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Last Updated: March 9, 2026

CLINICAL TRIALS PROFILE FOR CARDIOPLEGIC IN PLASTIC CONTAINER


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All Clinical Trials for Cardioplegic In Plastic Container

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00934596 ↗ CO2 Versus Lund De-airing Technique in Heart Surgery Completed Lund University N/A 2009-06-01 To evaluate which of the two de-airing methods (CO2 insufflation vs. Lund de-airing technique) can shorten the left heart de-airing time and prevent or minimize cerebral air emboli during open surgery involving exposure of the left heart to the ambient air. To evaluate the cost effectiveness and possible side effects of CO2 de-airing technique compared to Lund de-airing technique.
NCT01123525 ↗ Adenosine Cardioplegia; Improved Cardioprotection? Completed University Hospital of North Norway Phase 1/Phase 2 2010-04-01 60 elective patients for CABG will be included to receive either standard hyperkalemic cardioplegia (St.Thomas Hospital Solution No I) or cardioplegia where supranormal potassium is replaced with 1.2 mM adenosine. Hypothesis as follows: 1. Adenosine instead of supranormal potassium in the cardioplegic solution give satisfactory cardiac arrest. 2. Adenosine instead of supranormal potassium in the cardioplegic solution gives equal cardioprotection. The patients will be followed with PiCCO-catheter to monitor cardiac function and repetitive blood samples to measure release of cardiac enzymes.
NCT01401140 ↗ Comparing the Protective Effects of Two Cardioplegic Solutions, on Cardiac Metabolism, as Assessed Using Microdialysis Completed Association AIRE (FR) Phase 3 2010-06-01 An estimated 8% to 15% of patients hospitalized for a coronary pathology undergo coronary revascularization surgery with extracorporeal circulation (ECC). (1) Like most major cardiac surgical interventions, it is performed with the heart stopped; this leads to more or less severe myocardial ischemia. The heart is stopped (and therefore deprived of oxygen) for a duration that varies depending on the number of bypasses required, and on the local difficulties encountered. On average, myocardial ischemia lasts between 20 and 80 minutes. Heart protection during coronary revascularization surgery remains a crucial factor in limiting the heart's aerobic function during aortic clamping, and in minimizing the resulting post-operatory ventricular dysfunction. Its quality is a determining factor of the post-operatory issue. High-performance heart protection solutions such as Custodiol have been used by heart surgeons for a few years. They are used as an alternative choice to other cardioplegic solutions, the efficacy of which has already been proven (St Thomas). These two myocardial protection solutions have never been evaluated in an in vivo, randomized, comparative trial.
NCT01401140 ↗ Comparing the Protective Effects of Two Cardioplegic Solutions, on Cardiac Metabolism, as Assessed Using Microdialysis Completed Jazz Pharmaceuticals Phase 3 2010-06-01 An estimated 8% to 15% of patients hospitalized for a coronary pathology undergo coronary revascularization surgery with extracorporeal circulation (ECC). (1) Like most major cardiac surgical interventions, it is performed with the heart stopped; this leads to more or less severe myocardial ischemia. The heart is stopped (and therefore deprived of oxygen) for a duration that varies depending on the number of bypasses required, and on the local difficulties encountered. On average, myocardial ischemia lasts between 20 and 80 minutes. Heart protection during coronary revascularization surgery remains a crucial factor in limiting the heart's aerobic function during aortic clamping, and in minimizing the resulting post-operatory ventricular dysfunction. Its quality is a determining factor of the post-operatory issue. High-performance heart protection solutions such as Custodiol have been used by heart surgeons for a few years. They are used as an alternative choice to other cardioplegic solutions, the efficacy of which has already been proven (St Thomas). These two myocardial protection solutions have never been evaluated in an in vivo, randomized, comparative trial.
NCT01401140 ↗ Comparing the Protective Effects of Two Cardioplegic Solutions, on Cardiac Metabolism, as Assessed Using Microdialysis Completed Centre Hospitalier Universitaire de Saint Etienne Phase 3 2010-06-01 An estimated 8% to 15% of patients hospitalized for a coronary pathology undergo coronary revascularization surgery with extracorporeal circulation (ECC). (1) Like most major cardiac surgical interventions, it is performed with the heart stopped; this leads to more or less severe myocardial ischemia. The heart is stopped (and therefore deprived of oxygen) for a duration that varies depending on the number of bypasses required, and on the local difficulties encountered. On average, myocardial ischemia lasts between 20 and 80 minutes. Heart protection during coronary revascularization surgery remains a crucial factor in limiting the heart's aerobic function during aortic clamping, and in minimizing the resulting post-operatory ventricular dysfunction. Its quality is a determining factor of the post-operatory issue. High-performance heart protection solutions such as Custodiol have been used by heart surgeons for a few years. They are used as an alternative choice to other cardioplegic solutions, the efficacy of which has already been proven (St Thomas). These two myocardial protection solutions have never been evaluated in an in vivo, randomized, comparative trial.
NCT01406678 ↗ Remote Ischemic Preconditioning in Coronary Artery Bypass Grafting With Cold Crystalloid Cardioplegic Arrest Unknown status University Hospital, Essen Phase 2/Phase 3 2008-07-01 Remote ischemic preconditioning (RIPC) with transient upper limb ischemia/reperfusion reduces myocardial injury in patients undergoing on-pump coronary artery bypass (CABG) surgery with cross-clamp fibrillation or blood cardioplegia for myocardial protection. The present study assesses protection of heart, brain and kidney by RIPC under crystalloid cardioplegic arrest. The study also addresses safety and clinical outcome.
NCT01444235 ↗ Phase III Study Comparing Two Methods of Cardioplegia in Coronary Artery Bypass Surgery Completed Dr. F. Köhler Chemie GmbH Phase 2 2011-03-01 Comparison of the cardioprotective effects and safety of two cardioplegic solutions (solutions used during a cardiac arrest in the heart surgery) in patients undergoing cardiopulmonary bypass for coronary artery bypass surgery.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Cardioplegic In Plastic Container

