Preoperative Levosimendan and Heart Failure

NCT ID: NCT01022983

Last Updated: 2012-12-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2011-04-30

Study Completion Date

2012-12-31

Brief Summary

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The purpose of this study is to investigate the safety and efficacy of Levosimendan given preoperative to patients with heart failure undergoing noncardiac surgery.

Detailed Description

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Conditions

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Heart Failure Hip Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Levosimendan

Group Type ACTIVE_COMPARATOR

Levosimendan

Intervention Type DRUG

At least 2 hours before surgery: Infusion of Levosimendan (0,1 microgram/kg/min.). 24 hours of infusion without a bolus.

Povidon, waterfree etanol, glucosis 5%

Group Type PLACEBO_COMPARATOR

Levosimendan

Intervention Type DRUG

At least 2 hours before surgery: Infusion of Levosimendan (0,1 microgram/kg/min.). 24 hours of infusion without a bolus.

Placebo

Intervention Type DRUG

ml/kg/hours - same infusion rate as active comparator

Interventions

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Levosimendan

At least 2 hours before surgery: Infusion of Levosimendan (0,1 microgram/kg/min.). 24 hours of infusion without a bolus.

Intervention Type DRUG

Placebo

ml/kg/hours - same infusion rate as active comparator

Intervention Type DRUG

Other Intervention Names

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Simdax ATC-nr.: C01C X08

Eligibility Criteria

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Inclusion Criteria

* Acute surgery. Hip Fracture
* Patient with cardiac failure (EF \< 35%) or known coronary disease
* At least 2 of 11 comorbidities
* Patient has to use at least one heart failure medication
* Symptoms of heart failure
* NT-proBNP \> 2000pg/ml

Exclusion Criteria

* \< 18 years old
* Participants in other pharmacological study
* Abuse of medicaments or alcohol
* Pregnant or breastfeeding women
* AMI at admission
* HOCM
* Serious aortic stenosis (\< 1 cm2)
* Sustained ventricular tachycardia
* Earlier episodes of "torsades de pointes"
* Sustained heartbeat \> 120/minute
* Systolic BP \< 90 mmHg
* Surgery planned not before 2 hours of study medication can be infused preoperative
* Cardiac surgery
* Dementia
* S-K \< 3 mmol/l
* Allergy levosimendan
* Serious liver failure (Known Class C Child-Pugh score)
* Serious kidney failure (GFR \< 30 ml/min.)
* Prolonged QTc-interval (male QTc \> 0,43 s, female QTc \> 0,45 s)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Orion Corporation, Orion Pharma

INDUSTRY

Sponsor Role collaborator

Sykehuset i Vestfold HF

OTHER

Sponsor Role lead

Responsible Party

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Espen Lindholm

Seksjonsoverlege

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Espen Lindholm, MD

Role: STUDY_DIRECTOR

Vestfold Hospital trust, Norway

Knut A Kirkebøen, PhD

Role: PRINCIPAL_INVESTIGATOR

Oslo University Hospital - Ullevål, Norway

Mathias Kotyra, Md

Role: PRINCIPAL_INVESTIGATOR

Mölndal hospital, Sweden

Anders Nydahl, Phd

Role: PRINCIPAL_INVESTIGATOR

University Hospital Örebro, Sweden

Locations

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Oslo University Hospital - Ullevål

Oslo, , Norway

Site Status

Vestfold Hospital Trust

Tønsberg, , Norway

Site Status

Mölndal Hospital

Gothenburg, , Sweden

Site Status

Universitety Hospital Örebro

Hudiksvall, , Sweden

Site Status

Countries

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Norway Sweden

Other Identifiers

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SIMPLE

Identifier Type: -

Identifier Source: org_study_id