Council for Tobacco Research
the Cancer Letter Vol. 8 No. 41
Fields
- Depository Date
- 27 Nov 1996
- Author
- Boyd, J.D., Cancer Letter
- Type
- NEWSLETTER
Document Images
HIt- 0716058
H 2 6058
P.O. Box 2370 Re.on, Virginia 22~0 Telephone 703~2046~ " [
SEER GETS EXTRA $500,000 TO PERMIT ADDITION OF ONE
REGISTRY TO BROADEN COVERAGE OF BLACKS. HISPANICS
The Board of Scientific Counselors of NCI's Div. of Cancer Cause &
Prevention cleared the way for the division to add a new registry for
(Continued to page 2)
In Brief
NO INTENTION OF RETIRING, DEVITA SAYS; BRESNICK
TO HEAD EPPLEY; BALCH ACTING DIRECTOR AT ALABAMA
RUMORS TO THE contrary, Vincent DeVita said he has, no inten-
tion of giving up kis job as NCI director and retiring when he completes
20 years with the Public Health Service next year. "I am not leaving
until I see the job finished," he told The Cancer Letter. He has b.is new
staff pretty much in place and functioning well under his tight manage-
ment, and "you couldn't ask for more exciting times, scientifically"....
EDWARD BRESNI..CK, chairman of the Dept. of Biochemistry at the
Univ. of Vermont College of Medicine, will be the new director of Epp-
Icy Cancer Research Institute, starting next May 1. NORMAN CROM-
WELL, interim director since 1979, will continue until Bresnick's arrival
and then will return to Un'iv. of Nebraska .... CHARLES BALCH, asso-
ciate director for clhnical program,s at Univ. of Alabama Comprehensive
Cancer Center, is now acting director with the departure of JOHN
DURANT, new president of Fox Chase Cancer Center .... DONALD
PI3NKEL will g/re the annual C/owes Lecture Oct. 27 at RoswelI Park,
entitled "Treatment of Acute Lymphocytic Leukemia".... BIOQUAL
I~NC., Rockville, Md., has acquired the assets of Cot Bel Laboratories,
also of RockviIle. Assets included contracts for animal support, breed-
~ing and holding for NIH. Bioquai is headed by JOHN LANDON, former
president of EG&G Mason Research Institute .... RICHARD
BURGESS, Univ. of Wisconsin Medical School professor of onco/ogy,
has recieved the 1982 Pfizer Award.in enzyme chemistry for research
on the genetic mechanisms of enzyme production .... BERNARD
SCHWETZ, former director of the Dow Chemical Toxicology Research
Laboratory, has been appointed chief of the Systemic Toxicology
Branch of the National Toxicology Program .... SAMUEL BRODER,
who has been acting director of the Clinical Oncology Program ~n
NCI's Div. of Cancer Treatment, now has the job on a permanent basis.
He also is deputy clinical director of the Institute. Other DCT staff
changes: ARTHUR I..EVINE, who has been special assistant to DCT
Director Bruce Chabner, has been appointed scientific director of the
National Institute of Child Health & Human Development. DANIEL
HOTH is acting'director of the Cancer Therapy EvaJuation Program.
EDWIN JACOBS is the new acting chief of the Clinical Investigations
Branch. RICHARD SMALLEY has been named chief of the Biological
Resources Branch.
Vol; 8 No. 41
Oct. 22, 1982
c(~Copyr ight lg82
The C.,anc~', Letter
- SoDscriphon $~,25 year North
Research Contracts
Branch Reorganized,
Graalman On "Detail"
•.. Page 4
GAO Probes NCI
Intramural Program,
Finds All Is Well,
But Won't Report It
•.. Page 4
Commerce DePt. Socks
NCI For Cancergram
Paid Subscri pti ons;
NCAB Committee OKs
OD Concept Requests
•.. Page 5
DCCP Board Defers
Two Concept Requests,
Approves Sole Sources
... Page 7
\
Four New Program
Announcements For
BRMP Trials Issued
... Page7
RFPs Available
•.. Page 8
c:'r7;;:

0,716059
~EER CEILING LIFTED; COST COMMITTEE
FINDS DEFICIENCIES, ASKS CHANGES
fContinued from page 1)
the.Surveillance, Epidemiology and End Results
(SEER) program by voting to .lift the $10 million.
LL, nit it had previously p!aced on the program.
SEER funds l 0 registries to collect incidence and
sr.wv/val data at geographically dispersed locations
around the cruntry, covering about 10 percent of the
papular.ion. A review of the program b~, a committee
cb.aired by former'Board member Seymour Jablon
last year reported a number of deficiencies, among
them a finding that blacks andhispanics were not
adequately represented in areas covered by SEER.
Populations in those areas include only seven percent
blacks wlfile the blacks total 10 percent of the U.S.
population, and there is a matdistribution of hispan-
ic~ among the existing registries..
