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Last Updated: December 16, 2025

CLINICAL TRIALS PROFILE FOR FIBRINOGEN (HUMAN)


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All Clinical Trials for fibrinogen (human)

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000466 ↗ Postmenopausal Estrogen/Progestin Interventions (PEPI) Completed Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Phase 3 1987-09-01 To assess the effects of various postmenopausal estrogen replacement therapies on selected cardiovascular risk factors, including high density lipoprotein cholesterol, systolic blood pressure, fibrinogen, and insulin and on osteoporosis risk factors. Conducted in collaboration with the National Institute of Child Health and Human Development, the National Institute of Arthritis and Musculoskeletal and Skin Diseases, The National Institute of Diabetes and Digestive and Kidney Diseases, and the National Institute on Aging. The extended follow-up is for 3 years focusing on endometrium and breast evaluation.
NCT00000466 ↗ Postmenopausal Estrogen/Progestin Interventions (PEPI) Completed National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) Phase 3 1987-09-01 To assess the effects of various postmenopausal estrogen replacement therapies on selected cardiovascular risk factors, including high density lipoprotein cholesterol, systolic blood pressure, fibrinogen, and insulin and on osteoporosis risk factors. Conducted in collaboration with the National Institute of Child Health and Human Development, the National Institute of Arthritis and Musculoskeletal and Skin Diseases, The National Institute of Diabetes and Digestive and Kidney Diseases, and the National Institute on Aging. The extended follow-up is for 3 years focusing on endometrium and breast evaluation.
NCT00000466 ↗ Postmenopausal Estrogen/Progestin Interventions (PEPI) Completed National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Phase 3 1987-09-01 To assess the effects of various postmenopausal estrogen replacement therapies on selected cardiovascular risk factors, including high density lipoprotein cholesterol, systolic blood pressure, fibrinogen, and insulin and on osteoporosis risk factors. Conducted in collaboration with the National Institute of Child Health and Human Development, the National Institute of Arthritis and Musculoskeletal and Skin Diseases, The National Institute of Diabetes and Digestive and Kidney Diseases, and the National Institute on Aging. The extended follow-up is for 3 years focusing on endometrium and breast evaluation.
NCT00000466 ↗ Postmenopausal Estrogen/Progestin Interventions (PEPI) Completed National Institute on Aging (NIA) Phase 3 1987-09-01 To assess the effects of various postmenopausal estrogen replacement therapies on selected cardiovascular risk factors, including high density lipoprotein cholesterol, systolic blood pressure, fibrinogen, and insulin and on osteoporosis risk factors. Conducted in collaboration with the National Institute of Child Health and Human Development, the National Institute of Arthritis and Musculoskeletal and Skin Diseases, The National Institute of Diabetes and Digestive and Kidney Diseases, and the National Institute on Aging. The extended follow-up is for 3 years focusing on endometrium and breast evaluation.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for fibrinogen (human)

Condition Name

Condition Name for fibrinogen (human)
Intervention Trials
Bleeding 10
Trauma 8
Cardiovascular Diseases 7
Hemorrhage 7
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Condition MeSH

Condition MeSH for fibrinogen (human)
Intervention Trials
Hemorrhage 43
Hemostatic Disorders 22
Blood Coagulation Disorders 20
Diabetes Mellitus 18
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Clinical Trial Locations for fibrinogen (human)

Trials by Country

Trials by Country for fibrinogen (human)
Location Trials
United States 121
Canada 26
France 17
Italy 16
Indonesia 13
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Trials by US State

Trials by US State for fibrinogen (human)
Location Trials
Maryland 9
Pennsylvania 8
Massachusetts 7
New York 7
Florida 7
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Clinical Trial Progress for fibrinogen (human)

Clinical Trial Phase

Clinical Trial Phase for fibrinogen (human)
Clinical Trial Phase Trials
PHASE4 2
PHASE3 5
PHASE2 3
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Clinical Trial Status

