LEVEL-2: LEVosimendan to Improve Exercise Limitation in Patients With PH-HFpEF-2 (LEVEL-2)
A Phase 3, Double-Blind, Randomized, Placebo-Controlled Study of Levosimendan in Pulmonary Hypertension Patients With Heart Failure With Preserved Left Ventricular Ejection Fraction
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Akshata Ashokkumar
- Phone Number: (919) 855-2118
- Email: a.ashokkumar@tenaxthera.com
Study Contact Backup
- Name: Katelyn Jansson
- Phone Number: (919) 855-2119
- Email: k.jansson@tenaxthera.com
Study Locations
-
-
-
Buenos Aires, Argentina, C1180AAX
- Not yet recruiting
- Tenax Investigational Site
-
Buenos Aires, Argentina, C1428ART
- Not yet recruiting
- Tenax Investigational Site
-
Corrientes, Argentina, W3400AMZ
- Not yet recruiting
- Tenax Investigational Site
-
Córdoba, Argentina, 5000
- Not yet recruiting
- Tenax Investigational Site
-
Córdoba, Argentina, X5016KET
- Not yet recruiting
- Tenax Investigational Site
-
San Luis, Argentina, D5702JRS
- Not yet recruiting
- Tenax Investigational Site
-
Santa Fe, Argentina, S2002KDS
- Not yet recruiting
- Tenax Investigational Site
-
-
Buenos Aires
-
San Juan Bautista, Buenos Aires, Argentina, 1888
- Not yet recruiting
- Tenax Investigational Site
-
-
Buenos Aires F.D.
-
Buenos Aires, Buenos Aires F.D., Argentina, 1280
- Not yet recruiting
- Tenax Investigational Site
-
-
-
-
-
Braunau am Inn, Austria, 5280
- Recruiting
- Tenax Investigational Site
-
Graz, Austria, 8036
- Recruiting
- Tenax Investigational Site
-
Klagenfurt, Austria, 9020
- Not yet recruiting
- Tenax Investigational Site
-
Sankt Pölten, Austria, 3100
- Recruiting
- Tenax Investigational Site
-
Vienna, Austria, 1100
- Not yet recruiting
- Tenax Investigational Site
-
-
State of Vienna
-
Vienna, State of Vienna, Austria, 1090
- Not yet recruiting
- Tenax Investigational Site
-
-
-
-
Estado de Bahia
-
Salvador, Estado de Bahia, Brazil, 40170-130
- Not yet recruiting
- Tenax Investigational Site
-
-
Goiás
-
Goiânia, Goiás, Brazil, 74605
- Not yet recruiting
- Tenax Investigational Site
-
-
Minas Gerais
-
Belo Horizonte, Minas Gerais, Brazil, 30220
- Not yet recruiting
- Tenax Investigational Site
-
-
Paraná
-
Curitiba, Paraná, Brazil, 80215-901
- Not yet recruiting
- Tenax Investigational Site
-
-
Rio Grande do Sul
-
Porto Alegre, Rio Grande do Sul, Brazil, 90020-090
- Not yet recruiting
- Tenax Investigational Site
-
Porto Alegre, Rio Grande do Sul, Brazil, 90035-903
- Not yet recruiting
- Tenax Investigational Site
-
-
São Paulo
-
Ribeirão Preto, São Paulo, Brazil, 14026-020
- Not yet recruiting
- Tenax Investigational Site
-
-
-
-
-
Burgas, Bulgaria, 8000
- Recruiting
- Tenax Investigational Site
-
Pleven, Bulgaria, 5800
- Not yet recruiting
- Tenax Investigational Site
-
Sofia, Bulgaria, 1750
- Not yet recruiting
- Tenax Investigational Site
-
Sofia, Bulgaria, 1309
- Not yet recruiting
- Tenax Investigational Site
-
Sofia, Bulgaria, 1407
- Recruiting
- Tenax Investigational Site
-
Sofia, Bulgaria, 1431
- Recruiting
- Tenax Investigational Site
-
-
-
-
-
Ostrava, Czechia, 72880
- Not yet recruiting
- Tenax Investigational Site
-
Prague, Czechia, 10034
- Not yet recruiting
- Tenax Investigational Site
-
Prague, Czechia, 15006
- Not yet recruiting
- Tenax Investigational Site
-
-
-
-
-
Le Kremlin-Bicêtre, France, 94270
- Recruiting
- Tenax Investigational Site
-
Montpellier, France, 34295
- Not yet recruiting
- Tenax Investigational Site
-
Nantes, France, 44007
- Recruiting
- Tenax Investigational Site
-
Nice, France, 06001
- Not yet recruiting
- Tenax Investigational Site
-
Pau, France, 64000
- Not yet recruiting
- Tenax Investigational Site
-
Poitiers, France, 86000
- Not yet recruiting
- Tenax Investigational Site
-
-
-
-
-
Bad Bevensen, Germany, 29549
- Not yet recruiting
- Tenax Investigational Site
