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The National Australian HCV Point-of-Care Testing Program - HCV Antibody Testing Minimal Dataset

Recruiting
Conditions
Hepatitis C
Registration Number
NCT05713136
Lead Sponsor
Kirby Institute
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
40000
Inclusion Criteria
  • Provide informed consent
  • ≥ 18 years of age.
Exclusion Criteria
  • Is unable or unwilling to provide informed consent

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
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.12 weeks from enrolment

HCV treatment

Secondary Outcome Measures
NameTimeMethod
To evaluate the proportion of people who accept point-of-care testing among those offered testing.Recruitment phase

Accepting testing

To evaluate the HCV antibody prevalence among people tested.Recruitment phase

Prevalence

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

Time to treatment

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

Prevalence

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

HCV negative

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

Initiation of treatment

To evaluate the proportion of participants who achieve an SVR following point-of-care HCV antibody testing with reflex HCV RNA testing in those who are HCV antibody detectable who received HCV treatment52 weeks

SVR

To evaluate the cost of point-of-care HCV antibody testing prior to reflex HCV RNA testing compared to direct point-of-care HCV RNA testing and standard of care.52 weeks

Cost-effectiveness

To evaluate the proportion of participants who complete HCV direct-acting antiviral (DAA) treatment following point-of-care HCV antibody testing with reflex HCV RNA testing in those who are HCV antibody detectable who received HCV treatment;52 weeks

Completion of treatment

Trial Locations

Locations (12)

Hepatitis South Australia

🇦🇺

Hackney, South Australia, Australia

West Moreton Hospital and Health Service

🇦🇺

Brisbane, Queensland, Australia

ACT Justice Health

🇦🇺

Canberra, Australian Capital Territory, Australia

Queensland Injectors Health Network Ltd

🇦🇺

Bowen Hills, Queensland, Australia

Townsville Correctional Centre

🇦🇺

Townsville, Queensland, Australia

Woodford Correctional Centre

🇦🇺

Woodford, Queensland, Australia

South Australian Prison Health Service

🇦🇺

Adelaide, South Australia, Australia

Justice Health and Forensic Mental Health Network

🇦🇺

Sydney, New South Wales, Australia

WA Department of Justice

🇦🇺

Perth, Western Australia, Australia

Lotus Glen Correctional Centre

🇦🇺

Cairns, Queensland, Australia

Tasmanian Prison Service

🇦🇺

Hobart, Tasmania, Australia

St Vincent's Hospital (Melbourne)

🇦🇺

Melbourne, Victoria, Australia

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