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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 />

CTMB notification. It is also essential that involved individual(s) and/or institutions follow their own<br />

institutional misconduct procedures in these matters.<br />

5. Data Management and Analysis Review & Use of Standard <strong>NCTN</strong> Tools and Services<br />

At the request of CTEP, the Biometric Research Branch (BRB) staff, in consultation with other <strong>NCI</strong>/DCTD<br />

staff, will review mechanisms established by the <strong>Network</strong> Group for data management and analysis. When<br />

deemed appropriate, BRB staff will make recommendations to ensure that data collection and management<br />

procedures are adequate for quality control and analysis, yet sufficiently simple to encourage maximum<br />

participation of physicians entering patients onto studies and to avoid unnecessary expense. In addition,<br />

the <strong>NCI</strong> will have access to all <strong>Network</strong> Group data although the data remain the property of the awardee<br />

institution under the Cooperative Agreement. Data must also be available for external monitoring as<br />

required by <strong>NCI</strong>'s agreement with the FDA relative to the <strong>NCI</strong>'s responsibility as agent sponsor.<br />

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

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

<strong>NCI</strong>/DCTD to ensure that the tools related to common data elements in compliance with the <strong>NCTN</strong> <strong>Program</strong><br />

approved sections of the data dictionary for common data elements in caDSR are used in the data collection<br />

instruments for the <strong>NCTN</strong> trials. If issues with compliance are identified, the <strong>NCI</strong>/DCTD will work with the<br />

<strong>Network</strong> Group to develop a corrective action plan.<br />

6. Investigational Agent Development and Regulations<br />

The clinical development of new anticancer agents is a highly important use of <strong>Network</strong> Group resources.<br />

The <strong>Network</strong> Groups are a vital component of the research apparatus necessary for the clinical<br />

development of the many new investigational agents sponsored by <strong>NCI</strong>/DCTD. Various branches within<br />

DCTD share the responsibilities for investigational agent development, as described below.<br />

� The Investigational Drug Branch (IDB) is responsible for: (1) planning, within CTEP as well as with<br />

members of the extramural community, overall strategies for studies of new agents in specific<br />

tumor types and (2) coordinating and monitoring trials of new agents developed by the DCTD.<br />

� The <strong>Clinical</strong> <strong>Trials</strong> Branch in the <strong>Clinical</strong> Imaging <strong>Program</strong> (CIP) is responsible for: (1) planning,<br />

within CIP as well as with members of the extramural community, overall strategies for studies of<br />

new imaging agents in specific tumor types and (2) coordinating and monitoring trials of<br />

new/novel imaging agents under evaluation by <strong>NCTN</strong> <strong>Network</strong> Groups.<br />

� The Pharmaceutical Management Branch (PMB) provides for the distribution of investigational<br />

new agents for which DCTD is the sponsor.<br />

� The Regulatory Affairs Branch (RAB) maintains close contact and ongoing dialogue with the<br />

pharmaceutical collaborator and with the FDA to ensure that new agent development complies<br />

with federal regulations and proceeds in a coordinated way.<br />

� The <strong>Clinical</strong> Investigations Branch (CIB) is involved in promoting comparative <strong>Network</strong> Group<br />

clinical trials evaluating treatment strategies using new agents versus appropriate control<br />

therapies.<br />

� The Biometric Research Branch (BRB) assesses proposed designs for evaluating the benefits of<br />

investigational agents.<br />

� The <strong>Clinical</strong> <strong>Trials</strong> Monitoring Branch (CTMB) verifies adherence by the <strong>Network</strong> Groups to the<br />

quality assurance procedures of investigational agent trials.<br />

Page 84 of 241

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