abracro (2011) guarantee of acces to post-clinical trial drugs

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  • 8/9/2019 ABRACRO (2011) Guarantee of Acces to Post-clinical Trial Drugs

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    Gaa Acc PCca Ta D

    ABRACRO Aca Baa Oaa Raa Pa Cca [B A C O]

    Sa Pa, 2011

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     2ABRACRO Gaa Acc PCca Ta D

    Ic ....................................................................................................................................... 3

    ABRACRO V Haaa .................................................................................................................... 4

    D. F Gb Eac Ec .......................................................................... 7

    D. L A Taa R Ec ........................................................................... 10

    D. Sa Da Ec .................................................................................................. 13

    D. N K O Taa .......................................................................................... 17

    Paa G Saa a Maa Pca Sac ................................................ 19

    D. Aa Fa C K La .................................................................................................... 22

    ANVISA Paca Fa A a Fa Nac Ma Vaa ...................................... 25

    I N P [Naa I Pbc Ha] (Mc) D. Ja I

    Ca R ................................................................................................................................. 28

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     3ABRACRO Gaa Acc PCca Ta D

    GAANEE  OF   ACCE O POCLINICAL IAL DG

    T ca a a a c

    ac a a b a a a

    c.

    O a cca, ca a a ac c, a a c

    CRO, a, , a, ANVISA a CONEP, c

    Sa c Sa (SUS) [ H ] ca.

    I a a c a c

    c, ABRACRO a a bca, c ca aa a, a a ca Ha La, a aca ca Cca

    Rac, a a ANVISA, Aca Naca Vca Saa [N

     A H ]. Ua CONEP (C Naca ca Pa),

    N E C, a c a aca

    bca a a a a a.

    B bca, Caa Bc C

    Naa I Pbc Ha Mc, a c cca a La

    Aca .

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     4ABRACRO Gaa Acc PCca Ta D

    INODCION

    E acc aa c a ca ca a, ba b ab a ca. O a a

    a cc ca.

    C, CONEP a aa cca a a

    aa a c acc aa c,

    Pca Ia cb b a. T a a

    a cca a cc Ba, acc , acc a

    ca ac, ac ca, c c.

    HE   ANALI

    I cca ac, a a ca acc, 1. F

    a ac a, a aa a a c :

    cac b a a a a b a ac

    a. I baac b aab a ac a a

    a a ab a aca ca.

    A a cca , a II III, a a a a a

    cac c, b a, ab a. D ,a a a a caa a a ca,

    a ac a a b a a c.

    I ca a aa a, ca c

    a a , c ab acc. I

    ca, cac a b a a a , a a a

    .

    I ca, cac ca, a ac a a c . I abc b a baac

    b cac a a a a a aa a,

    ca c b c a c a a

    a.

    1 Paaa 8 Dcaa H.

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     5ABRACRO Gaa Acc PCca Ta D

     ACCE O HE  CLINICAL IAL E POCLINICAL IAL  ACCE

    Aa, c ac a aa

    aa c ca, b a b.

    T b a c a a c

    ca b a a bc a a b a ba. A CONEP

    c a a b Ia, a a b

    a b a, a c bc c ca .

    I ca, aca b ca b a a ca a a aa

    cca a, a a, bc, acac, aa

    aa c.

    I a ab ca, b a (acc, acc, c...), a cca a

    Ba.

    T c c a acc, b acc cca a

    c. A cca a a a b ca

    aa, a a b aca a

    a a. O a ca Rbca Vc

    P, a U Sa aca a cca a

    a c a b cc Ba.

    HE  AL CONEPOIN

    T Dcaa H, aaa 33, a a ac bc b

    a a c a a b . O

    Baa a a a .

    Fac , I a, a a , 6 a a a bc

    a a .

    A a b, b b a bac, c

    ca aa , a a ca a a

    a.

    T a c b, c a a a ca a bc,

    a a c a.

    T a a , b a ac aa a

    c, a a a.

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     6ABRACRO Gaa Acc PCca Ta D

    Sa ab a, a bac . T a

    ca aa c , a ab a ca a a

    a c bc a . T a a

    a b a b c bc , c

    a cc b ca a c a b.

