HRR4+H8C Manhiça Maputo, 1929, Mozambique
Private research institution
Serves Eastern Africa

The Centro de Investigação em Saude de Manhiça (CISM) is a private research institution in Maputo, Mozambique. CISM focuses on biomedical research and has a research partnership with the University of Barcelona and other groups, including the European & Developing Countries Clinical Trials Partnership (EDCTP). The institute has a clinical staff of 171. CISM has previously hosted clinical trials, including Phase II and III drug trials for malaria. AC3T’s cancer clinical trials capacity data show that CISM performs well across many dimensions. The institute does not treat cancer patients nor has a pharmacy, but does have laboratory capabilities. CISM has additional areas of strength in pediatric oncology, malaria, and causes of death in addition to its morbidity surveillance platform and demographic surveillance system.
Links to previous clinical trials:
https://clinicaltrials.gov/ct2/show/NCT02698748
https://clinicaltrials.gov/ct2/show/NCT01464138
https://clinicaltrials.gov/ct2/show/NCT00231452
Site Capabilities
Clinical Trial Experience
Therapeutic area interests:
Cancer
Infectious DiseaseInstitution has received grant(s) from:
National Funder(s)
International Funder(s)Sponsors for previous clinical trials include:
Academic
Government
Industry
Investigator-initiatedPrevious clinical trials conducted:
Behavioral
Epidemiological
Diagnostic
Drug
Observational
Surgical
VaccineStudy phase capabilities:
Phase I
Phase II
Phase III
Phase IVPediatric research capabilities:
YesInstitution Regulatory/Research Ethics Committees
Frequency of meetings: Monthly
Application turnaround time (IRB/IEC): 2-4 weeks
Average time from receipt of final protocol to review and approval of study by all relevant committees: 12-24 weeks
Additional compliance:
IRB/IEC in compliance with IC E6(R2) in terms of composition, functions, and operations guidelines
Institution and/or local regulation mandates the distribution of study safety reports to IRB/IECInstitution Staffing Resources
| Staff type | Number of staff |
|---|---|
| Performs study site coordination and manage daily operational activities | 0 |
| Prepares and administers study drug | 0 |
| Collects and processes study data and maintain data integrity | 7 |
| Monitors site processes and ensures quality | 3 |
| Biostatisticians | 1 |
| Database programmers | 7 |
| Epidemiologists | 6 |
| Pathologists | 0 |
| Pharmacists | 1 |
At least one staff member has clinical trials experience
At least one staff member has HSP training
At least one staff member has GCP training
At least one staff member has GCLP trainingInstitution Diagnostic Capabilities
Institution has personnel capable of performing diagnostic biopsiesBiopsies performed on-site:
Pleural tap
Abdominal tap
Lumbar puncture (spinal tap)Laboratory basics:
Institution has a laboratory on site
Institution sends diagnostic samples to external laboratory
Institution’s laboratory has been inspected or auditedLaboratory accreditations:
Good Laboratory Practices (GLP)
International Organization for Standardization (ISO)Tests performed on-site:
Complete blood count (CBC) with differential
Comprehensive metabolic-chemistry panel (CMP)
Routine urinalysis
Antibiotic sensitivity
Bacterial culture
Flow cytometry
Histology
Immunohistochemistry
MicroscopyImaging capabilities:
Computed tomography (CT)
Magnetic resonance imaging (MRI)
Positron emission tomography (PET)
Nuclear imaging
Ultrasound
X-ray
Pediatric imagingInstitution Research Systems, Recordkeeping, and Data Management
Institution adheres to informed consent processes compliant with ICH E6(R2)
Institution follows ICH E6(R2) for collection and storage of source documentation for paper and/or electronic records
Institution stores patient records/source documents (paper/electronic) in a secured, limited access location during and after the trial
For source documents collected via electronic data capture, institution has a validated system and site procedures that follow ICH E6(R2) 5.5 guidelines
Institution has process in place for proper storage, archiving, and retrieval of essential study document per ICH 8.1
Institution study monitors have full access to source documents or certified copies of source documents (if electronic) if direct access can’t be obtained
Institution has a finance administration team
Institution undergoes routine financial auditsInstitution Pharmacy
Pharmacy on site
Pharmacy has secure, limited access storage area with daily temperature monitoring and backup generator
Pharmacy has standard processes in place to ensure proper receipt, handling, and storage of investigational study drug/vaccine and comparators
Pharmacy has standard processes in place to ensure proper dispensing
Pharmacy has standard processes in place to ensure proper labeling that maintains the study blind
Pharmacy has standard processes in place to ensure proper drug/vaccine accountability, retrieval, and return or destruction of unused product
Institution has a secure, limited-access investigational drug/vaccine storage area with daily temperature monitoring
Institution’s pharmacy has a backup generator sufficient to run necessary equipment, refrigerators, freezers, etc.Institution Equipment
Protocol for managing anaphylactic shock
Institution has a blood bank
Institution carries out blood transfusions for patients that need it
Functioning IV infusion pumps
Functioning basic life support equipment (crash cart)
Functioning electrocardiogram (EKG)Availability of banked blood at institution:
N/AInstitution performs the following routine blood screening tests on banked blood:
HIV
HBV
HCV
HPV
HTLVI
HTLVII
SyphilisAdditional information:
Institution’s equipment is calibrated and maintained per manufacturer’s guidelines
Institution’s equipment calibration and maintenance is documented
Institution’s laboratory has a secure, limited access biological specimen storage area with daily temperature monitoring
Institution’s laboratory has a backup power source, with alarm, sufficient to run necessary equipment, refrigerators, freezers, etc.
Institution maintains and uses a diagnostic imaging protocol manual
Laboratory maintains and uses a laboratory protocol manual
Site documents all procedures conducted and the resultsProgram-Specific Capabilities

