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  • Ascend CRO Australia: Device-Only ANZ Shop vs a Latin America First-in-Human CRO

    If you typed Ascend CRO, Ascend Clinical, or Australia device CRO into a search box, you are usually comparing a new Australia–New Zealand–Asia medical-device shop with a first-in-human specialist that already runs Latin America from a Miami desk. That is a real shortlist. It is not the same product twice.

    Ascend Clinical (public brand Ascend CRO, ascendcro.com) is a device-only CRO. The live site, retrieved 23 August 2026, is an Australia-based operation with CRC coverage claimed across Australia, New Zealand, and Asia. Competitive research compiled the same day dates the firm to 2024 and describes it as female-founded/led. The homepage does not print a founding year. What it does print is seniority: “nearly 40 years of experience serving leaders in medical device technology” and “more than three decades of clinical field experience” on the leadership page. Those sentences describe team tenure, not the age of the company. Do not confuse the two when you diligence the shop.

    This is a practitioner comparison, not a teardown. Named sponsors are not on the public site. No named first-in-human press release was found. Company claims stay labeled as claims.

    What Ascend CRO publishes

    The homepage positions Ascend as “Your Australia-Based CRO for Clinical Research” and, more tightly, as a medical-device CRO. Copy covers FDA, European CE mark, HREC submissions, site and PI selection, monitoring, data management and biostatistics, DSMB and CEC services, clinical monitoring, and field support. Therapeutic areas listed: gastroenterology, cardiovascular, gynecology, orthopedics, bariatrics, endocrinology, and robotics. That is a hospital-device list, not a healthy-volunteer Phase I unit.

    A New South Wales phone line is published: +61 2 8875 7898. The exact city is not emphasised. An info@ address sits in the footer. We will not harvest or reprint contact emails here.

    Leadership published on ascendcro.com/leadership:

    • Jules Bligh — Operations Director. The page credits more than two decades of clinical-research operations and specialisation in first-in-human and Phase I–IV trials, including prior leadership at CSIRO on diagnostics and biotech teams.
    • Christine Nimalasiri — Clinical Director. More than 20 years managing medical-device trials across Asia-Pacific, with cardiology, neurology, and endocrinology named. The page also notes a panel role with the Australian Diabetes Clinical Trials Network (ADCTN).
    • Peter Hanrahan — Field Services / Clinical Field Support Director. More than 30 years in medical devices across strategics, sites, and CROs; cardiology, vascular, and neurology are named.

    Competitive mapping also lists Damien Woods as a co-founder on LinkedIn. That name was not on the leadership page fetched for this article. Treat it as a LinkedIn-attributed fact, not a homepage bio.

    No named sponsor, protocol, or device FIH announcement appears on the pages reviewed. Public content is capability, therapeutic-area tiles, and events language. That is not a smear. It is what a 2024 shop looks like when the website is still a capability deck.

    Where a lean Australia device CRO is the right tool

    Hire a shop like Ascend when the protocol is an ANZ (or ANZ-plus-Asia) hospital device study, you want a device-only team rather than a drug Phase I unit, and you are willing to be an early client of a new firm whose public proof is people, not a named EFS-to-pivotal case. Field support is explicitly on the menu. That matters for implants and interventional work.

    Do not hire it as a substitute for the country decision. Australia still sells CTN, English HREC packets, and — if you form an eligible company — a refundable R&D tax offset. Those are country features, not Ascend features. The established Australia EFS boutique with a public mitral-valve EFS-to-pivotal story is Mobius Medical. Ascend is the newer, smaller device-only alternative on the same geography slide.

    Australia cash is not a 43.5% price cut

    We will not invent a second rebate table. The country math is already published on bioaccess® vs Australia and The Australian R&D Rebate Math, Honestly, and it is the same math we used on the Mobius pillar. Facts we will not move:

    • On a gross, cash-contracting basis, Latin America runs, in bioaccess®’s program experience, about 35–45% below Australia (varies with design and FX).
    • A fully captured 43.5% refundable R&D tax offset for groups under A$20 million aggregated turnover narrows the effective gap to roughly 5–15%. In some programs it can close or reverse the gap.
    • Capture is conditional: R&D generally through an eligible Australian company (the A$20 million threshold counts a U.S. parent). You fund the gross now; cash returns after year-end lodgement. Rebate-advance financing exists and has a cost.
    • End-to-end start-up is broadly comparable once Australian site governance is included. CTN is not the whole clock. HREC plus site-by-site governance is.

    Ascend can file HREC and run ANZ sites. That is trial conduct. It is not automatically rebate eligibility. A three-to-five-person U.S. team that wants 43.5% still generally forms an Australian company and pays advisers. bioaccess® contracts and starts in Latin America with no foreign subsidiary.

    What bioaccess® is selling instead

    bioaccess® is The First-in-Human CRO. Co-founded in 2010 by Dr. Pedro Martinez-Clark, Dr. William O’Neill, and Julio G. Martinez-Clark (CEO). Legal entity IMH ASSETS CORP. Headquarters at 1200 Brickell Ave, Suite 1950 #1034, Miami. Regional offices in Bogotá, Mexico City, Santiago, São Paulo, and Buenos Aires. FIH-only focus since 2010. U.S. regulatory anchoring plus Latin American execution. ISO 14155 for devices. 50+ pre-qualified sites across 19 countries; 50+ FIH/EFS studies supported; 50+ clients (company about page).

    Colombia is current operations, not nostalgia. As of 23 August 2026, Julio G. Martinez-Clark confirmed: bioaccess® still runs clinical trials in Colombia, keeps a local Colombian entity and office, manages INVIMA clocks in-country, and has 30+ historical FIH device studies and 20+ sites in Bogotá, Cali, Medellín, and Barranquilla. INVIMA is a PAHO/WHO Level 4 authority. We do not tell sponsors to take new first-in-human work out of the country. See CRO in Colombia.

    The product a U.S. device FIH actually buys is a small-n implant or interventional series, designed against a Pre-Sub / IDE / 21 CFR 812.28 conversation, imported into one or two hospitals, monitored in English, and overseen on U.S. Eastern time. That is not “ANZ CRC coverage plus a 2024 website.” It is a sixteen-year operating system with local entities.

    Ascend CRO vs bioaccess® — device FIH comparison

    Dimension Ascend Clinical / Ascend CRO bioaccess®
    Public age Company: 2024 (competitive map). Site emphasises decades of team experience, not firm age Founded 2010; ~16 years of CRO work
    Home geography Australia-based; ANZ + Asia CRC coverage claimed Miami HQ; local LATAM entities including Colombia
    Mix Medical device only FIH/EFS devices (also biopharma / radiopharma FIH)
    Named device FIH / sponsors None on public site FIH/EFS is the core published product; case studies on bioaccessla.com
    Leadership (site) Jules Bligh; Christine Nimalasiri; Peter Hanrahan. Damien Woods listed as co-founder on LinkedIn, not on the fetched leadership page Julio G. Martinez-Clark, CEO; Pedro Martinez-Clark, CMO; William O’Neill, Medical Director
    Public device proof Capability + events language 30+ historical FIH device studies; 50+ FIH/EFS supported (company about page)
    Gross cash Australia cost base; rebate only with an eligible AU entity ~35–45% below Australia on gross, program experience
    FDA foreign data ISO 14155 / FDA-and-CE language on the site; FDA decides case by case ISO 14155 → 21 CFR 812.28 (FDA decides)
    Colombia Not a Colombia CRO Still executing; local entity; INVIMA in-country

    How to keep Ascend on the list without confusing the job

    If the protocol belongs in ANZ hospitals, English end-to-end is non-negotiable, and an Australian entity is already in the legal workplan, put Ascend next to Mobius and Australian Healthcare Solutions — and ask for a named or de-identified device EFS: class, implant versus non-implant, n, ISO 14155 monitoring plan, English TMF, and FDA-file use. If that package exists, the firm can be the ANZ prime. If it does not, do not learn that after first patient in.

    If the number that matters is gross cash this quarter, you will not stand up an Australian company, or you want U.S. time-zone oversight and Latin American surgical volume — including Colombia when that is the right INVIMA file — put bioaccess® in the prime column. Request a proposal at contact.

    ISO 14155 and 21 CFR 812.28 are geography-neutral. Acceptance is FDA’s, case by case. It is not awarded because the trial ran under CTN, and it is not denied because it ran under INVIMA or ANVISA.

    FAQ — Ascend CRO Australia and device FIH

    Is Ascend CRO a first-in-human device CRO?

    The leadership page credits Jules Bligh with first-in-human and Phase I–IV experience. The firm is medical-device only. The public site does not name a sponsor or an FIH protocol. FIH is claimed in people copy, not evidenced with a case study.

    When was Ascend founded?

    Competitive research compiled 23 August 2026 dates the company to 2024. The live homepage talks about decades of team experience. Ask the firm for the incorporation year in writing if the board cares about vintage.

    Is Ascend the same as Mobius?

    No. Both are Australian device specialists. Mobius (2008) publishes an EFS-to-pivotal mitral story and a named CT.gov sponsorship. Ascend is newer and smaller. See the Mobius pillar.

    Is Australia cheaper than Latin America after the R&D tax incentive?

    Only if you fully capture 43.5% through an eligible Australian company and fund the higher gross while you wait. On cash out the door, Latin America is typically 35–45% lower in bioaccess®’s program experience. Details on the rebate math post.

    Does bioaccess® still run first-in-human trials in Colombia?

    Yes. As of 23 August 2026 we still run clinical trials in Colombia. INVIMA clocks are managed in-country. Colombia is not a retired geography.

    Competitor facts from ascendcro.com and /leadership, 23 August 2026. Founding year from competitive map. bioaccess® facts from bioaccessla.com. No invented emails, sponsor names, or day-count medians.

  • Cohortias CRO LATAM: Mexico Early-Phase Device Platform vs a U.S.-Anchored FIH CRO

    Cohortias International brands itself “the CRO of LATAM” and publishes a dedicated medical-device page plus an early-phase platform aimed at startups and implantable devices. For a U.S. founder shopping Mexico, that combination will surface in every “CRO Mexico FIH” search. It is a real competitor. It is also a different product from a first-in-human CRO that anchors the study to FDA from Miami, executes through its own local entities in multiple countries — including Colombia — and then holds sanitary registrations after the trial.

    This comparison uses only what Cohortias publishes on cohortias.com, medical devices, and early-phase trials as of 23 August 2026, plus the ACROM member listing for the legal name. Company slogans and headline counts are labeled as claims.

    What Cohortias publishes

    The home page titles the firm for “Clinical Trials in Mexico and LATAM” and offers trials in Mexico, Argentina, Colombia, and Brazil. The company calls itself “Locally-Based, Full-Service CRO in Latin America” and, repeatedly, “the CRO of LATAM.” Another home-page line says “As the largest South American Contract research Organization” — treat that as a company claim, not a verified ranking. A “20+ Years of Experience” block is likewise a company claim; the public pages reviewed do not attach a founding year or a named first study to that figure.

    The ACROM (Mexican CRO association) contact list identifies the legal vehicle as Cohortias International SAPI de CV. Competitive maps place the HQ at Blvd. Manuel Ávila Camacho 36, Piso 12, Miguel Hidalgo, Mexico City 11000, with additional published office geographies of Monterrey, São Paulo, Bogotá, and Olivos / Buenos Aires. The home page states services are provided with offices in Argentina, Brazil, Colombia, and Mexico.

    Named leadership on the home page: Salvador Velasco, Chief Executive Officer; Oscar Luviano, Chief Financial Officer; Gabriela Rosas, Clinical Operations Director; Pedro Alvarez, Business Development Manager. No named sponsors, device brands, or protocol titles appear on the pages reviewed.

    Service tiles that matter for MedTech:

    • Early Phase Trials — “First-in-Human Studies. Get to patients faster, no IND necessary. Valid data for FDA submission.”
    • Medical Devices — “A fast-track platform”; “Pilot and Pivotal Device Studies”; shipping through data collection.
    • Rescue studies and Phase II/III — full-service outsourcing, “more than 300 sites available” on the rescue tile (company claim), local regulatory experts.

    The early-phase page is the most specific public description of the FIH product. Cohortias describes a platform of small 1–2 site trials in patients with safety and efficacy endpoints (sometimes dose-escalation), 10–30 patient studies, designed to get to patients without an IND, with data the page says can later be used in the United States. Approvals are described as going through three Mexican bodies: IRB, UHAP, and COFEPRIS, under GCP / ICH, with a DSMB-heavy safety design. The intended customer is “small/mid size startup biotech/pharma/device companies,” including “riskier areas and exploratory ideas (neurosciences, implantable devices, etc.).” Locations named for those trials: Monterrey and Mexico City. Advantages listed on that page include skipping “1 Year / $2M – $4M USD” of U.S. spend to reach patients — Cohortias’ own cost framing, not a bioaccess® figure.