    HE  PAIEN FEE  ILL

    O a a a ac bc cc c

    c aca , b a b c a

    a aa c a aac c

    a' c. S a a a a.

    CONCLION

    T baac b a aa bc b a acc

    b b a ca c a a a

    aa a a a aa c a

    cca a.

    I ca, b ab baac b cac a a ac

    bc a a a a

    aa a c , a a a

    /.

    T ca c a a a b , a

    a a a a , c b a a

    cca a , a aa b Ec C, a ca b ca

    ba.

    P D ABACO

    C O D ICON C B

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     7ABRACRO Gaa Acc PCca Ta D

    .

     ACCE O HE  POCLINICAL IAL MEDICAION

    T acc a a c a cca a a c bc ca, a, aaa, cc, a a ca ca. F a

    b a a c aac, aa, ca a

    ac ca ccac a ca.

    I cca ac, ca c acc a c, a

    ccac a ca a a a a

    ca c, c a ca. Aa a a bca

    /b a, , a b aa a aab,

    c a a a ac a . T, a ac

    a ba b , a a b

    aa a b cb. O cca a ca, ca

    c c , / /

    , ,

    ,

    .

    T a a, bca a a ac b a caa a cca

    a, b a a a a ca a cc.

    Ta a a a a c a a a a b:

    S a a cc a 2 ab a ca abc c

    ac a a ca aaa ca a a

    a, c a. T a 24 a a

    a ca ca b b ba a

    . S a a aca a (a a a) a ac,

    aaa, aa ca b cc ,

    c a c a. T a a b b a .

    Ia a c, a c a

    , a. A , ac ca ba cac, a a a a

    a b cc a c . O a, a

    c, a , b a ( a aac),

    c a a aaa a ca ca, b a a

    cca a c.

    F a ca a

    .

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     8ABRACRO Gaa Acc PCca Ta D

    T a c Dcaa H, aaa 30, a a a

    aca b a acc   b ac . W

    CNS 251/97  ( ) a

      ( 3). T a cca a ca

    a a a aa b a, a ,

    ab a.

    I a, a a c a cca a a

    c c a ca acc ac c. T a a ca a

    a ab aa a a ca b a a

    a.

    T, a a a ca b ab

    a ca b c a a c c

    a ca a c ca ba b CONEP.

    T b ca , bca a cca a,

    b a a ca a cc

    acc ab a c, b ca.

    I c a c a ca a a a a

    c . T, ca ca

    b c a a c b a, a ca ca.

    H, b, a b, a ca a a

    a a a a a b c.

    F a , a a a a

    aa ca, c b ca, ca b

    aa a a c b a a a

    c a a b . I ca a acc

    b b ANVISA b a a c.

    I c ccac, acc a ca a aa

    a a c .

    I c, c a a a a a a a

    a ca. Eca a c , c aca a

    a aa b c.

    I acc ca , b b a a

    bac ca ca.

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     9ABRACRO Gaa Acc PCca Ta D

    T b aa c acc a a a a

    c a a a ca b a a a ca a a a

    b a b c a a a a a b

    .

    .

    M E P P

    C D CPC C P C CPCL C C

     APCB D A P C B B C A

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     10ABRACRO Gaa Acc PCca Ta D

    .

    POD   ACCE: EACHING FO  A OLION

    T ba ab b a a cca a aaa a a a ca a cc ca.

    A a c, , ca c a a a, a

    aab a aa , aa a ca.

    W c WMA1  (W Mca Oaa) a Dcaa

    H, a a aab a a a aa b

    a. T a a b a: b a

    c a b a a a c a a,

    a a c.

    I Ba, a " a a c acc ac bc

    ca c a" a b c ca aa

    c ca c aca. I ca

     , a a a a b a a

    ac ( ac a aa), a,

    b b a a   (c a

    a c a ca a ac)? F: b b

    a aa cc a ?

