1 00:00:07,861 --> 00:00:08,829 I'D LIKE TO EXTEND A WARM 2 00:00:08,829 --> 00:00:10,264 WELCOME TO MEMBERS OF THE 3 00:00:10,264 --> 00:00:14,635 NATIONAL CANCER ADVISORY BOARD. 4 00:00:14,635 --> 00:00:16,470 EX-OFFICIO MEMBERS, STAFF AND 5 00:00:16,470 --> 00:00:17,137 GUESTS. 6 00:00:17,137 --> 00:00:18,772 ESPECIALLY WARM WELCOME TO OUR 7 00:00:18,772 --> 00:00:21,975 GUESTS FROM THE NCI, DR. LOWY 8 00:00:21,975 --> 00:00:25,779 AND HIS COLLEAGUES. 9 00:00:25,779 --> 00:00:26,747 MEMBERS OF THE PUBLIC WHO MAY 10 00:00:26,747 --> 00:00:28,749 WISH TO EXPRESS THEIR VIEWS 11 00:00:28,749 --> 00:00:29,783 REGARDING ANY ITEM DISCUSSED 12 00:00:29,783 --> 00:00:31,251 DURING THIS MEETING MAY DO SO BY 13 00:00:31,251 --> 00:00:33,887 WRITING TO DR. PAULETTE GRAY, 14 00:00:33,887 --> 00:00:35,289 EXECUTIVE SECRETARY OF THE 15 00:00:35,289 --> 00:00:36,723 BOARD, WITHIN 10 DAYS FOLLOWING 16 00:00:36,723 --> 00:00:37,357 THE MEETING. 17 00:00:37,357 --> 00:00:38,725 ANY WRITTEN STATEMENTS OR 18 00:00:38,725 --> 00:00:40,227 QUESTIONS SUBMITTED BY MEMBERS 19 00:00:40,227 --> 00:00:43,597 OF THE PUBLIC WILL RECEIVE 20 00:00:43,597 --> 00:00:44,164 CAREFUL CONSIDERATION. 21 00:00:44,164 --> 00:00:46,333 AS BOARD MEMBERS, I WOULD LIKE 22 00:00:46,333 --> 00:00:49,503 TO REMIND YOU THAT YOU MUST 23 00:00:49,503 --> 00:00:53,173 ABSENT YOURSELVES VIRTUALLY FOR 24 00:00:53,173 --> 00:00:54,675 SPECIFIC DISCUSSIONS WHENEVER 25 00:00:54,675 --> 00:00:56,076 YOUR DELIBERATIONS ARE A 26 00:00:56,076 --> 00:00:57,044 PARTICULAR PRIVATE PROGRAM 27 00:00:57,044 --> 00:00:58,812 AND/OR SPECIFIC MATTER WOULD 28 00:00:58,812 --> 00:00:59,713 CONSTITUTE A CONFLICT OF 29 00:00:59,713 --> 00:01:01,315 INTEREST OR CREATE THE 30 00:01:01,315 --> 00:01:04,751 APPEARANCE OR PERCEPTION OF ONE. 31 00:01:04,751 --> 00:01:06,820 IT IS INCUMBENT UPON OURSELVES 32 00:01:06,820 --> 00:01:08,322 TO ADVISE THE EXECUTIVE 33 00:01:08,322 --> 00:01:09,890 SECRETARY TO ABSTAIN FROM ANY 34 00:01:09,890 --> 00:01:11,425 PARTICIPATION AND DISCUSSION OR 35 00:01:11,425 --> 00:01:13,927 ACTIONS REGARDING THAT MATTER. 36 00:01:13,927 --> 00:01:15,796 IN LIGHT OF THE CURRENT POLICIES 37 00:01:15,796 --> 00:01:17,197 GOVERNING CONFLICT OF INTEREST, 38 00:01:17,197 --> 00:01:19,933 BASED ON FINANCIAL HOLDINGS OF 39 00:01:19,933 --> 00:01:20,734 SPECIAL GOVERNMENT EMPLOYEES 40 00:01:20,734 --> 00:01:22,736 WHICH WE ALL ARE AS MEMBERS OF 41 00:01:22,736 --> 00:01:25,973 THE BOARD, WE MUST DEPEND UPON 42 00:01:25,973 --> 00:01:28,809 OURSELVES TO VOLUNTARILY ABSENT 43 00:01:28,809 --> 00:01:30,110 DURING ANY AND ALL DISCUSSIONS 44 00:01:30,110 --> 00:01:32,279 OF MATTERS THAT COULD 45 00:01:32,279 --> 00:01:33,614 CONCEIVABLY IMPACT THE STATUS OF 46 00:01:33,614 --> 00:01:35,682 THESE HOLDINGS. 47 00:01:35,682 --> 00:01:37,751 WE TRUST YOUR JUDGMENT IN THESE 48 00:01:37,751 --> 00:01:38,085 INSTANCES. 49 00:01:38,085 --> 00:01:39,620 DURING ANY CLOSED SESSION, ANY 50 00:01:39,620 --> 00:01:41,922 MATERIALS OR DISCUSSIONS OF A 51 00:01:41,922 --> 00:01:43,023 CONFIDENTIAL NATURE DELIBERATED 52 00:01:43,023 --> 00:01:45,392 UPON TODAY ARE PRIVILEGED 53 00:01:45,392 --> 00:01:46,059 INFORMATION AND ARE MADE 54 00:01:46,059 --> 00:01:47,694 AVAILABLE TO YOU ON A NEED TO 55 00:01:47,694 --> 00:01:48,495 KNOW BASIS. 56 00:01:48,495 --> 00:01:49,997 SUCH DELIBERATIONS ARE PRIVATE 57 00:01:49,997 --> 00:01:55,002 AND THEIR CONTENTS SHOULD NOT BE 58 00:01:55,002 --> 00:01:55,369 DIVULGED. 59 00:01:55,369 --> 00:01:56,236 FUTURE MEETING DATES WERE 60 00:01:56,236 --> 00:01:59,306 PROVIDED TO US BY THE EXECUTIVE 61 00:01:59,306 --> 00:02:00,407 SECRETARY'S OFFICE AND ARE 62 00:02:00,407 --> 00:02:04,144 LISTED ON THE AGENDA. 