Theme 05: Clinical Research
Infrastructures that are needed to support planning and execution of comprehensive Clinical Research including all research fields in oncology.

State-of-the-art technical platforms
Level 1
CR111
State-of-the-art
technical platforms
are planned and concrete initiatives are in the process of implementation.
Level 2
CR121
State-of-the-art
technical platforms
are available and in use in parts of the CCI.
CR122
A quality assurance program for state-of-the-art
technical platforms
is in place in parts of the CCI, ensuring that all processes are consistently reviewed, updated and improved.
Level 3
CR131
State-of-the-art
technical platforms
are available and in use in the whole CCI.
CR132
Data on the usage of platforms is collected systematically.
Level 4
CR141
State-of-the-art
technical platforms
are available and in use in the whole CCI, including the systematic integration of novel capabilities.
CR142
A quality assurance program for state-of-the-art
technical platforms
is in place in the whole CCI, ensuring that all processes are consistently reviewed, updated and improved.
CR143
There is an increase in the usage of platforms in a period of 5 years.
Organisational support
Level 1
CR112
Organisational support
is planned and concrete initiatives are in the process of implementation.
Level 2
CR123
Organisational support
is available and in use within parts of the CCI.
Level 3
CR133
Organisational support
is available and in use for the whole CCI.
Level 4
CR144
A quality framework for organisational support is in place, ensuring that all processes are consistently reviewed, updated and improved.
| Level 1 | Level 2 | Level 3 | Level 4 | |
|---|---|---|---|---|
| Established state-of-the-art capability platforms
are available and reachable for the whole research community to support clinical research. State-of-the-art technical platforms |
CR111 |
CR121
CR122 |
CR131
CR132 |
CR141
CR142
CR143 |
| Established state-of-the-art capability platforms
are available and reachable for the whole research community to support clinical research.
Organisational support |
CR112 |
CR123 |
CR133 |
CR144 |
Presence of a Clinical Trial Office (CTO)
Level 1
CR211
A
CTO
is planned and concrete initiatives are in the process of implementation.
Level 2
CR221
A
CTO
for clinical research is available in parts of the CCI.
Level 3
CR231
A
CTO
for clinical research is available in the whole CCI.
CR232
A comprehensive
quality assurance framework
for clinical trial offices is in place in parts of the CCI, ensuring that all processes are consistently reviewed, updated and improved.
Level 4
CR241
A comprehensive
quality assurance framework
for CTOs is in place in the whole CCI, ensuring that all processes are consistently reviewed, updated and improved.
Institutional Review Board
Level 3
CR233
There is an Institutional Review Board which reviews all proposals to open a new trial within the CCI.
Collecting and analysing data
Level 2
CR222
Data on number and type of clinical trials is accessible to parts of the CCI.
Level 3
CR234
Data on number and type of clinical trials is accessible to the whole CCI.
Connection to biobanks
Level 4
CR242
Processes or procedures are in place indicating that biobanks are linked to clinical data.
Industry and academic clinical trials
Level 2
CR223
Industry-sponsored clinical trials are available in parts of the CCI.
CR224
Academic-sponsored trials are available in parts of the CCI.
Level 3
CR235
Industry-sponsored clinical trials are available in the whole CCI.
CR236
Academic-sponsored trials are available in the whole CCI.
Research nurses and dedicated clinical research time
Level 1
CR212
The CCI has research nurses available but not on a systematic basis.
Level 2
CR225
The CCI has research nurses available who are trained in clinical research.
Level 3
CR237
There are mechanisms for releasing clinicians' time to conduct clinical trials.
CR238
The CCI has research nurses available who are trained in clinical research and who are a team with defined leadership.
Level 4
CR243
Within the CCI there are mechanisms for protected time for clinicians to run clinical trials.
CR244
The trained research nurses within the team has increased over the last 5 years.
% cancer patients enrolled in clinical trials
Level 3
CR239
At least 5% of cancer patients within the CCI are enrolled in
interventional clinical trials
.
Level 4
CR245
At least 10% of cancer patients are enrolled in
interventional clinical trials
.
Education for all clinical staff members
Level 1
CR213
Initial discussions have taken place to establish an educational and training programme for clinical staff members within the CCI.
Level 2
CR226
Education and training including regulatory aspects of clinical research for all
clinical staff members
is established in parts of the CCI.
