Clinical Trials

Numerous clinical trials evaluate aprotinin from Phase 1 through Phase 4 across diverse indications, including surgical blood loss, ischemic heart disease, thrombosis during coronary artery bypass, metastatic breast cancer, COVID-19, and pancreatitis. Sponsored by both academic institutions and commercial entities, these studies reflect recruitment statuses spanning completed, recruiting, terminated, and unknown.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07317050 RECRUITING
Acute Respiratory Distress Syndrome (ARDS)
Fundacion del Hospital Nacional de Paraplejicos para la Investigacion y la Integracion
2026-06-18 PHASE3
NCT04527133 UNKNOWN
COVID-19
Aviron LLC
2020-06-11
NCT02545153 UNKNOWN
Common Bile Duct Gall Stones; Infection; Bile Leak
Lasarettet i Enköping
2009-01 PHASE2
NCT01436734 COMPLETED
Hyperglucagonemia
University Hospital, Gentofte, Copenhagen
2011-07
NCT00892957 COMPLETED
Hemostasis in Participants Receiving Peripheral Vascular Expanded Polytetrafluoroethylene (ePTFE) Graft Prostheses
Baxter Healthcare Corporation
2009-07 PHASE3
NCT00681824 COMPLETED
Pathological Processes in the Posterior Fossa; Dura Defects
Baxter Healthcare Corporation
2008-05 PHASE2
NCT00708071 COMPLETED
Facial Rhytidectomy (Face-lift)
Baxter Healthcare Corporation
2008-06 PHASE2
NCT00257751 COMPLETED
Coronary Artery Disease
Oslo University Hospital
2004-03
NCT00327379 TERMINATED
Blood Loss, Surgical; Postoperative Hemorrhage
Bayer
2006-02-27 PHASE3
NCT00481806 Unknown status
Coronary Artery Bypass|Thrombosis
University of Arizona|University of Maryland Baltimore County
2007-02 --
NCT00354900 Terminated
Metastatic Breast Cancer
Dartmouth-Hitchcock Medical Center
2006-07 Phase 1
NCT00668031 COMPLETED
Blood Loss, Surgical
Bayer
2005-02 PHASE3
NCT00131040 Completed
Ischemic Heart Disease|Angina Pectoris
Imperial College London|British Heart Foundation
2003-01 Not Applicable
NCT00354900 TERMINATED
Metastatic Breast Cancer
Dartmouth-Hitchcock Medical Center
2006-07 PHASE1
NCT00131040 COMPLETED
Ischemic Heart Disease; Angina Pectoris
Imperial College London
2003-01
NCT00306137 TERMINATED
Blood Loss, Surgical
Bayer
2005-12 PHASE3
NCT00357851 COMPLETED
Pancreatitis
Nemours Children's Clinic
2005-03 PHASE1
NCT00396760 UNKNOWN
Bleeding and Cardiac Surgery; Allogeneic Blood Transfusion; Aortic Valve Replacement; Coronary Artery Bypass Graft Surgery
German Heart Center
2005-01 PHASE3
NCT00395369 UNKNOWN
Cardiac Surgery
Soroka University Medical Center
2007-12
NCT00306150 TERMINATED
Blood Loss, Surgical; Postoperative Hemorrhage
Bayer
2005-12 PHASE3
NCT00290836 COMPLETED
Control of Local Bleeding in Patients Undergoing Prostatectomy.
Nycomed
2004-05 PHASE4

(data from https://clinicaltrials.gov, updated on 2026-07-15)

Check the Aprotinin product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Aprotinin acts as a potent serine protease inhibitor that binds directly to active enzyme sites, preventing the downstream proteolytic cleavage of protein substrates and inhibiting systemic fibrinolysis. This enzymatic blockade preserves fibrin clot integrity and attenuates inflammatory cascades, thereby reducing perioperative blood loss and improving surgical hemostasis in cardiovascular procedures.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.