    T c acc a a a  c

    aa, c a bc, a b, ba ( a

    bacac a b ca c aca)

    a a a a aa cc c, c b

    ca c b c2 

    HE  MH OF  FEE  PPL

    T ba aa a a a aca b

    a cca aab . T a ca a a ac ca a a a a . O

    a a ac c a ,

    , a a a

    a a aa, a acc a a a ac

    a aca . I a a ac 3, aa

    a b ca a, a a a a ca, cc, a ca

    a aca b aa a c R

    Ja, a cc, c a a a3 (a

    a ac bc c).

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     11ABRACRO Gaa Acc PCca Ta D

    Sa, acc aa a a c c,

    c bc , b a a a b

    Ec R Ba aa HIV/AIDS4. A a a

    a c aca a a a ca

    b ca, b b IRB/REC (I R

    Ba/Rac Ec C) a a a ca a

    a a a ca b aa.

    EMAIAION 

    T, ca b c a a aaa a

    acc a a a.

    A aa c (c b a c a,

    ca a a a a c cc ), ac cc a c ba Aca c c Fa R

    Ea Acc Iaa D Iaa Ta D a Ca

    b b FDA 20095  . I ac a aa a aa

    aaa, ba cc c, c a a a

    a a, a aca a aca c, c c

    c. Saa ca a

    ccac a b a, ab ca

    acc a a c b c a a. A a

    ac, a c a b a c ca c

    c a aa a , c:

    C a ca ab (..: , a a a c aa);

    C a ca a a a ac (c a a);

    C a (c a ca a c);

    C a c a cca a a ( cac);

    I a a c a ac, a

    a a a aa a, ab, ca aa

    b c;

     ACCE FND 

    I a c ab a, c c ca b ab

    ac b a a, a c c 2008/09 c,

    ca ca c, a cc a c a, acc

    aa c a c ( ).

    L c a a 1,6, c aac

    , c a T HIV Na Aaa Taa Rac Caba (HIVNAT)

    a a a aac a ab,aca c a b (

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     12ABRACRO Gaa Acc PCca Ta D

    a ). T a b a a, a a

    b , a, ca b ab, a

    a , b a!

    CONCLION

    T c a ab b a a cca a

    b ac b a bc ac aa ca c c

    acc b , a a , , a

    a. Ob a c a aa ba b a a

    : a, ac, a Baa c. T ca a

    acc , ac a ca c a bc a

    a aca a a a a acc, a a

    C.

    EFEENCE

    1. 

    Aaac J ET c. Ca a cca a Acc aa..ac.c V 364 J 3. 2004.

    2. 

    T F. Gbaa Cca a. Na V 7 . Ja 2008.

    3. 

    Lacaa P, R LA, c. P S Pa Cca C AbaaI. R. Cca Sa Ca, 13(3)2008.

    4. 

    Pac c. Pa Acc I: T V IRB/REC Ca, Ia, aRac Paca a Maa HIV/AIDS S.

    5. 

    Fa R Ea Acc aa D Ta U a Ca

    Iaa Pc. .a./D/D.Fa R V 74 . 155. A 2009.6.  Caa a. HIV C Ta 10(1):1324;2009.

    . .

     APCB D A P C B B C A

    D FC C C H

     A P P C J

    E D IEDEJ

    D CCB B C A P CC A C CCB B

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     13ABRACRO Gaa Acc PCca Ta D

    .

    GAANEE  OF  POD   ACCE

    T baa cca a, a b c a, b c a c a aa , a c a

    ac, . I Ba, aa a a, R Ec Ba, CEP

    (IB/EB), a aca C Naca ca Pa [N C

    E], CONEP, ba aac a

    cca a c. A ba a ca c a cca

    ac (Dcaa H a CIOMS, a, a Ba, R 196/96 a

    251/97), acca c a, ca ca

    cc a.

    T c ca ca, c a, ba ca b

    ca a a a aca ac

    cc, a a , aa a c,

    ab ab a a , a . Aa, ac

    aca a a, c , acc c aca

    c c ca ca . T cc ca a

    c bca ac aca (a a ) a aca

    ab a a , ac, c, a c acc

    aca, a ac aa c ac.

