Pharmacokinetics of Inhaled Levosimendan

NCT ID: NCT06387862

Last Updated: 2024-05-20

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-01

Study Completion Date

2025-01-31

Brief Summary

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Determination of biological availability, time-to-peak and elimination half-life of inhaled levosimendan by administration of an inhaled- and intravenous dose of levosimendan.

Detailed Description

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Conditions

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Left Ventricular Dysfunction

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Levosimendan inhalation

Levosimendan 12µg/kg inhalation over 10 minutes, once

Group Type EXPERIMENTAL

Levosimendan 2.5 milligram/milliliter Injectable Solutiondose Inhaled

Intervention Type DRUG

Each patient will receive 12µg/kg of levosimendan by inhalation over 10 min. During 10h following inhaled dose, plasma concentrations will be measured.

Levosimendan intravenous

Levosimendan 12µg/kg intravenous over 10 minutes, once

Group Type ACTIVE_COMPARATOR

Levosimendan 2.5 milligram/milliliter Injectable Solutiondose Intravenous

Intervention Type DRUG

Each patient will receive 12µg/kg of levosimendan by intravenous (IV) administration over 10 min and at the same timepoints plasma samples will be measured

Interventions

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Levosimendan 2.5 milligram/milliliter Injectable Solutiondose Inhaled

Each patient will receive 12µg/kg of levosimendan by inhalation over 10 min. During 10h following inhaled dose, plasma concentrations will be measured.

Intervention Type DRUG

Levosimendan 2.5 milligram/milliliter Injectable Solutiondose Intravenous

Each patient will receive 12µg/kg of levosimendan by intravenous (IV) administration over 10 min and at the same timepoints plasma samples will be measured

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subject \>18 years of age
* Scheduled for elective coronary artery bypass grafting (CABG)
* Provided written informed consent
* Impaired left ventricular function (LVEF \<40%)

Exclusion Criteria

* Known allergy for levosimendan or solutes
* Persistent angina, defined as Canadian Cardiovascular Society score \> I
* History of valvular intervention or uncorrected primary stenotic valve disease
* Uncorrected thyroid disease
* Infiltrative, hypertrophic or restrictive cardiomyopathy
* Pericardial disease
* Active myocarditis
* Chronic obstructive pulmonary disease requiring long-term treatment with β-agonists, Theophylline, or corticosteroids (FEV1 \< 80%; Tiffeneau-index \<0.7)
* History of serious arrhythmias, defined as a history of ventricular tachycardia or fibrillation other than that occurring within 24 hours after acute myocardial infarction (MI)
* resting heart rate \> 115 bpm for at least 10 minutes on repeated measurements
* Supine systolic blood pressure \< 85 mm Hg or \>200 mm Hg
* patients with implanted pacemaker/defibrillator or cardiac resynchronisation therapy (CRT-device)
* primary renal or hepatic impairment (creatinine \> 2.5 mg/dL or aspartate aminotransferase/alanine aminotransferase \>2 times upper limit of normal and/or increased level of bilirubin (\> 2 times the upper limit of normal and increase of international normalised ratio (INR) above the upper limit of normal, respectively)
* Uncorrected hypokalemia or hyperkalemia (potassium \<3.5 mmol/L or \>5.5 mmol/L)
* Uncorrected hypomagnesemia (magnesium \<0.65mmol/L)
* Treatment with another investigational agent within 30 days before study entry
* Intubated and mechanically ventilated at the time of study entry
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitair Ziekenhuis Brussel

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Matthias Raes, MD

Role: PRINCIPAL_INVESTIGATOR

Universitair Ziekenhuis Brussel

Locations

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UZ Brussel

Brussels, , Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Matthias Raes, MD

Role: CONTACT

024749872

Marie-Claire Van Malderen, SC

Role: CONTACT

024763110

Facility Contacts

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Matthias Raes, MD

Role: primary

024749872

Marie-Claire Van Malderen, SC

Role: backup

024763110

Other Identifiers

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2022SIMBIOV

Identifier Type: -

Identifier Source: org_study_id

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