-
Bad Nauheim, Germany, 61231
- Not yet recruiting
- Tenax Investigational Site
-
Berlin, Germany, 12683
- Not yet recruiting
- Tenax Investigational Site
-
Dresden, Germany, 01307
- Not yet recruiting
- Tenax Investigational Site
-
Hamburg, Germany, 20251
- Not yet recruiting
- Tenax Investigational Site
-
Jena, Germany, 07747
- Not yet recruiting
- Tenax Investigational Site
-
Mainz, Germany, 55131
- Not yet recruiting
- Tenax Investigational Site
-
-
-
-
-
Budapest, Hungary, 1134
- Not yet recruiting
- Tenax Investigational Site
-
Budapest, Hungary, 1122
- Recruiting
- Tenax Investigational Site
-
Debrecen, Hungary, 4032
- Recruiting
- Tenax Investigational Site
-
Szeged, Hungary, 6275
- Not yet recruiting
- Tenax Investigational Site
-
-
-
-
-
Acquaviva delle Fonti, Italy, 70021
- Not yet recruiting
- Tenax Investigational Site
-
Bergamo, Italy, 24127
- Not yet recruiting
- Tenax Investigational Site
-
Messina, Italy, 98125
- Not yet recruiting
- Tenax Investigational Site
-
Milan, Italy, 20132
- Not yet recruiting
- Tenax Investigational Site
-
Milan, Italy, 20138
- Not yet recruiting
- Tenax Investigational Site
-
Milan, Italy, 20149
- Not yet recruiting
- Tenax Investigational Site
-
Pavia, Italy, 27100
- Not yet recruiting
- Tenax Investigational Site
-
Pisa, Italy, 56126
- Not yet recruiting
- Tenax Investigational Site
-
Roma, Italy, 00168
- Not yet recruiting
- Tenax Investigational Site
-
Rozzano, Italy, 20089
- Not yet recruiting
- Tenax Investigational Site
-
-
-
-
-
Grodzisk Mazowiecki, Poland, 05-825
- Not yet recruiting
- Tenax Investigational Site
-
Poznan, Poland, 61848
- Not yet recruiting
- Tenax Investigational Site
-
Wroclaw, Poland, 50556
- Recruiting
- Tenax Investigational Site
-
Wroclaw, Poland, 50891
- Recruiting
- Tenax Investigational Site
-
-
-
-
-
Cheongju-si, South Korea, 28644
- Recruiting
- Tenax Investigational Site
-
Gwangju, South Korea, 61469
- Recruiting
- Tenax Investigational Site
-
Incheon, South Korea, 21565
- Recruiting
- Tenax Investigational Site
-
Seoul, South Korea, 08308
- Not yet recruiting
- Tenax Investigational Site
-
Seoul, South Korea, 03080
- Recruiting
- Tenax Investigational Site
-
Wŏnju, South Korea, 26426
- Recruiting
- Tenax Investigational Site
-
-
-
-
-
Barcelona, Spain, 08003
- Recruiting
- Tenax Investigational Site
-
Barcelona, Spain, 08035
- Recruiting
- Tenax Investigational Site
-
Barcelona, Spain, 08036
- Recruiting
- Tenax Investigational Site
-
Lugo, Spain, 27003
- Recruiting
- Tenax Investigational Site
-
Madrid, Spain, 28041
- Not yet recruiting
- Tenax Investigational Site
-
Madrid, Spain, 28046
- Recruiting
- Tenax Investigational Site
-
Madrid, Spain, 28055
- Recruiting
- Tenax Investigational Site
-
Marbella, Spain, 29603
- Recruiting
- Tenax Investigational Site
-
Málaga, Spain, 29010
- Recruiting
- Tenax Investigational Site
-
Pamplona, Spain, 31008
- Not yet recruiting
- Tenax Investigational Site
-
Salamanca, Spain, 37007
- Recruiting
- Tenax Investigational Site
-
Seville, Spain, 41009
- Recruiting
- Tenax Investigational Site
-
Toledo, Spain, 45007
- Recruiting
- Tenax Investigational Site
-
Valencia, Spain, 46020
- Not yet recruiting
- Tenax Investigational Site
-
Valencia, Spain, 46010
- Recruiting
- Tenax Investigational Site
-
-
-
-
-
Kaohsiung City, Taiwan, 80756
- Not yet recruiting
- Tenax Investigational Site
-
Kaohsiung City, Taiwan, 813414
- Not yet recruiting
- Tenax Investigational Site
-
Tainan, Taiwan, 71004
- Not yet recruiting
- Tenax Investigational Site
-
Taipei, Taiwan, 10449
- Not yet recruiting
- Tenax Investigational Site
-
Taipei, Taiwan, 110
- Not yet recruiting
- Tenax Investigational Site
-
Taoyuan, Taiwan, 33305
- Not yet recruiting
- Tenax Investigational Site
-
-
-
-
-
Cambridge, United Kingdom, CB233RE