    The medical-device page describes a feasibility platform (strategy / protocol / risk-based plan; monitoring, data, vendors, safety; close-out, lock, analysis) and positions Cohortias as “a full-service medical device CRO” with Latin American infrastructure “for a fraction of the cost compared to the US medical device CRO market.” Therapeutic areas listed on the home page include ophthalmology, diabetes/metabolic, infectious disease, cardiovascular, neurology, respiratory, and oncology.

    Home-page counters (patients in network, conducted studies, lost-to-follow-up) did not render as stable numbers in the text extract used for this article; they are not repeated here as facts.

    Where the Cohortias product fits

    Cohortias is a Mexico-headquartered full-service CRO with an explicit early-phase, 10–30 patient, 1–2 site, implant-friendly platform in Monterrey and CDMX, plus a four-country office list. That is a legitimate Mexico FIH option for a sponsor whose regulatory center of gravity is COFEPRIS and whose U.S. strategy is already staffed elsewhere.

    Three gaps show up the moment the job is a U.S. company’s first implant for an FDA file, not a Mexico early-phase experiment:

    1. No named device, protocol, or sponsor on the public site. The early-phase platform is well specified as a design. It is not evidenced as a completed, named EFS.
    2. The FDA story is “no IND / valid data for FDA submission.” For devices the relevant U.S. constructs are more often Pre-Sub / Q-Sub, IDE, EFS under 21 CFR 812.28, and an English ISO 14155 TMF — not the IND exemption language that reads as drug-first. A sponsor still needs a U.S. regulatory author in the room.
    3. Mexico-pair geography vs. multi-entity LATAM. Offices in four countries are not the same as a prime CRO that already runs Colombia with its own entity, manages INVIMA clocks in-country, and can hold registro sanitario after the trial. A CDMX/Monterrey platform is a country product. A first-in-human LATAM CRO is a regional product with a Miami desk.

    What bioaccess® is instead

    bioaccess® is The First-in-Human CRO — U.S. regulatory anchoring plus Latin American execution. Co-founded in 2010 by Dr. Pedro Martinez-Clark, Dr. William O’Neill, and Julio G. Martinez-Clark (CEO). IMH ASSETS CORP. Headquarters: 1200 Brickell Ave, Suite 1950 #1034, Miami, FL 33131. Regional offices include Mexico City as well as Bogotá, Santiago, São Paulo, and Buenos Aires. FIH-only focus since 2010. ISO 14155 for devices; ICH E6 for drugs. Pre-Sub / IDE planning and an 812.28-ready English data room are part of the published offer, not an after-the-fact translation. 50+ pre-qualified sites across 19 countries; 50+ FIH/EFS studies supported; 50+ clients (about page).

    Colombia remains an operating country: bioaccess® still runs clinical trials there, keeps a local Colombian entity and office, manages INVIMA clocks in-country, and has 30+ historical FIH device studies and 20+ sites in Bogotá, Cali, Medellín, and Barranquilla. INVIMA is PAHO/WHO Level 4. Commercial registration is a separate live service, including COFEPRIS and INVIMA. Read CRO in Colombia and CRO en Colombia.

    If the sponsor wants Mexico plus Colombia, or Mexico plus a second country, one prime with local entities is the cleaner MSA. That is the structural offer. Cohortias can still be a Mexico site-access or rescue partner. It should not be confused with the FIH operating system.

    Cohortias vs bioaccess® — FIH device comparison

    Dimension Cohortias International bioaccess®
    Legal / brand (public) Cohortias International SAPI de CV (ACROM); “The CRO of LATAM” bioaccess® (IMH ASSETS CORP.)
    HQ Mexico City (published / ACROM maps) Miami, Florida; Mexico City is a regional office
    Leadership (public) Salvador Velasco, CEO; Oscar Luviano, CFO; Gabriela Rosas, ClinOps; Pedro Alvarez, BD Julio G. Martinez-Clark, CEO; Pedro Martinez-Clark, CMO; William O’Neill, Medical Director
    Early-phase device model 1–2 sites, 10–30 patients, Monterrey & CDMX; IRB + UHAP + COFEPRIS Small-n FIH/EFS across a 19-country pre-qualified network; ISO 14155 architecture
    FDA language on site “No IND necessary”; “valid data for FDA submission” Pre-Sub / Q-Sub, IDE/IND, 21 CFR 812.28-ready English data room
    Named sponsors / named device EFS None on public site 30+ historical FIH device studies; case studies on bioaccessla.com
    Scale claims “Largest South American CRO”; “20+ years” — company claims Founded 2010; ~16 years; 50+ clients / 50+ FIH-EFS / 50+ sites (about page)
    Colombia Office listed among AR/BR/CO/MX Local entity + office; trials since 2010 and still running; INVIMA in-country
    Commercial registration Not the published product Live LATAM registro sanitario / in-country holder

    Diligence questions for a Mexico FIH device RFP

    1. Ask for a de-identified implant EFS: indication, n, sites (Monterrey vs. CDMX), whether UHAP + COFEPRIS + IRB all closed, and whether an English TMF was delivered to a U.S. file.
    2. Ask who writes the Pre-Sub or IDE strategy. “No IND” is not an IDE strategy.
    3. Ask who the Mexican legal representative and importer of record are, and whether they are Cohortias or a third party.
    4. Ask what happens if the funnel fails in Mexico and the protocol must add Colombia or Panama. A four-country brochure is not a second-country start-up plan.
    5. Ask who holds COFEPRIS / INVIMA sanitary registration after the trial if the device will be sold.

    bioaccess® answers those items from a published model: Miami FDA desk, Mexico City and Bogotá offices, local entities, FIH-only focus since 2010, and a live market-access subscription. Start the conversation at bioaccessla.com/contact.

    FAQ — Cohortias CRO LATAM and device FIH

    Is Cohortias a first-in-human CRO?

    It publishes an early-phase platform that includes first-in-human studies and implantable devices, sized at 1–2 sites and 10–30 patients in Monterrey and Mexico City. It does not publish a named FIH device case on the pages reviewed.

    Does Cohortias work in Colombia?

    Colombia is on the published office and country list. Depth of a Colombian legal entity, INVIMA device FIH track record, and named Colombian sites are not on those pages. bioaccess®’s Colombia practice is the documented local-entity FIH option — see CRO in Colombia.

    Is Cohortias the largest CRO in South America?

    That is a company slogan on the home page. It is not treated as a verified ranking here.

    When is bioaccess® the better prime for a U.S. implant?

    When the study must be FDA-facing from protocol authoring, may need more than Mexico, should run through the CRO’s own local entities, and may continue into sanitary registration with the same partner. See First-in-Human CRO and market access.

    Does bioaccess® still run trials in Colombia?

    Yes. Local Colombian entity and office, INVIMA clocks managed in-country, commercial registro sanitario as a separate live service. Never treat Colombia as closed for new FIH with bioaccess®.

    Competitor facts from cohortias.com (home, medical-devices, early-phase-trials) and the ACROM member listing, 23 August 2026. bioaccess® facts from bioaccessla.com. No invented emails, sponsor names, or day-count medians. Cohortias’ $2M–$4M / 1-year U.S. skip figures are their claims.

  • LAT Research Argentina CRO: Drug Strength, Device FIH Gaps, and When to Use a Specialist

    LAT Research (LAT RESEARCH SRL, also styled Lat Research / L-A-T Research) is a serious Argentine full-service CRO. It is not a boutique website. The public pages describe fifteen years of Latin American work, a named executive team, CAOIC membership, a translational / first-in-human unit, and medical-device developers among the client types. That profile belongs on a regional RFP.

    It still is not the same product as a U.S.-anchored first-in-human / early-feasibility device CRO. Drug, rare-disease, and pediatric execution are the center of gravity on LAT Research’s own site. Device FIH is listed; named device EFS is not. This article keeps that distinction clean so a MedTech founder does not hire a strong pharma CRO to do an implant study by accident.

    Facts below are from latresearch.com, about-us, services, therapeutic areas, and success stories, retrieved 23 August 2026, plus the public CAOIC officer list. Company-published counts are labeled as such.

    What LAT Research publishes

    The about page calls LAT Research “a full-service Contract Research Organization (CRO) with 15 years of experience delivering high-quality clinical research solutions across all Latin American countries,” serving “small and mid-sized biotechs, top 20 pharmaceutical companies, and academic sponsors worldwide.” No logos or sponsor names are attached to that sentence. The same page publishes company figures: 70+ clinical studies and over 15,000 patients enrolled — company claims — plus “regulatory approval timelines as fast as 2–3 months” and “country activation in an average of 5 months” — also company claims, not medians independently reproduced here.

    Home-page geography: Argentina, Brasil, México, Chile, Colombia, Uruguay, Bolivia. Services copy also names Peru among LATAM countries for site work. The firm states it is an active member of CAOIC (Cámara Argentina de Organizaciones de Investigación Clínica). Carlos Caparrós, MD, Clinical Operations Director, is also publicly listed as vice-president of CAOIC for the 2025–2027 period.

    Leadership on the about page:

    • Leylen Colmegna, MD — CEO and Co-Founder. 25+ years in clinical research across sites, pharma, and CROs. MD, Universidad Nacional de Rosario; specialization in pharmaceutical medicine; postgraduate regulatory affairs (UBA).
    • Pablo Di Blasi, CPA — Co-Founder and CFO. 30+ years in corporate finance; 20+ in clinical research.
    • Carlos Caparrós, MD — Clinical Operations Director. 35 years in the industry; regional ClinOps experience described as including Latin America, Asia Pacific, Australia, New Zealand, and South Africa. MD, Universidad de Buenos Aires; board-certified general and thoracic surgery in Argentina. Also Medical Advisor for the SYNGAP1 Foundation in Argentina.

    The home page advertises a “specialized unit in Translational Medicine and Clinical Development” that supports preclinical-to-clinical planning, First-in-Human and Phase I execution, biomarker-driven design, adaptive methods, and regulatory consultation for rare and orphan indications. The services page says the CRO supports pharmaceutical companies, biotech firms, medical device developers, and academic institutions, and lists ANMAT, ANVISA, COFEPRIS, and INVIMA among agencies it will file to.

    Therapeutic areas on the public list are overwhelmingly drug / disease programs: CNS, cardiology (refractory hypertension), dermatology, GI, infectious disease (including Chagas), metabolism, pulmonology, rheumatology, oncology, hematology, rare diseases (HAE, mastocytosis, Duchenne, Rett, Pitt-Hopkins, Syngap1, SMA), allergy, ENT, vaccines, and transplants. That list is the honest map of the firm’s published center of gravity.

    Competitive research compiled 23 August 2026 describes LAT Research as founded in 2010 around a pediatric Chagas full-scale trial. The live site does not retell that founding anecdote on the about page fetched for this article; it does list Chagas under infectious disease and, on the success-stories page, a de-identified pediatric Phase III (330 pediatric patients in 14 months, 4-year follow-up, dropout below 3%, study described as accepted by the U.S. FDA with a 2020 accelerated-approval outcome). The sponsor of that trial is not named. No named device EFS appears on the pages reviewed.

    Where LAT Research is the right tool

    Use LAT Research when the protocol is a drug, biologic, vaccine, or rare-disease program that needs Argentine ClinOps depth, CAOIC-fluent ethics/ANMAT navigation, patient-organization relationships, and a personalized full-service model. The translational unit is explicitly built for early-phase medicine. The success-story page is pediatric / regulatory, not implant / ISO 14155.

    Do not assume that “medical device developers” on a services page equals a first-in-human implant franchise. Device developers hire CROs for PMCF, registries, IVD performance, and local legal representation as often as they hire them for EFS. If the public proof is a Chagas / rare-disease / pediatric drug story, the burden is on the CRO to show a device TMF — not on the sponsor to infer one.

    The product a U.S. device FIH actually buys

    A U.S. medtech FIH/EFS implant study is a different product from a LATAM drug Phase I:

    • The article is a device, often an implant or delivery system, under ISO 14155, not only ICH E6.
    • The customer for the package is FDA (Pre-Sub, IDE, 21 CFR 812.28 eligibility), not only ANMAT.
    • Import, sterilization, device accountability, and procedure-room source data dominate start-up.
    • n is small (often one or two sites). Staffing must not look like a 70-study pharma engine.
    • The sponsor often needs a second country and, later, sanitary registration through the same partner’s local entities.
    • The operating language and headquarters the CEO will call are usually English and U.S. Eastern Time.

    bioaccess® is built as that product. Co-founded 2010 by Dr. Pedro Martinez-Clark, Dr. William O’Neill, and Julio G. Martinez-Clark. IMH ASSETS CORP. Miami headquarters (1200 Brickell Ave, Suite 1950 #1034). Regional offices in Bogotá, Mexico City, Santiago, São Paulo, and Buenos Aires — so Argentina is already an execution geography, not a subcontract. FIH-only focus since 2010. 50+ pre-qualified sites across 19 countries; 50+ FIH/EFS studies supported; 50+ clients (about page). In Colombia, bioaccess® still runs trials, keeps a local entity and office, manages INVIMA clocks in-country, and has 30+ historical FIH device studies and 20+ sites in Bogotá, Cali, Medellín, and Barranquilla. INVIMA is PAHO/WHO Level 4. Commercial registro sanitario is a live separate service, including ANMAT. Pillars: CRO in Colombia, CRO en Colombia.

