Heart drug may speed ventilator weaning in ICU
NCT ID NCT07105202
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether levosimendan, a drug that strengthens heart and breathing muscles, can help critically ill patients get off a ventilator faster. About 250 adults who have been on a breathing machine for over 48 hours and failed a breathing test will receive either the drug or a placebo. The goal is to see if the drug increases the number of days alive and free from a ventilator.
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.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
About 250 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Sep 2025
- Expected to finish
-
Aug 2028
An estimate. End dates often move.
- 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.
- 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: * Invasively ventilated \> 48 hours. * Failed at least one spontaneous breathing trial (SBT). * Age above 18 years. * Female patients with age \< 60 must have a negative pregnancy test (blood or urine) prior to participation. Exclusion Criteria: * Pre-existing neuromuscular disease (congenital or acquired) * Endotracheally intubated primarily for neurological reason (e.g., traumatic brain injury, intracranial haemorrhage, epilepsy, intracranial infection), or developed severe intracranial haemorrhage/infarction during ICU stay. * Contra-indications for levosimendan: severe renal failure (creatinine clearance \<30mL/min) unless managed with appropriate continuous kidney replacement therapy (such as CRRT), severe liver failure (Child-Pugh class C), history of torsade des pointes; known significant mechanical obstructions affecting ventricular filling/ outflow or both; prolonged QTc interval (QTc \> 470ms); breast feeding; known hypersensitivity to levosimendan. * Treatment with intermittent haemodialysis. * Treatment limitation decision in place: do not reintubate * Previous treatment with levosimendan within 30 days. * Currently in another interventional trial that might interact with study drug or primary outcome.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Mechanical ventilation are added.
Genom att skicka in godkänner du våra Användarvillkor
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
8 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
Canisius Wilhelmina Ziekenhuis
RECRUITINGNijmegen, Gelderland, 6532SZ, Netherlands
-
Catharina Ziekenhuis Stichting
NOT_YET_RECRUITINGEindhoven, North Brabant, 5623EJ, Netherlands
-
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
NOT_YET_RECRUITINGRotterdam, South Holland, 3015GD, Netherlands
-
Intensive Care Medicine, Radboud University
RECRUITINGNijmegen, Gelderland, 6500 HB, Netherlands
-
Jeroen Bosch Ziekenhuis Stichting
RECRUITING's-Hertogenbosch, North Brabant, 5223GZ, Netherlands
-
Maasstad Ziekenhuis Stichting
RECRUITINGRotterdam, South Holland, 3079DZ, Netherlands
-
Rijnstate Ziekenhuis Stichting
RECRUITINGArnhem, Gelderland, 6815AD, Netherlands
-
Sint Franciscus Vlietland Groep Stichting
RECRUITINGRotterdam, South Holland, 3045 PM, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could letting patients breathe on their own sooner protect their lungs?
- Can tilting a Patient's body toward the infection help them breathe free sooner?
- The hidden breath: how a mismatch between patient and machine may shape ARDS recovery
- Can a bedside ultrasound predict which septic shock patients will stop breathing on their own?
- Could less food help critically ill patients recover faster?
- Can a battery keep ventilators running during ambulance transport?