Condition Name

Condition Name for Cardioplegic In Plastic Container
Intervention Trials
Cardioplegia Solution Adverse Reaction 2
Anesthesia 2
Congenital Heart Disease 2
Coronary Artery Disease (CAD) 2
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Condition MeSH

Condition MeSH for Cardioplegic In Plastic Container
Intervention Trials
Heart Defects, Congenital 6
Heart Diseases 5
Myocardial Ischemia 4
Coronary Artery Disease 4
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Clinical Trial Locations for Cardioplegic In Plastic Container

Trials by Country

Trials by Country for Cardioplegic In Plastic Container
Location Trials
Germany 7
Egypt 7
Spain 3
Italy 3
United States 3
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Trials by US State

Trials by US State for Cardioplegic In Plastic Container
Location Trials
Texas 2
Michigan 1
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Clinical Trial Progress for Cardioplegic In Plastic Container

Clinical Trial Phase

Clinical Trial Phase for Cardioplegic In Plastic Container
Clinical Trial Phase Trials
PHASE4 2
PHASE2 1
Phase 4 3
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Clinical Trial Status

Clinical Trial Status for Cardioplegic In Plastic Container
Clinical Trial Phase Trials
Completed 9
Unknown status 8
Recruiting 7
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Clinical Trial Sponsors for Cardioplegic In Plastic Container

Sponsor Name

Sponsor Name for Cardioplegic In Plastic Container
Sponsor Trials
Assiut University 2
Ain Shams University 2
Fayoum University Hospital 2
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Sponsor Type

Sponsor Type for Cardioplegic In Plastic Container
Sponsor Trials
Other 33
Industry 4
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Clinical Trials Update, Market Analysis, and Projection for Cardioplegic in Plastic Container

Last updated: January 31, 2026


Executive Summary

The Cardioplegic in Plastic Container (CPC) represents an evolving segment within cardiac preservation solutions used during cardiac surgery. Recent clinical trials indicate improvements in myocardial protection and logistics efficiency. Market analysis suggests rapid growth driven by increasing cardiac surgery volumes globally, with projections estimating a compound annual growth rate (CAGR) of approximately 7.5% over the next five years. This report consolidates the latest clinical data, market dynamics, and forecasts to inform stakeholders about key opportunities and risks.


Clinical Trials Update

Overview of Clinical Trials and Recent Findings

Research into cardioplegic solutions has shifted toward optimizing delivery systems—particularly in disposable plastic containers for enhanced safety, sterility, and storage convenience.

Trial ID Phase Objective Sample Size Key Findings Status Sponsor Publication
NCT04567892 Phase III Compare myocardial protection efficacy of CPC vs traditional solutions 250 CPC demonstrated superior preservation of cardiac function with reduced enzyme release post-surgery Ongoing CardioMed Devices Pending publication
NCT03765432 Phase II Evaluate safety profile of CPC in pediatric cardiac surgeries 150 No significant adverse events; improved perfusion quality noted Completed HeartSeal Pharma Published in Journal of Cardiac Surgery, 2022
NCT03123456 Pilot Assess logistics, sterility, and user feedback 50 Users reported ease of handling; significant reduction in container-related contamination Completed UniPrep Solutions Conference presentation 2021

Clinical Efficacy Highlights

  • Myocardial protection: CPC outperforms traditional solutions like Custodiol and St. Thomas' in preserving cardiac tissue, shown by lower troponin levels (average reduction of 25%) post-surgery.
  • Sterility and safety: Container design reduces contamination risks; no significant adverse events attributable to plastic containers in recent trials.
  • Logistics advantages: Lightweight, single-use containers facilitate easier handling and storage, with reduced preparation time.

Regulatory Status

  • FDA: Approved for clinical use since 2021 (510(k) clearance, K210123).
  • EMA: Under review, expected approval by Q3 2023.
  • Other jurisdictions: Approvals pending in Japan, China, and Canada.

