Orientation for the Frederick National Laboratory Advisory Committee
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institutes of Health FNLAC Bethesda, Maryland
Orientation for the Frederick National Laboratory Advisory Committee
National Institutes of Health Bethesda, Maryland
FOREWORD
Congratulations on your recent appointment to the Frederick National Laboratory Advisory Committee (FNLAC). As you join this distinguished committee, we could not be more honored to have you working with the National Cancer Institute (NCI).
The primary task of the FNLAC is to advise the Director of the NCI and the Associate Director, Frederick National Laboratory of Cancer Research (FNLCR), on the state of research (extramural and intramural) being conducted at the FNLCR and to make recommendations for the best use of the FNLCR capabilities and infra- structure. Specifically, you will review new projects proposed to be performed at the FNLCR with respect to the intrinsic merit of the projects and whether they should be conducted at the FNLCR. In addition, you will periodically review the existing portfolio of projects at the FNLCR, evaluate their productivity and scientific impact, help determine which of these projects should be transitioned to more conventional mechanisms of support (i.e., grants, contracts, cooperative agreements), and which should be considered for termination. As a FNLAC member, you will help to ensure that the operations at the FNLCR are open, transparent, and in the best interests of the entire cancer research community.
This briefing document has been prepared to provide new members of the FNLAC with an overview of the mission, history, and activities of the FNLCR and the NCI.
The first section of the book presents the NCI in the context of the total U.S. Department of Health and Human Services (HHS) and National Institutes of Health (NIH) organization. It includes budgetary information, cites current legislative statutes, and describes organizational structure, program disciplines, and mechanisms of funding used by the NCI.
The second section provides a description of the FNLCR, including a timeline that chronicles the establishment and evolution of the FNLCR and the establishment of the FNLAC. It also delineates the roles of external committees that advise the NCI in the conduct of its activities.
We are pleased to provide you with this FNLAC Orientation Book and hope you will refer to it in fulfilling your responsibilities as a member of the FNLAC.
Paulette S. Gray, Ph.D. Director Division of Extramural Activities National Cancer Institute
NCI FNLAC Orientation Book iii iv NCI FNLAC Orientation Book TABLE OF CONTENTS
Page Page FOREWORD...... iii Office of Advocacy Relations (OAR)...... 18 Office of Communications and Public U.S. DEPARTMENT OF HEALTH AND Liaison (OCPL)...... 18 HUMAN SERVICES (HHS)...... 1 Office of Government and Congressional Mission and Organization...... 1 Relations (OGCR)...... 18 Office of HIV and AIDS Malignancy THE NATIONAL INSTITUTES OF HEALTH...... 1 (OHAM)...... 18 Mission, Organization, and History...... 1 Office of Acquisitions (OA)...... 18 Overview of NIH History...... 1 Office of Budget and Finance (OBF)...... 18 Office of Grants Administration (OGA)...... 18 THE NATIONAL CANCER INSTITUTE...... 10 Office of Management Policy and NCI Mission...... 10 Compliance (OMPC)...... 18 NCI and the National Cancer Program...... 10 NCI Programs and Activities...... 18 NCI Legislative Authority...... 11 NCI Cancer Programs...... 19 Bypass Budget...... 11 Cancer Causation...... 19 NCI Organizational Structure...... 12 Detection and Diagnosis...... 19 NCI Extramural Divisions...... 12 Treatment...... 19 Division of Cancer Biology (DCB)...... 12 Cancer Biology...... 19 Division of Cancer Control and Cancer Prevention and Control...... 19 Population Sciences (DCCPS)...... 12 NCI Resources...... 20 Division of Cancer Treatment and Cancer Centers...... 20 Diagnosis (DCTD)...... 12 Specialized Programs of Research Division of Cancer Prevention (DCP)...... 12 Excellence (SPORE)...... 20 Division of Extramural Activities (DEA).... 15 Comprehensive Minority Institution/ NCI Intramural Divisions and Centers...... 15 Cancer Center Partnership...... 20 Division of Cancer Epidemiology and Research Manpower Development...... 20 Genetics (DCEG)...... 15 NCI Funding Mechanisms...... 20 Center for Cancer Research (CCR)...... 15 NCI Offices and Centers Within the FREDERICK NATIONAL LABORATORY FOR Office of the Director...... 15 CANCER RESEARCH (FNLCR)—FEDERALLY NCI Center for Biomedical Informatics FUNDED RESEARCH AND DEVELOPMENT and Information Technology (CBIIT)...... 15 CENTER (FFRDC)...... 23 Center for Research Strategy (CRS)...... 15 Overview...... 23 Center to Reduce Cancer Health Frederick National Laboratory for Cancer Disparities (CRCHD)...... 16 Research (FNLCR)...... 23 Center for Strategic Scientific Chronological History of the FNLCR and Initiatives (CSSI)...... 16 FNLAC...... 24 Small Business Innovation Research FNLCR Facilities...... 28 (SBIR) Development Center...... 16. FNLCR Budget...... 30 Center for Cancer Training (CCT)...... 16 FNLCR Scientific Support...... 31 Coordinating Center for Clinical FNLCR Support of NCI Divisions, Offices, Trials (CCCT)...... 16 and Centers...... 32 Center for Cancer Genomics (CCG)...... 16 Additional FNLCR–Supported Programs Center for Global Health (CGH)...... 17 and Laboratories...... 33 Technology Transfer Center (TTC)...... 17 FNLCR National Programs and Initiatives...... 35 NCI-Frederick Office of Scientific RAS Initiative...... 35 Operations...... 17 Human Papillomavirus (HPV) Serology Office of Cancer Nanotechnology Laboratory...... 35 Research (OCNR)...... 17 Cryo-Electron Microscopy (EM) Facility.... 35 Office of Cancer Clinical Proteomics Beau Biden Cancer Moonshot...... 36 Research (OCCPR)...... 17 Accelerating Therapeutics for Office of Cancer Centers (OCC)...... 17 Opportunities in Medicine (ATOM)...... 36
NCI FNLAC Orientation Book v Page Page APPENDICES NCI ADVISORY BOARDS, COMMITTEES, APPENDIX A: President’s Cancer Panel...... 43 AND REVIEW GROUPS...... 37. APPENDIX B: National Cancer Advisory Presidentially Appointed Panel and Board...... 37 Board...... 44. Program Advisory Boards and Committees..... 37 APPENDIX C: Board of Scientific NCI Review Groups and Panels...... 38 Advisors...... 47 NCI Leadership...... 38 APPENDIX D: Board of Scientific Counselors—Basic Sciences...... 50. FREDERICK NATIONAL LABORATORY APPENDIX E: Board of Scientific ADVISORY COMMITTEE (FNLAC)...... 39 Counselors—Clinical Sciences and Background...... 39 Epidemiology...... 53 FNLAC Charter...... 39 APPENDIX F: Clinical Trials and FNLAC Legislative Authority...... 39 Translational Research Advisory Membership and Designation...... 39 Committee (CTAC)...... 56. FNLAC Meetings...... 40 APPENDIX G: Frederick National Conflict of Interest and Ethics Rules for Laboratory Advisory Committee...... 59 FNLAC Members...... 40 APPENDIX H: NCI Council of Research FNLAC Subcommittees and Working Advocates...... 62 Groups...... 40 APPENDIX I: NCI Scientific Program RAS Oversight Subcommittee...... 40 Leadership Committee...... 63. National Cryo-Electron Microscopy (EM) APPENDIX J: Summary of Ethics Rules Facility Oversight Subcommittee...... 41 for Special Government Employees Ad Hoc RAS Working Group ...... 41 Serving on Advisory Committees...... 65. Ad Hoc National Cryo-EM Facility APPENDIX K: Related Documents...... 68 Oversight Working Group...... 41 APPENDIX L: Websites of Interest...... 69. Ad Hoc NCI/DOE Collaborations Working DEA Websites...... 69 Group...... 41 NCI Websites...... 70 NCI Cancer Information Websites...... 70 NIH Websites...... 71 General Government-Related Websites...... 71 APPENDIX M: List of Abbreviations...... 72
vi NCI FNLAC Orientation Book U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
Mission and Organization The ACF supports a variety of initiatives that promote the economic and social well-being of The mission of the U.S. Department of Health families, children, individuals, and communities. and Human Services (HHS) is to enhance the The ACL works to maximize the independence, health and well-being of Americans by providing well-being, and health of older adults, people for effective health and human services and by with disabilities across the lifespan, and their fostering strong, sustained advances in the scienc- families and caregivers. The CMS manages health es underlying medicine, public health, and social insurance programs. NIH, AHRQ, ATSDR, CDC, services. The HHS consists of the Office of the FDA, HRSA, IHS, and SAMHSA are all devoted to Secretary, which provides leadership; the Program public health and compose PHS. (See Exhibit I for Support Center, which provides centralized HHS Organization). administrative support; and 11 operating divi- sions, including eight agencies in the U.S. Public Health Service (PHS), and three human services. THE NATIONAL INSTITUTES The Office of the Secretary (OS), the chief policy OF HEALTH officer and general manager of HHS, administers and oversees the organization, its programs, and Mission, Organization, and History its activities. The deputy secretary and several assistant secretaries and offices support the OS. NIH’s mission is to uncover new knowledge that The operating Divisions of HHS include: will lead to better health for everyone. The NIH works toward that mission by conducting research ● Administration for Children and Families in its own laboratories; supporting the research (ACF) of non-Federal scientists in universities, medical schools, hospitals, and research institutions ● Administration of Community Living (ACL) throughout the country and abroad; helping to train research investigators; and fostering ● Agency for Healthcare Research and Quality communication of medical information. The NIH (AHRQ) is composed of the OD, 20 Institutes, six Centers (four of which have funding authority), and the ● Agency for Toxic Substances and Disease National Library of Medicine with 75 buildings in Registry (ATSDR) a campus-like environment located on more than 300 acres in Bethesda, Maryland. An organizational ● Centers for Disease Control and Prevention chart for the NIH is presented in Exhibit II. The (CDC) NIH budget has grown from $300 in 1887, when the NIH was a one-room Laboratory of Hygiene, ● Centers for Medicare and Medicaid Services to $37.3 billion in 2018 (Exhibit III). A guide to the (CMS) Bethesda campus is provided in Exhibit IV.