The Board last year gave concept approval to the
addition of a new registry, to be located in an area
where nm, nbers of hispanics aiad blacks would lift the
total of those groups to their proportionate levels and
would bring in more urban area hispanics. New York,
Los Angeles, Miami, and some areas of Texas were
mentioned as possibilities.
The Board also had called for a new committee to
conduct a coordinated review of SEER registrie~ to
determine costs in a uniform way~ to identify areas
in which savings might be made, and to develop a
uniform set of cost accounting procedures. Among
that committee's recommendations was that a ceiling
of $10 million a year be placed o~a the program, and
the Board concurred.
Ear! Pollack, chief of the Biometry Branch in
DCCP's Field Studies & Statistics Program, told the
Board at its recent meeting that it appears now a new
regis~5,.would push the annual cost of SEER Over the
$10 minion ce.il.ing despite an estimated $500,000
cost reduction brought about by efficiencies resulting
from the two reviews. It will take "at .least $500,000
more" to get a new registry into operation, Pollack
said, although he anticipates that furthur savings will
be made.
Board member Gilbert Omenn asked if any con-
sideration had been given to phasing out one of the
smaller existing registries, "one with limited value."
The smaller ones "are not of/imited value," Pol-
Iack stud. "They still operate effecti~'ely. The sinai-.
lest, Hawaii, includes import~int population groups.
With San Francisco, it gives us a large percentage of
~ur Chinese population, much of our Filipino popu-
hation, and all of our Hawaiians: Utah has the large
Mormon population, and New Mexico has a large his-
.panic and American Indian population."
Omenn noted that existingSEER registries in
Puerto Pdco and Neff Mexico bring in large numbers
of hispamcs, wt-file those in Atlanta and Detroit cover
large black populations.
"Yes, but those numbers are relatively small,"'
Pollack said. And, although there are 300,000 hispan-
ics in New Mexico, "we have a hard time discussing
that with Mexican groups, giving New Mexicorep-
• resentation of all U.S. hispanics."
"'By no means can you consider New Mexico res-
idents with Spanish surnames representative of the
U.S. Mexican population," Board member William
Haenszel said,
DCCP Director Richard Adamson said that lifting
the ceiling wouldbe accomplished by reprogramming
the extra $500,000 from elsewhere in the Field
Studies & Statistics budget.
Board membrr Pelayo Correa, supported by Carl
Shy, offered a motion removing the limit entirely.
"'The concept of putting any cap on the program is
bothersome," Shy said. However, Board Chairman
Peter Magee said, "Those who object to caps can save
that policy issue for later." Correa agreed to changing
his motion to the $500,000 addition, and it passed
unanimously.
DCCP is preparing a reques~ for proposal, and the
new registry will be selected competiti.vely.
The SEER cost study attempted to determine why
costs per newly diagnosed case per year ranged from
$70 to $255 among the 10 registries.
Members of the cost study committee were Frank
Starmer, professor of computer science at Duke Univ.
and chairman of NCI's Biometry & Epidemiology
Contract Review Committee; Marie Swanson, direc-
tor of the cancer registry at the Michigan Cancer
Foundation; Calvin Zippin, professor of epidemiolo-
gy at the Univ. of California (San Francisco); Lilia
O'Connor, accountant and former chief of abstract-
ing and coding at the California Tumor Registry;
Nancy McGinness, an NIH CPA and auditor on many
SEER contracts; John Young, chief of the Demo-
graphic Analysis Section ofNCI's Biometry Branch
and SEER project officer; and Pollack.
Following are the committee's recommendations:
"The basic issues confronting the survey team that
have implications for cost of the SEER operations •
were: I) What changes should be made in each regis-
try in order to improve the efficiency of the opera-
tion, and at the same time reduce costs? 2) What
overall procedures should be introduced for all regis-
tries to establish a :'miform way of specifying budgets
and monitoring costs on an ongoing basis? The survey
team considered these questions as they analyzed the
data.., in order to arrive at a series of specific rec-
ommendations that are presented below;, first for the
individual registries and finally for the overall opera-
tion of the SEER Program.
"San Francisco: In terms of personnel, this registry
was relatively high in full time equivalents for editing,
T~e P_.at~=er- Let;l;er- .
P-~ 2 / Oct. 22, 1982

quality control, data'processing, da'ta entry and data
retrieval. Its computer costs were among the highest
in the SEER Program. The following is a specific .set
of recommendations:
"l. Computer programs for adding death certific-
ate only cases to the registry should be built into the
computer system.
"2. The two stage procedure now used for ab-
stracting information from medical records should be
.combined into a single operation.
"'3. Com.puter storage costs must be reduced as
soon as possible. This could result in a reduction of
$25,000 annually.
"4. Eliminate two full time equivalents or a com-
parable amount of mo~ey in-computer costs.
"5. For the 1983-84 contract year, the registry
must be held to its estimate of $10,500 per month
for computer costs.
