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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05264558
Registration number
NCT05264558
Ethics application status
Date submitted
20/02/2022
Date registered
3/03/2022
Titles & IDs
Public title
Preparing for the Final Phase of Hepatitis C Elimination. Cairns Final 30%
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Scientific title
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%.
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Secondary ID [1]
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16112020
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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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Condition category
Condition code
Infection
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Other infectious diseases
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Oral and Gastrointestinal
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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
Treatment: Devices - Xpert HCV Viral load finger stick point of care test (Cepheid)
Treatment: Drugs - Epclusa 400Mg-100Mg Tablet
Other interventions - Standard of care
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.
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
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
Treatment: Devices: Xpert HCV Viral load finger stick point of care test (Cepheid)
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.
Treatment: Drugs: Epclusa 400Mg-100Mg Tablet
Same day HCV test and treatment
Other interventions: Standard of care
Clinical services will receive additional education and have the option of providing incentives to attendees of service.
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Intervention code [1]
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Treatment: Devices
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Intervention code [2]
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Treatment: Drugs
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Intervention code [3]
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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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HCV testing
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Assessment method [1]
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The number of participants who receive HCV testing in each of the arms
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Timepoint [1]
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12 months
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Primary outcome [2]
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HCV treatment
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Assessment method [2]
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The number of participants who start HCV treatment in each of the arms
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Timepoint [2]
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12 months
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Eligibility
Key inclusion criteria
* attending primary health care service of CHHS aged 18 years or over
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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?
Yes
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Key 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.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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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
Crossover
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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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
25/07/2022
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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
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Actual
30/09/2023
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Sample size
Target
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Accrual to date
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Final
606
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Cairns and Hinterland Hospital and Health Service - Cairns
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Recruitment postcode(s) [1]
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4870 - Cairns
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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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Cairns Hinterland Health Hospital and Health Services
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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 University of Queensland
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
The study aims to assess the impact of models of HCV care on HCV testing, treatment uptake and cure within Cairns. Point of care testing for HCV , with test and treat strategies will be offered within a primary care service.
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Trial website
https://clinicaltrials.gov/study/NCT05264558
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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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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Address
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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 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/NCT05264558