- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02355080
A Bundled Rapid HIV/HCV Testing Intervention to Increase Receipt of Test Results (iKnow2 Project)
February 21, 2018 updated by: Jemima Frimpong, Columbia University
This is a randomized controlled clinical trial in which adults receiving drug abuse treatment will be recruited to participate in a HIV and hepatitis C (HCV) testing study.
The purpose of this study is to test the efficacy of two HIV/HCV testing strategies on increasing receipt of test results: (1) on-site bundled rapid HIV/HCV testing (i.e., joint offer of HIV and HCV at the point of encounter), and (2) standard of care for HIV and HCV testing.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
This is a randomized controlled clinical trial in which adults receiving drug abuse treatment will be recruited to participate in a HIV and hepatitis C (HCV) testing study.
The purpose of this study is to test the efficacy of two HIV/HCV testing strategies on increasing receipt of test results: (1) on-site bundled rapid HIV/HCV testing (i.e., joint offer of HIV and HCV at the point of encounter), and (2) standard of care for HIV and HCV testing.
Secondary outcomes include linkage to care and HIV and HCV risk behaviors.
Participants will complete a baseline assessment to report their demographics, sexual risk behaviors, drug-using risk behaviors, utilization of drug abuse treatment services and will be randomized to one of two groups.
At one-month post-randomization, participants will complete a follow-up assessment to determine whether or not they received their HIV or HCV test results.
At three months post-randomization, participants will complete a follow-up assessment to assess linkage to care and changes, if any, in their HIV and HCV sexual risk behaviors.
Study Type
Interventional
Enrollment (Actual)
134
Phase
- Phase 2
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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New York
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New York, New York, United States
- Acacia Network/Promesa
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Report being HIV and HCV negative, or report not knowing HIV and HCV status
- Not have received results of an HIV or HCV test initiated within the last 12 months
- Able and willing to provide informed consent
- Seeking or currently receiving drug (excluding alcohol only treatment) abuse treatment services at the participating treatment programs
- At least 18 years old
- Able to communicate in English
- Willing to sign a release form that will allow medical record review (to corroborate self-reports of receipt of test results)
- Able and willing to provide locator information (contact number and address) for follow-up surveys
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: On-site bundled rapid HIV/HCV testing
Participants will receive the on-site bundled rapid HIV/HCV testing intervention.
In the intervention group, all patients will receive an offer to participate in rapid HIV/HCV testing.
Those who accept this offer will: receive pre-test information about testing procedures and education, be tested, receive results during the same visit as testing, and be provided post-test counseling and support services by trained test counselors.
Patients with a preliminary positive (i.e., reactive) HIV and/or HCV test result(s) will be actively linked immediately to a health care provider for further evaluation and confirmatory HIV and/or HCV RNA testing.
|
Participants will be offered bundled on-site rapid HIV and HCV testing with post-test counseling that addresses both sexual and drug use risk reduction, and linkage to care.
|
Active Comparator: Standard of care (SOC)
Participants will receive the standard of care (SOC) at the study sites.
The SOC entails venipuncture whole blood HIV testing + venipuncture whole blood HCV testing.
Blood draws are sent to an external laboratory for processing, and patients must return for test results in another visit.
Patients may not receive pre-test information or results and post-test counseling, especially if non-reactive or negative test result(s).
Reflex testing is not standard practice, therefore some patients may require another visit and blood draw for confirmatory HIV and/or HCV RNA testing.
Linkage to care in the SOC is accomplished by referral to a health care provider, either within the participating substance use disorder treatment organization or passive referral to other health facilities.
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Participants will receive the SOC for HIV and HCV testing at the study sites.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Self-Report Receipt of HIV and Hepatitis C Test Results
Time Frame: One month post-randomization
|
The primary outcome is self-reported receipt of HIV/HCV test results.
This will be measured at one-month post-randomization for all participants.
We acknowledge that there are several potential HIV/HCV testing behaviors that could be evaluated in this study: acceptance of testing, completion of testing, and receipt of testing results, either HIV or HCV.
Acceptance of testing measures whether or not a participant would accept the offer of an HIV or HCV test.
Completion of testing measures whether or not a participant completes the HIV or HCV test.
Receipt of test results refers to whether or not a participant self-reports having received the results of the HIV or HCV test.
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One month post-randomization
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Linkage to care (Proportion of patients who initiated HIV/HCV care before the 3-month follow-up among those whose test results were positive for HIV and/or HCV.)
Time Frame: One month post-randomization
|
Proportion of patients who initiated HIV/HCV care before the 3-month follow-up among those whose test results were positive for HIV and/or HCV.
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One month post-randomization
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Sexual risk behaviors (Counts of unprotected vaginal and anal sex acts in the past 3 months with any sex partner.)
Time Frame: One month post-randomization
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Counts of unprotected vaginal and anal sex acts in the past 3 months with any sex partner.
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One month post-randomization
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Drug use behaviors (Prevalence of use of any drugs in the past 3 months; and unsafe injection practices.)
Time Frame: One month post-randomization
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Prevalence of use of any drugs in the past 3 months; and unsafe injection practices.
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One month post-randomization
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Jemima A. Frimpong, PhD, MPH, Columbia University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 1, 2016
Primary Completion (Actual)
July 1, 2017
Study Completion (Actual)
July 1, 2017
Study Registration Dates
First Submitted
January 30, 2015
First Submitted That Met QC Criteria
February 3, 2015
First Posted (Estimate)
February 4, 2015
Study Record Updates
Last Update Posted (Actual)
February 23, 2018
Last Update Submitted That Met QC Criteria
February 21, 2018
Last Verified
February 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- AAAN5869
- R34DA038530 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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