Effect of Early Use of Levosimendan Versus Placebo on Top of a Conventional Strategy of Inotrope Use on a Combined Morbidity-mortality Endpoint in Patients With Cardiogenic Shock

PHASE3RecruitingINTERVENTIONAL
Enrollment

610

Participants

Timeline

Start Date

July 3, 2023

Primary Completion Date

February 3, 2027

Study Completion Date

January 3, 2028

Conditions
Cardiogenic Shock
Interventions
DRUG

Levosimendan 2.5 MG/ML Injectable Solution

Levosimendan will be diluted with Glucose G5%. The reconstitution of levosimendan will be performed, as close as possible to the start of the infusion. A continuous infusion of levosimendan will be administered over 24 h without bolus, started at a rate of 0.1 μg per kilogram of body weight per minute and, in both the persistence of hypoperfusion signs and in the absence of rate-limiting side effects, will be increased after 2 to 4 hours to a maximum of 0.2 μg per kilogram per minute for a further 20 to 22 hours.

DRUG

Placebo

Placebo will be diluted with Glucose G5%. The reconstitution of Placebo will be performed, as close as possible to the start of the infusion. A continuous infusion of Placebo will be administered over 24 h without bolus, started at a rate of 0.1 μg per kilogram of body weight per minute and, in both the persistence of hypoperfusion signs and in the absence of rate-limiting side effects, will be increased after 2 to 4 hours to a maximum of 0.2 μg per kilogram per minute for a further 20 to 22 hours.

Trial Locations (28)

13015

RECRUITING

AP-HM, Nord Hospital, Marseille, Marseille

13385

RECRUITING

AP-HM CHU la Timone, Marseille

14000

NOT_YET_RECRUITING

CHU Caen, Caen

21000

RECRUITING

CHU Dijon, Dijon

25000

RECRUITING

CHU Besançon Jean Minjoz Hospital, Besançon

30029

RECRUITING

CHU Nîmes, Carémeau Hospital, Nîmes

31059

RECRUITING

CHU de Toulouse, Toulouse

33600

RECRUITING

CHU Bordeaux - Hopital haut-leveque, Bordeaux

34090

RECRUITING

CHU Montpellier, Arnaud de Villeneuve Hospital, Montpellier

34295

RECRUITING

CHU Montpellier -hôpital Arnaud de Villeneuve, Montpellier

35000

RECRUITING

CHU Rennes, Pontchaillou Hospital, Rennes

38043

RECRUITING

CHU Grenoble, Michallon Hospital, La Tronche

38700

RECRUITING

CHU Grenoble -USIC, La Tronche

44000

RECRUITING

CHU Nantes, Nantes

57245

RECRUITING

CHR Metz-Thionville, Mercy Hospital, Ars-Laquenexy

59000

RECRUITING

CHRU Lille, Cœur Poumon Institute, Lille

67091

RECRUITING

CHRU Strasbourg -Nouvel Hôpital Civil, Strasbourg

69500

RECRUITING

Hospices Civils de Lyon - Louis Pradel Hospital, Bron

75013

RECRUITING

APHP, La Pitié Salpêtrière (medical intensive care unit), Paris

84000

NOT_YET_RECRUITING

CH Henri Duffaut, Avignon, Avignon

87000

RECRUITING

CHU Limoges, Dupuytren Hospital, Limoges

94010

RECRUITING

APHP, Henri Mondor Hospital, Créteil

Unknown

RECRUITING

CHU Bordeaux, Bordeaux

NOT_YET_RECRUITING

HENRI MONDOR -réanimation, Créteil

RECRUITING

Chu Dijon, Dijon

RECRUITING

Chu Rouen, Rouen

NOT_YET_RECRUITING

HU Strasbourg USIC, Strasbourg

RECRUITING

CHRU Nancy, Vandœuvre-lès-Nancy

All Listed Sponsors
lead

Pr Bruno LEVY

OTHER