Can a heart drug rescue failing kidneys in the ICU?
NCT ID NCT01720030
First seen Aug 21, 2026 · Last updated Aug 21, 2026
Summary
This trial tests whether levosimendan, a drug used to support the heart, can also improve kidney function in adults with acute kidney injury in intensive care. Participants receive either levosimendan or a placebo, and their kidney function is measured daily. The goal is to see if this drug can help kidneys recover faster and reduce complications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Levosimendan (Simdax), a drug given intravenously to support heart function and potentially protect the kidneys.
- What this could lead to
- If effective, levosimendan could offer a new way to help ICU patients recover kidney function during acute kidney injury, potentially reducing the need for dialysis.
- What could go wrong
- This is a mid-stage trial with a small number of participants, so results may not be conclusive. Levosimendan can affect blood pressure and heart rhythm, which requires careful monitoring.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
-
68 people
The number who actually took part.
- Started
-
Sep 2016
- Finished
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Oct 2017
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Clinically diagnosed adult patients with AKI Exclusion Criteria: * Failure to obtain written consent to participate from patient or legal representative (by deferred consent) * Patients entering the ICU for post-operative observation with an estimated length of stay less than 24 hrs. * Moribund patients * Patients under the age of 18 * Pregnancy * Patients suffering from pre-existing renal failure (elevated NGAL values without apparent rise in creatinine values) * Renal replacement therapy initiated before admission due to Chronic Kidney Disease * Hypersensitivity to levosimendan experienced by previous treatments * Severe hypotension and tachycardia * Significant mechanical obstruction affecting ventricular filling or outflow or both. * Severe hepatic impairment (ALAT/ASAT\>400U/L) * Patients will be excluded if the treating physician judges that study participation is undesirable for medical, medical-ethical or other reasons * Known history of Torsades de Pointes
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
VieCuri Medical Center
Venlo, Limburg, NL-5912 BL, Netherlands
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