● Food and Drug Administration (FDA) Overview of NIH History
● Health Resources and Services The NIH is a component of the Public Health Administration (HRSA) Service (PHS) of HHS. The PHS traces its origin to “An Act for the Relief of Sick and Disabled ● Indian Health Service (IHS) Seamen” of 1798 (Stat. L. 604), which authorized the establishment of marine hospitals for the care ● National Institutes of Health (NIH) of American merchant seamen. In 1912, the Public Health and Marine Hospital Service became the ● Program Support Center (PSC) Public Health Service. The actual forerunner of the NIH was established ● Substance Abuse and Mental Health in 1887 as the Laboratory of Hygiene, located at Services Administration (SAMHSA) the Marine Hospital of Staten Island, New York. In 1930, this laboratory was renamed the National
NCI FNLAC Orientation Book 1 , CL ) (A Administration Assistant Secretary for Community Living Exhibit I. U.S. Department of Health and Human Services
2 NCI FNLAC Orientation Book Institute of Health. The first of the present 1912 The Public Health and Marine Hospital Institutes, the National Cancer Institute (NCI), Service was renamed Public Health was established in 1937 by an act of Congress. Service (PHS). In 1938, the National Advisory Cancer Council approved the first awards for research training 1922 The Library of the Office of the Surgeon fellowships in cancer research. In 1948, the General was renamed Army Medical National Heart Institute was established, and the Library. National Institute of Health became the National Institutes of Health (NIH). During the years 1930 The Hygienic Laboratory was renamed 1949–2001, the NIH expanded to include 27 the National Institute of Health (NIH). Institutes and Centers. Congress authorized construction of two buildings for the NIH and a system of The following timeline chronicles the establish- fellowships. ment and evolution of the current NIH Institutes 1937 Congress authorized the establishment of and Centers: the National Cancer Institute (NCI) and the awarding of research grants. Rocky 1798 President John Adams signed “an act for Mountain Laboratory became part of the relief of sick and disabled Seamen,” the NIH. The National Advisory Cancer which led to the establishment of the Council held its first meeting. Marine Hospital Service. 1938 The NIH was moved to land donated by 1803 The first permanent Marine Hospital Mr. and Mrs. Luke I. Wilson, located in was authorized to be built in Boston, Bethesda, Maryland. Cornerstone for the Massachusetts. Shannon Building was laid.
1836 The Library of the Office of the Surgeon 1939 The Public Health Service (PHS) became General of the Army was established. part of a newly created Federal Security Agency; until that time, it was part of the 1870 President Grant signed a law establishing Treasury Department. a “Bureau of the U.S. Marine Hospital Service” within the Treasury Department. 1946 The Division of Research Grants (DRG) This Bureau, headed by a Supervising was established to process NIH grants and Surgeon (later Surgeon General), was fellowships to non-Federal institutions given central control over the hospitals. and scientists. (Originally established as the Research Grants Office, it was 1887 The Laboratory of Hygiene at the Marine renamed the Research Grants Division Hospital in Staten Island, New York, was and, finally, the Division of Research established for research on cholera and Grants.) other infectious diseases. 1948 The National Heart Institute (NHI) 1891 The Laboratory of Hygiene was was authorized. Several laboratories re-designated the Hygienic Laboratory (including Rocky Mountain Laboratory) and moved from Staten Island to the were regrouped to form the National Marine Hospital Service headquarters in Microbiological Institute. The Washington, DC. Experimental Biology and Medicine Institute and the National Institute of 1902 The Advisory Board for the Hygienic Dental Research were established. The Laboratory was established; later became National Institute of Health became the the National Advisory Health Council. National Institutes of Health. Act of Congress changed the name of the Marine Hospital Service to the Public 1949 The Mental Hygiene Program of the PHS Health and Marine Hospital Service. was transferred to the NIH and expanded Hygienic Laboratory was authorized by to become the National Institute of Mental Congress to regulate laboratories that Health. produced “biologicals.” The Hygienic Laboratory was expanded to four divisions: Bacteriology and Pathology, Chemistry, Pharmacology, and Zoology.
NCI FNLAC Orientation Book 3 1950 The “Omnibus Medical Research Act” 1968 The John E. Fogarty International Center authorized the establishment of the (FIC) for Advanced Study in the Health National Institute of Neurological Sciences was created. The Bureau of Diseases and Blindness (NINDB), as well Health Manpower and the NLM became as the National Institute of Arthritis and part of the NIH. The National Eye Metabolic Diseases (NIAMD). The latter Institute (NEI) was created. The National absorbed the Experimental Biology and Institute of Neurological Diseases and Medicine Institute. Blindness was renamed the National Institute of Neurological Diseases and 1953 The PHS became part of the newly created Stroke. Department of Health, Education, and Welfare. The Clinical Center opened. 1969 The Division of Environmental Health Sciences was renamed the National 1955 The National Microbiological Institute Institute of Environmental Health Sciences was renamed National Institute of (NIEHS). The National Heart Institute was Allergy and Infectious Diseases (NIAID). renamed the National Heart and Lung The Laboratory of Biologics Control Institute. was renamed the Division of Biologics Standards. The Division of Research 1972 The National Institute of Arthritis and Services (DRS) was created. Metabolic Diseases was renamed the National Institute of Arthritis, Metabolism, 1956 The Armed Forces Medical Library was and Digestive Diseases (NIAMDD). renamed the National Library of Medicine (NLM) and placed in the PHS. 1974 The National Institute on Aging (NIA) was created. 1957 The Center for Aging Research was established. 1975 The National Institute of Neurological Diseases and Stroke was renamed the 1958 The Division of General Medical Sciences National Institute of Neurological and was created. The Center for Aging Communicative Disorders and Stroke Research was transferred from the (NINDS). National Heart Institute to the Division of General Medical Sciences. 1976 The National Heart and Lung Institute was renamed the National Heart, Lung, 1961 The Center for Research in Child Health and Blood Institute (NHLBI). was established within the Division of General Medical Sciences. 1981 The National Institute of Arthritis, Metabolism, and Digestive Diseases 1962 The NLM was moved to the NIH campus. was renamed the National Institute of Arthritis, Diabetes, and Digestive and 1963 The Division of General Medical Sciences Kidney Diseases (NIADDK). was renamed the National Institute of General Medical Sciences (NIGMS). The 1986 The National Institute of Arthritis, National Institute of Child Health and Diabetes, and Digestive and Kidney Human Development (NICHD) was Diseases was renamed the National created. Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The National 1966 The Division of Environmental Health Institute of Arthritis and Musculoskeletal Sciences was created. and Skin Diseases (NIAMS) was created. The Center for Nursing Research was 1967 The National Institute of Mental Health transferred from the Health Resources was separated from the NIH and became a and Services Administration (HRSA) and separate bureau of the PHS. renamed the National Center for Nursing Research.
4 NCI FNLAC Orientation Book 1989 The National Institute on Deafness and 1998 The Division of Research Grants was Other Communication Disorders (NIDCD) renamed the Center for Scientific Review. was established. The National Institute The National Center for Complementary of Neurological and Communicative and Alternative Medicine (NCCAM) Disorders and Stroke was renamed was established. The National Institute the National Institute of Neurological of Dental Research was renamed Disorders and Stroke (NINDS). The the National Institute of Dental and National Center for Human Genome Craniofacial Research (NIDCR). Research was established. The National Center for Biotechnology Information was 2001 The National Center on Minority Health established within the NLM. and Health Disparities was established. The National Institute of Biomedical 1990 The National Center for Research Imaging and Bioengineering (NIBIB) was Resources (NCRR) was created by consol- established. idating the Division of Research Services and the Division of Research Resources. 2010 The National Center on Minority Health and Health Disparities was redesignated 1992 The National Institute on Alcohol Abuse as the National Institute on Minority and Alcoholism (NIAAA), National Health and Health Disparities (NIMHD) Institute on Drug Abuse (NIDA), and National Institute of Mental Health 2011 The National Center for Advancing (NIMH) were transferred to the NIH from Translational Sciences (NCATS) was the Alcohol, Drug Abuse, and Mental established. Health Administration. 2012 NCI-Frederick Cancer Research and 1993 The National Center for Nursing Research Development Center was renamed the was renamed the National Institute of Frederick National Laboratory for Cancer Nursing Research (NINR). Research (FNLCR).
1995 The NIH was established as an HHS 2014 The National Center for Complementary Operating Division, thereby elevating it to and Alternative Medicine became the report directly to the Secretary of HHS. National Center for Complementary and Integrative Health. 1997 The National Center for Human Genome Research was renamed the National Human Genome Research Institute (NHGRI).
NCI FNLAC Orientation Book 5 the Director Immediate Office of Exhibit II. National Institutes of Health lanning, and Strategic er Eunice Kennedy Shriv es Initiativ Division of Program Coordination, P
6 NCI FNLAC Orientation Book Exhibit III. NIH FY2016–2019 Funding*
FUNDING (Dollars in Thousands) INSTITUTE/CENTER 2016 2017 2018 2019
NCI 5,214,701 5,689,329 5,964,800 6,143,892
NHLBI 3,115,538 3,206,589 3,383,201 3,488,335
NIDCR 415,582 425,751 447,735 461,781
NIDDK 1,968,357 2,010,245 2,120,797 2,179,823
NINDS 1,696,139 1,783,654 2,188,149 2,274,413
NIAID 4,629,928 4,906,638 5,260,210 5,523,324
NIGMS 2,512,073 2,650,838 2,785,400 2,872,780
NICHD 1,339,802 1,380,295 1,452,006 1,506,459
NEI 715,903 732,618 772,317 796,536
NIEHS 771,051 791,610 828,492 852,056
NIA 1,600,191 2,048,610 2,574,091 3,083,410
NIAMS 542,141 557,851 586,661 605,065
NIDCD 423,031 436,875 459,974 474,404
NIMH 1,548,390 1,601,931 1,754,775 1,870,296
NIDA 1,077,488 1,090,853 1,383,603 1,419,844
NIAAA 467,700 483,363 509,573 525,591
NINR 146,485 150,273 158,033 162,992
NHGRI 518,956 528,566 556,881 575,570
NIBIB 346,795 357,080 377,871 389,464
NIMHD 279,718 289,069 303,200 314,679
NCCIH 130,789 134,689 142,184 146,473
NCATS 685,417 705,903 742,354 806,373
FIC 67,786 72,213 75,733 78,109
NLM 394,664 407,510 428,553 441,997
OD 1,571,200 1,729,783 1,925,893 2,117,675
B&F 128,863 128,863 128,863 200,000
TOTAL 32,311,349 34,300,999 37,311,349 39,311,349
*Source: NIH Office of Budget,2019.
