Levophed

(Norepinephrine)

ApprovedSmall molecule

GGeneral Hospital of Ningxia Medical University

Norepinephrine is used to treat severe low blood pressure, typically in hospital settings when other treatments haven't worked. It works by narrowing blood vessels and strengthening the heart's contractions to increase blood pressure.[2] Levophed is currently approved and in use across 28 indications[4].[1]

Levophed is one of 604 small molecule programs targeting Cardiovascular Disease. It is currently in Approved.

Indications

170

Total Trials

Active Trials

603

Competitors

FDA Applications

NDA/BLA/ANDA regulatory filings

Pipeline

Status by Indication[4][1]

Indication

Cardiovascular DiseaseUnknown

Liver TransplantActive, not recruiting

Gestational DiabetesActive, not recruiting

MortalityActive, not recruiting

DeliriumActive, not recruiting

Uterine FibroidActive, not recruiting

Pulmonary HypertensionActive, not recruiting

SepsisNot yet recruiting

Chronic RhinosinusitisActive, not recruiting

CataractActive, not recruiting

Cardiovascular DiseasePreclinical

Unknown

Liver TransplantPreclinical

Active, not recruiting

Gestational DiabetesPreclinical

Active, not recruiting

MortalityPreclinical

Active, not recruiting

DeliriumPreclinical

Active, not recruiting

Uterine FibroidPreclinical

Active, not recruiting

Pulmonary HypertensionApproved

Active, not recruiting

SepsisPreclinical

Not yet recruiting

Chronic RhinosinusitisPreclinical

Active, not recruiting

CataractPreclinical

Active, not recruiting

Showing 10 of 26 indications

Competition

Competitive Landscape

160 competitors in Hypertension

#DrugCompanyPhaseTrials

Levophed

GGeneral Hospital of Ningxia Medical University

Approved

2 2

Foundayo

Eli Lilly

Phase 3

3 3

Nitrostat

VViatris Specialty LLC

Phase 3

5 4

Baxfendy

AstraZeneca

Phase 3

3 5

Alka-Seltzer

AAbbott

Phase 3

1 6

HCP1803-3

Hanmi Pharmaceutical Company Limited

Phase 3

1 7

SGLT2

PProf. Dr. med. Ingo Eitel

Phase 3

1 8

Avastin

Roche

Preclinical

1 9

Winrevair

Alphagan

Ranked by pipeline maturity and clinical activity. Current drug highlighted in teal.

Timeline

Expected Milestones

Q4 2026

N/ARecruiting

Hot Flashes

NCT05193968

N/ANot yet recruiting

Acute Kidney Injury

NCT07418541

Post-ApprovalRecruiting

Intensive Care Unit

NCT02118467

PreclinicalRecruiting

Hypotension on Induction

NCT07719075

Q1 2027

PreclinicalNot yet recruiting

Adverse Event

NCT07894783

Recruiting

Shock

NCT07724262

Clinical

Trials by Indication[1]

Hypotension34 trials

Norepinephrine and Phenylephrine for Spinal Anesthesia-induced Hypotension.

Not yet recruiting·GGeneral Hospital of Ningxia Medical University·N/A·NCT06508359·2,000 enrolled

Comparative Efficacity of Ephedrine Versus Norepinephrine to Correct Anesthesia Induction Related Hypotension

Unknown status·—·Phase 3·NCT05497700·60 enrolled

Hypotension Prediction Index vs Norepinephrine Infusion for Prevention of Spinal Hypotension for Cesarean Delivery

Unknown status·FFondazione Policlinico Universitario Agostino Gemelli IRCCS·Phase 4·NCT05970770·150 enrolled

Show 31 more trials

The Potency of Prophylactic Norepinephrine and Phenylephrine Boluses for Postspinal Anesthesia Hypotension

Unknown status·GGeneral Hospital of Ningxia Medical University·N/A·NCT05035472·80 enrolled

Leg Wrapping and Norepinephrine for Prevention of Post Spinal Hypotension in C.S

Completed·FFayoum University·Phase 4·NCT06496061·168 enrolled

Comparison of Two Norepinephrine Bolus Doses for Management of Post-spinal Hypotension During Cesarean Delivery

Completed·—·Phase 4·NCT03792906·110 enrolled

Phenylephrine and Noradrenaline for Post Spinal Anesthesia Hypotension

Completed·KKasr El Aini Hospital·Phase 2·NCT03015857·200 enrolled

Intravenous Bolus of Phenylephrine vs. Norepinephrine in Preventing Hypotension After Spinal Anesthesia

Completed·UUniversity Tunis El Manar·Phase 4·NCT02854787·120 enrolled

Comparison of Phenylephrine and Norepinephrine for Spinal-induced Hypotension

Completed·TTribhuvan University Teaching Hospital, Institute Of Medicine.·Phase 3·NCT04789005·80 enrolled

Norepinephrine vs. Phenylephrine for Hypotension in Low-Dose Spinal Anesthesia for Cesarean Delivery

Completed·TTam Anh Research Institute·Phase 4·NCT07327320·100 enrolled

Norepinephrine To Prevent Hypotension After Spinal Anesthesia For Cesarean Delivery: A Dose Finding Study