    I a Ma 2011, a Fac Mc USP ( P),

    c a aa. T bc ac a

    c a c a a aa c a

    caac a c aa cca ac ca, .. ac, b

    R Ec Ba (IRB/REB), a a. A a b cc a

    , a a a , a aa a, a

    c ac, a a c b a a/

    accb ca, a a aca aa.

    Qa ba a a aa c a a b a, a c F a I C F (ICF), b

    Ocb, 2009 a Jaa, 2010, b CEP (IRB/ERB) (a acc b CONEP b

    a a), ac ( ac aa, HIV/AIDS a ab ) a

    (a aacca ca ac Ba a a Cca Rac

    Oaa, CRO). T ac a a a ac

    a a a.

    T a IRB/ERB a 20.7% (124 599 a a

    ), 20% ac (58 290) a 45.3% (24 53). F

    a b ca a . W c a ca

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     14ABRACRO Gaa Acc PCca Ta D

    ICF, ab ba a a

    . Ra a a aca a ac, 96.2% a

    a " a" c, ac b ca ca a a

    a; a 94.2% ac cb cc (a). H,

    a a: , a a

    aca cca ac ac b ca ca a a

    a, b ac acc a aa a.

    W a ab c aa a , a

    a c a (60.4%); a ac,

    (43.1%) a b aca a 39.7%

    a b b ca.

    T a IRB/REB a a a a c ,

    b a c (35.3%). T a ca b

    aca b (50%). T a c a a, c a, b b a ca.

    W a b , ac a

    c a b aaab bc ,

    IRB/ERB b a a a a c a

    b . Pa a b b .

    D a a (a a, a c

    I , cc Ba, a a), ca b

    a, b cb c c, aa

    a caac aa cca ac ca.

    M aa (a aa) cc ac ac ab

    ba. T a c a a, c a

    c ca a/ a aa a . T c aa

    , a cc , aa b a a

    / a aa a. I b a, a ca,

    c a a a a b, a, cc. T ca a

    "c" a "b" a ca, a aa, b b a

    a acc (RDC 26/99). H, a aac, c a

    cc a c a a aaab. I a cca, b

    b, c a a a

    c a ac, b a, acc La 6360/77,

    c ca b b a aa b ANVISA, c a a

    c a b ca. Ia, a a a III , a a

    b a c b a c (a),

    aa caacc a c cca a. O a,

    a a a a b a a a, b, a

    a a. O ca ab b c a

    .

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     15ABRACRO Gaa Acc PCca Ta D

    T bc c a a c a c a

    a, c a c. Pbab, a , a ac

    ac a a, c a cc, a a a

    a a caacc, a ac a, . Ia, a c

    c b, a ac, a ca c a aa a cca

    a, b a a aa c, b .

    I aca a c a, aa , b

    aa b a a , . T ca ca HIV/AIDS

    Ba. T ac a a cb aca. I ca b,

    b, a bc a b. F a c,

    a a cca a ca b aca aa a

    a aa a c a ca ca a .

    T b ac a ; a b a ac, a a a ca b ac

    a a.

    Rac a a b c a

    ac, b ba c . Cca ac a

    a c a a bc, , a c a . A

    ' b aa a ab ca ca a ac.

    B a, b a (a ) a a a

    a c c a a caac ac .

    GGEED LIEAE

    1. 

    Aca Mca Baa. AMB. Dcaa H. [c 18 2010]. Aaab a:://.ab..b/W/_JAMB.

    2. 

    C Naca Sa. CNS. R C Naca Sa 196 1996. [c 18 2010]. Aaab a: ://c.a..b/c/Rc/R196.c

    3.  C Naca Sa. CNS. R 251 07 1997. [c 18 2010].Aaab a: ://c.a..b/c/_97.

    4. 

    Cc Iaa Oaa Mca Scc (CIOMS), caba W

    Ha Oaa (WHO). Iaa Eca G Bca Rac I HaSbc. CIOMS, Ga 2002. [c 25 A 2010]. Aaab a:://.c.c/bca/a_2002..

    5. 

    Da SM. Fc ca a. [] S Pa: Faca Mca,Ua S Pa; 2011.

    6. 

    G JR. O a aa a aca: a, ca ac a. R Paa Sa Pb. 2008; 23(3): 198206. A aaab a:://.c./c.?=S102049892008000300007&c=c_a

    7. 

