CAPITAL DOREMI 2: Inotrope Versus Placebo Therapy for Cardiogenic Shock
Launched by OTTAWA HEART INSTITUTE RESEARCH CORPORATION · Feb 23, 2022
Trial Information
Current as of June 26, 2025
Recruiting
Keywords
ClinConnect Summary
The CAPITAL DOREMI 2 trial is studying whether certain medications that help improve heart function, called inotropes, provide any real benefits for critically ill patients experiencing cardiogenic shock, a serious condition where the heart cannot pump enough blood to meet the body's needs. In this research, patients admitted to the Cardiac Intensive Care Unit (CICU) will be randomly assigned to receive either one of two commonly used inotropes (Milrinone or Dobutamine) or a placebo (a treatment that looks like the real medication but has no active ingredients). The healthcare team will closely monitor each patient and adjust the medication based on their condition. After 12 hours, patients will switch to open-label treatment, meaning they will receive the medication their doctor thinks is best.
To participate in this trial, you must be an adult aged 18 or older and have a certain level of cardiogenic shock, classified as SCAI class C or D. However, some individuals, including those who are pregnant, unable to consent, or have specific heart conditions, may not be eligible. If chosen to participate, you can expect to be part of a structured study where your health will be monitored closely, contributing valuable information to help improve treatments for heart conditions in the future.
Gender
ALL
Eligibility criteria
- Inclusion Criteria:
- • Adult patients ≥ 18 years of age admitted to an intensive care unit
- • SCAI class C or D cardiogenic shock
- Exclusion Criteria:
- • 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
About Ottawa Heart Institute Research Corporation
The Ottawa Heart Institute Research Corporation is a leading clinical research organization dedicated to advancing cardiovascular medicine through innovative research and clinical trials. Affiliated with the renowned University of Ottawa Heart Institute, the corporation focuses on conducting high-quality, ethically-driven studies that aim to improve patient outcomes and enhance understanding of heart-related diseases. With a commitment to collaboration and excellence, the organization engages multidisciplinary teams of researchers, healthcare professionals, and industry partners to translate scientific discoveries into effective therapies and interventions for cardiovascular health.
Contacts
Jennifer Cobb
Immunology at National Institute of Allergy and Infectious Diseases (NIAID)
Locations
Rochester, Minnesota, United States
Ottawa, Ontario, Canada
Hamilton, Ontario, Canada
Patients applied
Trial Officials
Rebecca Mathew, MD
Principal Investigator
Ottawa Heart Institute Research Corporation
Timeline
First submit
Trial launched
Trial updated
Estimated completion
Not reported
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