Completed·SSamuel Lunenfeld Research Institute, Mount Sinai Hospital·N/A·NCT02654847·40 enrolled

Prophylactic Norepinephrine Infusion for Spinal Hypotension and Inferior Vena Cava Collapsibility Index

Completed·GGeneral Hospital of Ningxia Medical University·N/A·NCT03997500·195 enrolled

Norepinephrine Versus Ephedrine in Treatment of Hypotension During Spinal Anesthesia for Caesarean Section

Completed·MMongi Slim Hospital·N/A·NCT03163407·110 enrolled

A Comparison of Intermittent Intravenous Boluses of Phenylephrine and Norepinephrine to Prevent Spinal-induced Hypotension in Cesarean Deliveries

Completed·SSamuel Lunenfeld Research Institute, Mount Sinai Hospital·N/A·NCT02962986·112 enrolled

Norepinephrine Versus Phenylephrine for Preventing Spinal Anesthesia Induced Hypotension in Elderly

Completed·KKasr El Aini Hospital·Phase 4·NCT04195321·62 enrolled

Effect of Vasopressors on Spinal Anaesthesia Induced Hypotension

Completed·—·Phase 4·NCT03163914·160 enrolled

EFFECT OF DIFFERENT NOREPINPHRINE APPLICATION METHODS IN CAESARIANES ON HYPOTENSION AFTER SPINAL ANESTHESIA

Unknown status·IInonu University·N/A·NCT04951167·208 enrolled

Norepinephrine Prophylaxis for Postspinal Anesthesia Hypotension

Completed·GGeneral Hospital of Ningxia Medical University·N/A·NCT04272567·99 enrolled

Noradrenaline Versus Glypressin for Prevention of Hypotension After Deflation of Tourniquet in Knee Arthroplasty

Completed·TTanta University·N/A·NCT05774067·135 enrolled

Prophylactic Norepinephrine Infusion Combined With Colloid Coloading for Postspinal Anesthesia Hypotension

Completed·GGeneral Hospital of Ningxia Medical University·N/A·NCT05133817·175 enrolled

Preventing Hypotension in the Spine During Cesarean Delivery.

Unknown status·—··NCT06231316·100 enrolled

Norepinephrine for Spinal-induced Hypotension

Unknown status·MMansoura University·N/A·NCT03308708·50 enrolled

Norepinephrine or Phenylephrine in Bolus for Hypotension in Cesarean Delivery

Completed·HHospital dos Servidores do Estado do Rio de Janeiro·Phase 2·NCT03702400·72 enrolled

Norepinephrine to Prevent Hypotension in Ceasrean Delivery

Completed·MMenoufia University·Phase 4·NCT05248932·40 enrolled

Comparing Two Different Norepinephrine Infusion Rates for Prophylaxis Against Spinal-induced Hypotension in Elderly

Completed·KKasr El Aini Hospital·N/A·NCT07077265·84 enrolled

Comparison of Vasopressor Boluses for Management of Hypotension After Spinal Anesthesia

Unknown status·—·Phase 4·NCT03712111·86 enrolled

Two Norepinephrine Rescue Bolus Doses for Management of Severe Post-spinal Hypotension During Elective Cesarean Delivery

Completed·KKasr El Aini Hospital·Phase 4·NCT05290740·158 enrolled

10 Vs.15 mcg Norepinephrine Bolus in Severe Maternal Hypotension During Cesarean Delivery

Not yet recruiting·—·N/A·NCT06512415·184 enrolled

Management of Post-Induction Hypotension in Emergency Abdominal Surgery

Terminated·HHopital Charles Nicolle·Phase 4·NCT07259655·100 enrolled

Comparison of Norepinephrine and Ephedrine on Hypotension After Spinal Anesthesia in Parturients

Completed·—·N/A·NCT02542748·66 enrolled

Norepinephrine on Maternal Hypotension After Combined Lumbar and Epidural Anaesthesia

Recruiting·—·Phase 4·NCT06498115·100 enrolled

Prophylactic Norepinephrine and Phenylephrine Boluses for Postspinal Anesthesia Hypotension

Completed·GGeneral Hospital of Ningxia Medical University·N/A·NCT05035888·80 enrolled

Influence of Diastolic Performance on the Response to Norepinephrine for Prevention of Spinal Anesthesia-Induced Hypotension for Cesarean Delivery and Fetal Wellbeing

Completed·FFondazione Policlinico Universitario Agostino Gemelli IRCCS·Preclinical·NCT04560634·40 enrolled

The Choice of Vasopressor for Treating Hypotension During General Anesthesia: a Pilot Pragmatic Cluster Cross-over Randomized Trial (the VEGA-1 Trial)

Completed·UUniversity of California, San Francisco·Approved·NCT04789330·3,626 enrolled

Septic Shock16 trials

Dobutamine for Management of Surgical Patients With Septic Shock

Completed·FFirst Affiliated Hospital of Zhejiang University·N/A·NCT06462313·584 enrolled

NOrepinephrine and VasoprEssin Versus Norepinephrine aLone in Critically Ill Patients With Septic Shock