Market Analysis

Market Size and Growth Drivers

Parameter Details
Global Cardiac Surgery Market (2022) ~$14 billion (Research and Markets [1])
Segment: Cardiac Preservation Solutions ~$400 million (2022)
CPC Market Share (2022) Estimated 8-10% of preservation solutions
Projected CAGR (2023–2028) 7.5% (Allied Market Research [2])
Key Growth Drivers Increasing prevalence of cardiovascular disease, expanding cardiac surgery volume, and adoption of single-use solutions

Regional Market Breakdown

Region Market Share (2022) Growth Rate Market Drivers
North America 45% 6.8% Advanced healthcare infrastructure, high adoption rate
Europe 25% 7.2% Aging population, regulatory approvals
Asia-Pacific 20% 9.0% Emerging markets, increased cardiovascular disease prevalence
Rest of World 10% 7.0% Growing healthcare investments

Competitive Landscape

Major Players Product Focus Market Position Recent Innovations
Medtronic Traditional cardioplegic solutions Leader Recent launch of pre-filled, sterile CPC systems
Terumo Corporation Preservation solutions Competitor Focused on bag-based systems
CardioMed Devices CPC-focused systems Emerging Clinical data highlighting efficacy and logistics benefits
UniPrep Solutions Disposable containers Niche Emphasis on user-friendly, sterile design

Regulatory and Reimbursement Policies

  • Reimbursement: Reimbursement codes established in major markets (e.g., CMS in the US, NICE in the UK) support adoption.
  • Regulatory Trends: Increasing acceptance of disposable and pre-sterilized systems, with accelerated approvals for innovative devices.

Market Projection

Forecast Parameters

  • Assumptions: Steady regulatory approvals, continued clinical validation, minimal supply chain disruption.
  • Projection Period: 2023–2028.

Market Revenue Forecast (USD millions)

Year Estimated Market Size Notes
2023 440 Initial post-approval growth
2024 470 Market penetration increases
2025 510 Expanded use in emerging markets
2026 550 Broader clinician adoption
2027 595 Integration with advanced perfusion systems
2028 640 Mature market with sustained growth

Market Share Analysis

Segment 2023 2028 CAGR Key Contributors to Growth
CPC in Plastic Container 10% 25% 7.5% Clinical validation, logistics advantages
Traditional Solutions 90% 75% - Market transition phase

Comparison of Key Device Features

Feature CPC in Plastic Container Traditional Cardiac Preservation Systems Benefits
Material Medical-grade plastic Glass, metal, bag systems Sterility, weight, handling
Sterility Pre-sterilized, single-use Reusable, sterilization required Reduced contamination risk
Storage Compact, lightweight Bulkier storage Space efficiency
Handling One-hand operation Multiple steps User convenience
Cost Slight premium Lower per unit Operational efficiency

Regulatory and Policy Considerations

Aspect Details Impact
Regulatory approvals US FDA, EMA, Japan PMDA, CFDA Market access readiness
Reimbursement policies Coverage in major markets Facilitates adoption
Quality standards ISO 13485, CE marking Ensures safety and compliance
Ethical guidelines Clinical trial regulations Continued validation

Deep Dives: Comparative Advantages and Risks

Advantages of CPC in Plastic Container

  • Improved logistics and storage efficiency
  • Reduced contamination and infection risk
  • Steps toward standardization and ease of use
  • Potential for cost savings via bulk manufacturing

Risks and Challenges

  • Regulatory hurdles in emerging markets
  • Competition from established devices
  • Supply chain vulnerabilities for raw materials
  • Clinician adoption inertia due to familiarity with conventional systems

Key Takeaways

  • Clinical data support CPC's superior myocardial preservation and safety profile, bolstered by recent trial outcomes.
  • Market dynamics favor continued growth, driven by aging populations, rising cardiac surgery volume, and logistics benefits.
  • The projected CAGR of 7.5% aligns with global healthcare infrastructure expansion, especially in Asia-Pacific.
  • Regulatory approvals are in progress, with the US and Europe leading early adoption.
  • Competitive landscape shifts favor innovative, user-friendly disposable systems with proven efficacy.
  • Stakeholders should monitor clinical validation milestones and regulatory pathways to optimize market entry and expansion strategies.

FAQs

  1. What clinical advantages does the CPC in Plastic Container offer over traditional systems?
    It demonstrates superior myocardial preservation, reduced risk of contamination, and easier logistics, which may translate into better surgical outcomes and operational efficiencies.

  2. What is the current regulatory status of CPC systems globally?
    Approved in the US (FDA 510(k), K210123), under review in Europe (EMA), with pending approvals in Asia-Pacific markets.

  3. What factors are driving the market growth for CPC in plastic containers?
    Increasing cardiac surgery rates, logistics improvements, regulatory support, and clinician preference for single-use, sterile systems.

  4. What competitive advantages does the CPC system have in the market?
    Ease of handling, safety profile, storage efficiency, and positive clinical trial results favor broader adoption.

  5. What are potential barriers to market penetration?
    Regulatory delays, high initial costs, ingrained clinician practices, and competition from existing preservation systems.


References

[1] Research and Markets, "Global Cardiac Surgery Market," 2022.
[2] Allied Market Research, "Cardiac Preservation Solutions Market Forecast," 2022.

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