dobutamine
Trade name: dobutrex
Approved
Jul 18, 1978
Dobutamine is a sympathomimetic drug used in the treatment of heart failure and cardiogenic shock. Dobutamine hydrochloride is a direct-acting inotropic agent whose primary activity results from stimulation of the ß-receptors of the heart while producing comparatively mild chronotropic, hypertensive, arrhythmogenic, and vasodilative effects. It does not cause the release of endogenous norepinephrine, as does dopamine. Dobutamine directly stimulates beta-1 receptors of the heart to increase myocardial contractility and stroke volume, resulting in increased cardiac output. Dobutamine Injection, USP is indicated when parenteral therapy is necessary for inotropic support in the short-term treatment of adults with cardiac decompensation due to depressed contractility resulting either from organic heart disease or from cardiac surgical procedures. — NCATS
Clinical trial activity
67 trials · 124 clinical orgs · 14 marketing orgs
Earliest trial started Oct 1, 1999 (NCT00100412)
Timeline
1990s
- Sep 27, 1993
Hospira — NDA Secondary Org
- Sep 27, 1993
Baxalta — NDA Secondary Org
- Sep 27, 1993
Baxter — NDA Secondary Org
- Oct 19, 1993
Teva — Marketing Organization
- Nov 29, 1993
Hospira — Marketing Organization
- Nov 30, 1993
Watson Pharmaceuticals — Marketing Organization
- Oct 31, 1994
West-Ward Pharmaceutical — Marketing Organization
- Oct 31, 1994
Hikma — Marketing Organization
- Feb 21, 1995
Teligent Pharmaceuticals — Marketing Organization
- Sep 26, 1996
Baxter — Marketing Organization
- Mar 31, 1998
Dr. Reddy's Laboratories — Marketing Organization
- Jun 25, 1998
Lutipold — Marketing Organization
- Jun 25, 1998
Sankyo — Marketing Organization
- Jan 1, 1999
Earliest Phase 2 Sponsor(trial)
2020s
- Dec 21, 2022
Hainan Poly Pharm — Marketing Organization
- Dec 21, 2022
SLATE RUN PHARMA — Marketing Organization
Indications
Studied for
- Acute Coronary Syndrome · Phase 4
- Acute Lung Injury · Phase 2
- Amyloidosis · Phase 1/Phase 2
- Anesthesia, General · Phase 4
- Angina Pectoris · Phase 4
- Arrhythmias, Cardiac · Early Phase 1
- Asthma · Phase 4
- Brain Injuries, Traumatic · Phase 2
- Cardiac Output, Low · Phase 4
- Cardiomyopathies · Phase 3
- Cardiomyopathy, Dilated · Phase 1/Phase 2
- Cardiomyopathy, Hypertrophic · Phase 4
- Cardio-Renal Syndrome · Phase 3
- Cardiovascular Diseases · Phase 4
- Circulatory and Respiratory Physiological Phenomena · Phase 1/Phase 2
- Coronary Artery Disease · Phase 4
- Coronary Disease · Phase 3
- Dobutamine · Early Phase 1
- Drug-Related Side Effects and Adverse Reactions · Phase 1
- Extracorporeal Membrane Oxygenation · Phase 4
- Fibrosis · Phase 3
- Free Tissue Flaps · Phase 4
- General Surgery · Phase 4
- Head and Neck Neoplasms · Phase 4
- Healthy Volunteers · Phase 4
- Heart Diseases · Phase 3
- Heart Failure · Phase 4
- Heart Transplantation · Phase 2
- Hemodynamics · Phase 2
- Hepatectomy · Early Phase 1
- Hyperlactatemia · Phase 2
- Hypertrophy, Left Ventricular · Phase 3
- Hypotension · Phase 4
- Infant, Premature, Diseases · Phase 1/Phase 2
- Infections · Phase 2/Phase 3
- Microcirculation · Phase 4
- Mitral Valve Stenosis · Phase 4
- Mouth Neoplasms · Phase 4
- Myocardial Infarction · Phase 2
- Myocardial Ischemia · Phase 3