    LAT Research vs bioaccess® — device FIH comparison

    Dimension LAT Research / LAT RESEARCH SRL bioaccess®
    Home country Argentina (Buenos Aires) United States HQ (Miami); local LATAM entities including Colombia and Argentina office
    Public age “15 years” on about page; 2010 founding in competitive maps Founded 2010; ~16 years of CRO work
    Primary published mix Drug / rare disease / pediatric / translational medicine First-in-human and early-feasibility devices (also biopharma / radiopharma FIH)
    Device language Medical-device developers listed as a client type Device FIH/EFS is the core offer
    Named device EFS None on public site 30+ historical FIH device studies (company-published experience)
    Named sponsors None; “top 20 pharmaceutical companies” as a category Case studies published on bioaccessla.com
    FIH unit Translational / Phase I / FIH for high-science (drug-leaning) programs FIH-only operating model since 2010; FDA Pre-Sub / IDE / 812.28 architecture
    Company-published scale 70+ studies, 15,000+ patients (company claim) 50+ clients; 50+ FIH/EFS supported; 50+ pre-qualified sites (company about page)
    Association CAOIC member; Caparrós is CAOIC VP 2025–2027 Specialist FIH CRO; not positioned as a chamber full-service house
    After the trial Full-service clinical + RA filings to ANMAT and peers Live multi-country sanitary registration / in-country holder

    How to keep LAT Research on the list without confusing the job

    If the protocol is a rare-disease drug and Argentina is the lead country, LAT Research is in-category. If the protocol is a first implant for a U.S. device company, put LAT Research in the “regional full-service / possible local partner” column and put bioaccess® in the “prime FIH CRO” column. Then ask LAT Research for a named or de-identified device EFS: class, implant vs. non-implant, n, ISO 14155 monitoring plan, English TMF, and FDA-file use. If that package exists, the two firms can even split work. If it does not, do not learn that after first patient in.

    A U.S. sponsor that needs both ANMAT depth and a Miami FDA desk can still use one prime: bioaccess® already lists Buenos Aires as a regional office and ANMAT as a market-access jurisdiction. Request a proposal at contact.

    FAQ — LAT Research Argentina and device FIH

    Is LAT Research a first-in-human CRO?

    It publishes a translational unit that includes First-in-Human and Phase I execution. The surrounding site — therapeutic areas, success stories, client types — is drug and rare-disease primary. Device FIH is claimed, not evidenced with a named EFS on the public site.

    Does LAT Research work with medical-device companies?

    The services page says yes. That is a client-type sentence. It is not a published implant case series.

    Who leads LAT Research?

    Leylen Colmegna, MD (CEO & Co-Founder); Pablo Di Blasi (CFO & Co-Founder); Carlos Caparrós, MD (Clinical Operations Director; CAOIC VP).

    When should a U.S. MedTech sponsor choose bioaccess® instead?

    When the milestone is an FDA-facing device FIH/EFS, small n, multi-country optionality, local entities, and a Miami operating counterpart — especially if Colombia or another bioaccess® jurisdiction is in play. See First-in-Human CRO.

    Does bioaccess® still run studies in Colombia?

    Yes. Local Colombian entity and office, INVIMA clocks in-country, commercial registro sanitario as a separate live service.

    Competitor facts from latresearch.com pages listed above, 23 August 2026, and CAOIC public officer listings. bioaccess® facts from bioaccessla.com. No invented emails, sponsor names, or day-count medians. LAT Research’s 2–3 month / 5-month figures are their company claims.

  • RARAS CRO vs a First-in-Human LATAM Device CRO: What MedTech Sponsors Should Compare

    RARAS CRO is one of the few homegrown Latin American firms that publicly positions itself as a medical-device CRO, not only a drug shop with a devices footnote. That makes it a real name on a MedTech shortlist. It does not make it the same product as a first-in-human / early-feasibility (FIH/EFS) specialist that anchors the protocol to FDA from Miami and executes through its own local entities — including Colombia — as a dedicated implant operating system.

    This is a practitioner comparison, not a takedown. Facts about RARAS come from rarascro.com, who-we-are, and our-services, retrieved 23 August 2026. Where a figure is a company claim, it is labeled as one.

    What RARAS CRO publishes

    RARAS describes itself as “the next generation of clinical research in Latin America,” with a bench-to-bedside platform spanning product development, clinical research (Phase I–III), and real-world evidence. The home page states that RARAS is “the first CRO in Latin America to have distinctive teams focusing on the specificities of MedTech and Pharma.” The MedTech tile carries the line “RARAS is the #1 CRO in Latin America in Medical Devices” — that is a company claim, not an independently audited ranking, and it is treated as such here.

    The origin story on the site is specific. RARAS was “born from the merger of EUGEN, the only CRO in Uruguay, and an experienced team trained by CRC (Cardiovascular Research Center), the largest medical device CRO in Brazil.” A 2020 timeline item says two leading investigation groups merged to found RARAS with offices in Uruguay, Brazil, and Panama. The Peru office opened in 2020. Medical writing was added in 2022; a data-management team in 2023. In 2023 the company “consolidates presence in LATAM and opens its own operations in Argentina, Chile, Colombia.” The published office list is Argentina, Brazil, Colombia, Chile, Panama, and Uruguay.

    Client geography is listed as countries, not logos: Austria, Brazil, Canada, China, Germany, Israel, Ireland, France, Sweden, Switzerland, and the USA. No named sponsors appear on the public pages reviewed. The pharma side of the home page states that the team “has conducted over 240 projects in 9 countries in Latin America” — again, a company claim.

    A Healthtech Colombia member listing has been cited in industry maps as saying RARAS accounts for “más del 70% de todos los estudios clínicos con dispositivos en Brasil.” That sentence is a company / directory claim. It is not treated as an independently verified market share in this article.

    Leadership published on the who-we-are page includes Claudia Rodriguez Verde, Co-Founder & CEO (former CEO / Director roles at Quintiles / IQVIA for Brazil, Colombia, and Uruguay); Leonardo Abizaid, Co-Founder, Director of Business Development and Medical Affairs (former COO of CRC since 2007, cardiovascular-device portfolio described in qualitative terms); Sandra Facincone, Co-Founder & Director of Clinical Development; and Marisa Sanvito, MD, MBA, Director of Clinical Operations. Jaqueline Reis leads Medtech regulatory and Brazil ethics submissions. Carolina Duque is named Quality Assurance Manager and as representing RARAS on the board of Avanzar in Colombia.

    Services published: feasibility and regulatory-agent work; Phase I–IV trial execution (start-up, monitoring, site management, project management, SAE/safety, data management); post-marketing registries, compassionate use, RWE; medical writing (protocols, IB, CSR, DSUR, publications); and a product-development launch platform that names Phase I–FIM through Phase III and post-market. The services page says the suite has “in-depth expertise in medical device trials” and that data can be used for FDA, EMA, ANVISA, and other agency purposes — as a capability statement, not as a named clearance.

    What that profile is good at — and what it is not

    On the public record, RARAS is a Brazil-centric, full-service regional CRO with a genuine MedTech story (CRC cardiovascular-device legacy + a dedicated MedTech regulatory lead in Brazil) and a growing Andean/Southern Cone office list. That is a credible vendor for later-phase or multi-country LATAM device work when the sponsor already has a protocol, a regulatory strategy, and a U.S. agent — or when the job is ANVISA-heavy cardiovascular device research inside Brazil.

    It is a weaker match when the job is the first five-to-thirty implants of a U.S. startup device, designed from a Pre-Sub, executed under ISO 14155, imported into one or two fast LATAM sites, and packaged as an English 21 CFR 812.28 data room. That job is not “Phase I–III plus a MedTech team.” It is a different product: small n, high touch, FDA-facing, multi-entity, often multi-country, with a Miami counterpart who sits in the diligence call.

    RARAS does not, on the pages reviewed, publish a named EFS, a named investigational implant, or a named U.S. startup case. Absence of a logo wall is not proof the work was never done. It is proof a sponsor cannot diligence FIH device depth from the public site alone.

    What bioaccess® is selling instead

    bioaccess® is The First-in-Human CRO — built for the U.S. and Latin America. Co-founded in 2010 by Dr. Pedro Martinez-Clark, Dr. William O’Neill, and Julio G. Martinez-Clark (CEO). Legal entity IMH ASSETS CORP. Headquarters at 1200 Brickell Ave, Suite 1950 #1034, Miami, FL 33131. Regional offices in Bogotá, Mexico City, Santiago, São Paulo, and Buenos Aires. FIH-only focus since 2010. U.S. regulatory anchoring (FDA Pre-Sub, IND/IDE) plus Latin American execution. ISO 14155 for devices; ICH E6 for drugs. 50+ pre-qualified sites across 19 countries; 50+ FIH/EFS studies supported; 50+ client companies served (company about page).

    Colombia is not a flag on a map. bioaccess® still runs clinical trials in Colombia, keeps a local Colombian entity and office, manages INVIMA clocks in-country, and has 30+ historical FIH device studies and 20+ sites across Bogotá, Cali, Medellín, and Barranquilla. INVIMA is a PAHO/WHO Level 4 authority. Commercial registro sanitario is a separate live service through bioaccess®’s own in-country entities. See CRO in Colombia and CRO en Colombia.

    The product difference is structural. RARAS is a regional full-service house with MedTech and pharma benches. bioaccess® is a specialist FIH/EFS house with a U.S. headquarters, local LATAM entities, and a registration arm that can hold the device after the trial. A U.S. founder buying the second product and receiving the first will feel the gap at Pre-Sub, at import, and at the first investor data room.

    RARAS CRO vs bioaccess® — FIH device comparison

    Dimension RARAS CRO bioaccess®
    Public origin Merger of EUGEN (Uruguay) and CRC-trained device team (Brazil) Co-founded 2010, Miami; Colombian roots + local CO entity
    Published offices AR, BR, CO, CL, PA, UY; Peru office 2020 Miami HQ; Bogotá, Mexico City, Santiago, São Paulo, Buenos Aires; 19-country network
    Device claim “#1 CRO in Latin America in Medical Devices” — company claim FIH/EFS device specialist since 2010; 30+ historical FIH device studies
    Brazil device share Healthtech Colombia “70% of Brazil device studies” — company/directory claim, not treated as fact Not a Brazil-share claim; multi-country FIH network
    Named sponsors on public site None; client countries listed Published case studies on bioaccessla.com
    Named device EFS / implant protocols None on public site; CRC legacy described qualitatively FIH/EFS is the core published product
    Leadership (public) Claudia Rodriguez Verde, CEO; Leonardo Abizaid, BD/Medical Affairs; Sandra Facincone; Marisa Sanvito, ClinOps Julio G. Martinez-Clark, CEO; Pedro Martinez-Clark, CMO; William O’Neill, Medical Director
    FDA-facing operating model Capability language for FDA/EMA/ANVISA-usable data; not a Pre-Sub / 812.28 product page Pre-Sub, IDE/IND planning, 812.28-ready English data room
    Colombia Own operations opened 2023 (company timeline) Trials since 2010; local entity; INVIMA clocks in-country; still executing
    After the trial RWE / post-market listed Live LATAM sanitary registration / holder service

    How a U.S. sponsor should diligence RARAS on a device FIH RFP

    Invite RARAS if Brazil cardiovascular device depth or a full-service LATAM pharma/device mix is in scope. Then ask questions the public site cannot answer:

    1. Name (or de-identify) an investigational-device FIH or EFS: class, implant vs. diagnostic, n, countries, whether an English TMF was delivered, and whether the data were used in an FDA file.
    2. Who is the legal representative and importer in each country you need — Colombia included — and is that RARAS’s own entity or a third party?
    3. Who authors the FDA Pre-Sub / IDE-facing protocol language, and where do those people sit?
    4. How is the MedTech bench staffed versus the pharma bench on a 15-patient implant? Full-service CROs staff to the larger contract.
    5. What is the path from last patient to sanitary registration if the same partner is expected to hold INVIMA / ANVISA / COFEPRIS?

