Award

NIH Reporter #3R33HL166441-04S1

Intramuscular vs. Enteral Penicillin Prophylaxis to Prevent Progression of Latent Rheumatic Heart Disease: A non-inferiority randomized trial. (GOALIE)

Recipient

National Heart Lung and Blood Institute

Award Amount

$680,919.00

Ceiling

$680,919.00

Awarded

February 20, 2026

Identifier

3R33HL166441-04S1

A randomized trial comparing intramuscular and oral penicillin prophylaxis to prevent latent rheumatic heart disease progression in children, focusing on efficacy, cost-effectiveness, and patient outcomes in low-resource settings.

Description

This project involves a randomized non-inferiority trial comparing intramuscular and oral penicillin prophylaxis to prevent the progression of latent rheumatic heart disease in children, with a focus on low-resource settings. The study will conduct school-based echocardiographic screening of approximately 100,000 children and enroll 1,004 children into the trial. The project aims to assess efficacy, cost-effectiveness, and patient-reported outcomes, with results expected to inform international policy on care standards for children with latent RHD.

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