- Recruiting
- Tenax Investigational Site
-
Glasgow, United Kingdom, G81 4HS
- Not yet recruiting
- Tenax Investigational Site
-
London, United Kingdom, SW3 6NP
- Not yet recruiting
- Tenax Investigational Site
-
London, United Kingdom, W12 0HS
- Recruiting
- Tenax Investigational Site
-
Sheffield, United Kingdom, S10 2JF
- Not yet recruiting
- Tenax Investigational Site
-
Swindon, United Kingdom, SN36BB
- Not yet recruiting
- Tenax Investigational Site
-
-
-
-
Alabama
-
Alexander City, Alabama, United States, 35010
- Recruiting
- Tenax Investigational Site
-
-
Arizona
-
Tucson, Arizona, United States, 85724
- Not yet recruiting
- Tenax Investigational Site
-
-
California
-
Sacramento, California, United States, 95816
- Not yet recruiting
- Tenax Investigational Site
-
San Francisco, California, United States, 94143
- Not yet recruiting
- Tenax Investigational Site
-
Stanford, California, United States, 94305-5208
- Not yet recruiting
- Tenax Investigational Site
-
Torrance, California, United States, 90502
- Not yet recruiting
- Tenax Investigational Site
-
-
Georgia
-
Athens, Georgia, United States, 30606
- Not yet recruiting
- Tenax Investigational Site
-
Atlanta, Georgia, United States, 30322
- Not yet recruiting
- Tenax Investigational Site
-
-
Illinois
-
Chicago, Illinois, United States, 60611-4494
- Not yet recruiting
- Tenax Investigational Site
-
Chicago, Illinois, United States, 60637
- Not yet recruiting
- Tenax Investigational Site
-
Mount Prospect, Illinois, United States, 60056
- Not yet recruiting
- Tenax Investigational Site
-
Peoria, Illinois, United States, 61636
- Recruiting
- Tenax Investigational Site
-
-
Indiana
-
Indianapolis, Indiana, United States, 46260
- Recruiting
- Tenax Investigational Site
-
-
Louisiana
-
New Orleans, Louisiana, United States, 70115-6969
- Recruiting
- Tenax Investigational Site
-
West Monroe, Louisiana, United States, 71291
- Recruiting
- Tenax Investigational Site
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02114-2621
- Not yet recruiting
- Tenax Investigational Site
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48109
- Not yet recruiting
- Tenax Investigational Site
-
Ypsilanti, Michigan, United States, 48197
- Recruiting
- Tenax Investigational Site
-
-
Minnesota
-
Minneapolis, Minnesota, United States, 55455
- Not yet recruiting
- Tenax Investigational Site
-
Rochester, Minnesota, United States, 55905
- Not yet recruiting
- Tenax Investigational Site
-
-
Missouri
-
Kansas City, Missouri, United States, 64111
- Not yet recruiting
- Tenax Investigational Site
-
St Louis, Missouri, United States, 63136
- Not yet recruiting
- Tenax Investigational Site
-
-
Nebraska
-
Omaha, Nebraska, United States, 68198
- Recruiting
- Tenax Investigational Site
-
-
Nevada
-
Reno, Nevada, United States, 89502
- Recruiting
- Tenax Investigational Site
-
-
New York
-
New York, New York, United States, 10021
- Recruiting
- Tenax Investigational Site
-
New York, New York, United States, 10032
- Recruiting
- Tenax Investigational Site
-
Rochester, New York, United States, 14617
- Recruiting
- Tenax Investigational Site
-
-
North Carolina
-
Durham, North Carolina, United States, 27710
- Recruiting
- Tenax Investigational Site
-
Winston-Salem, North Carolina, United States, 27101
- Recruiting
- Tenax Investigational Site
-
-
Ohio
-
Cleveland, Ohio, United States, 44195-0001
- Not yet recruiting
- Tenax Investigational Site
-
Columbus, Ohio, United States, 43210
- Not yet recruiting
- Tenax Investigational Site
-
-
Pennsylvania
-
Allentown, Pennsylvania, United States, 18105
- Not yet recruiting
- Tenax Investigational Site
-
Pittsburgh, Pennsylvania, United States, 15212
- Not yet recruiting
- Tenax Investigational Site
-
Wynnewood, Pennsylvania, United States, 19096-3450
- Not yet recruiting
