CClinicalTrials.gg
Enrolling by invitationNCT07436689Updated Sep 9, 2026

Long-Term Open-Label Extension Study of Oral Levosimendan

A Phase 3 interventional study of TNX-103 in Pulmonary Hypertension Associated With HFpEF, sponsored by Tenax Therapeutics, Inc.. Enrolling by invitation at 9 sites in United States. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by Tenax Therapeutics, Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
800
Allocation
Not applicable
Sex
All
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Study summary

The purpose of this study is to provide continued access to treatment with oral levosimendan (TNX-103) and to describe the safety of continued use of TNX-103 in participants with pulmonary hypertension with heart failure with preserved left ventricular ejection fraction (PH-HFpEF) who received TNX-103 in a parent study.

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Conditions studied

  • Pulmonary Hypertension Associated With HFpEF

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Keywords

  • PH-HFpEF
  • levosimendan
  • HFpEF
  • Heart Failure
  • Pulmonary Hypertension Group 2
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In context

Heart Failure

5,697 studies on the registry are indexed under Heart Failure; 1,219 are open to participants now.

This study's planned enrollment of 800 is above the median of 72 across 3,733 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Tenax Therapeutics, Inc. is the lead sponsor of 9 studies on the registry; 2 are open to participants now.

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

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Completed a TNX-103 parent study
  • Investigator confirmation that participant may derive clinical benefit from continued access to TNX-103
  • Requirements related to childbearing potential, contraception, and egg/sperm donation

Exclusion criteria

Exclusion Criteria:

  • Investigator or Sponsor opinion that the participant is unsuitable due to safety, inability to comply, or factors that could compromise study integrity or participant well-being
  • Severe hepatic impairment or cirrhosis (Child-Pugh C) or active untreated hepatitis B or C with evidence of recent infection or viral replication
  • Estimated glomerular filtration rate (eGFR) \< 30 mL/min/1.73 m²
  • Pregnancy or breastfeeding in females
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
800 participants (estimated)

Study arms

  • Experimental
    TNX-103

    Open-label oral levosimendan 1-3mg

    Drug: TNX-103

Interventions

  • DrugTNX-103

    Open-label oral levosimendan 1-3mg

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What researchers measure

Primary outcomes

  1. The incidence (i.e., the percentage of patients who experience at least 1 occurrence) of select AE/SAEs

    The incidence (i.e., the percentage of patients who experience at least 1 occurrence) of select AE/SAEs will be tabulated by system organ class and preferred term.

    Time frame: From enrollment through study completion (up to 3 years)

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Study locations

9 sites
  • Tenax Investigational Site
    Chicago, Illinois 60611, United States
  • Tenax Investigational Site
    Boston, Massachusetts 02114, United States
  • Tenax Investigational Site
    Minneapolis, Minnesota 55455, United States
  • Tenax Investigational Site
    Rochester, Minnesota 55905, United States
  • Tenax Investigational Site
    St Louis, Missouri 63136, United States
  • Tenax Investigational Site
    Omaha, Nebraska 68198, United States
  • Tenax Investigational Site
    Durham, North Carolina 27710, United States
  • Tenax Investigational Site
    Charleston, South Carolina 29425, United States
  • Tenax Investigational Site
    Madison, Wisconsin 53792, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07436689
Lead sponsor
Tenax Therapeutics, Inc.
Responsible party
Sponsor
First posted
Feb 27, 2026
Start date
Mar 13, 2026
Primary completion
Mar 2029 (estimated)
Completion
Mar 2029 (estimated)
Last update
Sep 9, 2026

Oversight

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

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No contact was published for this record. The registry link below has the sponsor’s details.

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