Level 3
CR2310
Education and training including regulatory aspects of clinical research for all
clinical staff members
is established in the whole CCI.
Level 4
CR246
Education and training including regulatory aspects of clinical research for all
clinical staff members
is established and performed regularly in the whole CCI.
| Level 1 | Level 2 | Level 3 | Level 4 | |
|---|---|---|---|---|
| Equal accessibility to CTO (clinical trial office) Presence of a Clinical Trial Office (CTO) |
CR211 |
CR221 |
CR231
CR232 |
CR241 |
| Equal accessibility to CTO (clinical trial office) Institutional Review Board |
CR233 |
|||
| Equal accessibility to CTO (clinical trial office) Collecting and analysing data |
CR222 |
CR234 |
||
| Equal accessibility to CTO (clinical trial office) Connection to biobanks |
CR242 | |||
| Equal accessibility to CTO (clinical trial office) Industry and academic clinical trials |
CR223
CR224 |
CR235
CR236 |
||
| Equal accessibility to CTO (clinical trial office) Research nurses and dedicated clinical research time |
CR212 |
CR225 |
CR237
CR238 |
CR243
CR244 |
| Equal accessibility to CTO (clinical trial office) % cancer patients enrolled in clinical trials |
CR239 |
CR245 | ||
| Continuous education for all clinical staff members in clinical research Education for all clinical staff members |
CR213 |
CR226 |
CR2310 |
CR246 |
Collaboration
Level 1
CR311
Initial discussions have taken place regarding collaboration between CTOs in different CCIs.
Level 2
CR321
Written agreements on collaboration between CTOs in different CCIs are established.
Level 4
CR341
Patients have access to clinical trials outside of their CCI.
% cancer patients enrolled in multicentre trials
Establishment of networks
Level 1
CR312
Initial discussions on organising working groups have taken place.
Level 2
CR322
Co-authored publications involving different professionals in different parts of a CCI and/or across CCIs have been published.
CR323
Working groups
have been organised on a CCI level.
Level 3
CR331
Data on the number and impact factor of publications originating from networking activities are collected systematically.
CR332
Working groups
have been organised across different CCIs.
CR333
Workshops, conferences, seminars, or symposiums on clinical research have been organised.
Level 4
CR342
The number of publications from networking activities has increased in a period of 5 years.
CR343
Working groups
have been organised across different European countries.
Networks of MTB
Level 3
CR334
An initial knowledge and experience exchange between different molecular tumour boards (MTB) has been performed.
Level 4
CR344
A network of molecular tumour boards between CCIs and/or across CCIs is established.
| Level 1 | Level 2 | Level 3 | Level 4 | |
|---|---|---|---|---|
| Broad access to clinical
research in other CCIs Collaboration |
CR311 |
CR321 |
CR341 | |
| Broad access to clinical
research in other CCIs % cancer patients enrolled in multicentre trials |
||||
| Active participation in high
expert networks aiming to improve clinical research Establishment of networks |
CR312 |
CR322
CR323 |
CR331
CR332
CR333 |
CR342
CR343 |
| Active participation in high
expert networks aiming to improve clinical research Networks of MTB |
CR334 |
CR344 |
Training and education
Level 1
CR411
Specialised training programs for clinicians and patient representatives are planned.
Level 2
CR421
Specialised training programs for clinicians and patient representatives are available and in use within parts of the CCI.
Level 3
CR431
Specialised training programs for clinicians and patient representatives are available and in use within the whole CCI.
Advisory board/ active involvement of patient representatives
Level 1
CR412
A
patient advisory board
is concretely planned.
Level 2
CR422
A
patient advisory board
is established.
Level 3
CR432
There is an
active inclusion
of patient representatives in every step of the research planning-, design- and decision-making process for academic studies in parts of the CCI.
Level 4
CR441
There is an
active inclusion
of patient representatives in every step of the research planning-, design- and decision-making process for academic studies in the whole CCI.
| Level 1 | Level 2 | Level 3 | Level 4 | |
|---|---|---|---|---|
| Active patient involvement
in all clinical research phases Training and education |
CR411 |
CR421 |
CR431 |
|
| Active patient involvement
in all clinical research phases Advisory board/ active involvement of patient representatives |
CR412 |
CR422 |
CR432 |
CR441 |