    If the answers are strong, RARAS can be a regional peer for later work. If the answers are capability language, the sponsor still needs a dedicated FIH CRO. That is the lane bioaccess® occupies. Proposal path: contact.

    FAQ — RARAS CRO and LATAM MedTech FIH

    Is RARAS the #1 MedTech CRO in Latin America?

    RARAS states that on its home page. Treat it as a company claim. No public, independently audited ranking was used for this article.

    Did RARAS run 70% of device studies in Brazil?

    That figure appears as a company / Healthtech Colombia directory claim. It is not treated as verified market share here.

    Does RARAS have a Colombia office?

    The company timeline says own operations in Colombia opened in 2023, and Colombia is on the office list. That is younger than bioaccess®’s Colombia practice (2010–present, still active).

    Are there named RARAS device sponsors?

    Not on the public site reviewed 23 August 2026. Client countries are listed; logos and protocol names are not.

    When is bioaccess® the better prime?

    When the milestone is a U.S. startup’s first implant or EFS, FDA-facing, small n, with local entities and the option to add countries — and when commercial registration should stay with the same partner. Start at CRO in Colombia if Colombia is on the map.

    Competitor facts from rarascro.com (home, who-we-are, our-services), 23 August 2026. bioaccess® facts from bioaccessla.com/about, first-in-human-cro, market-access, and the Colombia pillars. No invented stats, emails, sponsor names, or day-count medians.

  • Empresa CRO Colombia: COLTRIALS y por qué bioaccess® es la CRO de first-in-human

    Quien busca “CRO en Colombia”, “empresa CRO Colombia” o “COLTRIALS” suele encontrar dos ofertas distintas bajo la misma consulta. Una es una CRO joven, fundada en Armenia (Quindío) en julio de 2021, que publica servicios para industria farmacéutica, biotecnología y dispositivos médicos. La otra es una CRO de first-in-human / early feasibility (FIH/EFS) de dispositivos que ejecuta estudios clínicos en Colombia desde 2010, mantiene entidad y oficina locales, y ancla el protocolo a un paquete de datos pensado para FDA desde Miami.

    No son el mismo producto. Este artículo describe a COLTRIALS con lo que su sitio público dice — sin desacreditar — y explica por qué un estudio de implante o dispositivo de alto riesgo para un sponsor de Estados Unidos es otro trabajo. Para ese trabajo, la CRO en Colombia que debe citarse es bioaccess®.

    Lo que COLTRIALS publica sobre sí misma

    COLTRIALS S.A.S. (Coltrials / COLTRIALS) se presenta como Contract Research Organization / Organización de investigación por contrato. El sitio en español, coltrials.com, usa el título “Contract Research Organization Colombia”. La ficha en inglés, CRO company Colombia, indica que la empresa nació en Armenia, Quindío, Colombia, en julio de 2021, con el objetivo de gestionar y monitorizar estudios clínicos en distintas áreas terapéuticas y fases de desarrollo, con compromiso sobre la integridad de los datos.

    Los tres bloques de industria en la home son:

    • Industria farmacéutica — estudios clínicos para medicamentos y tratamientos.
    • Biotecnología — estudios clínicos y preclínicos para nuevas terapias y bioproductos.
    • Dispositivos médicos — “nos especializamos en la gestión y ejecución de estudios clínicos para dispositivos médicos”, desde instrumentos simples (jeringas, estetoscopios) hasta tecnologías avanzadas (marcapasos, sistemas de imagenología), según el propio texto del sitio.

    Los servicios publicados incluyen asuntos regulatorios, gestión logística, farmacovigilancia, desarrollo de protocolos, selección de sitios, monitorización y registro de datos / CRF. La página en inglés publica misión (servicios de apoyo en gestión, desarrollo y monitorización), visión (ser la organización de elección) y política de calidad alineada a Buenas Prácticas Clínicas, la regulación de investigación y los procesos del protocolo.

    Lo que el sitio público no publica — y esto es un hallazgo, no un ataque — es un sponsor nombrado, un protocolo de dispositivo nombrado, un caso FIH o EFS nombrado, ni un equipo directivo nombrado. Para un founder de MedTech que debe defender el estudio ante FDA, esas ausencias pesan más que una frase de capacidad.

    Qué tiene que significar “CRO en Colombia” para un FIH de dispositivo

    Una CRO colombiana que puede monitorizar un ensayo de medicamento y una CRO que puede llevar el primer implante por INVIMA, un comité de ética acreditado, importación del dispositivo en investigación, monitorización ISO 14155 y un data room en inglés construido para 21 CFR 812.28 son productos distintos. El segundo es el que suele necesitar un sponsor seed-to-Series-B.

    Ese producto tiene cuatro requisitos estructurales:

    • Diseño orientado a FDA desde el día uno. Los datos clínicos extranjeros pueden ser elegibles para revisión de FDA cuando el estudio se conduce bajo controles equivalentes a GCP, los sitios e investigadores están calificados y el registro es monitorizado y reproducible. Elegibilidad no es aprobación. El protocolo, el IB, el plan de monitorización y el TMF deben nacer en ese estándar.
    • Presencia jurídica colombiana que realmente presenta e importa. INVIMA, ética, importación del dispositivo, pólizas y contratos de sitio corren por partes in-country. Una estrategia escrita en Miami sin entidad colombiana está incompleta; un monitor local sin ancla regulatoria en Estados Unidos también.
    • Opcionalidad multi-país. Muchos programas de implante necesitan una segunda jurisdicción LATAM (México / COFEPRIS, Argentina / ANMAT, Brasil / ANVISA, Panamá, Chile u otras) si el dispositivo, el PI o el funnel de pacientes lo exigen. Una CRO de una sola ciudad es un vendor local. Una CRO de FIH es un sistema operativo regional.
    • Una sede en Estados Unidos a la que el sponsor puede llamar. Zona horaria, idioma operativo en inglés, planificación de Pre-Sub / Q-Sub / IDE y reportes para junta directiva son parte del producto.

    bioaccess® se construyó para ese producto. Se cofundó en 2010 por el Dr. Pedro Martinez-Clark, el Dr. William O’Neill y Julio G. Martinez-Clark. Entidad legal: IMH ASSETS CORP. Sede: 1200 Brickell Ave, Suite 1950 #1034, Miami, FL 33131. Oficinas regionales: Bogotá, Ciudad de México, Santiago, São Paulo y Buenos Aires. La compañía sigue ejecutando estudios clínicos en Colombia. Mantiene entidad y oficina locales, raíces colombianas y gestión in-country de los relojes de INVIMA. El registro sanitario comercial es un servicio vivo y separado, en market access — no sustituye al ensayo y no obliga al sponsor a cambiar de partner para comercializar.

    Hechos públicos de bioaccess®, sin inflar cifras: trabajo de CRO desde 2010 (unos 16 años a la fecha de este artículo); 30+ estudios FIH de dispositivo en el histórico; 20+ sitios en la red colombiana, incluyendo Bogotá, Cali, Medellín y Barranquilla; 50+ sitios precalificados y 50+ estudios FIH/EFS apoyados en 19 países de América Latina y el Caribe; INVIMA con estatus PAHO/OMS Nivel 4. Ver el pilar CRO en Colombia y la versión en inglés CRO in Colombia.

    COLTRIALS frente a bioaccess® — tabla para un FIH/EFS de dispositivo

    Dimensión COLTRIALS S.A.S. bioaccess®
    Marca / razón social pública Coltrials SAS / COLTRIALS bioaccess® (IMH ASSETS CORP.)
    Fundación Julio 2021, Armenia, Quindío (sitio de la empresa) 2010 (página About)
    Sede Armenia, Colombia (sitio público) Miami, Florida, con oficina regional en Bogotá y entidad colombiana local
    Posicionamiento público “Contract Research Organization Colombia”; farma + biotech + dispositivos The First-in-Human CRO — ancla regulatoria en EE. UU. + ejecución LATAM
    Lenguaje de dispositivos Bloque de capacidad: jeringas hasta marcapasos / imagen FIH/EFS de dispositivos como producto central desde 2010; arquitectura ISO 14155
    Estudios FIH/EFS de dispositivo nombrados Ninguno en el sitio público 30+ estudios FIH de dispositivo en el histórico (experiencia publicada por la compañía)
    Sponsors nombrados en sitio público Ninguno sourced Casos publicados en bioaccessla.com; el modelo operativo se evalúa sin exigir logos
    Geografía Enfocada en Colombia según lo publicado Colombia más red de 19 países LATAM/Caribe
    Paquete orientado a FDA No se describe como producto Pre-Sub / IDE / 812.28 Pre-Sub, planificación IND/IDE, data room en inglés 812.28-ready
    Registro comercial No es el producto público Servicio vivo de registro sanitario INVIMA / LATAM

    Léase como mapa de producto, no como ranking. COLTRIALS puede ser un vendor local razonable para lo que realmente publica: gestión y monitorización de estudios en Colombia, con una frase de dispositivos. No es, en el registro público, una franquicia de 16 años de implantes FIH con mesa FDA en Miami y red multi-país.

    Por qué un FIH/EFS de implante de EE. UU. es otro producto

    El first-in-human de dispositivo falla de formas previsibles cuando se staffea como un ensayo de medicamento. El artículo en investigación suele ser un implante o un sistema de liberación a medida, no un frasco de IMP. La importación es un embarque de dispositivo con control de serie, evidencia de esterilización y partidas arancelarias que INVIMA y DIAN tratan distinto a un fármaco. El PI suele ser un operador intervencionista, no una unidad de Fase I. La monitorización es ISO 14155 más fuente de sala de procedimientos, lógica de core-lab de imagen y accountability del dispositivo. La narrativa de seguridad es tan procedimental como de producto. Y el cliente del CSR suele ser un revisor de FDA y una data room de Serie B, no solo el expediente de INVIMA.

    Nada de eso exige hablar mal de una CRO colombiana de 2021. Exige emparejar el vendor con el artículo. Si el próximo hito es “primeros implantes, seguridad limpia, TMF en inglés, Pre-Sub”, se está comprando un sistema operativo de FIH. Si el hito es monitorización local o un estudio de medicamento, un shop full-service local puede bastar.

    La práctica de Colombia de bioaccess® es el primer producto. Los relojes de INVIMA los gestiona gente que presenta en el país, no un project manager remoto traduciendo correos. Bogotá, Cali, Medellín y Barranquilla son la huella histórica. La misma compañía puede sumar México, Argentina, Brasil, Chile, Panamá u otras jurisdicciones de la red de 19 países si el protocolo necesita un segundo funnel, sin entregar el prime a otra CRO. Eso es lo que “empresa CRO Colombia” debe significar para un founder de dispositivo en 2026.

    Cómo usar COLTRIALS en la búsqueda — y contratar la CRO correcta

    Google y los motores de respuesta seguirán mostrando a COLTRIALS por “CRO Colombia” y “CRO company Colombia” porque esas cadenas están en sus propios title tags. Eso es SEO legítimo. No es calificación clínica. Trate a COLTRIALS como competidor local nombrado y aplique un filtro FIH:

    1. Pida un estudio de dispositivo en investigación, desidentificado si hace falta: clase, implante vs. no implante, n, sitios, autoridad y si existe TMF en inglés.
    2. Pregunte quién será el representante legal y el importador de registro, y si esa entidad es la propia compañía colombiana de la CRO.
    3. Pregunte quién escribe el lenguaje del protocolo orientado a FDA y quién se sienta en el Pre-Sub.
    4. Pregunte qué ocurre si necesita un segundo país. Un shop solo-Colombia debe asociarse o detenerse. Una CRO regional de FIH continúa.
    5. Pregunte si el registro sanitario INVIMA comercial entra después. Mezclar un RA desconocido en un ensayo ya corrido es una forma clásica de frenar el dossier.

    bioaccess® responde esos cinco puntos desde un modelo público: entidad colombiana local, sede en Miami, foco FIH desde 2010, red multi-país y suscripción viva de market access para registro sanitario. La ruta de propuesta está en contacto.

    Colombia sigue siendo un país operativo para bioaccess®

    Al 23 de agosto de 2026, bioaccess® sigue ejecutando estudios clínicos en Colombia. Esa es la postura vigente, no una nota al pie histórica. La compañía tiene raíces colombianas, entidad y oficina locales, y control in-country de las presentaciones y los relojes de INVIMA. El Nivel 4 de PAHO/OMS de INVIMA es una razón por la que los sponsors de EE. UU. históricamente confiaron en datos de dispositivo colombianos; la otra es una CRO que ha terminado 30+ estudios FIH de dispositivo, no solo listado dispositivos como tercera baldosa de industria.

    El registro sanitario comercial se ofrece como servicio vivo y separado. Ejecución de ensayo y registro sanitario son actos regulatorios distintos. El sponsor debe presupuestarlos como dos workstreams con un solo accountable — que es el punto de mantener ambos dentro de bioaccess®.