"Connecticut: The recommendations made here
will pertain to two contracts-that with Yale Univ.
and that with the Connecticut State Dept..of Health
Services:
"1. Steps must be taken immediately to improve
communcation between the Connecticut Cancer
Epidemiology Unit (CCEU) at Yale and the Connec-
ticut Tumor Registry since the CCEU is supposed to
be functioning as though it were the research com-
ponent of the registry. The contract proposals and
the operations of these two units should reflect that
fact.
"2. The staff of the CCEU must be reduced and
in particu!ar the position for the full time adminis-
trator cannot be justified.
"3. The CCEU and the Dept. of Health Services
need to work together to improve the quality of the
data. This includes using the data in sufficient detail
to identify problems that need corrections.
"Since the visit by the site team, these two con-
tracts have come up for renegotiation, These recom-
mendations were taken into account in the negotia-
tmns and it is expected that the staff reductions will
have taken place by the time the negotiations are
completed. Because of an increase in the indirect cost
rate at Y. ale, this will not result in a reduction in cost.
"Detroit: No recommendations were made for
Detroit other than that the staff be reduced by three
full time equivalents. This has already been d0nd by
the elimination of full time positions in administra-
tion, abstracting, and followup. By the end of calen-
dar year 1982, the gtaff will be reduced by two more
full time personnel in the area of data processing.
"Hawaii: The entire Hawaii registry operation was
a nightmare. The number of forms used was astro-
nomica.1, the complexity of the basic abstract form
was unbelievable and no one individual knew the
total operation of the registry. Furthermore, Hawaii
was among the highest in the number of full time
equivalents per 1,000 admissions in the area of qua!-
ity control, research, and administration. The follow-
ing specific recommendations were made:
"l. The registry must immediately take steps to
improve the procedures for its basic operation. This
includes reducing the number of forms, simplifying
the basic abstract form So that it can be used easily
for data processing, and improve the communication
among those carrying out the various registry, func-
tions so that it is clear to the staff how the. registry is
supposed to .operate.
!'2. Reduce the staff for quality control by one -
half FTE.
"3. Reduce research staff by moving .8 FTE for
secretary to administration and removing .8 FTE sys-
tems analyst. This leaves the amount of staff devoted
to administration relatively high, but on the other
hand Hawaii has an extremely low overhead rate.
"Iowa: Staff'mg for the Iowa registry is about at
the level of the SEER average for almost ever3., categ-
Ory. Therefore, the only recommendation is to elim-
inate one.position for an assistant director that was
vacated when the incumbent was promo{ed to direc-
tor of the registry.
"New Mexico: New Mexico has the highest numb-
er of full time equivalent personnel per 1,000 admis-
sions f6r each of the registry functions and overall
their ratio was over twice that of the next hagliest
registry. Thus, it was clear that the registry is over-
staffed but it was not possible to identify how the
operation of the registry should be modified to bring
the staffing more into line with that of the other reg-
istries, Therefore, the recommendations are as
lows:
"1. Eliminate most of the data items from the ab-
stract form that are not required by SEER.
"2. Change the registry procedures such that by
the end of the next contract year the annualized cost
for the New Mexico SEER cohtract gSll be about one
half its current level.
"'Seattle: The registry, operation is efficient and
effective and no recommendations for change are
proposed.
"Utah: The following recommendations are made:
"i. Reduce one half FTE for data entry..
"2. Remove .65 FTE for the secretary in the ad-
ministrative category.
"Atlanta: The following recommendations are
made:
"1. No change in personnel is recommended.
"2. Some of the non-SEER data elements should
be removed from the abstract form.
"3. Because the indirect cost rate of 50 per.cent ~s
the second b_ighest in the SEER Program. it is recom-
mended that some way be found to reduce this cost.
"Puerto Rico: No reductions in staff were recom-
mended. The extent of active followup must be im-
proved substantially. We analyzed th.e repoyt of the
committee that recommended the purchase of a Data
The I~ance~ Lette~
r.'.7"T'F:;t

General computer for the registry and essentially con-
cuffed in the decision. We also recommended the
transfer of a systems analyst position to the SEER
contract to optimize the use of thecomputer."
RCB SHAKEUP: GRAALMAN "'DETAILED"
TO NEW JOB, TWO SECTIONS EI~IMINATED
NCI's Research Contracts Branch has been reorgan-
ized followqng the "detailing" of Branch Chief James
Graalman to a different assignment, a step which has
prompted him tO file a grievance with NCI manage-
ment. --
Graalman now is on "special assignment" involving
training and policy within the branch. Robert Namo-
vicz, NCI deputy executive officer, is acting branch
chief. David Keefer remains as deputy chief of the
"branch.
Graalman was appointed branch chief in 1975 by
then NCI director Frank Rauscher, coming to the In-
stitute from N~%SA.
The reorganization resulted in reducing the number
of sections frDm fiv~ to three, coinciding with the
impending retirement of George Summer~, chief of
the Treatment Contracts Section, and departure of
Daniel Longen, chief of the Carcinogenesis Contracts
Section.