63 00:02:04,144 --> 00:02:07,981 QUQUORUM, REQUIRED FOR EACH 64 00:02:07,981 --> 00:02:09,416 INSTANCE IN WHICH A VOTE MAY 65 00:02:09,416 --> 00:02:10,617 OCCUR WHETHER IN OPEN OR CLOSED 66 00:02:10,617 --> 00:02:11,785 SESSION DURING THIS MEETING, A 67 00:02:11,785 --> 00:02:13,220 MINIMUM OF NINE APPOINTED 68 00:02:13,220 --> 00:02:16,056 MEMBERS MUST BE PRESENT TO VOICE 69 00:02:16,056 --> 00:02:19,560 THEIR VOTES. 70 00:02:19,560 --> 00:02:21,528 SINCE WE CANNOT REDICTIONARY THE 71 00:02:21,528 --> 00:02:23,197 TIME OR OCCURRENCE OF ANY 72 00:02:23,197 --> 00:02:23,964 MOTION, YOUR PRESENCE IN THE 73 00:02:23,964 --> 00:02:25,165 VIRTUAL ROOM FOR ALL SEGMENTS OF 74 00:02:25,165 --> 00:02:27,201 THE MEETING IS A MUST. 75 00:02:27,201 --> 00:02:31,939 PAULETTE, DO WE HAVE QUORUM? 76 00:02:31,939 --> 00:02:33,674 >> YES, WE HAVE A QUORUM. 77 00:02:33,674 --> 00:02:35,542 >> TO ENSURE THAT THERE ARE NO 78 00:02:35,542 --> 00:02:38,045 INTERRUPTIONS DURING TODAY'S 79 00:02:38,045 --> 00:02:39,379 MEETING, PLEASE ENSURE THAT YOU 80 00:02:39,379 --> 00:02:42,216 ARE MUTED AND REMAIN SO UNTIL 81 00:02:42,216 --> 00:02:44,284 RECOGNIZED BY EITHER MYSELF, 82 00:02:44,284 --> 00:02:45,686 PAULETTE, OR THE SPEAKER TODAY, 83 00:02:45,686 --> 00:02:48,222 WHICH WILL BE DR. LOWY. 84 00:02:48,222 --> 00:02:50,724 SO WE'LL BE BEGIN TODAY'S AGENDA 85 00:02:50,724 --> 00:02:53,627 WITH A REPORT FROM NCI PRINCIPAL 86 00:02:53,627 --> 00:02:55,896 DEPUTY DIRECTOR, DR. DOUG LOWY. 87 00:02:55,896 --> 00:02:58,298 DOUG. 88 00:02:58,298 --> 00:03:00,267 >> THANKS SO MUCH. 89 00:03:00,267 --> 00:03:02,803 I MADE SOME INITIAL REMARKS 90 00:03:02,803 --> 00:03:07,708 DURING THE FIRST SESSION, AND I 91 00:03:07,708 --> 00:03:08,675 THINK THAT -- I HOPE THEY SPEAK 92 00:03:08,675 --> 00:03:09,676 FOR THEMSELVES. 93 00:03:09,676 --> 00:03:12,813 I APPRECIATE THE QUESTIONS THAT 94 00:03:12,813 --> 00:03:13,714 PEOPLE ASKED. 95 00:03:13,714 --> 00:03:16,016 I DON'T HAVE MORE THAT I WOULD 96 00:03:16,016 --> 00:03:20,420 LIKE TO SAY RIGHT NOW. 97 00:03:20,420 --> 00:03:22,055 TO ME, TO JUST EMPHASIZE REALLY 98 00:03:22,055 --> 00:03:23,790 TWO IMPORTANT POINTS. 99 00:03:23,790 --> 00:03:26,960 NUMBER ONE, IT'S GREAT THAT WE 100 00:03:26,960 --> 00:03:30,097 ARE TOGETHER THAT REALLY THE JOB 101 00:03:30,097 --> 00:03:32,532 AT HAND IS THE SECONDARY REVIEW 102 00:03:32,532 --> 00:03:36,136 OF APPLICATIONS SO THAT WE CAN 103 00:03:36,136 --> 00:03:38,972 TRY TO FUND THE MOST MERITORIOUS 104 00:03:38,972 --> 00:03:39,940 OF THEM. 105 00:03:39,940 --> 00:03:42,476 AND NUMBER TWO, WE'RE MAKING 106 00:03:42,476 --> 00:03:44,011 PROGRESS AGAINST CANCER. 107 00:03:44,011 --> 00:03:47,047 IT'S BEEN VERY CONSISTENT, BUT 108 00:03:47,047 --> 00:03:50,017 WE HAVE A LOT MORE TO DO. 109 00:03:50,017 --> 00:03:52,886 AND ONCE AGAIN, THAT FEEDS INTO 110 00:03:52,886 --> 00:03:55,155 THE NOTION OF TRYING TO SUPPORT 111 00:03:55,155 --> 00:03:57,157 AS MANY MERITORIOUS APPLICATIONS 112 00:03:57,157 --> 00:04:01,828 AS POSSIBLE. 113 00:04:01,828 --> 00:04:05,432 >> THANKS FOR THOSE REMARKS, 114 00:04:05,432 --> 00:04:08,835 DOUG, AND SO WE'LL OPEN UP THE 115 00:04:08,835 --> 00:04:11,438 FLOOR FOR ANY QUESTIONS FROM THE 116 00:04:11,438 --> 00:04:15,075 BOARD MEMBERS. 117 00:04:15,075 --> 00:04:16,710 TRYING TO SEE IF I CAN RECOGNIZE 118 00:04:16,710 --> 00:04:23,583 HANDS HERE. 119 00:04:23,583 --> 00:04:27,888 ARE THERE ANY QUESTIONS? 120 00:04:27,888 --> 00:04:29,389 >> I OF COURSE HAVE ONE. 121 00:04:29,389 --> 00:04:33,126 SO DOUG, YOU KNOW, IF THE ANSWER 122 00:04:33,126 --> 00:04:34,661 IS I HAVE NOT YET OR THERE'S 123 00:04:34,661 --> 00:04:36,229 NOTHING REALLY TO DISCUSS, 124 00:04:36,229 --> 00:04:37,030 THAT'S FINE. 125 00:04:37,030 --> 00:04:39,666 BUT I WAS WONDERING, HAVE YOU 126 00:04:39,666 --> 00:04:43,837 HAD ANY CONVERSATIONS WITH 127 00:04:43,837 --> 00:04:44,237 DR. BHATTACHARYA? 