Brazil’s High Coronavirus Cases Allow for Trials to Progress

The number of COVID-19 clinical trials in Brazil has been increasing, with a marked steep incline since the beginning of June due to increased number of new confirmed COVID-19 positive cases.

COVID-19 pandemic continues to increase the number of new confirmed cases in Brazil. So, the patients required for increasing number of clinical trials should help completion, says GlobalData, a leading data and analytics company.

Scotty //Chung-Siu, MPH, Senior Analyst at GlobalData, comments: “The number of COVID-19 cases in Brazil has been on a steady increase since the beginning of April, hitting a peak high of confirmed new cases in early August. Because of this, the number of COVID-19 clinical trials with a location in Brazil has also been increasing, with a marked steep incline since the beginning of June.”

‘At present there were 91 clinical trials going on in Brazil on COVID-19. Most of them are currently ongoing. These trials could be completed by increasing number of confirmed cases.’
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As of the end of August, there were 91 clinical trials with at least one location in Brazil. The majority are currently ongoing (72%), followed by planned (16.5%), completed (6.6%) and suspended/terminated/withdrawn with 4.4%. Of those trials that have been suspended/terminated/withdrawn, three-quarters involved hydroxychloroquine as a primary intervention.

Chung-Siu continues: “The country’s president, Jair Bolsonaro, is a vocal advocate of hydroxychloroquine and the drug was approved for widespread use across the country by the Health Minister in May for COVID-19. Therefore, it is not surprising that 10.8% of planned and ongoing trials include hydroxychloroquine as a primary intervention.”

Eight clinical trials are in the pivotal/registration stage, the final step before regulatory approval, assuming endpoints are met. These include two targeted therapies, tocilizumab and lenzilumab, as well as three small molecules, including remdesivir.

The other three trials that are in the pivotal/registration stage are for vaccines. Two are for mRNA vaccines, BNT-162b1 and BNT-162b2, from BioNTech. The other one is for an inactivated vaccine, PiCoVacc, from Sinovac Biotech.

On August 18, Brazil approved human clinical trials for Ad26.COV2.S, a potential prophylactic COVID-19 vaccine that is being developed by Johnson & Johnson’s subsidiary Jensen. The Phase III trial will enroll 60,000 patients, with 6,000 expected from Brazil.

Clinical Trials - Early History
Many of the drugs that are used today have been discovered by chance or often by mere serendipity

Source-Medindia