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CAPITAL DOREMI 2: Inotrope Versus Placebo Therapy for Cardiogenic Shock
Sponsor: Ottawa Heart Institute Research Corporation
Summary
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.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
346
Start Date
2022-03-05
Completion Date
2026-12
Last Updated
2025-04-10
Healthy Volunteers
No
Conditions
Interventions
Dobutamine
Dobutamine administered according to its clinical dose stage for cardiogenic shock
Milrinone
Milrinone administered according to its clinical dose stage for cardiogenic shock
Normal Saline
Normal saline running at a standardized rate
Locations (3)
Mayo Clinic
Rochester, Minnesota, United States
Hamilton Health Sciences
Hamilton, Ontario, Canada
University of Ottawa Heart Institute
Ottawa, Ontario, Canada