NCT05713136

Brief Summary

The goal of this observational study is to learn if offering a point-of-care screening test for exposure to the Hepatitis C virus, before providing a diagnostic test for Hepatitis C infection can increase testing, diagnosis and treatment in Adults. Participants will be recruited from settings that provide services to people with a risk factor for the acquisition of Hepatitis C viral infection. The main question it aims to answer is: What proportion of the participants that have been diagnosed with HCV infection have started treatment when their records are reviewed 12 weeks after diagnosis? Participants will have one in-person visit where they will provide informed consent and receive a finger-prick rapid result test for Hepatitis C infection. Participants with no previous Hepatitis C infection will have a screening test to see if they have an immune reaction to Hepatitis C. Participants who know they have been infected with Hepatitis C in the past, and all participants with a positive screening test result will then be given a Hepatitis C diagnostic test at this visit. No treatment is provided as a part of this study, participants who are diagnosed with Hepatitis C infection will be referred to testing locations standard of care for any additional clinical assessments and treatment initiation. A review of the participant's records will be made 12 weeks after their Hepatitis C result and their treatment data are gathered.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
40,000

participants targeted

Target at P75+ for all trials

Timeline
8mo left

Started Jan 2023

Longer than P75 for all trials

Geographic Reach
1 country

12 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress83%
Jan 2023Jan 2027

First Submitted

Initial submission to the registry

January 17, 2023

Completed
8 days until next milestone

Study Start

First participant enrolled

January 25, 2023

Completed
12 days until next milestone

First Posted

Study publicly available on registry

February 6, 2023

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2025

Completed
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2027

Expected
Last Updated

July 3, 2024

Status Verified

July 1, 2024

Enrollment Period

1.9 years

First QC Date

January 17, 2023

Last Update Submit

July 2, 2024

Conditions

Keywords

Point-of-CareRapid Diagnostic TestingHCV

Outcome Measures

Primary Outcomes (1)

  • To evaluate the proportion of HCV infected (HCV RNA quantifiable) participants who initiate HCV treatment at 12 weeks following finger-stick point-of-care HCV RNA testing.

    HCV treatment

    12 weeks from enrolment

Secondary Outcomes (9)

  • To evaluate the proportion of people who accept point-of-care testing among those offered testing.

    Recruitment phase

  • To evaluate the prevalence of current HCV infection (HCV RNA quantifiable) among people tested.

    Recruitment phase

  • To evaluate the HCV antibody prevalence among people tested.

    Recruitment phase

  • To evaluate the time to treatment uptake among people receiving point-of-care HCV antibody testing with reflex HCV RNA testing in those who are HCV antibody detectable who received HCV treatment;

    52 weeks

  • To evaluate the proportion of HCV RNA positive participants who initiate HCV treatment at 12 months (52 weeks) following finger-stick point-of-care HCV RNA testing.

    52 weeks

  • +4 more secondary outcomes

Study Arms (1)

People at risk of HCV acquisition

Clinic staff will offer HCV point-of-care testing to participants as they access services. Testing will be performed using point-of-care HCV RNA testing

Device: Diagnostic Test: Point-of-Care Testing

Interventions

Participants will be offered finger-stick point-of-care testing for HCV

People at risk of HCV acquisition

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Participants will be included from settings that provide services to people with a risk factor for the acquisition of HCV infection, including drug treatment clinics, needle and syringe programs, prisons, mobile outreach services, community health services, mental health services, homelessness services, and other appropriate settings nationally. It is anticipated that approximately 40,000 participants will be screened for HCV infection using point-of-care HCV testing.

You may qualify if:

  • Provide informed consent
  • ≥ 18 years of age.

You may not qualify if:

  • Is unable or unwilling to provide informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (12)

ACT Justice Health

Canberra, Australian Capital Territory, Australia

NOT YET RECRUITING

Justice Health and Forensic Mental Health Network

Sydney, New South Wales, Australia

RECRUITING

Queensland Injectors Health Network Ltd

Bowen Hills, Queensland, 4006, Australia

RECRUITING

West Moreton Hospital and Health Service

Brisbane, Queensland, Australia

RECRUITING

Lotus Glen Correctional Centre

Cairns, Queensland, Australia

RECRUITING

Townsville Correctional Centre

Townsville, Queensland, 4810, Australia

NOT YET RECRUITING

Woodford Correctional Centre

Woodford, Queensland, Australia

RECRUITING

South Australian Prison Health Service

Adelaide, South Australia, Australia

NOT YET RECRUITING

Hepatitis South Australia

Hackney, South Australia, 5069, Australia

NOT YET RECRUITING

Tasmanian Prison Service

Hobart, Tasmania, Australia

NOT YET RECRUITING

St Vincent's Hospital (Melbourne)

Melbourne, Victoria, Australia

RECRUITING

WA Department of Justice

Perth, Western Australia, 6000, Australia

NOT YET RECRUITING

MeSH Terms

Conditions

Hepatitis C

Condition Hierarchy (Ancestors)

Blood-Borne InfectionsCommunicable DiseasesInfectionsHepatitis, Viral, HumanVirus DiseasesFlaviviridae InfectionsRNA Virus InfectionsHepatitisLiver DiseasesDigestive System Diseases

Central Study Contacts

Stephanie Davey, BSc

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 17, 2023

First Posted

February 6, 2023

Study Start

January 25, 2023

Primary Completion

January 1, 2025

Study Completion (Estimated)

January 1, 2027

Last Updated

July 3, 2024

Record last verified: 2024-07

Locations