CAPITAL DOREMI 2: Inotrope Versus Placebo Therapy for Cardiogenic Shock

This study is looking at whether certain medications, called inotropes, help critically ill patients with cardiogenic shock (a serious condition where your heart can't pump enough blood to meet your body's needs). You might receive either dobutamine or milrinone, two common inotrope medications, or a placebo (a treatment with no active medicine, like normal saline). Doctors will closely watch your health and adjust the medication dose as needed. The study wants to see if these medications improve patient outcomes during hospitalization, up to 12 weeks after admission. To join, you must be at least 18 years old and have a specific type of cardiogenic shock. The study is currently recruiting patients, but its overall status is unclear.

Study design
This is a multi-center, double-blind, randomized control trial, meaning neither you nor your doctors will know if you're receiving dobutamine, milrinone, or a placebo. The study plans to enroll 346 participants.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Your health will be monitored through the duration of your hospitalization, up to 12 weeks following admission.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT05267886

CAPITAL DOREMI 2: Inotrope Versus Placebo Therapy for Cardiogenic Shock

Recruiting
PHASE4Ages 18+InterventionalTreatment
Ottawa Heart Institute Research Corporation
~346 participants
Updated 2026-05-01 on ClinicalTrials.gov
What's tested:DobutamineMilrinoneNormal Saline

At a glance

Recruiting sites
2 of 3 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Primary composite outcome
Measured over Through duration of hospitalization, up to 12 weeks following admission
Shock, Cardiogenic

NCT05267886

Where you'd take part

This study runs at 3 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Hamilton Health Sciences

    Hamilton, Ontario, Canadastudy coordinator listed

    Recruiting

  • Mayo Clinic

    Rochester, Minnesotastudy coordinator listed

    Not yet recruiting

  • University of Ottawa Heart Institute

    Ottawa, Ontario, Canadastudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Rebecca Mathew, MD · PRINCIPAL_INVESTIGATOR · Ottawa Heart Institute Research Corporation

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Eligibility criteria

Inclusion

Adult patients ≥ 18 years of age admitted to an intensive care unit
SCAI class C or D cardiogenic shock

Exclusion

Unwilling or unable to obtain informed consent by the participant or substitute decision maker
Patients who are currently pregnant or breast-feeding
Patients presenting with an out-of-hospital cardiac arrest (OHCA)
Administration of milrinone or dobutamine in the 24 hours preceding anticipated randomization
Severe obstructive valvular lesions, including aortic stenosis and/or mitral stenosis
Dynamic left ventricular outflow tract obstruction
  • Primary composite outcomeThrough duration of hospitalization, up to 12 weeks following admission

    The primary outcome will be a composite of: 1. All-cause mortality during the hospitalization 2. Measured within the first 12 hours of starting the study intervention, any of: 1. Sustained hypotension (mean arterial pressure ≤55mmHg) or sustained requirement of high dose vasopressors (norepinephrine \>0.2 mcg/kg/min or norepinephrine 0.2 mcg/kg/min plus any additional agent) with any escalation in dose from time of randomization, for \>/= 60 minutes 2. Lactate greater than 3.5 mmol/L at 6 hours or thereafter 3. Need for mechanical circulatory support device 4. Atrial or ventricular arrhythmia leading to emergent electrical cardioversion 5. Resuscitated cardiac arrest