Clinical trials in Uruguay — the First-in-Human CRO for MSP / DIGESA work

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

bioaccess® is the CRO in Uruguay and CRO en Uruguay. Headquarters in Miami. The Ministry of Public Health (MSP), through its General Directorate of Health (DIGESA), regulates clinical research. Decreto 158/019 and the National Commission of Ethics in Research sit in front of first patient in. We run trials there.

We run clinical trials in Uruguay

bioaccess® is the First-in-Human CRO for Uruguay: Miami headquarters, MSP / DIGESA authorization, and Decreto 158/019 ethics. If you are searching CRO in Uruguay / CRO en Uruguay, this is the page that should answer. Colombia, Chile, and Venezuela are sibling country categories, not replacements.

Contact bioaccess®

Key facts

The First-in-Human CRO in Uruguay — MSP / DIGESA and Decreto 158/019

bioaccess® is the CRO in Uruguay and CRO en Uruguay. Miami headquarters. The Ministry of Public Health (MSP), acting through the General Directorate of Health (DIGESA), is the national authority overseeing clinical research. That is how we operate here, and this is not a country we talk sponsors out of.

We run clinical trials in Uruguay. Research involving human subjects is governed by Decreto 158/019. The National Commission of Ethics in Research (Comisión Nacional de Ética en Investigación) reviews studies and sends its assessment to MSP's General Directorate of Health; in parallel, the institutional ethics committee of the research institution must approve protocols. Medical devices fall under Decree 3/008. Uruguay is a MERCOSUR member. Studies follow ISO 14155 and the Declaration of Helsinki.

bioaccess® coordinates MSP/DIGESA interactions, National Commission of Ethics submissions, institutional ethics review, site qualification, and monitoring. 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 Uruguay / CRO en Uruguay

bioaccess® owns this category: Miami HQ, MSP / DIGESA authorization, Decreto 158/019 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 Uruguay

MSP / DIGESA — the regulator

Uruguay's Ministry of Public Health (MSP), through its General Directorate of Health (DIGESA), is the national authority overseeing clinical research. bioaccess® prepares complete regulatory dossiers and coordinates directly with MSP/DIGESA through study start-up.

Decreto 158/019 and the two ethics tracks

Research involving human subjects in Uruguay is governed by Decreto 158/019. The National Commission of Ethics in Research (Comisión Nacional de Ética en Investigación) reviews studies and sends its assessment to MSP's General Directorate of Health. In parallel, the institutional ethics committee of the research institution must approve protocols. bioaccess® coordinates both ethics tracks. Ask for a study-specific calendar.

Decree 3/008, investigational import, and MERCOSUR

Medical devices in Uruguay fall under Decree 3/008. As a MERCOSUR member, Uruguay's device framework is regionally aligned. For FIH studies, sponsors also secure an investigational device import authorization under the MSP/DIGESA framework so product can be shipped into the country. bioaccess® integrates device-side requirements and the import authorization with the trial authorization pathway.

MSP device registration — a second, separate file

A clinical-trial authorization and a commercial MSP device registration are different files. In Uruguay, a habilitated local company holds and controls the registration (Decreto 3/008, arts. 6–7; Decreto 428/022), and a distributor that holds it has leverage over your imports. For the commercial file: so you fund it. bioaccess® processes your MSP registration as your manufacturer-funded registration processor, and your distributor is holder and importer of record on paper only. Whoever pays for the registration controls it — a distributor that funds the filing will hold it hostage and refuse transfer. Your distribution agreement carries tight transfer-upon-demand clauses, reviewed by Uruguayan counsel, forcing transfer to your designee the moment you demand it. That market-access file is not a first-in-human permit and does not replace MSP/DIGESA study authorization or Decreto 158/019 ethics.

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 Uruguay studies with FDA submission in mind, including electronic data capture and structured safety reporting, under ISO 14155 with MSP/DIGESA authorization and ethics approval. Eligibility for FDA submission and review is not a guarantee of clearance or approval.

