{"id":5205,"date":"2018-09-17T16:00:00","date_gmt":"2018-09-17T16:00:00","guid":{"rendered":"https:\/\/www.cancer.gov\/news-events\/cancer-currents-blog\/2018\/sharpless-nci-fda-collaboration"},"modified":"2024-11-03T15:17:33","modified_gmt":"2024-11-03T15:17:33","slug":"nci-and-fda-address-common-concerns-a-win-win-for-making-progress-against-cancer","status":"publish","type":"post","link":"https:\/\/ogkologos.com\/en\/nci-and-fda-address-common-concerns-a-win-win-for-making-progress-against-cancer\/","title":{"rendered":"NCI and FDA Address Common Concerns: A Win\u2013Win for Making Progress against Cancer"},"content":{"rendered":"

September 17, 2018, by Norman E. Sharpless, M.D.<\/p>\n

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NCI and FDA are sponsoring a challenge to spur the development of methods that use proteomic and other “omics” data to accurately detect and correct mislabeled tumor and tissue samples.<\/p>\n

Credit: National Cancer Institute<\/p>\n<\/div>\n<\/figcaption><\/figure>\n

I am a big believer in strategic partnerships as a key step toward making advances against cancer. That\u2019s one of the reasons why I am particularly excited about NCI\u2019s latest collaborative effort with the Food and Drug Administration (FDA): the Multi-omics Enabled Sample Mislabeling and Correction Challenge<\/a>.<\/p>\n

This challenge is launched in coordination with DREAM Challenges<\/a>, a community of researchers from a variety of organizations who crowdsource solutions to fundamental biomedical questions. This challenge invites participants to propose solutions that address a serious and long-standing problem in the analysis of human samples: namely, the mislabeling of tissue samples caused by\u00a0human error.<\/p>\n

In the research setting, sample mislabeling can result in irreproducible study findings or invalid study conclusions. In the clinic, it can lead to patients potentially getting the wrong treatments, which could have severe consequences. Mislabeling errors are becoming more prevalent because large-scale studies of the molecular characteristics that drive cancers, which rely on tumor and tissue samples, are highly complex and have multiple points during which mislabeling errors can occur.<\/p>\n

The goal of the challenge, which launches at the end of September, is to encourage the development of innovative algorithmic solutions that rely on \u201c-omics\u201d (for example, genomic<\/a> and proteomic<\/a>) datasets to accurately detect and correct mislabeled samples. (More information on the challenge is available in this commentary<\/a> published September 7 in Nature Medicine<\/em>).<\/p>\n

This challenge, just the most recent example of FDA and NCI\u2019s long history of successful collaborations, demonstrates how government agencies with shared concerns can leverage expertise and resources to expedite progress and benefit patients.<\/p>\n

Our agencies are continuing that tradition of strong and strategic partnerships, expanding these into the research and regulatory realms with the goal of spurring more rapid progress. I\u2019d like to share a few more examples of successful FDA\u2013NCI collaborations that show the tangible benefits of working together in diverse areas.<\/p>\n

Partnering on Workforce Training and Development<\/h2>\n

Building a competitive, diverse, and innovative research workforce for the decades ahead is one of NCI\u2019s most important responsibilities. NCI and FDA have long recognized that progress requires investing in a sustainable pipeline of highly qualified scientists who understand research, medicine, and the regulatory process.<\/p>\n

Over the past dozen years, FDA and NCI have participated in a joint initiative called the Interagency Oncology Task Force (IOTF) fellowship<\/a> program.<\/p>\n

The goal of the IOTF program, which also includes NIH and HHS as partners, is to develop a cadre of scientists with a skill set that bridges research and regulatory science.<\/p>\n

IOTF fellows gain expertise in the regulatory requirements for developing new cancer therapies and related devices so that they can properly evaluate their efficacy, safety, quality, and performance. They also learn strategies to improve planning for the various steps throughout the research and regulatory review process, which covers rules concerned with the development, testing, approval, manufacturing, quality control, and marketing of drugs and devices.<\/p>\n

The fellows emerge from the IOTF program equipped with the skills to more quickly and efficiently move new drugs and devices from the bench to the bedside.<\/p>\n

Since the launch of IOTF in 2005, the program has supported 55 fellows, all of whom went on to jobs at FDA, NIH, or industry. Of the 37 fellows who went to FDA, 15 are now in leadership roles.<\/p>\n

Collaborating to Modernize Assessment of Safety and Tolerability of Treatments<\/h2>\n
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NCI Director Dr. Norman E. Sharpless<\/p>\n

Credit: National Institutes of Health<\/p>\n<\/div>\n<\/figcaption><\/figure>\n

As any oncologist can tell you, treatment-related side effects<\/a> not only can harm patients\u2019 quality of life<\/a>, but they can also keep patients\u00a0from completing their treatment. We owe it to patients to do a better job of understanding how new therapies affect the quality of their life beyond measures of tumor size or how long they live without their tumors growing.<\/p>\n

For years, clinicians and investigators have used the Common Terminology Criteria for Adverse Events (CTCAE)<\/a> to help document their assessments of how patients in clinical trials are tolerating therapy. To better capture the patient perspective, NCI developed the complementary Patient Reported Outcomes (PRO) version<\/a> of the CTCAE (PRO-CTCAE). NCI and FDA\u2019s Oncology Center of Excellence (OCE)<\/a> are participating in working groups to further explore the use of PRO-CTCAE in cancer drug development.<\/a><\/p>\n