Summers plans to retire in March Or April of 1983,
and has moved to the office of Carl Fretts, director
of the NIH Div. of Contracts & Grants. Longen i~
leaving to join the Indian Health Service where he
will head the district office of procurement in
Billings. Montana.
The Biology & Diagnosis and Control & Rehabil-
itation sections have been combined into a Control &
P~:evention Section. It handles contracts for the INv.
of Cancer Biology & Diagnosis, the Div. of Resources,
-Centers & Cdmmunity Activities, and the Office of
Director. Hugh Mahanes, who was chief of the Biolo-
gy & Diagnosis section, heads the new section.
Gary Kelley, who was chief of the Control & Re-
habiIitation Section, has replaced Summers as chief
of the Treatment Section. This section will continue '
to handle contracts for the Div. of Cancer Treatment.
The Carcinogenesis Section has been combined
with the Biological Carcinogenesis & Field Studies
Section, headed by .Charles Fafard, who is chief of
the new combined Cause & Prevention Section. It is
responsible for Div. of Cancer Cause & Prevention
COrl ira cts.
Addresses and phone numbers of the sectior~s in
the new alignment are:
-Cause & Prevention Contracts Sectib~, Blair
Bldg. Rm. 114A, Chai'les Fafard, chief, 301-427-
8888.
-Control & Prevention Contracts Section, Blair
Bldg. Rm. 2A07A, Hugh Mahanes, chief, 301-42%
85'45.
-Treatment Contracts Section, BLair Bldg. Rm.
228B, Gary Kelley, chief, 301-427-8"237.
Address of the Blair Building is 8300 C01esville
Rd., Silver Spring, Md.. 20910.
Namovicz and Keefer may be reached at 301-427-
8810.
GAO PROBE OF NC| INTRAMURAL PROGRAM:
NO PROBLEMS, NO REPORT, HAWKINS MUM
The General Accounting Office was established by
Congress as its "watchdog" over the Executive
Branch. Individual senators and congressmen request
investigations of particular agencies when they have -.
- reason to feel a problem exists (and, sometimes,
when they recognize an opportunity for some media
coverage). GAO'also initiates investigations on its
own. -----
It is a rare instance when the GAO sleuths cannot
find something wrong, or come up with some recom-
mendations for improvements, especially when a con-
gressman has his knife sharpened and is anxious to
call in the TV cameras. NCIhas been one of the fa-
vorite targets of such congressionally inspired probes
in recent years.
Sen. Paula Hawkin~ last year asked GAO to inves-
tigate the administration, operations and accompkish-
merits of NCI's intramural program. Two investiga-
tors spent months looking at every aspect of NCI's
intramural research, a~.d guess what? They couldn't
find anything wrong.
When GAO does come up with some Scandal or
evidence of inefficiencies or poor administration, it
publishes booklets describing the wrongdoings in de-
tail, and the lucky legislator who initiated that inves-
tigation produces stacks of press r, eleases, all of ~:hich
are widely distributed.
But when the investigation finds that an agency is
running smoothly and doing its job well, the world
almost never hears about it. GAO's policy is that it
will not make a report if nO action is required of the
agency it has investigated.
So far, nothing has come out of Hawkins' office
about the investigation.
NCI Director Vincent DeVita, elated by the GAO's
conclusion, distributed a memo describing the inves-
tigation and its findings as-related in a briefing by
GAO of NCI executives and staff members of Hawk-
ins' Subcommittee on Investigatidns 8: General Over-
sight:
. The review done by GAO was comprehensive ~nd included
the review of numerous documents and interview~, with not
onl>' member~ of immediate staff of the Office of the DirectoL
NCI, but a broad spectrum of the personnel who cornpnse our
intramural program in the Div. of CancerBioiog? &Diagnosts.
the Div. of Cancer Cause & Prevention, and the D~. of Cance~
Treaiment. Investi~tors from GAO attended and learned
hand of the site visit process used by our intramural labs and
branches and were also in attendance a[ meetin~ of out major
advisory councils, including the National Cance~ Advisory
tMard, the President's Cancer Panel and the ,-hvisional boards
The Cancer Letter
Pa~e 4 / Oct. 22, 1982
C:"!"F;-:: 1"'11",.1

0716062
of scientific counselors. For comparison, although not at the
same level of detail, the investigators also reviewed the opera-
tlons of ~he Veterans Admmislration and the Dept. of the
Army's intramural program as well as eight of the nine other
NIH intramural programs.
The major findings of this stud>' are as follows:
I. The application of uniforndty in the management of the
intramural programs of the National Cancer institute in recent
years has strengthened the overall program. GAO was particu~
Larly impressed with the comprehensive site visit process we
have established which ~ncludes aperiodic review by the div-
isional board of scientific counselors through the use of site
visit teams, of each laboratory's scientific achievements and
future plansT, as well as the laboratory's total resources. The
documents prepared inadvanced for site visitors and the de-
tailed discussion of budget and the actions resulting from the
site vicits gave .assurance to the investigators the advice given
bv our boards was soundly based, and is being heeded. The
~AO also [isted the consolidation of our intramural operations
and an overall change of direction to a more comprehensive
program as substantial improvements..
