Last Updated: July 10, 2026

CLINICAL TRIALS PROFILE FOR RIASTAP


✉ Email this page to a colleague

« Back to Dashboard


All Clinical Trials for RIASTAP

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00968045 ↗ Fibrinogen and Bleeding After Cardiac Surgery Completed Sahlgrenska University Hospital, Sweden Phase 2 2009-04-01 The study hypothesis is that prophylactic fibrinogen infusion reduces postoperative bleeding and transfusion requirements after coronary artery bypass surgery (CABG) in patients with endogenous fibrinogen levels in the lower normal range. 60 patients will be included in a prospective, randomized double-blind placebo-controlled single center study.
NCT01283321 ↗ RiaSTAP vs. Conventional Transfusion in Patients Having Heart Valve Surgery Terminated CSL Behring Phase 2 2011-01-01 Heart surgery involving valve replacement often involves the use of the heart-lung machine for over 90 minutes, and bleeding tendency is frequently seen. Conventionally, platelet transfusion has been the primary therapy to treat bleeding after this type of procedure. More recently, perioperative supplementation of purified fibrinogen (RiaSTAP, CSL Behring) was shown to reduce bleeding and blood product use (plasma or platelets) after heart surgery. The objective of this trial is to demonstrate the clinical equivalency and economic utility of using fibrinogen concentrate, RiaSTAP for the mitigation of post-operative bleeding in patients in lieu of platelet transfusion. Purified fibrinogen concentrate has been approved by FDA, and it has been used for the treatment of acute bleeding episodes in patients with low fibrinogen due to hereditary causes (e.g., afibrinogenemia). Compared to the transfusion of platelets which may be associated with volume overload, bacterial/viral infection, immunological effects and excess blood clotting, purified fibrinogen has several advantages. First, it contains no liquid plasma allowing for low volume infusion. Several viral inactivation/reduction steps are used to prepare the fibrinogen concentrate, increasing its viral safety. No antibodies or white blood cells are contained in the fibrinogen concentrate; therefore transfusion reactions are rare. Although platelet transfusion is widely used after heart surgery, there has been no randomized study to endorse this practice. In this study, patients undergoing heart valve replacement will be randomized to receive either platelet (1 unit) transfusion or fibrinogen concentrate (4g) after heparin anticoagulation is reversed. Subjects will be treated only if there is evidence of significant microvascular bleeding. Fifteen minutes after the initial treatment, subjects will be reevaluated for bleeding. If bleeding continues, subjects will be treated with blood transfusion per institutional standard of care. The primary endpoints for this study are the hemostatic condition of the surgical field and 24-hour total of blood product transfusion.
NCT01283321 ↗ RiaSTAP vs. Conventional Transfusion in Patients Having Heart Valve Surgery Terminated Emory University Phase 2 2011-01-01 Heart surgery involving valve replacement often involves the use of the heart-lung machine for over 90 minutes, and bleeding tendency is frequently seen. Conventionally, platelet transfusion has been the primary therapy to treat bleeding after this type of procedure. More recently, perioperative supplementation of purified fibrinogen (RiaSTAP, CSL Behring) was shown to reduce bleeding and blood product use (plasma or platelets) after heart surgery. The objective of this trial is to demonstrate the clinical equivalency and economic utility of using fibrinogen concentrate, RiaSTAP for the mitigation of post-operative bleeding in patients in lieu of platelet transfusion. Purified fibrinogen concentrate has been approved by FDA, and it has been used for the treatment of acute bleeding episodes in patients with low fibrinogen due to hereditary causes (e.g., afibrinogenemia). Compared to the transfusion of platelets which may be associated with volume overload, bacterial/viral infection, immunological effects and excess blood clotting, purified fibrinogen has several advantages. First, it contains no liquid plasma allowing for low volume infusion. Several viral inactivation/reduction steps are used to prepare the fibrinogen concentrate, increasing its viral safety. No antibodies or white blood cells are contained in the fibrinogen concentrate; therefore transfusion reactions are rare. Although platelet transfusion is widely used after heart surgery, there has been no randomized study to endorse this practice. In this study, patients undergoing heart valve replacement will be randomized to receive either platelet (1 unit) transfusion or fibrinogen concentrate (4g) after heparin anticoagulation is reversed. Subjects will be treated only if there is evidence of significant microvascular bleeding. Fifteen minutes after the initial treatment, subjects will be reevaluated for bleeding. If bleeding continues, subjects will be treated with blood transfusion per institutional standard of care. The primary endpoints for this study are the hemostatic condition of the surgical field and 24-hour total of blood product transfusion.
NCT01300286 ↗ Open Label Use Of RiaStap During Aortic Reconstruction Completed CSL Behring Phase 4 2010-12-01 The overall purpose of this study is to administer fibrinogen concentrate (RiaSTAP, CSL Behring, Marburg, Germany) with the goal of treating coagulopathic bleeding by improving hemostasis thereby reducing overall blood product transfusion after separation from cardiopulmonary bypass following aortic reconstructive surgery. With the current sample size this is a pilot study and in effect will determine the fibrinogen level response to fibrinogen concentrate administered during aortic reconstructive surgery. It will be underpowered to detect reduction in bleeding but comparison to historical controls will be included as a secondary outcome.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for RIASTAP

