Clinical Investigation in Brazil
Clinical Investigation in Brazil – Clinical Trials in Latin America
Clinical investigation, also known as clinical research, is the systematic study of new drugs, medical devices, or other medical treatments in humans. It is a critical step in the process of developing new therapies, and plays an essential role in ensuring the safety and efficacy of medical products.
Brazil has emerged as a significant player in the global clinical research market, with a thriving pharmaceutical industry and a large pool of potential study participants. In this blog, we will explore the state of clinical investigation in Brazil, its regulatory environment, and the challenges and opportunities facing researchers in this dynamic and rapidly evolving field.
Overview of Clinical Investigation in Brazil
Brazil is the largest country in South America, with a population of over 210 million people. It has a highly developed healthcare system, with both public and private healthcare providers.
Brazil’s pharmaceutical industry is also well-established, with a large number of domestic and international companies operating in the country. Brazil’s growing economy, large population, and advanced healthcare system have made it an attractive destination for clinical research.
Clinical investigation in Brazil is regulated by the National Health Surveillance Agency (ANVISA), which is responsible for overseeing all clinical trials conducted in the country.
ANVISA was established in 1999 and is a member of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH), a global organization that sets standards for the development and registration of pharmaceuticals.
In Brazil, clinical research is typically conducted in university hospitals, research centers, and private clinics. Brazil has a large pool of potential study participants, which includes both healthy volunteers and patients with a variety of medical conditions.
Brazil’s diverse population, which includes individuals of European, African, and indigenous ancestry, also makes it an attractive location for genetic and pharmacogenetic studies.
Clinical Investigation in Brazil

Regulatory Environment for Clinical Investigation in Brazil
ANVISA has established a rigorous regulatory framework for clinical research in Brazil, which is designed to ensure the safety and well-being of study participants. All clinical trials in Brazil must be approved by ANVISA before they can begin, and must adhere to the guidelines set forth by the International Conference on Harmonisation (ICH) and the Declaration of Helsinki.
To obtain approval for a clinical trial in Brazil, the study sponsor must submit a comprehensive study protocol to ANVISA, which outlines the study design, inclusion and exclusion criteria, and safety monitoring plan. The sponsor must also provide evidence of the safety and efficacy of the investigational product, as well as proof of its manufacturing quality and consistency.
Once the study protocol has been approved by ANVISA, the study can begin recruitment of study participants. All participants in clinical trials in Brazil must provide informed consent before they can participate in the study, and must be fully informed of the risks and benefits of the investigational product.
Challenges and Opportunities Facing Clinical Investigators in Brazil
While Brazil offers many advantages for clinical research, it also presents several challenges for investigators. One of the biggest challenges facing clinical investigators in Brazil is the lack of funding for research. While Brazil has a large number of highly skilled researchers and research institutions, many struggle to secure funding for their projects.
This can make it difficult to conduct large-scale clinical trials, particularly for rare or orphan diseases.
Another challenge facing clinical investigators in Brazil is the high cost of conducting clinical research. Brazil has a complex regulatory environment, which can make it time-consuming and expensive to obtain approval for clinical trials. Additionally, the high cost of healthcare in Brazil can make it difficult to recruit and retain study participants, particularly for studies that require long-term follow-up.
Despite these challenges, there are also many opportunities for clinical investigators in Brazil. Brazil’s large population and advanced healthcare system make it an ideal location for clinical research, particularly for studies involving rare or neglected diseases.
Brazil also has a highly skilled workforce of healthcare professionals and researchers, many of whom are experienced in clinical investigation. This expertise, combined with the country’s diverse population, allows for the exploration of various genetic and pharmacogenetic factors that may influence treatment response.