The MERCURI-2 trial

A multicentre study funded by The Netherlands Organisation for Health Research and Development (ZonMw) through Programme “Goed gebruik geneesmiddelen” Project number: 10140022010003.

This page provide information on the progress and results of our study for patients, participants, members of the public as well as interested colleagues.

Official trial registration

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Information for participants

Thank you for your participation in the MERCURI-2 trial! If you wrote down your email address on the informed consent form, we will inform you about the results after the trial is finished.  

Bedankt voor uw deelname aan de MERCURI-2 studies! Als u uw email adres heeft opgegeven op het patienteninformatie en toestemmingsformulier, houden we u op de hoogte van de studie resultaten nadat de studie voltooit is.

Progression

At last count, 363 participants were enrolled in the trial that is ±45% of the 784 required participants. Patients are currently at 5 Dutch cardiothoracic surgery centres, with an overall inclusion rate exceeding projections and planning.

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Dr. Bas Gerritse

Cardiac anesthesiologist

Dr. Thierry Scohy

Cardiac anesthesiologist

Michelle Verhagen

Research coordinator

Maaike Thio

PhD student

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Dr. Ferdinand Snellen 

Anesthesiologist-intensivist

Dr. Martijn Tolsma

Cardiac anesthesiologist-intensivist

Henrico Wesselink

Research supervisor anesthesiology and IC

Alice Pap-Brugmans

Research nurse

Yvonne Jordens

Research nurse

 
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Dr. Jeroen Wink  

Cardiac anesthesiologist

Jesper Hjortnaes

Cardiothoracic surgeon

Eline Bruggemans

Clinical researcher

 
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Dr. Marc Godfried  

Anesthesiologist

Rients de Boer

Cardiac anesthesiologist-intensivist

 
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Dr. Magiel Voogd  

Cardiac anesthesiologist

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Nelson Oliveira

Cardiac anesthesiologist-intensivist

Ed Niesten

Cardiac anesthesiologist-intensivist

 

Study Overview

Background

Acute kidney injury (AKI) is one of the most common major complications after cardiac surgery and is associated with postoperative morbidity and mortality. Currently, no effective therapy exists to reduce the incidence of postoperative AKI. Sodium-glucose transport protein 2 (SGLT2) inhibitors may reduce the incidence of AKI. Therefore, we hypothesize that perioperative SGLT2 inhibition will reduce the incidence of acute kidney injury.

Study design

We designed a multicenter randomized, placebo-controlled, triple-blinded, superiority trial. We aim to include 784 patients undergoing cardiac surgery between the age of 18 to 90 years and stratify for sex and type 2 diabetes in a 1:1 ratio. Patients will receive either dapagliflozin 10mg or placebo from the day before surgery until two days thereafter. The primary outcome is the incidence of acute kidney injury according to the Kidney Disease: Improving Global Outcomes (KDIGO) criteria.

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Funding

This trial is funded by The Dutch Organisation for Health Research and Development (ZonMw) through the programme “Goed gebruik geneesmiddelen”. Project number: 10140022010003.

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Collaboration

During the trial preparation, we collaborated closely with the Dutch patient associations for kidney disease, the “Nierstichting” and cardiovascular disease, “Harteraad”, to develop the trial’s design and patient information materials.