Institution Cancer Treatment Capabilities and Equipment
Treats cancer patients
Performs surgical excisions
Administers chemotherapy
Uses radiation therapyRadiotherapy machines on site:
Linear accelerator
Cobalt 60
Brachytherapy
Institution Infectious Disease Treatment Capabilities and Equipment
Data collection in progress
Investigators at Centro de Investigação em Saude de Manhiça

Pedro Aide, M.D., Ph.D.
Scientific Director
Infectious DiseasesOverview
Dr. Pedro Aide is Scientific Director at Centro de Investigação em Saude de Manhiça. In addition to his M.D. and Ph.D. (public health) degrees, he has a master’s degree in epidemiology and biostatistics. He was named the inaugural Alan J. Magill Fellow by the American Society of Tropical Medicine & Hygiene in 2017. Dr. Aide’s research and clinical trial interests and experience include small-molecule drug (treatment and preventive mass drug administration), pediatric, and vaccine studies for malaria.
Trial Phases
Phase II
Phase IIIExperience Conducting or Participating in Clinical Trials: Yes
Previous Clinical Trials
https://pubmed.ncbi.nlm.nih.gov/31708182/

Inácio Mandomando, Ph.D.
Coordinator, Diarrheal Disease Research Area
Infectious DiseasesOverview
Dr. Inácio Mandomando is the Coordinator of the Diarrheal Disease Research Area at Centro de Investigação em Saude de Manhiça. In addition to his Ph.D. (biomedical sciences – microbiology), he has a bachelor’s degree in veterinary medicine. Dr. Mandomando’s research and clinical trial interests and experience include drug (small molecule), pediatric, and vaccine studies for diarrheal diseases, other invasive bacterial diseases, and malaria. He is the principal investigator of the CHAMPS project in Mozambique.
Trial Phases
Phase I
Phase III
Phase IIExperience Conducting or Participating in Clinical Trials: Yes
Previous Clinical Trials
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3165288/
https://pubmed.ncbi.nlm.nih.gov/21079803/
https://pubmed.ncbi.nlm.nih.gov/21443960/
https://clinicaltrials.gov/study/NCT05124691

Tacilta Nhampossa, Ph.D., MBBS
Pediatrician and Coordinator, Maternal and Child Research Area
Infectious DiseasesOverview
Dr. Tacilta Nhampossa is a Pediatrician and Coordinator of the Maternal and Child Research Area at Centro de Investigação em Saude de Manhiça. In addition to her Ph.D. (medicine) and MBBS degrees, she has a Master of Public Health (MPH) degree. Dr. Nhampossa’s research and clinical trial interests and experience include HIV testing, treatment, and prevention, especially focused on pregnant women and children; small-molecule drug trials for malaria; and epidemiological studies of diarrheal and antimicrobial-resistant diseases.
Formal Clinical Trial Training*
Formal GCP TrainingTrial Phases
Phase IVExperience Conducting or Participating in Clinical Trials: Yes
Previous Clinical Trials
https://pubmed.ncbi.nlm.nih.gov/34815285/
https://pmc.ncbi.nlm.nih.gov/articles/PMC3398260/
https://www.careacross.com/clinical-trials/trial/NCT06281119

Francisco Saúte, Ph.D., MBBS
Director General, Centro de Investigação em Saude de Manhiça; Lecturer in Epidemiology, Universidade Eduardo Mondlane
Infectious DiseasesOverview
Dr. Francisco Saúte is the Director General of Centro de Investigação em Saude de Manhiça, and Lecturer in Epidemiology at Universidade Eduardo Mondlane. In addition to his Ph.D. (malaria epidemiology) and MBBS degrees, he has a master’s degree in infectious disease epidemiology. Dr. Saúte’s clinical trial interests and experience include behavioral, drug (small molecule), epidemiological, genomic, prevention, vaccine, and vector control studies for malaria. He has also conducted research on SARS-CoV-2 impacts on malaria and HIV.
Trial Phases
Phase II
Phase IIIExperience Conducting or Participating in Clinical Trials: Yes
Previous Clinical Trials
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9942013/

Esperança Sevene, Ph.D., MBBS
Associate Researcher, Centro de Investigação em Saude de Manhiça; Associate Professor of Clinical Pharmacology and Deputy Director for Research and Extension, Universidade Eduardo Mondlane
Infectious DiseasesOverview
Prof. Esperança Sevene is Associate Researcher at Centro de Investigação em Saude de Manhiça, as well as Associate Professor of Clinical Pharmacology and Deputy Director for Research and Extension at Universidade Eduardo Mondlane. In addition to her Ph.D. (medicine) and MBBS degrees, she has a master’s degree in pharmacoepidemiology. Prof. Sevene’s research focuses on evaluation of drug and vaccine safety (pharmacovigilance), especially during pregnancy. She has conducted clinical trials involving antimalarials; antiretrovirals; and community and drug interventions for pre-eclampsia and hypertension.
Trial Phases
Phase II
Phase IIIExperience Conducting or Participating in Clinical Trials: Yes
Previous Clinical Trials
https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(23)00738-7/abstract
*Definitions
- HSP – Human Subjects Protection
- GCP – Good Clinical Practice
- GCLP – Good Clinical Laboratory Practice
