The North American Orthodox-Catholic Theological Consultation (NAOCTC) has released its response to the most recent document produced by the Joint International Commission for Theological Dialogue between the Roman Catholic Church and the Orthodox Church. The Chieti Document discusses the relationship between primacy and synodality during the first millennium Churches of the East and West. It specifically examines that relationship on three levels: the local, regional and universal. The NAOCTC response reflects upon each of the three levels and offers suggestions for further study and consideration.