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Phase 2 N=35 Treatment

Open-Label Rollover Study of Levosimendan in PH-HFpEF Patients

Hypertension Pulmonary Secondary Heart Failure · Right Sided Heart Failure With Normal Ejection Fraction · Heart Failure With Normal Ejection Fraction

Enrolled (actual)
35
Serious AEs
68.6%
Results posted
Apr 2026
Primary outcome: Primary: Clinical Safety — 33 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Levosimendan (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Tenax Therapeutics, Inc.
Primary completion
Apr 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Clinical Safety
33

Summary

PH-HFpEF patients will receive open-label doses of levosimendan and be periodically evaluated for safety in extended use.

Eligibility Criteria

Inclusion Criteria

  • Provide a personally signed and dated informed consent document prior to initiation of any study-related procedures that are not considered standard of care.
  • Completed double-blind therapy in a PH-HFpEF clinical study sponsored by Tenax Therapeutics, Inc.
  • May, in the opinion of the Investigator, benefit from continued levosimendan treatment.
  • Female patients of childbearing potential must agree to use a highly effective method of contraception.
  • Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests and other study procedures.

Exclusion Criteria

  • Discontinued treatment in the parent study for any reason other than study completion or Sponsor termination of the study.
  • Pregnant or breastfeeding women.
  • Local access to commercially available levosimendan
  • Inability to comply with planned study procedures
  • Patients with scheduled lung or heart transplant or cardiac surgery
  • Dialysis developed since enrollment in parent study (either hemodialysis, peritoneal dialysis, continuous venovenous hemofiltration, or ultrafiltration)
  • Estimated glomerular filtration rate (eGFR) 150kg
  • Systolic blood pressure (SBP) cannot be managed to ensure SBP >100 mmHg at initiation of study drug
  • Heart rate >100 bpm with study drug, persistent for at least 10 minutes at screening.
  • Hemoglobin 5.5 mmol/L at baseline that is unresponsive to management
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03624010). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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