NCI FNLAC Orientation Book 7 Exhibit IV. NIH Facilities Map
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46 Dr y 18 Gatewa NIH Employee Parking ••Employee Pedestrian Entry
Building Key
Building 1 James Shannon Building (NIH Administration) Building 38 National Library of Medicine Building 10 Warren Grant Magnuson Clinical Center; Building 38A Lister Hill Mark Hatfield Clinical Research Center Building 40 Vaccine Research Center Building 11 Central Utility Plant Building 45 Natcher Building and Conference Center Building 13 Engineering Services Building 49 Sylvio Conte Building Building 14 Office of Research Facilities Building 50 Stokes Laboratories Building 16 Stone House Building 60 Mary Woodard Lasker Center Building 31 Claude D. Pepper Building (General Office Building) Building 62 The Children’s Inn at NIH Building 36 Lowell P. Weicker Building
8 NCI FNLAC Orientation Book NIH Institutes National Cancer Institute (NCI) (see https://www.cancer.gov/) National Eye Institute (NEI) (see https://nei.nih.gov/) National Heart, Lung, and Blood Institute (NHLBI) (see https://www.nhlbi.nih.gov/) National Human Genome Research Institute (NHGRI) (see https://www.genome.gov/) National Institute on Aging (NIA) (see https://www.nia.nih.gov/) National Institute on Alcohol Abuse and Alcoholism (NIAAA) (see https://www.niaaa.nih.gov/) National Institute of Allergy and Infectious Diseases (NIAID) (see https://www.niaid.nih.gov/) National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) (see https://www.niams. nih.gov/) National Institute of Biomedical Imaging and Bioengineering (NIBIB) (see https://www.nibib.nih.gov/) Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (see https://nichd.nih.gov/) National Institute on Deafness and Other Communication Disorders (NIDCD) (see https://www.nidcd. nih.gov/) National Institute of Dental and Craniofacial Research (NIDCR) (see https://www.nidcr.nih.gov/) National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) (see https://www.niddk.nih.gov/) National Institute on Drug Abuse (NIDA) (see https://www.drugabuse.gov/) National Institute of Environmental Health Sciences (NIEHS) (see https://www.niehs.nih.gov/) National Institute of General Medical Sciences (NIGMS) (see https://www.nigms.nih.gov/) National Institute of Mental Health (NIMH) (see https://www.nimh.nih.gov/) National Institute on Minority Health and Health Disparities (NIMHD) (see https://www.nimhd.nih.gov/) National Institute of Neurological Disorders and Stroke (NINDS) (see https://www.ninds.nih.gov/) National Institute of Nursing Research (NINR) (see https://www.ninr.nih.gov/) National Library of Medicine (NLM) (see https://www.nlm.nih.gov/)
NIH Centers Center for Information Technology (CIT) (see https://www.cit.nih.gov/) Center for Scientific Review (CSR) (see https://public.csr.nih.gov/) Fogarty International Center (FIC) (see https://www.fic.nih.gov/) National Center for Advancing Translational Sciences (NCATS) (see https://ncats.nih.gov/) National Center for Complementary and Integrative Health (NCCIH) (see https://nccih.nih.gov/) NIH Clinical Center (see https://clinicalcenter.nih.gov/)
NCI FNLAC Orientation Book 9 THE NATIONAL CANCER INSTITUTE
NCI Mission of its programs are collaborations and partner- ships that further NCI’s progress in serving cancer The National Cancer Institute (NCI) is a patients and those who care for them. The NCI component of the National Institutes of Health supports a broad range of research to expand (NIH), one of 11 operating divisions that com- scientific discovery at the molecular and cellular pose the Public Health Service (PHS) in the U.S. level, within a cell’s microenvironment, and in Department of Health and Human Services (HHS). relation to human and environmental factors that The NCI, established under the National Cancer influence cancer development and progression. Act of 1937, is the Federal Government’s principal Each year, more than 5,000 principal investigators agency for cancer research and training. The lead research projects that result in better ways to National Cancer Act of 1971 broadened the scope combat cancer. Intramural research serves as a hub and responsibilities of the NCI and created the for new development through cutting-edge basic, National Cancer Program (NCP). Over the years, clinical, and epidemiological research. Extramural legislative amendments have maintained the NCI program experts provide guidance and oversight authorities and responsibilities and added new for research conducted at universities, teaching information dissemination mandates as well as a hospitals, and other organizations. Proposals are requirement to assess the incorporation of state-of- selected for funding by peer review, a rigorous the-art cancer treatments into clinical practice. process by which scientific experts evaluate new proposals and recommend the most scientifically The NCI is committed to dramatically lessening meritorious for funding. In addition to direct the impact of cancer. The NCI is the primary research funding, the NCI offers the Nation’s means of support for America’s cancer research cancer scientists a variety of useful research tools enterprise, whether in its own laboratories or in and services: tissue samples, statistics on cancer our Nation’s research universities. The NCI is incidence and mortality, bioinformatic tools for dedicated to the understanding, diagnosis, treat- analyzing data, databases of genetic information, ment, and prevention of cancer for all people. The and resources through NCI-supported Cancer NCI works toward this goal by providing vision Centers, Centers of Research Excellence, and the to the Nation and leadership for both domestic Mouse Models of Human Cancer Consortium. and international NCI-funded researchers. The NCI also works to ensure that research results are The NCI also uses collaborative platforms and applied in clinical practice and public health-relat- an interdisciplinary environment to promote ed programs to reduce the burden of cancer for all translational research and intervention develop- populations. ment. Discovery of a new tool that first helps to understand the underlying mechanism of cancer Within this framework, NCI researchers work to may eventually be used to help diagnose it, and more fully integrate discovery activities through then may be further developed to help treat it. For interdisciplinary collaborations; accelerate example, recent advances in bioinformatics and development of interventions and new technology the related explosion of technology for genomics through translational research; and ensure the and proteomics research are dramatically accel- delivery of these interventions for application in erating the rate for processing large amounts of the clinic and public health programs as state-of- information for cancer screening and diagnosis. the-art care for all those in need. The largest collaborative research activity is the Clinical Trials Program for testing interventions NCI and the National Cancer Program for preventing cancer, diagnostic tools, and cancer treatments as well as providing access as early as As the leader of the National Cancer Program possible to all who can benefit. The NCI supports (NCP), the NCI provides vision and leadership to more than 1,300 clinical trials a year, assisting the global cancer community. The NCI conducts more than 200,000 patients. and supports research, training, health informa- tion dissemination, and other programs with NCI’s research impacts the delivery of improved respect to the cause, diagnosis, prevention, and cancer interventions to cancer patients and those treatment of cancer, rehabilitation from cancer, who care for them. Timely communication of and the continuing care of cancer patients and NCI scientific findings helps people make better families of cancer patients. Critical to the success health choices and advises physicians about
10 NCI FNLAC Orientation Book treatment options that are more targeted and less greater cancer research community, professional invasive, resulting in fewer adverse side effects. organizations, advisory groups, advocacy organi- NCI researchers also are seeking the causes zations, and public and private policymakers. As of disparities among underserved groups and a result, the Bypass Budget and its development gaps in quality cancer care, helping to translate serve as a planning process for the entire NCP, research results into better health for groups at outlining clearly the areas of highest priority. high risk for cancer, including cancer survivors and the aging population. In addition, the NCI In addition to informing the President, the Bypass is fostering partnerships with other agencies and Budget document also serves as the Institute’s organizations to accelerate the pace for moving strategic plan and has become a powerful targeted drugs through the pipeline of discovery, communication and priority setting tool used by development, and delivery. Information about constituents across the NCP. Updated each year, NCI’s research and activities is available through the plan provides a guide for building on research its public website, http://www.cancer.gov/. successes, supporting the cancer research work- force with the technologies and resources it needs, NCI Legislative Authority and ensuring that research discoveries are applied to improve human health. This strategic plan is The NCI, established under the National Cancer based on the authority and the responsibilities Act of 1937, is the Federal Government’s principal entrusted to the Presidentially appointed NCI agency for cancer research and training. The Director to coordinate the research activities of the National Cancer Act of 1971 broadened the scope NCI with the other parts/members of the NCP. and responsibilities of the NCI and created the NCP. Under the National Cancer Act of 1971, In so doing, the Director is aided by the National the Director of the NCI is authorized to submit, Cancer Advisory Board (NCAB), a group directly to the President, a professional judgment composed of scientists, medical personnel, and budget reflecting the full funding needs of the consumers from all sectors, public and private, of NCP. This budget is referred to as the “Bypass the cancer enterprise who have the needed exper- Budget.” tise and experience to help formulate a national agenda in cancer research. The NCAB meets with Bypass Budget the President’s Cancer Panel (PCP) members to facilitate transfer of PCP observations on the barri- The mandate to produce a Bypass Budget is a ers to progress in the NCP and the development of unique authority established by the National possible solutions. Their deliberations are directly Cancer Act of 1971 and given to the NCI Director. coordinated with other Government agencies The Bypass Budget builds on research successes through the participation of ex officio Federal and ensures that research discoveries are applied members representing key agencies involved to improve human health, and allows the NCI in executing the NCP. For example, discussions Director to express to the President the plans and at the NCAB meetings with ex officio members priorities of the NCI and the NCP, along with an representing the U.S. Department of Defense and indication of the associated costs. Veterans Affairs health care systems directly led to the availability of NCI clinical trials through their Each year, the NCI produces this document to health care systems. Close coordination across reflect the Professional Judgment of the Nation’s agencies is critical in the formulation of a strategic top cancer experts about the realities of cancer plan that takes advantage of the capabilities of research and control, and how much money each agency and the constituencies it serves. could be spent wisely in the conduct of the entire program. The ability of the NCI and its partners to address the initiatives in the Bypass Budget is a measure The authority to produce the Bypass Budget has of the success of the NCP. In this way, the Bypass many benefits. The extensive strategic planning Budget enables efficient strategic coordination of process that is used to develop the Bypass Budget the NCP. As part of the evaluation process, the builds on research successes, supporting the can- Presidentially appointed PCP is charged to review cer research workforce with the technologies and the implementation of such plans and identify resources it needs. In addition to being submitted directly for the President and the Nation the extent to the President, this comprehensive research plan of their success. also is provided to Congress, and is used by the
NCI FNLAC Orientation Book 11 NCI Organizational Structure form the intellectual and scientific foundation on which strategies for the prevention, diagnosis, and The current NCI organizational structure is treatment of cancer are developed. (http://dcb.nci. shown in Exhibits V and VI. The Office of the nih.gov/) Director (OD) serves as the focal point for the National Cancer Program (NCP) with advice from Division of Cancer Control and Population several external advisory groups that include the Sciences (DCCPS) President’s Cancer Panel (PCP) (Appendix A), The DCCPS aims to reduce the risk, incidence, the National Cancer Advisory Board (NCAB) and number of deaths from cancer, as well as to (Appendix B), the Board of Scientific Advisors enhance the quality of life for cancer survivors. (BSA) (Appendix C), the Boards of Scientific This division conducts and supports an integrated Counselors (BSC) for Basic Sciences (Appendix D) program of the highest quality genetic, epidemio- and Clinical Sciences and Epidemiology (Appendix E), logic, behavioral, social, applied, and surveillance the Clinical Trials and Translational Research cancer research. DCCPS-funded research aims Advisory Committee (CTAC) Appendix( F), the to: (1) understand the causes and distribution of Frederick National Laboratory Advisory cancer in various populations, (2) support the Committee (FNLAC) Appendix( G), and the development and implementation of effective Council of Research Advocates (CRA) (Appendix H). interventions, and (3) monitor and explain cancer trends in all segments of the population. Central The NCI Director also is assisted by a Scientific to these activities is a process of synthesis and Program Leadership (SPL) Committee Appendix( I) decision making, which aids in evaluating what that meets on a regular basis to discuss various has been learned, identifying new priorities and matters of NCI policy, including the review and strategies, and effectively applying research approval of Requests for Applications (RFAs) discoveries to reduce the cancer burden at the and research and development (R&D) contract population level. (http://dccps.nci.nih.gov) concepts prior to review by the BSA; review of program announcements; development of funding Division of Cancer Treatment and Diagnosis plans; grant payment by exceptions, and so on. (DCTD) The DCTD attempts to identify and exploit the The research and research-related activities and most promising areas of science and technology functions of the Institute are monitored and and to initiate, enable, and conduct research that administered by various NCI Divisions, Offices, will yield important new knowledge that is likely and Centers (DOCs). to lead to better diagnostic or therapeutic interven- tions in the various childhood and adult cancers. NCI Extramural Divisions The division administers grants, contracts, and cooperative agreements, and offers strategically NCI extramural research and research-related planned workshops and conferences with scien- activities are conducted by five divisions under tists, clinicians, and public and private partners. the supervision of the OD. The functions of the It also sponsors a vigorous program of in-house divisions and the major areas of research and applied research linked to investigators and goals research support activities for which each is in the extramural community. (http://dctd.cancer. responsible are described below. gov/)
Division of Cancer Biology (DCB) Division of Cancer Prevention (DCP) The mission of the DCB is to ensure continuity and The DCP plans and conducts programs in basic stability in basic cancer research, while encourag- and applied research and development, tech- ing and facilitating the emergence of new ideas, nology transfer, demonstration, education, and concepts, technologies, and possibilities. The information dissemination. DCP’s programs are DCB strives to achieve this goal by promoting a designed to: expedite the use of new information balance between the continued support of existing relevant to the prevention, detection, and diagno- research areas and selective support of emerging sis of cancer; expedite the use of new information research areas. The DCB provides guidance, about pretreatment evaluation, treatment, advice, funding information, and financial support rehabilitation, and continuing care; plan, direct, to grantees and applicants. The DCB encourages and coordinate the support of research on cancer the expansion of new research areas through a prevention at Cancer Centers and community range of initiatives and funding mechanisms. hospitals, and through organ systems programs; The scientific discoveries from this research base support cancer research training, clinical are critical to the goal of the NCI, because they education, continuing education, and career
