Tenax Therapeutics pauses LEVEL-2 enrollment to amend trial criteria after Phase 3 miss
Tenax Therapeutics temporarily paused enrollment in its LEVEL-2 Phase 3 trial of TNX-103 while it amends the enrollment criteria to target patients with lower baseline 6-minute walk distance, based on results from the LEVEL trial. The company also said it has requested a Type C meeting with the U.S. Food and Drug Administration to discuss the overall development of levosimendan. The pause delays enrollment in a pivotal trial, and the company's investor presentation states that the LEVEL trial did not meet its primary endpoint in the overall population.
Key points
- Enrollment in LEVEL-2 is paused and may resume at each site as the amended protocol takes effect there.
- The amendment targets patients with baseline 6-minute walk distance of 100m to 300m, or above 300m to 400m with a right atrial volume index of 25 mL/m2 or more.
- The LEVEL trial's overall primary endpoint difference was 3.5 M (p = 0.63), according to the investor presentation attached as Exhibit 99.1, dated October 8, 2026.
The filing
Written by AI on Nov 9, 2026, 8:51 AM ET, from this filing only. Written later: this filing was briefed after the fact, when past filings were added to the site, so the brief may be read with hindsight; the filing itself is the record of what was known on October 08, 2026.
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