Centers, Networks, and Consortia
Goal
Challenge
Progress Toward Meeting the Challenge
2002 Plan and Budget Request
Links to Related Information

Goal
Create and sustain research infrastructures for collaboration, technology support and development,
and access to resources.

Challenge
NCI's mission to translate scientific knowledge into more effective cancer interventions is
challenged by the conventional ways research is conducted. Basic scientists, clinical scientists,
population scientists, and behavioral scientists develop their skills in distinctly different ways
and in varied environments with far too little emphasis on communicating and working with each other
except in very select environments. However, the rapid pace of scientific and technological
discovery is creating enormous opportunities that require the close interaction and collaboration of
clinical and laboratory scientists from across the research community.
The challenge for NCI is to create integrated research environments that foster the complex
multidisciplinary interactions needed to address the "big picture" problems in cancer research.
These integrated research environments must functionally link basic, clinical, population, and
behavioral scientists to each other and to newly developing, diverse fields of science and technology.
These scientists must:
- Have easy access to many different patients and at-risk populations, tissue banks, new
technologies, and state-of-the-art informatics.
- Be able to work together with the same ease and flexibility in multi-institutional
research settings as in the same institution.
To meet this challenge, NCI continues to create and nurture a new overarching structure for
research composed of NCI-designated Cancer Centers, Centers of Research Excellence, networks, and
consortia. These infrastructures are enhancing the traditional research enterprise in ways that:
- Promote and facilitate complex scientific interactions.
- Provide the critical resources essential for the research.
- Encourage the easy exchange of information and ideas through new communications linkages.
Components of the Challenge:
NCI-Designated Cancer Centers
Centers of Research Excellence
Networks and Consortia

NCI-Designated Cancer Centers
NCI-designated Cancer Centers:
- Organize and integrate multidisciplinary research across departments and schools within a single institution.
- Provide scientists access to the most advanced technologies and new research opportunities.
- Bring the benefits of their research directly to the public.
- Link state-of-the art research and clinical care activities within the institution, and form key partnerships with industrial, community, and state health organizations outside of the institution.
For example:
- The disease-specific Specialized Programs of Research Excellence, designed to move discoveries from the laboratory into patient and population research settings, had their origins in cancer centers.
- The new Special Populations Networks for Cancer Awareness Research and Training are designed to link local, community, and regional problems of cancer in underserved populations to the broad-based research capabilities of NCI-designated Cancer Centers.
- Centers are critical in a new NCI initiative to incorporate Minority Serving Institutions into NCI's cancer research, education, training, and outreach activities. The Cancer Genetics Network sites are headquartered in centers.
- Nearly all of the participants in the Mouse Models of Human Cancer Consortium are in NCI-designated Cancer Centers.
- Centers have worked closely with industry in developing new cancer therapeutic agents and are rapidly becoming significant partners with industry for new technology development.
NCI will create Regional Enhancement Cancer Centers to facilitate partnerships between smaller
institutions and the large, existing NCI-designated Comprehensive Cancer Centers. These partnerships
will:
- Provide patients and populations with much improved access to the newest clinical, prevention, and control trials in early detection, prevention, and therapeutic research.
- Play a key role in integrating and coordinating NCI-supported centers of excellence, networks, and consortia into one overarching, unified research framework.
For more information, visit
http://cancer.gov/cancercenters.

Centers of Research Excellence
NCI Centers of Research Excellence are awarded sizeable amounts of flexible funding to enable them to:
-
Bring together interdisciplinary and translational research teams focused on a specific disease, modality, biologic process, or scientific area.
- Rapidly address emerging scientific opportunities.
- Support interactive, multidisciplinary research.
- Provide resources, flexible exploratory funds, training, and career development.
The first of these centers, the Specialized Programs of Research Excellence (SPOREs),
were created in 1992 and focused on specific cancers. They serve as highly effective hubs for
translational research, moving discoveries back and forth among laboratory, clinic, and population
research settings. To date, SPOREs have been established in breast, prostate, lung, gastrointestinal, and
ovarian cancer.
The SPOREs blueprint has been used to establish similar programs in other extraordinary
opportunity research areas including Transdisciplinary Tobacco Use Research Centers, In Vivo Cellular
and Molecular Imaging Centers, and Interdisciplinary Research Teams for Molecular Target Assessment.
NCI also will collaborate with the NIH Center for Complementary and Alternative Medicine to establish
centers of excellence.