    Ga C. T ca a c a acc bca a. Ya J HaPc La a Ec. 2005; 1:42535.

    8. 

    Ha EP, La GH, Pc J. Aaab a a c

    a cca a U Sa. J C Oc 2010; 28(34): 506773.

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     16ABRACRO Gaa Acc PCca Ta D

    9.  Ma MS, Ra DD, La LD. Maa cca a c a a b c: a? E J Cac. 2006; 42: 26757.

    10. 

    ScJ, BR. Ac a a a cca. Ra Bca. 2007; 15(2): 24866.

    11. 

    Sc D. Oba a. RECIIS R E C I I Sa. 2008; 2(S1):S6677.

    12. 

    Sa S. Pa ba aa ac. Pa a Da Bc,NIH Cca C, Oc 27 2010 a a Ha Sbc Rac C. [C 27 Dc10]. Aaab a: ://.bc../c/

    .

    M D B I

    D P M F M P M

    P

    M BMF B 2003; E BMF (20042005)C NAP (N A P C C G)

    HCFMP 2005 2007, N P C (MC/M/FINEP)

    N C N, HCFMP,

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     17ABRACRO Gaa Acc PCca Ta D

    .

     ACCE O POD  MEDICAION

    Acc R N. 251/97 Naa Ha Cc (CNS), a ab aa ca a aa acc ca

    b . H, a ca b c cc Ba

    c . T, ca c a b

    , a c b ac aa a a

    , Ca Rac Cca Ta (CEPEC) a Naa Ha

    Sac Ac (ANVISA ) b cc Naa Cc Ec (CONEP)

    a a, c a acc b ac

    bc, Ca Pa Ea Cc (CEPEC) [C

    C ] a Aca Naca Vca Saa (ANVISA) [N A H

    ], cca a C Naca ca Pa (CONEP)

    [N C E ] a a, c a

    a acc b ac bc.

    T a a b c a c. Acc a a a

    ca aa a c a a

    bc a a b a a .

    I a c c c b , a c a

    a c ca, c b , R a . T, a , a c a,

    c . B bc a b caa

    c a a b.

    T acc aa a a aca

    . Ta , a , a c, c a bc a,

    c a aca cca ac, a , b

    . T, Cc Iaa Oaa Mca Scc (CIOMS)

    2002 acc a, a a ca

    a a a c.

    T b a a ANVISA c. E

    b c, a a b.

    Sc a , a a

    cc a . T ac a, ba a , b a

    a, aca a b a b a

    a a b a. D , ca, ca c a a

    c.

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     18ABRACRO Gaa Acc PCca Ta D

    W cc a R a b ac bc, bca

    ca b a, a bc c a, a a

    a c. H, c a cca a ,

    a a a cc a a.

    EFEENCE

    1. 

    .acb.c.b/a//52.

    2.  .aa..b/ca/a/aca_ca.

    3. 

    .c.a..b/a_ca/2009/24_a_c.

    .

     A P, D, F C M C P

    M C P

    C E B C P

    C H G C P

     A P, D, F M ABC

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     19ABRACRO Gaa Acc PCca Ta D

    GAANEE  OF  POCLINICAL IAL  ACCE   AIIC  POIN  OF  IE

    W cc a cca a, a b a a

    a . T, . A a ca b a a b, a

    c a a ba c b a, c c

    ab a caacc ca b a. A a b a. Ta a

    a a a ca ca a a . T aca

    c a, a a a, cc ba

    a a. T cc a a , c

    aab a a, a c ab aa a

    a . A a a a a a b ba a

    ca a a.

    T ca ca ca a acca aa ac c a

    a b a ca cc a a c b a aa

    ac c.

    A a a ab caca, c a c a

    ca a ca c ba aa. F a, a a

    a aba , ab. T caca aa b, b

    c b a a aaab aa cc a

    b ab.

    I ab b c, c ab a ?

