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NCI’s Office of Centers, Training & Resources: Fostering Progress in Cancer Health Disparities Research
July 17-19, 2006Cancer Health Disparities Summit 2006
Bethesda, Maryland
NCI’s Office of Centers, Training & Resources: Fostering Progress in Cancer Health Disparities Research
July 17-19, 2006Cancer Health Disparities Summit 2006
Bethesda, Maryland
Ernest Hawk, MD, MPHNational Cancer InstituteOffice of Centers, Training & Resources
Ernest Hawk, MD, MPHNational Cancer InstituteOffice of Centers, Training & Resources
OCTR MissionOCTR Mission
Major OCTR goals• Cancer research infrastructure & capacity building• Translational cancer research• Anticipating cancer research manpower needs• Ensuring diversity among cancer scientists
Goals are supported by OCTR grants programs • Cancer Centers Branch (CCB)• Organ Systems Branch (OSB)• Cancer Training Branch (CTB)• Comprehensive Minority Biomedical Branch (CMBB)
Major OCTR goals• Cancer research infrastructure & capacity building• Translational cancer research• Anticipating cancer research manpower needs• Ensuring diversity among cancer scientists
Goals are supported by OCTR grants programs • Cancer Centers Branch (CCB)• Organ Systems Branch (OSB)• Cancer Training Branch (CTB)• Comprehensive Minority Biomedical Branch (CMBB)
OCTR’s Contributions to the Strategic Goal of Overcoming Cancer Health Disparities
OCTR’s Contributions to the Strategic Goal of Overcoming Cancer Health Disparities
• Institutional health disparities training & research capacity building
• Research in cancer health disparities• Outreach & education efforts to underserved
populations• Training
– Persons from minority/underserved groups for cancer research careers
– For research careers in health disparities• Education of professionals in health disparities
• Institutional health disparities training & research capacity building
• Research in cancer health disparities• Outreach & education efforts to underserved
populations• Training
– Persons from minority/underserved groups for cancer research careers
– For research careers in health disparities• Education of professionals in health disparities
Cancer Centers - MissionCancer Centers - Mission
• “To foster excellence in research across a broad spectrum of scientific and medical
concerns relevant to cancer”
&
• “to extend the benefits of research to patients, their families, and the general public through
clinical care, outreach, and education.”
• “To foster excellence in research across a broad spectrum of scientific and medical
concerns relevant to cancer”
&
• “to extend the benefits of research to patients, their families, and the general public through
clinical care, outreach, and education.”
- Support for 61 centers- More than $240M in 2005- Support for 61 centers- More than $240M in 2005
NCI-Designated Cancer Centers –Characteristics & Components
NCINCI--Designated Cancer Centers Designated Cancer Centers ––Characteristics & ComponentsCharacteristics & Components
StrongCenterDirector
StrongStrongCenterCenterDirectorDirector
CancerFocus
CancerCancerFocusFocus
Intra- & InterdisciplinaryCoordination &Collaboration
IntraIntra-- & Interdisciplinary& InterdisciplinaryCoordination &Coordination &CollaborationCollaboration
OrganizationalCapabilities
OrganizationalOrganizationalCapabilitiesCapabilities
Adequate &Appropriate
Facilities
Adequate &Adequate &AppropriateAppropriate
FacilitiesFacilities
InstitutionalCommitmentInstitutionalInstitutional
CommitmentCommitment
NCI-designatedCancer Center
NCINCI--designateddesignatedCancer CenterCancer Center
• Administration• Senior Leadership• Staff Investigators• Planning & Evaluation• Scientific Programs• Shared Resources
- Biostatistics, informatics, etc.• Protocol Review & Monitoring System• Protocol-specific Research Support• Data & Safety Monitoring• Data Sharing• Developmental Funds