2. The GAO noted the variances in the peer review systems
of NIH intramural programs seemed unnecessary and recom-
mended to the subcommittee that the management of the
other institutes be reviewed so the NCI review would be one
of comparison and not in isolation.
3. Our stringent system of evaluating our employees, their
promotion and, when appropriate(turnover ~atisfied this •
group of investigators thai top level, dedicated people predom-
• inate in the intramural programs of NCl.
4. GAO reached no conclucion ivith regard to the appro-
priate ratio 6f expenditures that ~ould be made when con-
sidering the NCI intramural and extramural program. GAO did
note the NCI intramural program continues to comprise 15-
18 percent of the overall NCI budget. In this regard, GAO
also recommended that the NIH re-examine the formulas upon
which each Institute's management fund assessment is calcu-
Lated. They noted tt~t NIH has responded to this recommen-
dation and has established a committee to address this issue.
5. The investigators found it difficult to measure the true
impact of increasing or decreasing funds to an intramural pro-
gram.
6. GAO expressed concern that the f'mancial gains to the
scientists in ttie privafe sector would erode the NCI and NIH
of its best scientists.
7. The investigators did not think it possible for them to
evaluate Cost of research in a fashion that could predict ultim-
ate value or accomplishment.
Under these circumstances, these are indeed high marks t~or
the intramural program, particularly one as large and complex
~h~ ours.
COMMERCE DEPT, SOCKS IT TO NCI
FOR PAID CANCERGRAM SUBSCRIPTIONS
Cancergrar~s, the monthly ~urrent awareness bul-
letins, containing abstract~ of recently published
articles selected from 1,300 biomedical journals, a~'e
published by NCI's International Cancer Research
Data Bank. The total cost to NCI is $870,000 a year.
Abstracts are selected and categorized by research-
ers active in the field and channeled into 66 different
monthly Cancergrams. Complimentary subscriptions
to two Cancergrams are offered on a quid pro .club .
basis to principal investigators who submit descrip-
tions of their ongoing research projects or clinical
protocols to the ICRDB Program. Caneergrams also
may be purchased at a price of $30 for domestic and
$45 foreign, per year, per title.
The National Technical Information Service, an
agency of the Dept. of Commerce, handles publica-
tion and distribution of Cancergrams. NTIS is the
sole entity authorized by Congress to publish and
distribute scientific and technical information com-
piled by the government.
NTIS by law must collect enough money for its
services to break even, either from sales to the public
or from sponsoring agencies. The agency presently_
charges NCI $7.I9 ($21.84 foreignt for each of the
24,163 co'mplimentary Cancergram subscriptions it is
distributing, which cover~ printing, mailing and
handling costs.
So the $30 a U.S. subscriber pays t6 NTIS for a
Cancergram should pay the full cost of his subscrip-
tion and relieve NCI of that burden, right?
Wrong. For each Of the 2,196 paid Cancert~ram
subscriptions, NCI continues to pay NTIS $7.19 or
$2i.84 because NTIS insists, incredibly, that the
extra $30 is "totally consumed" by the cost of main-
raining the subscription. "These charges to subscri-
bers cover only order processing, subscr'/ptidn file
maintenance, computer operations, aria accounting
maintenanc~e," Joseph Caponio, acting director of
NTIS, said in a letter to John Schneider, ICRDB
director.
Caponio even said that the 530 cost was "less than
full cost recovery for NTIS, in keeping with our pol-
icy to keep prices as low as possible for documents of
a more 'humanitarian' nature."
A survey of publishers in the private sector would
find that NTIS is charging five times more for sub-
scription maintenance than iI should cost.
The horrendous overcharge became a factor when
the Reagan Administration put pressure on federal
agencies to recover costs of publications distrit~uted
to the public. ICRDB was required to develop cost
and income figures for converting Cancergrams to en-
tirely paid subscriptions or to reducing the number
complimentary subscriptions by half.
Because of NTIS' funny figures, the government
(theoretically) would not realize any reduction in the
cost of producing and distributing Cancergrams if tiae
entire list of 24,163 free subscriptions was converted
to paid. What's more, the 5810,000 such a conversion
would cost the scientific community probabl.v ~ ouid
come out of research funds, and most probably funds
supplied by NCI to grantees.
When the dilemma was presented to the National
Cancer Advisory Board Committee for Rev~e~ of
Contracts & Budget of the Office of Director. com-
mittee members quickly voted to maintain the
quo.
The committee gave concept approval to the re~
competition dan 1CRDB contract and to continua-
The I.~ancer" Letter`
Vol. 8 No. 4"I / Page 5
C:'T'R MI'..I

H I 0716063
r_ion Of an intra-agency agreement in support of
ICRDB.
"'The ICRDB has done more good for the United
States with other countries than the Dept. of De-
fense or any other agency," committee member Rose
Kustmer said in supporting the concepts.
