Clinical trial Recruiting at 1 site Observational Ages 5 to 16

School-based program to prevent rheumatic heart disease in kids

Official title: EFFECTIVENESS OF A SCHOOL-CENTRED PRIMARY AND SECONDARY PREVENTION PROGRAM ON PREVALENCE OF LATENT RHEUMATIC HEART DISEASE

Run by Centre for Infectious Disease Research in Zambia · NCT07927868 · Data updated 2026-11-12

This study tests a school-based nurse program and awareness effort to help children with latent rheumatic heart disease in three countries.

Quick facts

Study typeObservational
Ages5 Years to 16 Years
SexAll
Enrollment20000 (estimated)
SponsorCentre for Infectious Disease Research in Zambia
Academic / other
Locations1 site (Lusaka, Lusaka Province)
StatusRecruiting
StartedJanuary 14, 2025
Main results expectedDecember 31, 2027
Study endsDecember 31, 2027
Registry record updatedNovember 10, 2026
Trial IDNCT07927868 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are 5-16 year-olds attending one of the selected schools in Kathmandu, Lusaka, or Mekelle who and whose primary caregivers provide informed consent.

Probably not a fit

Children not attending the selected schools or without informed consent may not benefit from the program.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study uses an incomplete stepped wedge cluster design to introduce a school-nurse program plus an awareness campaign for GABHS pharyngitis and secondary antibiotic prophylaxis. Clusters are whole schools in Kathmandu, Lusaka, and Mekelle, randomized to different start times so every school eventually receives the program. Each school will have one year in the control phase followed by a year in the intervention phase, with before-and-after measurements. The aim is to see if the program reduces progression risk and improves care for children with latent RHD in endemic settings.

Why it matters

Potential benefit: If successful, participating children may receive earlier care and secondary prophylaxis, potentially reducing progression of latent RHD.

How similar studies have gone: Previous cluster implementations of school-based health interventions in similar settings have shown potential benefits in related outcomes, though this exact stepped-wedge school-nurse model is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 5-16 years
* Attending a randomly selected school at one of the three study sites

Exclusion Criteria:

* Children / primary caregivers not providing informed consent to participate.
* Children not attending one of the selected schools

Where it's running

  • Kalingalinga
    Lusaka, Lusaka Province, Zambia
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Adapting and testing PEN-Plus in Zambian primary care

    Aiming to see if the PEN-Plus package can be adapted and used in two Zambian hospitals to better manage chronic diseases like heart disease, diabetes, hypertension, and sickle cell in primary care.

    Recruiting Centre for Infectious Disease Research in Zambia · Lusaka, Lusaka Province · NCT07753681

  • Stop penicillin in children with mild rheumatic heart disease to see if it’s still safe

    This study tests whether stopping secondary antibiotic prophylaxis is no worse than continuing it for 2 years in kids and teens with mild rheumatic heart disease who have already been treated.

    Recruiting Phase 3 Children's Hospital Medical Center, Cincinnati · Kampala, UG · NCT07146048

  • Korea VHD Echo Study: Real-World Practice of Aortic, Mitral, and Tricuspid Valves

    This study looks at how valvular heart disease is managed in Korea by reviewing echocardiograms and medical records from multiple centers to see patterns in disease progression and treatment.

    Recruiting at 2 sites Yonsei University · Seoul, Seoul and 1 other locations · NCT07068633

  • Treating severe mitral valve calcification with a specialized balloon

    This study is testing a special balloon treatment for people with severe mitral valve calcification to see if it can help them feel better when other options aren't safe or effective.

    Recruiting Prince of Wales Hospital, Shatin, Hong Kong · Shatin, New Territories · NCT06952374

  • Screening for Rheumatic Heart Disease in Rural Communities

    This study is testing if using ultrasound to screen for Rheumatic Heart Disease in rural communities can help find and treat the condition early to improve health outcomes.

    Recruiting National Institute of Cardiovascular Diseases, Pakistan · Karachi, Sindh · NCT05991219

  • Program to prevent rheumatic heart disease in Northern Uganda

    This study is testing a new program in Northern Uganda to see if it can effectively prevent Rheumatic Heart Disease in children and young adults through community screenings and local health services.

    Recruiting Children's Hospital Medical Center, Cincinnati · Kampala, Uganda · NCT05783375

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.