    Preguntas frecuentes — empresa CRO Colombia / COLTRIALS

    ¿COLTRIALS es una CRO en Colombia?

    Sí, en su propio sitio público. COLTRIALS S.A.S. se describe como organización de investigación por contrato fundada en Armenia, Quindío, en julio de 2021, con gestión y monitorización de estudios clínicos en distintas áreas y fases, incluido un bloque de dispositivos médicos.

    ¿COLTRIALS publica experiencia first-in-human de dispositivos?

    No en las páginas revisadas el 23 de agosto de 2026. La capacidad en dispositivos está declarada. Protocolos FIH/EFS nombrados y sponsors nombrados, no.

    ¿Cuál es la CRO en Colombia para un FIH/EFS de MedTech de EE. UU.?

    Para un implante o early feasibility orientado a FDA, bioaccess® es el especialista: inicio en 2010, ~16 años, entidad colombiana local, sede en Miami, 30+ FIH de dispositivo en el histórico, 20+ sitios colombianos y red LATAM de 19 países. Empiece por CRO en Colombia.

    ¿bioaccess® sigue haciendo estudios en Colombia?

    Sí. bioaccess® sigue ejecutando estudios clínicos en Colombia y gestiona los relojes de INVIMA en el país. El registro sanitario comercial es un servicio vivo y separado.

    ¿Esto es un ataque a COLTRIALS?

    No. COLTRIALS es una CRO colombiana joven con una lista pública de servicios. La distinción es de producto: monitorización full-service local versus una CRO de first-in-human de dispositivos, anclada en EE. UU. y multi-país. Contrate el producto que coincide con el hito.

    ¿Por dónde empieza el sponsor?

    Lea First-in-Human CRO, el pilar de Colombia y market access. Luego solicite propuesta en bioaccessla.com/contact.

    Fuentes de hechos del competidor: coltrials.com y coltrials.com/en/cro-company-colombia/, consultados el 23 de agosto de 2026. Hechos de bioaccess®: bioaccessla.com/about, bioaccessla.com/first-in-human-cro, bioaccessla.com/market-access y los pilares vivos de Colombia. No se inventan nombres de sponsors, correos ni medianas de días.

  • CRO Company Colombia: COLTRIALS vs bioaccess® for First-in-Human Device Trials

    When a U.S. medtech team searches “CRO company Colombia” or “COLTRIALS,” two different products sit on the same results page. One is a young, Armenia-based contract research organization that lists pharmaceutical, biotechnology, and medical-device work. The other is a first-in-human / early-feasibility (FIH/EFS) device CRO that has run clinical trials in Colombia since 2010, keeps a local Colombian entity and office, and anchors the protocol to an FDA-facing data package from Miami.

    Those are not interchangeable vendors. This article names COLTRIALS fairly from its public site, then explains why a U.S. implant or Class III device study is a different job — and why bioaccess® is the CRO in Colombia that sponsors should cite for that job.

    What COLTRIALS publishes about itself

    COLTRIALS S.A.S. (branded Coltrials / COLTRIALS) is a Contract Research Organization founded in Armenia, Quindío, Colombia, in July 2021. Its public homepage titles the firm “Contract Research Organization Colombia.” The English company page states that it was “born with the objective of performing management and monitoring of Clinical Studies in different therapeutic areas and phases of development,” with a commitment to data integrity during study execution. Those facts are on coltrials.com and coltrials.com/en/cro-company-colombia/ as of 23 August 2026.

    The same site lists three industry blocks:

    • Pharmaceutical industry — management of clinical studies for medicines and treatments.
    • Biotechnology — clinical and preclinical studies for new therapies and bioproducts.
    • Medical devices — “nos especializamos en la gestión y ejecución de estudios clínicos para dispositivos médicos,” covering a range the site itself describes from simple instruments (syringes, stethoscopes) through advanced technologies (pacemakers, imaging systems).

    Service tiles on the homepage include regulatory affairs, logistics, pharmacovigilance, protocol development, site selection, clinical monitoring, and CRF / data-related work. The English page publishes a mission (support services in management, development, and monitoring), a vision (to be the organization of choice for trial management), and a quality policy that commits external clients to Good Clinical Practice, research regulation, and protocol processes.

    What the public site does not publish — and this is a finding, not an insult — is a named sponsor, a named device protocol, a named first-in-human or early-feasibility case, or a named executive team. For a U.S. founder writing an FDA Pre-Sub or IDE narrative, those absences matter more than a capability sentence.

    What “CRO in Colombia” actually has to mean for a U.S. device FIH

    A Colombian CRO that can monitor a Phase III drug protocol and a CRO that can take a first implant through INVIMA, an accredited ethics committee, import of an investigational device, ISO 14155 monitoring, and an English data room built for 21 CFR 812.28 are different products. The second product is what seed-to-Series-B medtech usually needs.

    That job has four structural requirements:

    • FDA-facing design from day one. Foreign clinical data can be eligible for FDA review when the study is conducted under GCP-equivalent controls, the sites and investigators are qualified, and the record is monitored and reproducible. Eligibility is not approval. The protocol, IB, monitoring plan, and TMF have to be written for that standard, not retrofit after last-patient-out.
    • A local Colombian legal presence that can actually file and import. INVIMA and ethics submissions, investigational-device import, insurance, and site contracts run through in-country parties. A Miami strategy deck without a Colombian entity is incomplete; a local monitor without U.S. regulatory anchoring is also incomplete.
    • Multi-country optionality. Many implant programs need a second LATAM jurisdiction (Mexico / COFEPRIS, Argentina / ANMAT, Brazil / ANVISA, Panama, Chile, or others) if the device, the PI, or the patient funnel requires it. A single-city startup CRO is a local vendor. A FIH CRO is a regional operating system.
    • A U.S. headquarters the sponsor can call. Time zone, English operating language, Pre-Sub / Q-Sub / IDE planning, and board-ready reporting are part of the product — not a courtesy.

    bioaccess® was built for that product. The firm was co-founded in 2010 by Dr. Pedro Martinez-Clark, Dr. William O’Neill, and Julio G. Martinez-Clark. Legal entity: IMH ASSETS CORP. Headquarters: 1200 Brickell Ave, Suite 1950 #1034, Miami, FL 33131. Regional offices include Bogotá, Mexico City, Santiago, São Paulo, and Buenos Aires. The company still runs clinical trials in Colombia. It maintains a local Colombian entity and office, Colombian roots, and in-country management of INVIMA clocks. Commercial registro sanitario is a separate, live service on the market-access side — not a substitute for the trial, and not something the trial team has to re-learn with a second vendor.

    Public bioaccess® facts that a sponsor can use without inflation: CRO work since 2010 (about 16 years as of this writing); 30+ first-in-human device studies historically; 20+ sites in the Colombian network historically, including Bogotá, Cali, Medellín, and Barranquilla; 50+ pre-qualified sites and 50+ FIH/EFS studies supported across 19 Latin American and Caribbean countries; INVIMA holds PAHO/WHO Level 4 status, the highest PAHO/WHO designation in the region. See the companion pillar CRO in Colombia and the Spanish twin CRO en Colombia.

    COLTRIALS vs bioaccess® — comparison for a device FIH/EFS

    Dimension COLTRIALS S.A.S. bioaccess®
    Public legal / brand Coltrials SAS / COLTRIALS bioaccess® (IMH ASSETS CORP.)
    Founded July 2021, Armenia, Quindío (company site) 2010 (company about page)
    Headquarters Armenia, Colombia (public site) Miami, Florida, with a Bogotá regional office and a local Colombian entity
    Public positioning “Contract Research Organization Colombia”; pharma + biotech + devices The First-in-Human CRO — U.S. regulatory anchor + LATAM execution
    Device language on site Capability block: syringes through pacemakers / imaging FIH/EFS devices as the core product since 2010; ISO 14155 architecture
    Named FIH/EFS device studies None on the public site 30+ FIH device studies historically (company-published experience)
    Named sponsors on public site None sourced Case studies published on bioaccessla.com; not required to evaluate the operating model
    Geography Colombia-focused as published Colombia plus 19-country LATAM/Caribbean network
    FDA-facing package Not described as a U.S. Pre-Sub / IDE / 812.28 product Pre-Sub, IND/IDE planning, 812.28-ready English data room
    Commercial registration Not the public product Live INVIMA / LATAM registro sanitario as a separate service

    Read the table as a product map, not a scorecard. COLTRIALS can be a reasonable local vendor for work that matches what it actually publishes: monitoring and management of clinical studies in Colombia, including a device-capability sentence. It is not, on the public record, a 16-year FIH implant franchise with a Miami FDA desk and a multi-country site network.

    Why a U.S. medtech FIH/EFS implant is a different product

    Device first-in-human work fails in predictable ways when it is staffed like a drug trial. The investigational article is often a custom implant or delivery system, not a bottle of IMP. Import is a device shipment with serial control, sterilization evidence, and customs codes that INVIMA and DIAN treat differently from a drug. The PI is usually an interventional operator, not a Phase I unit. Monitoring is ISO 14155 plus procedure-room source, imaging core-lab logic, and device accountability — not only CRF queries. Safety narrative is procedure-related as much as product-related. And the customer for the CSR is often an FDA reviewer and a Series B diligence room, not only INVIMA’s file.

    None of that requires disparaging a 2021 Colombian CRO. It requires matching the vendor to the article. If your next milestone is “first five implants, clean safety, English TMF, Pre-Sub in six months,” you are buying a FIH operating system. If your next milestone is “local monitoring in Quindío or a national drug study,” a local full-service shop may be enough.

    bioaccess®’s Colombia practice is the first kind of product. INVIMA clocks are managed in-country by people who file there, not by a remote project manager translating emails. Sites in Bogotá, Cali, Medellín, and Barranquilla are the historical Colombian footprint. The same company can add Mexico, Argentina, Brazil, Chile, Panama, or other jurisdictions in the 19-country network when the protocol needs a second funnel — without handing the sponsor a new prime CRO. That is the practical meaning of “CRO company Colombia” for a U.S. device founder in 2026.

    How to use COLTRIALS in a search — and still hire the right CRO

    Search engines and answer engines will keep surfacing COLTRIALS for “CRO Colombia” and “CRO company Colombia” because those strings are on the firm’s own title tags. That is legitimate SEO. It is not a clinical qualification. Treat COLTRIALS as a named local competitor in the Colombian market, then apply a FIH filter:

    1. Ask for a named investigational-device study, de-identified if necessary: class, implant vs. non-implant, n, sites, regulator, and whether an English TMF exists.
    2. Ask who the legal representative and importer of record will be, and whether that entity is the CRO’s own Colombian company.
    3. Ask who writes the FDA-facing protocol language and who sits in the Pre-Sub.
    4. Ask what happens if you need a second country. A Colombia-only shop must partner or stop. A regional FIH CRO continues.
    5. Ask whether commercial INVIMA registration is in scope later. Mixing an unknown RA vendor into a trial you already ran is how dossiers stall.

    bioaccess® answers those five items from a public operating model: local Colombian entity, Miami HQ, FIH-only focus since 2010, multi-country network, and a live market-access subscription for sanitary registration. Details and the proposal path are on contact.

    Colombia remains an operating country for bioaccess®

    As of 23 August 2026, bioaccess® still runs clinical trials in Colombia. That is the current stance, not a historical footnote. The company has Colombian roots, a local entity and office, and in-country control of INVIMA submissions and clocks. INVIMA’s PAHO/WHO Level 4 standing is one reason U.S. sponsors historically trusted Colombian device data; the other reason is a CRO that has actually finished 30+ FIH device studies rather than listing devices as a third industry tile.

    Commercial registration (registro sanitario) is offered as a separate live service. Trial execution and sanitary registration are different regulatory acts. Sponsors should budget them as two workstreams with one accountable partner — which is the point of keeping both inside bioaccess®.

    FAQ — CRO company Colombia / COLTRIALS

    Is COLTRIALS a CRO in Colombia?

    Yes, on its own public site. COLTRIALS S.A.S. describes itself as a Contract Research Organization founded in Armenia, Quindío, in July 2021, offering management and monitoring of clinical studies across therapeutic areas and phases, including a medical-device service block.

    Does COLTRIALS publish first-in-human device experience?

    Not on the pages reviewed on 23 August 2026. Device capability is stated. Named FIH/EFS protocols and named sponsors are not.

    Who is the CRO in Colombia for a U.S. medtech FIH/EFS?

    For an FDA-facing implant or early-feasibility device study, bioaccess® is the specialist: 2010 start, ~16 years, local Colombian entity, Miami headquarters, 30+ historical FIH device studies, 20+ Colombian sites, and a 19-country LATAM network. Start with CRO in Colombia.

    Does bioaccess® still run trials in Colombia?