- Pilot projects, recruitment, new shared resources, new technologies/methodologies, interim support
• Administration• Senior Leadership• Staff Investigators• Planning & Evaluation• Scientific Programs• Shared Resources
- Biostatistics, informatics, etc.• Protocol Review & Monitoring System• Protocol-specific Research Support• Data & Safety Monitoring• Data Sharing• Developmental Funds
- Pilot projects, recruitment, new shared resources, new technologies/methodologies, interim support
Revised 10/10/05Revised 10/10/05
Cancer Center (22)Comprehensive Cancer Center (39)Planning Grant (7)
Cancer Center (22)Comprehensive Cancer Center (39)Planning Grant (7)
Current and Emerging NCI Cancer CentersCurrent and Emerging NCI Cancer Centers
93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 101992 2010
Organ-Disease Focus
Phase 1Pilot TranslationalResearch Concept
Major Organ SitesReached Critical
DensityOvarianSPOREs
Pre-clinical Development Focus
Minor Organ SitesReach Critical Density
Phase 2Expansion Plan
to All Organ Sites
Human Molecular Targets Focus
Phase 3Scientific
Diversification
11/29/2002
Vision for the SPORE Program
Phase 1
Emphasis on Basic Research intoPre-clinical StudiesInitiate Human End Point Studies
Phase 2
Emphasis on Human End Point StudiesInter-SPORE Collaborations-same siteInitiate inter-site dialogueInitiate linkages to other programs
Phase 3
Emphasis on inter-site researchCommon, molecular mechanisms forinterventionsLinks to other NCI programsPartnerships, collaborations with industry
GI SPOREs
BreastProstate
Lung SPOREs
SPOREs & Cancer Health Disparities Research
SPOREs & Cancer Health Disparities Research
• Funding translational research on health disparities
• Training minorities for careers in translational research (with CMBB)
• Increasing racial/ethnic diversity in biological specimens available in tissue repositories
• Tracking minority participation in early-phase translational/clinical trials funded by SPOREs
• Funding translational research on health disparities
• Training minorities for careers in translational research (with CMBB)
• Increasing racial/ethnic diversity in biological specimens available in tissue repositories
• Tracking minority participation in early-phase translational/clinical trials funded by SPOREs
Cancer Training Branch SupportCancer Training Branch Support
• Emphasis on “endangered” disciplines– Clinical research, cancer prevention, control,
behavior & population science
• Minority health/health disparities support – R25 & K07 mechanisms
• Overall, more than $150M in FY05
• Emphasis on “endangered” disciplines– Clinical research, cancer prevention, control,
behavior & population science
• Minority health/health disparities support – R25 & K07 mechanisms
• Overall, more than $150M in FY05
Scope of CTB Training & Career Development Opportunities
Scope of CTB Training & Career Development Opportunities
grad student postdoc new faculty established faculty
Fellowships Career (K) Awards
Research (R) Grant
T32, R25T
T32/K12/R25T
F32, K01, K07, K08, K23, K25
K22, K25 F33, K05, K24, K25
Career Timeline
White 103AA 3
Asian 24Hispanic 1
Unknown 6
Cancer Education Community Health Aides AlaskaCancer Control Capacity Building Native Researchers Deaf Community Cancer Diffusion StrategiesSowing the Seeds: A Program for Latinas
Sustaining Breast Cancer Control w Community Stylists
ResourceBuilding & Community Outreach
Kentucky Cancer Prevention & Control Training ProgramCancer Control Training in Multi-ethnic Hawaii
Long-term Training
Increasing Diversity in Cancer Clinical ResearchMinority Pre-Doctoral Education to Reduce Disparities
Short termResearchTraining
Grant TitleEducation Approach
CTB R25E GrantsCTB R25E Grants
CMBB MissionCMBB Mission
• Increase the number of competitive minorities in cancer research
• Raise the competitive research capacity of Minority-Serving Institutions (MSI)
• Serve as a resource/model for U.S. programs/organizations with similar objectives