    Saca a, a aca aa a,

    a aca c c a c. I

    aca ca , a cc a a : I a cac

    aca ? I a 71 ac a aca

    ca, Fa a. (1974) cc a a ac cac, a

    ab c c. T ab a c a

    a. A a cc ac a ca ac c a b

    aa . M a (1994) cc a "a ab aca

    a a b ". I ac, aa cc a a

    a a a a a a a . A a,

    caca a a c c a ca a a a

    ac' a aca.

    T a a a cca a ac c a ca b

    a a ca caca, b a a a c c accac

    a cc . T a a ab,bc, a b a a b a a c

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     20ABRACRO Gaa Acc PCca Ta D

    a c a c. I ca caca a

    a a ca ba a ab

    cc ac, a a ca a ca b.

    I a a ac caca a ,

    c b a, a ca ca cb a .

    T cc a a caca ca ca.

    T a a caca a a ca b acc

    aab , a , c

    ac .

    I a a, a aa c. Aba a a,

    a ca c c a c a a cca a

    b aca ca a, , a ca a c (,

    c, ). E a a, b ba a b a

    a c . O a, a a b

    a a c a a a a a c c.

    T ba a a a ca ; , ba

    a a a b a a aca "a".

    T ac a a a ac a c

    a a a a cac, a. W cc a aa a

    a, c ca (a ) ac, b a a

    a c, a cc c b a a b a. T a b c a ba a aca aa a a.

    T a a a a caca c a ab

    a ab a cca .

    Ra ca , ac a cca b

    ba ba a a ac c a aca a a

    aa a ab. T ba a a

    a caca, aca aa, a b ab c ca

    cac.

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     21ABRACRO Gaa Acc PCca Ta D

    EFEENCE

    1. 

    Fa JA, Ca TC, S H, Kb RR. T ac ba, II , a a a a a c a: 71 a a. N E JM. 1978;299(13):6904.

    2. 

    M D, C DJ, Ea S, O I, R D, a. (1994) I a

    aaa a c a: T QUOROM a. Lac 354: 18961900.

    CEO PG M

    PG P

    G P E F P

    P H .

    PG

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     22ABRACRO Gaa Acc PCca Ta D

    .

    GAANEE  OF  POD   ACCE 

    LEGAL  APEC

    Cca ac "a ac a b c aacac, aacca, cca a/ c c a/ a ac ac c aca a a/ cac.(EMEA, 2007)1. Cca ac ca a c, a c, a aa a c b a a.

    T ca c cca ac a b a ab

    Dcaa H. A c a a acc

    ac b bc a cc .

    I Ba, ca ba Dcaa H a c

    C Naca Sa [N H C ] (CNS) a a

    ca aa cca ac. U CNS R N. 196/96, ac

    a b b ac c,

    ca , acc c, c ac a. I c b

    CNS R N. 251/97, ab a , ca c,

    , ac, , acc ca,

    ca a .

    T CNS R, , "acc aa ", .., b a ca ba a a ac acc, b , b a a , c..

    T C Naca ca Pa Cca [N C E C

    ] (CONEP) b a a a b a aa ,

    c aa b ca ac a a c,

    ca a, a c

    ab a a aca b b b

    a.

    T, CONEP, "acc aa " a a ca

    a a. T acc

    aa ac bc, CONEP , a a c ca aa

    cca c, a , a a a c

    a c aa a , a

    c, a a aa .

    1 Ea Mc Ac. ://.aa..b/ca/a/.

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     23ABRACRO Gaa Acc PCca Ta D

    Ya a a b cc ac a a, ,

    ac a cac, b a. T,

    a , a c , c cca a c

    b ca c a aaab.

    F a , a a a b a

    a a, Aca Naca Vca Saa [N A H

    ] (ANVISA).

    La N. 6.360/76, c a a, ac 12 a ca

    b b c a a M Ha. T ,

    c a ca a a

    a a a a b aa b M

    Ha. A a , c b , a

    cca, a b M Ha.

    I , RDC R N. 26/99 ANVISA a acc a

    a a a a c c, c

    Ba c , abc aac

    ac (a acc a). U La N. 6.360/76, c a a

    a a.

    T, La N. 6.360/76 a ANVISA RDC R N. 26/99, a

    a Ba, ca b acc: () aa b

    ANVISA a a a () a a a ca a , a () abc aac ac

    aa.

