Sequence it: anchor on US regulatory strategy first, use Latin America for fast, lower-cost first-in-human and early-feasibility data, then stage market access (device registration plus reimbursement) country by country. bioaccess® runs the clinical and regulatory execution end to end.
From the Global Trial Accelerators™ podcast with Carolina Alarco (Bio Strategy Advisors): watch the episode.
Not necessarily — many companies use Latin America to generate first-in-human data that feeds a US submission. The key is to anchor on US regulatory strategy from the start (e.g. an FDA Pre-Sub) so the LATAM data is acceptable, then pursue local registration and market access as commercialization goals emerge.
It depends on your indication, target population, regulatory timeline, and cost tolerance. Colombia offers fast INVIMA approval; Brazil offers scale; Mexico offers US-adjacent logistics. bioaccess® helps sequence country entry against your clinical and commercial goals.
Registration is regulatory authorization to sell a device (e.g. INVIMA, COFEPRIS, ANVISA). Reimbursement / market access is about getting payers to cover it. Clinical-stage companies usually start with first-in-human data and registration; reimbursement matters once you commercialize.