Clinical trial Recruiting at 1 site Interventional Ages 5 to 16

School-centered prevention program for latent rheumatic heart disease in children

Official title: Effectiveness of a School-centered Primary and Secondary Prevention Program on Prevalence of Latent Rheumatic Heart Disease

Run by Insel Gruppe AG, University Hospital Bern · NCT05504928 · Data updated 2026-11-12

This study is testing a school program in Nepal to see if it can help find and treat throat infections early to prevent heart problems in children aged 5 to 16.

Quick facts

Study typeInterventional
Ages5 Years to 16 Years
SexAll
Enrollment2300 (estimated)
SponsorInsel Gruppe AG, University Hospital Bern
Academic / other
Locations1 site (Tulsi̇̄pur)
StatusRecruiting
StartedJune 1, 2022
Main results expectedJune 1, 2026
Study endsDecember 1, 2026
Registry record updatedAugust 17, 2022
Trial IDNCT05504928 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are children aged 5-16 years who attend Tulsi Secondary Boarding School in Tulsipur, Nepal.

Probably not a fit

Patients who do not attend Tulsi Secondary Boarding School or those whose caregivers do not provide informed consent will not benefit from this study.

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

What this trial studies

This study evaluates the effectiveness of a school-centered prevention program aimed at reducing the prevalence of latent rheumatic heart disease among schoolchildren in Nepal. It focuses on timely detection and treatment of group A β-hemolytic streptococcal pharyngitis using rapid antigen detection tests, followed by antibiotic prophylaxis. The program also investigates the influence of socioeconomic and environmental factors on the disease's development and progression. Children aged 5-16 years attending Tulsi Secondary Boarding School will be included in the study, which employs an interrupted time series design to assess outcomes.

Why it matters

Potential benefit: If successful, this program could significantly reduce the incidence of rheumatic heart disease in children, improving long-term health outcomes.

How similar studies have gone: Other studies have shown success with school-centered health interventions in reducing disease prevalence, suggesting a promising approach for this program.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 5-16 years
* Attending Tulsi Secondary Boarding School in Tulsipur, Nepal.

Exclusion Criteria:

* Children / primary caregivers not providing informed consent to participate
* Children not attending Tulsi Secondary Boarding School in Tulsipur.

Where it's running

  • Tulsi Secondary Boarding School
    Tulsi̇̄pur, Nepal
    Recruiting

Study contacts

Similar studies

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

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

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  • School-based program to prevent rheumatic heart disease in children in endemic regions

    The program will try to prevent rheumatic heart disease in schoolchildren aged 5–16 by placing trained nurses in schools to teach about strep throat, provide assessment and treatment, and help ensure ongoing antibiotic prevention for those at risk.

    Recruiting at 2 sites Insel Gruppe AG, University Hospital Bern · Kathmandu and 1 other locations · NCT06720272

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.