- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05264558
Preparing for the Final Phase of Hepatitis C Elimination. Cairns Final 30%
Preparing for the Final Phase of Hepatitis C Elimination in Cairns: An Implementation Trial of a Test and Treat Approach to Reach the Final 30%.
Study Overview
Status
Conditions
Detailed Description
Available testing and treatment data will be explored pre and post the intervention period of the project within Cairns Hinterland health services that provide hepatitis C care.
Test and treat strategies of the project will include:
Part A: Same day test and treat clinical trial. The study will explore a 'same day test and treat' model to determine the impact on HCV treatment initiation and cure within a primary care service that recognises that they see people at risk of hepatitis C that are transient, and struggle to return to a care provider to engage in hepatitis C testing and care.
- HCV RNA point of care (POC) testing
- Epclusa (Sofosbuvir/Velpatasvir 400mg/100mg) course initiated at same day of visit following a +ve HCV RNA result from the POC test.
Part B: Refresher and clinic in reach support work Primary care service/ General practitioner education and training ~1 hour in-person training for all clinic staff on hepatitis C testing, treatment, retention in HCV care cascade.
Part C: Services evaluation with incentive and peer intervention in HCV care cascade.
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
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Queensland
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Cairns, Queensland, Australia, 4870
- Cairns and Hinterland Hospital and Health Service
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- attending primary health care service of CHHS aged 18 years or over
Exclusion Criteria: only for intervention arm test and treat
- Known to have hepatitis B or HIV infection
- Known to have cirrhosis
- Previous treatment with direct acting antivirals
- Previously received interferon-based hepatitis C treatment that did not work
- Women that are pregnant or breastfeeding
- Already receiving hepatitis C treatment.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Test and treat
This group will receive POC HCV viral load testing via a fingerstick using the Xpert HCV Viral load finger stick point of care test (Cepheid) in addition to the standard of care whole blood conventional laboratory based HCV PCR viral load testing.
Participants who return a positive POC HCV viral load result will be provided with Epclusa on the same day as result.
Follow up management will be determined by results received from standard of care blood.
Service level data will be investigated to estimate HCV targeted treatment numbers prior to intervention arms implementation.
Service level data will be measured post intervention periods.
|
Xpert HCV VL Fingerstick is an in vitro reverse transcription polymerase chain reaction (RT-PCR) assay for the detection and quantification of Hepatitis C Virus (HCV) RNA in human venous and capillary fingerstick EDTA whole blood.
Appropriate pre and post testing counselling will be provided to participants.
Same day HCV test and treatment
|
Other: General Practitioner Refresher and Clinic in reach
Perform hepatitis C education for GP and clinic staff at primary health services; on hepatitis testing and treatment at a service level will offer the opportunity to tailor education to the requirements of the clinic and staffing needs.Service level data will be investigated to estimate HCV targeted treatment numbers prior to intervention arms implementation.
Service level data will be measured post intervention period
|
Clinical services will receive additional education and have the option of providing incentives to attendees of service.
|
Other: Incentive and Peer intervention in HCV care cascade
Assess the effectiveness in primary health services of engaging people in hepatitis C testing, and retention throughout the care cascade whilst employing innovative techniques including incentives and peer recruitment.Service level data will be investigated to estimate HCV targeted treatment numbers prior to intervention arms implementation.
Service level data will be measured post intervention period
|
Clinical services will receive additional education and have the option of providing incentives to attendees of service.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
HCV testing
Time Frame: 12 months
|
The number of participants who receive HCV testing in each of the arms
|
12 months
|
HCV treatment
Time Frame: 12 months
|
The number of participants who start HCV treatment in each of the arms
|
12 months
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
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
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
- Anti-Infective Agents
- Antiviral Agents
- Sofosbuvir-velpatasvir drug combination
Other Study ID Numbers
- 16112020
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
product manufactured in and exported from the U.S.
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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