The document discusses the establishment of the NSW Cancer Trials Network and efforts to support multi-center cancer clinical research in NSW. It describes how over 65% of trials in NSW between 2004-2006 were conducted across at least two sites and 30% across four or more sites, demonstrating a need for coordinated research governance. A Clinical Cancer Research Support Grant was established to provide funding for regulatory staff to facilitate ethics approval and streamline governance processes for multi-center trials across NSW health services.