Levosimendan Compassionate Use in Pediatric Patients With Advanced Decompensated Heart Failure
Expanded Access Protocol; Intermediate Size Protocol: Levosimendan Compassionate Use in Pediatric Patients With Advanced Decompensated Heart Failure Who Are Refractory to Standard Therapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
General Eligibility
All patients must meet at least one of the following definitions of failed standard therapy of decompensated heart failure:
Definition for failure of standard therapy:
Decompensated heart failure refractory to standard therapy (Milrinone of ≥0.5mcg/kg/min for >48 hours with EF <35%) including any of the following:
- (SaO2 - SmVO2) > 30 % or lactate >3 AND/OR
- Need for second inotropic agent AND/OR
- Need for positive pressure ventilation AND
- Patient not qualifying for long term ventricular assist device support or transplant at the time of assessment.
Cardiogenic shock with acute decompensated heart failure (requiring positive pressure ventilation and addition of inotropic support with or without use of Milrinone with EF <35%) refractory to therapy for more than 48h including any or all of the following:
- (SaO2 - SmVO2) > 30 % or lactate >3
- Patient not qualifying for long term ventricular assist device support or transplant at the time of assessment.
- Potential need for short-term mechanical circulatory support.
- Failure to wean off ECMO support with use of standard inotropic / vasoconstrictor support.
Inclusion Criteria:
- Male or female, ≤18 years of age with acute or acute on chronic decompensated heart failure.
- Male or female, ≤18 years of age on ECMO support and unable to wean from ECMO support.
- Informed Consent signed by the subject's parents or their legally acceptable representatives indicating that they understand the purpose of and procedures required for expanded access and are willing to participate in the study.
- Patients meeting one of the following definitions of failed standard therapy of decompensated heart failure
Exclusion Criteria:
- Patients < 36 weeks gestational age
- Patients weighing < 2 kg
- Obstructive cardiomyopathy, constrictive pericarditis, pericardial tamponade
- Estimated glomerular filtration rate (eGRF) < 30 mL/min/1.73m2.
- Known allergic reaction or sensitivity to levosimendan or excipients.
- A history of Torsades de Pointes, uncorrectable hypo- or hyperkalemia, uncorrectable hypo- or hypercalcemia
- Pregnant, suspected to be pregnant, or breast-feeding.
- Inability or unwillingness of subject or legal guardian/representative to give written informed consent.
Study Plan
How is the study designed?
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- TNX-LVO-02
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.