128 00:04:44,237 --> 00:04:45,072 HAVE YOU ALL HAD THE OPPORTUNITY 129 00:04:45,072 --> 00:04:46,006 TO MEET AND CHAT? 130 00:04:46,006 --> 00:04:47,207 AND IF THERE IS ANYTHING, OF 131 00:04:47,207 --> 00:04:48,408 COURSE, I WOULD ASSUME SOME OF 132 00:04:48,408 --> 00:04:50,944 THE DISCUSSION WOULD BE 133 00:04:50,944 --> 00:04:52,045 PRIVILEGED, BUT IF THERE'S 134 00:04:52,045 --> 00:04:52,913 ANYTHING YOU'D BE WILLING TO 135 00:04:52,913 --> 00:04:55,349 SHARE WITH THE BOARD IN TERMS OF 136 00:04:55,349 --> 00:04:57,617 HIS THOUGHTS, HIS POTENTIAL 137 00:04:57,617 --> 00:05:00,020 PRIORITIES OR INTERESTS OR 138 00:05:00,020 --> 00:05:01,555 EXPECTATIONS, IT WOULD BE GREAT 139 00:05:01,555 --> 00:05:03,690 TO HEAR THEM. 140 00:05:03,690 --> 00:05:06,893 >> SURE. 141 00:05:06,893 --> 00:05:08,895 DR. BHATTACHARYA AND I HAVE MET 142 00:05:08,895 --> 00:05:10,964 ACTUALLY ON TWO DIFFERENT 143 00:05:10,964 --> 00:05:12,933 OCCASIONS. 144 00:05:12,933 --> 00:05:14,234 THE FIRST WAS THAT MY COLLEAGUES 145 00:05:14,234 --> 00:05:18,839 AND I, FROM NCI, WANTED TO TELL 146 00:05:18,839 --> 00:05:21,775 HIM ABOUT THE SUCCESSFUL OUTCOME 147 00:05:21,775 --> 00:05:26,613 OF A LARGE HPV VACCINE TRIAL. 148 00:05:26,613 --> 00:05:31,752 WE HAD RECENTLY BROKEN THE CODE 149 00:05:31,752 --> 00:05:33,253 FOR FIVE YEARS, TRYING TO SEE 150 00:05:33,253 --> 00:05:34,755 WHETHER THE HYPOTHESIS OF ONE 151 00:05:34,755 --> 00:05:37,424 DOSE VERSUS TWO DOSE OF THE 152 00:05:37,424 --> 00:05:38,525 VACCINE, WHETHER ONE DOSE WOULD 153 00:05:38,525 --> 00:05:42,896 BE SUFFICIENT, AND AS AMY KRAMER 154 00:05:42,896 --> 00:05:47,901 PRESENTED AT THE AACR MEETING, 155 00:05:47,901 --> 00:05:51,872 THAT ONE DOSE WAS AT LEAST 97% 156 00:05:51,872 --> 00:05:53,273 PROTECTIVE, AND STATISTICALLY 157 00:05:53,273 --> 00:05:54,808 THERE WAS NO DIFFERENCE TBEEN 158 00:05:54,808 --> 00:05:57,110 BETWEENONE DOSE AND TWO DOSES. 159 00:05:57,110 --> 00:06:00,614 WHAT I WANT TO EMPHASIZE HERE IS 160 00:06:00,614 --> 00:06:03,116 THAT DR. BHATTACHARYA REALLY 161 00:06:03,116 --> 00:06:05,352 REALLY PRIZES ACADEMIC FREEDOM, 162 00:06:05,352 --> 00:06:07,954 AND WAS TOTALLY ENCOURAGING 163 00:06:07,954 --> 00:06:09,256 ABOUT OUR MAKING THE 164 00:06:09,256 --> 00:06:12,993 PRESENTATION. 165 00:06:12,993 --> 00:06:13,860 OKAY. 166 00:06:13,860 --> 00:06:15,128 THE SECOND TIME THAT WE MET, IT 167 00:06:15,128 --> 00:06:19,199 WAS IN MY CAPACITY AS SERVING AS 168 00:06:19,199 --> 00:06:23,437 THE ACTING DIRECTOR OF NCI, AND 169 00:06:23,437 --> 00:06:25,439 HE REALLY HAD A LOT OF POSITIVE 170 00:06:25,439 --> 00:06:29,943 THINGS TO SAY, RECOGNIZING THE 171 00:06:29,943 --> 00:06:31,978 IMPROVEMENT THAT HAS HAPPENED 172 00:06:31,978 --> 00:06:34,948 OVER THE LAST FEW DECADE IN 173 00:06:34,948 --> 00:06:38,018 TERMS OF THE OUTLOOK FOR PEOPLE 174 00:06:38,018 --> 00:06:42,522 WHO GET CANCER, AND ALSO TO AT 175 00:06:42,522 --> 00:06:45,058 LEAST SOME DEGREE CANCER 176 00:06:45,058 --> 00:06:46,760 PREVENTION AND SCREENING. 177 00:06:46,760 --> 00:06:49,729 THE INCIDENCE OF CANCER REALLY 178 00:06:49,729 --> 00:06:52,799 HAS BEEN RELATIVELY STEADY. 179 00:06:52,799 --> 00:06:54,734 FOR MEN, THE INCIDENCE HAS GONE 180 00:06:54,734 --> 00:06:56,303 DOWN LARGELY BECAUSE OF THE 181 00:06:56,303 --> 00:06:57,504 IMPORTANCE OF LUNG CANCER AND 182 00:06:57,504 --> 00:06:58,839 SMOKING CESSATION. 183 00:06:58,839 --> 00:07:01,141 FOR WOMEN, IT HAS BEEN MORE 184 00:07:01,141 --> 00:07:03,977 STABLE AND HAS ACTUALLY GONE UP 185 00:07:03,977 --> 00:07:07,113 A SMALL AMOUNT, ABOUT .3% PER 186 00:07:07,113 --> 00:07:07,681 YEAR. 187 00:07:07,681 --> 00:07:10,083 AND THAT'S LARGELY BECAUSE OF 188 00:07:10,083 --> 00:07:12,018 BREAST CANCER SCREENING. 189 00:07:12,018 --> 00:07:14,454 MORE SCREENING MEANS MORE 190 00:07:14,454 --> 00:07:16,957 CANCER, BUT MORE CANCER BY 191 00:07:16,957 --> 00:07:19,392 SCREEN MEANS FEWER DEATHS. 192 00:07:19,392 --> 00:07:20,994 >> FANTASTIC. 