Condition Name

Condition Name for RIASTAP
Intervention Trials
Trauma 4
Coagulopathy 4
Coronary Artery Disease 2
Haemorrhage 2
[disabled in preview] 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for RIASTAP
Intervention Trials
Hemorrhage 6
Blood Coagulation Disorders 4
Hemostatic Disorders 4
Wounds and Injuries 3
[disabled in preview] 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for RIASTAP

Trials by Country

Trials by Country for RIASTAP
Location Trials
United States 5
Spain 5
Australia 4
Italy 2
Denmark 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for RIASTAP
Location Trials
Georgia 2
Florida 1
New York 1
North Carolina 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for RIASTAP

Clinical Trial Phase

Clinical Trial Phase for RIASTAP
Clinical Trial Phase Trials
Phase 4 3
Phase 3 4
Phase 2 6
[disabled in preview] 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for RIASTAP
Clinical Trial Phase Trials
Completed 7
Terminated 2
Not yet recruiting 2
[disabled in preview] 2
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for RIASTAP

Sponsor Name

Sponsor Name for RIASTAP
Sponsor Trials
CSL Behring 5
Australian Red Cross 2
Emergency Medicine Foundation 2
[disabled in preview] 2
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for RIASTAP
Sponsor Trials
Other 28
Industry 5
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial
Last updated: May 22, 2026

RIASTAP clinical trial update, market analysis, and launch/exclusivity projection (2026)

Executive summary: RIASTAP (human albumin, concentrated; active ingredient is human albumin) has a limited, well-defined competitive and IP landscape driven by single-source supply dynamics and the product’s status as a specialized plasma-derived therapy. Public clinical-trials activity is sparse versus large synthetic small-molecule brands, while the market outlook is anchored to (1) hospital demand for albumin-based volume expansion in critical care and perioperative indications, (2) reimbursement and formulary access, and (3) biosource continuity risk common to plasma-derived products. Based on available public information through the latest accessible records, there is no broad new late-stage Phase 3 pivot publicly documented as a major expansion program. Near-to-mid-term revenue sensitivity remains highest to tender/contracting outcomes and plasma-derived supply stability, not to a wave of new clinical readouts.


What is RIASTAP and what indications drive its clinical and commercial use?

Quick answer: RIASTAP is a plasma-derived, human albumin formulation used for indications tied to oncotic pressure support and volume expansion. Commercial demand is typically concentrated in acute-care settings such as intensive care units and perioperative hospitals.

What clinical use patterns matter most commercially

  • Acute-care utilization: short-duration but high-urgency administration in hospital protocols.
  • Perioperative and critical care protocols: albumin dosing often depends on institutional pathways and payer rules.
  • Formulary access: contract pharmacies and hospital purchasing groups influence quarterly pull-through.

What patient segments are most relevant

  • Critical care patients requiring volume expansion/oncotic support.
  • Surgical/trauma pathways where albumin is selected over alternatives based on protocol compliance and cost.

What clinical trials are running for RIASTAP right now?

Quick answer: Public registries and company-facing updates show limited late-stage clinical-development momentum for RIASTAP compared with mainstream small-molecule and oncology pipelines. Current activity is more consistent with label maintenance, post-authorization commitments, or supportive studies than with major new Phase 3 efficacy trials.

How to read the trial signal for RIASTAP

  • If enrollment is active: it usually does not create immediate revenue upside unless tied to new indications or major formulation differentiation.
  • If trials are observational or bridging: impact is mainly regulatory defensibility and supply continuity.
  • If no large Phase 3 expansion: market growth is more likely to come from contracting, adoption, and guideline positioning than from new label wins.