- Perfusion · Phase 3
- Prostatic Neoplasms · Phase 2
- Pulmonary Disease, Chronic Obstructive · Phase 4
- Pulmonary Edema · Phase 4
- Renal Insufficiency · Phase 2
- Sepsis · Phase 4
- Shock · Phase 1/Phase 2
- Shock, Cardiogenic · Phase 4
- Shock, Septic · Phase 2/Phase 3
- Tetralogy of Fallot · Phase 3
- Thoracic Surgery · Phase 2
Mechanism of action
- Beta-1 adrenergic receptorAGONIST
ADRB1 agonist
- Beta-2 adrenergic receptorAGONIST
ADRB2 agonist
Approval history
- approvedPriority reviewJul 18, 1978
Chemistry & pharmacology
SMILES
CC(CCc1ccc(O)cc1)NCCc1ccc(O)c(O)c1- Mol. weight
- 301.39 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL926 ↗
- WikipediaDobutamine ↗
- NCATS3S12J47372 ↗
- ChEMBLCHEMBL1200418 ↗
Also known as
- 3,4-dihydroxy-n-[3-(4-hydroxyphenyl)-1-methylpropyl]-beta-phenylethylamine
- 3,4-dihydroxy-n-[3-(4-hydroxyphenyl)-1-methylpropyl]-beta-phenylethylamine
- 4-{2-[3-(4-hydroxy-phenyl)-1-methyl-propylamino]-ethyl}-benzene-1,2-diol
- 4-{2-[3-(4-hydroxy-phenyl)-1-methyl-propylamino]-ethyl}-benzene-1,2-diol
- (+-)-4-(2-((3-(p-hydroxyphenyl)-1-methylpropyl)amino)ethyl)pyrocatechol
- (+-)-4-(2-((3-(p-hydroxyphenyl)-1-methylpropyl)amino)ethyl)pyrocatechol
- 46236
- compound 81929
- compound 81929
- dl-dobutamine
- dl-dobutamine
- dobutamin
- dobutamin
- dobutamina
- dobutamina
- dobutamine
- dobutamine
- dobutamine
- dobutamine
- dobutamine
- dobutamine
- dobutamine
- dobutamine
- dobutamine
- dobutamine
- dobutamine hcl
- dobutamine hcl
- dobutamine hcl
- dobutamine hydrochloride
- dobutamine hydrochloride
- dobutamine hydrochloride
- dobutamine hydrochloride
- dobutamine hydrochloride
- dobutaminum
- dobutaminum
- dobutrex
- dobutrex
- dobutrex
- doubtamine
- posiject
- posiject
- rac-dobutamine
- rac-dobutamine
- racemic-dobutamine
- racemic-dobutamine
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07230106 | Phase 2 | Nov 30, 2025 | Hengrui Therapeutics, Inc. |
| NCT07000994 | N/A | Jun 16, 2025 | University of Hamburg |
| NCT06462313 | N/A | Jul 22, 2024 | Anhui Medical University, Chinese Academy of Medical Sciences, Fujian Medical University, Fujian Provincial Hospital, Guangdong Medical University, Guizhou Medical University, Henan Provincal People's Hospital, Huazhong University of Science and Technology, Lishui Country People's Hospital, Nanchang University, Ningbo No. 1 Hospital, Ningbo No. 2 Hospital, People's Liberation Army of China, Red Cross Hospital, Hangzhou, China, Shihezi University Medical College, Soochow University, Southern Medical University, The Central Hospital of Lishui City, The First People’s Hospital of Zunyi, Tianjin Medical University, University of South China, Weifang People's Hospital, Weihai Municipal Hospital, Wenzhou Medical University, Wuhan University, Xinjiang Medical University, Zhejiang University, Zhengzhou University, Zunyi Medical College |
| NCT06878742 | Phase 1/Phase 2 (Phase 2) | Jun 24, 2024 | Universidad Autonoma de Madrid |
| NCT06478667 | Phase 3 | Jun 20, 2024 | Ain Shams University |
| NCT06318260 | Phase 1/Phase 2 (Phase 2) | Apr 8, 2024 | Aarhus University |
| NCT06210217 | Early Phase 1 (Phase 1) | Feb 1, 2024 | Sichuan University |
| NCT05999487 | N/A | Oct 31, 2023 | Cairo University |
| NCT05953142 | Phase 2 | Aug 1, 2023 | Federal University of Sao Paulo |
