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CompletedNCT06784570Updated Jan 20, 2025

Impact of Perioperative Levosimendan on Patients Undergoing Cardiac Surgery With Low Ejection Fraction

A Phase 2 interventional study of levosemindan and adrenaline,noreadrenaline,dopamine and doputamine in Cardiac Surgery and Low Ejection Fraction, sponsored by Zagazig University. Completed at 1 site in Egypt. Open to participants aged 20 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-01-20.

Sponsored by Zagazig University · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Registered 4 years after the study started (first participant enrolled Jan 2021, registered Jan 2025).
Phase
Phase 2
Study type
Interventional
Enrollment
240
Allocation
Non-randomized
Ages
20 Years to 70 Years
Sex
All
01

Study summary

to compar levosemindan to other cardiac intropic medications that strengthen the heart in diffrent common adult heart surgery with patients with low ejection fraction(weak heart)

Read the detailed description

in this study show the effect of levosemindan use during coronary artery surgery ,heart valve surgery and combined coronary and valve surgery in comparison to other traditional medications with patients with low ejection fraction(weak heart)

02

Conditions studied

  • Cardiac Surgery
  • Low Ejection Fraction

Keywords

  • levosemindan- low ejection fraction-cardiac surgery
03

In context

Lead sponsor

Zagazig University is the lead sponsor of 447 studies on the registry; 75 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
20 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Valve surgery
  2. CABG surgery,
  3. combined surgery
  4. all patients Ejection Fraction less than 35 ٪ -

Exclusion criteria

Exclusion Criteria:

  1. Patients age ≤ 20-70 \< years
  2. Aortic and redo surgery
  3. any patients with Ejection Fraction more than 35 ٪ -
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
240 participants (actual)

Study arms

  • Experimental
    levosemindan

    this group of patients will recieve levosemindan

    Drug: levosemindan

  • Active comparator
    traditional

    this group of patients will recieve traditional intropic drugs

    Drug: adrenaline,noreadrenaline,dopamine and doputamine

Interventions

  • Druglevosemindan

    In common practice the loading dose is omitted as it is associated with hypotension.9 Usual dose range: 0.05 to 0.2 microg/kg/min. Dose based on actual body weight up to a maximum of 120 kg.5 Commence infusion at 0.05 microg/kg/min. If the initial rate is tolerated, consider increasing the maintenance rate to 0.1 microg/kg/min after 60 minutes. If the patient remains haemodynamically stable, further increase the dose to 0.2 microg/kg/min for the remainder of the infusion.

  • Drugadrenaline,noreadrenaline,dopamine and doputamine

    adrenaline:\*4 9 %$ 0 \*\*\*\*8\*4\* 9 : ,- 4 - \*4 9 \* C % F\*4 9 9 9 noreadrenaline:# \*4 9 C % 9 F 9 9 \*4\* Q\*4 9 9 dopamine:9 \* C % 9 F 9 9 ) \* 9 9 dobutamine:9 \* C % F 9 9 9 \* 9 9

06

What researchers measure

Primary outcomes

  1. death through day 30,

    death occured either intraoperative , ICU, ward or after discharge to home within month of the day of the surgery

    Time frame: 1 month (no scale for measurement as death may occured due to multible causes that be difficult to be identified and measured )

  2. Renal-replacement therapy

    included haemodialysis, peritoneal dialysis, or continuous Veno venous haemodialysis(indicated when serum creatinine above 2.0 mg/dl or an increase of 50% above baseline value)

    Time frame: 1 month

  3. Perioperative myocardial infarction

    defined as a creatine kinase MB level of more than 100 ng per millilitre or a level that was more than 10 times the upper limit of the normal range specified at the local laboratory, regardless of changes on the electrocardiogram, or a creatine kinase MB level that was more than 50 ng per millilitre or a level that was more than 5 times the upper limit of the normal range with new Q waves that were more than 30 msec in duration in two contiguous leads or new left bundle-branch block

    Time frame: 5 days

  4. Intra Aortic Ballon Pumb insertion

    it consisidered to be one of the ventricular assissted device that need to be inserted in post cardiac surgery shocked patiients that not respond heamdynamically to highest doses of cardiac intropes

    Time frame: 5 days(no scale for measurement )

07

Study locations

1 site
  • cardiothorathic surgery department -faculty of medecine-zagazig univeristy-Egypt
    Zagazig, El Sharkia 44519, Egypt
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06784570
Lead sponsor
Zagazig University
Responsible party
Mohamed Ibrahim Mohamed El Anwar (assis professor, Zagazig University) — Principal investigator
First posted
Jan 20, 2025
Start date
Jan 1, 2021
Primary completion
Mar 1, 2024
Completion
Aug 1, 2024
Last update
Jan 20, 2025

Oversight

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

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This study is completed, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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