193 00:07:20,994 --> 00:07:21,761 THANKS, DOUG. 194 00:07:21,761 --> 00:07:23,296 THAT'S GREAT. 195 00:07:23,296 --> 00:07:26,266 I GUESS ONE OTHER QUESTION IS, 196 00:07:26,266 --> 00:07:28,902 YOU KNOW, WE KNOW REVIEWS ARE 197 00:07:28,902 --> 00:07:32,272 GOING TO CSR, AND JUST WANTED TO 198 00:07:32,272 --> 00:07:33,840 SORT OF, YOU KNOW, GET YOUR 199 00:07:33,840 --> 00:07:35,442 THOUGHTS ABOUT THAT. 200 00:07:35,442 --> 00:07:36,977 ANY SURPRISES? 201 00:07:36,977 --> 00:07:38,612 HOW IS THAT PROCESS GOING? 202 00:07:38,612 --> 00:07:39,613 ARE THERE ANY THINGS THAT YOU 203 00:07:39,613 --> 00:07:41,348 MIGHT BE WORRIED ABOUT THAT THE 204 00:07:41,348 --> 00:07:44,084 BOARD COULD HELP WITH? 205 00:07:44,084 --> 00:07:48,922 >> SURE, I THINK THAT AS YOU 206 00:07:48,922 --> 00:07:51,758 MENTIONED, JOHN, ALL REVIEWS ARE 207 00:07:51,758 --> 00:07:56,530 GOING TO BE HELD BY CSR. 208 00:07:56,530 --> 00:07:59,633 AND THEY ARE ALREADY REVIEWING 209 00:07:59,633 --> 00:08:01,535 ABOUT FOUR APPLICATIONS OUT OF 210 00:08:01,535 --> 00:08:04,104 FIVE FROM THE NIH. 211 00:08:04,104 --> 00:08:08,241 BUT NCI, UNDER THE -- REALLY THE 212 00:08:08,241 --> 00:08:09,576 EXCEPTIONAL SUPERVISION OF 213 00:08:09,576 --> 00:08:12,412 PAULETTE AND HER GROUP, HAVE 214 00:08:12,412 --> 00:08:15,682 BEEN REVIEWING MORE COMPLICATED 215 00:08:15,682 --> 00:08:16,783 APPLICATIONS, OR APPLICATIONS 216 00:08:16,783 --> 00:08:21,621 THAT ARE MORE SPECIALIZED. 217 00:08:21,621 --> 00:08:24,758 SO WE HAVE TRIED TO TALK WITH 218 00:08:24,758 --> 00:08:27,961 CSR LEADERSHIP ABOUT THE 219 00:08:27,961 --> 00:08:30,230 IMPORTANCE OF THOSE KINDS OF 220 00:08:30,230 --> 00:08:30,664 REVIEWS. 221 00:08:30,664 --> 00:08:33,400 FOR EXAMPLE, THE CANCER CENTER 222 00:08:33,400 --> 00:08:37,137 SUPPORT GRANTS, THAT FROM OUR 223 00:08:37,137 --> 00:08:38,972 PERSPECTIVE, HAVING THE 224 00:08:38,972 --> 00:08:42,042 IN-PERSON REVIEWS ARE REALLY 225 00:08:42,042 --> 00:08:43,910 VERY IMPORTANT, NOT SO MUCH FOR 226 00:08:43,910 --> 00:08:46,212 GETTING A GOOD SCORE, BUT FOR 227 00:08:46,212 --> 00:08:49,282 ALL OF THE OTHER MANY INTANGIBLE 228 00:08:49,282 --> 00:08:53,086 ASPECTS THAT ARE VITAL TO THE 229 00:08:53,086 --> 00:08:58,458 OVERALL VITALITY OF THE NCI 230 00:08:58,458 --> 00:09:00,226 CANCER CENTER PROGRAM. 231 00:09:00,226 --> 00:09:01,194 >> THANKS. 232 00:09:01,194 --> 00:09:01,861 THANKS, DOUG. 233 00:09:01,861 --> 00:09:03,530 I KNOW A LOT OF THE CANCER 234 00:09:03,530 --> 00:09:05,799 CENTER DIRECTORS ARE, YOU KNOW, 235 00:09:05,799 --> 00:09:07,200 CONCERNED ABOUT THE LACK OF SITE 236 00:09:07,200 --> 00:09:09,302 VISITS, BUT, YOU KNOW, WE LOOK 237 00:09:09,302 --> 00:09:12,005 FORWARD TO WORKING WITH YOU ALL, 238 00:09:12,005 --> 00:09:13,773 AS THIS NEW PROCESS ADVANCES. 239 00:09:13,773 --> 00:09:15,842 SO THERE ARE SOME HANDS, SO 240 00:09:15,842 --> 00:09:21,982 LET'S START WITH EDJA. 241 00:09:21,982 --> 00:09:23,850 WE CANNOT HEAR YOU, EVEN THOUGH 242 00:09:23,850 --> 00:09:26,252 YOU'RE NOT MUTED. 243 00:09:26,252 --> 00:09:28,655 I THINK WE HAVE A SIMILAR 244 00:09:28,655 --> 00:09:29,623 PROBLEM DURING THE PREVIOUS 245 00:09:29,623 --> 00:09:29,856 MEETING. 246 00:09:29,856 --> 00:09:31,725 >> TRY IT ONE MORE TIME. 247 00:09:31,725 --> 00:09:32,158 THERE YOU GO. 248 00:09:32,158 --> 00:09:33,360 I CAN HEAR YOU NOW. 249 00:09:33,360 --> 00:09:33,660 >> GREAT. 250 00:09:33,660 --> 00:09:34,861 SO THANKS FOR THE OPPORTUNITY 251 00:09:34,861 --> 00:09:36,162 AND THANKS, DOUG, FOR SPEAKING 252 00:09:36,162 --> 00:09:36,963 WITH US. 253 00:09:36,963 --> 00:09:39,065 JUST A COUPLE THINGS. 