First-in-Human Clinical Trials in Costa Rica

Costa Rica pairs a mature MedTech manufacturing ecosystem with a defined Ministry of Health (Ministerio de Salud) / CONIS clinical-research pathway. bioaccess® designs FIH device programs to ISO 14155 and generates data eligible for FDA submission under 21 CFR 812.28 — at roughly 30% lower cost than a comparable US or EU program.

Key facts

Why Costa Rica for First-in-Human Studies

Costa Rica hosts one of Latin America's most advanced MedTech manufacturing clusters and a defined clinical-research pathway administered by the Ministry of Health (Ministerio de Salud) with oversight from the National Council of Health Research (CONIS).

First-in-human device programs run under ISO 14155 (the FDA-recognized GCP standard for medical device investigations) and the Declaration of Helsinki, with ethics-committee review by an accredited CEC before enrollment.

bioaccess® coordinates Ministry of Health/CONIS interactions, ethics review, site qualification, monitoring, and import of the investigational device so sponsors get FDA-quality first-in-human data at roughly 30% lower cost than a comparable US or EU program.

Regulatory framework

Ministry of Health / CONIS Pathway

The Ministerio de Salud and the Consejo Nacional de Investigación en Salud (CONIS) authorize clinical studies in Costa Rica. bioaccess® prepares complete regulatory dossiers and coordinates directly with the agencies through study start-up.

Accredited Ethics Committee Review

Every study must be approved by an accredited ethics committee (CEC) before enrollment can begin. Ethics review follows ISO 14155 and the Declaration of Helsinki.

FDA Data Acceptance Under 21 CFR 812.28 (eligibility for FDA submission and review — not a guarantee of clearance or approval)

Under 21 CFR 812.28, foreign clinical data is eligible for FDA submission and review from Costa Rica for IDE submissions and marketing applications when studies are conducted under ISO 14155 with proper Ministry of Health/CONIS authorization and ethics approval.

Key advantages

Costa Rica vs. United States vs. Europe for First-in-Human Device Studies

Metric Costa Rica 🇨🇷 United States 🇺🇸 Europe (EU) 🇪🇺
Regulatory authorityMinistry of Health / CONISFDAEMA / national CAs
Ethics reviewAccredited CECLocal IRBsPer-country ECs
Standards followedISO 14155 + Declaration of Helsinki21 CFR / ICH-GCPICH-GCP / EU MDR
FDA data acceptanceEligible for submission/review — 21 CFR 812.28 (ISO 14155)NativeYes, with justification
Cost vs. US program~30% lowerBaseline~15–25% lower

Regulatory details reflect published national frameworks; timelines and costs vary by device complexity, therapeutic area, and monitoring requirements. bioaccess® confirms the current pathway for each program.

Frequently asked questions

Who regulates clinical trials in Costa Rica?

The Ministry of Health (Ministerio de Salud), with oversight from the National Council of Health Research (CONIS), is Costa Rica's national authority for clinical research.

What ethics oversight applies in Costa Rica?

Every study must be approved by an accredited ethics committee (CEC) before enrollment begins. Ethics review follows ISO 14155 and the Declaration of Helsinki.

Does the FDA accept clinical data from Costa Rica?

Yes. Under 21 CFR 812.28, foreign clinical data is eligible for FDA submission and review from Costa Rica when studies are conducted under ISO 14155 with proper Ministry of Health/CONIS authorization and ethics approval.

How does Costa Rica compare on cost to US or EU trials?

Costa Rica programs typically run ~30% lower than a comparable US or EU program. Actual cost depends on device complexity, indication, monitoring intensity, and sample size.

Why choose Costa Rica for a clinical trial?

Costa Rica combines a mature MedTech ecosystem, a defined Ministry of Health/CONIS pathway, ISO 14155-aligned ethics review, and ~30% lower program cost than US/EU baselines.

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