Levosimendan to see if it helps the heart after PEA in CTEPH
Official title: The Effect of Levosimendan on Pulmonary Artery Pressure and Right Ventricular Function in the Perioperative Period in Patients With CTEPH After Pulmonary Thromboendarterectomy: a Single-center Pilot Prospective Randomized Placebo-controlled Double-blind Clinical Trial
Run by Meshalkin Research Institute of Pathology of Circulation · NCT07914933 · Data updated 2026-11-12
This small randomized trial tests whether giving levosimendan around surgery helps reduce pulmonary artery pressure and support right heart function after pulmonary endarterectomy for CTEPH.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Meshalkin Research Institute of Pathology of Circulation Research network |
| Locations | 1 site (Novosibirsk) |
| Status | Recruiting |
| Started | April 29, 2025 |
| Main results expected | November 2027 |
| Study ends | December 2027 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT07914933 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) scheduled for pulmonary thromboendarterectomy for CTEPH who consent to participate and have no major exclusions.
✕Probably not a fit
Patients with significant renal or hepatic impairment, those already taking levosimendan within 30 days, or those who develop ECMO need or pulmonary hemorrhage perioperatively may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this single-center pilot study, adults undergoing pulmonary endarterectomy for CTEPH are randomized to receiveslevosimendan or a placebo infusion in the perioperative period. The aim is to see if levosimendan lowers pulmonary artery pressure and improves right ventricular function, while reducing the need for additional inotropic and vasopressor support. Safety and postoperative course are also monitored to identify potential benefits or risks. The study reflects a targeted, early-phase approach to address residual pulmonary hypertension and right heart strain after surgery.
Why it matters
Potential benefit: If successful, levosimendan could improve heart function and reduce complications after PEA for CTEPH.
How similar studies have gone: Prior research supports the concept of using inodilators like levosimendan in perioperative PAH contexts, but data in post-PEA CTEPH are limited and this trial adds targeted, perioperative evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Voluntary signed informed consent to participate in the study * Scheduled for pulmonary thromboendarterectomy surgery * Aged ≥18 years Exclusion Criteria : * Patient refusal * Language barrier preventing understanding of the study * Severe renal failture (creatinine clearance \<30 mL/min) * Severe hepatic insufficiency (Child-Pugh score \>9 points) * Participation in other clinical trials * History of allergic reaction to levosimendan, Soluvit, or any of their components * Use of levosimendan within 30 days prior to screening Discontinuation Criteria (or Withdrawal Criteria): * Need for extracorporeal membrane oxygenation (ECMO) support during the perioperative period * Pulmonary hemorrhage during the perioperative period
Where it's running
-
Meshalkin Research Institute of Pathology of Circulation
Novosibirsk, Russia Recruiting
Study contacts
- Study coordinator: Gleb Moroz, PhD
- Email: g_moroz@meshalkin.ru
- Phone: +79833177148
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.