National Cancer Institute Cancer Control and Population Sciences Cancer Control Home Help Contact Us
skip top navigation
Cancer.gov
Skip to Content National Cancer Institute Cancer Control and Population Sciences

Epidemiology and Genetics Research  

Cancer Family Registries - Questions & Answers


 What are the Cancer Family Registries (CFRs)?
 What kinds of research are supported?
 What is the scope of the CFRs?
 What types of information and biomaterials are available?
 Who can obtain data and biomaterials?
 How do researchers apply?
 How are requests evaluated?
 What are the criteria for evaluation and review of applications?
 Can the CFRs provide other services?

[Return to Top]

What are the Cancer Family Registries (CFRs)?

The Breast and Ovarian Cancer Family Registries and the Colon Cancer Family Registries (CFRs) provide comprehensive research infrastructures to facilitate interdisciplinary population-based, translational research in the genetic epidemiology of breast, ovarian, and colorectal cancer.

The CFRs are particularly suited to the identification and characterization of cancer-associated genes, because of the detailed data collected, parallel collection of biomaterials, the dual nature of the large collection of families ascertained (both at-risk and population-based), and the identification of prospective cohorts of probands and their families.

The CFRs collect family history information, epidemiologic and clinical data, and related biomaterials from individuals with breast and/or ovarian cancers and Li-Fraumeni syndrome and their families, and from individuals who have histories of colorectal cancer and their families. All together, nearly 19,000 families have joined through the participating sites.

The CFRs are international consortia of 12 research institutions in the United States, Australia, and Canada. There are six participating sites each in the Breast/Ovarian and Colon Cancer CFRs, and there is an Informatics Center that supports both registry systems.

The Breast/Ovarian CFRs are:

  • University of Melbourne, Carlton, Australia;
  • Columbia University, New York, N.Y.;
  • Northern California Cancer Center, Union City, Calif.;
  • Cancer Care Ontario, Toronto, Canada;
  • Fox Chase Cancer Center, Philadelphia, Pa.; and
  • Huntsman Cancer Institute, Salt Lake City, Utah.

The Colon CFRs are:

  • Fred Hutchinson Cancer Research Center, Seattle, Wash.;
  • University of Hawaii, Manoa, Hawaii;
  • Mayo Clinic, Rochester, Minn.;
  • University of Southern California, Los Angeles, Calif.;
  • University of Toronto, Ontario, Canada; and
  • University of Queensland, Ernston, Australia.

[Return to Top]

What kinds of research are supported?

The CFRs support collaborative investigations on:

  • Identification of novel cancer susceptibility genes through linkage and association studies;
  • Characterization of known cancer susceptibility genes, including population frequency, penetrance, and genotype-phenotype correlations;
  • Study of gene-gene and gene-environment interactions in breast, ovarian, and colorectal cancer etiology;
  • Translational research on the clinical, preventive, behavioral, and communication aspects of such findings; and
  • Health policy and public health research.

They also participate in prevention and assessment studies either directly or by identifying and referring high-risk populations.

Special features include:

  • Population-based and clinic-based ascertainment,
  • Systematic collection of validated family history,
  • Epidemiologic risk factor data,
  • Clinical and follow-up data,
  • Biospecimens (including tumor blocks and fresh-frozen tissue), and
  • Ongoing molecular characterization of the participating families.

[Return to Top]

What is the scope of the Registries?

The scope covers:

  • Collecting pedigree information, epidemiological and clinical data, and biomaterials from individuals and participants with a family history of breast/ovarian or colorectal cancer who are ascertained from a variety of populations in the United States, Canada, and Australia.
  • Providing a resource and infrastructure for interdisciplinary and translational studies on the etiology of breast, ovarian, and colorectal cancer.
  • Identifying populations at risk for these cancers that could benefit from development of new preventive and therapeutic strategies, and from appropriate counseling.

[Return to Top]

What types of information and biomaterials are available?

The CFRs can provide family history (pedigrees), and clinical, demographic, and epidemiologic data on risk factors. Families are also periodically recontacted in order to obtain follow-up epidemiologic data, and data on cancer recurrence, new morbidity, and mortality. The types of biological specimens obtainable are:

  • tissue sections from paraffin-embedded tumor tissue,
  • peripheral blood lymphocytes,
  • serum,
  • fresh frozen tissue (when available), and
  • from some CFRs sites, other biological fluids.

Breast/Ovarian CFRs

These CFRs include families who have a family history of breast and/or ovarian cancer, and have Li-Fraumeni syndrome. The families are ascertained through high-risk clinic settings, as well as through population-based recruitment.

Three registries focus on enrolling high-risk families:

  • Columbia University,
  • Fox Chase Cancer Center, and
  • Huntsman Cancer Institute.

