ClinicalTrials.gg
Not yet recruitingNCT07790302MEERCATS 1Updated Aug 27, 2026

Multi-country Evaluation of Early RHD in Children Across Africa for Vaccine Trial Readiness

An observational study in Rheumatic Heart Disease in Children, sponsored by Children's Hospital Medical Center, Cincinnati. Not yet recruiting at 1 site in Uganda. Open to participants aged 5 Years to 8 Years. Per ClinicalTrials.gov, last updated 2026-08-27.

Sponsored by Children's Hospital Medical Center, Cincinnati · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
7,500
Ages
5 Years to 8 Years
Sex
All
01

Study summary

This study will look at how many children develop rheumatic heart disease (RHD) over a 3-year period. The study will include children ages 5 to 8 who do not have RHD at the start and who live in areas where the disease is common. Each child will have a heart ultrasound (echocardiogram) once a year for 3 years to check for signs of RHD. Doctors will diagnose RHD using internationally recognized guidelines from the World Heart Federation (2023). The study will also look at how often new cases occur each year, whether rates differ by age, sex, or location, and whether any children develop acute rheumatic fever during the study.

02

Conditions studied

  • Rheumatic Heart Disease in Children

Keywords

  • Rheumatic Heart Disease
  • Rheumatic Heart Disease in Children
03

In context

Rheumatic Heart Disease

61 studies on the registry are indexed under Rheumatic Heart Disease; 25 are open to participants now.

This study's planned enrollment of 7,500 is above the median of 1,224 across 22 observational studies indexed under Rheumatic Heart Disease.

Browse Rheumatic Heart Disease studies →

Lead sponsor

Children's Hospital Medical Center, Cincinnati is the lead sponsor of 673 studies on the registry; 130 are open to participants now.

Of its 57 completed or terminated interventional studies of FDA-regulated products, 31 (54%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
5 Years to 8 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Potential participants may be identified through locally approved school-based screening programs, community-based recruitment activities, existing demographic surveillance systems, or other locally appropriate community engagement mechanisms.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 5-8 years at enrollment
  • Residence within participating study catchment area
  • Parent/guardian able to provide
  • Participant able to provide assent where age-appropriate (country-specific, see below)
  • Normal baseline echocardiogram according to study screening protocol

Exclusion criteria

Exclusion Criteria:

  • History of past ARF or RHD with or without cardiac involvement
  • Evidence of RHD at baseline screening
  • Congenital heart disease at baseline screening (excluding small PFO/ASD)
  • Medical conditions that would preclude safe participation or follow-up
  • Anticipated inability to complete study follow-up
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
7,500 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Number of Participants with 3-Year Cumulative Incidence of Rheumatic Heart Disease

    Proportion of participants who develop RHD during the 3-year follow-up period, defined according to the 2023 World Heart Federation (WHF) echocardiographic criteria. Participants will be considered to have reached the endpoint if RHD is identified on any follow-up echocardiogram at 12, 24, or 36 months, or if they are diagnosed with acute rheumatic fever (ARF) during follow-up.

    Time frame: 3 years

Secondary outcomes

  1. Rate of Newly Diagnosed Rheumatic Heart Disease

    Incidence of newly diagnosed RHD at each annual assessment (12, 24, and 36 months), based on the 2023 WHF echocardiographic criteria.

    Time frame: 12 months, 24 months, and 36 months

  2. Number of Participants with RHD by Age Group

    Cumulative incidence of RHD stratified by age at enrollment (5-6 years versus 7-8 years).

    Time frame: 3 years

  3. Number of Participants with RHD by Sex

    Cumulative incidence of RHD stratified by participant sex.

    Time frame: 3 years

  4. Number of Participants with RHD by Geographic Location

    Cumulative incidence of RHD stratified by study site (Uganda, Malawi, and The Gambia)

    Time frame: 3 years

Other outcomes

  1. Number of Participants with Acute Rheumatic Fever

    Number and proportion of participants diagnosed with acute rheumatic fever during follow-up, diagnosed according to the 2015 Revised Jones Criteria. ARF events will be monitored as a safety outcome.

    Time frame: 3 years

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Feb 2027; primary completion for Jul 2031, 53 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 24, 2026
First posted
Aug 27, 2026
StartEst.
Feb 2027
Primary completionEst.
Jul 31, 2031
CompletionEst.
Mar 1, 2032
Last update
Aug 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07790302
Collaborators
Uganda Heart Institute, Murdoch Childrens Research Institute, Ochsner Health System, Malawi Liverpool Wellcome Programme
Responsible party
Sponsor
First posted
Aug 27, 2026
Start date
Feb 2027 (estimated)
Primary completion
Jul 31, 2031 (estimated)
Completion
Mar 1, 2032 (estimated)
Last update
Aug 27, 2026

Study contacts

Alison Spaziani
Contact
aspaziani@childrensnational.org
703-347-3271
Mary Banks
Contact
513-803-3123
Andrea Beaton
principal investigator · Children's Hospital Medical Center, Cincinnati

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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