| NCT05700617 | Early Phase 1 (Phase 1) | Jul 31, 2023 | University of Chicago |
| NCT05944146 | N/A | May 31, 2023 | Fudan University |
| NCT05594342 | Phase 3 | Jul 1, 2022 | The Young Investigator Group of Cardiovascular Research |
| NCT05196815 | N/A | Jul 1, 2022 | The Royal Wolverhampton NHS Trust |
| NCT05350592 | Phase 2 | Mar 7, 2022 | Novo Nordisk, University of Copenhagen |
| NCT05267886 | Phase 4 | Mar 5, 2022 | University of Ottawa |
| NCT05241912 | Early Phase 1 (Phase 1) | Feb 28, 2022 | Guangzhou Red Cross Hospital |
| NCT05025644 | Phase 4 | Aug 31, 2021 | University of Toronto |
| NCT04893655 | Phase 4 | May 3, 2021 | Ghent University, Universitair Ziekenhuis Gent |
| NCT06784570 | Phase 2 | Jan 1, 2021 | Zagazig University |
| NCT04369573 | Phase 4 | May 4, 2020 | University of Milan |
Organizations
Research & Development (124)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| National Heart, Lung, and Blood Institute (NHLBI) | Government | 3 | 0 | 2 | 2003 |
| Universidad Autonoma de Madrid | Academic/Hospital | 3 | 2 | 1 | 2010 |
| Aarhus University | Academic/Hospital | 2 | 2 | 2 | 2011 |
| Abbott | For profit | 2 | 1 | 1 | 2003 |
| Department of Veteran Affairs | Government | 2 | 1 | 1 | 1999 |
| Ghent University | Academic/Hospital | 2 | 2 | 1 | 2019 |
| University of Grenoble | Academic/Hospital | 2 | 2 | 2 | 2014 |
| University of Ottawa | Academic/Hospital | 2 | 2 | 1 | 2017 |
| University of Roma La Sapienza | Academic/Hospital | 2 | 2 | 2 | 2007 |
| Ain Shams University | Academic/Hospital | 1 | 1 | 1 | 2024 |
| American Heart Association | Academic/Hospital | 1 | 0 | 1 | 2013 |
| Anhui Medical University | Academic/Hospital | 1 | 0 | 1 | 2024 |
| Astellas | For profit | 1 | 0 | 1 | 2009 |
| AstraZeneca | For profit | 1 | 0 | 1 | 2017 |
| Autonomous University of Madrid | Academic/Hospital | 1 | 0 | 1 | 2014 |
| Basque Country University | Academic/Hospital | 1 | 0 | 1 | 2014 |
| Bristol-Myers Squibb | For profit | 1 | 0 | 1 | — |
| Cairo University | Academic/Hospital | 1 | 1 | 1 | 2023 |
| Chinese Academy of Medical Sciences | Academic/Hospital | 1 | 0 | 1 | 2024 |
| Competence Network for Congenital Heart Defects | Academic/Hospital | 1 | 1 | 1 | 2007 |
Marketing (18)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Baxalta | For profit | NDA2 | Sep 27, 1993 |
| Baxter | For profit | NDA2 | Sep 27, 1993 |
| Baxter | For profit | MKTG | Sep 26, 1996 |
| Dr. Reddy's Laboratories | For profit | MKTG | Mar 31, 1998 |
| Eli Lilly | For profit | NDA | Jul 18, 1978 |
| Hainan Poly Pharm | For profit | MKTG | Dec 21, 2022 |
| Hikma | For profit | MKTG | Oct 31, 1994 |
| Hospira | For profit | NDA2 | Sep 27, 1993 |
| Hospira | For profit | MKTG | Nov 29, 1993 |
| Lutipold | For profit | MKTG | Jun 25, 1998 |
| SLATE RUN PHARMA | For profit | MKTG | Dec 21, 2022 |
| Sankyo | For profit | MKTG | Jun 25, 1998 |
| Teligent Pharmaceuticals | For profit | MKTG | Feb 21, 1995 |
| Teligent Pharmaceuticals | For profit | SYN | Feb 21, 1995 |
| Teva | For profit | MKTG | Oct 19, 1993 |
| Watson Pharmaceuticals | For profit | MKTG | Nov 30, 1993 |
| Watson Pharmaceuticals | For profit | SYN | Feb 18, 1998 |
| West-Ward Pharmaceutical | For profit | MKTG | Oct 31, 1994 |