Cancer trials in Ireland-Clusters and Network 2021 - Frequently Asked Questions - V 1.0 - Health Research Board

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  Cancer trials in Ireland-
Clusters and Network 2021

        Frequently Asked Questions
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Application teams
Cluster application:
Applications must be made on behalf of a team which is made up of a selected Cancer Clinical
Lead, CRF/C Director and Site Leads from each of the associated hospital sites, and submitted
through a HRB Host Institution on behalf of a Hospital Group aligned to one of the seven
below-named Clinical Research Facility/Centres (CRF/C’s) in Ireland.

The seven named CRF/Cs and associated academic partners are;

1. Wellcome Trust-HRB-CRF at St. James Hospital in Dublin (hosted by Trinity College Dublin)

2. HRB-CRF Cork at the Mercy Hospital and Cork University Hospital (hosted by University
College Cork)

3. HRB-CRF Galway at University College Hospital Galway (hosted by the National University
of Ireland Galway)

4. University College Dublin CRCs at The Mater Misericordiae University Hospital and St
Vincent’s University Hospital (hosted by University College Dublin)

5. Royal College of Surgeons in Ireland CRC at Beaumont Hospital (hosted by Royal College of
Surgeons in Ireland)

6. The Health Research Institute Clinical Research Support Unit at Limerick University Hospital
(hosted by University of Limerick)

7. Children’s Health Ireland (various hosting partners).

The applicant team should consist of Co-Lead Applicants, a Cancer Clinical Lead and a CRF/C
Director, and Co-Applicants (Site Leads) from each of the associated cluster partners, in
addition to collaborators.
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Network Application:
Applications will be accepted from established entities with a previous track record of
providing services and supports for the conduct and delivery of high quality, safe and
compliant cancer clinical trials. The application will be submitted in partnership with a
recognised HRB Host Institution.

The applicant team should consist of a Network Lead Applicant, Co-Applicants and
Collaborators.

Can a Cluster Clinical Lead applicant also be a site lead?
Yes a Cluster clinical lead applicant may also act as site lead. This role should be outlined in
their responsibilities.

Is it expected that there is only one site lead per hospital site?
Yes each hospital site will only have one site lead. The clinical lead applicant may also serve
as a site lead, but we would expect that this would be outlined within their role details rather
than they be added as another site lead.

Scope of Application
What is out of scope for this investment?
HRBs investment through this specific instrument will not support;

• funding for individual cancer clinical trials as it is expected that trials should come with
competitive funding from sources with effective independent international peer review, such
as the HRB Definitive Interventions and Feasibility Awards, other national/international
funding sources, international collaborative groups and / or industry-funded studies
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• costs associated with routine patient care or translational studies, biobanks, patient
registries and questionnaires

• establishing new premises, including building work, or fit-out of buildings.

Does the HRB support use of patient registries which might be used
to identify patients for clinical trials? Including those supported by
CRFs.
As outlined above and in our guidance document, costs associated with patient registries
would be out of scope for this award.

Is coordination with other clinical trial infrastructures required?
Yes. Cancer trials infrastructures are expected to work with other clinical trials infrastructures
within the system to collectively improve patient access to clinical trials, integrate relevant
best practices where necessary to support national performance for the benefit of the Irish
clinical trials system. These include Clinical Research Facilities/Centres, Trials Methodology
Research Network and the National Clinical Trials Coordination Programme.

Funding
What funding is available?
Total HRB funding for this call will be up to a maximum of €4,175,000 per annum inclusive of
overheads over five years. The overhead contribution is aligned to research activity per
application and aligns with that paid to other HRB infrastructures;

• 30% overhead contribution for Cluster applications (in line with CRFs), and
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• 25% overhead contribution for the National Cancer Clinical Trial Network application (in line
with other CTNs).

The funding split between the two calls is 65:35. With 65% of the overall funding going
towards Cluster applications and 35% going towards the National Cancer Clinical Trial
Network.