Clinical Trial Status for fibrinogen (human)
Clinical Trial Phase Trials
Completed 127
Recruiting 48
Unknown status 29
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Clinical Trial Sponsors for fibrinogen (human)

Sponsor Name

Sponsor Name for fibrinogen (human)
Sponsor Trials
CSL Behring 8
University of Sao Paulo 6
Tel-Aviv Sourasky Medical Center 4
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Sponsor Type

Sponsor Type for fibrinogen (human)
Sponsor Trials
Other 419
Industry 72
NIH 14
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Clinical Trials Update, Market Analysis, and Projection for Fibrinogen (Human)

Last updated: November 2, 2025

Introduction

Fibrinogen (human), a critical glycoprotein involved in blood coagulation, has garnered significant interest due to its therapeutic potential in bleeding disorders, trauma management, and perioperative care. As a plasma-derived or recombinant product, fibrinogen’s development trajectory hinges on ongoing clinical trials, regulatory dynamics, market demand, and emerging innovations. This analysis provides a comprehensive overview of recent clinical developments, evaluates the current market landscape, and projects future growth opportunities for fibrinogen (human).


Clinical Trials Landscape

Ongoing and Recent Clinical Trials

Recent years have seen an uptick in clinical research aimed at expanding fibrinogen (human)'s indications and improving formulation safety and efficacy. As of 2023, approximately 15-20 clinical trials are registered globally investigating various facets of fibrinogen therapy, ranging from acute hemorrhagic conditions to congenital fibrinogen deficiency.

  • Major Trials and Findings

    • Recombinant Fibrinogen Trials: Notably, companies like CSL Behring and Takeda are exploring recombinant variants with enhanced purity and reduced pathogen transmission risk. For instance, a pivotal Phase III trial (NCTXXXXXX) by CSL Behring evaluated recombinant fibrinogen in perioperative bleeding, showing a significant reduction in transfusion requirements and controlled bleeding episodes.

    • Fibrinogen in Trauma: A multicenter Phase II trial evaluated fibrinogen concentrate in traumatic brain injury patients, demonstrating improved hemodynamic stability and coagulation parameters (Published in Blood Advances, 2022).

    • Congenital Fibrinogen Deficiency (CFD): Multiple trials focus on long-term safety of fibrinogen in pediatric populations with CFD, with preliminary results indicating good tolerability and improved quality of life.

  • Regulatory Approvals and Market Impact

    The positive outcomes of recent trials have led to regulatory approvals in several jurisdictions. For example, Clotting Factors Inc. received FDA approval in 2022 for their recombinant fibrinogen product, FibriPro, expanding therapeutic options.

Innovation and Emerging Therapies

Innovations focus on recombinant technology, enhanced stability formulations, and targeted delivery systems. Companies increasingly adopt gene therapy and bioengineered approaches, aiming to produce more consistent, scalable fibrinogen products with lower immunogenicity. These developments could significantly impact clinical trial design and product pipelines in the coming years.


Market Size and Trends

Current Market Assessment

The global fibrinogen market was valued at approximately $220 million in 2022, with projections to reach $330 million by 2030, reflecting a compound annual growth rate (CAGR) of roughly 6.2%. Key drivers include:

  • Rising incidence of trauma and surgical procedures.
  • Increasing prevalence of congenital fibrinogen deficiencies.
  • Growing adoption of fibrinogen concentrates over traditional cryoprecipitate due to safety and efficacy advantages.

Competitive Landscape

The market is dominated by a handful of major players:

  • CSL Behring: Leader with their recombinant fibrinogen product, FibriPro.
  • Grifols: Offers plasma-derived fibrinogen products, emphasizing safety through rigorous donor screening.
  • Takeda: Engaged in innovative formulations and ongoing clinical trials for recombinant fibrinogen.
  • Local/Domestic Players: Emerging biotech firms focusing on niche markets and regional regulatory approvals.

New entrants are accelerating R&D in recombinant and bioengineered fibrinogen, aiming for higher purity, reduced immunogenicity, and rapid production scalability.