The contract being recompeted, for computer sup-
port for cancer information dissemination, currently
B held by IIT Research Institute. It will expire in
June, 1984. ICRDB staff estimated a four year re-
newaI would cost almost $3 million, starting at
$679,000 for the-first year. Staff description of the
project:
This project provide~ computer processing services re-
quired for major products and services of the ICRDB Program,
mctudmg computer steps required for database builrling/up-
dating, regeneration and for photocomposition of ICRDB pub-
Li~tions. Most of the complex and extensive data processing,
error checking, and record keeping operations }elated to input
of abstracts to the ICRDB databases (previously carried
by other contractors) will be transferred to this contract. This
si~ificant shift toward increased centralization of data proc-
essing"MIl result in better quality control and significantly re-
duce computer related costs for contractors that screen and
prepare abstracts for ICRDB databses. Major computer ser~-
ices activities Of this contract are:
• 1) Convert input dala received from other contractors into
the format required for entry into the PDQ, Cancerexpress
and Caneertit databases; 2) Use computer program~ to check
errors (including.spelling errors) in the citation, text, and index
terms of input records; 3) Identify and correct errors in the
Cancertit. Cancerexpress and PDQ update tapes and in the
annual regeneration of Cancerlit; 4) Search input tapes for
data needed to prepare 66 monthly current, awareness bullet-
ins called Cancergrams; 5) Interact with Cancer Information
D~emination &,Analysis (CIDAC) staff and ICRDB staff to
select and organize abstracts for each Cancergram, for literat-
ttre review publications called Oncology Over,clews, and for
special publications, and prepare tapes needed for pho!ocom-
position of these publications: 6) Gather, process, reformat,
tabulate and print other data (some 125 separate special ac-
trctr.ies each year) needed for the ICRDB Program, including
operation, contract monitoring, report preparation, optimiza-
tion of databases and publications, distribution of publica-
ttorts and promou0nal materials, interaction wzth users of
ICRDB services.
The agreement with the National Library of Med-
icine, costing $340,000 a year, assists ICRDB in
building, updating, and regenerating online databases
created by the program.
The committee approved a concept it had tabled
last May for a contract to conduct a national survey
ofpubiic knowledge, attitudes, and behavior related
to cancer. The project, by the Office of Cancer Com-
munications, would cost an estimated total of $277,-
000; but only $15,000 of that would come from NCI.
T'ne balance would be taken from depa~mental funds
coting:ted from all HHS agencies.
Thomas Kean, project officer, said the purpose of
the su~ey is to "obtain a data base which will permit
us to effectively plan our future information and
communication strategies; examine our existing com,
munications programs and their basic assumptions,
objectives and content in light of the study findings:
have a baseline against which ~o measure progress in
public understanding in the' future; and assist infor-
.mat.ion and communication, program planners and
evaluators throughout the country by widely dis-
.seminating the results."
The committee had tabled the project previously
when members questioned whether the proposed pri-
mary sample size of 2,000 interviews was sufficient;
whether telephone interviews, as proposed, was an
acceptable method to conduct the survey; and
whether media coverage of cancer would affect re-
suits of the study.
Kean presented figures demonstrating that a 2,000
sample was adequate, andreferred to various studies
CONCEPT REVIEW FIGURES ARE ESTIMATES
ONLY; RFPs, RFA~ NOT YET AVAI LABLE
The dollar estimates listed with each concept re-
view brought before the various boards of scientific
counselors are not intended to represent maxin~um
or exact amounts which will be spent on those proj-
ects. They are intended only as guides for board
members to help in determining the value of the proj-
ects in relation to resources available to the entire
program or division. Responses should be based on
the workscope and description of goals and methods
included in the RFPs (contracts) and RE'As (grantsl.
Availability of RFPs and RFAs will be announced
when the Institute is ready to release them.
showing that telephone surveys could be accurate
and effective. He agreed that media coverage might
affect the results but at_reded that interpretation of
results could take that into account.
The committee voted first to approve the concept,
and'then to recommend proc.eeding with it even if
the HHS Set aside money is not available. Gale Kat-
terhagen cast the only vote against approval, saying,
"I'm not convinced that spending $275,000 of public.
money is going to give us any idea how to change
attitudes."
"It won't do ~hat, but it wilitell Us where we are
today, and how far we need to go tomorrow,'" Kean
said.
Description of the project:
This project is a national survey to determine: (l) current
levels of public knowledge, attitudes, and beha~5or related to
cancer; (2) variations in these levels between odpulauon sub-
groups (e.g., minorities, blue-collar workers):'(3) those com-
munication Channels most frequently used channelsmost fro- -
quently used by the public for cancer relatec informauon and
the degree of credibility attributed to each; (4) current myths
and misconceptions about cancer; (5) the pubhc's percemion
of the need for cancer information and its relanve impo~'tan'ce
in .terms of other issues in their lives; and (6) public percep-
taons of the cancer "establishment" and the degree of prog-
res~ being made in solving the cancer problem.