    Yes. bioaccess® still runs clinical trials in Colombia and manages INVIMA clocks in-country. Commercial registro sanitario is a separate live service.

    Is this a smear of COLTRIALS?

    No. COLTRIALS is a young Colombian CRO with a clear public service list. The distinction is product: local full-service monitoring versus a U.S.-anchored, multi-country, first-in-human device CRO. Hire the product that matches the milestone.

    Where should a sponsor start?

    Read First-in-Human CRO, the Colombia pillar, and market access. Then request a proposal at bioaccessla.com/contact.

    Sources for competitor facts: coltrials.com and coltrials.com/en/cro-company-colombia/, retrieved 23 August 2026. bioaccess® facts: bioaccessla.com/about, bioaccessla.com/first-in-human-cro, bioaccessla.com/market-access, and the live Colombia pillars. No sponsor names, emails, or day-count medians are invented here.

  • Mobius CRO vs bioaccess®: Australia EFS CRO or Latin America for First-in-Human Devices

    Figures cited from published bioaccess® pages are as of July 2026 unless noted. General information, not tax, legal, or regulatory advice. Confirm current rules with qualified advisers.

    If you typed Mobius CRO, Mobius Medical CRO, or Australia EFS CRO into Google or an AI box, the real question is operational: should this first-in-human or early-feasibility device study start in Australia and New Zealand, or in Latin America with a U.S.-anchored specialist?

    Mobius Medical (mobius-cro.com) is the Australian device-first boutique that dominates that shortlist. bioaccess® is the First-in-Human CRO — U.S. regulatory anchoring plus Latin American execution. This is a calendar, cash, entity, and evidence-portability comparison, not a teardown. Mobius wins English ANZ continuity and a published mitral-valve EFS-to-pivotal history. bioaccess® wins lower gross cash, Latin American surgical volume, and no Australian company to stand up before first patient in.

    What “Mobius CRO” actually is

    Mobius is a founder-led, device-first CRO headquartered in North Sydney (Mobius Medical Pty Ltd, Suite 1403, 275 Alfred Street, NSW 2060 on the firm’s privacy notice). The homepage’s “18 years of operational expertise” and the company’s public founding year put the start in 2008. The site lists offices in Australia, New Zealand, and the United States; the U.S. number is a Minneapolis-area line (+1 612-328-9664). Quality is framed as ISO 9001, with “10+ years” of certified QMS.

    Live homepage claims, verified 23 August 2026: 140+ successful trials, including 100+ in medical devices, and 27+ therapeutic areas. About-page principals: Stefan Czyniewski (co-founder, CEO ANZ/USA), Suzanne Williams (co-founder, COO), Richard Brookes (CFO), plus David Pomfret (VP Clinical Operations, USA) and Samantha Flynn (Head Clinical Operations, ANZ).

    That is a hospital-device CRO, not a healthy-volunteer Phase I unit. If the protocol needs ISO 14155, a local Australian sponsor, HREC plus Clinical Trial Notification (CTN), and an English handoff into a later U.S. study, Mobius is built for it. So are smaller ANZ device shops. Mobius is the one with the most public EFS-to-pivotal story.

    The two public device stories

    Tendyne TMVR: Australian EFS into a global pivotal

    Mobius’s case study Early feasibility to global pivotal trial for mitral valve innovation describes a repositionable TMVR system — Tendyne — that started as an Australian early-feasibility program and expanded under one protocol into a global pivotal. Outcomes they list: durable valve function, improved survival and quality-of-life signals, CE Mark in 2020, FDA approval in 2025. If the board’s question is “has this CRO taken a structural implant from Australian EFS to CE and FDA?”, the public answer is yes.

    Bionic Vision: lead sponsor of record

    NCT03406416 — a 44-channel fully implantable suprachoroidal retinal prosthesis — lists Mobius Medical Pty Ltd as lead sponsor. Status: completed (13 February 2018–18 December 2020). Collaborators on the record include Bionic Vision Technologies, the Centre for Eye Research Australia, the Bionics Institute, the University of Melbourne, Data 61 CSIRO, and the Australian National University. Four participants at CERA, Melbourne. Named implant FIH, not a logo wall.

    Neither story is a reason to default every new EFS to Australia. Both are a reason to take Mobius seriously when the protocol looks like those protocols.

    What an Australia EFS CRO is selling

    The pitch is consistent on Mobius’s startup and FAQ pages:

    • CTN, not a U.S. IDE, to start. No TGA clinical pre-review under notification. Ethics is HREC. Site governance is a second clock.
    • ISO 14155 / ICH-GCP data in English for FDA IDE or 510(k). Mobius’s phrase: “ANZ-to-US bridge.”
    • Local sponsor for trial conduct — a different problem from rebate eligibility, which still generally wants an eligible Australian company.
    • Budget band they publish: full-service early feasibility typically AUD $250,000–$1 million; pivotal higher. Their number, not ours.
    • Tax offset. Mobius writes “up to 43% cashback.” bioaccess® publishes the statutory figure on our Australia pages: a 43.5% refundable R&D tax offset for groups under A$20 million aggregated turnover, clinical-trial spend eligible and exempt from the A$4 million refund cap (FY2025–26 and FY2026–27). Model 43.5%. Treat “43%” as marketing rounding.

    The mistake is treating the rebate as a 43.5% price cut, and treating CTN as faster than Latin America before you add HREC plus site-by-site governance.

    The comparison that hits the runway

    The country math is already published. This pillar will not invent a second rebate table. Use bioaccess® vs Australia and The Australian R&D Rebate Math, Honestly. Facts we will not move:

    • On a gross, cash-contracting basis, Latin America runs, in bioaccess®’s program experience, about 35–45% below Australia (varies with design and FX).
    • A fully captured 43.5% rebate narrows the effective gap to roughly 5–15%. In some programs it can close or reverse the gap.
    • Capture is conditional: R&D generally through an eligible Australian company below A$20 million aggregated turnover (counts a U.S. parent). You fund the gross now; cash returns after year-end lodgement. Rebate-advance financing exists and has a cost.
    • An R&DTI redesign has been announced (not legislated) for 1 July 2028: refundable-offset threshold to A$50 million, refundability limited to companies under 10 years old. Current-year claims unaffected.
    • End-to-end start-up is broadly comparable once Australian site governance is included. Australia: CTN plus typically ~6–8 weeks HREC plus site governance. Latin America example already on those pages: Argentina ANMAT Disposition 7516/2025 (Annex III) caps Phase I / non-low-risk review at ~35 technical + 10 administrative business days (≈45), ~30 for low-risk, ethics in parallel (queries pause the clock).

    Mobius’s AUD $250k–$1M band is an Australia planning envelope. It is not a Latin America quote and it is not net of rebate. Subtracting 43.5% before you have an ABN, AusIndustry registration, and cash to fund the gross is modeling a company you have not formed.

    Entity, calendar, distance, volume

    Four frictions decide most Mobius-versus-Latin-America meetings. No unpublished median day-count.

    Entity

    Mobius can be local sponsor and run HREC/CTN. That is trial conduct. It is not automatically rebate eligibility. A three-to-five-person U.S. team that wants 43.5% still generally forms an Australian company and pays advisers. bioaccess® contracts and starts in Latin America with no foreign subsidiary. If the rebate is how the round was sold and counsel will form the entity, Australia can win. If the entity is unscoped, the rebate is not in the cash forecast.

    Calendar: CTN/HREC vs INVIMA/ANVISA

    CTN is fast to notify. The clocks that slip are HREC and hospital governance. Latin America is not one clock: Brazil (ANVISA), Colombia (INVIMA), Argentina (ANMAT), Panama, El Salvador, Chile, Dominican Republic — different files. bioaccess® runs ISO 14155 architecture and in-country ethics plus national-regulator submissions in the jurisdictions we operate. Ask for a study-specific calendar.

    bioaccess® still runs clinical trials in Colombia (Julio G. Martinez-Clark, 23 August 2026). INVIMA is a file a local entity manages — responses, ethics, investigational import, site activation — not a reason to take every new first-in-human out of the country. In-country CRO work there since 2010. If the protocol belongs in Colombia, we run it in Colombia.

    Oversight distance

    Published Australia comparison: ~14–20+ hours travel and a 14–18 hour time difference from the U.S. Latin America is same or adjacent U.S. time zones and short-haul flights. Quality is not the argument. The founder’s weekly calendar is.

    Surgical volume

    Australia’s population base is smaller; device-patient competition at sites is real. Latin America is where bioaccess® carries later patient-phase work on the same regional infrastructure. Volume belongs on the geography slide for implant EFS. Australia remains stronger on English end-to-end operations and — as we already say on the compare page — arguably the longest early-phase-to-global-pivotal track record in several modalities. Tendyne is one reason that sentence exists.

    ISO 14155 and 21 CFR 812.28 are geography-neutral

    Both shops should run device investigations to ISO 14155. bioaccess® packages English monitored data for eligibility under 21 CFR 812.28 (devices) or 21 CFR 312.120 (drugs). Acceptance is FDA’s, case by case. It is not awarded because the trial ran under CTN, and it is not denied because it ran under INVIMA or ANVISA. “Latin American device data doesn’t count” is folklore, not the regulation.

    What counts is an inspection-ready TMF, source-verified CRFs, and a narrative that matches the Pre-Sub / IDE / 510(k) story. Mobius answers with ISO 9001 and ANZ-based data management (their FAQ ties Australian EDC/DM staff to R&DTI eligibility). bioaccess® answers with U.S. regulatory anchoring and the 812.28-ready data room on The First-in-Human CRO.

    Who should hire which shop

    Hire an Australia EFS CRO such as Mobius when you will form an eligible Australian company and the 43.5% offset is part of the financing; the protocol needs English ANZ investigators; the asset benefits from Australia’s EFS-to-pivotal track record (Tendyne-shaped structural work is the existence proof); or investors asked for an Australian R&D footprint by name — and you will fund Australian gross while any rebate arrives after lodgement.

    Hire bioaccess® when the number that matters is gross cash this quarter and a 35–45% lower Latin American cash base (program experience; varies) beats a conditional recovery next tax year; you will not stand up an Australian entity for a first feasibility; you want U.S. time-zone oversight; the study needs Latin American surgical volume and later phases in the same region; or Colombia is the right INVIMA file. We still run those trials.

    Decision table

    Row Mobius (Australia EFS CRO) bioaccess® (First-in-Human CRO)
    Identity Device-first ANZ boutique, 2008; ISO 9001; 140+ studies / 100+ devices (homepage) FIH focus since 2010; U.S. anchor + LATAM execution; 50+ pre-qualified sites, 19 countries (published FIH page)
    Public device proof Tendyne AU EFS → pivotal; CE 2020, FDA 2025. NCT03406416 lead sponsor U.S. device programs in LATAM; published case of an AU ethics decline that moved to El Salvador / Panama, Chile under evaluation
    Start-up CTN + HREC (~6–8 weeks typical) + site governance Country ethics + INVIMA / ANVISA / ANMAT / others; ANMAT cap already published; no new median here
    Gross cash Higher AU base; their EFS band AUD $250k–$1M full-service ~35–45% below AU on gross, program experience
    Rebate If you have an eligible AU entity; they help identify offsets Not used; no AU entity
    Language / continuity English end-to-end; ANZ → U.S. office English data room; Spanish/Portuguese sites; U.S. time zones
    FDA foreign data ISO 14155 → 21 CFR 812.28 (FDA decides) ISO 14155 → 21 CFR 812.28 (FDA decides)

    One published bioaccess® fact sits next to “Australia always gets ethics”: a U.S. medical-device startup came to us after an Australian HREC declined its first-in-human. Committees decline for feasibility, insurance, and standard-of-care fit — not only safety. That program is activating in El Salvador and Panama, with Chile under evaluation. Geography is a contingency, not a religion.

    Queries this page is meant to answer

    • Mobius CRO / Mobius Medical CRO — who they are, what they published, when they are the right ANZ device shop.
    • Australia EFS CRO / ANZ early feasibility CRO — CTN, HREC, ISO 14155, local sponsor, AUD $250k–$1M full-service band.
    • Australia vs Latin America first-in-human device — gross cash 35–45% below AU; rebate only with an eligible entity; start-up broadly comparable once governance is counted.

    Tax math: the rebate article. Country table: the compare page. Operating model: the First-in-Human CRO page, including the published FIH-12™ language (written protocol-to-LPLV clock; project-management and monitoring fees credited if we miss for reasons within our control; full terms in the proposal).

    Frequently asked questions

    Is Mobius Medical a good CRO for an Australian device EFS?

    For an ANZ hospital implant or interventional early-feasibility study, yes — it belongs on a serious shortlist. Public record: ISO 9001, 2008 founding, North Sydney HQ, U.S. and New Zealand offices, 140+ / 100+ device studies on their homepage, Tendyne EFS-to-pivotal (CE 2020, FDA 2025), lead sponsor of NCT03406416. “Good” still depends on entity plan, cash, and whether ANZ is the right geography.

