Bringing rheumatic heart disease prevention to communities in Uganda

Accelerating Delivery of rheumatic heart disease preventive iNterventions in Uganda (ADUNU)

['FUNDING_R01'] · CINCINNATI CHILDRENS HOSP MED CTR · NIH-11166473

This program will find people with rheumatic heart disease in Ugandan communities and provide regular monthly penicillin shots and follow-up care to prevent further heart damage.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorCINCINNATI CHILDRENS HOSP MED CTR (nih funded)
Locations1 site (CINCINNATI, UNITED STATES)
Trial IDNIH-11166473 on ClinicalTrials.gov

What this research studies

If I join, local teams will use handheld echocardiography in community settings to look for signs of rheumatic heart disease near where I live. Nurses will enroll people found to have RHD into local registries and deliver monthly intramuscular benzathine penicillin G as secondary prevention. The program will be launched in one district and then replicated in a second district to test how it works in different places. The project is designed as a real-world rollout (not randomized) and aims to create a system that the Ugandan government could expand nationally.

Who could benefit from this research

Good fit: Children and young adults living in the participating Ugandan districts who have or are suspected to have rheumatic heart disease or a history of rheumatic fever are the ideal candidates.

Not a fit: People without RHD, those living outside the participating districts, or anyone who cannot receive intramuscular benzathine penicillin (for example due to allergy) are unlikely to benefit directly from this program.

Why it matters

Potential benefit: If successful, this could help prevent further valve damage, reduce hospitalizations, and lower early death from rheumatic heart disease by making diagnosis and regular prophylaxis more accessible.

How similar studies have performed: Monthly benzathine penicillin for secondary prevention has worked in higher-income settings and handheld echocardiography screening has supporting evidence, but using both together in community-based Ugandan programs is a newer implementation.

Where this research is happening

CINCINNATI, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Conditions: Acquired Immune Deficiency Syndrome Virus, Acquired Immunodeficiency Syndrome Virus

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.