- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04153708
Retrieval of Hepatitis C Patients Lost to Follow-up
A Clinical Trial to Evaluate the Efficacy of Two Strategies to Linkage to Care Patients With Hepatitis C Lost to Follow-up
Study Overview
Status
Conditions
Detailed Description
This is a prospective, randomized study in which subjects lost to follow-up with positive HCV antibodies without RNA request or positive RNA will be proposed to be brought back into care.
After patients identification from data files of laboratory and microbiology charts using three different cohorts in time (2005-07, 2011-11 and 2015-17), eligible patients (18 years of age or older, patients positive for HCV antibodies without RNA request or positive RNA lost to follow-up, with a valid sanitary card in our public health system and with available data for contact) will be randomized to: a) phone call (Strategy 1), and b) invitation letter (Strategy 2), both of two strategies including a scheduled appointment with the hepatologist.
Strategy 1 includes until three phone calls to contact patients and provide them with an appointment with the hepatologist (tertiary care center) over a period of 14 days according to patient availability. Instead, strategy 2 includes an invitation letter providing patients with the appointment with the hepatologist over a same period of time than strategy 1. If there is no response to calls or no attendance to the appointment after the letter (randomized strategy), the strategy will be switched to the another one.
Epidemiological, clinical, and laboratory variables will be registered.
The hypothesis of the study is that phone calls will improve the rate of linkage to care among HCV patients lost to follow-up compared to the invitation letter shipment. Therefore, call would be an effective strategy to rescue these patients.
For the present study, a 15% of improvement in linkage to care was hypothesized in the group of patients receiving the strategy 1 compared with the strategy 2. Taking into account a power of 80%, alpha error of 5% and losses of 10% will require 176 patients per strategy.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Manuel Hernandez-guerra, MD
- Phone Number: 666866237
- Email: mhernand@ull.edu.es
Study Locations
-
-
Santa Cruz De Tenerife
-
La Laguna, Santa Cruz De Tenerife, Spain, 38320
- Recruiting
- Manuel Hernandez-Guerra
-
Contact:
- Manuel Hernandez-guerra, MD
- Phone Number: 666866237
- Email: mhernand@ull.edu.es
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 18 years of age or older
- Record of positive HCV antibodies without RNA request or positive RNA lost to follow-up (non-treated patients with an active infection, without surveillance by any HCV specialist)
- Patients a valid sanitary card in our public health system
- Patients with available data for contact)
Exclusion Criteria:
- Belong to another catchment area. Current surveillance by any HCV specialist and/or record of sustained virological response.
- Severe comorbidity with an expected survival lower than 1 year.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Retrieval by phone call.
Patients assigned to strategy 1 will be called to schedule an appointment with the hepatologist over a period of 14 days.
|
Patients assigned to strategy 1 will be called to schedule an appointment with the hepatologist over a period of 14 days.
|
Active Comparator: Retrieval by mail letter
Patients assigned to strategy 2 will receive an invitation letter with an appointment with the hepatologist over a period of 14 days.
|
Patients assigned to strategy 2 will receive an invitation letter with an appointment with the hepatologist over a period of 14 days.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Acceptance of the intervention
Time Frame: One month after the intervention
|
Number of patients and % attending the clinic (linkage to care rate)
|
One month after the intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Effectiveness of the intervention
Time Frame: 6 months after starting treatment
|
Number of patients and % that cure the infection due to intervention (complete assessment and treatment rate).
|
6 months after starting treatment
|
Viability of the intervention
Time Frame: 1 week
|
Number of patients with unavailable or inaccurate data for contact
|
1 week
|
Factors associated with viability of the strategies
Time Frame: 6 months
|
Rate of patients with predictive factors associated to outcome 1
|
6 months
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Enrique Quintero Carrion, MD, Hospital Universitario de Canarias
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Liver Diseases
- Flaviviridae Infections
- Hepatitis, Viral, Human
- Enterovirus Infections
- Picornaviridae Infections
- Hepatitis
- Hepatitis A
- Hepatitis C
- Physiological Effects of Drugs
- Immunologic Factors
- Antibodies
- Immunoglobulins
- Hepatitis C Antibodies
Other Study ID Numbers
- CHUC_2019 23
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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