Oct. 22, 1982
C:'T'|::-": 1""11",.1

H 1 0716064
Tkis study is a three part project. Phase 1 (already com-
pleted) consisted of an in depth literature review and assess-
ment and l o focus group interview with various population
subgroups, out of welch the major hypotheses to be tested
have been defined. This concept review is for phase 2 (instru-
ment design and pretesting) and phase 3 (the actual field sur-
vey using a national probability sample). This sutwey is
modeled on the nationa} survey of public knowledge, attitudes
and behavior relat*d to breast cancer that was completed in
1981. It will prgvide scientifically valid and reliable data
against which to examine the objectives of the NCP's current
information/education programs and with which to plan over-
all strategy and futuredirections for such programs through
the next thxee to five years.
DCCP BOARD DEFERS TWO CONCEPT
APPROVALS, OKAYS 10 SOLE SOURCES
Two projects proposed by NCI's Div. of Cancer
Cause & Prevention submitted to the division's Board
of Scientific Counselors were deferred by the Board
at its recent meeting.
The Board refused concept approval at this time
for a competitive RFP to obtain particulate materials
for respiratory carcinogenesis. The contract would
support research in the Laboratory of Experimental
Pathology, for two years at an estimated cost of
$75,000 a year. The Board deferred f'mal action to
its February meeting, with the suggestion that the -
contract should be written to support extramural in-
vestigators as well as the NCI lab.
Also deferred was concept approval of a compet-
itive contract for a case control study of the relation-
ship between chromosomal alterations and o~cupa-
tionally related carcinogenesis. Board members said
the staff proposal needed "more focus" and asked
that it be rewritten and submitted in February.
The Board gave concept approval to seven new
projects to be suported through noncompeting con-
tracts or interagency agreements and to the noncom- •
petiti~e renewal of three others. The new procure-
ments are:
"Pathology review for brain tumor studies in pet-
rochemical areas, $75,000 a year, two years, with
existing collaborators in an ongoing NCI study in
New Jersey, Pennsylvania, Louisiaria and Texas. .
-Hepatitis B virus and liver cancer in Array veter-
ans of WWII, $150,000 a year, four years, with.the
National Academy of Sciences.
-International colloquium on hexachlorabenzene,
$25,000, one year, with the Environmental Protec-
tion Agency and International Agency for Research
on Cancer.
-Dermal absorption and metabolism of azo com-
pounds, $150,000, one year, with the Dept. of
Energy, Lawrence Li~ermore Laboratory and Food
& Drug Administration.
--Development and use of a human teratoma cell
cultur6 system for the prescreening of environmental
chemicals which may initiate or promote" tumor for-
mation, $120,995, one year, with EPA and Argonne
National Laboratory. Staff had asked for a two year
program but Board members reduced it to one with
the suggestion that it needs to be determined if this
model is useable for detection of environmen
chemicals.
-Development of a predictive model for fiber c~r-
cinogenicity, $125,000, one year, with the Univ. of
Minnesota.
• -Cytogenetic assays and analysis of occupational-
ly exposed workers, 5150,000 a year, two years, with
the Dept. of Energy.
Noncompetitive renev,;als approved were:
-Etiologic studies of cancer in New Jersey, 5600.-
000; one year, New Jersey Dept. of Health.
-Laboratory support for processing and storage
of biological specimens from persons at high risk of
cancer, $280,000 first year, five years, with Biotech
Research Laboratories Inc.
-Epidemiologic study of population previ'ously
exposed to hexachlorobenzene, $218,000, one year,
Univ. of Wisconsin.
The Board's concept approvals for competitive
new projects and p.rocurements were reported in The
Cancer Letter Oct. 15.
FOUR NEW PROGRAM. ANNOUNCEMENTS
IN BRMP PRECLINICAL TRIALS ISSUED
NCI's Div. of Cancer Treatment has issued four
new program announcements, seeking to expand its
support of clinical treatment research in the Biologic.
al Response Modifiers Program through investigator
initiated (R01 ) grants.
Applications will be accepted in accordance with
the usual NIH receipt dates for new applications with
deadlines of March I, July 1, and Nov. 1. They wil-I
be reyiewed by NIH study sections for scientific and
technical merit, and by the National Cancer Advisor,
Board for program relevance. Applications should be
submitted on form PHS 398, which is available in the
grants and contracts business office at most academic
and research institutions, or from the NIH Div. of Re-
search Grants.
Applications and a brief covering letter sho~Jrd be
sent to the Application Receipt Office, Div. of Re-
search Grants, N1H, Westwood Bldg. Rm. 240. Beth-
esda, Md. 20205. A copy of the cpvering letter
should be sent to Dr. Cedric W. Long. Program Direc-
tor-for Preclinical Trials, BRB, BRMP, Bldg. 421 Rm..
1, Frederick Cancer Research Facility, .Frederick. Md.
21701.