Networks and Consortia
NCI networks and consortia:
- Link the expertise and innovation of scientists from different disciplines and diverse
research backgrounds to address important questions and issues about cancer.
- Interact with NCI-designated Cancer Centers and Centers of Research Excellence in a
seamless way to advance our understanding of cancer, and to improve cancer prevention, early
detection, diagnosis, and treatment.
Several NCI networks and consortia play key roles in supporting cancer research:
- The Cancer Genetics Network (CGN) addresses the issue of inherited predisposition to cancer. CGN is linking its goals and objectives to those of Specialized Programs of Research Excellence (SPOREs) and NCI-designated Cancer Centers.
- The newly established Mouse Models of Human Cancer Consortium will work closely with SPOREs to develop mouse models that reflect various pre-cancerous and cancerous stages of human cancer.
- The Diagnostic Imaging Network is a multi-institutional team of scientists that is evaluating and developing a new generation of imaging concepts and tools with device manufacturers and other technology developers.
- The Early Detection Research Network facilitates the discovery, development, and initial steps in clinical validation of molecular markers and assays that detect early signs of cancer. The network is already interacting with SPOREs and other interdisciplinary teams of scientists.
- The Special Populations Networks for Cancer Awareness Research and Training will involve underrepresented racial, ethnic, and minority communities in establishing research priorities and conducting research that will benefit these populations.
- The Pediatric Brain Tumor Consortium, a network of ten medical centers, is evaluating promising treatments for children with brain malignancies.
Progress Toward Meeting the Challenge
NCI is completing the foundation for overarching research frameworks that will bring
diverse scientific disciplines together across institutional boundaries.
Example areas of progress:
Cancer Centers
Specialized Programs of Research Excellence
Minority Institution/Cancer Center Partnerships

Cancer Centers
NCI-designated Cancer Centers continue to evolve as key strategic partners of NCI. In 2000:
- NCI added a center in Iowa and will fund a new planning grant for developing a center in New Mexico.
- The number of cancer centers with the "Comprehensive" designation increased to 37.
- NCI has been working with institutions in Georgia, New York, Louisiana, Rhode Island,
Florida, West Virginia, Kentucky, Arkansas, South Carolina, and Michigan to develop
Cancer Centers or become Regional Enhancement Cancer Centers.
For more information, visit http://cancer.gov/cancercenters/.

Specialized Programs of Research Excellence
In 2000, Specialized Programs of Research Excellence (SPORE):
-
Added a new cancer site and funded four ovarian cancer SPOREs. These research teams already are establishing research links and preparing to conduct inter-institutional research that cannot be accomplished through any other venue.
- Expanded its scope to include all types of cancer through a transition plan that will gradually add new cancers over the next five years.
By the end of Fiscal Year 2001, NCI expects to support SPOREs in breast, prostate, lung,
ovarian, genitourinary tract, gastrointestinal tract (pancreatic and colorectal), and
skin cancers.
For more information, visit
http://deainfo.nci.nih.gov/awards/spore.htm.