254 00:09:39,065 --> 00:09:40,667 ONE, THE MAIN QUESTION, THE 255 00:09:40,667 --> 00:09:42,002 THEME OF THIS IS HOW WE CAN 256 00:09:42,002 --> 00:09:45,505 CONTINUE TO SUPPORT THE NCI, IF 257 00:09:45,505 --> 00:09:46,906 THERE'S ANY WAY THAT WE CAN 258 00:09:46,906 --> 00:09:49,542 COMMUNICATE OR THINGS THAT WE 259 00:09:49,542 --> 00:09:51,511 MIGHT WRITE AS A BOARD TO, SAY, 260 00:09:51,511 --> 00:09:52,812 THE SECRETARY, JUST REVIEWING 261 00:09:52,812 --> 00:09:54,247 THE CHARTER FOR OUR BOARD AND 262 00:09:54,247 --> 00:09:55,115 ONE OF THE THINGS THAT WE ARE 263 00:09:55,115 --> 00:09:57,550 SUPPOSED TO ADVISE NOT JUST 264 00:09:57,550 --> 00:09:58,952 OBVIOUSLY THE NCI DIRECTOR BUT 265 00:09:58,952 --> 00:10:02,322 THE HHS SECRETARY ON HOW THEY 266 00:10:02,322 --> 00:10:04,190 APPROACH CANCER AND I WAS JUST 267 00:10:04,190 --> 00:10:05,291 WONDERING IF THERE MIGHT BE AN 268 00:10:05,291 --> 00:10:06,693 OPPORTUNITY FOR US TO HAVE A DIE 269 00:10:06,693 --> 00:10:09,229 DID LDIALOGUE WITH THE SECRETARY 270 00:10:09,229 --> 00:10:10,330 REGARDING THE BUDGET PRIORITIES, 271 00:10:10,330 --> 00:10:11,765 HOW WE'RE APPROACHING THINGS, 272 00:10:11,765 --> 00:10:13,299 AND I GUESS RELATED TO THAT, 273 00:10:13,299 --> 00:10:14,501 BECAUSE I THINK WE WOULD GET 274 00:10:14,501 --> 00:10:16,536 SOME CLARITY ON THOSE THINGS IF 275 00:10:16,536 --> 00:10:18,838 WE HAD AN ACTUAL NAMED DIRECTOR 276 00:10:18,838 --> 00:10:20,707 FOR THE NCI. 277 00:10:20,707 --> 00:10:21,708 OBVIOUSLY, DOUG, YOU'VE SERVED 278 00:10:21,708 --> 00:10:23,243 IN THIS ROLE MANY TIMES AND IT 279 00:10:23,243 --> 00:10:24,878 IS GREAT TO SEE YOU IN THIS 280 00:10:24,878 --> 00:10:25,979 ROLE. 281 00:10:25,979 --> 00:10:27,714 BUT I THINK WE MIGHT GET SOME 282 00:10:27,714 --> 00:10:28,815 ADDITIONAL CLARITY FROM THE 283 00:10:28,815 --> 00:10:29,449 ADMINISTRATION ON THE DIRECTION 284 00:10:29,449 --> 00:10:31,084 THEY WANT TO GO WITH CANCER IF 285 00:10:31,084 --> 00:10:33,086 THEY WERE PLANNING ON NAMING A 286 00:10:33,086 --> 00:10:34,287 PERMANENT NCI DIRECTOR, AND I 287 00:10:34,287 --> 00:10:35,588 JUST WANTED TO KNOW IF YOU HAD 288 00:10:35,588 --> 00:10:36,990 ANY THOUGHTS OR INFORMATION YOU 289 00:10:36,990 --> 00:10:38,992 COULD SHARE ON THAT. 290 00:10:38,992 --> 00:10:43,029 >> I DON'T HAVE ANYTHING TO SAY 291 00:10:43,029 --> 00:10:45,331 ABOUT A NEW NCI DIRECTOR. 292 00:10:45,331 --> 00:10:47,500 I HAVE TOLD DR. BHATTACHARYA AND 293 00:10:47,500 --> 00:10:50,804 MANY OTHER PEOPLE THAT I'M HAPPY 294 00:10:50,804 --> 00:10:53,306 TO SERVE AS ACTING DIRECTOR, BUT 295 00:10:53,306 --> 00:10:55,642 I WOULD BE AT LEAST AS HAPPY FOR 296 00:10:55,642 --> 00:10:58,778 THERE TO BE A NAMED -- AND WHAT 297 00:10:58,778 --> 00:11:02,515 I CALL A SO-CALLED PERMANENT 298 00:11:02,515 --> 00:11:02,816 DIRECTOR. 299 00:11:02,816 --> 00:11:06,086 I JUST WANT TO POINT OUT THAT IN 300 00:11:06,086 --> 00:11:08,288 THE AGGREGATE, OVER THE LAST 10 301 00:11:08,288 --> 00:11:10,824 YEARS, I HAVE BEEN THE ACTING 302 00:11:10,824 --> 00:11:13,359 DIRECTOR FOR FOUR OF THOSE 10 303 00:11:13,359 --> 00:11:16,496 YEARS DURING WHICH THERE HAVE 304 00:11:16,496 --> 00:11:19,766 BEEN THREE PERMANENT DIRECTORS. 305 00:11:19,766 --> 00:11:21,434 BUT SERIOUSLY, I THINK THAT IN 306 00:11:21,434 --> 00:11:23,937 TERMS OF, YOU KNOW, HELPING US, 307 00:11:23,937 --> 00:11:27,907 TO ME BY FAR, THE MOST IMPORTANT 308 00:11:27,907 --> 00:11:31,578 ISSUE IS TRYING TO SUPPORT THE 309 00:11:31,578 --> 00:11:33,880 LARGEST AMOUNT OF MERITORIOUS 310 00:11:33,880 --> 00:11:37,817 RESEARCH, WHICH IS WHY I VALUE 311 00:11:37,817 --> 00:11:43,590 SO MUCH WHAT THE NCAB DOES WITH 312 00:11:43,590 --> 00:11:46,025 ITS SECOND LINE OF REVIEW OF THE 313 00:11:46,025 --> 00:11:46,526 APPLICATIONS. 314 00:11:46,526 --> 00:11:47,227 WHAT YOU DID IN THE FIRST 315 00:11:47,227 --> 00:11:48,261 SESSION AND WHAT YOU'RE GOING TO 316 00:11:48,261 --> 00:11:51,931 DO IN THIS SESSION. 317 00:11:51,931 --> 00:11:54,134 >> GREAT, THANKS. 318 00:11:54,134 --> 00:11:55,769 KAREN. 