Withdrawn·UUniversity of Arkansas·Phase 4·NCT02454348

Dopamine Versus Norepinephrine for the Treatment of Vasopressor Dependent Septic Shock

Completed·RRush University Medical Center·Phase 3·NCT00604019·252 enrolled

Show 13 more trials

Phenylephrine in Septic Shock

Completed·UUniversity of Roma La Sapienza·Phase 2·NCT00639015·32 enrolled

The Effect of Early Norepinephrine on Stroke Volume Index, Cardiac Index, Lactate, and Arterial Elastance in Pediatric Septic Shock

Completed·IIndonesia University·Phase 2/3·NCT06461390·42 enrolled

Vasopressin Versus Norepinephrine for the Management of Septic Shock in Cancer Patients

Completed·IInstituto do Cancer do Estado de São Paulo·Phase 3·NCT01718613·250 enrolled

Continuous Infusion of Terlipressin in Septic Shock

Completed·UUniversity of Roma La Sapienza·Phase 2·NCT00481572·45 enrolled

Phenylephrine Versus Norepinephrine for Septic Shock in Critically Ill Patients

Terminated·VVanderbilt University Medical Center·Phase 4·NCT02203630·17 enrolled

The Effect of Terlipressin on Intesitnal Function in Septic Shock Patients

Unknown status·LLiu ZiMeng·N/A·NCT02306239·40 enrolled

Effects of Levosimendan, Milrinone and Norepinephrine on Left and Right Ventricular Function in Septic Shock

Unknown status·SSahlgrenska University Hospital·Phase 4·NCT02640846·30 enrolled

The Effect of Vasopressor Therapy on Renal Perfusion in Septic Shock

Recruiting·KKing's College Hospital NHS Trust·N/A·NCT06234592·45 enrolled

Continuos Terlipressin Infusion in Septic Shock

Unknown status·FFirst Affiliated Hospital, Sun Yat-Sen University·N/A·NCT01697410·1,000 enrolled

Discontinuation Order of Vasopressors in Septic Shock

Terminated·SSamsung Medical Center·N/A·NCT01493102·78 enrolled

Angiotensin II for Septic Shock Treatment

Suspended·—·Phase 3·NCT03302650·20 enrolled

Methylene Blue and Microcirculation in Septic Shock

Unknown status·—·Phase 3·NCT04295993·32 enrolled

Mechanistic Assessment of Norepinephrine TheRapy vs. Angiotensin-II in Septic Shock (MANTRA) Grant Submission- Dysfunctional Renin-Angiotensin System in Septic Shock

Not yet recruiting·WWake Forest University Health Sciences·Approved·NCT06746753·78 enrolled

Cesarean Section11 trials

The Phenylephrine vs. Norepinephrine Infusion Undergoing Cesarean Section

Completed·CChina International Neuroscience Institution·Phase 2/3·NCT03833895·238 enrolled

Norepinephrine Versus Ephedrin for Prevention of Post Spinal Anesthesia in Cesarean Section

Unknown status·MMongi Slim Hospital·Phase 4·NCT03719625·200 enrolled

Management of Postspinal Anesthesia Hypotension During Elective Cesarean Section: Baby Norepinephrine Versus Ephedrine

Recruiting·HHopital Charles Nicolle·N/A·NCT06498076·126 enrolled

Show 8 more trials

Norepinephrine for Hypotension in Cesarean Section

Completed·—·N/A·NCT04367103·180 enrolled

Preoperative Oral Midodrine Versus Intraoperative Intravenous Norepinephrine in Preventing Post-spinal Anesthesia Hypotension in Cesarean Section: A Prospective Double-blind Randomized Clinical Trial

Unknown status·SSohag University·N/A·NCT06213935·90 enrolled

Ephedrine vs. Nor Epinephrine Infusion in Preventing Hypotension After Spinal Anesthesia for Cesarean Section

Completed·UUniversity Tunis El Manar·Phase 4·NCT02477501·120 enrolled

Norepinephrine ED90 Bolus After Spinal Anesthesia in Cesarean Section

Completed·PPontificia Universidad Catolica de Chile·Phase 4·NCT06574555·60 enrolled

The Effect of Two Different Doses of Noradrenaline on Hypotension Caused by Spinal Anesthesia for Cesarean Section

Recruiting·—·N/A·NCT06102382·100 enrolled

Norepinephrine vs. Phenylephrine for Spinal Hypotension in Cesarean Section

Completed·UUniversitas Sumatera Utara·N/A·NCT07153601·46 enrolled

Cardiac Output Changes in Cesarean Section

Unknown status·RRenJi Hospital·Phase 1·NCT02759510·106 enrolled

Phenylephrine Versus Norepinephrine for Maintenance of Hemodynamic During Cesarean Section Under Spinal Anesthesia

Completed·—·Phase 4·NCT03849508·124 enrolled

Cesarean Delivery7 trials

Phenylephrine vs. Norepinephrine Infusion After Spinal Anesthesia for Cesarean Delivery

Completed·WWest Virginia University·Phase 4·NCT02354833·85 enrolled

Norepinephrine Versus Phenylephrine Continuous Variable Infusion in Cesarean Delivery

