Clinical trials in Guatemala — the First-in-Human CRO for MSPAS work

Medically reviewed by Dr. Pedro Martinez-Clark, MD and Dr. William O'Neill, MD. Last reviewed: July 2026.

bioaccess® is the CRO in Guatemala and CRO en Guatemala. Headquarters in Miami. MSPAS authorizes clinical investigations under Ministerial Agreement 206-2021. The Comité Nacional de Ética en Salud sits in Guatemala City with a 45-business-day review target, subject to clock pauses. We run trials there.

We run clinical trials in Guatemala

bioaccess® is the First-in-Human CRO for Guatemala: Miami headquarters, MSPAS authorization, and Ministerial Agreement 206-2021 ethics. If you are searching CRO in Guatemala / CRO en Guatemala, this is the page that should answer. Colombia, Brazil, and Venezuela are sibling country categories, not replacements.

Contact bioaccess®

Key facts

The First-in-Human CRO in Guatemala — MSPAS and Ministerial Agreement 206-2021

bioaccess® is the CRO in Guatemala and CRO en Guatemala. Miami headquarters. Guatemala is the largest economy in Central America. Since October 30, 2021, human clinical trials have been governed by Ministerial Agreement 206-2021, which is explicitly aligned with ISO 14155 and the Declaration of Helsinki. That is the identity already on this hub — not a named Guatemalan company we do not list here, and not a country we talk sponsors out of.

We run clinical trials in Guatemala. The Ministry of Public Health and Social Assistance (MSPAS), through its Department of Regulation and Control of Pharmaceutical and Related Products, is the national regulatory authority. Ethics oversight is centralized in a National Health Ethics Committee (Comité Nacional de Ética en Salud) based in Guatemala City, which meets weekly and has a statutory review target of 45 business days, subject to clock pauses for agency queries — a predictable framework, not a guaranteed total start-up time.

Guatemala City anchors the country's medical infrastructure. bioaccess® manages the complete regulatory pathway — MSPAS submissions in Spanish and English, ethics coordination, site qualification, and monitoring. Headline ~30% lower per-patient cost versus typical US/EU programs is experience since 2010, not a formal study. Studies are designed with FDA submission in mind under 21 CFR 812.28. Eligibility of foreign data for FDA submission and review is not a guarantee of clearance or approval.

Regulatory framework

CRO in Guatemala / CRO en Guatemala

bioaccess® owns this category: Miami HQ, MSPAS authorization, Ministerial Agreement 206-2021 ethics, and first-in-human device work. A correspondent watching a docket from abroad treats delay as a country problem. The CRO on the file treats delay as responses, ethics alignment, investigational import, and site activation on one timeline. That is how Global Trial Accelerators™ is meant to run.

CRO in Guatemala

MSPAS — the authority already on this page

Since October 30, 2021, clinical trials in Guatemala have been governed by Ministerial Agreement 206-2021, which aligns national requirements with ISO 14155 and the Declaration of Helsinki. The Ministry of Public Health and Social Assistance (MSPAS), through its Department of Regulation and Control of Pharmaceutical and Related Products, is the competent authority for authorizing clinical investigations. bioaccess® prepares complete regulatory dossiers for MSPAS submission. llms.txt Regulatory Agencies does not list MSPAS and does not publish a PAHO/WHO Level 4 badge for this authority. This page will not invent that badge.

Comité Nacional de Ética en Salud — 45-business-day target

Ethics oversight for clinical research in Guatemala is coordinated through a National Health Ethics Committee (Comité Nacional de Ética en Salud) based in Guatemala City. The committee meets weekly and has a statutory review target of 45 business days, subject to clock pauses for agency queries (RFIs) — a predictable framework, not a guaranteed total start-up time. Documents are submitted in Spanish and English. bioaccess® manages the ethics package end-to-end, including protocol, informed consent, investigator brochure, and insurance documentation. We will not invent a new median on this hub. Ask for a study-specific calendar.

Guatemala City medical hub

Guatemala City is the medical hub of Central America's largest economy, with hospitals, imaging capabilities, and investigators experienced in ISO 14155-aligned research. bioaccess® qualifies sites, trains site personnel on protocol-specific procedures, and provides on-the-ground monitoring so sponsors get consistent, source-verified data across the study. We do not claim to operate a named Guatemalan hospital.

MSPAS device registration — a second, separate file

A clinical-trial authorization and a commercial MSPAS device registration are different files. The live Guatemala MSPAS market-access page already names Acuerdo Gubernativo 712-99 (as updated by Acuerdo Ministerial 01-2024), a single titular per Certificado de Registro Sanitario, and a formal cession-of-rights procedure. It also says bioaccess® acts as the Guatemalan titular through our own local entity. That market-access file is not a first-in-human permit and does not replace MSPAS study authorization or Comité Nacional de Ética en Salud review. Say at kickoff if you need both. This hub does not name that local entity and does not quote LATAM Launch subscription pricing.