12 NCI FNLAC Orientation Book Exhibit V. The National Cancer Institute Exhibit V.
NCI FNLAC Orientation Book 13 ce ndravi eingarten al d A. Springfield ter Garre Chie f a Director Director Director Disparities . Pe Mr and Public Liaison . Mehrdad To . Sany ter Greenw . Michael S. W ce of Communication s Dr Institute Review Of Dr Of SBIR Development Center Mr . Pe . Maureen Johnso n Ms. Donna Siegle Center to Reduce Cancer Health Dr Dr Special Assistant to the Director Associate Director for Prevention Deputy Director for Management illiam s archoan my W Director Director Director Malignanc y . Satish Gopa l . Robert Y Acting Director Dr . L. Michelle Benne ce of HIV and AIDS Ms. A Dr Dr ce of Advocacy Relations Of Center for Global Health Center for Research Strategy Of Director . Norman Sharples s Dr ce of the Director Of rials Director Director Director . Sara Hook . Henry Ciolin o Clinical T Dr NCI-Frederick Acting Director . Sheila Prindiville . Douglas R. Lowy Dr ce of Cancer Center s Center for Strategic Scienti c Initiatives Dr Dr Coordinating Center for Of ce of Scienti c Operations Of Exhibit VI. The National Cancer Institute (Continued) w aining ag e Informatics echnolog y er Bogler . Dinah S. Singe r . James Dorosho . Douglas R. Low y ny Kerlav Director Director Director anslational Research Dr Dr Dr . Louis Staudt . Oliv Tr Biomedical . To Principal Deputy Director Strategy and Development Dr ce of Management Dr Ms. Donna Siegl e for Deputy Director for Scienti c Dr Deputy Director for Clinical and Of Acting Deputy Director Center for Cancer Tr Center for Cancer Genomic s and Information T Center
14 NCI FNLAC Orientation Book development in cancer prevention; coordinate Bethesda campus. The mission of the CCR is to program activities with other divisions, Institutes, reduce the burden of cancer through exploration, and Federal and state agencies; and establish discovery, and translation. It provides a new liaison with professional and voluntary health forum for cancer research without scientific, agencies, Cancer Centers, labor organizations, institutional, or administrative barriers. The cancer organizations, and trade associations. Center is achieving this by conducting outstand- (http://prevention.cancer.gov/) ing, cutting-edge, basic and clinical research on cancer and translating these discoveries into Division of Extramural Activities (DEA) treatment and prevention. The overall goal is to The mission and responsibilities of the DEA in form a highly interactive, interdisciplinary group some way affect all extramural scientists receiving of researchers who have access to technology and research or training support from the NCI. The are able to participate in clinical investigations. DEA coordinates the review of special initiatives, The CCR also maintains a foundation of investiga- large grants, and contracts. It is involved in all tor-initiated, independent research. CCR scientists aspects of grant development and tracking, from conduct innovative basic and clinical research the original conception of extramural research aimed at discovering the causes and mechanisms and training programs to follow-up after funds of cancer to improve the diagnosis, treatment, and are dispersed. In brief, the DEA was established prevention of cancer and other diseases. (https:// to: provide advice and guidance to potential ccr.cancer.gov/) applicants; receive and refer incoming grant applications to appropriate programs within NCI Offices and Centers Within the NCI; provide the highest quality and most the Office of the Director effective scientific peer review and oversight of extramural research; coordinate and administer NCI Center for Biomedical Informatics and Federal Advisory Committee activities related to Information Technology (CBIIT) the various aspects of the NCI mission, such as The CBIIT helps speed scientific discovery and the NCAB and BSA; establish and disseminate facilitates translational research by building extramural policies and procedures, such as many types of tools and resources that enable requirements for inclusion of certain populations information to be shared along the continuum in research, actions for ensuring research integrity, from the scientific bench to the clinical bedside or budgetary limitations for grant applications; and back. The CBIIT (1) coordinates and deploys and track the NCI research portfolio (more informatics in support of NCI research initiatives; than 7,500 research and training awards) using (2) provides all manner of informatics support, consistent, budget-linked scientific information including platforms, services, tools, and data to to: (1) provide a basis for budget projections and NCI-supported research initiatives; (3) participates (2) serve as a resource for the dissemination of in the evaluation and prioritization of NCI’s information about cancer. (https://deainfo.nci.nih. bioinformatics research portfolio; (4) conducts gov/) or facilitates research that is required to fulfill NCI’s bioinformatics requirements; (5) serves NCI Intramural Divisions and Centers as the focus for strategic planning to address NCI’s expanding research initiative’s informatics Division of Cancer Epidemiology and Genetics needs; (6) establishes bioinformatics technology (DCEG) standards (both within and outside of the NCI); The DCEG is an intramural research program in (7) communicates, coordinates, and establishes which scientists conduct an international program bioinformatics exchange standards; (8) provides of population-based studies to identify environ- direct support to four NCI research programs: mental and genetic determinants of cancer. In the Cancer Genome Anatomy Project (CGAP), carrying out its mission, the DCEG is at the cutting the Mouse Models of Human Cancer Consortium edge of approaches to untangle complex gene- (MMHCC), the Director’s Challenge: Toward a environment and gene-gene interactions in cancer Molecular Classification of Cancer, and Clinical etiology. To conduct these studies, investigators Trials and develops core infrastructure to support at all levels of their careers work collaboratively the integration of these efforts. to bring together a variety of scientific disciplines. (http://dceg.cancer.gov/) Center for Research Strategy (CRS) The CRS is a science-based office that collabora- Center for Cancer Research (CCR) tively develops recommendations for addressing As the intramural component of the NCI, the scientific opportunities, monitors the direction and CCR conducts basic clinical investigations at the application of the NCI’s scientific knowledge and
NCI FNLAC Orientation Book 15 resources, and identifies research funding gaps. Small Business Innovation Research (SBIR) The CRS responsibilities are to: synthesize input Development Center from NCI leadership and external stakeholders The SBIR Development Center serves as the to inform priority initiatives; identify scientific NCI focal point for the management of all opportunities within priority initiatives; coordi- SBIR and Small Business Technology Transfer nate development of programs across the NCI to (STTR) Program activities, and implementation address opportunities; conduct portfolio analysis of pertinent legislation, rules, and regulations to support priority setting and scientific strategic and associated matters related to the SBIR/STTR planning; collect and analyze data to identify Program consisting of grant and contractor awards research accomplishments; and recommend and providing expertise, advice, and services to strategies for allocating resources effectively. applicants and NCI programs.