Completed·—·Phase 4·NCT03328533·123 enrolled

Vasopressor Infusion in Cesarean Delivery

Unknown status·—·Phase 4·NCT03248791·120 enrolled

Show 4 more trials

Norepinephrine and Phenylephrine for Maternal Cardiac Output During Spinal Anesthesia for Elective Cesarean Delivery

Unknown status·—·Phase 4·NCT02969239·50 enrolled

Norepinephrine Infusion Different Doses in Cesarean Delivery

Completed·—·Phase 4·NCT03182088·284 enrolled

Effect of Three Weight-adjusted Vasopressors for Elective Cesarean Delivery

Completed·XXuzhou Medical University·Phase 4·NCT04991662·78 enrolled

Comparative Effects of Ephedrine and Norepinephrine on Fetal Acid-Base Status During Cesarean Delivery Under Spinal Anesthesia: A Randomized Double-Blind Study

Completed·Mmehmet özkılıç·Approved·NCT06921473·155 enrolled

Preeclampsia6 trials

Norepinephrine Prophylaxis for Postspinal Anesthesia Hypotension in Parturients With Preeclampsia.

Completed·GGeneral Hospital of Ningxia Medical University·N/A·NCT04556370·180 enrolled

Prophylactic Norepinephrine and Phenylephrine Infusion for Hemodynamic Effects in Patients With Preeclampsia

Unknown status·GGeneral Hospital of Ningxia Medical University·N/A·NCT05035498·72 enrolled

Comparison Between Three Norepinephrine Bolus Doses for Management of Post-spinal Hypotension During Ceaserian Section for Patients With Preeclampsia

Completed·KKasr El Aini Hospital·Phase 4·NCT05368415·60 enrolled

Show 3 more trials

Norepinephrine Prophylaxis for Postspinal Anesthesia Hypotension in Parturients With Preeclampsia

Completed·GGeneral Hospital of Ningxia Medical University·N/A·NCT04556357·138 enrolled

Maternal Cardiac Output Response to Rescue Norepinephrine and Phenylephrine Boluses in Patients With Severe Preeclampsia

Completed·GGeneral Hospital of Ningxia Medical University·N/A·NCT05035485·40 enrolled

Norepinephrine Infusion Versus Bolus for Sustained Hemodynamic Stability in Preeclamptic Cesarean Section Under Spinal Anesthesia: A Randomized Controlled Trial

Completed·BBenha University·Preclinical·NCT07842783·84 enrolled

66 more indications

Blood Pressure3 trials

Using Vasopressor Medication to Support Blood Pressure During Intubation Procedure

Completed·WWright State University·Phase 3·NCT05355974·42 enrolled

Decision Support for Intraoperative Low Blood Pressure

Completed·VVanderbilt University Medical Center·N/A·NCT02726620·22,435 enrolled

Blood Pressure During ESD is Related With the Postoperative Bleeding

Unknown status·SShanghai Zhongshan Hospital·N/A·NCT03070665·296 enrolled

Treatment3 trials

ED90 of Norepinephrine and Phenylephrine Boluses Under Intensive Treatment

Unknown status·GGeneral Hospital of Ningxia Medical University·N/A·NCT06158009·80 enrolled

ED90 of Norepinephrine and Phenylephrine Boluses Under Intensive Treatment in Preeclamptic Patients

Unknown status·GGeneral Hospital of Ningxia Medical University·N/A·NCT06158035·80 enrolled

ED90 of Norepinephrine and Phenylephrine Infusions Under Intensive Treatment

Completed·GGeneral Hospital of Ningxia Medical University·N/A·NCT06158048·60 enrolled

Sepsis3 trials

Early Vasopressors in Sepsis

Recruiting·NNHS Greater Glasgow and Clyde·Phase 3·NCT05179499·1,006 enrolled

A Prospective Study of The Complement Depletion in Patients With Severe Abdominal Sepsis

Completed·JJinling Hospital, China·N/A·NCT01568853·75 enrolled

Effect of Pre-induction Norepinephrine Initiation on Peri-operative Hemodynamic Stability in Septic Patients With SOFA Score ≥2 Undergoing Surgery Under General Anesthesia

Not yet recruiting·AAssiut University·Preclinical·NCT07869693·90 enrolled

ESS3 trials

Effects of Ephedrine, Phenylephrine, Norepinephrine and Vasopressin on Contractility of Human Myometrium and Umbilical Vessels: An In-vitro Study

Recruiting·SSamuel Lunenfeld Research Institute, Mount Sinai Hospital·N/A·NCT04053478·144 enrolled

The Effect of Norepinephrine and Dopamine on Radial Forearm Free Flap Tissue Oxygen Pressure and Microdialysate Metabolite Measurements

Completed·TTampere University Hospital·Phase 4·NCT02241083·25 enrolled

Effects of Vasopressor on the Graft Blood Flow in TRAM

Completed·SSeoul National University Hospital·N/A·NCT05049278·20 enrolled

After Cardiac Surgery3 trials

Vasopressin Versus Norepinephrine for the Management of Shock After Cardiac Surgery

