May 17, 2020

Why Pharma Companies Should Invest in Brazil's Medical Market (and How)

Latin America
medical devices
4 min
A skyline view of Sao Paulo, Brazil.
Brazil, a signature country of South America, just surpassed 200 million residents. It is the main economy in Latin America and one of the most importan...

Brazil, a signature country of South America, just surpassed 200 million residents. It is the main economy in Latin America and one of the most important at world level, regionally considered industrialized in spite of the variety of income, from very low in rural and peripheral areas to very high in the most populous cities.

Brazil’s health system is universal and available to all citizens for free and financed by the state, with an extensive use of other non-vital health products related, like cosmetics and alternative medicine and aesthetic surgery. 

Private medicine is well developed for the people with higher income mostly wanting a better and faster service. Research also demands an important investment by the government and universities, particularly related to tropical diseases. For citizens, health care comes in third place as priority after home ownership and quality education.

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The health care market spends annually almost $138 billion USD, with 54 percent of that amount in the private sector. Local private laboratories have the highest profit in the area and are aware of the high bureaucracy involved to get the approval of any new product to market.

The government agency ANVISA (National Agency for Sanitary Control) was created in 1999 and is dedicated to the control of all matters related to health regulation as well as market regulation in health care. Being mostly independent in management and budget, the organization is closely related to the directives of the Brazilian Health Ministry.

ANVISA embraces many issues related to health care, such as approval of the commercialization and control of:

  • New pharmaceutical products and recommendation for its use in state-sponsored lists for patients
  • Regulation of health care products importing
  • Laboratory testing
  • Cosmetics
  • Food and supplements
  • Bioequivalence of new drugs in comparison to those already approved and used in the health system
  • Health providers
  • Tissue, blood and organ use for transplantation
  • Sanitary control at airports, ports and borders

As any of us can imagine, having a product approved for commercialization can mean a fast exponential growth for any pharmaceutical company. To introduce any new product it is necessary to register it and get the approval of ANVISA.

Currently, the organization manages too many health care issues other than this so the process for foreign companies of any size is time and money consuming without the proper knowledge of the process, language and idiosyncrasy of the Brazilian public sector.

According to the Brazilian Research and Development Institute of Pharmaceuticals, the approval of a given product can take in average more than 15 months, even if previously approved in other countries by agencies like FDA3. Companies trying to introduce a new product can have a real headache learning the right way to register, losing time and money in the process.

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Counseling companies for medium- to large-sized investors in pharmaceuticals and related health care products are a great way to facilitate the insertion of a new product through the knowledge of regulatory affairs and a step by step guide in this process with ANVISA, saving money, time and risks (and nerves) when entering a competitive market like this.

Counseling companies over every point including market and distribution studies, authorization to carry out a preliminary analysis, audit and identification of required certifications, determination of fees for necessary registration or notifications, monitoring and securing a business environment and the procedures for registration, that include filing and following up with relevant agencies.

One of the firms advocated to assisting new game players include Mandala International and their Brazilian branch, which in a recent interview the chairman Stephan Fontanel commented that “most of our companies that come seek our services are companies that tried to register a product in Brazil by themselves and realized it is far from being a peaceful walk at the park.”

Currently, important facts that attract foreign pharmaceutical companies to invest in this extensive market in spite of the ANVISA bureaucracy and regulations include:

  • Improving living standard of the population
  • The population is growing older, with the related needs of medical treatment
  • Progressive organization and better regulation of the health care industry, which benefits foreign companies
  • Higher investment in technology and communications

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Jul 28, 2021

5 mins with... Johannes Bhakdi, Quantgene

3 min
5 mins with... Johannes Bhakdi, Quantgene
Johannes Bhakdi, CEO of Quantgene, tells us about their approach to identifying new COVID-19 variants

Quantgene is a US biotech company that uses AI and the cloud to do genomic testing. It was founded in 2015 to focus on cancer - integrating advanced genomics and molecular diagnostics systems with the cloud and AI systems. 

CEO Johannes Bhakdi tells us Quantgene is the first COVID-19 testing company to fully integrate variant identification - we find out more. 

Given the new Delta and Lambda variants, is the coronavirus mutating at a faster rate than most viruses?
The reason SARS-COV2 is mutating on a perceived higher rate is not that the individual viruses mutate at a higher rate, but that the base population infected with the virus is vastly higher. The absolute rate of global mutations is a direct function of how many people have the virus at any given point in time. Since this is a global pandemic, and tens of millions have been infected, we see more mutations. 

That makes it more unpredictable, because any single mutation that has an evolutionary advantage - like the Delta variant - can then take over and spread even faster.  

What is the usual process for testing and analysing viral mutations? 

The most effective tool for analysing mutations is Whole Viral Genome sequencing. It allows you to read out the entire genome of the virus. Once the wet-lab sequencing is complete, we use this information to map it against what is called a "reference genome", meaning the classic SARS-COV2 genome. This allows us to then see any differences between the investigated sample and the baseline genome of SARS COV2. 

We then use these differences to map them against a database of known mutations, like the Delta variant. That way we can see if we are dealing with any known variant, and if we have a new variant at our hands, as well as determine what this new variant does to the spike protein and how likely it is to be a problem with antigens and vaccines, based on the changed protein structure. This last step is not easy and not clear-cut, and there is some speculation into the determination of how problematic the mutated proteins are. 

 What does Quantgene do differently?  

At Quantgene, we are focusing on solving problems for our clients - may it be employers, movie productions or governments. That means we ensure that our client gets the COVID protection they need in the fastest possible time frame and at the highest precision possible - mostly at or below market prices. 

We are bringing together technologies like RT-PCR testing and mutation profiling/sequencing, as well as advanced bioinformatics and computational resources to ensure high-quality results are being delivered seamlessly. 

We are also adding important components such as real-time cloud software and medical services to it. Simply put, we turn the COVID problem into a one-click seamless solution that works better than others, so companies and government clients don't have to deal with laboratories, medical or software providers who point fingers at each other and fail to deliver in time and with high precision. COVID is too dangerous and important to risk falling short.     

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