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A prospective, multi-center, randomized, controlled study of levosimendan in the treatment of acute ischemic heart failure

A prospective, multi-center, randomized, controlled study of levosimendan in the treatment of acute ischemic heart failure

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2200059855
Enrollment
Unknown
Registered
2022-05-13
Start date
2022-05-01
Completion date
Unknown
Last updated
2024-04-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Heart failure

Interventions

Intervention group:Levosimendan
Control group:Dobutamine

Sponsors

Zhongshan Hospital, Fudan University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 90 Years

Inclusion criteria

Inclusion criteria: (1) Participate voluntarily and sign the informed consent form. (2) Age 18 to 90 years old, male or female. (3) Hospitalization for acute heart failure, defined as including all of the following from the time of presentation (including emergency and outpatient) to the end of screening with any test results meeting all of the following criteria: ? Symptoms and/or signs of heart failure present at screening and randomization; ? BNP =350 pg/mL or NT-proBNP =1400 pg/mL. (4) Have a clear history of ischemic heart disease, including history of myocardial infarction, history of percutaneous coronary intervention (PCI), history of cardiac bypass (CABG), coronary angiography or coronary CT showed coronary stenosis = 70% of patients. (5) Left ventricular ejection fraction (LVEF) <50% within the first half year of randomization.

Exclusion criteria

Exclusion criteria: 1. Patients who are allergic to levosimendan or any other excipients; 2. Patients with non-ischemic heart failure; 3. Systolic blood pressure =130 beats/min before randomization; 5. Uncorrectable serum potassium 5.5mmol/L; 6. Mechanical obstructive diseases that significantly affect ventricular filling or/and ejection function; 7. Patients with severe liver and kidney (creatinine clearance 38.5 degree (oral body temperature or equivalent), sepsis, and active infection requiring IV antibiotic treatment; 9. Patients with a history of torsades de pointes (TdP).

Design outcomes

Primary

MeasureTime frame
Natriuretic peptide;

Secondary

MeasureTime frame
Troponin;NYHA Classification;eGFR;Types and doses of drug therapy;Heart failure readmission;Cardiovascular death;All-cause death;

Countries

China

Contacts

Public ContactXiaotong Cui

Zhongshan Hospital, Fudan University

cui.xiaotong@zs-hospital.sh.cn+86 13681959319

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026