Unknown status·UUniversity of Sao Paulo·Phase 3·NCT01505231·300 enrolled

Inotropic Effects of Vasopressin Versus Noradrenaline In Patients With Vasoplegic Syndrome After Cardiac Surgery

Recruiting·UUniversity of Sao Paulo·Phase 4·NCT06934798·350 enrolled

Small Doses of Pituitrin Versus Norepinephrine for the Management of Vasoplegic Syndrome in Patients After Cardiac Surgery

Unknown status·—·N/A·NCT03106831·120 enrolled

Acute Kidney Injury3 trials

Early Co-Administration of Crystalloid Fluid and Norepinephrine for Preventing Acute Kidney Injury in Septic Shock

Not yet recruiting·UUniversitas Sumatera Utara·N/A·NCT07418541·100 enrolled

Low-dose Arginine-vasopressin Supplementation on Post-transplant Acute Kidney Injury After Liver Transplantation (AVENIR Trial)

Recruiting·AAssistance Publique - Hôpitaux de Paris·Phase 3·NCT06344442·304 enrolled

The Choice of Vasopressor to Prevent Postoperative Acute Kidney Injury After Major Non-Cardiac Surgery

Recruiting·UUniversity of California, San Francisco·Phase 4·NCT06802224·18,000 enrolled

Major Abdominal Surgery2 trials

HIgh Versus STAndard Blood Pressure Target in Hypertensive High-risk Patients Undergoing Major Abdominal Surgery

Completed·HHumanitas Clinical and Research Center·N/A·NCT05637606·636 enrolled

Evaluation of the Early Use of Norepinephrine in Major Abdominal Surgery on Postoperative Organ Dysfunction

Completed·—·Phase 3·NCT05276596·500 enrolled

Hypertension2 trials

Microcirculation After MAP Increase in Septic Shock Patients With Previous Hypertension

Completed·FFederal University of São Paulo·Phase 4·NCT02519699·40 enrolled

Genetic Mechanisms in Human Hypertension

Terminated·—··NCT01456208·150 enrolled

Cardiogenic Shock2 trials

Norepinephrine vs Norepinephrine and Dobutamine in Cardiogenic Shock

Unknown status·—·Phase 3·NCT03340779·40 enrolled

Assessing Catecholamine Treatment Initiation Options: Norepinephrine vs Dopamine for Cardiogenic Shock

Recruiting·CChonnam National University Hospital·Preclinical·NCT07562932·512 enrolled

Vascular Dysfunction2 trials

Vascular Dysfunction in Diabetes: Genes and Hormones

Terminated·—··NCT01511042·100 enrolled

Caveolin-1 and Vascular Dysfunction

Active, not recruiting·—·Phase 1·NCT01426529·120 enrolled

Plasma Volume2 trials

Changes in Measured Plasma Volume, Glycocalyx and Atrial Natriuretic Peptide During Anaesthesia

Completed·SSahlgrenska University Hospital·N/A·NCT02832596·24 enrolled

Pressure-dependent Changes in Hematocrit and Plasma Volume During Anesthesia

Unknown status·SSahlgrenska University Hospital·N/A·NCT02412189·24 enrolled

Brain Injury2 trials

Impact of Cardiac Blood Flow on Cerebral Blood Flow in Patients With Severe Traumatic Brain Injury

Unknown status·UUniversity Hospital, Grenoble·Phase 2·NCT02019810·20 enrolled

Target Hemodynamics and Brain Injury During General Anesthesia in the Elderly

Suspended·FFondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico·Phase 2/3·NCT02428062·1,812 enrolled

Cardiac Surgery2 trials

Vasopressin or Norepinephrine in Vasoplegic Shock After Non-cardiac Surgery

Withdrawn·UUniversity of Sao Paulo·Phase 2/3·NCT03483753

Weaning of Norepinephrine Guided by the Dynamic Arterial Compliance in Cardiac Surgery Post Operative.

Completed·—·Phase 3·NCT02479529·130 enrolled

Carotid Endarterectomy2 trials

Effects of Vasopressors on Cerebral Hemodynamics in Patients With Carotid Endarterectomy (TCD Part)

Completed·—·N/A·NCT05665881·90 enrolled

Effects of Vasopressors on Cerebral Hemodynamics in Patients With Carotid Endarterectomy (MRI Part)

Unknown status·—·N/A·NCT05414877·60 enrolled

General Anesthesia2 trials

Hemodynamics During Induction of General Anesthesia After Prophylactic Ephedrine, Phenylephrine or Norepinephrine.

Completed·HHelse Fonna·Phase 4·NCT03864094·128 enrolled

Dopamine Versus Norepinephrine Under General Anesthesia

Completed·—·Phase 3·NCT04536194·60 enrolled

Intraoperative2 trials

Intraoperative Norepinephrine Versus Fresh Frozen Plasma in Patients Undergoing HIPEC to Reduce Renal Insult

Completed·NNational Cancer Institute, Egypt·N/A·NCT04683614·60 enrolled

The Effect of Epinephrine, Norepinephrine and Phenylephrine on Intraoperative Hemodynamic Performance

Unknown status·MMedical University of Vienna·Phase 4·NCT05492968·225 enrolled

Infusion2 trials

ED90 of Norepinephrine and Phenylephrine Infusions in Preeclamptic Patients

Completed·GGeneral Hospital of Ningxia Medical University·N/A·NCT06158022·60 enrolled

Effect of Norepinephrine Infusion on Hepatic Blood Flow During Goal-directed Haemodynamic Therapy.