- Tenax Investigational Site
-
-
South Carolina
-
Charleston, South Carolina, United States, 29425
- Not yet recruiting
- Tenax Investigational Site
-
-
Tennessee
-
Nashville, Tennessee, United States, 37205
- Recruiting
- Tenax Investigational Site
-
-
Texas
-
Austin, Texas, United States, 78705
- Recruiting
- Tenax Investigational Site
-
Dallas, Texas, United States, 75390
- Recruiting
- Tenax Investigational Site
-
El Paso, Texas, United States, 79905-2707
- Not yet recruiting
- Tenax Investigational Site
-
Houston, Texas, United States, 77002
- Withdrawn
- Tenax Investigational Site
-
Houston, Texas, United States, 77030-2342
- Not yet recruiting
- Tenax Investigational Site
-
-
Virginia
-
Charlottesville, Virginia, United States, 22908
- Not yet recruiting
- Tenax Investigational Site
-
Norfolk, Virginia, United States, 23507-1904
- Not yet recruiting
- Tenax Investigational Site
-
-
Washington
-
Seattle, Washington, United States, 98122
- Not yet recruiting
- Tenax Investigational Site
-
-
Wisconsin
-
Madison, Wisconsin, United States, 53706
- Not yet recruiting
- Tenax Investigational Site
-
Marshfield, Wisconsin, United States, 54449
- Recruiting
- Tenax Investigational Site
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Men or women, ≥18 to 85 years of age
- NYHA Class II or III or ambulatory NYHA Class IV symptoms
- A diagnosis of World Health Organization (WHO) Group 2 PH-HFpEF with qualifying hemodynamics verified by right heart catheterization (RHC)
- A qualifying baseline RHC
- A qualifying echocardiogram
- A qualifying 6-MWD
- A 48-hour ambulatory cardiac rhythm monitor during the Screening Period
- Requirements related to child bearing potential, contraception, and egg/sperm donation)
Exclusion Criteria:
- A diagnosis of PH WHO Groups 1, 3, 4, or 5
- Echocardiographic evidence for hypertrophic cardiomyopathy, restrictive cardiomyopathy, constrictive pericarditis, cardiac amyloidosis, or infiltrative cardiomyopathy
- Structural heart repair or replacement of the aortic valve or mitral valve (surgical or percutaneous) OR, planned valve intervention OR, the presence of significant valve disease
- A diagnosis of pre-existing lung disease
- History of severe allergic or anaphylactic reaction or hypersensitivity to the excipients in the investigational product
- Major surgery within 60 days
- Prior heart, lung, or heart-lung transplants or life expectancy of <12 months
- History of clinically significant other diseases that may limit or complicate participation in the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
Matching placebo (oral)
|
Matching placebo (oral)
|
|
Active Comparator: TNX-103
Oral levosimendan
|
Oral levosimendan
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
6-Minute Walk Distance (6MWD)
Time Frame: 26 weeks
|
Change in 6-minute walk distance
|
26 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clinical Worsening Events
Time Frame: 26 weeks
|
Number of Clinical Worsening Events
|
26 weeks
|
|
Clinical Worsening Event
Time Frame: 26 weeks
|
Time to first occurrence of a Clinical Worsening Event
|
26 weeks
|
|
KCCQ (Kansas City Cardiomyopathy Questionnaire) score is a standardized measure that ranges from 0 to 100, where a higher score indicates better health.
Time Frame: 26 weeks
|
Change in KCCQ Total Symptom Score
|
26 weeks
|
|
NYHA (New York Heart Association) classification assesses and categorizes a patient's physical ability and symptoms into four classes, the lower the classification, the least impact on physical activity.
Time Frame: 26 weeks
|
Change in NYHA Functional Class
|
26 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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-103-07
- 2025-522475-28-00 (Ctis)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.