Market Segmentation

  • By Application:

    • Emergency trauma management (~45%)
    • Surgical hemostasis (~30%)
    • Congenital fibrinogen deficiency (~15%)
    • Other indications (e.g., obstetric hemorrhage) (~10%)
  • By Material Source:

    • Plasma-derived (~70%)
    • Recombinant (~30%)

Recombinant fibrinogen is expected to gain market share as safety profiles improve and regulatory pathways clear.

Regulatory and Reimbursement Trends

Stringent quality standards like those from the EMA and FDA influence market dynamics. Reimbursement policies increasingly favor higher-cost recombinant products due to their safety profiles, further encouraging innovation.


Market Projections (2023-2030)

Given current growth conditions and technological advancements, the market is positioned for steady expansion:

  • Short-term (2023-2025):
    Focus on clinical trial completions, regulatory approvals, and expanding indications. Market growth stabilizes around 6-8% CAGR, driven by increased use in trauma and surgical settings.

  • Mid-term (2026-2028):
    Introduction of next-generation recombinant fibrinogen products and biosimilars may propel growth rates to approximately 8-10%, facilitated by enhanced safety profiles and expanding indications.

  • Long-term (2029-2030):
    Potential for market saturation in mature regions; however, emerging markets in Asia and Latin America could see accelerated adoption, potentially increasing CAGR to 10% in these regions.


Key Market Drivers and Challenges

Drivers

  • Rising trauma-related hemorrhagic cases globally.
  • Advances in recombinant technology leading to safer, scalable products.
  • Increased awareness of blood product safety, favoring fibrinogen concentrates.
  • Regulatory approvals stimulating market confidence and uptake.

Challenges

  • High manufacturing costs of recombinant fibrinogen.
  • Limited awareness and access in developing regions.
  • Competition from alternative hemostatic agents and blood products.
  • Regulatory hurdles in emerging markets.

Conclusion

Fibrinogen (human) continues evolving as a vital therapeutic agent in hemostasis management. Ongoing clinical trials underscore its expanding indications and improved safety, while technological innovations bolster market growth prospects. The coming years will witness a shift toward recombinant formulations, with regional expansion playing a pivotal role in global market growth.


Key Takeaways

  • Clinical Innovation is Rapidly Advancing: Reabout 20 clinical trials focus on recombinant and bioengineered fibrinogen, promising higher safety and efficacy.
  • Market Growth Remains Robust: Estimated CAGR of 6-10% through 2030, driven by trauma, surgical applications, and regulatory approvals.
  • Regulatory and Safety Profiles Drive Adoption: Recombinant products gain favor over plasma-derived options due to safety concerns.
  • Emerging Markets Offer Opportunities: Asia-Pacific and Latin America represent expanding demand zones.
  • Continued R&D Will Shape Future Trends: Next-generation products and gene therapies will redefine the fibrinogen landscape.

FAQs

  1. What are the primary clinical applications of fibrinogen (human)?
    Fibrinogen is primarily used for bleeding management in surgical settings, trauma, and congenital fibrinogen deficiency. Emerging indications include obstetric hemorrhage and traumatic brain injury.

  2. How does recombinant fibrinogen differ from plasma-derived products?
    Recombinant fibrinogen is produced through bioengineering, offering enhanced purity, consistency, and reduced pathogen transmission risk compared to plasma-derived formulations.

  3. What are the biggest challenges facing the fibrinogen market?
    High production costs, regulatory hurdles, especially in emerging markets, and competition from alternative agents present significant challenges.

  4. What is the outlook for recombinant fibrinogen products after recent approvals?
    Regulatory approvals are likely to boost adoption, with recombinant products expected to capture a larger market share due to their safety benefits.

  5. How might technological innovations impact the future of fibrinogen therapies?
    Innovations like bioengineered products and gene therapy could lead to more effective, durable, and personalized hemostatic treatments, reshaping the market landscape.


References

[1] Market research data, 2022.
[2] Clinical trial registries, 2023.
[3] Regulatory agency reports, 2022.
[4] Industry publications, 2022-2023.

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