Efficacy and Safety of Treatment With Simdax® Versus Dobutrex® in Decompensated Heart Failure Patients.
Efficacy and Safety of Short-term Intravenous Treatment With Simdax® Versus Dobutrex® in Decompensated Heart Failure Patients Treated With Beta-receptor Blocking Agents.
2 other identifiers
interventional
60
1 country
1
Brief Summary
The purpose of this study is to compare the effects of levosimendan with dobutamine on heart function in patients suffering of severe chronic heart failure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 heart-failure
Started Nov 2002
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2002
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2005
CompletedFirst Submitted
Initial submission to the registry
September 14, 2005
CompletedFirst Posted
Study publicly available on registry
September 22, 2005
CompletedMarch 20, 2017
September 1, 2005
September 14, 2005
March 17, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Compare the hemodynamic parameters Cardiac Index (CI) and Pulmonary Capillary Wedge Pressure (PCWP) from baseline to 24 hours, between the two groups.
Secondary Outcomes (8)
Compare the efficacy and safety between the treatment groups, with regard to:
• Changes in hemodynamic parameters from baseline to 24 and 48 hours.
• Change in study subject's and investigator's assessment of symptoms of heart failure at 48 hours and 1-month follow-up.
• Change in New York Heart Association (NYHA) classat 48 hours and 1-month follow-up.
• Ability to continue treatment with β-receptor blocking agents.
- +3 more secondary outcomes
Interventions
Eligibility Criteria
You may qualify if:
- Decompensated chronic heart failure of ischemic or non-ischemic origin, in NYHA class III to IV, despite optimised conventional treatment and who may benefit from intravenous positive inotropic agents as per the investigator's judgment.
- Ongoing treatment with a beta-receptor blocking agent in a stable regimen for at least 3 months and at an optimal dose as per the investigator's judgment.
- Left ventricular (LV) ejection fraction (EF) less than or similar to 35%.
- CI \< 2.5 l/min/m2.
- Mean PCWP \>15 mmHg.
You may not qualify if:
- Significant mechanical obstruction affecting ventricular filling and/or outflow.
- Systolic blood pressure 85 mmHg or less at screening and/or baseline.
- Heart rate 130 bpm or greater, persistent for at least 5 minutes at screening and/or baseline.
- Severe angina pectoris during the 6 hours before screening and/or baseline.
- Deterioration of chronic heart failure due to an acute myocardial infarction within 5 days before screening measurements.
- Administration of Simdax within 1 month before baseline.
- A history of Torsades de Pointes.
- Evidence of severe renal insufficiency (serum creatinine \> 450 μmol/l or on dialysis) at screening.
- Significant hepatic impairment or elevation of liver enzymes to 5 times the upper limit of normal range of the analysing laboratory at screening.
- Acute bleeding or severe anaemia.
- Heart surgery within 3 months before baseline.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Cardiology Department, Sahlgrenska University Hospital
Gothenburg, 413 45, Sweden
Related Publications (1)
Follath F, Cleland JG, Just H, Papp JG, Scholz H, Peuhkurinen K, Harjola VP, Mitrovic V, Abdalla M, Sandell EP, Lehtonen L; Steering Committee and Investigators of the Levosimendan Infusion versus Dobutamine (LIDO) Study. Efficacy and safety of intravenous levosimendan compared with dobutamine in severe low-output heart failure (the LIDO study): a randomised double-blind trial. Lancet. 2002 Jul 20;360(9328):196-202. doi: 10.1016/s0140-6736(02)09455-2.
PMID: 12133653BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Claes-Håkan Bergh, Assoc Prof
Institution of Cardiology, Sahlgrenska University Hospital, Sweden
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 14, 2005
First Posted
September 22, 2005
Study Start
November 1, 2002
Study Completion
April 1, 2005
Last Updated
March 20, 2017
Record last verified: 2005-09