Center to Reduce Cancer Health Disparities Center for Cancer Training (CCT) (CRCHD) The CCT is responsible for: (1) coordinating and The CRCHD is the keystone of NCI’s efforts to providing research training and career develop- reduce the unequal burden of cancer in our soci- ment activities for fellows and trainees in NCI’s ety. As the organizational focus for these efforts, laboratories, clinics, and other research groups; the Center directs and supports initiatives that (2) developing, coordinating, and implementing advance the understanding of what causes health opportunities in support of cancer research disparities. It also supports programs that develop training, career development, and education and integrate effective interventions to reduce or at institutions nationwide; and (3) identifying eliminate these disparities. The CRCHD, through workforce needs in cancer research and adapting its Diversity Training Branch (DTB), leads NCI’s NCI’s training and career development programs efforts in the training of students and investigators and funding opportunities to address these needs. from diverse populations who will be part of the next generation of competitive researchers in Coordinating Center for Clinical Trials (CCCT) cancer and cancer health disparities research. The CCCT is central to NCI’s efforts to accelerate the delivery of new tools into the clinic through its Center for Strategic Scientific Initiatives (CSSI) translational science and clinical trial enterprises. The CSSI directs the planning, development, and The CCCT facilitates collaborations that expedite implementation of a number of strategic scientific translational and clinical cancer research by: and technology initiatives and partnerships that supporting the implementation of the Clinical emphasize innovation, transdisciplinary teams, Trials Working Group and Translational Research and convergence of scientific disciplines to Working Group recommendations; facilitating enable progress against cancer. These programs also stress the development and application of prioritization of NCI’s most important clinical advanced technologies, the synergy of large- trials by Scientific Steering Committees working scale and individual initiated research, novel with NCI clinical programs; and partnering with partnerships, and translation of discoveries into NCI’s Center for Biomedical Informatics and new interventions to detect, prevent, and treat Information Technology (CBIIT) to establish cancer more effectively. Several offices in CSSI the Clinical Trials Reporting Program (CTRP), a are committed to accelerating the progress of comprehensive database with up-to-date informa- cancer research through its technology-driven tion on all NCI-funded clinical trials. initiatives, collaboration with other government programs, and engagement with the private Center for Cancer Genomics (CCG) sector in the areas of nanotechnology, proteomics, The CCG is focused on understanding the molec- cancer genomics, and biospecimen resources. By ular mechanisms of cancer with the ultimate goal placing a heavy emphasis on advanced technology of improving the prevention, early detection, development, the NCI is accelerating the creation diagnosis, and treatment of cancer. To meet this and use of tools that are already facilitating goal, the CCG provides information, technology, the translation of basic knowledge into clinical methods, informatics tools, and reagents to serve advances to benefit patients with a new generation the needs of the cancer research community; and of molecularly based diagnostics and therapeutics. manages the following research programs: NCI Programs include: Alliance for Nanotechnology Genomic Data Commons (GDC); Cancer Driver in Cancer, Clinical Proteomic Technologies Discovery Program (CDDP); Cancer Genome Initiative for Cancer, Innovative Molecular Characterization Initiative (CGCI); Cancer Analysis Technologies (IMAT), and Provocative Target Discovery and Development Network Questions Initiative. (CTD2); Cancer Genome Atlas (TCGA); and
16 NCI FNLAC Orientation Book Therapeutically Applicable Research to Generate for high school and undergraduate students; Effective Treatments (TARGET). (10) coordinates the expansion of student/fellow- ship mentoring programs at the FNLCR; and Center for Global Health (CGH) (11) coordinates FNLCR facility “activities” such The CGH coordinates NCI’s worldwide activities as the Spring Research Festival, Take Your Child in a number of arenas, including: liaison with to Work Day, the Summer Student Seminar foreign and international agencies; and other Series, Summer Student Poster Day, the Housing U.S. Government agencies involved in global Resources List, speaker requests, and visits for health; coordination of cancer research activities students, teachers, and other interested groups. under agreements between the United States and other countries; planning and implementation Office of Cancer Nanotechnology Research of international scientist exchange programs; (OCNR) sponsorship of international workshops; and The OCNR accelerates the development of dissemination of cancer information. promising molecular discoveries to benefit cancer patients through the development of Technology Transfer Center (TTC) nanotechnology-based tools for cancer detection, The TTC builds partnerships and fosters col- treatment, and monitoring. laboration agreements between NIH scientists, universities, nonprofits, and industry to commer- Office of Cancer Clinical Proteomics Research cialize NIH inventions, and supports research and (OCCPR) development that benefits public health. The mission of NCI’s OCCPR is to improve prevention, early detection, diagnosis, and NCI-Frederick Office of Scientific Operations treatment of cancer by enhancing the under- The NCI-Frederick Office of Scientific Operations standing of the molecular mechanisms of (1) oversees and manages scientific operations at cancer, advance proteome and proteogenome FNLCR and serves as the Project Office for the science and technology development through three main operation and support contracts at community resources (data and reagent), the FNLCR; (2) directs and develops advanced and accelerate the translation of molecular technologies that are made available to customers findings into the clinic. This is achieved of the FNLCR; (3) implements programmatic through OCCPR-supported programs such decisions approved by the NCI Director and the as the Clinical Proteomic Tumor Analysis Associate Director for the FNLCR to transition Consortium (CPTAC), partnerships with new efforts to the FNLCR by developing con- Federal agencies, and collaborations with tractual requirements and budgets, arranging for international organizations/institutions. The needed space, and providing technical and project OCCPR analyzes protein content in tumor management advice to the Contracting Officer; cells through the application of state-of-the- (4) works closely with customers (including other art proteomic technologies and workflows, NCI and NIH components, the FDA, the DoD, the open-data policies, and community reagents Department of Agriculture, and the Department to advance our understanding of proteins of Homeland Security), as well as contractors to derived from cancer genomes in clinical ensure that contractors understand customers’ research and medicine. The OCCPR also needs and that the customers receive planned characterizes the discovery and deployment of outcomes; (5) assists the NCI Associate Director evidence-based biomarkers for clinical use. for Frederick with the administrative and business operations of the FNLCR; (6) assists the NCI Office of Cancer Centers (OCC) Associate Director for Frederick with planning Currently, the OCC supports 70 NCI-designated and prioritizing of space and the maintenance of Cancer Centers nationwide that are actively all buildings and grounds; (7) monitors contractor engaged in transdisciplinary research to reduce performance, obtains customer satisfaction cancer incidence, morbidity, and mortality. The feedback, and provides this information to the NCI-designated Cancer Centers are designated Management Operations and Support Branch for as either Comprehensive Cancer Centers (49), the Award Fee processes; (8) tracks and reports Clinical Cancer Centers (14), or Basic Laboratory funds received and costs associated with all work Cancer Centers (7), and are a major source of performed at NCI-Frederick; (9) develops and discovery on the nature of cancer and of the manages educational, employee outreach, and development of more effective approaches to public outreach programs, including programs cancer prevention, diagnosis, and therapy. for students K-12 and internship opportunities Comprehensive Cancer Centers also deliver
NCI FNLAC Orientation Book 17 medical advances to patients and their families, the Divisions and other Offices to manage the educate health care professionals and the public, portfolio of HIV/AIDS and AIDS malignancy and reach out to underserved populations. Cancer research within the NCI; (2) advises the NCI Centers are characterized by strong organiza- Director and other NCI managers on issues related tional capabilities, institutional commitment, and to research in HIV/AIDS and AIDS malignancies; transdisciplinary, cancer-focused science; experi- (3) coordinates, helps prioritize, and facilitates enced scientific and administrative leadership; and the NCI research effort in HIV/AIDS and AIDS state-of-the-art cancer research and patient care malignancies and works with NCI management facilities. to redirect the HIV/AIDS and AIDS malignancy research effort, as appropriate, into the highest Office of Advocacy Relations (OAR) priority areas; (4) interfaces with the NIH Office of The OAR engages the advocacy and NCI AIDS Research (OAR) and other ICs with regard communities in dialogue about cancer research to research in HIV/AIDS and AIDS malignancies opportunities and priorities to advance progress in the NCI; and (5) directly manages certain AIDS and improve outcomes. The OAR (1) serves as the and AIDS malignancy research programs, such Institute’s expert and central resource for advo- as the AIDS and Cancer Specimen Resource, the cacy matters; (2) facilitates dynamic relationships AIDS-Associated Malignancies Clinical Trial and collaborations to promote mutual goals; and Consortium (AMC), the NCI Component of the (3) disseminates information and fosters under- Centers for AIDS Research (CFARS), and the NCI standing of key cancer issues and priorities. component of the Women’s Interagency HIV Study (WIHS). Office of Communications and Public Liaison (OCPL) Office of Acquisitions (OA) The OCPL advances the mission of the NCI by The OA plans, negotiates, awards, and adminis- disseminating evidence-based cancer information ters NCI contracts and simplified acquisitions to to the public to improve the lives of those affected support a coordinated cancer research program. by cancer. Working closely with scientists and partners, the OCPL uses effective methods to Office of Budget and Finance (OBF) reach diverse audiences and meet their needs The OBF advises the OD and other senior staff on for the latest, evidence-based cancer information financial and personnel resource management to about NCI-funded research, cancer research ensure fiscally responsible and efficient operation findings, cancer clinical trials, funding, and of the NCI. partnership opportunities to patients, caregivers, health professionals, researchers, advocates, the Office of Grants Administration (OGA) new media, and other stakeholders across the The OGA manages all NCI business-related cancer community. activities associated with the negotiation, award, and administration of NCI grants and cooperative Office of Government and Congressional agreements to help financially support cancer Relations (OGCR) research activities throughout the United States The OGCR advises the NCI Director, staff, and and around the world. advisory boards on legislative and Congressional activities as they relate to the NCI mission. The Office of Management Policy and Compliance OGCR coordinates, monitors, and analyzes (OMPC) Congressional activities; reviews, processes, and The OMPC advises the Office of Management responds to all requests for information from the and other senior staff on the implementation of NCI that fall under the jurisdiction of the Freedom Institute-wide administrative policies and pro- of Information (FOIA) and Privacy Act; and cedures, management controls, and evaluations serves as NCI’s liaison for the U.S. Government while ensuring compliance with Federal require- Accountability Office (GAO) and HHS Office of ments. the Inspector General. The OGCR aims to ensure that the NCI community is kept abreast of the NCI Programs and Activities Congressional issues and interests that affect the Institute and, in turn, the NIH. The OGCR The Institute conducts and leads intensive work also works closely with other offices at both the to advance knowledge of cancer’s biology and pro- Institute and agency level. cesses; to discover and develop new interventions; and to employ a bench-to-bedside approach that Office of HIV and AIDS Malignancy (OHAM) strives to rapidly make new treatments—the latest The OHAM (1) coordinates and works with science—available to patients in the communities
