| E.1 Medical condition or disease under investigation | 
| E.1.1 | Medical condition(s) being investigated | 
| The drug Levosimendan / Simdax (R) will be investigated in patients undergoing coronary artery bypass graft operations. The study population will be patients with impaired myocardial function as stated with an ejection fraction equal or lower than 30 %. The study medication will be applied after establishing completed hemodynamic monitoring and maintained throughout the operation for twelve hours. |  | 
| MedDRA Classification | 
| E.1.3 | Condition being studied is a rare disease | No | 
| E.2 Objective of the trial | 
| E.2.1 | Main objective of the trial | 
| The aim of the study is to reduce the MODS meassured by the SOFA score by application of Levosimendan in patients undergoing coronary artery bypass graft-operations. The study population will be patients with impaired myocardial function preoperatively. 
 |  | 
| E.2.2 | Secondary objectives of the trial | 
| The secondary objective of the trial is to elucidate the effects of Levosimedan in cardiac surgery on the incidence of renal hemodialysis and infections, the need for catecholamines perioperatively and the length of stay and quality of life. |  | 
| E.2.3 | Trial contains a sub-study | No | 
| E.3 | Principal inclusion criteria | 
| •	Written informed consent by the patient to participate in the study (according to AMG §40 (1) 3b) •	Age older than 18 years
 •	Negative pregnancy testing or being postmenopausal for more than two years
 •	No participation in another clinical AMG trial
 •	Patients undergoing elective CABG-surgery with/without valve correction procedures
 •	Left ventricular ejection fraction equal or smaller than 30 %
 
 |  | 
| E.4 | Principal exclusion criteria | 
| •	A patient is commited to an institution because of an official or medical order (according to AMG §40 (1) 4) •	No informed written consent by the patient
 •	Participation in another clinical study
 •	ASA > III
 •	Severe oesophageal or upper airway disease
 •	Recent oesophageal or upper airway surgery
 •	Liver disease (Child B or C cirrhosis, akute disease, MILD Score > 17)
 •	Age < 18 ys.
 •	Unclear history of alcohol use disorder
 •	Neurological or psychiatric diseases
 •	Treatment with oral antidiabetics
 •	Presence of of an infection with HIV and symptoms of AIDS
 •	Clinical or anamnestic signs for the presence of an active Hepatitis B / C infection
 
 |  | 
| E.5 End points | 
| E.5.1 | Primary end point(s) |  | 
| E.6 and E.7 Scope of the trial | 
| E.6 | Scope of the trial | 
| E.6.1 | Diagnosis | No | 
| E.6.2 | Prophylaxis | No | 
| E.6.3 | Therapy | Yes | 
| E.6.4 | Safety | Yes | 
| E.6.5 | Efficacy | Yes | 
| E.6.6 | Pharmacokinetic | No | 
| E.6.7 | Pharmacodynamic | No | 
| E.6.8 | Bioequivalence | No | 
| E.6.9 | Dose response | No | 
| E.6.10 | Pharmacogenetic | No | 
| E.6.11 | Pharmacogenomic | No | 
| E.6.12 | Pharmacoeconomic | No | 
| E.6.13 | Others | No | 
| E.7 | Trial type and phase | 
| E.7.1 | Human pharmacology (Phase I) | No | 
| E.7.1.1 | First administration to humans | No | 
| E.7.1.2 | Bioequivalence study | No | 
| E.7.1.3 | Other | No | 
| E.7.1.3.1 | Other trial type description |  | 
| E.7.2 | Therapeutic exploratory (Phase II) | No | 
| E.7.3 | Therapeutic confirmatory (Phase III) | Yes | 
| E.7.4 | Therapeutic use (Phase IV) | No | 
| E.8 Design of the trial | 
| E.8.1 | Controlled | Yes | 
| E.8.1.1 | Randomised | Yes | 
| E.8.1.2 | Open | No | 
| E.8.1.3 | Single blind | No | 
| E.8.1.4 | Double blind | Yes | 
| E.8.1.5 | Parallel group | Yes | 
| E.8.1.6 | Cross over | No | 
| E.8.1.7 | Other | No | 
| E.8.2 | Comparator of controlled trial | 
| E.8.2.1 | Other medicinal product(s) | No | 
| E.8.2.2 | Placebo | Yes | 
| E.8.2.3 | Other | No | 
| E.8.3 | The trial involves single site in the Member State concerned | Yes | 
| E.8.4 | The trial involves multiple sites in the Member State concerned | No | 
| E.8.5 | The trial involves multiple Member States | No | 
| E.8.6 Trial involving sites outside the EEA | 
| E.8.6.1 | Trial being conducted both within and outside the EEA | No | 
| E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT | 
| E.8.7 | Trial has a data monitoring committee | No | 
| E.8.8 | Definition of the end of the trial and justification where it is not the last
                        visit of the last subject undergoing the trial |  | 
| E.8.9 Initial estimate of the duration of the trial | 
| E.8.9.1 | In the Member State concerned years | 4 | 
| E.8.9.1 | In the Member State concerned months | 0 | 
| E.8.9.1 | In the Member State concerned days | 0 |