Evidence map›Paper›PMID 40177998›Full record

ArticleTropical medicine & international health : TM & IH2025

Regulator experiences of trials during Ebola epidemics in Sierra Leone, Guinea, and the Democratic Republic of the Congo.

Kambale Kasonia, Frank Baiden, Frédéric Le Marcis, Bruno Lapika, Joel Kiyulu, Henri Kimina, Freddy Bikioli, Fanny Attas, Anthony Mansaray, Rose Burns and 11 more

Abstract read
In one paragraph

Article in Tropical medicine & international health : TM & IH, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Kambale KasoniaLondon School of Hygiene & Tropical Medicine, London, UK.ORCID https://orcid.org/0000-0001-5340-7048
Frank BaidenLondon School of Hygiene & Tropical Medicine, London, UK.
Frédéric Le MarcisEcole Normale supérieure de Lyon, Lyon, France.
Bruno LapikaDépartement d'Anthropologie, Université de Kinshasa, Kinshasa, The Democratic Republic of the Congo.
Joel KiyuluDépartement d'Anthropologie, Université de Kinshasa, Kinshasa, The Democratic Republic of the Congo.
Henri KiminaDépartement d'Anthropologie, Université de Kinshasa, Kinshasa, The Democratic Republic of the Congo.
Freddy BikioliTropical Medicine Department, Université de Kinshasa, Kinshasa, The Democratic Republic of the Congo.
Fanny AttasEcole Normale supérieure de Lyon, Lyon, France.
Anthony MansarayLondon School of Hygiene & Tropical Medicine, London, UK.
Rose BurnsLondon School of Hygiene & Tropical Medicine, London, UK.
Elysée NouvetSchool of Health Studies, Western University, London, Canada.
Séverine ThysCentre de Coopération Internationale en Recherche Agronomique pour le Développement, CIRAD, Montpellier, France.
Antea PaviottiUniversity of Antwerp, Antwerp, Belgium.
Daniela MannoLondon School of Hygiene & Tropical Medicine, London, UK.
Mukeh Kenneth FahnbullehMinistry of Health, Freetown, Sierra Leone.
Bailah LeighCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Mohamed SamaiCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
Brian GreenwoodLondon School of Hygiene & Tropical Medicine, London, UK.
Shelley LeesLondon School of Hygiene & Tropical Medicine, London, UK.
Patrick Mitashi MulopoTropical Medicine Department, Université de Kinshasa, Kinshasa, The Democratic Republic of the Congo.
Deborah Watson-JonesLondon School of Hygiene & Tropical Medicine, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDuring the 2014-2016 Ebola epidemic in West Africa and the Ebola outbreaks between 2018 and 2020 in the Democratic Republic of Congo, vaccines and other tools for prevention and treatment had to be taken through trials in exceptional circumstances using accelerated processes. MATERIALS AND

methodsWe interviewed members of ethics committees, health authorities, health professionals, and political authorities in the Democratic Republic of Congo in 2021 and held a workshop with ethics committee members and regulatory authorities from Sierra Leone and Guinea in 2022 in order to document their experiences of reviewing, approving, and regulating current and new studies during epidemics and outbreaks, and to document lessons learnt and their recommendations for the rapid review of clinical trial protocols during public health emergencies.

resultsSimilar barriers were identified in the three countries. These were related to weak legal frameworks and partnerships between ethics committees and regulatory bodies. Inadequate human resources, outdated standard operating procedures and guidelines, and lack of finance to support timely reviews were identified. We also noted a lack of awareness from politicians, scientists, and communities about the existence and functions of regulatory bodies/ethics committees, a lack of independence, and low interest in research. Opportunities identified by the institutions in the countries concerned included training ethics committee members and networking with experienced international platforms like the African Vaccine Regulatory Forum. Laws on regulating research have been updated in Sierra Leone and in Guinea, but not yet in the Democratic Republic of Congo.

conclusionRegulatory bodies have been facing many challenges in terms of a lack of a legal framework, a lack of finance, and a lack of support from politicians, scientists, and communities. Networking has been an opportunity for these regulators to mitigate these impediments.

Indexed as

Clinical Trials as TopicEpidemicsHemorrhagic Fever, EbolaDemocratic Republic of the CongoEthics Committees, ResearchGuineaHumansSierra LeoneCommitteeEbolaEpidemicEthicsRegulators

Identifiers

PMID40177998
PMCPMC12136929

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.