319 00:11:55,769 --> 00:11:57,403 >> THANK YOU. 320 00:11:57,403 --> 00:11:59,706 SO DOUG, YOU MENTIONED THAT 321 00:11:59,706 --> 00:12:00,673 REALLY IMPORTANT ROLE THAT 322 00:12:00,673 --> 00:12:03,042 TOBACCO CONTROL HAS PLAYED IN 323 00:12:03,042 --> 00:12:04,210 THE REDUCTIONS OF CANCER 324 00:12:04,210 --> 00:12:05,278 MORTALITY AND I THINK THAT'S 325 00:12:05,278 --> 00:12:08,014 REALLY IMPORTANT TO RECOGNIZE. 326 00:12:08,014 --> 00:12:09,349 PARTICULARLY IN THE MOMENT WHEN 327 00:12:09,349 --> 00:12:11,885 A LOT OF THE FEDERAL 328 00:12:11,885 --> 00:12:12,685 INFRASTRUCTURE ABOUT TOBACCO 329 00:12:12,685 --> 00:12:14,888 CONTROL IS GOING AWAY. 330 00:12:14,888 --> 00:12:16,990 AND SO THE NCI HAS PLAYED SUCH 331 00:12:16,990 --> 00:12:20,727 AN IMPORTANT ROLE IN TRYING TO 332 00:12:20,727 --> 00:12:21,995 REALLY PICK THIS UP NOT ONLY 333 00:12:21,995 --> 00:12:24,964 THROUGH WHAT'S BEEN FUNDED BUT 334 00:12:24,964 --> 00:12:27,367 ALSO EFFORTS BY CANCER CENTERS, 335 00:12:27,367 --> 00:12:29,135 SMOKING CESSATION FROM THE 336 00:12:29,135 --> 00:12:30,904 CANCER CENTERS HAS BEEN REALLY, 337 00:12:30,904 --> 00:12:32,305 REALLY IMPORTANT TO HOW WE'RE 338 00:12:32,305 --> 00:12:33,506 THINKING ABOUT ADDRESSING 339 00:12:33,506 --> 00:12:35,475 TOBACCO CONTROL IN THE CONTEXT 340 00:12:35,475 --> 00:12:39,512 OF A LOT OF -- A LOT HAS BEEN 341 00:12:39,512 --> 00:12:41,047 GOING AWAY, IT'S WHITE IMPORTANT 342 00:12:41,047 --> 00:12:42,582 IN MAINTAINING THAT AND IF WE 343 00:12:42,582 --> 00:12:43,783 DON'T DO THAT, I THINK WE'RE AT 344 00:12:43,783 --> 00:12:45,051 RISK OF SEEING THAT NUMBER GO 345 00:12:45,051 --> 00:12:45,518 BACK UP. 346 00:12:45,518 --> 00:12:47,153 >> SO KAREN, LET ME FIRST BACK 347 00:12:47,153 --> 00:12:50,123 UP AND AGREE WITH YOU THAT 348 00:12:50,123 --> 00:12:51,858 HISTORICALLY, TOBACCO CESSATION 349 00:12:51,858 --> 00:12:54,928 OR TOBACCO CONTROL HAS BEEN THE 350 00:12:54,928 --> 00:12:59,098 SINGLE LARGEST CONTRIBUTOR TO 351 00:12:59,098 --> 00:13:00,500 REDUCTIONS IN LUNG CANCER 352 00:13:00,500 --> 00:13:03,469 INCIDENCE, BUT OVERALL, CANCER 353 00:13:03,469 --> 00:13:06,206 MORTALITY RATES. 354 00:13:06,206 --> 00:13:07,507 BUT THERE MORE RECENTLY HAVE 355 00:13:07,507 --> 00:13:08,608 BEEN VERY IMPORTANT 356 00:13:08,608 --> 00:13:10,577 CONTRIBUTIONS TO CANCER 357 00:13:10,577 --> 00:13:16,482 SCREENING AND ALSO CANCER 358 00:13:16,482 --> 00:13:16,749 TREATMENT. 359 00:13:16,749 --> 00:13:19,752 AND I THINK THAT WE ARE ALL 360 00:13:19,752 --> 00:13:21,521 PROUD OF THE OPPORTUNITIES THAT 361 00:13:21,521 --> 00:13:28,494 WE HAVE TO CONTRIBUTE TO TOBACCO 362 00:13:28,494 --> 00:13:28,962 CONTROL. 363 00:13:28,962 --> 00:13:32,232 WHAT WE ARE ABLE TO DO NOW OR IN 364 00:13:32,232 --> 00:13:36,269 THE FUTURE REALLY DEPENDS TO A 365 00:13:36,269 --> 00:13:38,271 FAIR DEGREE ON WHAT THE 366 00:13:38,271 --> 00:13:40,874 RESOURCES ARE THAT THE NCI IS 367 00:13:40,874 --> 00:13:43,276 GOING TO BE GIVEN. 368 00:13:43,276 --> 00:13:46,112 AND BEFORE I FINISH, ONE OF THE 369 00:13:46,112 --> 00:13:51,517 REAL POSITIVES TO ME IS THAT THE 370 00:13:51,517 --> 00:13:53,887 REDUCTIONS IN CANCER -- I'M 371 00:13:53,887 --> 00:13:55,855 SORRY -- IN TOBACCO CESSATION 372 00:13:55,855 --> 00:13:59,525 ARE HAPPENING WITH ALL SEGMENTS 373 00:13:59,525 --> 00:14:04,163 OF THE POPULATION, WHETHER IT BE 374 00:14:04,163 --> 00:14:06,332 RACIAL OR ETHNIC, AND IT BEEN 375 00:14:06,332 --> 00:14:10,136 VERY GRATIFYING TO SEE HOW IT 376 00:14:10,136 --> 00:14:10,703 HAS BEEN. 377 00:14:10,703 --> 00:14:11,504 >> THANKS. 378 00:14:11,504 --> 00:14:11,971 THANKS, DOUG. 379 00:14:11,971 --> 00:14:13,273 WE HAVE TWO MORE QUESTIONS, IF 380 00:14:13,273 --> 00:14:14,941 YOU CAN KEEP THEM SUCCINCT, THAT 381 00:14:14,941 --> 00:14:16,109 WOULD BE GREAT. 382 00:14:16,109 --> 00:14:19,279 SO LET'S GO TO ESABELLE AND THEN 383 00:14:19,279 --> 00:14:22,582 FRED WILL BE THE LAST QUESTION. 