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Brazil


Fast Facts

  • Capital: Brasillia
  • Economy: World's 6th largest by nominal GDP. Nominal GDP US$2.492 trillion, 2012
  • Health Expenditure: 8.4% of GDP, 2011
  • Population: 211.5 million, 2017
  • Average Life Span: 71.9 yrs, 2011
  • Languages: Portugese
  • Adult Literacy Rate: 88.6%

Health Trends

  • Lifestyle diseases increasingly resemble those of the United States and Europe such as obesity, heart disease, and cancer which are on the rise in the major cities
  • Although the disease profile is shifting, some typical developing country diseases can still be found in some areas
  • Only about 25% of Brazilians have private health insurance
  • Medical assistance is popular among companies, which allocate about 6% of payroll to healthcare
  • Healthcare is free (public), however there are long waiting periods for procedures
  • Shortages of doctors and hospitals in smaller cities

Clinical Trial Landscape

  • Brazil is the 7th pharmaceutical market with sales of US$20 billion in 2011. The expectation is that the country will be the 6th largest market in 2015 according to IMS Health
  • There is a wide range of ethnic influences: Portuguese, Spanish, Italian, German, and Japanese, making the country a large melting-pot and suitable for the study of many different diseases
  • Population is very concentrated in the main cities, facilitating the access to patients, despite the size of the country
  • Approximately half of the trials taking place in Brazil are manned by CROs and almost all of them are headquartered in Sao Paulo
  • Brazil has its own CRO association called,“ABRACRO”, launched in 2006
  • Top Therapeutic areas: oncology, diabetes, cardiovascular, rheumatology, infectious diseases, transplants, pulmonology, CNS and ophthalmology
  • Hospitals within the cities are very large, some with 1000 beds so trials only need to have a few key hospitals signed up as sites
  • The largest hospital in Latin America is in Sao Paulo (Hospital das Clinicas de Sao Paulo) with 2200 beds
  • Experienced and highly motivated investigators. Many trained in US and Europe. Most speak English
  • Advantage with the reversal of the seasons thus companies can test seasonally induced diseases
  • There is a strong doctor-patient relationship which contributes to excellent enrollment and retention rates

ICON in Brazil

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  • Established in Sao Paulo, Brazil in 2005
  • 146 employees, 2017
  • Majority of studies in Oncology, Cardiovascular, and Metabolics
  • Awarded studies: 176 (1999 – YTD 2012). Oncology (44), CNS (20), Diabetes (19), Cardiovascular (14), Infectious Diseases (14), GI (12), Metabolics (6), Renal Transplant (8)

Services Offered

  • Clinical Research
  • Regulatory Affairs
  • Late Phase and Outcomes Research
  • Medical & Safety Services
  • Quality Assurance
  • DOCS Resourcing Solutions
    • Functional Resourcing 
    • Flexible Resourcing
    • Permanent Recruitment

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