Acute cardiac care & resuscitation

Inotrope versus placebo therapy in cardiogenic shock: Rationale and study design of the CAPITAL DOREMI2 trial

Am Heart JPublished Randomised controlled trial

Study context

Population
Patients with SCAI class C or D cardiogenic shock, initial resuscitationplanned
Participants
346 patients
Planned comparison
Single-agent inotrope vs placebo
Primary endpoint
Composite of all-cause in-hospital death and, during the 12-hour intervention period, any of: sustained hypotension or high dose vasopressor requirements, lactate >3.5 mmol/L at 6 hours or thereafter, need for mechanical circulatory support, arrhythmia leading to emergent electrical cardioversion, resuscitated cardiac arrest
Methodological detailsrationale and study design, multicentre, double-blind, placebo-controlled, 1:1 randomisation, After the 12-hour period, open-label therapies at the treating team's discretion, Followed for the duration of hospitalisation; secondary outcomes assessed at discharge
  • Rationale and study design
  • Multicentre
  • Double-blind
  • Placebo-controlled
  • 1:1 randomisation
  • After the 12-hour period, open-label therapies at the treating team's discretion
  • Followed for the duration of hospitalisation; secondary outcomes assessed at discharge

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Inotrope versus placebo therapy in cardiogenic shock: Rationale and study design of the CAPITAL DOREMI2 trial. Am Heart J. Published 23 April 2023. doi:10.1016/j.ahj.2023.04.010

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