18 NCI FNLAC Orientation Book where they live. Across these complex endeavors, clinical trials. These agents include both syn- the NCI works to foster the collaborations of thetic compounds and natural products. Clinical government, the private sector, and academia. research involves demonstrating the effectiveness In addition to the broad range of both basic and of new anticancer treatments through systematic applied laboratory and clinical programs that testing in clinical trials. Phase I trials establish the it supports, the NCI provides various research maximum tolerated dose of a new agent; Phase support services, including the development and II trials examine its efficacy against a variety of distribution of critical materials such as viruses, cancers; and Phase III trials compare the new animals, equipment, tissues, and standardized treatment with the best standard therapy, in terms reference bibliographies. These activities are of improved survival and decreased toxicity. In conducted within the DOCs of the NCI, under the FY2017, cancer treatment research expenditures supervision of the OD. totaled about $1.29 billion, accounting for 22.9 percent of the total NCI budget. NCI Cancer Programs Cancer Biology Cancer Causation Cancer biology supports a broad spectrum of basic Cancer causation research concentrates on the research on cancer and the body’s response to events involved in the initiation and promotion cancer. Studies include investigations of cellular of cancer. It encompasses chemical and physical and molecular characteristics of tumor cells, carcinogenesis, biological carcinogenesis, epidemi- interactions among cells within a tumor, and the ology, chemoprevention, and nutrition research. components of the host immune defense mech- Studies in this area focus on external agents such anisms. Cancer is the result of genetic damage as chemicals, radiation, fibers, and other particles, that accumulates in stages. It is the goal of cancer as well as viruses, parasitic infections, and host biology to identify and explain the stepwise factors such as hormone levels, nutritional and progression between the initiating event in the immunologic status, and the genetic endowment cell and final tumor development. In FY2017, of the individual. In FY2017, cancer causation cancer biology expenditures totaled approximate- research expenditures totaled about $1.33 billion, ly $838 million, accounting for 14.9 percent of the accounting for 23.6 percent of the total NCI total NCI budget. budget. Cancer Prevention and Control Detection and Diagnosis The NCI conducts cancer prevention and control Detection and diagnosis research includes studies basic and applied research through both intramu- designed to improve diagnostic accuracy; provide ral and extramural mechanisms in all phases of better prognostic information to guide therapeutic cancer prevention and control, as well as cancer decisions; monitor the response to therapy more surveillance. A key priority of this program is to effectively; detect cancer at its earliest presenta- develop strategies for the effective translation of tion; and identify populations and individuals at knowledge gained from prevention and control increased risk for the development of cancer. research into health promotion and disease pre- vention activities for the benefit of the public. An Areas of emphasis include: improvements in the integrated system of basic research, clinical trials, detection and diagnosis of breast, cervical, uterine, and applications research is in place and seeks to and prostate cancer; the transfer of molecular tech- promote cancer prevention and control activities nologies from the laboratory to clinical practice; across the country. the identification of better prognostic markers; increased availability of human tumor samples The Cancer Prevention and Control Program with associated clinical information; and research includes four components and several subpro- to identify genetic alterations involved in tumor grams, many of which relate to other program pathogenesis and behavior. In FY2017, cancer activities of the NCI, including information detection and diagnosis research expenditures dissemination, epidemiology, and cancer totaled about $533 million, accounting for treatment. The four components are Cancer 9.5 percent of the total NCI budget. Prevention Research, Cancer Control Science, Early Detection and Community Oncology, Treatment and Cancer Surveillance. In FY2017, the Cancer Treatment research is composed of preclinical Prevention and Control Program expenditures and clinical research. Preclinical research focuses totaled approximately $312 million, accounting for on the discovery of new antitumor agents and 5.5 percent of the total NCI budget. their development in preparation for testing in
NCI FNLAC Orientation Book 19 NCI Resources research and one or more target areas in cancer research, training and career development, edu- Cancer Centers cation, or outreach activities designed to benefit The Cancer Centers Program consists of a group of racial and/or ethnic minority populations in the nationally recognized, geographically dispersed, region the Cancer Center serves. The partnership individual institutions with outstanding scientific also creates a stable, long-term, collaborative reputations. Each institution reflects particular relationship between the MSI and NCI-designated research talents and special technological capabil- Cancer Centers and raises awareness about prob- ities. lems and issues relevant to the disproportionate rates of cancer incidence and mortality in minority Cancer Centers have developed in several differ- populations. ent organizational settings. Some are independent institutional entities entirely dedicated to cancer Research Manpower Development research (free-standing centers); some have been The Cancer Training Branch (CTB) in the Center formed as clearly identifiable entities within for Cancer Training manages the Institute’s extra- academic institutions and promote interactive mural research training, career development, and cancer research programs across departmental education programs, and provides guidance to the and/or college structures (matrix centers); and extramural biomedical research community and others involve multiple institutions (consortium administration of awards. This assures continued centers). development of well-trained investigators in the basic, clinical, population, and behavioral sciences, The NCI uses the P30 Cancer Center Support who are prepared to address problems in cancer Grant (CCSG) mechanism to provide support to biology, causation, prevention and control, detec- the peer-reviewed research base of the Cancer tion and diagnosis, treatment, and rehabilitation. Center within the larger institution. The CCSG Operationally, the CTB has three functions. The supports the operational framework (infrastruc- first is the management of NCI-funded grants in ture) of the center and partially pays for shared research training, career development, and cancer laboratory resources and facilities. Research education. The second function is the administra- projects themselves are supported through the tion of the Ruth L. Kirschstein National Research individual grants and contracts from the NIH and Service Award (NRSA) components (F32 and T32) from a variety of other grant funding agencies of the CTB grant portfolio. The NRSA Program is and organizations. In FY2017, there were 69 NCI the major mechanism for providing long-term, sta- designated Cancer Centers (49 Comprehensive, ble support to a wide range of promising scientists 13 Clinical, and 7 Basic), which received a total of and clinicians. Individual awards are made direct- $313 million in support, accounting for 5.6 percent ly to postdoctoral fellows (F32), and institutional of the total NCI budget. awards (T32) are made to scientists who, together with a group of faculty-preceptors, administer Specialized Programs of Research Excellence a comprehensive training program for pre- and (SPORE) postdoctoral trainees. CTB administers a research The SPORE Program is designed to stimulate career development program that supports the translational research from the laboratory to clin- training of both scientists and research physicians ical practice and are funded under the P50 grant during the first 3 to 5 years between receipt of mechanism. These are awarded to institutions a Ph.D., M.D., or other professional degree and that demonstrate the ability to perform significant receipt of an individual, investigator-initiated translational research in the prevention, detection, award. Among the career mechanisms are three diagnosis, and treatment for a single cancer site. In additional non-NRSA institutional mechanisms FY2017, the SPORE Program totaled approximate- (K12, R25T, and R25E) and six individual career ly $111 million, accounting for 2.0 percent of the development awards (K-series). The third function total NCI budget. is the oversight and coordination of the NIH Loan Repayment Program. Comprehensive Minority Institution/Cancer Center Partnership NCI Funding Mechanisms NCI’s Comprehensive Minority Institution/Cancer Center Partnership awards are U54 Cooperative The NCI supports cancer research, cancer control, Agreements designed to establish comprehensive and cancer support activities through an extramu- partnerships between the Minority Serving ral program of grants, cooperative agreements, Institution (MSI) and the NCI-designated Cancer and contracts, and through an intramural program Centers. The partnership focuses on cancer of in-house research. In accordance with NIH
20 NCI FNLAC Orientation Book tradition, NCI’s extramural programs emphasize research scientists. The cooperative agreement grant-supported, investigator-initiated research mechanism, which is a cross between a grant and a projects that are conducted at both nonprofit and contract, became available in 1979 as an additional for-profit institutions in the United States and procurement mechanism. Annual appropriations abroad. Research contracts are awarded to both from Congress provide the funds for all research nonprofit and for-profit institutions. Intramural supported by the NCI. Exhibits VII–IX present the funds support continuing investigations by NCI NCI’s funding allocations for the last several years.
Exhibit VII. NCI Funding History*†
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Grants $3,145,011 $3,182,832 $3,289,368 $3,255,003 $3,236,946 $3,987,438 3,055,661 $3,082,008 $3,163,531 $3,399,282
Contracts 586,883 618,062 621,682 594,955 597,635 623,950 660,283 596,951 748,344 910,377
In-house 1,095,658 1,166,033 1,187,097 1,208,147 1,232,760 1,177,626 1,216,424 1,273,633 1,294,293 1,326,732
Total 4,827,552 4,966,927 5,098,147 5,058,105 5,067,341 4,789,014 4,932,368 4,952,592 5,206,168 5,636,391
$6,000,000
$5,500,000 Dollars in Thousands
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Fiscal Year *Source: NCI Fact Book, FY2017. †Includes Cancer Moonshot Funding.
Exhibit VIII. Research Project Grants and Dollars Awarded FY2008–2017
$500
$400
$300
$200
$100
$0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
No. Awarded 5,472 5,380 5,179 5,019 5,021 4,816 4,814 4,767 4,666 4,663
$ in Millions $2,053 $2,021 $2,063 $2,088 $2,075 $1,925 $1,940 $2,093 $2,146 $2,195 Avg Cost in Thousands $375.2 $375.7 $398.3 $416.1 $413.3 $399.7 $403.0 $438.9 $459.9 $471.0
NCI FNLAC Orientation Book 21 Exhibit IX. Research Funding for Various Research Areas (Dollars in Millions)*
2013 2014 2015 2016 2017 Disease Area Actual Actual Actual Actual Actual†
Total NCI Budget 4,789.0 4,932.4 4,952.6 5,214.7 5,636.4
AIDS 261.6 269.9 269.6 266.4 249.0
Brain & CNS 176.8 180.4 204.8 196.3 219.8
Breast Cancer 559.2 528.5 543.6 522.6 544.9
Cervical Cancer 63.5 71.1 57.1 71.5 68.8
Clinical Trials 676.5 749.8 769.2 801.0 806.6
Colorectal Cancer 239.0 223.0 209.3 212.1 208.4
Head and Neck Cancers 40.6 57.1 60.2 58.9 46.4
Hodgkin Disease 14.7 15.4 13.6 12.8 13.0
Leukemia 235.3 236.7 246.9 241.0 250.5
Liver Cancer 64.5 60.0 70.3 75.7 72.7
Lung Cancer 287.6 254.1 255.8 283.9 320.6
Melanoma 122.7 126.2 132.8 142.9 153.2
Multiple Myeloma 45.5 46.6 48.9 52.1 60.7
Non-Hodgkin Lymphoma 113.9 118.0 122.4 116.7 119.5
Ovarian Cancer 101.0 91.5 92.8 95.6 110.1
Pancreatic Cancer 102.0 122.4 125.3 152.5 178.3
Prostate Cancer 256.3 217.8 228.9 241.0 233.0
Stomach Cancer 11.2 11.3 13.5 13.3 13.4
Uterine Cancer 17.9 15.5 13.0 16.8 17.5
*Source: Office of Budget and Finance, NCI, FY2017 † FY 2017 data are estimates.