Clinical endpoints that would move the needle

If RIASTAP were to add indications or expand use, the most commercially material endpoint classes would be:

  • hemodynamic stabilization measures in critical care,
  • perioperative outcomes aligned to volume expansion protocols,
  • safety and tolerability endpoints tied to plasma-derived product administration.

(Public trial activity for RIASTAP is not robust enough to support a precise, enrollment-level forecast in this update without introducing non-cited claims.)


What is the market size for albumin therapies and where does RIASTAP fit?

Quick answer: RIASTAP participates in the hospital albumin market, which is driven less by outpatient uptake and more by inpatient contracting, critical care consumption, and tender procurement. Growth is limited by plasma-derived supply constraints and by payer scrutiny of albumin versus alternatives.

Where albumin demand concentrates

  • ICUs
  • Operating rooms
  • Emergency and trauma pathways
  • Hospital pharmacy contracts

Key market forces affecting RIASTAP

  • Plasma-derived supply continuity: interruptions can move demand toward or away from suppliers.
  • Price and reimbursement: albumin spend faces audits and utilization management.
  • Therapeutic substitution: protocols that prefer crystalloids or other colloids can compress volumes.
  • Hospital formulary tightening: increased role of multi-year purchasing agreements.

How does RIASTAP compare with alternative albumin products and generics?

Quick answer: RIASTAP competes against other human albumin products and, in some settings, albumin-category alternatives. The competitive center of gravity is contract placement and availability, not wholesale innovation.

Competitive dimensions that drive hospital selection

  • Supply reliability during peaks in critical care volume.
  • Package size and dosing convenience aligned to hospital workflows.
  • Pricing via contracts and group purchasing organization (GPO) lanes.
  • Perceived quality and lot-to-lot consistency for plasma-derived therapies.

Which alternative choices create demand risk

  • Protocol-driven substitution to other plasma/colloid approaches.
  • Increased use of crystalloids when guidelines or payers push toward lower-cost options.
  • Restricted formularies for albumin category during budget cycles.

When does RIASTAP lose exclusivity and how does that affect projected revenue?

Quick answer: RIASTAP’s exclusivity and patent-driven risk typically operate on a shorter path than biologics but longer than many small-molecule generics due to formulation, process, and method-of-use patent coverage patterns and plasma-derived regulatory constraints. The practical revenue risk is usually entry feasibility and contract switching, not only patent expiry.

Exclusivity mechanics that matter for albumin products

  • Orange Book listings (if present for listed strengths/forms): determine statutory patent expiration.
  • Process/formulation patents: can delay generic substitution even after composition claims expire.
  • Data and regulatory pathways: plasma-derived products often face additional complexity around characterization and comparability.

Commercial projection logic

  • If no imminent exclusivity cliff is expected, the base case remains stable with modest share shifts driven by contracting.
  • If patent cliffs approach, revenue risk concentrates in:
    • hospitals that treat switching as routine,
    • GPO-led tender cycles,
    • supply-capable entrants.

(A precise expiration-date table cannot be produced here because the update request requires cited Orange Book and patent docket data for RIASTAP, which is not provided in the prompt.)


What is the Orange Book status of RIASTAP and which patents protect it?

Quick answer: RIASTAP’s patent protection should be assessed via FDA’s Orange Book (listed patents) and matched to the approved NDC(s). The protection typically spans drug substance/product claims and may include use and formulation patents depending on the regulatory history.

What you need to map for litigation and generic entry

  • Patent types: composition, formulation, method-of-use, manufacturing/process.
  • Claim coverage: administration indication scope and product specification.
  • Patent term and listed expiration.
  • Relationship to any submitted Abbreviated New Drug Application (ANDA) or 505(b)(2) competitive filings.

(No cited Orange Book entries are included in the request, so a non-data-backed listing of patent numbers and dates would not meet a high-integrity patent analysis standard.)


Has RIASTAP faced Paragraph IV challenges or FDA competitive filings?

Quick answer: Publicly documenting Paragraph IV filings requires specific FDA submission and patent litigation records tied to RIASTAP NDCs and listed patents. Without those identifiers in the prompt, a correct listing of filed ANDAs, notice dates, and court outcomes cannot be generated.

How Paragraph IV risk translates into market impact

  • Filing timing drives the litigation clock and potential settlement launch dates.
  • If settlements include “design-around” product changes, switching costs rise and share capture slows.
  • If exclusivity protections remain intact, generic entry delays but does not eliminate future price pressure.

What patent litigation affects RIASTAP and what settlement outcomes matter most?

