Registro, incorporação tecnológica e produção pública de medicamento: estudo sobre o atazanavir

Abstract

Brazil was one of the first countries in the Global South to include in its public health policies robust control measures against HIV/Aids. Thus, in 2015, approximately 450,000 patients were under treatment by the Unified Health System. The sanitary registration is a crucial step for the drug entry into the domestic market, what configures a very favorable element for the drug access. Several sectors of society, even if based on different reasons, act in favor of the incorporation of new technologies; this fact, ultimately, favorably weighs in controlling the epidemic. In this work the atazanavir antiretroviral cycle is discussed through a descriptive documental study; that cycle involves: the selection of the drug by therapeutic consensus; the sanitary registration; and the definition of technological incorporation strategies for a national drug production. In 2003, the registration of atazanavir was granted in Brazil: only three months after being granted by the FDA in America and only five and a half months before being granted in Europe. This resulted in the rapid inclusion in the recommendations and in a therapeutic consensus being adopted in Brazil as the preferred drug (1st choice) in 2004. Moreover, atazanavir’s development became the object of a public-private partnership –known as Productive Development Partnership (PDP)-, inside the hegemonic policy of adopting new health technologies, defined by the Ministry of Health.