    T a ca a ab a a

    aa ac, a La N. 6437/77 (Saa Iac La), a a a

    c aa a, c, acc ac 273 Pa C, a b La

    N. 9.677/98.

    A b ca a

    c ab, c b Baa a . Acc c

    a, a c II Ac 5 Fa C, "

     ". T CNS R a ca aa

    a a .

    I c a CONEP c a cc b aa

    caa aa acc, c a a caca

    c, ca aa ac c. I a, c

    c a c, b a,

    c a.

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     24ABRACRO Gaa Acc PCca Ta D

    CONEP, b c , a b a a,

    a a c, c a , ab a a

    a, c a a b c a ac a, ,

    a caab a, a a bc a cb ba b a.

    D a ca aa c a cc cca

    ac Ba, La Pc N. 2.473/03 b D Cb Ma, PPS/BA, c a

    a R CNS N. 196/96 c, c, a

    D Cab. I c , D Ca D, a

    CEP/CONEP b a.

    T a ca c "acc aa "

    a c a, La N. 6.360/76 b a, a ,

    c a a La Pc N. 2473/2003, b ac ab a a

    ba, a a aa a cca acc.

    .

    L, P N A

    B L F D P

    L P

    M (LL.M.) C L , G H L F

    P, P P H P

    P P I E MBA P

    I, FG/INDFAMA B P

    P H L I D (IDIA) I H L

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     25ABRACRO Gaa Acc PCca Ta D

    POIN   OF   IE   OF   HE   NAIONAL  AGENC   FO  HEALH  EILLANCE   EGADING  HE   IE: 

    GAANEE  OF   ACCE O POCLINICAL IAL MEDICAION.

    I Ba, c, a a ca ca b a a a

    a a b M Ha1. T ba , a a a

    aa ac a a a c (c a

    c), c cac a a ( ca ) a caab ( ca

    c a a )2.

    H, a a c , a cca

    a, a acc a a caa a a. I c

    ca, c b c a/ ca, ca

    acc a a a a aa a

    c.

    T a a 1980 a c Ac I Dcc

    S AIDS. G a a a b a a ab

    a b a aca bca

    c ca a/ c ca bca a acc

    bca a ac . T ca a

    a a b a b aca a b

    3,4

    .

    Scca a c ca b ac aca a

    c cca a, Dcaa H a aa aa

    a ac c cb ca acc ac

    bc a b . R N. 251/97 C

    Naca Sa [N H C ] (CNS), a a a

    acc aa a a b . CIOMS (Cc

    Iaa Eca G) a a a c b aab aaab

    c aba c a a c.

    R N. 196 CNS c b c a ac " b ba ac a c c

    a b ", b " ac bc b

    c, ca , acc c, c ac a.

    I a ca, aa , c b ANVISA a

    ca ac a bc c,

    a ca bc a a c. H, a a

    b c cc Ba a .

    I aa , a a a, a,

    acc a, b a aa c, a

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     26ABRACRO Gaa Acc PCca Ta D

    ac, a a c a c cca a.

    I a , a a a a cac

    a aca , a a b ac

    ba a a . T a b b a a

    aca aa ac aa a cca aa a

    a5,6.

    A a a aa, bca a c

    b a b ca b aa aa a

    a. I a, c a a a

    a a a c4.

    S a b ac a c a ac bc

    a aca , b a a a a b c, c

    a a aca , ac a ac, aa a aaab, bc a a, a 5. H,

    a a ca a bc a cca b a

    c c, a c, ca a a b a b

    a, a b a a b c. I ca,

    b cc , bca

    c a a a a ca,

    ac bc b a a7.

    T, ca a a b aa ; c

    aa ca b b ac aa a; a cc a a c , ANVISA, cc a

    CONEP, c a c a . T ca a

    c a ca a .

    T Ac' a a a a cc a b

    aa a b , acc ca c. I

    ca a a c, ca c b

    c a a. I ab a

    a a. M, ANVISA cc a acc, b a

    ab . T, b c a

    a a a Aa. I a a b

    aca c c ca cca

    a a.