384 00:14:22,582 --> 00:14:25,818 >> I WANT TO MAKE SURE I'M 385 00:14:25,818 --> 00:14:26,052 UNMUTED? 386 00:14:26,052 --> 00:14:27,020 >> YES, WE CAN HEAR YOU. 387 00:14:27,020 --> 00:14:28,554 >> OKAY. 388 00:14:28,554 --> 00:14:29,455 THANKS, DR. LOWY. 389 00:14:29,455 --> 00:14:32,926 WITH ALL DUE RESPECT, SORRY, 390 00:14:32,926 --> 00:14:34,127 JOHN, MIGHT BE LONGER THAN IT 391 00:14:34,127 --> 00:14:36,095 SHOULD BE, WE AS COMMUNITY-BASED 392 00:14:36,095 --> 00:14:37,864 ORGANIZATIONS AND PATIENT 393 00:14:37,864 --> 00:14:39,399 ADVOCATES ARE, I THINK, EVEN 394 00:14:39,399 --> 00:14:42,001 MORE UNSURE WHERE WE STAND, WHAT 395 00:14:42,001 --> 00:14:44,437 WE CAN DO, HOW WE CAN ACTUALLY 396 00:14:44,437 --> 00:14:47,273 CONTINUE OUR COLLABORATIONS WITH 397 00:14:47,273 --> 00:14:53,279 WHAT I THINK ARE NOW UNSUPPORTED 398 00:14:53,279 --> 00:14:55,248 COMMUNITIES OF COLOR, AND 399 00:14:55,248 --> 00:14:56,783 RESEARCHERS OF COLOR. 400 00:14:56,783 --> 00:14:58,084 OBVIOUSLY WE DON'T KNOW WHAT'S 401 00:14:58,084 --> 00:15:00,753 GOING ON INSIDE, I'VE CERTAINLY 402 00:15:00,753 --> 00:15:02,355 HEARD SOME THINGS. 403 00:15:02,355 --> 00:15:04,324 WHAT I READ AS SOMEONE ASKED 404 00:15:04,324 --> 00:15:05,658 WHAT'S TO BE BELIEVED, WHAT'S 405 00:15:05,658 --> 00:15:07,927 NOT TO BE BELIEVED, BUT I AM 406 00:15:07,927 --> 00:15:10,129 VERY CONCERNED THAT ALL OF THE 407 00:15:10,129 --> 00:15:11,531 WORK, AND YOU WOULD KNOW THIS, 408 00:15:11,531 --> 00:15:13,967 ALL OF THE WORK THAT WE HAVE 409 00:15:13,967 --> 00:15:16,569 DONE TO BUILD COLLABORATION 410 00:15:16,569 --> 00:15:19,272 BETWEEN RESEARCH AND ACADEMIA 411 00:15:19,272 --> 00:15:21,174 AND SCIENCE AND COMMUNITY-BASED 412 00:15:21,174 --> 00:15:23,509 ORGANIZATIONS IS GOING TO SUFFER 413 00:15:23,509 --> 00:15:24,777 GREATLY AND THAT COMMUNITIES 414 00:15:24,777 --> 00:15:29,615 LIKE MINE WILL FACE A HUGE 415 00:15:29,615 --> 00:15:30,917 AMOUNT OF EXACERBATED 416 00:15:30,917 --> 00:15:31,351 DISPARITIES. 417 00:15:31,351 --> 00:15:35,822 WHAT CAN WE KNOW THAT WE CAN 418 00:15:35,822 --> 00:15:37,991 TAKE BACK WITH OUR COMMUNITIES 419 00:15:37,991 --> 00:15:38,691 WITH SURETY THAT, IN FACT, WE'RE 420 00:15:38,691 --> 00:15:40,426 NOT GOING BACKWARDS, BUT, IN 421 00:15:40,426 --> 00:15:43,463 FACT, ALLYSHIP AND ECONOMIC 422 00:15:43,463 --> 00:15:44,797 ENGAGEMENT IN OUR COMMUNITIES IS 423 00:15:44,797 --> 00:15:49,302 STILL GOING TO EXIST? 424 00:15:49,302 --> 00:15:51,671 >> ESABELLE, THANK YOU. 425 00:15:51,671 --> 00:15:54,540 LET ME SAY THAT WE ARE OBLIGATED 426 00:15:54,540 --> 00:15:58,344 TO COMPLY WITH THE 427 00:15:58,344 --> 00:15:59,345 ADMINISTRATION REQUIREMENTS, 428 00:15:59,345 --> 00:16:03,616 AND, THEREFORE, THERE END UP 429 00:16:03,616 --> 00:16:04,584 BEING SOME DIFFERENT APPROACHES 430 00:16:04,584 --> 00:16:06,753 FROM WHAT WE HAVE BEEN DOING IN 431 00:16:06,753 --> 00:16:07,353 THE PAST. 432 00:16:07,353 --> 00:16:09,522 I'M NOT SURE THAT IT WOULD BE 433 00:16:09,522 --> 00:16:13,159 USEFUL TO GO BEYOND THAT. 434 00:16:13,159 --> 00:16:14,027 >> THANKS. 435 00:16:14,027 --> 00:16:14,894 THANKS, DOUG. 436 00:16:14,894 --> 00:16:23,903 LAST QUESTION, FRED. 437 00:16:23,903 --> 00:16:25,238 >> CAN YOU HEAR ME? 438 00:16:25,238 --> 00:16:26,372 >> YES. 439 00:16:26,372 --> 00:16:29,208 >> OKAY, THANKS. 440 00:16:29,208 --> 00:16:30,943 A COUPLE QUESTIONS, DOUG. 441 00:16:30,943 --> 00:16:32,812 I UNDERSTAND THERE IS A NEW 442 00:16:32,812 --> 00:16:35,448 POSITION AT NCI, THE CHIEF 443 00:16:35,448 --> 00:16:35,982 SCIENCE OFFICER. 