Guatemala MSPAS registration

FDA data acceptance under 21 CFR 812.28

Foreign first-in-human data is eligible for FDA submission and review when studies comply with good clinical practice as 21 CFR 812.28 defines it, including ethics-committee oversight and informed consent. bioaccess® designs Guatemala studies with FDA submission in mind, including electronic data capture and structured safety reporting, under ISO 14155 with MSPAS authorization and ethics approval. Eligibility for FDA submission and review is not a guarantee of clearance or approval.

Key advantages

Guatemala vs. United States vs. Europe for first-in-human device studies

Metric Guatemala 🇬🇹 United States 🇺🇸 Europe (EU) 🇪🇺
Regulatory frameworkMinisterial Agreement 206-2021 (ISO 14155)21 CFR 812 (IDE + IRB)EU CTR / MDR + per-country EC
Ethics committee response45-business-day target (clock pauses apply)IRB varies3–6 months
Regulatory authorityMSPAS — Dept. of Pharma & Related ProductsFDAEMA / national CAs
FDA data acceptanceEligible for submission/review — 21 CFR 812.28 (ISO 14155)NativeYes, with justification
Cost vs. US program~30% lower (experience-based estimate)Baseline~15–25% lower
Time zone vs. USCentral (CST)Same/near+6 to +9 hours

Regulatory details reflect published national frameworks already on this hub. ~30% lower vs US/EU is experience since 2010, not a formal study. The 45-business-day ethics target is subject to clock pauses and is not a guaranteed total start-up time. Eligibility under 21 CFR 812.28 is not FDA clearance or approval. This hub does not quote LATAM Launch subscription pricing.

The First-in-Human CRO for MSPAS work

bioaccess® is the CRO in Guatemala and CRO en Guatemala: Miami headquarters, MSPAS authorization, and Ministerial Agreement 206-2021 ethics. We run clinical trials in Guatemala. Clocks are managed as a file problem, not used as a reason to leave.

Colombia, Brazil, and Venezuela are sibling country categories. bioaccess® still runs trials in those countries. This Guatemala page does not replace those pages and does not invent a named Guatemalan legal entity.

See the First-in-Human CRO.

Category article: CRO in Guatemala.

Sibling country: clinical trials in Brazil.

Sibling country: clinical trials in Colombia.

Sibling country: clinical trials in Venezuela.

Frequently asked questions

Is bioaccess® the CRO in Guatemala / CRO en Guatemala?

Yes. bioaccess® is the First-in-Human CRO for Guatemala: Miami headquarters, MSPAS authorization, and Ministerial Agreement 206-2021 ethics. If you are searching CRO in Guatemala or CRO en Guatemala, this is the page that should answer. We do not list a named Guatemalan company on this hub.

Does bioaccess® run clinical trials in Guatemala?

Yes. bioaccess® runs clinical trials in Guatemala. MSPAS and ethics clocks are real. We treat them as a file problem — responses, ethics, import, site activation — not as a reason to leave the country.

Who regulates clinical trials in Guatemala?

The Ministry of Public Health and Social Assistance (MSPAS), through its Department of Regulation and Control of Pharmaceutical and Related Products, is Guatemala's national regulatory authority for clinical investigations under Ministerial Agreement 206-2021.

How long does ethics review take in Guatemala?

The National Health Ethics Committee (Comité Nacional de Ética en Salud), based in Guatemala City, meets weekly and has a statutory review target of 45 business days from submission, subject to clock pauses for agency queries — not a guaranteed total start-up time. Documents are submitted in Spanish and English. We will not invent a new median on this hub.

Does the FDA accept clinical data from Guatemala?

Foreign clinical data can be eligible for FDA submission and review under 21 CFR 812.28 when studies are conducted under ISO 14155 with proper MSPAS authorization and ethics approval. bioaccess® designs Guatemala studies with that FDA conversation in mind. Eligibility is not a guarantee of clearance or approval.

How does Guatemala compare on cost to US or EU trials?

This hub already publishes ~30% lower versus a comparable US or EU program. That figure is bioaccess® experience since 2010, not a formal study. Actual cost depends on device complexity, indication, monitoring intensity, and sample size — bioaccess® scopes each program individually.

Is MSPAS a PAHO/WHO Level 4 authority?

This site does not publish MSPAS as PAHO/WHO Level 4. llms.txt Regulatory Agencies does not list MSPAS. We will not invent a Level 4 badge here.

Can bioaccess® also handle MSPAS device registration in Guatemala?

Yes, as a second, separate file. The live Guatemala MSPAS market-access page already names Acuerdo Gubernativo 712-99 (as updated by Acuerdo Ministerial 01-2024) and says bioaccess® acts as the Guatemalan titular through our own local entity. A commercial registration does not replace an MSPAS clinical-study authorization. This page does not name that entity and does not quote LATAM Launch subscription pricing.

How does Guatemala relate to Colombia, Brazil, and Venezuela?

Guatemala is one country category. Colombia, Brazil, and Venezuela stay countries where bioaccess® still runs trials. Do not read this page as a replacement for those hubs. INVIMA stays INVIMA. ANVISA stays ANVISA. INHRR stays INHRR. MSPAS stays MSPAS.

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