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Levosimendan

Generic Name
Levosimendan
Drug Type
Small Molecule
Chemical Formula
C14H12N6O
CAS Number
141505-33-1
Unique Ingredient Identifier
C6T4514L4E
Background

Levosimendan increases calcium sensitivity to myocytes by binding to troponin C in a calcium dependent manner. This increases contractility without raising calcium levels. It also relaxes vascular smooth muscle by opening adenosine triphosphate sensitive potassium channels. Levosimendan is used to manage acutely decompensated congestive heart failure.

Indication

For short term treatment of acutely decompensated severe chronic heart failure (CHF). Also being investigated for use/treatment in heart disease.

Associated Conditions
Acute Decompensated Heart Failure (ADHF), Acute Decompensation of Chronic Heart Failure, Acute Heart Failure (AHF), Chronic Heart Failure (CHF), Acute post-surgical heart failure, Acute, chronic Decompensated Heart Failure, Heart failure post-myocardial infarction, Severe Decompensated Chronic Heart Failure
Associated Therapies
Positive cardiac inotropic effect, Intravenous inotropic therapy

Levosimendan in Patients With Impaired Right Ventricular Function Undergoing Cardiac Surgery

Phase 2
Conditions
Right Heart Failure
Open-heart Surgery
Interventions
Drug: Standard Care
First Posted Date
2021-10-01
Last Posted Date
2021-10-20
Lead Sponsor
Ain Shams University
Target Recruit Count
40
Registration Number
NCT05063370
Locations
🇪🇬

Cardiothoracic Academy, Ain Shams University Hospitals, Cairo, Egypt

Effect of Levosimendan on Left Ventricular Systolic Function and Heart Failure After PCI in Patients With Acute Anterior Myocardial Infarction

Phase 4
Conditions
ST Elevation Myocardial Infarction
Heart Failure
Interventions
Other: placebo
First Posted Date
2021-07-21
Last Posted Date
2021-08-20
Lead Sponsor
Zhijun Sun
Target Recruit Count
500
Registration Number
NCT04970238
Locations
🇨🇳

Shengjing Hospital, Shenyang, Liaoning, China

Effect of Levosimendan on miRNAs Regulation in the Failing Hearts

Phase 4
Conditions
Heart Failure
Interventions
First Posted Date
2021-07-06
Last Posted Date
2021-07-16
Lead Sponsor
Tongji Hospital
Target Recruit Count
136
Registration Number
NCT04950569
Locations
🇨🇳

Tongji Hospital, Wuhan, Hubei, China

Levosimendan Infusion in Critically Ill Patients With Cardiogenic Shock

Completed
Conditions
Cardiorenal Syndrome
Acute Kidney Failure
Cardiogenic Shock
Interventions
First Posted Date
2021-06-08
Last Posted Date
2021-06-08
Lead Sponsor
University of Zurich
Target Recruit Count
43
Registration Number
NCT04917497

LEVOSIMENDAN to Facilitate Weaning From ECMO in Severe Cardiogenic Shock Patients

Phase 3
Completed
Conditions
Cardiogenic Shock
Extracorporeal Membrane Oxygenation Complication
Interventions
First Posted Date
2021-01-28
Last Posted Date
2025-03-21
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Target Recruit Count
206
Registration Number
NCT04728932
Locations
🇫🇷

Hôpital du Haut-Lévêque, Pessac, Bordeaux, France

🇫🇷

Hôpital Pitié Salpêtrière, Paris, France

🇫🇷

Hôpital Européen Georges Pompidou, Paris, France

Treatment of Pulmonary Hypertension in High-risk Cardiac Surgery Patients Using Inhalational and Intravenous Agents

Not Applicable
Recruiting
Conditions
Cardiac Failure
Hypertension, Pulmonary
Pulmonary Vascular Resistance Abnormality
Interventions
First Posted Date
2021-01-22
Last Posted Date
2023-02-24
Lead Sponsor
Aretaieion University Hospital
Target Recruit Count
40
Registration Number
NCT04718350
Locations
🇬🇷

Onassis Cardiac Surgery Center, Athens, Greece

Levosimendan In Ambulatory Heart Failure Patients

Phase 4
Terminated
Conditions
Heart Failure New York Heart Association Class III
Heart Failure New York Heart Association Class IV
Heart Failure With Reduced Ejection Fraction
Heart Failure, Systolic
Interventions
Other: Placebo
First Posted Date
2021-01-12
Last Posted Date
2025-05-09
Lead Sponsor
Medical University of Bialystok
Target Recruit Count
70
Registration Number
NCT04705337
Locations
🇵🇱

University Hospital of Lord's Transfiguration, Poznań, Poland

🇵🇱

Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego, Warszawa, Poland

🇵🇱

Medical University of Bialystok Clinical Hospital, Bialystok, Poland

and more 11 locations

Levosimendan Administration in Pulmonary Hypertension

Not Applicable
Completed
Conditions
Cardiac Failure
Hypertension, Pulmonary
Pulmonary Vascular Resistance Abnormality
Interventions
First Posted Date
2020-10-23
Last Posted Date
2023-02-08
Lead Sponsor
Aretaieion University Hospital
Target Recruit Count
45
Registration Number
NCT04599816
Locations
🇬🇷

Onassis Cardiac Surgery Center, Athens, Greece

The Effectiveness and Safety of Levosimendan in Patients With Severe Aortic Stenosis and Heart Failure Undergoing Transcatheter Aortic Valve Replacement

Phase 4
Conditions
Heart Failure
Effect of Drug
Cardiac Event
Inotropic Agents
Safety Issues
Transcatheter Aortic Valve Replacement
Aortic Valve Stenosis
Interventions
Other: Placebo
First Posted Date
2020-10-05
Last Posted Date
2020-10-05
Lead Sponsor
China National Center for Cardiovascular Diseases
Target Recruit Count
124
Registration Number
NCT04573049
Locations
🇨🇳

Jianhui Wang, Beijing, Beijing, China

Levosimendan Versus Combination With Magnesium Sulphate on Spine Protection by NIRS in Infants Undergoing Coarctectomy

Phase 4
Completed
Conditions
Aortic Coarctation
Interventions
First Posted Date
2020-04-01
Last Posted Date
2023-10-16
Lead Sponsor
Dalia Saad Abd-El Kader
Target Recruit Count
40
Registration Number
NCT04330755
Locations
🇪🇬

Sara ABD El-Salam, Cairo, Egypt

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