Challenges in institutional ethical review process and approval for international multicenter clinical studies in lower and middle-income countries: the case of PARITY study.

Lopez-Baron E, Abbas Q, Caporal P, Agulnik A, Attebery JE, Holloway A, Kissoon NT, Mulgado-Aguas CI, Amegan-Aho K, Majdalani M, Ocampo C, Pascal H, Miller E, Kanyamuhunga A, Tekleab AM, Bacha T, González-Dambrauskas S, Bhutta AT, Kortz TB, Murthy S, Remy KE, Global Health Subgroup of the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network