Completed·UUniversity Hospital, Ghent·Phase 4·NCT03965117·49 enrolled

Hemodynamic Stability2 trials

Effect of Preemptive Low Dose Norepinephrine Infusion on Intraoperative Hemodynamic Stability and Postoperative Outcomes in Patients Undergoing Brain Tumor Resection With a Craniotomy

Unknown status·YYonsei University·N/A·NCT05814601·70 enrolled

Phenylephrine or Norepinephrine for a Better Hemodynamic Stability

Completed·TThe Second Affiliated Hospital of Dalian Medical University·Phase 3·NCT03215797·40 enrolled

Intensive Care Unit2 trials

Vasoactive Drugs in Intensive Care Unit

Recruiting·UUniversity of Chicago·Phase 4·NCT02118467·836 enrolled

Samu Save Sepsis: Early Goal Directed Therapy in Pre Hospital Care of Patients With Severe Sepsis and/or Septic Shock

Completed·AAssistance Publique - Hôpitaux de Paris·Phase 3·NCT02473263·398 enrolled

Surgery2 trials

Assessment of the Effects of Pressors on Graft Blood Flow After Free Tissue Transfer Surgery

Completed·OOxford University Hospitals NHS Trust·Phase 4·NCT01418118·25 enrolled

Comparison of Norepinephrine Versus Phenylephrine Infusion for Prevention of Hypotension Due to Subarachnoid Block in Elderly Patients Undergoing Orthopedic Hip Surgery:A Prospective Randomized Trial

Recruiting·SSohag University·Approved·NCT07662408·62 enrolled

Hypotension During Surgery2 trials

OB VEGA-Phenylephrine vs Norepinephrine Outcomes

Not yet recruiting·WWake Forest University Health Sciences·Approved·NCT07900919·1,500 enrolled

Goal-directed Fluid Therapy During Deep Inferior Epigastric Perforator (DIEP) Free Flap Breast Reconstruction - a Randomised Controlled Trial

Terminated·AAlgemeen Ziekenhuis Maria Middelares·Approved·NCT06080178·41 enrolled

Obesity2 trials

Sex Disparities in Hypoxic Sympatholysis and Impact of Obesity

Completed·UUniversity of Missouri-Columbia·Phase 1·NCT04436731·73 enrolled

Sex Disparities in Hypoxic Vasodilation and Impact of Obesity

Recruiting·UUniversity of Missouri-Columbia·Phase 1·NCT05219799·72 enrolled

Hepatorenal Syndrome1 trial

Outcomes of Renal Function in Hepatorenal Syndrome (HRS) Determined By Comparison of Target Mean Arterial Pressure (MAP) of 65 - 70 Mmhg Versus ≥ 85 Mmhg

Completed·UUniversity of Louisville·Phase 1·NCT02789150·18 enrolled

Catheter1 trial

Norepinephrine Administration Through a Midline Catheter in an Intermediate Care Unit

Completed·RRegion Skane··NCT06121115·473 enrolled

Sex Differences1 trial

Sex Differences in Sympathetic Vascular Reactivity at High Altitude

Completed·UUniversity of Alberta·N/A·NCT05525416·17 enrolled

Microcirculation1 trial

Effect of Different Strategies for Titrating a High MAP on Microcirculation

Completed·SSoutheast University, China·Phase 4·NCT02085291·24 enrolled

Radiodermatitis1 trial

Exploratory Study of Norepinephrine to Prevent Radiodermatitis in Breast Cancer Patients

Terminated·PProCertus BioPharm, Inc·Phase 1·NCT01263366·10 enrolled

Elderly1 trial

Norepinephrine and Phenylephrine, Which Better for Elderly?

Unknown status·TThe Second Affiliated Hospital of Dalian Medical University·Phase 3·NCT04067817·100 enrolled

Hot flashes1 trial

Hot Flashes and Neurovascular Function in Women

Recruiting·MMayo Clinic·N/A·NCT05193968·120 enrolled

Breast Cancer1 trial

Exploratory Study of Topical Norepinephrine in Breast Cancer Patients Receiving Radiotherapy

Withdrawn·PProCertus BioPharm, Inc·Phase 1/2·NCT01544504

Hemorrhagic Shock1 trial

Early Norepinephrine in Trauma Patients With Hemorrhagic Shock

Enrolling by invitation·VVisarat Palitnonkiat·Phase 1/2·NCT06977659·40 enrolled

Cardiopulmonary Bypass1 trial

Norepinephrine Infusion During Cardiopulmonary Bypass

Completed·IImam Abdulrahman Bin Faisal University·N/A·NCT04312971·80 enrolled

CABG1 trial

The Effect of Vasopressors on Cerebral Oxygentaion During Off Pump CABG

Completed·SSeoul National University Hospital·N/A·NCT04214145·90 enrolled

Mortality1 trial

Prehospital Norepinephrine and Early Mortality in Traumatic Shock

Completed·UUniversity of Maryland, Baltimore··NCT04497155·2,164 enrolled

Trial1 trial

The GUARDIAN Trial - Vasopressor Sub-Study

Enrolling by invitation·TThe University of Texas Health Science Center, Houston·Phase 4·NCT04934748·6,254 enrolled