    T b ca a a a ' c, ac a

    b a, b ca , a a

    a a; ca acc aac

    c; ab ccc a ;

    ca ca a a a a

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     27ABRACRO Gaa Acc PCca Ta D

    b c ca, a , cca a

    aa c .

    S, c b c aa a c

        ab a, a, b c. I a a, c

    c c c (c ) a ( a a

    ) b 8. T a, ab a aa a b

    aa a. T a c a

    CNS R N. 196/96 a ac a aa a

    ac bc ba b c, ca ,

    acc aa a, a.

    EFEENCE

    1. 

    BRASIL. L 6360, 23 b 1976. D b a ca aa a ca

    ca, a a, aacc ca, cc, aa , a ca. D Oca [a] Rbca Faa Ba, Baa, DF, 24 .1976.

    2.  BUSS, P. M.; CARVALHEIRO, J. R.; CASAS, C. P. R. Mca Ba: a & ac. R Ja: Ea FC, 2008, . 92, ISBN: 9788575411650.

    3. 

    GROOPMAN, J. T a a: S a a acc a ? T NY, N Y, 18 c. 2006. Aaab a:. Acc : 16 a 2010.

    4.  GOLDIM, J. R. O a aa a aca: a, ca ac a. Ra Paacaa Sa Pbca, Wa, .23, .3, .198206, a. 2008.

    5. 

    DAINESI, S. M. C aa bc a ac a a aca a cca?Ra a Aca Mca Baa, S Pa, . 52, .1, . 56, a./b. 2006.

    6.  DAINESI, S. M. C a a a a a ca ca P c a c ca aa c a a a ac a cca? Ra a Aca McaBaa, S Pa, . 55, .3, . 237238, 2009.

    7. 

    JNIOR, B. R. S. Ac a a a cca. Ra Bca, Baa, C Fa Mca, . 15, . 2, . 248266, 2007.

    8.  CASTILHO, E. A.; KALIL J. ca a ca: c, aa. Ra aSca Baa Mca Tca, S Pa, . 38, . 4, . 344347, ./a. 2005.

    .

    C P E C M N C N

    M COPEM

     ANIA A N N A H

    .

    H COPEM

     ANIA A N N A H

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     28ABRACRO Gaa Acc PCca Ta D

     

    () .

    ENING HE  IGH  O  ACCE O MEDICINE  AFE HE  END OF  CLINICAL IAL IN MEICO

    Mc, a La Aca c, c a a a

    aacca a cca a b a a a aba

    . T bca c a a , a

    cc c a cc a a ca a ac a a

    a. I a, Mc a a ab a ac a a

    a a a a cc ac cca ac

    . Ca V Mca Ga Ha La a ba cc

    cca a, c a c Dcaa H a

    aa aa.

    Cac a aa : 1) Fa C

    Saa R Pc (COFEPRIS) c c a, c a a

    a aa a 2) Naa Bc C (CNB) c

    aa bc a a a a , c ac c c,

    a b cca a. Acc c a, aa

    cca a b a b b , COFEPRIS a a ac c c.

    Acc CcaTa. aaba, Mc 1370 cca a b

    aacca a a 70% a a cc bc a

    a ac ; , Mc a bca accb aa ba cca

    a ca b ca, aca a a T Dcaa H

    (aaa 30) a a "a a, a bc aca a ac

    b a b acc, ac a ac

    a b ". I ca Mca Ga Ha La a

    a a Ha Rac Ha Sbc ac a a

    ac Dcaa H. T a a / a

    a a a c aca c ,

    a b c c a COFEPRIS cac

    ca.

    COFEPRIS c cac ca a ac

    aa a cca a a c c aa a

    c a bc c ( acb a

    aa), c a a. T a a ca b aca

    c a a a cc a a a c a cac, ab, a

    a a AIDS, a .

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     29ABRACRO Gaa Acc PCca Ta D

    T ca ab ca Mc a ca b

    acc ca a cca a.

    .

    P.D, M , G

    M B, CIEB C C

    M , INP

    P B C INP N, 2008

    N L I, CONAC

    M B C E M

    P B , INP

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