
Research Ethics Committee Systems Optimization
TRACE (Trial Regulatory and Clinical Ethics Optimization) is a dynamic initiative to strengthen and streamline clinical trial regulatory and ethics systems across Africa. Its mission is to remove barriers to clinical research by streamlining review processes, reducing duplication, and establishing clear, efficient timelines.
Despite growing interest in African clinical research, sponsors still encounter unclear submission pathways, manual or outdated systems, redundant reviews, and unpredictable timelines, all barriers TRACE aims to eliminate.
The MRCT Center, as a member of TRACE’s Core Project Team and lead of the Capacity Building & Accreditation and Funding Models sub-teams, is working alongside the African Vaccine Regulatory Forum (AVAREF) and Garnet Partners, with funding support from the Gates Foundation, to design and implement sustainable regulatory and ethics solutions.
In close collaboration with local stakeholders, TRACE co-develops tools, templates, and resources tailored to the needs of African ethics committees. It promotes inter-institutional coordination and cooperation.
By bringing together national ethics committees (NECs), institutional review boards (IRBs), regulatory agencies, and sponsors, TRACE fosters a transparent, efficient, and sustainable environment for clinical research oversight. The initiative’s goal is to position Africa as a leading hub for clinical research, with pilot efforts currently underway in Rwanda, Tanzania, Zimbabwe, and Nigeria.
As part of its role, the MRCT Center leads national system assessments using the WHO Global Benchmarking Tool for Ethics Committees, provides targeted training and capacity-building programs for NECs, and supports the implementation of IRB reliance strategies. It is also collaborating with stakeholders to design a model fee structure and contributing to long-term financial sustainability and regulatory alignment.
To further support training, the MRCT Center offers an online, on-demand training course on Ethics and Review of Interventional Clinical Research available free on the WHO Academy platform. A follow-up course, Ethics and Review of Interventional Clinical Research II, is currently in development and expected in fall 2025.
Ultimately, TRACE is committed to establishing a sustainable, efficient, and globally dependable landscape for clinical research across Africa by tackling persistent challenges such as manual workflows, redundant reviews, and inconsistent timelines.
OBJECTIVES
- Ethics Systems Strengthening: Enhancing NEC and IRB capabilities, developing accreditation frameworks, and operationalizing a national accreditation program.
- Capacity Building: Providing comprehensive training, curriculum development, and resource support to empower ethics committees and regulatory authorities.
- Financial Sustainability: Creating equitable fee structures, implementing differentiated charging models, and constructing robust financial sustainability strategies for NECs.
- Integration with National Authorities: Facilitating the alignment of ethics systems with national regulatory infrastructures.
- Regulatory Optimization: Simplifying submission pathways and review procedures to reduce ambiguity and inefficiency.
KeY MILESTONES
- August 2025: Financial Sustainability sub-team kickoff meeting
- July–August 2025: Core team face-to-face meeting in Kigali to discuss project direction with participating countries
- July 2025: Capacity Building sub-team kick-off meeting
- June 2025: Visit Zimbabwe and Tanzania for gap and opportunity assessment
- April–May 2025: Visit Nigeria and Rwanda to consult with NECs and regulatory bodies on gaps and opportunities
- February 2025: Kick-off meeting with core team for the Africa Clinical Trial Regulatory and Ethics System Optimization project
- October 2024: Released online course “Ethics and Review of Interventional Clinical Research”
- February 2024: Meetings in Rwanda and Zimbabwe to strengthen and sustain the clinical trial ecosystem in Africa
- January 2024: Meetings in Ethiopia for assessment of clinical trial system
- May 2023: Presented MRCT Center’s capacity building effort at AVAREF meeting in Cameroon
- December 2022: Clinical Trial Optimization visit in Kenya and Nigeria
- March/April 2022: Training for Ethics Review of Clinical Research: A Virtual Training Course for Africa- Part 2
- September 2021: Training for Ethics Review of Clinical Research: A Virtual Training Course for Africa – Part 1
project Leadership & sTAFF
- Barbara E. Bierer, MD, Faculty Director, MRCT Center
- Sarah White, MPH, Executive Director, MRCT Center
- Willyanne DeCormier Plosky, DrPH, Program Director, MRCT Center
- Hayat Ahmed, MSc, Program Manager, MRCT Center
- Lauren Otterman, MBHL, Project Manager, MRCT Center