Ventricular Function1 trial

Effect of a Higher Blood-pressure on Right Ventricular Function

Completed·FFrisius Medisch Centrum·Phase 4·NCT03806582·78 enrolled

Fluid Resuscitation1 trial

Effects of Intraoperative, Goal-directed Crystalloid vs. Colloid Fluid Resuscitation on Free Flaps

Completed·SSzeged University·N/A·NCT03288051·30 enrolled

Renal Transplant Recipients1 trial

The Effect of Norepinephrine Versus Dopamine in Renal Transplant Recipients on Postoperative Graft Function

Unknown status·—·Phase 2/3·NCT03107858·44 enrolled

Ophthalmic Surgery1 trial

Phenylephrine Versus Norepinephrine in Ophthalmic Surgery

Completed·UUniversity Medical Center Groningen·N/A·NCT01609491·60 enrolled

Kidney Failure1 trial

Evaluation of the Superiority of VAsopressin Versus NOradrenaline in the Management of Patients at Risk of Kidney Failure Undergoing Cardiac Surgery With Extracorporeal Circulation

Active, not recruiting·—·Phase 3·NCT05568160·840 enrolled

Immune Response1 trial

Effects of Vasopressors on Immune Response

Completed·RRadboud University Medical Center·Phase 4·NCT02675868·40 enrolled

Drug1 trial

The Effects of Iontophoresed Vasoactive Drugs on Cutaneus Blood Flow

Unknown status·UUniversity Hospital, Linkoeping·N/A·NCT04777383·90 enrolled

Delirium1 trial

Postoperative Delirium After Intraoperative Ephedrine Versus Norepinephrine

Not yet recruiting·RRiverside University Health System Medical Center··NCT06844201·10,000 enrolled

Alopecia1 trial

Exploratory Study of Norepinephrine to Prevent Alopecia in Head and Neck Cancer Patients Treated With Radiotherapy

Terminated·PProCertus BioPharm, Inc·Phase 1·NCT01367990·3 enrolled

Aging1 trial

Early Neurovascular Adaptations in Aging Women

Recruiting·UUniversity of Missouri-Columbia·Phase 1·NCT06520982·64 enrolled

Caesarean Delivery1 trial

Epinephrine Vs Norepinephrine Infusion During Caesarean Delivery

Not yet recruiting·—·N/A·NCT06512402·212 enrolled

Liver Transplant1 trial

Renal Perfusion, Filtration and Oxygenation After Liver Transplantation -Effects of av Postoperative Blood Pressure

Completed·SSahlgrenska University Hospital·N/A·NCT02455115·12 enrolled

Mechanical Ventilation1 trial

Norepinephrine as Early Vasopressor Therapy in Children Undergoing Mechanical Ventilation

Unknown status·UUnidade de Terapia Intensiva·Phase 4·NCT00894621·40 enrolled

Injury1 trial

The Effect of Vasopressor on Pressure Injury Development

Completed·—·N/A·NCT06163352·148 enrolled

Hemodynamic1 trial

The Construction and Application of Therapeutic System of Intelligent Decision-Oriented Hemodynamic Organized Therapy for Shock Patients

Unknown status·PPeking Union Medical College Hospital·Phase 4·NCT05886192·60 enrolled

Spine Surgery1 trial

Vasopressor Outcomes in Spine Surgery

Completed·UUniversity of Texas Southwestern Medical Center·Phase 1·NCT06053398·101 enrolled

Uterine Fibroid1 trial

Vascular Function and Uterine Fibroids

Completed·MMayo Clinic··NCT02123069·28 enrolled

Gestational Diabetes1 trial

Effect of Ephedrine, Phenylepinephrine, and Norepinephrine on Myometrial Contractility in Pregnant People With Type II and Gestational Diabetes During Cesarean Section: An In-vitro Study

Suspended·SSamuel Lunenfeld Research Institute, Mount Sinai Hospital·N/A·NCT06285396·96 enrolled

Caesarean Section1 trial

Norepinephrine Addition in Spinal Anesthesia of Caesarean Section

Completed·FFayoum University Hospital·N/A·NCT03626454·300 enrolled

Orthostatic Hypotension1 trial

Intravenous Norepinephrine for Orthostatic Hypotension

Completed·NNational Institute of Neurological Disorders and Stroke (NINDS)·Phase 1/2·NCT01285908·6 enrolled

Pulmonary Arterial Hypertension (PAH)1 trial

Comparison of the Efficacy and Safety of Dopamine, Norepinephrine and Epinephrine in the Treatment of Pulmonary Hypertensive Crisis Under Hemodynamic Monitoring

Recruiting·CChina National Center for Cardiovascular Diseases·Preclinical·NCT07667829·75 enrolled