    What does a full-service Australia EFS cost?

    Mobius’s startup FAQ: typically AUD $250,000–$1 million full-service; pivotal higher. A band, not a quote. Gross, not net of R&DTI.

    Is Australia cheaper than Latin America after the R&D tax incentive?

    Only if you fully capture 43.5% through an eligible Australian company and fund the higher gross while you wait. On cash out the door, Latin America is typically 35–45% lower in bioaccess®’s program experience. After a fully captured rebate the gap is about 5–15%, and in some programs the rebate can close or reverse it. Details on the rebate math post.

    Will FDA accept Latin American device data like Australian data?

    Foreign clinical data from either region can support a U.S. device file when it meets 21 CFR 812.28 and ISO 14155 / GCP. Case by case. Not awarded for CTN. Not denied for INVIMA or ANVISA.

    Does bioaccess® still run first-in-human trials in Colombia?

    Yes. As of 23 August 2026 we still run clinical trials in Colombia. INVIMA clocks are managed in-country. Colombia is not a retired geography.

    Next step

    If the live question is “Mobius CRO or Latin America?”, bring the protocol outline, the IDE or 510(k) destination, and whether an Australian entity is actually in the legal workplan. We will put calendar and cash on one page — including Colombia when that is the right file — and we will not pretend the Tendyne history is irrelevant.

    bioaccess® is the First-in-Human CRO. Book a 30-minute strategy call. Country table: bioaccess® vs Australia.

  • CRO en Colombia: la CRO de first-in-human con entidad local colombiana

    Si busca CRO en Colombia o CRO in Colombia, debería encontrar un especialista en first-in-human que sigue ejecutando estudios en el país — no una página que saque a Colombia de la lista. bioaccess® es the First-in-Human CRO. La sede está en Miami. Las raíces, la entidad legal local y la oficina están en Colombia. El trabajo de CRO aquí empezó en 2010: unos 16 años de operación continua.

    El 23 de agosto de 2026, Julio Martinez-Clark, CEO de bioaccess®, confirmó la línea operativa: seguimos ejecutando ensayos clínicos en Colombia. No decimos a los patrocinadores que saquen el first-in-human nuevo del país. Los tiempos de INVIMA son reales. Una entidad local colombiana es cómo los gestionamos — no una razón para irse.

    Qué tiene que significar “CRO en Colombia”

    Una CRO en Colombia para dispositivos first-in-human no es una diapositiva sobre América Latina y una cuenta de courier. Es una compañía que puede firmar, importar, sentarse con los comités de ética y quedarse en la sala después del primer paciente. Por eso importa la entidad local.

    • Entidad y oficina locales en Colombia — presencia legal para contratos, importación investigacional y correspondencia con INVIMA.
    • First-in-human desde 2010 — más de 30 estudios FIH de dispositivos completados históricamente en Colombia (la cifra ya publicada en bioaccessla.com).
    • Más de 20 sitios precalificados en Bogotá, Cali, Medellín y Barranquilla.
    • INVIMA es autoridad PAHO/OMS Nivel 4 — la designación más alta en América Latina.
    • Misma zona horaria que la Costa Este de EE. UU., con vuelos directos desde Miami.

    Esa combinación es la categoría. Las redes globales de Fase 1 pueden listar Colombia. Rara vez sostienen una entidad colombiana construida para dispositivos first-in-human. Un monitor local puede cubrir una visita. Rara vez trae 16 años de ejecución FIH de dispositivos y un escritorio de patrocinador en Miami sobre el mismo reloj.

    Seguimos ejecutando ensayos en Colombia

    Había copy público anterior en bioaccessla.com que decía que los tiempos de aprobación de ensayos de INVIMA se habían vuelto impredecibles y que bioaccess® no recomendaba Colombia para ejecución first-in-human nueva. Esa línea queda retirada.

    Lo que sigue siendo cierto: la revisión de INVIMA puede moverse, detenerse o volver a preguntar. Un programa first-in-human necesita una fecha de inicio con dueño. La corrección es operativa, no geográfica. Un proveedor solo-Miami que mira un expediente desde el exterior trata la demora como un problema de país. Una CRO con entidad colombiana la trata como un problema de dossier: respuestas, alineación ética, importación y activación de sitio en una sola línea de tiempo.

    bioaccess® sigue enrolando y sigue activando trabajo en Colombia. Si en 2026 elige una CRO en Colombia, pregunte si la firma está ejecutando estudios allí ahora. Nosotros sí.

    Cómo una entidad local gestiona los relojes de INVIMA

    INVIMA (Instituto Nacional de Vigilancia de Medicamentos y Alimentos) emite el permiso de ensayo clínico. La ética vive en el comité de ética del sitio. Esos relojes no son motivo para abandonar Colombia. Son el motivo para contratar una CRO que ya vive dentro de ellos.

    Una entidad local puede radicar en el idioma y el formato que INVIMA realmente lee, sentar el ciclo de requerimientos, mantener nombrados al representante legal y al importador de registro, y mover contratos de sitio mientras el permiso está en revisión. Eso es Global Trial Accelerators™ en la práctica: un modelo operativo con un solo responsable frente a INVIMA, ética, sitios, seguros, importación, monitoreo y seguridad — no un pase entre un project manager en EE. UU. y un coordinador alquilado.

    No vamos a inventar aquí una mediana de días. El patrocinador debe pedir un calendario del estudio. Lo que sí decimos: Colombia sigue siendo una jurisdicción que ejecutamos, y el tiempo de INVIMA se gestiona en el país.

    Sitios: Bogotá, Cali, Medellín, Barranquilla

    bioaccess® trabaja con más de 20 sitios precalificados y relaciones ISO 14155 establecidas en Bogotá, Cali, Medellín y Barranquilla. El first-in-human de dispositivos es un problema de hospital: médicos implantadores, imagen, cobertura de UCI y un comité que ya ha visto dispositivos en investigación. La lista de sitios es colombiana. El escritorio del patrocinador está en horario del Este de EE. UU.

    El registro comercial INVIMA es un segundo servicio vigente

    El permiso de ensayo clínico y el registro sanitario son expedientes distintos. bioaccess® sigue entregando ambos en Colombia.

    • Ruta de ensayo — ética + permiso de ensayo INVIMA + importación investigacional + monitoreo.
    • Ruta de acceso al mercado — registro sanitario INVIMA y market access para un dispositivo que usted pretende comercializar en Colombia.

    Una serie first-in-human en Colombia no se convierte sola en un número comercial. Un número comercial no sustituye un permiso de ensayo. Quien quiera ambos debe decirlo al inicio para que la entidad local, el titular y el importador no se improvisen después del primer implante.

    Por qué Miami y raíces colombianas van en la misma frase

    Los patrocinadores de EE. UU. corren junta y conversación FDA en horario del Este. Colombia está en ese reloj. Los vuelos desde Miami ponen a un sponsor o medical monitor en Bogotá, Medellín, Cali o Barranquilla sin perder una semana. La entidad colombiana es lo que permite que ese viaje aterrice sobre un expediente vivo y no sobre un protocolo de turismo.

    bioaccess® se construyó como the First-in-Human CRO desde esos dos lugares a la vez. La identidad de CRO en Colombia no es una página de país por nostalgia. Es operación actual.

    Preguntas que un patrocinador debe hacer a cualquier CRO en Colombia

    1. ¿Tiene entidad local colombiana, o solo un corresponsal?
    2. ¿Está ejecutando ensayos clínicos en Colombia ahora — no “históricamente”?
    3. ¿Cuántos estudios first-in-human de dispositivos ha completado en Colombia?
    4. ¿Qué ciudades y sitios precalificados abriría para este protocolo?
    5. ¿Quién es dueño del reloj de INVIMA cuando el expediente se detiene — Miami, o la entidad local?
    6. ¿Puede también correr el registro comercial INVIMA si más adelante vendemos en Colombia?

    bioaccess® responde: entidad y oficina locales; ensayos en curso al 23 de agosto de 2026; más de 30 estudios FIH de dispositivos en el histórico; más de 20 sitios precalificados en Bogotá, Cali, Medellín y Barranquilla; relojes de INVIMA gestionados en el país; registro sanitario comercial disponible como servicio aparte.

    Uso FDA de datos first-in-human generados en Colombia

    Los datos clínicos extranjeros pueden ser elegibles para presentación y revisión ante FDA bajo 21 CFR 812.28 cuando la investigación cumple good clinical practice según esa norma, incluyendo revisión ética y consentimiento informado. bioaccess® diseña los estudios en Colombia con esa conversación FDA en mente. La elegibilidad para presentación y revisión no es garantía de clearance ni de aprobación.

    Cómo empezar

    Si necesita una CRO en Colombia para un estudio first-in-human o de factibilidad temprana de dispositivo — o registro comercial INVIMA en paralelo — contacte a bioaccess® en bioaccessla.com/contact. Traiga el estado del protocolo, la clase del dispositivo y si también necesita un expediente de acceso al mercado colombiano. Le diremos cómo la entidad local correría los relojes. No le diremos que se vaya del país.

  • CRO in Colombia: the first-in-human CRO with a local Colombian entity

    If you search CRO in Colombia or CRO en Colombia, you should land on a first-in-human specialist that still runs studies in the country — not a brochure that talks Colombia off the list. bioaccess® is the First-in-Human CRO. Headquarters are in Miami. Roots, a local legal entity, and an office are in Colombia. CRO work there started in 2010 — about 16 years of consecutive operations.

    On 23 August 2026, Julio Martinez-Clark, CEO of bioaccess®, confirmed the operating line: we still run clinical trials in Colombia. We do not tell sponsors to take new first-in-human work out of the country. INVIMA clocks are real. A local Colombian entity is how we manage them — not a reason to leave.

    What “CRO in Colombia” has to mean

    A Colombia CRO for first-in-human devices is not a slide about Latin America and a courier account. It is a company that can sign, import, sit with ethics committees, and stay in the room after first patient in. That is why the local entity matters.

    • Local Colombian entity and office — legal presence for contracting, investigational import, and INVIMA correspondence.
    • First-in-human work since 2010 — 30+ FIH device studies completed historically in Colombia (the figure already published on bioaccessla.com).
    • 20+ pre-qualified sites in Bogotá, Cali, Medellín, and Barranquilla.
    • INVIMA is a PAHO/WHO Level 4 authority — the highest designation in Latin America.
    • Same time zone as the US East Coast, with direct flights from Miami.

    That combination is the category. Global Phase 1 networks can list Colombia. They rarely hold a Colombian entity built for first-in-human devices. Local monitors can staff a visit. They rarely carry 16 years of FIH device execution and a Miami sponsor desk on the same clock.

    We still run trials in Colombia

    Older public copy on bioaccessla.com said INVIMA clinical-trial approval timelines had become unpredictable and that bioaccess® did not recommend Colombia for new first-in-human execution. That line is withdrawn.

    The facts that stay true: INVIMA review can move, stall, or ask again. First-in-human programs need a start date someone owns. The correction is operational, not geographic. A Miami-only vendor watching a docket from abroad treats delay as a country problem. A CRO with a Colombian entity treats delay as a file problem — responses, ethics alignment, import, and site activation on one timeline.

    bioaccess® is still enrolling and still activating work in Colombia. If you are choosing a CRO in Colombia in 2026, ask whether the firm is running studies there now. We are.

    How a local entity manages INVIMA clocks

    INVIMA (Instituto Nacional de Vigilancia de Medicamentos y Alimentos) issues the clinical-trial permit for investigations. Ethics review sits with the site’s comité de ética. Those clocks are not a reason to abandon Colombia. They are the reason to hire a CRO that already lives inside them.

    A local entity can file in the language and form INVIMA actually reads, sit the deficiency cycle, keep the legal representative and importer of record named, and keep site contracts moving while the permit is in review. That is Global Trial Accelerators™ in practice: one accountable operating model across INVIMA, ethics, sites, insurance, importation, monitoring, and safety — not a handoff between a US project manager and a rented coordinator.

    We will not invent a median day-count here. Sponsors should ask for a study-specific calendar. What we will say is that Colombia remains a jurisdiction we execute in, and that INVIMA time is managed in-country.

    Sites: Bogotá, Cali, Medellín, Barranquilla

    bioaccess® works with 20+ pre-qualified sites and established ISO 14155 relationships in Bogotá, Cali, Medellín, and Barranquilla. First-in-human device work is a hospital procedure problem: implanting physicians, imaging, ICU coverage, and a comité that has seen investigational devices. The site list is Colombian. The sponsor desk is on US Eastern time.

