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Enrolling by invitationPhase 3

Continued Oral Levosimendan Treatment for Pulmonary Hypertension With Preserved-Ejection Heart Failure

Continues oral levosimendan and tracks its safety in people who took it earlier.

Plain-language title generated from the registry record
Registry title: Long-Term Open-Label Extension Study of Oral Levosimendan

Key facts

Where
Boston, Charleston, Chicago, Durham, Madison, Minneapolis, New York, Omaha, Rochester, and St Louis, United StatesSee the 10 sites
Phase
Phase 3

Where in United States

  • BostonBoston, United StatesNo longer taking part
  • CharlestonCharleston, United StatesNo longer taking part
  • ChicagoChicago, United StatesNo longer taking part
  • DurhamDurham, United StatesNo longer taking part
  • MadisonMadison, United StatesNo longer taking part
  • MinneapolisMinneapolis, United StatesNo longer taking part
  • New YorkNew York, United StatesNo longer taking part
  • OmahaOmaha, United StatesNo longer taking part
  • RochesterRochester, United StatesNo longer taking part
  • St LouisSt Louis, United StatesNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
Print a page for my doctor

Trial details

Who runs it
Tenax Therapeutics, Inc.
Trial code
NCT07436689
Record updated
20 October 2026
Original description
The purpose of this study is to provide continued access to treatment with oral levosimendan (TNX-103) and to describe the safety of continued use of TNX-103 in participants with pulmonary hypertension with heart failure with preserved left ventricular ejection fraction (PH-HFpEF) who received TNX-103 in a parent study.Read full original descriptionShow less

A Multicenter, Open-Label, Long-Term Extension Study for Oral Levosimendan (TNX-103)

The purpose of this study is to provide continued access to treatment with oral levosimendan (TNX-103) and to describe the safety of continued use of TNX-103 in participants with pulmonary hypertension with heart failure with preserved left ventricular ejection fraction (PH-HFpEF) who received TNX-103 in a parent study.

Inclusion: Completed a TNX-103 parent study; Investigator confirmation that participant may derive clinical benefit from continued access to TNX-103; Requirements related to childbearing potential, contraception, and egg/sperm donation.

Exclusion: Severe hepatic impairment or cirrhosis (Child-Pugh C) or active untreated hepatitis B or C with evidence of recent infection or viral replication; Estimated glomerular filtration rate (eGFR) < 30 mL/min/1.73 m²; Investigator or Sponsor opinion that the participant is unsuitable due to safety, inability to comply, or factors that could compromise study integrity or participant well-being; Pregnancy or breastfeeding in females.

ClinicalTrials.gov NCT07436689