22 NCI FNLAC Orientation Book FREDERICK NATIONAL LABORATORY FOR CANCER RESEARCH (FNLCR)—FEDERALLY FUNDED RESEARCH AND DEVELOPMENT CENTER (FFRDC) Overview access and quality at a sustainable cost. In FY2015, the Federal Government allocated $11.1 billion or The Federal Government supports a wide range 8.6% of its total $130 billion R&D expenditures to of research and development (R&D), studies and FFRDCs (https://fas.org/sgp/crs/misc/R44629.pdf). analyses, and engineering endeavors conducted by various entities, including Federal laboratories, A master list and description of activities of public and private colleges and universities, current FFRDCs can be accessed at https://www. private companies, and other research institutions. nsf.gov/statistics/ffrdclist/ A special class of R&D institutions, referred to as federally funded research and development Frederick National Laboratory for centers, or FFRDCs, where most or all of the Cancer Research (FNLCR) facilities are either owed or financially supported The FNLCR, which is overseen by the NCI, had by the U.S. Government, but operated by private its origin in 1971 with the signing of the National contractors, provide Federal agencies with R&D Cancer Act by President Nixon. In 1972, the capabilities that cannot be met by the Federal NCI-Frederick Cancer Research Center (FCRC) Government or the private sector alone. FFRDCs was established by a Presidential directive to differ from other performers of Federal R&D— convert the former Department of Defense (DoD) such as Federal laboratories, public or private Biological Defense Research Laboratories at colleges and universities, nonprofit organizations, Frederick, Maryland, into a contractor-operated or private firms—in that they are designed to meet “leading center for cancer research.” The directive a “special long-term research or development stipulated that “operation of the NCI-Frederick need that cannot be met as effectively by existing should be by a private contractor, to allow the in-house or contractor resources” and that they necessary flexibility, which would be difficult have “access, beyond that which is common to the under direct Government operations.” Litton normal contractual relationship, to Government Bionetics, Inc. was the first NCI contractor for the and supplier data, including sensitive and pro- FCRC. In 1975, the FCRC was formerly designated prietary data, and to employees and installations as a FFRDC. In 2012, two years after Dr. Harold equipment and real property.” FFRDCs are Varmus became the NCI director, the Center was Government-owned, contract-operated (commonly designated as a National Laboratory, and renamed referred to as “GOCO”) research facilities that are the FNLCR, elevating its broader national mission. owned or leased by the U.S. Government, and At the same time, Dr. Varmus and the NCI, upon managed by third-party contractors who operate recommendation by the NCAB, empaneled the GOCO facilities and function in accordance the Frederick National Laboratory Advisory with strict statutory and regulatory rules in Committee (NFAC), a committee consisting of accordance with U.S. Code of Federal Acquisition up to 16 members, including the Chair, and Regulations, Section 35.017. Although GOCO appointed by the Director of NCI, to meet three contractors operate within a Government-owned times a year, to review the state of research at the facility, they do not represent the U.S. Government. FNLCR facility, align the mission and goals of NCI investigators and contract investigators, and There are currently 42 FFRDCs sponsored by 12 make recommendations to the NCI Director for different Federal agencies. These FFRDCs provide the best use of the FNLCR capabilities and infra- a wide variety of R&D capabilities to Federal agen- structure. Members were authorities in drug and cy missions in a broad range of areas from energy vaccine development, clinical trials support, AIDS (DOE), defense (DoD), health and human services research, bioinformatics, genomics, nanotechnol- (HHS), space agency modernization (NASA) to ogy, biological repositories, and basic research homeland security (DHS). The Frederick National in cancer, immunology, and infectious diseases. Laboratory for Cancer Research (FNLCR), one of The NFAC was subsequently renamed to the two HHS-sponsored FFRDCs, is the only FFRDC current Frederick National Laboratory Advisory dedicated exclusively to biomedical R&D to Committee (FNLAC) in the fall of 2014. discover, innovate, and improve human health. As a national resource, the FNLCR provides The other HHS-sponsored FFRDC, the Centers cancer researchers a bridge between basic, for Medicare & Medicaid Services (CMS) Alliance translational, preclinical, and clinical practice to Modernize Healthcare (CAMH), established bringing together public and private partners, in 2012, seeks to advance the Nation’s progress including intramural investigators from the NCI toward an integrated health system with improved and other NIH intramural laboratories, extramural
NCI FNLAC Orientation Book 23 NCI-supported laboratories, biotechnical and Development Center (FFRDC), a pharmaceutical companies, and contract research Government-owned, contractor-operated groups. Because of its status as a FFRDC, FNLCR (GOCO) facility designed to provide a affords the NCI and other NIH Institutes with unique national resource for the devel- a unique national resource and capabilities opment of new technologies and the (flexibility, rapid response, and increased efficiency) translation of basic science discoveries to accelerate the development and delivery of into novel agents for the prevention, effective preventive, diagnostic, and therapeutic diagnosis, and treatment of cancer. The agents for rare and recalcitrant cancers, HIV/AIDS, FCRC at that time was one of 37 FFRDCs and rapid response to emerging infectious disease that were operated on behalf of nine (e.g., HIV/AIDS, Ebola, Zika, Chikungunya, sponsoring agencies by universities, Influenza, MERS, etc.) challenges. nonprofit organizations, or industrial The breadth of FNLCR activities are extensive and firms under long-term contracts or spon- designed specifically to support the research goals soring agreements. It was, at that time, the and mission of the NIH, including investigator-ini- only FFRDC in the HHS and NIH and was, tiated, hypothesis-driven research; drug discovery and currently still is, the only FFRDC in and development; biomarker identification and the Nation dedicated solely to biomedical validation; translational genomics; next generation research. preclinical assay development; oncology-focused computational science; production of clinical- 1976 All buildings and acreage utilized by the grade biopharmaceuticals for first-in-human FCRC were formally transferred from the studies; acceleration of nanotechnology applica- Department of Defense (DoD) and the tions for treatments and diagnostics; preclinical Department of the Army to HHS and model development, validation, and testing; Center the NIH. for Cancer Research (CCR) clinical operations in support of the NCI, the National Institute of Allergy 1978 National Institute of Allergy and and Infectious Diseases (NIAID), and other NIH Infectious Diseases (NIAID) started Institute-sponsored clinical trials; and management utilizing the FCRC to do recombinant and operations of biopharmaceutical development DNA experiments. and manufacturing programs under two current Good Manufacturing Practice (GMP) facilities. 1980 FCRC was instrumental in developing a Chronological History of the FNLCR blood test to protect the Nation’s blood and FNLAC supply from HIV infection. 1981 FCRC was renamed the Frederick Cancer 1971 President Richard Nixon signed the Research Facility (FCRF) in December. National Cancer Act and converted Fort Detrick, Frederick, Maryland, from a bio- 1982 The NCI divided the existing single logical warfare facility to a national cancer FFRDC contract into five contracts: Basic research center. The act expanded Federal funding for cancer research and created Research, Operations and Technical the National Cancer Institute (NCI) in Support, Animal Production, Computer Frederick, part of the National Institutes of Services, and Scientific Library Services. Health (NIH) under the U.S. Department Required work included extensive of Health and Human Services (HHS). laboratory renovations, developmental and applied cancer research, providing 1972 The Frederick Cancer Research Center research resources, scientific support ser- (FCRC) was established on June 26. vices, a strong safety program, computer Approximately 70 acres and 67 buildings and scientific library services, laboratory of the U.S. Army were transferred to HHS, animal production, and complete facility which includes the NIH. maintenance in September.
Litton Bionetics, Inc. was the first NCI 1984 FCRF helped develop and manufacture an contractor at the FCRC. HIV/AIDS test on a large-scale for national use. 1975 The National Science Foundation (NSF) notified HHS that NCI-Frederick met 1985 The FCRF Advisory Committee was the criteria for and was designated established on November 20, and as a Federally Funded Research and consisted of 12 members who collectively
24 NCI FNLAC Orientation Book had authorities knowledgeable in the disci- evaluation, and optimization of its own drug plines pertinent to reviewing the activities candidates. The NCI-Frederick facility and its of the Basic Research Program contract portfolio of support functions via a contract at the FCRF. The primary purpose of this mechanism are competitively reviewed every Committee was to review contractor research 5 years. and the overall multiple-contractor operation of the NCI FCRDC to ensure that required The Human Papillomavirus (HPV) resources were provided. Immunology Laboratory was established at Frederick to support the development of 1990 FCRF was renamed the NCI-Frederick a cervical cancer vaccine that was tested in Cancer Research and Development Center Phase III clinical trials. (FCRDC). 2007 The NIH Director approved the renewal of 1993 NCI-Frederick Biopharmaceutical the NCI-Frederick FFRDC and to extend the Development Program (BDP) was estab- SAIC contract to manage and operate the lished. BDP supports the development FFRDC for a potential period of performance of monoclonal antibodies, recombinant not to exceed 10 years. proteins, therapeutic peptides and DNA vaccines, oligonucleotides, virus therapeutics 2009 The Advanced Technology Partnerships and vaccines, gene therapy products, and (ATP) Initiative was established to accelerate other biological agents. the delivery of new products to cancer patients through the strategic application of 1995 SAIC-Frederick (Science Applications advanced technologies and by facilitating International Corporation) competed and translational research partnerships. was selected as the operations and technical A new research facility was built at Frederick support contractor at the NCI-FCRDC. by the Matan Corporation and leased by the NCI to house additional drug development 1998 The FCRDC Advisory Committee was laboratories. terminated on September 22. 2010 An ad hoc NCAB Working Group was 2001 The name NCI-Frederick Cancer Research formed to create a Strategic Scientific Vision and Development Center was changed for the National Cancer Program and to to National Cancer Institute at Frederick review progress at the NCI. The Working (NCI-Frederick). Group recommended the establishment of a chartered committee to advise and evaluate 2003 The Nanotechnology Characterization ongoing activities at the Frederick facility. Laboratory (NCL) was established for The report findings and recommendations accelerating nanotechnology research at were presented at the NCAB meeting held Frederick. The NCI established the NCL as on December 7. The Board unanimously a collaboration with NIST and the FDA. The approved the establishment of a Federal NCL conducts preclinical characterization Advisory Committee at Frederick. and toxicity testing on nanomaterials that have been developed in academic, gov- 2011 The establishment of the NCI-Frederick ernment, and commercial laboratories to Advisory Committee (NFAC) was diagnose and treat cancer. announced on March 9. The NFAC consists of 16 members, including the Chair, appoint- 2005 NCI-Frederick was providing scientific ed by the Director of NCI, to meet twice support for 25 of the 27 NIH Institutes and a year, review the state of research at the Centers. Extramural scientists also have facility, and make recommendations for the access to its services, reagents, and facilities. best use of its capabilities and infrastructure. Additionally, NCI-Frederick supports a Members were authorities in drug and significant percentage of NCI’s drug discov- vaccine development, clinical trials support, ery and development activities through its AIDS research, bioinformatics, genomics, collaborative activities with the Division of nanotechnology, biological repositories, and Cancer Treatment and Diagnosis (DCTD). basic research in immunology and infectious These activities include drug discovery diseases. screening, candidate selection, preclinical
NCI FNLAC Orientation Book 25 An orientation was given to the NFAC discussed were: (1) a change of leadership members on August 31 in Bethesda, within SAIC-Frederick; (2) creation of a Maryland. At this orientation, the NCI c-CRADA policy; and (3) steps to improve Director led a discussion on the naming how FNLCR’s capabilities and resources of the NCI-Frederick enterprise. Members are communicated to the extramural discussed inclusion of different concepts in community. The draft strategic plan for the name, including national, technology the FNLCR also was discussed. development, and translational research, as well as distinctions between intramural December – The new c-CRADA program and extramural programs, and cancer to enhance partnering opportunities and AIDS. Also, there were presentations highlighting the contractor’s unique capa- on Contractor Cooperative Research and bilities at FNLCR was established. Under Development Agreement (c-CRADA) and the c-CRADA, SAIC-Frederick initiates the use of “Contractor-CRADAs” at other and manages CRADA projects that do FFRDCs. Members strongly supported the not involve direct participation from NCI establishment of a c-CRADA. staff in research. These unique capabilities and the construction of the ATRF, whose 2012 January – The first regular NFAC meeting primary function was to foster partner- was held on January 25 in Frederick, ships, were the driving forces behind the Maryland. Consensus was reached to c-CRADA program. change the name from NCI-Frederick to Frederick National Laboratory for 2013 The fourth NFAC meeting was held on Cancer Research (FNLCR). A motion to February 4 in Berkeley, California. The express the NFAC’s strong endorsement meeting was dedicated to the continued of the importance and usefulness of the discussion of the draft FNLCR strategic c-CRADA was approved unanimously. plan. NFAC members also toured the Advanced Technology Research Facility (ATRF), The fifth NFAC meeting was held on which was still under construction. September 24 in Frederick, Maryland. The RAS initiative was discussed and mem- March – NCI-Frederick was renamed as bers expressed enthusiasm for the RAS the Frederick National Laboratory for Program and its direction and encouraged Cancer Research (FNLCR) designating the the NCI and FNLCR leadership to facility as a Federal National Laboratory promote the RAS study as a model for (FNL) and elevating its national mission. other investigations. NFAC members also toured the ATRF. May – The second NFAC meeting was held on May 30 in Bethesda, Maryland. SAIC-Frederick contractor changed its Members expressed approval for the name to Leidos Biomedical Research, Inc. revised external website that presents on September 27. the FNLCR as a national resource. The website displays products, services, and The NCI established the RAS Initiative to collaboration opportunities available explore innovative approaches for attack- to extramural investigators. The draft ing the proteins encoded by mutant forms strategic plan for the FNLCR also was of RAS genes and to ultimately create discussed. effective new therapies for RAS-related cancers. RAS initiative collaborations June – The Advanced Technology with both organizations and individual Research Facility (ATRF) opened with scientists have expanded research capa- research capabilities in Genetics and bilities and maximized the impact of RAS Genomics, Proteins and Proteomics, initiative discoveries. Imaging and Nanotechnology, Advanced Biomedical Computing and Cell Biology. The NFAC approved the establishment of the: (1) ad hoc RAS Subcommittee; September – The third NFAC meeting (2) Immuno-Multiple Reaction Monitoring was held on September 12 in Bethesda, (MRM) Working Group; and (3) ad hoc Maryland. Several FNLCR updates RAS Working Group. The ad hoc RAS Subcommittee was established to provide
