Story by Wyatt Massey of Spotlight PA State College and Charlotte Keith of Spotlight PA

This story was produced by the State College regional bureau of Spotlight PA , an independent, nonpartisan newsroom dedicated to investigative and public-service journalism for Pennsylvania. Sign up for Talk of the Town, a daily newsletter of local stories that dig deep, events, and more from north-central PA, at spotlightpa.org/newsletters/talkofthetown .

By early 2024, Penn State leaders faced a dilemma. For the university to achieve a long-sought goal, its cancer institute needed to significantly ramp up operations: more patients, more clinical research trials.

But mounting evidence showed the cancer center’s clinical research unit had serious and intractable problems, according to inte

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