Efficacy and Safety of Pulsed Infusions of Levosimendan in Outpatients With Advanced Heart Failure
LevoRep
1 other identifier
interventional
120
2 countries
11
Brief Summary
The purpose of this study is to compare the effects of a pulsed application of Levosimendan versus placebo on the composite end-point functional capacity and quality of life.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Aug 2009
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2009
CompletedFirst Submitted
Initial submission to the registry
February 8, 2010
CompletedFirst Posted
Study publicly available on registry
February 9, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2011
CompletedAugust 30, 2010
August 1, 2009
2 years
February 8, 2010
August 27, 2010
Conditions
Outcome Measures
Primary Outcomes (1)
proportion of patients showing an improvement in the six-minutes walk test and a higher scoring in the Kansas City Cardiomyopathy Questionnaire (KCCQ)
24 weeks
Secondary Outcomes (2)
effects of a pulsed application of levosimendan on event free survival
8 weeks from randomization
effects of a pulsed application of levosimendan on event free survival
24 weeks from randomization
Study Arms (2)
Levosimendan
EXPERIMENTALChronic stable heart failure
Placebo
PLACEBO COMPARATORChronic Stable Heart Failure
Interventions
Levosimendan will be infused on an outpatient basis for six hours at a dosage of 0,2 μg/kg/min without a bolus
Levosimendan will be infused on an outpatient basis for six hours at a dosage of 0,2 μg/kg/min without a bolus.
Eligibility Criteria
You may qualify if:
- min.-walk-test \< 350 meters
- EF \< 35 %
- Age \> 20 years
- Optimized and individualised neurohormonal background therapy according to ESC-guidelines for the treatment of chronic heart failure.
- Patient has signed informed consent
You may not qualify if:
- Hospitalization for decompensated heart failure requiring i.v. diuretics within the last month before randomization
- History of torsades des pointes
- Allergy to Levosimendan or any of the excipients
- Administration of inotropes in the last 4 weeks
- Potassium \<3,5 and \>5,5 mmol/l
- Systolic blood pressure \<= 100 mmHg
- Women at childbearing age without using effective contraceptives ( oral contraceptives, intrauterine contraceptive devices) unless surgical sterilisation has been undertaken.
- Female patients who are pregnant or nursing
- Creatinin Clearance \< 30ml/min/m2
- Severe anemia (Hb \< 10 mg /dl)
- Mechanical obstruction affecting the ventricular filling or the outflow or both
- Patients with non compliance
- Severe conditions, which make the patient unsuitable to participate in a study as judged by the investigator
- Severe liver disease
- Percutaneous coronary intervention within the last 1 months
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Medical University Innsbrucklead
- Orion Corporation, Orion Pharmacollaborator
Study Sites (11)
Medical University Innsbruck
Innsbruck, 6020, Austria
Allg. öffentliches Krankenhaus der Elisabethinen
Linz, 4010, Austria
Krankenhaus der Barmherzigen Schwestern
Linz, 4010, Austria
Allgemeine Krankenhaus der Stadt Linz
Linz, 4021, Austria
Paracelsus Medical University Salzburg
Salzburg, 5020, Austria
Landesklinikum St. Poelten
Sankt Pölten, 3100, Austria
Kaiserin Elisabeth Spital Vienna
Vienna, 1150, Austria
Klinikum Wels Grieskirchen
Wels, 4600, Austria
G. Gennimatas General Hospital
Athens, 11527, Greece
Hippokration General Hospital
Athens, 11527, Greece
Heart Failure Clinic, Attikon University Hospital
Athens, 12461, Greece
Related Publications (1)
Altenberger J, Parissis JT, Costard-Jaeckle A, Winter A, Ebner C, Karavidas A, Sihorsch K, Avgeropoulou E, Weber T, Dimopoulos L, Ulmer H, Poelzl G. Efficacy and safety of the pulsed infusions of levosimendan in outpatients with advanced heart failure (LevoRep) study: a multicentre randomized trial. Eur J Heart Fail. 2014 Aug;16(8):898-906. doi: 10.1002/ejhf.118. Epub 2014 Jun 11.
PMID: 24920349DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Johann Altenberger, MD
Paracelsus Medical University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
February 8, 2010
First Posted
February 9, 2010
Study Start
August 1, 2009
Primary Completion
August 1, 2011
Study Completion
August 1, 2011
Last Updated
August 30, 2010
Record last verified: 2009-08