Status:

UNKNOWN

Levosimendan Versus Placebo Before Tricuspid Valve Surgery in Patients With Right Ventricular Dysfunction

Lead Sponsor:

Assistance Publique - Hôpitaux de Paris

Conditions:

Patients Referred for an Isolated or a Combined Surgical Correction of Functional Moderate to Severe Tricuspid

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

A Prospective, multicenter, randomized (two arms, parallel groups); double-blind, placebo-controlled in order to assess the ability of preoperative levosimendan to prevent post-operative low cardiac o...

Detailed Description

Patients referred for an isolated or a combined surgical correction of functional moderate to severe tricuspid are randomized in 2 arms, the levosimendan group or to the placebo group. In the experim...

Eligibility Criteria

Inclusion

  • Patients referred for an isolated or a combined surgical correction of functional moderate to severe tricuspid regurgitation \[effective regurgitant orifice (ERO)\>20mm², or systolic hepatic vein flow blunting or reversal\]
  • Written signed informed consent
  • Affiliation to the French health care system (Sécurité Sociale)

Exclusion

  • Age \< 18 years
  • Severe organic renal dysfunction defined by creatinine clearance \<30mL/min
  • Recent endocarditis (\<3 months)
  • Recent myocardial infarction (\<3 months)
  • Tricuspid valve perforation or prolapse
  • Cardiogenic shock requiring dobutamine support or cardiac assistance
  • Severe liver injury (CHILD C)
  • Left ventricular obstruction
  • Allergy to levosimedan
  • Current participation in other investigational drug or device studies or being in the exclusion period at the end of a previous study involving human participants, if applicable
  • Pregnant or breastfeeding women
  • Females of childbearing potential without effective method of birth control
  • Patient on AME (state medical aid) unless exemption from affiliation
  • Hypotension with SBP\<90mmHg
  • Severe tachycardia
  • History of torsade de pointe

Key Trial Info

Start Date :

January 23 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 23 2025

Estimated Enrollment :

230 Patients enrolled

Trial Details

Trial ID

NCT05233202

Start Date

January 23 2023

End Date

January 23 2025

Last Update

May 15 2023

Active Locations (1)

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Assistance Publique Hôpitaux de Paris-Hôpital Henri Mondor

Créteil, France, 94000