444 00:16:35,982 --> 00:16:39,085 I WAS JUST WONDERING IF THERE IS 445 00:16:39,085 --> 00:16:43,456 CLARITY ON HOW THESE POSITIONS 446 00:16:43,456 --> 00:16:44,724 RELATE TO THE NEW AD HOC 447 00:16:44,724 --> 00:16:46,859 COMMITTEE THAT WE DISCUSSED IN 448 00:16:46,859 --> 00:16:49,662 THE FIRST MEETING, HOW THAT WILL 449 00:16:49,662 --> 00:16:51,864 BE SET UP AND HOW THIS POSITION 450 00:16:51,864 --> 00:16:56,803 MAY RELATE TO A FUTURE NCI 451 00:16:56,803 --> 00:16:59,372 DIRECTOR, IF THERE IS ANY 452 00:16:59,372 --> 00:17:00,573 CLARITY YET ON THAT. 453 00:17:00,573 --> 00:17:05,211 >> I APOLOGIZE, I DON'T THINK I 454 00:17:05,211 --> 00:17:07,280 UNDERSTOOD YOUR FIRST QUESTION. 455 00:17:07,280 --> 00:17:09,682 >> OH, THE FIRST QUESTION IS, I 456 00:17:09,682 --> 00:17:11,951 UNDERSTAND THERE IS A NEW 457 00:17:11,951 --> 00:17:15,388 POSITION AT NCI, CHIEF SCIENCE 458 00:17:15,388 --> 00:17:16,122 ADVISOR. 459 00:17:16,122 --> 00:17:17,757 I WAS JUST WONDERING IF THERE'S 460 00:17:17,757 --> 00:17:20,927 ANY CLARITY ON HOW THIS POSITION 461 00:17:20,927 --> 00:17:23,663 INTERACTS WITH THE PROPOSED AD 462 00:17:23,663 --> 00:17:32,305 HOC COMMITTEE THAT FROM THE FIT 463 00:17:32,305 --> 00:17:35,274 MEETING PUT IN PLACE. 464 00:17:35,274 --> 00:17:38,644 >> DR. GEORGE SEGUNAS HAS BECOME 465 00:17:38,644 --> 00:17:44,183 THE CHIEF SCIENCE ADVISOR, AND 466 00:17:44,183 --> 00:17:48,921 DR. SEGUNAS HAS A CONSIDERABLE 467 00:17:48,921 --> 00:17:51,557 BACKGROUND IN HEALTH RESEARCH 468 00:17:51,557 --> 00:17:52,758 AND HEALTHCARE. 469 00:17:52,758 --> 00:17:54,961 DURING THE FIRST TRUMP 470 00:17:54,961 --> 00:17:56,596 ADMINISTRATION, HE WAS THE 471 00:17:56,596 --> 00:17:58,364 ADMINISTRATOR FOR THE HEALTH 472 00:17:58,364 --> 00:18:00,433 RESOURCES AND SERVICES 473 00:18:00,433 --> 00:18:00,800 ADMINISTRATION. 474 00:18:00,800 --> 00:18:03,803 HE HAS A PH.D. IN CELL BIOLOGY, 475 00:18:03,803 --> 00:18:07,974 WORKED FOR SEVERAL YEARS AT NIH, 476 00:18:07,974 --> 00:18:10,710 AND HE HAS BEEN A PROFESSOR OF 477 00:18:10,710 --> 00:18:12,879 MEDICINE AT EAST CAROLINA 478 00:18:12,879 --> 00:18:15,281 UNIVERSITY FOR QUITE A LONG 479 00:18:15,281 --> 00:18:17,049 TIME, WHERE HE HELPED TO DEVELOP 480 00:18:17,049 --> 00:18:18,484 THEIR BONE MARROW 481 00:18:18,484 --> 00:18:19,552 TRANSPLANTATION PROGRAM, AND HE 482 00:18:19,552 --> 00:18:22,989 ALSO STUDIED THE NOTCH PATHWAY 483 00:18:22,989 --> 00:18:25,258 IN COLORECTAL CANCER. 484 00:18:25,258 --> 00:18:29,395 HE IS ESPECIALLY KNOWLEDGEABLE 485 00:18:29,395 --> 00:18:32,265 ABOUT RURAL HEALTH AND 486 00:18:32,265 --> 00:18:36,936 HEALTHCARE FOR UNDERSERVED 487 00:18:36,936 --> 00:18:38,971 POPULATIONS, AND I THINK HE HAS 488 00:18:38,971 --> 00:18:41,908 ONLY BEEN HERE FOR A WEEK, AND 489 00:18:41,908 --> 00:18:45,745 SO IT'S DIFFICULT TO KNOW 490 00:18:45,745 --> 00:18:48,447 EXACTLY WHAT THE COLLABORATION 491 00:18:48,447 --> 00:18:51,951 WILL BE LIKE, BUT I AM HOPEFUL 492 00:18:51,951 --> 00:18:55,121 THAT AS WITH EVERYBODY AT NCI, 493 00:18:55,121 --> 00:18:57,156 THAT THE WHOLE WILL BE GREATER 494 00:18:57,156 --> 00:18:59,659 THAN THE SUM OF ITS PARTS. 495 00:18:59,659 --> 00:19:01,394 >> THANK YOU, DOUG. 496 00:19:01,394 --> 00:19:02,895 AND THE SECOND QUICK QUESTION IS 497 00:19:02,895 --> 00:19:04,897 JUST ABOUT THE RESTRUCTURING AT 498 00:19:04,897 --> 00:19:06,632 NCI MORE GENERALLY. 499 00:19:06,632 --> 00:19:08,134 IS THERE ANY CLARITY ON WHETHER 500 00:19:08,134 --> 00:19:13,639 THE NCI MAINTAINS ITS OWN STATUS 501 00:19:13,639 --> 00:19:14,307 AS A -- 502 00:19:14,307 --> 00:19:15,708 >> TO THE BEST OF MY KNOWLEDGE, 503 00:19:15,708 --> 00:19:20,513 THERE ARE NO PLANS TO FOLD NCI 504 00:19:20,513 --> 00:19:23,249 IN WITH OTHER INSTITUTES OR 505 00:19:23,249 --> 00:19:23,482 CENTERS. 506 00:19:23,482 --> 00:19:25,985 >> THANK YOU. 507 00:19:25,985 --> 00:19:28,721 >> THANK YOU, DOUG. 508 00:19:28,721 --> 00:19:32,124 THERE BEING NO OTHER QUESTIONS, 509 00:19:32,124 --> 00:19:35,094 WE WILL GO AHEAD AND CLOSE AND 510 00:19:35,094 --> 00:19:45,094 CONCLUDE THE OPEN SESSION.