About TRACE

The TRACE Project (Trial Regulation and Clinical Ethics Optimization) is a multi- country initiative launched in 2025 to strengthen and harmonize clinical trial ethics and regulatory oversight across selected African countries. The project aims to build a coordinated, transparent, predictable and efficient environment for ethics and regulatory review, strengthening national systems and supporting alignment with regional frameworks such as AVAREF and the African Medicines Agency (AMA).

TRACE’s optimization efforts are implemented through five workstreams: Capacity Building & Accreditation, Harmonization of policies and SOPs, Digitalization, Funding models, and communication. These workstreams enhance the performance and professionalism of ethics committees, strengthen governance, and advance digital transformation to improve workflow transparency, efficiency and data-driven decision-making.

Through these coordinated efforts, TRACE project addresses systemic bottlenecks and improves the predictability and quality of ethics and regulatory review processes. The project supports capacity building of Ethics Committee members, IRB accreditation systems, harmonized SOPs and governance documents, quality assurance mechanisms, reliance pathways, and alignment with AVAREF recommended clinical trial review timelines.

What We Do

TRACE project’s primary focus is on strengthening national ethics systems for clinical research, while supporting closer coordination with regulatory authorities
to ensure transparent, predictable, and efficient oversight. We support countries to harmonize ethics review processes, build institutional capacity, adopt digital
oversight tools and establish sustainable governance and financing models.

Through collaboration with ethics committees, regulators, and regional partners, TRACE advances high-quality, ethical and efficient clinical trial oversight that protects participants and strengthens trust in research.

Workstreams

The TRACE Project defines four core workstreams designed to optimize clinical trial regulation and ethics across Africa. While the source material confirms that specific icons are intended to be included for each workstream on the project website, the specific visual designs of these icons are not detailed.

  • Harmonize national SOPs and regulatory pathways

    This involves Aligning SOPs and trial approval pathways with standards set by AVAREF (African Vaccine Regulatory Forum) and WHO best practices. The aim is to support legal review, stakeholder engagement, and achieve operational clarity across regulatory bodies

  • Build capacity and professionalize ethics committees

    This objective is met through Training Institutional Review Boards (IRBs) and National Ethics Committees (NECs). It also supports accreditation schemes and benchmarking using ethics maturity models. The project aims to enhance the capacity of NECs, and IRBs.

Workstreams

The TRACE Project defines four core workstreams designed to optimize clinical trial regulation and ethics across Africa. While the source material confirms that specific icons are intended to be included for each workstream on the project website, the specific visual designs of these icons are not detailed.

  • Reliance Review System

    This workstream focuses on creating or enhancing collaborative ethics review systems in which one authority or committee adopts or draws upon the assessment, decision, or recommendations of another competent body. Rather than repeating full reviews independently, participating institutions will leverage each other’s evaluations to streamline processes. The aim is to improve efficiency, consistency, and timeliness in clinical trial oversight while upholding rigorous standards for participant protection, ethical conduct, and data integrity.

  • Digitally transform ethics and regulatory systems (AI-enabled tools)

    This workstream focuses on Introducing workflow digitalization (such as RHInnO Ethics) and piloting AI-supported screening tools, including the development of an AI-based consent reviewer. The goal is to streamline approvals by favoring cloud-based platforms for interoperability and exploring blockchain for secure data authentication.

  • Promote sustainability through financial planning and expanded revenue sources

    This addresses Financial Sustainability by strengthening clinical ethics system capacity in budgeting, reviewing existing and potential tiered fee structures, and supporting ethics review leadership in advocating for increased operational financing. The aim is to improve financial planning and reporting to drive the diversified resource generation necessary to ensure long-term clinical ethics system viability.

  • HARMONIZATION

    Helps countries review and enhance their ethics governance frameworks in line with AVAREF, WHO and international good practices, while ensuring that improvements remain country-driven and context-appropriate.

    Focus areas:

    Supporting countries in reviewing and updating laws, policies and governance documents related to ethical review.

    Harmonizing and strengthening SOPs and governance documents within NECs and across IRBs in each country.

    Supporting optimization of ethics review workflows and approval pathways, including in-country reliance mechanisms.

    Development of standardized tools, templates, and operational guidelines.

  • FINANCIAL SUSTAINABILITY

    Strengthens financial and operational viability of ethics systems.

    Focus areas:

    Mapping existing financing structures and gaps.

    Reviewing fee schedules and operational cost elements.

    Supporting budgeting, cost-analysis and planning.

    Supporting countries in developing sustainable financing options for NECs.

TRACE SUB-TEAMS

TRACE project is implemented through five technical sub-teams that coordinate
activities across countries and ensure coherent, evidence-based progress.

