- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03699215
Clinical Trial in Patients Who Have Suffered a Heart Attack and Who Have Undergone Catheterization Treated With Levosimendan (LEVOCEST)
Ensayo clínico, Fase III, Aleatorizado, Prospectivo, unicéntrico, Doble Ciego y Controlado Con Placebo, Para Estimar la Eficacia y Seguridad Del Levosimendan Intravenoso, en Las Primeras 24 Horas Tras la Angioplastia Primaria, en Pacientes Con síndrome Coronario Agudo Con elevación Del Segmento ST
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The patients will be included randomly, until the calculated sample size is completed. A recruitment period of 12 months is estimated from the beginning of the study. From the date of inclusion of the first patient, the final duration of the study will be 1.5 years.
The study will end when performing the last cardio-resonance and echocardiography that should be performed 6 months after the inclusion of the last patient in the study.
Upon arrival of the patient at the Coronary Unit, he will receive, in a randomized and double-blind manner, without a loading dose, the 24-hour infusion of Levosimendan, or placebo.
The continuous infusion of levosimendan 0.1 micrograms / kg / min will be administered during 24h. If the initial dose is tolerated and a greater hemodynamic effect is needed, the infusion rate can be increased to 0.2 micrograms / kg / min. The dose of Levosimendan infusion can be reduced to 0.05 μg / kg / min in case of clinical intolerance or systolic hypotension <90 mmHg.
Continuous perfusion of the placebo 0.1 micrograms / kg / min will be administered for 24h. If the initial dose is tolerated and a greater hemodynamic effect is needed, the infusion rate can be increased to 0.2 micrograms / kg / min. The dose of infusion of the placebo can be reduced to 0.05 μg / kg / min in case of clinical intolerance or systolic hypotension <90 mmHg.
Study Type
Enrollment (Anticipated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: Francisco Bosa Ojeda, MD PhD
- Phone Number: 34457 00 34 922678457
- Email: franbosa@ull.edu.es
Study Contact Backup
- Name: Consuelo Rodríguez Jiménez, MD PhD
- Phone Number: 922678573
- Email: conrodjim@gmail.com
Study Locations
-
-
S/C De Tenerife
-
La Laguna, S/C De Tenerife, Spain, 38320
- Recruiting
- UICEC
-
Contact:
- Consuelo Rodríguez Jimnénez, PhD, MD
- Phone Number: 922678175
- Email: conrodjim@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients of both sexes who come to CHUC.
- Age between 18 and 85 years old.
- Symptoms of STEMI over 30 minutes and less than 12 hours of evolution.
- ST segment elevation of >= 1 mm in two contiguous limb leads or >= 2 mm in two contiguous precordial leads.
- Patients agreed to participate in the study and have signed the informed consent.
- The same patient may not be included more than once.
Exclusion Criteria:
- Killip IV class in a situation of cardiogenic shock or with TAM values below 65 mmHg of pressure.
- Patients that have suffered a previous heart attack.
- Patients who are being administered amines.
- Patients that do not have segmental disorders of contractility in left ventriculography.
- Mental circumstance that makes you unable to participate in the study.
- Patients that refuse to participate in the study and that they do not sign the informed consent.
- Severe renal impairment (creatinine clearance <30ml / min)
- Severe hepatic insufficiency - (prothrombin activity rate <40%).
- History of Torsades de Pointes.
- Acute respiratory distress
- Allergy to levosimendan or some of its components
- Anemia (hemoglobin <8g / dl)
- Pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: TRIPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
PLACEBO_COMPARATOR: placebo
solution for intravenous infusion, with similar organoleptic characteristics than active treatment.
|
continuous perfusion of 0.1 micrograms / kg / min for 24h.
If the initial dose is tolerated and a greater hemodynamic effect is needed, the infusion rate can be increased to 0.2 micrograms / kg / min.
|
EXPERIMENTAL: levosimendan
Concentrate for solution for perfusion.
Pack with a 5 ml vial
|
Upon arrival of the patient in the Coronary Unit, he will receive, in a randomized and double-blind manner, the 24-hour infusion of Levosimendan, without a loading dose, at a dose of 0.1 μg / kg / min or placebo.
If the initial dose is tolerated and a greater hemodynamic effect is needed, the infusion rate can be increased to 0.2 micrograms / kg / min.
The dose of Levosimendan infusion can be reduced to 0.05 μg / kg / min in case of clinical intolerance or systolic hypotension <90 mmHg.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Size of acute myocardial infarction
Time Frame: 30 days after acute episode
|
percentage myocardium infarct/ left ventricle ventricle
|
30 days after acute episode
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
measurement of Biochemical parameters function
Time Frame: first 24 hours
|
troponine, creatinkinase, creatinkinase-MB
|
first 24 hours
|
electrocardiogram parameters
Time Frame: 1 hour after primary angioplasty
|
Residual ST segment deviation
|
1 hour after primary angioplasty
|
MAJOR CARDIAC EVENTS
Time Frame: 6 months after angioplasty
|
need of revascularitation or cardiac death
|
6 months after angioplasty
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Ischemia
- Pathologic Processes
- Necrosis
- Myocardial Ischemia
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Myocardial Infarction
- Infarction
- ST Elevation Myocardial Infarction
- 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
- LEVOCEST
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.
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