ClinicalTrials.gg
RecruitingNCT06387862SymbiovUpdated May 20, 2024

Pharmacokinetics of Inhaled Levosimendan

A Phase 2 interventional study of Levosimendan 2.5 milligram/milliliter Injectable Solutiondose Inhaled and Levosimendan 2.5 milligram/milliliter Injectable Solutiondose Intravenous in Left Ventricular Dysfunction, sponsored by Universitair Ziekenhuis Brussel. Recruiting at 1 site in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-20.

Sponsored by Universitair Ziekenhuis Brussel · Phase 2, Interventional, and Basic science

From the registry’s dates

  • Primary completion was expected by Nov 2024, 2 years ago, but the record still lists the study as recruiting.
  • Started Feb 2024; still recruiting 2 years 9 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
6
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

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

02

Conditions studied

  • Left Ventricular Dysfunction

Keywords

  • levosimendan
  • inhalation
  • pharmakokinetic
03

In context

Ventricular Dysfunction, Left

260 studies on the registry are indexed under Ventricular Dysfunction, Left; 57 are open to participants now.

This study's planned enrollment of 6 is below the median of 100 across 151 interventional studies indexed under Ventricular Dysfunction, Left.

Browse Ventricular Dysfunction, Left studies →

Lead sponsor

Universitair Ziekenhuis Brussel is the lead sponsor of 375 studies on the registry; 107 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

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

Exclusion criteria

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
  • requiring long-term treatment with β-agonists, Theophylline, or ( \< 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 /alanine aminotransferase >2 times and/or increased level of (> 2 times the upper limit of normal and increase of (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 agent within 30 days before study entry
  • Intubated and mechanically ventilated at the time of study entry
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
6 participants (estimated)

Study arms

  • Experimental
    Levosimendan inhalation

    Levosimendan 12µg/kg inhalation over 10 minutes, once

    Drug: Levosimendan 2.5 milligram/milliliter Injectable Solutiondose Inhaled

  • Active comparator
    Levosimendan intravenous

    Levosimendan 12µg/kg intravenous over 10 minutes, once

    Drug: Levosimendan 2.5 milligram/milliliter Injectable Solutiondose Intravenous

Interventions

  • DrugLevosimendan 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.

  • DrugLevosimendan 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

06

What researchers measure

Primary outcomes

  1. Bioavailability of inhaled levosimendan

    Assessment of bioavailability of inhaled levosimendan in spontaneous breathing patients,

    Time frame: Baseline, plasma samples at 5 minutes, 10 minutes, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1hour 30 minutes, 2 hours , 3 hours , 6 hours, 10 hours after end of infusion/inhalation

  2. Time-to-peak of inhaled levosimendan

    Assessment of time-to-peak plasma concentration of inhaled levosimendan in spontaneous breathing patients

    Time frame: Baseline, plasma samples at 5 minutes, 10 minutes, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1hour 30 minutes, 2 hours , 3 hours , 6 hours, 10 hours after end of infusion/inhalation

  3. Elimination half-life of inhaled levosimenan

    Assessment of elimination half-life of inhaled levosimendan in spontaneous breathing patients

    Time frame: Baseline, plasma samples at 5 minutes, 10 minutes, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1hour 30 minutes, 2 hours , 3 hours , 6 hours, 10 hours after end of infusion/inhalation

Secondary outcomes

  1. Effect of inhaled levosimendan on MAP

    Assessment of effect of inhaled levosimendan on invasively-measured hemodynamic parameter mean arterial blood pressure (MAP)

    Time frame: Baseline, plasma samples at 5 minutes, 10 minutes, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1hour 30 minutes, 2 hours , 3 hours , 6 hours, 10 hours after end of infusion/inhalation

  2. Effect of inhaled levosimendan on TVR

    Assessment of effect of inhaled levosimendan on invasively-measured hemodynamic parameter total vascular resistance (TVR)

    Time frame: Baseline, plasma samples at 5 minutes, 10 minutes, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1hour 30 minutes, 2 hours , 3 hours , 6 hours, 10 hours after end of infusion/inhalation

  3. Effect of inhaled levosimendan on CO

    Assessment of effect of inhaled levosimendan on invasively-measured hemodynamic parameter Cardiac Output (CO)

    Time frame: Baseline, plasma samples at 5 minutes, 10 minutes, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1hour 30 minutes, 2 hours , 3 hours , 6 hours, 10 hours after end of infusion/inhalation

  4. Effect of inhaled levosimendan on LVOT VTI

    Assessment of effect of inhaled levosimendan on echocardiography-derived parameter left -ventricular-outflow-tract (LVOT) velocity-time-integral (VTI) as marker for cardiac output

    Time frame: Baseline, plasma samples at 5 minutes, 10 minutes, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1hour 30 minutes, 2 hours , 3 hours , 6 hours, 10 hours after end of infusion/inhalation

  5. Effect of inhaled levosimendan on FAC of the right vetricle

    Assessment of effect of inhaled levosimendan on echocardiography-derived parameter Fractional-Area-Change (FAC) of the right ventricle as marker of right ventricular function

    Time frame: Baseline, plasma samples at 5 minutes, 10 minutes, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1hour 30 minutes, 2 hours , 3 hours , 6 hours, 10 hours after end of infusion/inhalation

  6. Effect of inhaled levosimendan on S'

    Assessment of effect of inhaled levosimendan on echocardiography-derived parameter S' wave velocity as marker of right ventricular function

    Time frame: Baseline, plasma samples at 5 minutes, 10 minutes, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1hour 30 minutes, 2 hours , 3 hours , 6 hours, 10 hours after end of infusion/inhalation

  7. Effect of inhaled levosimendan on SPAP

    Assessment of effect of inhaled levosimendan on echocardiography-derived parameter (SPAP) systolic pulmonary artery pressure

    Time frame: Baseline, plasma samples at 5 minutes, 10 minutes, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 1 hour, 1hour 30 minutes, 2 hours , 3 hours , 6 hours, 10 hours after end of infusion/inhalation

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Feb 2024 (actual). Primary completion is estimated for Nov 2024, 9 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 9, 2024
First posted
Apr 29, 2024
StartActual
Feb 1, 2024
Primary completionEst.
Nov 2024
CompletionEst.
Jan 2025
Last update
May 20, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06387862
Responsible party
Sponsor
First posted
Apr 29, 2024
Start date
Feb 1, 2024
Primary completion
Nov 2024 (estimated)
Completion
Jan 2025 (estimated)
Last update
May 20, 2024

Study contacts

Matthias Raes, MD
Contact
matthias.raes@uzbrussel.be
024749872
Marie-Claire Van Malderen, SC
Contact
marieclaire.vanmalderen@uzbrussel.be
024763110
Matthias Raes, MD
principal investigator · Universitair Ziekenhuis Brussel

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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