Minority Institution/Cancer Center Partnerships
NCI recently launched the Minority Institution/Cancer Center Partnerships to engage
minority institutions in NCI's research activities, including training, education, and
community outreach.
The program will:
- Engage five major institutions with medical schools (Drew, Meharry, Howard, Morehouse, and the University of Puerto Rico).
- Provide opportunities for over 300 other smaller institutions throughout the nation to partner with NCI-designated Cancer Centers.
For more information, visit
http://deainfo.nci.nih.gov/concepts/comp_plangrants.htm or
http://deainfo.nci.nih.gov/cmbs/miccp.htm.
2002 Plan and Budget Request
While the NCI's goal for collaborative research applies to all NCI-designated Cancer Centers,
Networks, and Consortia, this plan focuses primarily on the objectives and resources for the
Centers and Specialized Programs of Research Excellence.
Goal
Create and sustain research infrastructures for collaboration, technology support and
development, and access to resources that enable multiple scientific disciplines to address large
problems in cancer that could not be solved by individual investigators.
Objectives, Milestones, and Budget Request

| Objective 1 |
2002 Budget Request |
| Increase the number and broaden the geographic distribution of NCI-designated Cancer Centers. |
$15.0M |
| 2002 Milestones |
| Designate 2 new cancer centers. ($2.50M) |
| Award 2 new Cancer Center Planning Grants. ($.50M) |
| Establish 3 Regional Enhancement Cancer Centers that will collaborate with NCI-designated
Comprehensive Cancer Centers to expand the base of patients
and populations available for early detection, prevention, and therapeutic research studies. ($2.00M) |
| Award 5 Cancer Center Supplements to encourage inter-center research collaborations when
patient, community, and regional responsibilities are in
competition or when combining resources can address important questions more effectively. ($3.00M) |
| Establish formal affiliations between cancer centers and Minority-Serving Institutions (MSIs) in the form of 2 comprehensive
partnerships, one planning grant for a comprehensive partnership, and 10 planning grants to
increase the number of minorities engaged in cancer research, enhance research capabilities of
MSIs, and improve the effectiveness of cancer centers in serving minority communities.
(See Training, Education,
and Career Development Plan, Objective 4 for the training component of these partnerships.) ($7.00M) |

| Objective 2 |
2002 Budget Request |
| Expand the capacity of cancer centers to engage in newly developing areas of research
and technology and to act as platforms for translating discoveries into interventions. |
$36.0M |
| 2002 Milestones |
| Establish 10 Advanced Technology Programs in cancer centers to enable work with industry to
develop, access, and export the
newest technologies for solving important problems in cancer research. ($7.50M) |
| Increase funding to all cancer centers to encourage scientists in centers to develop new technologies and methodologies for entirely new
approaches to answering important cancer research questions. ($6.00M) |
| Establish 10 Informatics Planning Activities in cancer centers to build, in partnership with
NCI, critical informatics capabilities in data acquisition,
analysis, integration, and coordination. ($7.50M) |
| Provide additional funding to build the clinical research and population research infrastructure of cancer centers. Fund databases that conform to NCI's clinical informatics infrastructure, support population studies, and provide more
core staff to conduct innovative translational therapeutic and prevention trials. ($15.00M) |

| Objective 3 |
2002 Budget Request |
| Expand and enhance the research of Specialized Programs of Research Excellence. |
$31.0M |
| 2002 Milestones |
| Expand the Specialized Program of Research Excellence (SPORE) scope to include one in breast cancer and one in prostate cancer. Add the following SPOREs: 2 in head and neck cancer, one in brain cancer, and one in lymphoma.
Continue implementing the transition plan to include all cancer sites by Fiscal Year 2005. ($25.00M) |
| Provide supplements to SPOREs for planning and developing complex inter-SPORE research projects and for collaborative projects with other
NCI centers of research excellence, networks, and consortia. ($5.00M) |
| Support development of an Internet platform and research database to enable SPOREs to exchange research results and to foster communications
for sharing resources and developing collaborative inter-SPORE research projects. ($1.00M) |

| Objective 4 |
2002 Budget Request |
| Develop a system for linking and managing the entire research framework of centers, centers of
research excellence, consortia, and networks. |
$10.0M |
| 2002 Milestones |
| Create a flexible management system for planning, initiating, and completing
complex collaborative research projects that provides for specialized short-term resources and research support. ($5.00M) |
| Develop a communications network to identify areas of common interest, share research information and resources, develop a continuing
research dialogue, and identify areas of potential collaboration. ($5.00M) |

Links to Related Information
|