Can all Clusters bid for the maximum amount?
The investment is intended to align with the needs and capacity for clinical trials activity.
Clusters with lower levels of trial activity (based on registered clinical trials between 1 Jan
2017 and 31 Dec 2020) will be expected to bid for lesser amounts, and build more activity
over time. The cluster awards are expected to range from €150,000- €500,000 p.a. over 5
years.

Where an application is forecasting a significantly increased level of activity post-2020, the
HRB expect that that growth will be gradual and take into account factors such as time
required to recruit staff to drive this level of increased activity.

Funding management process
Funding is awarded on a claims-made basis, annually in arrears, with funds claimed against
actual expenditure on an annual basis. Budgets will be reforecast at Annual Report stage for
the following year. Funds not claimed in any 1 year period are forfeit and are not transferrable
to subsequent year budgets. We do provide some flexibility in this approach:

The HRB are agreeable to allow 10% of the current year Budget to be requested by you to be
adjusted into the next Budget year(s) where 10% of the Budget for the current year has either
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not been claimed, or over-claimed, and used for the Grant Funded Activities subject to the
following:

1.      The HI shall submit such claim to the HRB for approval with details of what aspects of
the Budget are to be adjusted in the next Budget year(s) as part of the Annual Report. The
proposed Budget for the next Budget year shall accompany such application.
2.      The HI in submitting such application confirms that it will enter into a letter of variation
to adopt the revised Budget, if approved, to the Grant.
3.      At no time shall the total Budget exceed the original amount issued with the Grant, or
most recent letter of variation, in total or cumulatively.

Will this award provide funding for individual trials?
No. Funding is not provided for individual trials (definitive interventions or feasibility studies).
Trials and interventions are expected to be funded from other sources, e.g. industry-
sponsored, charity funded or through competitive means, such as the HRB DIFA scheme.

Regarding co-investment: can a trust or charity be recognised as a
contributor to co-investment?
The HRB are happy to accept this form of co-investment provided that it is verifiable in
accounting terms meaning that it is a defined income source (such as FTE) that is consistent
and measurable.

How will the flow of funding be managed between the Host
Institution (HI) and members of the cluster or network?
The HRB will be contracting directly with the Host Institution (HI) for the purposes of this
contract. The HI will be expected to manage the process of payments out to the appropriate
sites for any staff agreed to be funded through the grant budget. This is a standard occurrence
and many of the HIs will already have underpinning agreements in place with external sites
such as the Clinical Research Facilities. It will be clear from budget negotiations where the
payments are to be made to and the HI will manage that process for the duration of the grant.
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Can the co-funding by hospital groups/university or other
stakeholders for specific trials support be counted as co-investment?
E.g. Research Nurse roles where the nurse only works on that trial.
No, HRB are not counting support for individual trials as co-investment in this round.

Does the matched funding have to match HRB funding per calendar
year?
We expect the level of co-investment proposed to broadly match/exceed the requested HRB
budget in any given calendar year, i.e. where €500,000 HRB budget is requested in Year 2, a
similar level combined co-investment by (HI/Hospital/Associated charity) or more is expected
in Year 2. Over the five-year period of the award the total confirmed co-investment must
equal or exceed the requested HRB budget.

Responsibility will lie with the Host Institution/Hospital to ensure the matching funding
requirements are met. In all cases the Host Institution/Hospital contribution should be
justified, measurable and verifiable. All documentation relating to matched funding provided
to the HRB-CRF/C by the Host Institution/Hospital must be available for audit purposes if
required.

It is an eligibility requirement that the amount required and evidence for this matched
funding is detailed at application stage. Failure to achieve matched funding will make an
application ineligible for this call.

