Levosimendan in High Risk Heart Valve Surgery
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Purpose
Prospective, randomized, double blind study investigating the efficacy of levosimendan in heart failure after cardiac surgery.
Study hypothesis: Levosimendan diminishes the need for adrenergic inotropic drugs and morbidity and may improve survival after heart valve surgery.
| Condition | Intervention | Phase |
|---|---|---|
|
Heart Failure |
Drug: levosimendan Drug: placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Efficacy of Levosimendan in Cardiac Failure After Heart Valve Surgery |
- Heart failure necessitating inotropic drug administering after heart valve surgery [ Time Frame: Postoperative hospital period ] [ Designated as safety issue: Yes ]
- Hospital morbidity and mortality [ Time Frame: Postoperative hospital period ] [ Designated as safety issue: Yes ]
- Postoperative mortality at six months [ Time Frame: Six months postoperatively ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 200 |
| Study Start Date: | March 2005 |
| Study Completion Date: | December 2008 |
| Primary Completion Date: | December 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Levosimendan
|
Drug: levosimendan
Intravenous infusion, blus 24 mcg/kg in 30-minutes followed by 0.2 mcg/kg/min up to 24 hours
|
| Placebo Comparator: 2 |
Drug: placebo
Placebo
|
Detailed Description:
200 patients are prospectively randomized in a double blind study investigating the efficacy of levosimendan in heart failure after cardiac surgery. Levosimendan/placebo is administered as 24 hour continuous infusion beginning after anesthesia induction. Primary endpoint being adrenergic inotrope need after cardiopulmonary bypass and secondary endpoints hospital and 6-month mortality and major organ failure.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Eligible for cardiac valve or combined CABG and cardiac valve surgery:
- Clinical signs of cardiac insufficiency
Exclusion Criteria:
- Endocarditis
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Pasi Lahtinen, MD, Kuopio University Hospital |
| ClinicalTrials.gov Identifier: | NCT00154115 History of Changes |
| Other Study ID Numbers: | KUH5070178, 106/2004 |
| Study First Received: | September 7, 2005 |
| Last Updated: | January 20, 2009 |
| Health Authority: | Finland: Finnish Medicines Agency |
Keywords provided by Kuopio University Hospital:
|
heart failure levosimendan cardiac surgery |
Additional relevant MeSH terms:
|
Heart Failure Heart Diseases Cardiovascular Diseases Simendan Anti-Arrhythmia Agents Cardiovascular Agents Therapeutic Uses Pharmacologic Actions |
Cardiotonic Agents Phosphodiesterase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Vasodilator Agents Protective Agents Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 16, 2013