Actively Recruiting

Phase 4
Age: 18Years +
All Genders
NCT05267886

CAPITAL DOREMI 2: Inotrope Versus Placebo Therapy for Cardiogenic Shock

Led by Ottawa Heart Institute Research Corporation · Updated on 2026-05-01

346

Participants Needed

3

Research Sites

247 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The investigators are interested in determining if there is a meaningful benefit from the use of medications purported to increase the pumping function of the heart (i.e. inotropes) among critically ill patients admitted to the Cardiac Intensive Care Unit (CICU). To do this, the investigators will conduct a multi-centre, double blind, randomized control trial with patients who are deemed to require these medications by their treating physician to one of the two most commonly used agents in Canada (Milrinone or Dobutamine) or placebo. Each patient will be closely monitored by their healthcare team. The dose of medication will be adjusted according to each patients' clinical status. After 12 hours, the participants will move to open label treatment and any continued use of inotropes will be at the discretion of their treating physician.

CONDITIONS

Official Title

CAPITAL DOREMI 2: Inotrope Versus Placebo Therapy for Cardiogenic Shock

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult patients 18 years of age or older admitted to an intensive care unit
  • Diagnosis of cardiogenic shock classified as SCAI class C or D
Not Eligible

You will not qualify if you...

  • Unable or unwilling to provide informed consent by participant or substitute decision maker
  • Currently pregnant or breastfeeding
  • Presenting with out-of-hospital cardiac arrest (OHCA)
  • Received milrinone or dobutamine within 24 hours before planned randomization
  • Severe obstructive valvular heart conditions such as aortic stenosis or mitral stenosis
  • Presence of dynamic left ventricular outflow tract obstruction

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 3 locations

1

Mayo Clinic

Rochester, Minnesota, United States, 55905

Not Yet Recruiting

2

Hamilton Health Sciences

Hamilton, Ontario, Canada, L8L 2X2

Actively Recruiting

3

University of Ottawa Heart Institute

Ottawa, Ontario, Canada, K1Y4W7

Actively Recruiting

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Research Team

R

Rebecca Mathew, MD

CONTACT

B

Baylie Morgan, RN

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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