Heart drug showdown: which protects the right ventricle better after valve surgery?
NCT ID NCT07416331
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested two drugs, levosimendan and dobutamine, in 52 adults undergoing heart valve replacement. The goal was to see which one better preserves right ventricular function after surgery. Patients were randomly assigned to receive one of the drugs, and their heart function was measured using echocardiograms at several time points.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- levosimendan and dobutamine
- What this could lead to
- If one drug proves better, it could become the preferred choice to protect heart function during valve surgery.
- What could go wrong
- This is a small, single-center study with only 52 patients, so results may not apply to everyone. The drugs also have known side effects like low blood pressure or heart rhythm issues.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
52 people
The number who actually took part.
- Started
-
Aug 2024
- Finished
-
Aug 2025
- Lead sponsor
-
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.
Who is studied
Adult patients scheduled for valve replacement surgery with PAH (an estimated right ventricular systolic pressure more than 50 mmHg, or mean PAP more than 40 mmHg, or systolic PAP exceeding 50% of systemic systolic pressure). Pregnant Patients or . Patients with severe renal dysfunction (GFR 15 to 29 ml/min per 1.73 m2 )or Severe hepatic or patients with Uncontrolled diabetes mellitus (HBA1C more than 8 )or patients needed inotropic support before surgery were excluded from the study.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥18 years * Undergoing mitral and/or aortic valve replacement * PAH (an estimated right ventricular systolic pressure more than 50 mmHg, or mean PAP more than 40 mmHg, or systolic PAP exceeding 50% of systemic systolic pressure). Exclusion Criteria: * Potential pregnancy. * Refusal to participate. * Patients with severe renal dysfunction (GFR 15 to 29 ml/min per 1.73 m2 ) * Severe hepatic dysfunction.( Grade 4: AST/ALT \>20.0 x(upper limit normal ) * Prolonged QT interval. * Emergency surgery, * Requiring preoperative inotropes. * Uncontrolled diabetes mellitus (HBA1C more than 8 )
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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
-
Helwan University
Giza, 12566, Egypt
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