  • COMMUNICATION

    Ensure consistent communication, documentation, and knowledge sharing across all TRACE countries and within the global clinical trial network.

    Focus areas:

    Preparing communication materials and updates.

    Supporting change-management processes.

    Coordinating multi-country learning and dissemination.

    Coordinating multi-country learning and dissemination.

  • CAPACITY BUILDING & ACCREDITATION

    Builds competencies and strengthens oversight systems across NECs and IRBs, while supporting better coordination with regulatory authorities.

    Focus areas:

    Designing and delivering training programs (in collaboration with the MRCT center, AVAREF, WHO academy).

    Supporting registration and certification/accreditation processes for IRBs .

    Introducing ethics maturity concepts and supporting baseline assessments.

    Facilitating performance reviews, peer learning and continuing education.

  • DIGITAL

    Supports the development and optimization of digital systems used for Clinical Trial Application (CTA) submission, review and approval processes across TRACE countries. Its goal is to make ethics and regulatory review processes more predictable, transparent, and efficient, while strengthening data governance and enabling interoperability between national systems.

    Focus areas:

    Assessing existing digital platforms and identifying system gaps.

    Supporting countries to develop User Requirements and Technical Specifications.

    Promoting interoperability between ethics and regulatory systems.

    Enhancing real-time tracking, workflow automation and transparency.

    Strengthening data security, data governance and compliance.

    Facilitating collaboration with harmonization, capacity building, and sustainability of sub-teams.

  • HARMONIZATION

    Helps countries review and enhance their ethics governance frameworks in line with AVAREF, WHO and international good practices, while ensuring that improvements remain country-driven and context-appropriate.

    Focus areas:

    Supporting countries in reviewing and updating laws, policies and governance documents related to ethical review.

    Harmonizing and strengthening SOPs and governance documents within NECs and across IRBs in each country.

    Supporting optimization of ethics review workflows and approval pathways, including in-country reliance mechanisms.

    Development of standardized tools, templates, and operational guidelines.

  • FINANCIAL SUSTAINABILITY

    Strengthens financial and operational viability of ethics systems.

    Focus areas:

    Mapping existing financing structures and gaps.

    Reviewing fee schedules and operational cost elements.

    Supporting budgeting, cost-analysis and planning.

    Supporting countries in developing sustainable financing options for NECs.

  • CAPACITY BUILDING & ACCREDITATION

    Builds competencies and strengthens oversight systems across NECs and IRBs, while supporting better coordination with regulatory authorities.

    Focus areas:

    Designing and delivering training programs (in collaboration with the MRCT center, AVAREF, WHO academy).

    Supporting registration and certification/accreditation processes for IRBs .

    Introducing ethics maturity concepts and supporting baseline assessments.

    Facilitating performance reviews, peer learning and continuing education.

  • DIGITAL

    Supports the development and optimization of digital systems used for Clinical Trial Application (CTA) submission, review and approval processes across TRACE countries. Its goal is to make ethics and regulatory review processes more predictable, transparent, and efficient, while strengthening data governance and enabling interoperability between national systems.

    Focus areas:

    Assessing existing digital platforms and identifying system gaps.

    Supporting countries to develop User Requirements and Technical Specifications.

    Promoting interoperability between ethics and regulatory systems.

    Enhancing real-time tracking, workflow automation and transparency.

    Strengthening data security, data governance and compliance.

    Facilitating collaboration with harmonization, capacity building, and sustainability of sub-teams.

  • COMMUNICATION

    Ensure consistent communication, documentation, and knowledge sharing across all TRACE countries and within the global clinical trial network.

    Focus areas:

    Preparing communication materials and updates.

    Supporting change-management processes.

    Coordinating multi-country learning and dissemination.

    Coordinating multi-country learning and dissemination.

TRACE Project is Aligned
to the following SDGs :

At TRACE, our strategic direction is guided by a commitment to the United Nations Sustainable Development Goals (SDGs).

Our work directly contributes to SDG 3 (Good Health and Well-Being), SDG 9 (Industry, Innovation and Infrastructure), and SDG 17 (Partnerships for the Goals) — ensuring that health research and innovation serve as catalysts for equitable and sustainable progress across Africa and beyond.

SDG 3: Good Health and Well- Being

SDG 9: Industry, Innovation and Infrastructure

SDG 17: Partnerships for the Goals

David
Mukanga

Gates Foundation

Deputy Director, Africa Regulatory Systems - Gates Foundation.

Elly
Kourany

Gates Foundation (Consultant)

Consultant

Obadia
Bishoge

NIMR-Tanzania

Director – National Institute of Medical Research (NIMR), Tanzania.

Yonah
Mwalwisi

TMDA -Tanzania

Director of Medicines and Pharmacovigilance - Tanzania Medicines and Devices Authority (TMDA)