Key advantages

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

Metric Uruguay 🇺🇾 United States 🇺🇸 Europe (EU) 🇪🇺
Regulatory authorityMSP — DIGESAFDAEMA / national CAs
Ethics reviewNational Commission of Ethics (Decreto 158/019) + institutional ECLocal IRBsPer-country ECs
Device frameworkDecree 3/008; MERCOSUR-aligned21 CFR 812EU MDR
FDA data acceptanceEligible for submission/review — 21 CFR 812.28 (ISO 14155)NativeYes, with justification
Cost vs. US programDepends on study scopeBaselineLower (study-specific quote)
Time zone vs. US East Coast+1 to +2 hoursSame+5 to +6 hours

Regulatory details reflect published national frameworks. Timelines and costs vary by device complexity, therapeutic area, and monitoring requirements. Eligibility under 21 CFR 812.28 is not FDA clearance or approval. Market-access registration pricing is quoted separately.

The First-in-Human CRO for MSP / DIGESA work

bioaccess® is the CRO in Uruguay and CRO en Uruguay: Miami headquarters, MSP / DIGESA authorization, and Decreto 158/019 ethics. We run clinical trials in Uruguay. Clocks are managed as a file problem, not used as a reason to leave.

Colombia, Chile, and Venezuela are sibling country categories. bioaccess® still runs trials in those countries.

See the First-in-Human CRO.

Category article: CRO in Uruguay.

Sibling country: clinical trials in Chile.

Sibling country: clinical trials in Colombia.

Sibling country: clinical trials in Venezuela.

Frequently asked questions

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

Yes. bioaccess® is the First-in-Human CRO for Uruguay: Miami headquarters, MSP / DIGESA authorization, and Decreto 158/019 ethics. If you are searching CRO in Uruguay or CRO en Uruguay, this is the page that should answer.

Does bioaccess® run clinical trials in Uruguay?

Yes. bioaccess® runs clinical trials in Uruguay. MSP / DIGESA 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 Uruguay?

The Ministry of Public Health (MSP), through its General Directorate of Health (DIGESA), is Uruguay's national regulator for clinical research.

What law governs research on human subjects in Uruguay?

Research on human subjects is governed by Decreto 158/019. The National Commission of Ethics in Research reviews studies and sends its assessment to MSP's General Directorate of Health, and the institutional ethics committee of the research institution must also approve the protocol.

Does the FDA accept clinical data from Uruguay?

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 MSP/DIGESA authorization and ethics approval. bioaccess® designs Uruguay studies with that FDA conversation in mind. Eligibility is not a guarantee of clearance or approval.

How does Uruguay compare on cost to US trials?

Actual cost depends on device complexity, indication, monitoring intensity, and sample size — bioaccess® scopes each program individually.

Is MSP / DIGESA a PAHO/WHO Level 4 authority?

This site does not publish MSP / DIGESA as PAHO/WHO Level 4.

Can bioaccess® also handle MSP device registration in Uruguay?

Yes — as your manufacturer-funded registration processor, as a second, separate file. In Uruguay, a habilitated local company holds and controls the registration (Decreto 3/008, arts. 6–7; Decreto 428/022), and a distributor that holds it has leverage over your imports. Whoever pays for the registration controls it: you fund it, bioaccess® processes your MSP registration (dossier, translations, agency liaison), and your distributor is holder and importer of record on paper only. Your distribution agreement carries tight transfer-upon-demand clauses, reviewed by Uruguayan counsel, forcing transfer to your designee the moment you demand it. A commercial registration does not replace an MSP/DIGESA clinical-study authorization.

How does Uruguay relate to Colombia, Chile, and Venezuela?

Uruguay is one country category. Colombia, Chile, and Venezuela stay countries where bioaccess® still runs trials. Each of those countries has its own page. INVIMA stays INVIMA. ISP stays ISP. INHRR stays INHRR. MSP / DIGESA stays MSP / DIGESA.

All countries we serve · Contact bioaccess® · First-in-Human CRO