RecruitingPhase 3NCT07288398

LEVEL-2: LEVosimendan to Improve Exercise Limitation in Patients With PH-HFpEF-2

A Phase 3, Double-Blind, Randomized, Placebo-Controlled Study of Levosimendan in Pulmonary Hypertension Patients With Heart Failure With Preserved Left Ventricular Ejection Fraction


Sponsor

Tenax Therapeutics, Inc.

Enrollment

540 participants

Start Date

Mar 3, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to assess the efficacy and safety of the study drug, levosimendan (given orally), compared to placebo in participants with pulmonary hypertension with heart failure with preserved left ventricular ejection fraction (PH-HFpEF) as measured by the change in 6-Minute Walk Distance.


Eligibility

Min Age: 18 YearsMax Age: 85 Years

Inclusion Criteria8

  • Men or women, ≥18 to 85 years of age
  • NYHA Class II or III or ambulatory NYHA Class IV symptoms
  • A diagnosis of World Health Organization (WHO) Group 2 PH-HFpEF with qualifying hemodynamics verified by right heart catheterization (RHC)
  • A qualifying baseline RHC
  • A qualifying echocardiogram
  • A qualifying 6-MWD
  • A 48-hour ambulatory cardiac rhythm monitor during the Screening Period
  • Requirements related to child bearing potential, contraception, and egg/sperm donation)

Exclusion Criteria8

  • A diagnosis of PH WHO Groups 1, 3, 4, or 5
  • Echocardiographic evidence for hypertrophic cardiomyopathy, restrictive cardiomyopathy, constrictive pericarditis, cardiac amyloidosis, or infiltrative cardiomyopathy
  • Structural heart repair or replacement of the aortic valve or mitral valve (surgical or percutaneous) OR, planned valve intervention OR, the presence of significant valve disease
  • A diagnosis of pre-existing lung disease
  • History of severe allergic or anaphylactic reaction or hypersensitivity to the excipients in the investigational product
  • Major surgery within 60 days
  • Prior heart, lung, or heart-lung transplants or life expectancy of \<12 months
  • History of clinically significant other diseases that may limit or complicate participation in the study

Interventions

DRUGTNX-103

Oral levosimendan

DRUGPlacebo

Matching placebo (oral)


Locations(92)

Tenax Investigational Site

Alexander City, Alabama, United States

Tenax Investigational Site

Tamarac, Florida, United States

Tenax Investigational Site

Mount Prospect, Illinois, United States

Tenax Investigational Site

Peoria, Illinois, United States

Tenax Investigational Site

New Orleans, Louisiana, United States

Tenax Investigational Site

West Monroe, Louisiana, United States

Tenax Investigational Site

Ypsilanti, Michigan, United States

Tenax Investigational Site

Reno, Nevada, United States

Tenax Investigational Site

New York, New York, United States

Tenax Investigational Site

Winston-Salem, North Carolina, United States

Tenax Investigational Site

Allentown, Pennsylvania, United States

Tenax Investigational Site

Wynnewood, Pennsylvania, United States

Tenax Investigational Site

Nashville, Tennessee, United States

Tenax Investigational Site

Austin, Texas, United States

Tenax Investigational Site

Dallas, Texas, United States

Tenax Investigational Site

Houston, Texas, United States

Tenax Investigational Site

Norfolk, Virginia, United States

Tenax Investigational Site

Marshfield, Wisconsin, United States

Tenax Investigational Site

Buenos Aires, Buenos Aires F.D., Argentina

Tenax Investigational Site

Corrientes, Corrientes Province, Argentina

Tenax Investigational Site

San Luis, San Luis Province, Argentina

Tenax Investigational Site

Braunau am Inn, Austria

Tenax Investigational Site

Graz, Austria

Tenax Investigational Site

Klagenfurt, Austria

Tenax Investigational Site

Sankt Pölten, Austria

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Vienna, Austria

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Salvador, Estado de Bahia, Brazil

Tenax Investigational Site

Belo Horizonte, Minas Gerais, Brazil

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Curitiba, Paraná, Brazil

Tenax Investigational Site

Ribeirão Preto, São Paulo, Brazil

Tenax Investigational Site

Pleven, Bulgaria

Tenax Investigational Site

Sofia, Bulgaria

Tenax Investigational Site

Sofia, Bulgaria

Tenax Investigational Site

Sofia, Bulgaria

Tenax Investigational Site

Ostrava, Czechia

Tenax Investigational Site

Prague, Czechia

Tenax Investigational Site

Prague, Czechia

Tenax Investigational Site

Le Kremlin-Bicêtre, France

Tenax Investigational Site

Montpellier, France

Tenax Investigational Site

Nantes, France

Tenax Investigational Site

Nice, France

Tenax Investigational Site

Pau, France

Tenax Investigational Site

Bad Bevensen, Germany

Tenax Investigational Site

Bad Nauheim, Germany

Tenax Investigational Site

Berlin, Germany

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Dresden, Germany

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Hamburg, Germany

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Jena, Germany

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Budapest, Hungary

Tenax Investigational Site

Budapest, Hungary

Tenax Investigational Site

Debrecen, Hungary

Tenax Investigational Site

Szeged, Hungary

Tenax Investigational Site

Acquaviva delle Fonti, Italy

Tenax Investigational Site

Messina, Italy

Tenax Investigational Site

Milan, Italy

Tenax Investigational Site

Milan, Italy

Tenax Investigational Site

Milan, Italy

Tenax Investigational Site

Pavia, Italy

Tenax Investigational Site

Pisa, Italy

Tenax Investigational Site

Roma, Italy

Tenax Investigational Site

Rozzano, Italy

Tenax Investigational Site

Poznan, Poland

Tenax Investigational Site

Wroclaw, Poland

Tenax Investigational Site

Wroclaw, Poland

Tenax Investigational Site

Cheongju-si, South Korea

Tenax Investigational Site

Gwangju, South Korea

Tenax Investigational Site

Incheon, South Korea

Tenax Investigational Site

Seoul, South Korea

Tenax Investigational Site

Seoul, South Korea

Tenax Investigational Site

Wŏnju, South Korea

Tenax Investigational Site

Barcelona, Spain

Tenax Investigational Site

Barcelona, Spain

Tenax Investigational Site

Barcelona, Spain

Tenax Investigational Site

Lugo, Spain

Tenax Investigational Site

Madrid, Spain

Tenax Investigational Site

Madrid, Spain

Tenax Investigational Site

Madrid, Spain

Tenax Investigational Site

Marbella, Spain

Tenax Investigational Site

Málaga, Spain

Tenax Investigational Site

Pamplona, Spain

Tenax Investigational Site

Salamanca, Spain

Tenax Investigational Site

Seville, Spain

Tenax Investigational Site

Toledo, Spain

Tenax Investigational Site

Valencia, Spain

Tenax Investigational Site

Valencia, Spain

Tenax Investigational Site

Kaohsiung City, Taiwan

Tenax Investigational Site

Kaohsiung City, Taiwan

Tenax Investigational Site

Taipei, Taiwan

Tenax Investigational Site

Taipei, Taiwan

Tenax Investigational Site

Taoyuan District, Taiwan

Tenax Investigational Site

Cambridge, United Kingdom

Tenax Investigational Site

Swindon, United Kingdom

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NCT07288398