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Comparing Dopamine, Norepinephrine and Epinephrine for Pulmonary Hypertension Crisis

Compares dopamine, norepinephrine and epinephrine in adults in pulmonary hypertension crisis.

Key facts

Who runs it
China National Center for Cardiovascular Diseases
Where
Beijing, Guangzhou, and Wuhan, ChinaSee the 3 sites
Trial code
Registry title
Vasopressor Agents in Pulmonary Hypertension Crisis
Status
Recruiting
People taking part
75 people, planned
Started
19 Aug 2026
Expected to end
31 Jan 2029
Type of study
Interventional, 3 groups
Treatments tested
  • Norepinephrine
  • Dopamine
  • Epinephrine
Record updated
30 October 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults in hospital with pulmonary arterial hypertension or chronic thromboembolic pulmonary hypertension who are in a pulmonary hypertensive crisis. It compares three drugs: dopamine, norepinephrine and epinephrine.

Age
Over 18 years
Sex
All sexes can join
Disease stage
Confirmed pulmonary arterial hypertension (PAH) and/or chronic thromboembolic pulmonary hypertension (CTEPH), with signs of a pulmonary hypertensive crisis. Diagnosis and treatment must both happen in the hospital.
Earlier treatment
Must not be getting dopamine, norepinephrine or epinephrine through a vein at enrollment.

Main reasons for not taking part

  • SCAI stage D or stage E
  • Pregnancy
  • Uncontrolled hyperthyroidism or angle-closure glaucoma
  • Allergy to the study drugs
  • Current use of MAOI antidepressants or anti-Parkinson drugs, or halogenated general anesthetics such as cyclopropane and halothane

The registry criteria, word for word

Show all 15 criteriaShow less

Who can take part

  • Age > 18 years old
  • Signed informed consent form
  • Confirmed diagnosis of arterial pulmonary hypertension (PAH) and/or chronic thromboembolic pulmonary hypertension (CTEPH)
  • Presenting with manifestations of pulmonary hypertensive crisis
  • Receiving both diagnosis and treatment in-hospital
  • No intravenous administration of the vasopressor drugs (including dopamine, norepinephrine, and epinephrine) under study at enrollment

Who cannot take part

  • Ongoing use of monoamine oxidase inhibitor (MAOI) antidepressants or anti-Parkinson drugs (phenelzine, tranylcypromine, isocarboxazid, moclobemide)
  • Already receiving the vasopressor drugs (dopamine, norepinephrine, epinephrine) under study at enrollment
  • Hypersensitivity to the study drug
  • At SCAI stage D or stage E
  • Patients who only receive a diagnosis but no treatment in the hospital
  • Uncontrolled hyperthyroidism
  • Complicated with angle-closure glaucoma
  • Ongoing use of halogenated hydrocarbon general anesthetics such as cyclopropane and halothane
  • Pregnancy

Where in China

  • Chinese Academy of Medical Sciences, Fuwai HospitalBeijing, ChinaContact: Qing Gu,MDTaking people
  • Guangdong Provincial People's HospitalGuangzhou, ChinaContact: Li HuangNot yet recruiting
  • Zhongnan Hospital of Wuhan UniversityWuhan, ChinaContact: Gangcheng ZhangNot yet recruiting

About the trial

What the trial wants to find out

Comparison of the efficacy and safety of three vasoactive agents-dopamine, norepinephrine, and epinephrine-in the treatment of patients with pulmonary hypertension crisis: prospective, randomised controlled trial monitored by haemodynamic monitoring

The 3 groups in the trial

  • Norepinephrine groupTreatment being tested

    The initial dose is 0.02 mg/kg/min of norepinephrine; each dose adjustment (increase or decrease) is 0.02 mg/kg/min of norepinephrine; the maximum dose of norepinephrine is 0.2 mg/kg/min.

    Treatment: Norepinephrine

  • Dopamine groupTreatment being tested

    The initial dose is 2 μg/kg/min of dopamine; each dose adjustment (increase or decrease) is 2 μg/kg/min of dopamine; the maximum dose of dopamine is 20 μg/kg/min.

    Treatment: Dopamine

  • Epinephrine groupTreatment being tested

    The initial dose is 0.02 μg/kg/min of epinephrine; each adjustment (increase or decrease) is 0.02 μg/kg/min of epinephrine; the maximum dose of epinephrine is 0.2 μg/kg/min

    Treatment: Epinephrine

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Comparison of the Efficacy and Safety of Dopamine, Norepinephrine and Epinephrine in the Treatment of Pulmonary Hypertensive Crisis Under Hemodynamic Monitoring
Plain-language title
Comparing Dopamine, Norepinephrine and Epinephrine for Pulmonary Hypertension CrisisGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 13 November 2026.
Record updated
30 October 2026