The other three registries are population-based:

  • University of Melbourne
  • Northern California Cancer Center, and
  • Cancer Care Ontario.

Colon CFRs

The Colon CFRs are enrolling families at low-, intermediate-, and high-risk of colorectal cancer, as well as some families who do have an inherited risk for cancer. (High-risk is defined as having two or more family members who have colorectal cancer.)

These CFRs are located at:

  • Fred Hutchinson Cancer Research Center,
  • University of Hawaii,
  • Mayo Clinic,
  • University of Southern California, Los Angeles,
  • University of Toronto, Ontario,
  • University of Queensland.

The confidentiality of participants is protected. Participation in approved studies that involve additional contact is optional, and these contacts are handled by the CFRs.

Both the Breast/Ovarian and Colon CFRs include non-Hispanic whites, Hispanics, African Americans, Native Americans, Asians, and Pacific Islanders. Some CFRs also are ascertaining population-based control families.

All CFRs participating sites retain custody of and have primary rights to the data they collect under their current National Institutes of Health (NIH) awards, subject to the federal government's rights of access and consistent with current U.S. Department of Health and Human Services (DHHS), Public Health Service (PHS), and NIH policies.

Collaboration among the CRFs and with external researchers is encouraged, and collaborative publications by extramural researchers and intramural NCI researchers are anticipated. If any laboratory, statistical, or other aspect of the research is handled under contract, individuals involved in the contract(s) also must be named.

[Return to Top]

Who can obtain data and biomaterials?

Registry biomaterials and data are available to the entire scientific community for meritorious studies. Researchers apply to the Advisory Committee of the relevant CFRs to use resources.

*Guidelines for Accessing Data and/or Biospecimens

[Return to Top]

How do researchers apply?

Investigators who are interested in accessing data and/or biospecimens should explore collaborative arrangements with the CFRs investigators and prepare a brief application using the "Access Policies and Procedures Manual" and the form provided on the Informatics Center Web site.

To discuss proposals, contact:

Daniela Seminara, Ph.D., M.P.H.
Clinical and Genetic Epidemiology Research Branch
Epidemiology and Genetics Research Program
6130 Executive Boulevard, Room 5140, MSC 7393
Bethesda, MD 20892-7393
telephone: (301) 496-9600
fax: (301) 435-5477
e-mail: seminard@mail.nih.gov

Researchers also must:

  • provide approval for use of human subjects following the requirements of the NIH Office for Human Research Protections (OHRP), and
  • be prepared to pay appropriate expenses for section preparation, the shipment of biospecimens, and transfer of data.

The CFRs do not provide funding for studies. Researchers will receive documentation of the availability of materials in support of research grant applications for high-priority projects approved through the CFRs.

[Return to Top]

How are requests evaluated?

Requests are evaluated for scientific merit and appropriate use of CFRs resources by the Breast/Ovarian or Colon CFRs Advisory Committee, which are independent, multidisciplinary panels of senior cancer researchers. The Advisory Committees make recommendations on research priorities to the Steering Committees of each CFRs system. The Steering Committees, which are the official governing bodies, ratify Advisory Committee recommendations based on the feasibility of providing the requested resources.

[Return to Top]

What are the criteria for evaluation and review of applications?

These criteria are established by the Steering Committees to ensure that valid and productive scientific use is made of the CFRs resources for multidisciplinary and translational studies on the etiology of cancer, and to serve the research community at large through collaborations with CFRs researchers.

Researchers applying for resources must provide evidence that the following criteria are satisfied:

  1. The question being addressed is of considerable scientific and/or medical interest.
  2. The study design is appropriate to address the question.
  3. The sample size is sufficient to provide a good chance of answering the question.
  4. The researcher and his/her research team have appropriate qualifications and experience to conduct the study.
  5. The amounts of material requested by the researchers are appropriate for the specified study, and are not excessive given the possible finiteness of the available material.
  6. The research has the potential to expand to large collaborative studies using the CFRs resources.
  7. The proposed work:
    • could not be undertaken without the data and/or materials of the type collected by the CFRs, or
    • the work will enhance the value of the CFRs, or
    • the work is a pilot study indicated on the original application submitted in response to the Request for Applications (RFA) to establish the CFRs.

[Return to Top]

Can the CFRs provide other services?

Additional information about the CFRs populations may be available through collaboration with the investigators.

For additional information and to discuss specific applications, contact: Daniela Seminara, Ph.D., M.P.H.

If problems are encountered accessing forms, contact: Ms. Connie Galindo, Management Associate.

*Guidelines for Accessing Data and/or Biospecimens
*Informatics Center
*Registry Site Contacts
   

  Search | Help | Contact Us | Accessibility