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A network uniting all 55 African countries in advancing excellence in clinical trials.
AVAREF was originally established as the African Vaccine Regulatory Forum.
Over the years, it has evolved into Africa’s leading platform for regulatory and ethics capacity building, clinical trials oversight systems strengthening, harmonization, and expertise in clinical trials.

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Today, AVAREF supports access to innovative medicines, vaccines, and other health products through a strengthened clinical trial ecosystem to meet Africa’s needs.
Its core mission, Advancing Clinical Trials Excellence in Africa, brings together a wide range of stakeholders and partners across the continent and beyond.

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AVAREF, through its ecosystem and life cycle approach, unites all African countries, connecting National Regulatory Agencies (NRAs), National Ethics Committees (NECs), Clinical Researchers, and other partners to strengthen clinical trial oversight, promote ethical standards, strengthen capacity, and ultimately enhance access to innovative medicines. 

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The AVAREF Secretariat, hosted by the World Health Organization (WHO) Regional Office for Africa, supports member states along the innovation life cycle through provision of scientific and technical support, a platform for multi-country joint reviews and scientific advice for clinical trials, and training for evaluators fostering collaboration that accelerates access to innovative, safe, effective, and affordable medicines of assured quality for the African population.

WHAT'S AVAREF

Our Vision

A continent where every African has timely access to innovative, safe, effective, and affordable medicines, vaccines, and other health products of assured quality. 

Our Mission

Supporting African countries to strengthen clinical trial ecosystem through regulatory and ethical oversight, harmonization, timely decisions, and promotion of excellence along the innovation life cycle. 

Engage With Us

Stay informed about AVAREF’s latest work, publications, and upcoming events, and join the community advancing clinical trial excellence in Africa. 

Upcoming

Strengthening Africa’s
Clinical Trials Ecosystem

AVAREF Ecosystem Survey 2025

Building a comprehensive evidence base to guide regulatory harmonization
and capacity development.

  • Identify bottlenecks affecting review timelines
  • Map regulatory capacity and digital readiness
  • Guide targeted training & harmonization
  • Track progress using a standardized monitoring framework

Review
Timelines

Harmonization

Digital
Systems

Capacity-
Building

Featured & Upcoming Events

Shows 6 most recent by default. Use filters (status, type, year, category) or click Next to browse older activities.

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Apr–Nov2025Virtual
Reliance-based facilitated registration
Joint Review
12 NRAs · Virtual
This facilitated registration process supported rapid, aligned evaluation of the Men5V conjugate vaccine in high-risk meningitis belt countries. It applied AVAREF’s reliance model to accelerate access while ensuring rigorous review.
Apr–Sep2025Virtual
Ebola post-exposure prophylaxis CTA
Joint Review
Primary + observer countries · Virtual
This joint review evaluated the EBO-PEP clinical trial application for Ebola post-exposure prophylaxis across four primary countries, with four additional observer countries. It enabled harmonized assessment of scientific, ethical, and safety considerations for outbreak-relevant research.
Mar–Aug2025Virtual
Preparedness master protocols (platform trials)
Joint Review
19 countries · Virtual (multi-session)
This joint review assessed multicountry Clinical trial Master protocols for Filovirus Solidarity and Partners trials, supporting Africa’s preparedness for future filovirus outbreaks.
02–03OCT2025
AVAREF Digital Platform workshop
Workshop
Kintele, Congo · English & French interpretation.
This workshop provided hands-on training on the use of the AVAREF digital platform to facilitate joint reviews and reliance workflows. It aimed to improve reviewer coordination, data sharing, and tracking of multi-country review processes.
24–26SEP2025
ATMP regulatory frameworks (TRS 1048)
Workshop
Multi-day hybrid regional workshop
This workshop supported African countries in adapting WHO regulatory guidance on human cells, tissues, and advanced therapies. It focused on TRS 1048 Annex 3 and the development of national frameworks for ATMP regulation
22–23SEP2025
Pilot countries harmonization kickoff
Workshop
2 days physical workshop
This workshop launched the Harmonization Working Group, establishing a collaborative structure to advance regulatory convergence across 16 pilot countries. It initiated a comparative analysis of regulations and processes to support the development of a long-term harmonization roadmap
Jun–Sep2024Hybrid
R21/Matrix-M facilitated review (reliance)
Joint Review
Multi-country facilitated review for registration/emergency use
This facilitated review supported synchronized assessment of the R21 malaria vaccine across 22 African countries. It applied reliance principles to accelerate national implementation while maintaining rigorous scientific review.
Jan–Feb2024Hybrid
TB vaccine candidate CTA joint review
Joint Review
Kenya, Zambia, Malawi, Mozambique · Hybrid
This joint review examined the clinical trial application for a new TB vaccine candidate across four African countries. It aimed to harmonize key scientific, safety, and ethical considerations for trial initiation.
19–20SEP2024
Advisory Committee – Strategic guidance
Governance
In-person meeting (Day 1 closed; Day 2 open with partners)
This AC meeting provided strategic guidance on AVAREF’s role in the clinical trial ecosystem in the era of AMA. It reviewed TCC recommendations, endorsed key initiatives, and agreed on priorities for the AVAREF Clinical Trial Pilot Project .
15–16SEP2024
TCC – Technical agenda & AC recommendations
Governance
Dakar, Senegal · In-person (Day 1 closed; Day 2 open)
This TCC meeting advanced AVAREF’s technical agenda and prepared recommendations for the Advisory Committee. It focused on the clinical trial pilot project, guideline and tool development, performance metrics, and support to AMA operationalization.
MAR2024Virtual
TCC – Annual technical review
Governance
Virtual · Technical meeting
This meeting reviewed progress on AVAREF’s technical programmes for 2023–2024 and validated priorities for the year ahead. It focused on guideline development, joint review processes, and strengthening the reliance mechanisms.
18–20SEP2024
Ethics oversight & WHO benchmarking tool
Workshop
Dakar, Senegal · In-person
This workshop strengthened national ethics committees’ capacity to review clinical trials and to use the WHO Benchmarking Tool for Research Ethics Oversight. It combined technical lectures, case studies, and group work to identify gaps, best practices, and priority actions for ethics system strengthening
15–19JUL2024
CTA training (Southern & Eastern Africa)
Workshop
Windhoek, Namibia · Hybrid
This regional workshop built the capacity of Southern and Eastern African regulatory reviewers using AVAREF’s harmonized CTA evaluation tools. It combined in-person and virtual sessions with practical dossier-based exercises.
15–19APR2024
CTA assessment training (West Africa)
Workshop
The Gambia · In-person
This workshop strengthened the capacity of 3 West African regulators to assess clinical trial applications using AVAREF tools. It provided hands-on training with real dossiers and harmonized evaluation grids
22–26JUL2024
Clinical trial ecosystem optimization mission
Optimization
Lusaka, Zambia · In-country mission
This AVAREF assessment examined Zambia’s clinical trial review and approval system to identify bottlenecks, overlaps, and root causes of long timelines. It aimed to develop concrete actions and a strategic roadmap to optimize regulatory and ethics processes and move toward AVAREF and WHO maturity targets.
23–26JAN2024
Clinical trial ecosystem optimization mission
Optimization
Addis Ababa, Ethiopia · In-country workshop
This mission assessed Ethiopia’s clinical trial ecosystem to identify strengths, bottlenecks, and opportunities for optimization. It aimed to support the country in improving oversight systems, timelines, and site readiness.