Heart failure & cardiomyopathiesRandomised controlled trial

Repetitive Levosimendan Infusions for Patients with Advanced Chronic Heart Failure in the Vulnerable Post-Discharge Period: The Multinational Randomized LeoDOR Trial

Eur J Heart FailPublished

  • Randomised controlled trial
  • multicentre
  • double-blind
  • placebo-controlled
  • 2:1 randomisation
  • multinational

Authors' conclusion

Among patients recently hospitalized with HF and reduced LVEF, intermittent levosimendan therapy did not improve post-hospitalization clinical stability.

Study context

Population
Patients with advanced heart failure (HF) and left ventricular ejection fraction (LVEF) ≤30%, at the end of an index hospitalisation for acute HFmodified ITT
Participants
145 patients
Comparison
Intermittent levosimendan vs placebo
  • Levosimendann = 93
  • Placebon = 52reference

Primary result

As reported in the abstract

Mean rank score · 14 weeks

Levosimendan

72.55

mean rank score

Placebo

73.81

mean rank score

P = 0.863

Further findings

OutcomeHR (95% CI)P value
Individual clinical components of the primary endpoint · 14 weeks2.94 (1.12–7.68)P = 0.021
Individual clinical components of the primary endpoint · 26 weeks1.64 (0.87–3.11)P = 0.122

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Repetitive Levosimendan Infusions for Patients with Advanced Chronic Heart Failure in the Vulnerable Post-Discharge Period: The Multinational Randomized LeoDOR Trial. Eur J Heart Fail. Published 4 September 2023. doi:10.1002/ejhf.3006

Summarised from the published abstract; every number is checked against it