Cardiac Disease1 trial

Hemodynamic Effect of Norepinephrine Versus Vasopressin on the Pulmonary Circulation in Cardiac Surgery Patients: a Comparative-effectiveness Quality Project

Completed·TThe Cleveland Clinic·Phase 3·NCT04501861·153 enrolled

Adverse Event1 trial

ED90 of Norepinephrine and Phenylephrine Infusion for Prevention of Maternal Hypotension in Patients of Advanced Maternal Age Undergoing Cesarean Section: A Randomized Sequential Allocation Trial

Not yet recruiting·GGeneral Hospital of Ningxia Medical University·Preclinical·NCT07894783·60 enrolled

Incidence of Post-spinal Hypotension1 trial

Concomitant Use of Norepinephrine With Ephedrine Versus Norepinephrine Alone to Maintain Arterial Blood Pressure During Spinal Anesthesia for Cesarean Delivery, a A Prospective Double-blinded Study.

Recruiting·CCairo University·Approved·NCT07379710·260 enrolled

Neonatal sepsis1 trial

Dopamine vs. Norepinephrine for Hypotension in Very Preterm Infants With Late-onset Sepsis: An International Comparative Effectiveness Research Project

Recruiting·MMount Sinai Hospital, Canada··NCT05347238·550 enrolled

Ischemic stroke1 trial

A Single Center, Pilot Study of Induced Hypertension for Minimizing Infarct Progression in Patients With Acute Large-vessel Occlusion Ischemic Stroke Undergoing Endovascular Therapy

Terminated·YYale University·Phase 1·NCT04218773·15 enrolled

Hypotension and Shock1 trial

Dopamine vs. Norepinephrine in Term and Late Preterm Neonates With Hypoxemic Respiratory Failure and Systemic Hypotension Due to Pulmonary Hypertension: A Pilot Trial

Recruiting·UUniversity of California, Davis·Approved·NCT07322133·30 enrolled

Hypotension on Induction1 trial

Comparing 5 mcg and 10 mcg Norepinephrine Bolus in Treatment of Postinduction and Early Intraoperative Hypotension in Emergency Abdominal Surgery: a Randomized Controlled Trial

Recruiting·CCairo University·Preclinical·NCT07719075·136 enrolled

Shock1 trial

Evaluation of the Argos System to Estimate Cardiac Output in Critically Ill Patients

Recruiting·BBicetre Hospital··NCT07724262·120 enrolled

Intraoperative Hypotension1 trial

Proactive Low-Dose Norepinephrine to Reduce Intraoperative Fluid Administration in Patients at High-Risk for Postoperative Pulmonary Complications Undergoing Laparoscopic Abdominal Surgery: A Randomized Controlled Trial

Not yet recruiting·SSuez Canal University·Preclinical·NCT07627360·130 enrolled

Unspecified3 trials

Angiotensin 2 for AKI After OLT

Enrolling by invitation·UUniversity of California, Los Angeles·Phase 4·NCT04592744·30 enrolled

Effect of Phenylephrine Versus Norepinephrine on Venous Return

Unknown status·AAlgemeen Ziekenhuis Maria Middelares·Phase 4·NCT03872570·40 enrolled

Norepinephrine in Caesarian Section

Terminated·UUniversity Hospital, Antwerp·Phase 4·NCT05264870·11 enrolled

Regulatory

FDA Approval Timeline[5]

Jul 13, 1950

LEVOPHED

NDA NDA007513

Feb 14, 1977

LEVOPHED

NDA NDA007513

Apr 14, 1978

LEVOPHED

NDA NDA007513

Jan 14, 1985

LEVOPHED

NDA NDA007513

May 27, 1987

LEVOPHED

NDA NDA007513

Mar 2, 1988

LEVOPHED

NDA NDA007513

Apr 6, 1989

LEVOPHED

NDA NDA007513

Jun 12, 1991

LEVOPHED

NDA NDA007513

Sep 13, 1991

LEVOPHED

NDA NDA007513

Sep 20, 1999

LEVOPHED

NDA NDA007513

Sep 26, 2007

LEVOPHED

NDA NDA007513

Jun 15, 2020

LEVOPHED

NDA NDA007513

Oct 21, 2020

LEVOPHED

NDA NDA007513

Sources

References

[1]
ClinicalTrials.gov — 170 trial records for Norepinephrine. U.S. National Library of Medicine, National Institutes of Health.
[2]
MedlinePlus Drug Information — Levophed drug information. U.S. National Library of Medicine, National Institutes of Health.
[3]
ChEMBL — Norepinephrine compound record. European Bioinformatics Institute (EMBL-EBI).
[4]
Open Targets Platform — Drug–disease associations for Norepinephrine. EMBL-EBI & Wellcome Sanger Institute.
[5]
OpenFDA — FDA approval records (NDA NDA007513). U.S. Food & Drug Administration.
[6]
SEC EDGAR — General Hospital of Ningxia Medical University company filings. U.S. Securities and Exchange Commission.

Details

Drug Info

Quick Facts

Mechanism of Action: Adrenergic Receptor Agonist[3]
Modality: Small molecule[3]
Highest Phase: Approved[1]
Company: GGeneral Hospital of Ningxia Medical University