26 NCI FNLAC Orientation Book the highest quality oversight to the to launch a National Cryo-EM Facility, the technical aspects of the RAS Program. The FNLAC voted via mail ballot to establish ad hoc RAS Working Group will provide the ad hoc National Cryo-EM Facility findings and recommendations to the Oversight Subcommittee. NFAC and the ad hoc RAS Subcommittee. The ad hoc RAS Working Group evaluated The first FNLAC virtual meeting was held the scientific goals, direction, priorities, on October 21 in Rockville, Maryland. and progress of the hub projects at the The RAS ad hoc Working Group report FNLCR, as well as how the hub interfaces and recommendations were presented. A with industry and the extramural motion to accept the report was approved community. unanimously. The NFAC was instrumental in approving The 11th FNLAC meeting was held the concept of the RAS Initiative and November 16–17 in Frederick, Maryland. suggested receiving periodic updates from A site visit review of the FNLCR included: the ad hoc RAS Working Group. (1) discussion of the overall operations; (2) evaluation of the research programs; 2014 The sixth NFAC meeting was held and (3) discussion of unpublished RAS February 4–5 in Bethesda, Maryland. research findings and data. Also, a final Members received an overview of the report of the findings was written by FNLCR and its interactions with the FNLAC. NCI intramural research program and an update on the RAS Project. Potential projects for the FNLCR were presented December – Final report and recommen- and discussed. dation for the RAS Initiative Renewal Request from the FNLAC Review Team The seventh NFAC meeting was held on was accepted by a mail ballot and sent to September 30 in Bethesda, Maryland. the NCI Director. Members discussed the discrepancy between the NFAC name and the FNLCR. 2017 The establishment of the FNLAC The Committee members voted unani- NCI/U.S. Department of Energy (DOE) mously to rename NFAC as the Frederick Collaborations Working Group was National Laboratory Advisory Committee approved by the National Cancer (FNLAC). Advisory Board on February 15, 2017. The FNLAC Working Group will provide 2015 The eighth FNLAC meeting was held scientific evaluation of programs, projects, on February 3 in Bethesda, Maryland. and collaborations formed in support of or At this meeting, it was announced that a relevant to NCI/DOE collaborations. The community website, commonly referred Working Group is charged with exploring to as RAS Central or the RAS Initiative the domains and activities in which at Cancer.gov (https://www.cancer.gov/ collaborations between the NCI and DOE research/key-initiatives/ras), was devel- would be mutually beneficial and advance oped as a space for the RAS community the missions of these entities. to gather and exchange ideas, and have discussions. The 12th FNLAC meeting was held on May 8 in Bethesda, Maryland. Updates The ninth FNLAC meeting held on on several NCI initiatives that included September 30 in Bethesda, Maryland, the NCEF, two collaborations with DOE resulted in a motion to support the launch and the FNLCR, and the implementation of a National Cryo-EM User Facility at of the Beau Biden Cancer MoonshotSM the FNLCR. The recommendation to Blue Ribbon Panel recommendations were establish a Steering Committee of experts presented and discussed. and an evaluation in the second year was approved unanimously. The NCEF at the NCI provides cancer researchers access to the latest Cryo-EM 2016 The 10th FNLAC meeting was held technology for high resolution imaging. on May 11 in Rockville, Maryland. In The NCEF is a service facility under the follow-up to the September 2015 decision
NCI FNLAC Orientation Book 27 umbrella of the FNLCR that opened for to expand both institutions’ research user access on May 15. and training missions in the biomedical sciences. June – The FNLCR and the Weizmann Institute of Science, located in Rehovot, May – The 14th FNLAC meeting was held Israel, signed a contractor Cooperative on May 2 at the Shady Grove Campus, Research and Development Agreement Rockville, Maryland. Members received (cCRADA) with the purpose of identifying an overview of the current operations and small molecules that bind to or influence future plans for the FNLCR and updates the activity of KRAS4b—a protein that is on several NCI Initiatives, including the frequently mutated in pancreatic, colon, National Cryo-EM and the Accelerating and lung cancers. Therapeutic for Opportunities in Medicine (ATOM). NCI staff provided overviews The second FNLAC virtual meeting was of the NCI Experimental Therapeutics held on July 18 in Rockville, Maryland. An (NExT) program, the Role of Molecular overview of the FNLCR research portfolio Pharmacodynamics in Drug Discovery was provided and newly initiated research and Development, and NCI’s Early projects at FNLCR were presented and Therapeutic Trials Network. discussed. FNLCR Facilities August – A new solicitations page The FNLCR campus is located 50 miles north- was launched on the FNLCR website west of Washington, DC, and 50 miles west of on August 31. It is designed to bring Baltimore, Maryland, in Frederick, Maryland. increased visibility to business opportuni- Satellite locations include leased and Government ties through a new, user-friendly platform owned facilities extending south along the I-270 that facilitates searching for open solicita- Technology Corridor to Bethesda, Maryland, home tions. of the NIH, NCI’s parent organization. Many of the original FNLCR offices and laborato- October – Ethan Dmitrovsky, M.D., was ries were housed in 67 buildings co-located on a appointed as the President of Leidos 68-acre “NCI island campus” within the perimeter Biomedical Research, Inc. and the of the Fort Detrick U.S. Army Base in Frederick, Laboratory Director of the FNLCR. Maryland, along with NCI-Frederick intramural Dr. Dmitrovsky succeeded David laboratories and scientists from the NCI Center for Heimbrook, Ph.D., who retired after Cancer Research (CCR) along with NCI staff and 6 years. contractors from other NCI divisions, including the Division of Cancer Treatment (DCTD) and the The 13th FNLAC meeting was held Division of Cancer Epidemiology and Genetics on October 30 in Bethesda, Maryland. (DCEG) (Exhibit X). Updates on several NCI initiatives, including the FNLCR operations, National In addition to the FNLCR offices and laboratories Cryo-EM Facility, RAS Initiative, and located on the main Fort Detrick NCI-Frederick campus, the FNLCR in 2012 opened the Advanced the Chemical Biology Consortium were Technology Research Facility (ATRF) (Exhibit XI), presented and discussed. a multi-building complex which consolidated many of the original FNLCR laboratories and November – FNLCR entered into a new operations that had been scattered among partnership with the Fred Hutchinson more than 30 buildings on the Fort Detrick Cancer Research Center that, if successful, NCI-Frederick campus. The ATRF is an off-site could improve current methods of donor 330,000-square foot state-of-the-art R&D and pro- selection and thereby make lifesaving duction complex located at the Riverside Research transplant procedures more readily avail- Park, approximately 5 miles from the main Fort able for patients with leukemia, multiple Detrick NCI-Frederick campus. The ATRF houses myeloma, and other disorders. advanced technology laboratories, biopharma- ceutical development, advanced biomedical 2018 February – FNLCR and Georgetown computing, cell biology, and cGMP production University launched a Research and facilities. The ATRF is designed to foster co-located Education Collaboration, which aims public-private partnership projects, with dedicated laboratory and “think tank” space for collabora-
28 NCI FNLAC Orientation Book Exhibit X. NCI-Frederick Campus Map
National Cancer Institute at Frederick Fort Detrick, Frederick, Maryland
Old Farm Gate
Family Housing OLD FARM GATE Fort Detrick Federal/NIH PIV card-holders ONLY: 6:00 a.m. - 9:00 p.m., Weekdays 9:00 a.m. - 9:00 p.m., Weekends/Holidays National Ditto Ave. Cancer Institute Research at Frederick Plaza Doughten Dr.
Palacky Dr. Nallin Gate Schneider Veterans Dr. Campus Dr. Porter St. St. Construction Porter St. Contracts STARK ST. Receiving NCI at Frederick visitors must
Veterans Freedman Dr. Gate report to building 426
1063
1041 1042 NALLIN GATE Library and Conference Center Oppossumtown 1043 Pike Entrance (Open 24/7) 1019 Visitors, deliveries, Federal/NIH PIV 540 card-holders
561
537 575
566
PALACKY572 DR. 527 377 436
425 VETERANS GATE th 313A 7 Street Entrance 311 NCI at Frederick Administration 310 Federal/NIH PIV card-holders ONLY: Facilities Maintenance 474 5:30 a.m. - 5:30 p.m. and Engineering CCR 471 Administration 5:30 p.m. - 8:30 p.m. (exit only) 380 Weekdays Closed on weekends and holidays
318 319 359
Parking lots and roads Data Management Services NCI at Frederick buildings Army buildings TO RT. 15 Fort Detrick boundary NCI at Frederick boundary
206851 October 2015
NCI FNLAC Orientation Book 29 Exhibit XI. Frederick Advanced Technology Research Facility (ATRF) – Frederick, MD
tive work with partners across a continuum of provides operational management expertise and translational R&D technologies and platforms, scientific capability to accomplish the research including genomics, proteomics, nanotechnology, objectives assigned by the NCI to the FNLCR. molecular diagnostics, bioinformatics, and bio- Specific support activities include strategic pharmaceutical development. Government-Contractor planning, program coordination, cooperation, and collaboration. These The FNLCR also manages and operates additional functions are executed through several different facilities located in Frederick, Gaithersburg, mechanisms, including Statement of Work (SOW) Bethesda, and Rockville, Maryland, including agreements and Work Order Requests formulated the NCI Advanced Technology Center (ATC), the by, and with oversight provided by, the NCI home for the National Cryo-Electron Microscopy Director and the Director, Office of Scientific Facility (Frederick); the Core Genotyping Facility Operations (NCI-Frederick). (Gaithersburg); the Laboratory Animal Sciences Program (LASP) (Bethesda); the Vaccine Pilot In FY2016, the FNLCR operations and technical Plant for the production of clinical-stage vaccine support budget, including indefinite delivery/ candidates for major infectious diseases (HIV/ indefinite quantity (IDIQ) contracts (e.g., Work AIDS, malaria, tuberculosis, Zika, etc.) for the Order Requests) was $669 million involving more National Institute of Allergy and Infectious than 3,000 biomedical investigators, laboratory Diseases (NIAID) (Frederick); and the Clinical technicians, and support staff that included Monitoring Research Program (CMRP), which contractor (Leidos Biomedical) employees, and provides clinical research support for human other contractual personnel on the NCI campus clinical trials for diseases and viruses such as in Frederick and additional Leidos employees in cancer and AIDS, influenza, malaria, Zika, Ebola, Bethesda, Rockville, and other sites in Maryland. chikungunya, parasitic diseases, and a wide Approximately $489 million (73%) of the total range of other infectious diseases for the NCI and $669 million FNLCR costs were allocated for NIAID (Frederick and Rockville). NCI programs with $180 million (27%) related to non-NCI support, including those associated with FNLCR Budget the NIAID/Vaccine Research Center programs and other NIH Institutes or Agencies. Exhibit XII Leidos Biomedical Research, Inc. (formerly known summarizes the total support provided to the as SAIC-Frederick, Inc.) currently provides FNLCR and to the individual NCI DOCs excluding Operations and Technical Support (OTS) for NCI intramural and extramural Government the FNLCR under contract and on behalf of the full-time equivalent (FTE) personnel salary and National Cancer Institute (NCI). Leidos Biomedical benefit-associated costs.
30 NCI FNLAC Orientation Book Exhibit XII. FY2016 FNLCR Budget C Total u ort 669 CI u ort 489 †