- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03624010
Open-Label Rollover Study of Levosimendan in PH-HFpEF Patients
April 29, 2021 updated by: Tenax Therapeutics, Inc.
Open-Label Rollover Study of Levosimendan in Patients With Pulmonary Hypertension With Heart Failure and Preserved Left Ventricular Ejection Fraction (PH-HFpEF)
PH-HFpEF patients will receive weekly open-label doses of levosimendan and be periodically evaluated for safety and effectiveness in extended use.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Detailed Description
This study will enroll PH-HFpEF patients that have completed a controlled levosimendan study.
These patients will receive weekly open-label doses of levosimendan and be periodically evaluated for safety and effectiveness in extended use.
Study Type
Interventional
Enrollment (Anticipated)
36
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
California
-
Stanford, California, United States, 94305
- Stanford Healthcare
-
-
Illinois
-
Chicago, Illinois, United States, 60611
- Northwestern Memorial Hospital
-
-
Minnesota
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Minneapolis, Minnesota, United States, 55455
- University of Minnesota Medical Center
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Rochester, Minnesota, United States, 55905
- Mayo Clinic
-
-
Nebraska
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Omaha, Nebraska, United States, 68198
- University of Nebraska Medical Center
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- Hospital of the University of Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15213
- UPMC Presbyterian Hospital
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South Carolina
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina
-
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Wisconsin
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Madison, Wisconsin, United States, 53792
- UW Health University Hospital
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Provide a personally signed and dated informed consent document prior to initiation of any study-related procedures that are not considered standard of care.
- Completed double-blind therapy in a PH-HFpEF clinical study sponsored by Tenax Therapeutics, Inc.
- May, in the opinion of the Investigator, benefit from continued levosimendan treatment.
- Female patients of childbearing potential must agree to use a highly effective method of contraception.
- Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests and other study procedures.
Exclusion Criteria:
- Discontinued treatment in the parent study for any reason other than study completion or Sponsor termination of the study.
- Pregnant or breastfeeding women.
- Local access to commercially available levosimendan
- Inability to comply with planned study procedures
- Patients with scheduled lung or heart transplant or cardiac surgery
- Dialysis developed since enrollment in parent study (either hemodialysis, peritoneal dialysis, continuous venovenous hemofiltration, or ultrafiltration)
- Estimated glomerular filtration rate (eGFR) <30 mL/min/1.73m2
- Liver dysfunction with Child Pugh Class B or C (see Attachment 2)
- Evidence of systemic bacterial, systemic fungal, or viral infection refractory to treatment
- Weight >150kg
- Systolic blood pressure (SBP) cannot be managed to ensure SBP >100 mmHg at initiation of study drug
- Heart rate >100 bpm with study drug, persistent for at least 10 minutes at screening.
- Hemoglobin < 80 g/L
- Serum potassium < 3.0 mmol/L or > 5.5 mmol/L at baseline that is unresponsive to management
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Levosimendan
A sterile 2.5 mg/mL concentrate solution that is diluted in 5% Dextrose or 0.9 Normal Saline to achieve a 50 microgram/min solution for infusion
|
A sterile 2.5 mg/mL concentrate solution that is diluted in 5% Dextrose or 0.9 Normal Saline to achieve a 50 microgram/min solution for infusion
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Clinical Safety measured by number of adverse events (AEs )
Time Frame: 2 years
|
Long-term safety profile of levosimendan measured by number of adverse events (AEs )
|
2 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
6-minute walk test (6MWT)
Time Frame: 2 years
|
Exercise capacity, measured as a distance traveled in 6 minutes
|
2 years
|
Patient global assessment
Time Frame: 2 years
|
Patient's assessment of well-being, based on a six-point Likert scale (1 =worst, 5= best)
|
2 years
|
Physician's Assessment of Functional Class
Time Frame: 2 years
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Physician's Assessment of New York Heart Association (NYHA) Classification (one of four categories based on how much the patient is limited during physical activity.
(Class I, no limitation of physical activity to Class IV, marked limitation of physical activity)
|
2 years
|
Clinical Events: Death and hospitalizations
Time Frame: 2 years
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Incidence of death or hospitalization
|
2 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Stuart Rich, MD, Tenax Therapeutics, Inc.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
November 14, 2018
Primary Completion (ANTICIPATED)
February 1, 2024
Study Completion (ANTICIPATED)
February 1, 2024
Study Registration Dates
First Submitted
July 24, 2018
First Submitted That Met QC Criteria
August 8, 2018
First Posted (ACTUAL)
August 9, 2018
Study Record Updates
Last Update Posted (ACTUAL)
April 30, 2021
Last Update Submitted That Met QC Criteria
April 29, 2021
Last Verified
April 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Respiratory Tract Diseases
- Lung Diseases
- Congenital Abnormalities
- Heart Defects, Congenital
- Cardiovascular Abnormalities
- Situs Inversus
- Heart Failure
- Hypertension
- Hypertension, Pulmonary
- Dextrocardia
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Vasodilator Agents
- Enzyme Inhibitors
- Protective Agents
- Cardiotonic Agents
- Phosphodiesterase Inhibitors
- Phosphodiesterase 3 Inhibitors
- Simendan
Other Study ID Numbers
- TNX-LVO-05
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
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.
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