it is anticipated that all pediatric phase 2 studies (regardless of the study sample size) and pediatric feasibility and pilot studies of 100 patients or more will be forwarded by CTEP to the appropriate NCI Scientific Steering Committee given the limited pediatric patient population. � If an appropriate NCI Scientific Steering Committee (SSC) does not exist for a disease area or is not available for evaluation of a trial proposal submitted by a Network Group Operations Center for other reasons (e.g., significant workload or scheduling issues), the trial proposal will be reviewed by CTEP’s PRC with ad hoc extramural scientific reviewers, as needed. � BIQSFP applications that are related to clinical treatment or advanced imaging trial proposals submitted by the Network Group Operation Centers are initially evaluated by the appropriate NCI SSC (or by CTEP with ad hoc extramural scientific reviewers) with the reviewer recommendations forwarded to the NCI Clinical and Translational Research Operations Committee (CTROC) for a final decision on the BIQSFP application and budget. � Correlative science studies embedded in NCTN clinical trial studies at the time of initial proposal submission should be appropriately designed as integral and/or integrated studies with robust statistical designs and analysis plans that address specific and important scientific hypotheses. Exploratory studies without a specific hypothesis and robust statistical analysis plan will not be approved. Although optional collection of biospecimens without an approved research plan may be approved for a trial (e.g., adjuvant study), use of the specimen must be approved by CTEP and must be based on studies with specific hypotheses and statistical analysis plans (i.e., biospecimens cannot be “reserved” for future unspecified research without a subsequent study proposal being reviewed and approved). � Correlative science studies requesting use of biospecimens from any NCTN clinical trial that has not yet reported out primary results is evaluated by CTEP’s PRC (usually as an amendment during the course of the conduct of the study). At CTEP’s discretion, depending on the timing of the request, the correlative science study may be sent for evaluation to an NCI/DCTD-approved NCTN Correlative Science Committee. All correlative science studies requesting use of biospecimens from any NCTN clinical trial that has reported out primary results (i.e., request for use of “banked” biospecimens) is reviewed by CTEP’s PRC or sent by CTEP for evaluation to an NCI/DCTD-approved NCTN Correlative Science Committee. It is anticipated that all requests for use of “banked” biospecimens collected in associated with any NCTN clinical trial (regardless of funding source) will be submitted to a central NCI/DCTD “Triage Committee” in order to assess the appropriateness of the request for use of these scarce resources that are linked to annotated clinical trial data, including outcome data, as well as determining with the Network Group based on its biospecimen inventory and the status of the clinical trial data, whether the request could be addressed. If the central NCI/DCTD “Triage Committee” determines that the request is appropriate, the request will then be sent to NCI/CTEP’s Protocol Information Office (PIO) for evaluation via CTEP’s PRC or an NCI/DCTD-approved NCTN Correlative Science Committee. Correlative science studies requesting use of “banked” biospecimens should be appropriately designed with robust statistical designs and analysis plans that address specific and important scientific hypotheses (and with the statistician named as part of the study proposal on its title page). Page 79 of 241

PART 1: Overview of <strong>NCTN</strong> <strong>Program</strong> Section IV – Terms/Conditions of Award – <strong>NCI</strong>/DCTD Responsibilities<br />

may forward these for evaluation/prioritization by the appropriate <strong>NCI</strong> Scientific Steering<br />

Committee. <strong>Network</strong> Groups submitting these types of trial proposals, especially proposals with<br />

sample sizes of 90 or more patients, are encouraged to use the Concept submission form in case<br />

the proposal is forwarded to an <strong>NCI</strong> Scientific Steering Committee. For pediatric studies (including<br />

studies for adolescents and young adults submitted from the pediatric <strong>Network</strong> Group), it is<br />

anticipated that all pediatric phase 2 studies (regardless of the study sample size) and pediatric<br />

feasibility and pilot studies of 100 patients or more will be forwarded by CTEP to the appropriate<br />

<strong>NCI</strong> Scientific Steering Committee given the limited pediatric patient population.<br />

� If an appropriate <strong>NCI</strong> Scientific Steering Committee (SSC) does not exist for a disease area or is<br />

not available for evaluation of a trial proposal submitted by a <strong>Network</strong> Group Operations Center<br />

for other reasons (e.g., significant workload or scheduling issues), the trial proposal will be<br />

reviewed by CTEP’s PRC with ad hoc extramural scientific reviewers, as needed.<br />

� BIQSFP applications that are related to clinical treatment or advanced imaging trial proposals<br />

submitted by the <strong>Network</strong> Group Operation Centers are initially evaluated by the appropriate <strong>NCI</strong><br />

SSC (or by CTEP with ad hoc extramural scientific reviewers) with the reviewer recommendations<br />

forwarded to the <strong>NCI</strong> <strong>Clinical</strong> and Translational Research Operations Committee (CTROC) for a final<br />

decision on the BIQSFP application and budget.<br />

� Correlative science studies embedded in <strong>NCTN</strong> clinical trial studies at the time of initial proposal<br />

submission should be appropriately designed as integral and/or integrated studies with robust<br />

statistical designs and analysis plans that address specific and important scientific hypotheses.<br />

Exploratory studies without a specific hypothesis and robust statistical analysis plan will not be<br />

approved. Although optional collection of biospecimens without an approved research plan may<br />

be approved for a trial (e.g., adjuvant study), use of the specimen must be approved by CTEP and<br />

must be based on studies with specific hypotheses and statistical analysis plans (i.e., biospecimens<br />

cannot be “reserved” for future unspecified research without a subsequent study proposal being<br />

reviewed and approved).<br />

� Correlative science studies requesting use of biospecimens from any <strong>NCTN</strong> clinical trial that<br />

has not yet reported out primary results is evaluated by CTEP’s PRC (usually as an amendment<br />

during the course of the conduct of the study). At CTEP’s discretion, depending on the timing of<br />

the request, the correlative science study may be sent for evaluation to an <strong>NCI</strong>/DCTD-approved<br />

<strong>NCTN</strong> Correlative Science Committee.<br />

All correlative science studies requesting use of biospecimens from any <strong>NCTN</strong> clinical trial that<br />

has reported out primary results (i.e., request for use of “banked” biospecimens) is reviewed by<br />

CTEP’s PRC or sent by CTEP for evaluation to an <strong>NCI</strong>/DCTD-approved <strong>NCTN</strong> Correlative Science<br />

Committee.<br />

It is anticipated that all requests for use of “banked” biospecimens collected in associated with any<br />

<strong>NCTN</strong> clinical trial (regardless of funding source) will be submitted to a central <strong>NCI</strong>/DCTD “Triage<br />

Committee” in order to assess the appropriateness of the request for use of these scarce resources<br />

that are linked to annotated clinical trial data, including outcome data, as well as determining with<br />

the <strong>Network</strong> Group based on its biospecimen inventory and the status of the clinical trial data,<br />

whether the request could be addressed. If the central <strong>NCI</strong>/DCTD “Triage Committee” determines<br />

that the request is appropriate, the request will then be sent to <strong>NCI</strong>/CTEP’s Protocol Information<br />

Office (PIO) for evaluation via CTEP’s PRC or an <strong>NCI</strong>/DCTD-approved <strong>NCTN</strong> Correlative Science<br />

Committee. Correlative science studies requesting use of “banked” biospecimens should be<br />

appropriately designed with robust statistical designs and analysis plans that address specific and<br />

important scientific hypotheses (and with the statistician named as part of the study proposal on<br />

its title page).<br />

Page 79 of 241

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