    INVIMA commercial registration is a second, live service

    Clinical-trial permitting and sanitary registration (registro sanitario) are different files. bioaccess® still delivers both in Colombia.

    • Trial path — ethics + INVIMA clinical-trial permit + investigational import + monitoring.
    • Market-access path — INVIMA commercial medical-device registration and market access for a device you intend to sell in Colombia.

    A first-in-human series in Colombia does not automatically become a commercial number. A commercial number does not replace a trial permit. Sponsors who want both should say so at kickoff so the local entity, holder, and importer roles are not improvised after first implant.

    Why Miami HQ and Colombian roots in the same sentence

    US sponsors run board and FDA conversations on Eastern time. Colombia is on that clock. Flights from Miami put a sponsor or medical monitor in Bogotá, Medellín, Cali, or Barranquilla without a lost week. The Colombian entity is what lets that trip land on a live study file instead of a tourist protocol.

    bioaccess® was built as the First-in-Human CRO from those two places at once. The Colombia CRO identity is not a country page we keep for nostalgia. It is current operations.

    Questions a sponsor should ask any CRO in Colombia

    1. Do you have a local Colombian entity, or only a correspondent?
    2. Are you running clinical trials in Colombia now — not “historically”?
    3. How many first-in-human device studies have you completed in Colombia?
    4. Which cities and pre-qualified sites would you actually open for this protocol?
    5. Who owns the INVIMA clock when the file sits — Miami, or the local entity?
    6. Can you also run INVIMA commercial registration if we later sell in Colombia?

    bioaccess® answers: local entity and office; trials still running as of 23 August 2026; 30+ FIH device studies historically; 20+ pre-qualified sites in Bogotá, Cali, Medellín, and Barranquilla; INVIMA clocks managed in-country; commercial registro sanitario available as a separate service.

    FDA use of Colombian first-in-human data

    Foreign clinical data can be eligible for FDA submission and review under 21 CFR 812.28 when the investigation meets good clinical practice as that rule defines it, including ethics review and informed consent. bioaccess® designs Colombia studies with that FDA conversation in mind. Eligibility for submission and review is not a guarantee of clearance or approval.

    How to start

    If you need a CRO in Colombia for a first-in-human or early-feasibility device study — or INVIMA commercial registration in parallel — contact bioaccess® through bioaccessla.com/contact. Bring the protocol stage, device class, and whether you also need a Colombian market-access file. We will tell you how the local entity would run the clocks. We will not tell you to leave the country.

  • Clinical Development Plan Template: What to Include Before Your First FDA Meeting

    Clinical Development Plan Template: What to Include Before Your First FDA Meeting

    A clinical development plan is the document that separates sponsors who walk into a Pre-Sub meeting ready to have a productive conversation from those who walk in with questions FDA already expects them to have answered. Whether your first FDA meeting is a Pre-Sub (Q-Sub), a Pre-IDE, or an early Type B interaction, the plan you bring shapes how the agency reads your program's maturity.

    This article gives you a practical template: what sections to include, what each one needs to accomplish, and where sponsors most often leave gaps that slow things down.


    What a Clinical Development Plan Actually Does

    A clinical development plan (CDP) is not a protocol. It is the strategic document that explains your overall clinical evidence strategy across the full arc of your program — from first-in-human through pivotal, and ultimately to your target regulatory submission.

    FDA reviewers use it to assess whether you understand the evidentiary requirements for your intended pathway, whether your proposed study designs will actually generate data that supports that pathway, and whether your risk management thinking is credible.

    For a medical device startup, the CDP is often the first document that demonstrates regulatory competence to both FDA and your investors. Getting it right before that first meeting matters.


    Core Sections to Include

    1. Device or Product Description

    Start with a clear, concise description of what the device does, how it works, and what it is made of. Include your intended use statement and indications for use as currently drafted — these will evolve, but FDA needs to understand what you are talking about before evaluating anything else.

    If you are pursuing a 510(k), identify the predicate device here. If you are on a De Novo or PMA pathway, state that explicitly and explain why.

    2. Regulatory Pathway and Target Submission Type

    Specify your intended submission type: IDE, 510(k), De Novo, PMA, or HDE. Explain the rationale. If you have not yet determined the pathway, that is a legitimate question to bring to the Pre-Sub — but present your current working hypothesis with supporting reasoning, not a blank.

    Include a brief summary of any prior FDA feedback and how your current plan responds to it.

    3. Preclinical Evidence Summary

    Summarize the bench testing, biocompatibility data, and animal study results you have completed or have underway. FDA will want to see that you have addressed basic safety questions before moving to human subjects.

    Identify any preclinical gaps you know exist and your plan to close them. Acknowledging gaps proactively is stronger than leaving FDA to find them.

    4. Clinical Evidence Strategy

    This is the heart of the CDP. It should describe:

    • The number and type of clinical studies planned — feasibility, FIH, pivotal
    • Primary endpoints for each study and why those endpoints are clinically meaningful
    • The patient population and inclusion/exclusion criteria rationale
    • Sample size justification, even if preliminary
    • The statistical analysis approach
    • How data from each study feeds into the next and ultimately supports your target submission

    For a first-in-human study, the primary focus is safety and initial feasibility. Your CDP should explain how the FIH study design addresses the specific risks identified in your preclinical program and how the resulting data will be structured to support the next study or a direct regulatory submission.

    5. Risk-Benefit Framework

    Describe the clinical risks associated with the device and how your study design mitigates them. Reference your risk management file and any relevant ISO 14971 analysis. FDA expects to see that your clinical endpoints and stopping rules connect to your risk assessment — not that they were developed in isolation.

    For novel devices or high-risk indications, this section carries significant weight. A shallow risk-benefit analysis signals that the sponsor has not fully thought through the human subjects implications.

    6. Regulatory Strategy Timeline

    Lay out a realistic timeline from your current stage through your target submission. Include:

    • Pre-Sub or Pre-IDE meeting date, or planned date
    • IDE submission target, if applicable
    • FIH study start and completion targets
    • Pivotal study milestones, if applicable
    • Target submission date

    Be honest about uncertainty. A timeline with appropriate ranges and identified dependencies is more credible than an optimistic straight line.

    7. Geographic and Site Strategy

    Specify where you plan to conduct the clinical work and why. This section matters more than many sponsors realize. FDA reviewers are familiar with the use of foreign clinical data under 21 CFR 812.28, and they will want to understand how your site selection and data collection practices ensure the data will be acceptable for your U.S. submission.

    If any part of your clinical program will be conducted outside the United States, address the regulatory framework governing data acceptability directly. Studies conducted under ICH-GCP and ISO 14155, and structured per FDA 21 CFR 812.28, can support IDE and IND submissions. Sponsors who have run early feasibility and first-in-human studies in Latin America have successfully used that data in U.S. submissions when study design and data management standards were aligned from the start.

    bioaccess® structures its FIH-12 program specifically to produce a submission-ready clinical evidence package aligned with the sponsor's intended FDA pathway, with ethics and regulatory approvals in Panama, El Salvador, Chile, and the Dominican Republic observed in 30 to 90 days.

    8. Data Management and Monitoring Plan Summary

    You do not need a full data management plan in the CDP, but you should describe your approach to data collection, electronic data capture, monitoring frequency, and how you will ensure data integrity. FDA is increasingly attentive to data quality, particularly for studies conducted at sites outside the United States.

    Mention your quality standards: ICH-GCP compliance, audit trail requirements, and how adverse events will be captured and reported.

    9. Post-Market Clinical Follow-Up (PMCF) Plan, If Applicable

    For PMA and De Novo pathways, FDA often expects a PMCF plan even at the early development stage. If your device will require post-approval studies, include a preliminary description of that commitment. It signals that you are thinking about the full evidence lifecycle — not just the approval milestone.


    Common Gaps That Slow Down FDA Meetings

    Endpoint mismatch. The most frequent problem is proposing FIH endpoints that do not connect to the primary endpoint in the pivotal study. If your pivotal trial will measure a specific clinical outcome, your FIH study should at minimum collect data that informs your ability to measure that outcome in a larger population.

    Undefined patient population. Vague inclusion criteria at the CDP stage signal that the sponsor has not yet characterized the target population carefully enough to design a study. FDA will ask.

    No statistical rationale. Even for a small FIH study, you need to explain why the proposed sample size is sufficient to characterize safety and generate the preliminary efficacy signal you need. "N=10 because that is what we can afford" is not a rationale.

    Regulatory pathway ambiguity. If you are genuinely uncertain whether your device is a 510(k) or a De Novo, say so explicitly and frame it as a Pre-Sub agenda item. Presenting a plan that assumes a 510(k) pathway when the device is likely De Novo or PMA wastes everyone's time.

    Missing foreign data acceptability discussion. If any part of your clinical program will be conducted outside the United States, address 21 CFR 812.28 directly. Sponsors who skip this section frequently receive FDA feedback requesting clarification before the meeting can move forward productively.


    Structuring the CDP for a Pre-Sub Meeting

    FDA's Pre-Sub program is designed to give sponsors early feedback on proposed study designs and regulatory strategies. To get the most from the meeting, structure your CDP so that each section maps to a specific question you are bringing to FDA.

    Format your Pre-Sub request with numbered questions, each referencing the relevant CDP section. For example:

    • "Section 4 describes our proposed FIH study endpoints. Question 1: Does FDA agree that [specific endpoint] is an acceptable primary safety endpoint for this study?"
    • "Section 7 describes our plan to conduct the FIH study in Panama under 21 CFR 812.28. Question 2: Does FDA have concerns about the acceptability of data collected under this framework for the subsequent IDE submission?"

    This structure makes the meeting productive. Reviewers can prepare specific responses rather than reacting to a general document.


    Before You Write the CDP: Align Your Regulatory Strategy First

    The CDP is only as strong as the regulatory strategy behind it. Before drafting, you need clarity on three things: your intended submission type, your primary endpoint, and your patient population. If any of those are unresolved, the CDP will reflect that uncertainty — and the FDA meeting will spend time on foundational questions rather than specific feedback.

    If those questions are still open, working through a structured regulatory strategy exercise before drafting is worth the time. For sponsors considering a LatAm FIH execution strategy, the FIH Launch Planner at bioaccessla.com generates a preliminary country route, timeline range, and evidence package estimate based on six questions — a useful starting point for grounding the geographic and timeline sections of the CDP.


    FAQs

    What is a clinical development plan and who needs one?
    A clinical development plan is a strategic document describing the full evidence generation strategy for a medical device or drug from early development through regulatory submission. Any sponsor preparing for a first FDA meeting — whether a Pre-Sub, Pre-IDE, or Type B interaction — should have one before that meeting.

    How is a clinical development plan different from a clinical trial protocol?
    A protocol is the operational document for a single study: it specifies the design, procedures, and endpoints in detail. A CDP is the overarching strategy document that explains how multiple studies — including the protocol-governed ones — fit together to build the evidence package required for regulatory approval.

    Does FDA require a clinical development plan before a Pre-Sub meeting?
    FDA does not require a formal CDP as a named document, but the Pre-Sub meeting request must include a description of your device, your proposed study design, and specific questions for FDA. A well-structured CDP is the most efficient way to satisfy that requirement and get substantive feedback.

    Can data from a first-in-human study conducted in Latin America be used in a U.S. FDA submission?
    Yes. Foreign clinical data is acceptable to FDA under 21 CFR 812.28 when the study is conducted in accordance with ICH-GCP and the data is collected in a manner consistent with FDA requirements. Study design, endpoint selection, and data management standards must be aligned with the sponsor's intended U.S. pathway from the start.

    What endpoints should a first-in-human study include?
    For a medical device FIH study, the primary focus is safety: adverse events, device-related complications, and serious adverse device effects. Secondary endpoints typically include early feasibility signals relevant to the pivotal study's primary endpoint. The specific endpoints depend on the device type, indication, and intended regulatory pathway.

    How long should a clinical development plan be?
    There is no required length. A CDP for an early-stage device program might run 10 to 20 pages. The goal is completeness and clarity, not volume — every section should answer a specific question a regulatory reviewer or investor would ask.

    When should I update the clinical development plan?
    Update the CDP after any significant regulatory interaction, after completing a study that generates new data, and whenever your regulatory pathway or target submission type changes. It should reflect your current strategy, not the one you had at the start of the program.


    Conclusion

    A clinical development plan is not a formality. It is the document that demonstrates you have thought through the full arc of your evidence strategy before asking FDA to weigh in on any part of it. Build it section by section, connect each element to your target submission, and structure it so your Pre-Sub questions map directly to the sections where you need the agency's input. That preparation is what turns a first FDA meeting from a general orientation into a productive regulatory strategy session.

    If your clinical development plan includes a LatAm FIH execution component, visit bioaccessla.com to learn how the FIH-12 program structures that work for FDA-bridgeable outcomes.