Can resources/support be counted for multiple submissions: e.g. can
host institution support be counted for both the Cancer Trials Ireland
investment and CRF/C?
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No, allocating the same resource under both applications would be considered as double
counting. Co-investment cannot be double counted across multiple bids. Resources to be
counted as matched funding must be distinct and clearly identified for the infrastructure; i.e.
resources counted for the Cancer Cluster should be available to support the operations of the
cancer cluster. Similarly, resources counted as matched funding e.g. a CRF/C should be
available to deliver for the CRF/C. It may be that part of a persons’ salary is counted towards
a CTI bid, and part towards the CRF/C bid. This aspect will be reviewed by HRB Finance.

Portfolio of the Cluster/Network:
Registered Trial data
A particular format is requested for capturing registered trial data -
centres collect this currently in different ways. How should this be
approached by applicants?
We expect applicants to complete as much as possible– this is a key part of the application.
For columns where the information is not currently collected and therefore remain blank, it
will serve as an indicator of a gap in the current collect methods within the system.

The international Panel will be assessing applications from multiple applicants’ groups and so
templates are used to provide consistency in review.

The application form also has a section for applicants to describe their approach to monitoring
activity and performance, and this will likely be further discussed in the interview.
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Submission, Host Institution
Signatory and the Review Process
How do I apply for a Cancer trials in Ireland award?
All applications must be made using the HRB online Grant E-Management System (GEMS).
Applicants should carefully read the Guidance Notes prior to application.

Submission process using GEMS
Prior to final submission to the HRB, all applications must first be reviewed and approved
within GEMS by the signatory approver at the research office (or equivalent) at the Host
Institution. It is critical therefore that the Lead Applicant leaves sufficient time in the process
for the Research Office (or equivalent) in their nominated Host Institution to review, seek
clarifications and approve applications prior to the final submission date. This may involve
being aware of and complying with any internal Host Institution deadlines for review and
approval, distinct from the HRB deadline.

What is the size limit for attachments in GEMS?
The file size limit is 2MB.

Are the templates for this application found only within GEMS or can
they be downloaded via the HRB website?
Yes, they are only available within GEMs. Anyone may create an account and access them for
download, not just the lead applicant.
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How do we decide which is the most appropriate, an Infrastructure
Agreement Form, a Collaborator Agreement Form or a Letter of
Support?
Where an infrastructure or organisation is to provide defined supports and services to a
cluster or a network we recommend they complete an Infrastructure Agreement Form (linked
for download in GEMS). There is an equivalent form for those named as collaborators, mostly
individuals providing other input into an award (a Collaborator Agreement Form- again linked
for download in GEMS). All others in support of the award but not directly participating as co-
applicants or collaborators should submit a Letter of Support. The supports and services
provided by the CRF partner should be detailed in the CRF Co-Lead section.

Who has access to the application?
Anyone added to the application including Co-lead applicants, Site Leads and Collaborators
will all have access to the application.

Can salary scales other than the IUA scale be used for staff
appointments, for example HSE nursing scales?
Yes, any appropriate scale can be used as long as you include the information on the scale
used and the point at which the position in question sits. We used the IUA scale as the usual
example as the majority of HRB contracts are for employment of researchers rather than
medical staff.

How will I know that my application has been successfully
submitted?
Once the HI endorses your application it will be sent automatically to the HRB to be
considered for funding, a grant application number will be assigned to the application and
you will receive a confirmation email.
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I have submitted my application but have just realised I have
amendments to make; can I amend the application?
No, once you have submitted your application, you cannot edit or retract it.

What is the review process?
Submitted applications will first be checked for eligibility by HRB staff against the minimum
requirements for this scheme: that the application is in scope, eligibility of the team
confirmed, and minimum requirements have been met.

Eligible applications will undergo a Panel assessment process. Initial comments or questions
from the international panel will be provided to the Applicant teams prior to interviews which
will take place in late April 2021. It will be confirmed closer to the time whether interviews
will take place virtually, or in person at the HRB Offices, in line with Covid-19 travel
restrictions.

What is the deadline for application submission?
The award application deadline is Friday 15th January. Please be aware of any internal
deadlines for Host Institution approval which may apply.

When will awards commence?
The earliest start date is January 2022. The duration of the awards will be 60 months with an
interim review.
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