The new announcements are:
Use of growth factors, maturation factors and
anti-growth factors in animal tumor models
The program is seeking applications for research
grants Concerned with the therapeutic effects of
growth factors, maturation factors, and monoc.lonal
antibody to growth factors on the growth and metas-
tasis of cancer in animal tumor models. In making
The Gancer" Let;t;er"
Vol. 8 No. 41 / Page 7

0716065
these program announcements, it is not the intent of
NCI to make or imply any delimitation related to
biological response modifiers research, but rather to
stimulate investig~tor initiated research in biological
response modifiers.
Development of genetically engineered cell products
The program is seeking applications for research
grants concerned With the development of genetically
eaTgineered cell products for therapeutic application
~s biologicaI response modifiers. This announcement
~5Ji support diverse approaches into the use of genet-
ic engineering to ~anspose genes coding for biological
response modifiers such as interferons, lymphokines,
growth factors and other gene products into micro-
bial organisms for large scale production, isolation,
purification and characterization of these factors for
therapeutic application as biological response mod-
ifiers.
Use of tumor associated antigens as immunogens
Tla.e. program is seeking applications for research
grants concerned with the development of methods
ofirnmurtiz.ation that evoke effective in vivo anti-
tumor immunity using purified tumor associated an-
tigens as immunogens. Isolation of tumor associated
~ntigens is now possible using mdnoclonal antibodies.
There is considerable uncertainty, however, how best
to administer purified antigens in vivo to evoke effec-
tive antitumor immunity. Certain antigens may fac-
ilitate and others may inhibit tumorgrowth and met-
astases. The proposed studies should investigate this
is~sue in both normal and tumor bearing animals using
purified antigens as therapeutic agents.
Preference will be given to nonviral tumor asSo-
ciated antigens on recently derived spontaneous or
chemically induced fully syngeneic tumors although
consideration will be given to viral coded tumor an-
tigens and even normal cell surface alloantigens as
model antigens. The use of various immunization
schedules and adjuvants in therapy models with de-
tailed monitoring of the host cellular and immune re-
sponses vdll be ~r~quiredl These studies must be
directed toward optimizing the therapeutic effects of
thes~ antigens in vivo as demonstrated by protection
studies, against subsequent tumor growth.
-Proposals to investigate monoclonal antibody
purified tumor associated antigens as therapeutic re-
agents in man may also be submitted.
Development of cell lines producing Iy~mphokines
and cytokines
The program is seeking applications for research
grants concerned with the development of cell fines
producing lymphokines and cyt0kines with ther-
apautic effects as biological response moditqer~. This
announcement Will encourage research in the develop-
ment of such cell lines and the development of meth-
ods to isolate, purify and characterize the therapeutic
potentia! of the various products of these cell lines in
appropriate test systems. These products may have a
potential longterm usefulness in the treatment of
cancer and/or in the alteri~tion of biological responses
:in the course of cancer.
RFPs AVAI LAB LE
Requests for propose/described here pertain to con rracr~
planned for award by the Nadonal Cancer Institute unles~
otherwise no~ed. Write to the Contracting Officer or Contract
Specialist for copies of ~he RFP, citing l~e R FP number.
/isting~ will show the phone number of the Contacting Officer
or Contract Specialist who v~ll re.~oond to question~. Addre~
requests for NCI RFPs to the individual named, the Blair
Building room number shown, Nadonal Cancer Institute,
8300 Colesvil/e R ~, Silver Spring, Md. 20910. R FP announce-.
ments from other agencies reported here will include the com-
plete mailing addre~ at ~he end of each.
R FP NCI-CP-FS-31009-53
Title: Biomedical computing services iJz support of
the Clinical andDiaghostic Trials Section
Deadline: Dec. 20
NCI has a requirement for computer related sup-
port services to the Clinical & Diagnostic Trials Sec-
tion, Biometry Branch, Field Studies & Statistics
Program. The purpose of this request for proposal is
to initiate the recompetition for computer support
services which include the analysis of large sets of
medical data often involving complex statistical
analysis£ and requires the contractor to use sophistic-
ated data handling and analytic techniques.
Prospective contractors must have experience and .
expertise in all phases of software sere'ices ~n support
of biomedical research activities. The contractor must
have or be willing to establish, at the time of submis-
sion of a proposal, permanent established offices
wit_h.i_n 35 miles of the NIH off Campus Landow Build-
ing, 7910 Woodmont Ave., Bethesda Md. 20205.
In accordance v~qth Section 15 of the Small Busin-
ess Act, it is hereby determined that 100 percent of
this procurement will be a small business set aside.
In order to qualify as a small business for this 'pro-
curement, a prospective contractor's annual receipts
for its preceding three fiscal years musi not ex,ceed
$4 million,
Contract Specialist: Eileen Webster
RCB, Blair Bldg, Rrn. 122
301-427-8888 ..
The Ctancer-Letle~- _Editor Jerry D. Boyd
F'=DltstleO (orI'~'-elght times a year by The CancE, r Letter, Inc.. P.O. Box 2370. Reslon, Virginia
22~0. AI~ pubhsher of The Chni~{ ~ncer