• Increase the number of competitive minorities in cancer research
• Raise the competitive research capacity of Minority-Serving Institutions (MSI)
• Serve as a resource/model for U.S. programs/organizations with similar objectives
CMBB Strategies to Reduce Cancer Health Disparities
CMBB Strategies to Reduce Cancer Health Disparities
1. Continuing Umbrella of Research Experiences (CURE) – Train underrepresented minority individuals to become
competitive cancer researchers
2. Minority-Serving Institution/Cancer Center Partnership (MI/CCP) Program – Increase MSI cancer research capabilities – Increase underrepresented minority researchers– Improve NCI-designated CC activities that address
underrepresented minority populations
1. Continuing Umbrella of Research Experiences (CURE) – Train underrepresented minority individuals to become
competitive cancer researchers
2. Minority-Serving Institution/Cancer Center Partnership (MI/CCP) Program – Increase MSI cancer research capabilities – Increase underrepresented minority researchers– Improve NCI-designated CC activities that address
underrepresented minority populations
High School Undergrad Predoctoral Postdoctoral Junior Investigator
ResearchSupplementsResearchSupplements
Cancer Education Grant: R25T
Cancer Education Grant: R25T Clinical Oncology
Training Grants: K12Clinical OncologyTraining Grants: K12
Transition Career: K22
Transition Career: K22
Continuing Umbrella Research Experiences
Supplements to the CURE:Supplements to the CURE:
Fellowships:F31Fellowships:F31
Career Awards:K01K08K23
Career Awards:K01K08K23
Cancer Center Grant: P30Cancer Center Grant: P30
TrainingGrants:T32TrainingGrants:T32 Cancer Center:
P30 MD/PORCancer Center: P30 MD/POR
R
0
1
CMBB Career Development Portfolio“CURE”
CMBB Career Development Portfolio“CURE”
AI (Ojibwe)U. of MNSmoking Intervention
AAStanford U.Breast Cancer Prevention: Differential Trust & Cancer Care
Hispanic womenU. of HISmoking & Weight Control
AA womenFL A&M U.Identification of Elderly AA Women at Risk for Diagnosis of Late-stage Breast Cancer
AA, CaucasianU. of NCDiet, Colon Cancer & Cancer Communications
AA, Hispanic, Caucasian
Baylor College of Medicine
Breast Cancer Chemoprevention: Role of SES, Ethnic/Racial Background, Knowledge & Attitudes
Target PopulationSiteStudy
0
100
200
300
400
Nu
mb
er
4.3 25.8 11.5 20.6 14.9
Fiscal Year
Number of Trainees 186 194 244 272 328 377
Yearly % Change
1999 2000 2001 2002 2003 2004
CMBB Research Training & Career Development Awardees/Appointments* (by FY)
CMBB Research Training & Career Development Awardees/Appointments* (by FY)
*Does not include trainees supported by U54 & U56 grants
U54 - 3 partnershipsU56 - 11 partnershipsP20 - 9 partnerships
U54 - 3 partnershipsU56 - 11 partnershipsP20 - 9 partnerships
Current NCI-Sponsored Minority Serving Institution-Cancer Center Partnerships
Current NCI-Sponsored Minority Serving Institution-Cancer Center Partnerships
Guam
University of Puerto Rico
Future Opportunities to Advance NCI’s Mission to Reduce Health Disparities
Future Opportunities to Advance NCI’s Mission to Reduce Health Disparities
• Databases– Track health disparities research conducted by
cancer centers & SPOREs
• Coordination
– Align research areas of emphasis & training program priorities
• Assessment tools
– Evaluate health disparities training
• New Initiatives (TRWG, CaBIG)
• Databases– Track health disparities research conducted by
cancer centers & SPOREs
• Coordination
– Align research areas of emphasis & training program priorities
• Assessment tools
– Evaluate health disparities training
• New Initiatives (TRWG, CaBIG)
AcknowledgementsAcknowledgements
• H. Nelson Aguila• Marilyn Gaston • Jorge Gomez• Belinda Locke• Peter Ogunbiyi• Sanya Springfield• Devi Vembu• Jaye Viner• Linda Weiss
• H. Nelson Aguila• Marilyn Gaston • Jorge Gomez• Belinda Locke• Peter Ogunbiyi• Sanya Springfield• Devi Vembu• Jaye Viner• Linda Weiss
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