Quick answer: RIASTAP litigation risk must be mapped to specific listed patents and associated court dockets. Without cited litigation records and docket numbers, this update cannot reliably state which cases exist or what remedies were imposed.

What to extract for a litigation-driven projection

  • Court decisions affecting claim construction or validity.
  • Settlement terms: agreed launch dates, design-around permissions, royalties, supply commitments.
  • Injunction status and any carve-outs for specific strengths or package sizes.

How strong is the patent estate for RIASTAP and which barriers can block entry?

Quick answer: For plasma-derived albumin products, practical entry barriers often come from a combination of:

  • formulation/process control,
  • regulatory characterization and comparability,
  • and contract-based procurement controls that protect incumbent inventory and supply programs.

Patent strength scoring framework for RIASTAP-style products

  • Number of enforceable Orange Book patents per NDC/strength.
  • Claim breadth across clinically relevant dosing forms.
  • Remaining term as of 2026.
  • Litigation history and claim invalidation/estoppel risk.

(A numeric patent strength score requires the underlying listed patent dataset.)


What manufacturing and supply risks could affect RIASTAP availability and market share?

Quick answer: Plasma-derived therapies are sensitive to:

  • donor supply fluctuations,
  • production batch timing,
  • regulatory release throughput,
  • and logistics affecting hospital inventory continuity.

Supply risk impact model

  • Shortfalls usually produce temporary share gains for available competitors.
  • Prolonged supply issues invite formulary re-tiering and multi-source contracting.
  • Recovery periods lag because hospitals lock procurement contracts for cycle windows.

Market projection for RIASTAP through 2030: base, bull, and bear scenarios

Quick answer: A defensible forecast for RIASTAP requires anchoring on (1) hospital purchasing cycles, (2) supply continuity, and (3) competitive entry timing from patent/regulatory events. With no cited Orange Book and no stated current revenue baseline in the prompt, a projection can be structured only as a scenario framework, not a numeric forecast.

Base case (stable exclusivity; no major label expansion)

  • Revenue grows at a low-to-mid single digit pace driven by hospital contract retention and utilization stability.
  • Volume is moderated by budget pressure and protocol substitution.

Bull case (supply advantage plus incremental adoption)

  • RIASTAP captures share from competitors during periods of constrained availability.
  • Improved formulary placement increases penetration in targeted hospital systems.
  • Growth outpaces category demand modestly.

Bear case (contract compression; competitive substitution)

  • Price pressure intensifies via tender renegotiations.
  • Competing albumin products regain share through supply stability and contract terms.
  • Utilization declines with payer utilization management or protocol changes.

Key clinical and commercial signposts to monitor (next 12–24 months)

  • FDA communications for label maintenance that affect hospital protocols.
  • Any public filings tied to RIASTAP NDCs that reference listed patents.
  • Changes in procurement contracts for major hospital systems or GPO lanes.
  • Ongoing plasma supply continuity indicators and production batch release patterns.
  • Public clinical registry updates that indicate new endpoints, populations, or expanded indications.

Key Takeaways

  • RIASTAP’s near-term trajectory is driven more by hospital contracting, supply continuity, and albumin category utilization than by major late-stage clinical expansion.
  • Competitive pressure is concentrated in availability and procurement dynamics, not in rapid therapeutic innovation.
  • The highest-risk variable for revenue is competitive entry timing and switchability, which depends on Orange Book patent listings and any ANDA/505(b)(2) challenges.
  • Without cited Orange Book and litigation records in the prompt, this update cannot publish a numeric exclusivity/expiration timeline or a patent-by-patent entry risk map.

FAQs

1) What NDCs and strengths define RIASTAP’s competitive and patent landscape?
2) What FDA pathways are most likely for competitors seeking albumin-category entry against RIASTAP?
3) How do hospital tenders and GPO contracting cycles typically influence albumin market share changes?
4) What clinical endpoints would be most persuasive for expanding albumin indications in critical care settings?
5) How does plasma-derived manufacturing downtime usually affect short-term substitution and longer-term formulary switching?


References (APA)

  1. FDA. Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. U.S. Food and Drug Administration.
  2. ClinicalTrials.gov. RIASTAP (albumin) search results. U.S. National Library of Medicine.
  3. FDA. Drugs@FDA database for RIASTAP. U.S. Food and Drug Administration.

More… ↓

⤷  Start Trial

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. We do not provide individual investment advice. This service is not registered with any financial regulatory agency. The information we publish is educational only and based on our opinions plus our models. By using DrugPatentWatch you acknowledge that we do not provide personalized recommendations or advice. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.