Building on this work, NCI and the FDA are also investigating the development of tools that objectively measure clinical outcomes such as pain, cognitive function, quality of life, and other indicators of patients\u2019 tolerability of therapy. Recently developed tools include biometric<\/a> sensors and computer vision and voice recognition technologies. Such tools are able to capture the experience of all patients, not just those who are able to respond to questionnaires, and will ultimately provide a more comprehensive picture of the side effects of cancer treatments.\u00ad<\/p>\n

Accelerating Childhood Cancer Drug Development<\/h2>\n

In August 2017, Congress passed the FDA Reauthorization Act (FDARA), which included several provisions from a previously introduced bill known as the Research to Accelerate Cures and Equity (RACE) for Children Act.<\/p>\n

These provisions, which were incorporated into FDARA as Section 504, Development of drugs and biological products for pediatric cancers,<\/em> amend current requirements for pediatric studies so that they are based on relevant molecular targets rather than cancer site of origin. NCI collaborates with FDA to implement Section 504.<\/p>\n

Prior to this law going into effect, investigators would be required to develop pediatric study plans for a therapy only if it was indicated for the same type of cancer that the drug was being evaluated for in adults. However, as NCI-supported research has shown, some molecular targets are shared between these cancers and pediatric cancers. Going forward, Section 504 mandates that shared molecular targets will drive the development of study plans, rather than cancer type.<\/p>\n

FDARA requires FDA, in consultation with NCI, to develop and maintain a list of relevant molecular targets to inform the development and review of pediatric study plans. To meet this requirement, FDA\u2019s OCE and NCI convened public meetings of the childhood cancer community to help develop the list of molecular targets. NCI also issued a Request for Information<\/a> to collect additional input on potential molecular targets.<\/p>\n

FDA published the list of targets last month, and\u00a0NCI will continue to collaborate with FDA to keep the list up-to-date. Additionally, several NCI programs, including the Pediatric Early Phase Clinical Trials Network and Pediatric Preclinical Testing Consortium<\/a>, continue to conduct research that will inform the list of molecular targets.<\/p>\n

Working Hand in Hand to Reduce Tobacco Use<\/h2>\n

Smoking rates in the United States have dropped substantially over the past several decades, thanks to the implementation of policies and programs\u2014many of which are based on NCI-supported research\u2014at the local, state, and federal levels. But, with nearly 40 million Americans still smoking cigarettes, tobacco use is an ongoing challenge. Public health agencies must do more.<\/p>\n

Both NCI and FDA\u2019s Center for Tobacco Products<\/a> have long been committed to reducing tobacco use in the United States and globally, and tobacco use reduction is an area of close collaboration.<\/p>\n

NCI has funded innovative research on the interplay between nicotine content and smoking behavior since the 1980s and has built a robust scientific evidence base to help better\u00a0understand how modifying nicotine content in cigarettes could impact smoking behavior. This research provided part of the scientific foundation for FDA\u2019s estimate that reducing nicotine in cigarettes to nonaddictive or minimally addictive levels could potentially decrease the smoking rate from 15% to 1.4%<\/a>\u00a0of adults. In addition, current smokers could more easily quit and millions of youth would never start smoking. \u00a0<\/p>\n

Based on these estimates, last year, FDA Commissioner Scott Gottlieb announced FDA\u2019s intent to pursue regulatory action to reduce nicotine in cigarettes to nonaddictive or minimally addictive levels.<\/p>\n

Tackling the problem of tobacco use also means we must consider the factors that contribute to its\u00a0use, including the proliferation of new tobacco products such as e-cigarettes, which are now the most commonly used tobacco product among middle and high school students<\/a>. Moreover, studies have suggested that teens who use e-cigarettes are more likely to go\u00a0on to smoke conventional cigarettes<\/a>.<\/p>\n

In response to these findings, FDA has made new efforts to prevent tobacco product use among teens, including the launch last year of a Youth Tobacco Prevention Plan<\/a> that includes an emphasis on e-cigarettes. Research supported by NCI\u2019s Tobacco Control Research Branch<\/a> has provided and will continue to provide an evidence base for FDA\u2019s activities in this area.<\/span><\/p>\n

Many Opportunities Ahead<\/h2>\n

I\u2019ve highlighted just a few areas in which FDA and NCI are currently collaborating, but our shared concerns on a number of public health issues open up many opportunities on which we can and do work together.<\/p>\n

I\u2019ve always believed that a multipronged, multidisciplinary team approach is the best way to accelerate progress in public health, and I think our collaborations have demonstrated that. I plan to have ongoing discussions with FDA about other partnerships and cultivating more opportunities to advance cancer research and care.<\/p>\n

Source<\/a><\/p>","protected":false},"excerpt":{"rendered":"

September 17, 2018, by Norman E. Sharpless, M.D. NCI and FDA are sponsoring a challenge to spur the development of methods that use proteomic and other “omics” data to accurately detect and correct mislabeled tumor and tissue samples. Credit: National Cancer Institute I am a big believer in strategic partnerships as a key step toward […]<\/p>\n","protected":false},"author":2,"featured_media":5206,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[5137],"tags":[],"class_list":["post-5205","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-world-news"],"_links":{"self":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/5205","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/comments?post=5205"}],"version-history":[{"count":1,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/5205\/revisions"}],"predecessor-version":[{"id":42846,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/5205\/revisions\/42846"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/media\/5206"}],"wp:attachment":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/media?parent=5205"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/categories?post=5205"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/tags?post=5205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}