Which drug works best for shock? major trial to settle debate
NCT ID NCT07562932
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study will compare norepinephrine and dopamine as the first drug given to adults with cardiogenic shock, a life-threatening condition where the heart can't pump enough blood. About 512 participants will be randomly assigned to one of the two drugs. The goal is to see which drug reduces the risk of death or worsening shock within the first month, and causes fewer complications like dangerous heart rhythms or need for a heart pump.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- norepinephrine and dopamine (vasopressor drugs)
- What this could lead to
- If this trial succeeds, it could show which drug is safer and more effective for stabilizing blood pressure and improving survival in cardiogenic shock.
- What could go wrong
- This is an early-stage comparison trial; results may not apply to all patients. Both drugs have known risks like arrhythmias, and the study is not yet recruiting.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 512 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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May 2032
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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19 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1\&2 1. Age ≥ 19 2. Cardiogenic shocka in the stage of Society for cardiovascular angiography and intervention (SCAI) C or D * Cardiogenic shock was defined as follows, and should fulfill both 1) and 2) 1. systolic blood pressure \<90 mm Hg for ≥30 min or need of inotropes or vasopressors to maintain systolic blood pressure \>90 mm Hg And 2. Impaired cardiac function confirmed by cardiac catheterization or echocardiography * Patients will be further classified based on the SCAI shock classification system as follows: 1. SCAI B: no signs of hypoperfusion 2. SCAI C: any signs of hypoperfusion, cardiogenic shock will be classified as SCAI C, and these include mental status change, cool and clammy skin, mottled skin appearance, decreased urine output (30ml/hour) or lactate over 2.0mmol/L 3. SCAI D: requirement of second-line vasoactive drug or mechanical circulatory support based on the predefined treatment protocol Exclusion Criteria: any of these, 1. Administration of vasoactive drug more than 6 hours before enrollment 2. Patients already on temporary mechanical circulatory supportb before enrollment 3. Glasgow Coma Scale lower than 8 or other evidence of irreversible brain injury 4. Shock etiologies other than cardiogenic which include postcardiotomy shock or mixed shock 5. Pregnancy or lactation
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Chonnam National University Hospital
Gwangju, 61469, South Korea
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Stick-On patch aims to catch dangerous heart decline sooner
- Heart pump timing put to the test in deadly heart attack shock
- A second chance for the heart: can rehab rewrite the story after shock?
- Blood filter may calm the deadly inflammation of cardiogenic shock
- Microscopic blood vessel health may hold key to cardiogenic shock survival
- Can a machine support a failing heart without overworking it?