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Strengthening Clinical Trial Regulatory and Ethical review Oversight in East Africa

Project description

Boosting clinical trial oversight in Africa

In sub-Saharan Africa (SSA), an uptick in drug development clinical trials and vaccine studies for poverty-related diseases is underway. However, this surge in research endeavours has not been met with a commensurate rise in regulatory support and ethical oversight. The result? A prolonged and dissatisfactory approval process, insufficient pharmacovigilance and a lack of mechanisms for reporting adverse events. In this context, the EU-funded ACCESSAFRICA2 project aims to bolster ethical review and regulatory capacity for clinical trials in two SSA countries. Its focus includes enhancing the oversight of reported adverse events, streamlining the review processes, and equipping national regulatory authorities and ethics committees with the knowledge and skills needed for novel research designs.


There is an increase in the number of drug development clinical trials conducted in Sub-Saharan Africa (SSA), including vaccine development studies for poverty-related diseases (PRDs) underway in SSA. These increases have not been matched with increase in regulatory support and ethical review for such studies in SSA. Specific gaps exist in skills and knowledge in providing adequate regulatory oversight, ethical review and pharmacovigilance for such studies, efficiency of the regulatory and ethical review processes. With sequential processes of review requiring a prolonged period before approvals are granted, there is dissatisfaction with the the time interval from submission to decision, within the research community. Additionally, mechanisms for reporting adverse events to both the ethics committees and national regulators are not well developed. The Aim of AccessAfrica 2 is to improve ethical review and regulatory capacity for clinical trials in two Sub-Saharan Africa (SSA) countries, with specific focus on the review and oversight of reported adverse events during clinical trials, improve efficiencies of the NECs and NRAs, and equip them with skills and knowledge for oversight for novel research designs.

AccessAfrica 2 is a embedded in the Eastern Africa Consortium for Clinical Research (EACCR), and EDCT funded network, and is continuation of AccessAfrica project which was funded by EDCTP. We propose to address the identified gaps through the three objectives and four work packages. We will establish a consensus driven consortium with partners leveraging each others strength to achieve the objectives. We propose to incorporate the AVAREF guidelines in the regulatory and ethical review guidelines of the partners, and work with the Kenya Pharmacy and Poisons board to improve the pharmacovigilance for research capacity in the partner countries.



Net EU contribution
€ 208 602,25
0313 Oslo

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Norge Oslo og Viken Oslo
Activity type
Higher or Secondary Education Establishments
Total cost
€ 208 602,25

Participants (4)