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Levosimendan

Phase 4

Acute Heart Failure | Small molecule | Cardiovascular |Abbott Laboratories|Trials Updated: Nov 20, 2007

Levosimendan development status

Highest phase Phase 4 run by Collegium Medicum w Bydgoszczy (NCT03764722)
Phase scored for ABTPhase 3
Registered trials 9 across 5 sponsors since Nov 2002

Levosimendan target and mechanism

Molecular targetPDE3A, PDE3B, TNNC1, TNNI3, TNNT2
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials2
Total Enrollment1,900

FDA Designations

No designations recorded

Levosimendan clinical trials

Levosimendan · 2 trials · 2 indications

Phase 3 2
NCT00348504Survival of Patients With Acute Heart Failure in Need of Intravenous Inotropic Support: a Multicentre, Parallel-Group, Randomised, Double-Blind, Double-Dummy Study of Levosimendan Versus Dobutamine in Patients With Acute Heart Failure.Acute Heart Failure
COMPLETED1,300 Analytics
NCT00048425Evaluation of Intravenous Levosimendan Efficacy in the Short Term Treatment of Decompensated Chronic Heart Failure.Heart Failure, Congestive
COMPLETED600 Analytics
PHASE3COMPLETED
Survival of Patients With Acute Heart Failure in Need of Intravenous Inotropic Support: a Multicentre, Parallel-Group, Randomised, Double-Blind, Double-Dummy Study of Levosimendan Versus Dobutamine in Patients With Acute Heart Failure.
Acute Heart FailureUnlock trial analytics
PHASE3COMPLETED
Evaluation of Intravenous Levosimendan Efficacy in the Short Term Treatment of Decompensated Chronic Heart Failure.
Heart Failure, CongestiveUnlock trial analytics

Study Endpoints

Primary Endpoints

All-cause mortality in the 180 days following randomization.
A clinical composite classification incorporating a Patient Global Assessment at 6 hours, 24 hours and Day 5, combined with clinical criteria for worsening heart failure through 5 days after the start of the study drug infusion.

Secondary Endpoints

All-cause mortality during the 31 days following randomization
Mean change in plasma BNP concentration from baseline to 24 hours after the start of the study drug infusion
Number of day alive and out of hospital (DAOH) during the 180 days following randomization
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Interventions

NameTypeDescription
levosimendanDRUG -
dobutamineDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Written, signed and dated informed consent * Male and female patients over 18 years of age. Females of childbearing potential must have a negative pregnancy test and must refrain from breastfeeding. Women who are postmenopausal \[two years since last menstrual cycle\], surgica...

Countries:United StatesAustraliaCanadaIsrael
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Frequently asked questions about Levosimendan

What is Levosimendan used for?

Levosimendan is being developed for the treatment of acute heart failure and decompensated congestive heart failure. It is intended for patients who need intravenous inotropic support, meaning it is studied in hospitalized patients whose hearts are not pumping strongly enough. It is a small molecule therapeutic in the cardiovascular area.

What does Levosimendan target?

Levosimendan targets PDE3A and PDE3B, which are phosphodiesterase enzymes, and also binds the cardiac troponin proteins TNNC1, TNNI3 and TNNT2. It acts as an inhibitor at these targets. This combination of phosphodiesterase inhibition and troponin binding underlies its activity as an intravenous inotropic agent in heart failure.

Who is developing Levosimendan?

Levosimendan is being developed by Abbott Laboratories, which trades under the ticker ABT. Abbott is the company associated with the clinical development program for this small molecule cardiovascular asset.

What phase is Levosimendan in?

Levosimendan is in Phase 3 clinical development. It is an investigational agent and is not described as approved. The Phase 3 program includes completed randomized, double-blind trials in acute heart failure and decompensated chronic heart failure, with enrollment of 1,300 and 600 patients respectively.

What clinical trials is Levosimendan in?

Levosimendan has been studied in completed Phase 3 trials. NCT00348504 compared intravenous levosimendan with dobutamine in 1,300 patients with acute heart failure requiring inotropic support, and NCT00048425 evaluated intravenous levosimendan in 600 patients with decompensated chronic heart failure. Both trials enrolled adults aged 18 years and older.

Is Levosimendan the same as Simdax?

Levosimendan is also known by the brand name Simdax. Searches for Simdax refer to the same small molecule developed by Abbott Laboratories for acute heart failure and decompensated congestive heart failure. The two names describe one investigational cardiovascular drug in Phase 3 development.