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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04061551
Registration number
NCT04061551
Ethics application status
Date submitted
4/06/2019
Date registered
20/08/2019
Titles & IDs
Public title
Eliminate Hepatitis C/EC Partnership Evaluation Protocol
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Scientific title
Eliminate Hepatitis C/EC Partnership Evaluation Protocol
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Secondary ID [1]
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HREC/16/Alfred/164
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hepatitis C
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Chronic Hepatitis c
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Hepatitis C, Chronic
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Condition category
Condition code
Infection
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Other infectious diseases
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Oral and Gastrointestinal
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Other interventions - EC clinic support - whole of practice interventions delivery through nurse-led model
Experimental: EC Clinic Support - Whole of practice interventions delivery through nurse-led model
Other interventions: EC clinic support - whole of practice interventions delivery through nurse-led model
The primary interventions will be delivered through a team of nurses, an evaluation team and practice support team that will be working with each of the services to improved Hepatitis C service delivery.
The EC project team will predominantly be involved in working with providers and staff at EC sites to implement key interventions that have been collated into a Primary Care Practice Toolkit, which cover three domains; patient support, provider support and practice Support. The toolkit is designed to be an educational and implementation resource that the nursing team will support services to deliver.
* Patient support to reduce the impact of hepatitis C and other blood borne viruses
* Provider support to reduce the impact of hepatitis C and other blood borne viruses
* Practice support to reduce the impact of hepatitis C and other blood borne viruses
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Uptake of treatment amongst PWID
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Assessment method [1]
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The number of PWID who commence HCV treatment across EC partnerships sites over time and compared to tertiary care models
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Timepoint [1]
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5 years
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Secondary outcome [1]
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Treatment effectiveness relative to tertiary care services
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Assessment method [1]
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Rates of cure, assessed as sustained virological response at 12 weeks post treatment completion (SVR12), and treatment failure amongst PWID treatment in community and prison-based services will be compared to tertiary-based treatment programs.
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Timepoint [1]
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5 years
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Secondary outcome [2]
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Costs of scaling up treatment for PWID
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Assessment method [2]
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The costs of treating \>1,160 PWID within the community and prison services will be assessed.
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Timepoint [2]
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5 years
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Secondary outcome [3]
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Changes in HCV prevalence and incidence in Victoria
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Assessment method [3]
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HCV prevalence and incidence will be tracked during the project and compared to historical data.
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Timepoint [3]
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5 years
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Secondary outcome [4]
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Projected impact on HCV elimination targets
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Assessment method [4]
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Mathematical modelling studies will assess the expected impact the changes in treatment uptake, incidence and prevalence will have on the WHO incidence and mortality targets for viral hepatitis elimination. This will be used to provide an estimate of the feasibility of achieving elimination targets in Australia and in other countries.
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Timepoint [4]
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5 years
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Eligibility
Key inclusion criteria
The level of recruitment is clinics rather than individuals. Eligible clinics are those with a high HCV caseload, with a focus on drug and alcohol community clinics and general practitioners.
Eligibility criteria for individuals providing information in the form of interviews will be:
* 18 years of age or older; AND
* Willing and able to provide informed, written consent to participate; AND
* Either of:
* staff of a participating EC site who are involved in hepatitis C care; OR
* clients of a participating EC site who attend the site for screening and management of hepatitis C.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Other
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/12/2016
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/12/2021
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Actual
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Sample size
Target
25
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Burnet Institute - Melbourne
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Recruitment postcode(s) [1]
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3004 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Macfarlane Burnet Institute for Medical Research and Public Health Ltd
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Burnet Institute
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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The Alfred
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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St Vincent's Hospital Melbourne
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Address [3]
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Country [3]
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Other collaborator category [4]
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Other
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Name [4]
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HepatitisVictoria
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Address [4]
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Country [4]
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Other collaborator category [5]
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Other
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Name [5]
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Harm Reduction Australia
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Address [5]
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Country [5]
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Other collaborator category [6]
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Other
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Name [6]
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Victoria State Government
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Address [6]
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Country [6]
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Other collaborator category [7]
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Commercial sector/industry
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Name [7]
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Gilead Sciences
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Address [7]
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Country [7]
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Other collaborator category [8]
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Other
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Name [8]
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National Health and Medical Research Council, Australia
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Address [8]
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Country [8]
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Ethics approval
Ethics application status
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Summary
Brief summary
The Eliminate Hepatitis C (EC) Partnership project is a multi-site, multi-year project aiming to enhance and extend hepatitis C virus (HCV) care and treatment among people who inject drugs (PWID) through nurse-led models of care in the community and the prison system. The project will implement and evaluate a health service intervention to enhance HCV response by improving health promotion, offering training and education to service providers, streamlining clinical pathways, utilising data systems and surveillance and implementing the results of ongoing research and evaluation. Health services data will be used to assess the impact of the EC nurse-led support, to enhance the clinical pathway and increase HCV testing, linkage to care and treatment uptake in community and prison settings. This will include provider and client interviews and a sentinel surveillance system (ACCESS) that will track and monitor impact indicators including HCV testing, linkage to care and treatment uptake at the service and population level. Overall, evaluation data will be used to monitor the uptake of HCV treatment in PWID, monitor the effectiveness of community- and prison-based treatment program and assess the cost and feasibility of treating \>1160 PWID in community-/prison-based program and assess changes in HCV prevalence in Victoria and modelling the impact of treating PWID to inform HCV elimination models in Australia and globally.
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Trial website
https://clinicaltrials.gov/study/NCT04061551
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Trial related presentations / publications
Scott N, McBryde ES, Thompson A, Doyle JS, Hellard ME. Treatment scale-up to achieve global HCV incidence and mortality elimination targets: a cost-effectiveness model. Gut. 2017 Aug;66(8):1507-1515. doi: 10.1136/gutjnl-2016-311504. Epub 2016 Apr 12. Scott N, Doyle JS, Wilson DP, Wade A, Howell J, Pedrana A, Thompson A, Hellard ME. Reaching hepatitis C virus elimination targets requires health system interventions to enhance the care cascade. Int J Drug Policy. 2017 Sep;47:107-116. doi: 10.1016/j.drugpo.2017.07.006. Epub 2017 Aug 7. Doyle JS, Scott N, Sacks-Davis R, Pedrana AE, Thompson AJ, Hellard ME; Eliminate Hepatitis C Partnership. Treatment access is only the first step to hepatitis C elimination: experience of universal anti-viral treatment access in Australia. Aliment Pharmacol Ther. 2019 May;49(9):1223-1229. doi: 10.1111/apt.15210. Epub 2019 Mar 25.
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Public notes
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Contacts
Principal investigator
Name
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Margaret E Hellard, MD PhD
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Address
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Burnet Institute and Alfred Health
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Alisa Pedrana, PhD
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Address
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Country
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Phone
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+61392822225
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04061551