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Trial registered on ANZCTR
Registration number
ACTRN12612001236886
Ethics application status
Approved
Date submitted
21/11/2012
Date registered
22/11/2012
Date last updated
18/04/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Rapid HIV testing in men who have sex with men in sexual health clinics in Sydney
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Scientific title
Patient acceptability, staff acceptability and performance of rapid HIV testing in men who have sex with men in sexual health clinics in Sydney
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Secondary ID [1]
273368
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Nil known
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Universal Trial Number (UTN)
Nil
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Trial acronym
The Sydney Rapid HIV Test Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
HIV testing
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Rapid testing at the point of care
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Condition category
Condition code
Infection
279339
279339
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0
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Acquired immune deficiency syndrome (AIDS / HIV)
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Public Health
288211
288211
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0
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Health service research
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Rapid HIV testing at the point of care using the Alere Determine HIV-1/2 Ag/Ab Combo rapid test.
Rapid test takes 20 minutes to produce a result after the patient specimen is applied with result provided and patient questionnaire completed (once only) within same clinic visit.
Recruiting for at least 12 months from October 2011.
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Intervention code [1]
283709
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Not applicable
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Comparator / control treatment
Nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Patient acceptability of the process of rapid HIV testing.
Assessed via self-administered questionnaire.
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Assessment method [1]
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Timepoint [1]
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After rapid test performed and result delivered
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Primary outcome [2]
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Clinic staff acceptability of the process of rapid HIV testing.
Assessed via self-administered questionnaire.
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Assessment method [2]
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Timepoint [2]
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At the start and at the end of the study
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Secondary outcome [1]
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Barriers to HIV testing among subjects.
Assessed via self-administered questionnaire.
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Assessment method [1]
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Timepoint [1]
294813
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At the time of rapid testing
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Secondary outcome [2]
294814
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Patient flow.
Assessed via extraction of data from clinic database.
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Assessment method [2]
294814
0
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Timepoint [2]
294814
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At the end of the study
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Secondary outcome [3]
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Rapid test performance.
Assessed via comparison of results of the Alere Determine HIV-1/2 Ag/Ab Combo rapid test with results of gold standard conventional laboratory serology tests: Abbott Architect HIV Ag/Ab Combo, Biorad Genscreen HIV antigen and HIV Western blot. Specificity and negative predictive value of rapid test calculated using STATA statistics program.
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Assessment method [3]
294815
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Timepoint [3]
294815
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At the end of the study
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Eligibility
Key inclusion criteria
Men who have sex with men
Aged 18 years or over
HIV testing is indicated
Able to consent to study procedures
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
Known to be HIV positive
Not fluent in English
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
25/10/2011
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Actual
25/10/2011
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Date of last participant enrolment
Anticipated
31/12/2012
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Actual
30/07/2013
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Date of last data collection
Anticipated
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Actual
30/07/2013
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Sample size
Target
1000
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Accrual to date
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Final
2468
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment postcode(s) [1]
4730
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2000
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Recruitment postcode(s) [2]
4731
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2010
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Recruitment postcode(s) [3]
4732
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2150
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Recruitment postcode(s) [4]
4733
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2065
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health & Medical Research Council
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Address [1]
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Level 1, 16 Marcus Clarke Street
Canberra ACT 2601
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Country [1]
284189
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Australia
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Primary sponsor type
University
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Name
The Kirby Institute
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Address
Faculty of Medicine, Wallace Wurth Building, UNSW Australia, Sydney, NSW 2052
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
269147
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Address [1]
269147
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Country [1]
269147
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Other collaborator category [1]
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University
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Name [1]
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Centre for Social Research in Health
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Address [1]
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University of New South Wales
Sydney
NSW 2052
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Country [1]
277193
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286156
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St Vincents Hospital Human Research Ethics Committee
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Ethics committee address [1]
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Research Office Level 6, de Lacy Building St Vincents Hospital 390 Victoria Street, Darlinghurst NSW 2010
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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23/02/2011
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Approval date [1]
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21/06/2011
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Ethics approval number [1]
286156
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HREC/11/SVH/16
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Summary
Brief summary
This cross-sectional study is the first to assess the use of rapid HIV tests in a clinical setting in New South Wales (NSW). The study will assess acceptability of the process of rapid HIV testing for gay, bisexual and other men who have sex with men (MSM) among patients and staff in public sexual health clinics in Sydney. The study will also assess barriers to HIV testing; patient flow in clinics during the study; and the performance of the rapid test compared to conventional laboratory HIV serology. The patient and staff surveys used in this study were piloted with patients and staff during development. The study aims to recruit at least 1000 MSM subjects across four sites: Sydney Sexual Health Centre, Albion Street Centre, Clinic 16 Royal North Shore Hospital and Parramatta Sexual Health Clinic. The rapid test used in the study is the Alere Determine HIV 1&2 Antigen/Antibody Combo assay which produces a result 20 minutes after the patient specimen is applied. MSM attending for screening will be identified through triage and provided with information regarding the study. Eligible MSM who consent will receive pre-test discussion and have specimens taken for sexually transmitted infection screening, rapid HIV testing and conventional HIV serology. Rapid test results are provided to subjects during their visit with counsellor support for reactive results when required. The recruitment period will be at least 12 months from October 2011.
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Trial website
http://www.sti-program-grant.org.au/
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Trial related presentations / publications
4. Conway DP, Holt M, Couldwell DL, Smith DE, Davies SC, McNulty A, Keen P, Cunningham P, Guy R on behalf of the Sydney Rapid HIV Test Study. Barriers to HIV testing and characteristics associated with never testing among gay and bisexual men attending sexual health clinics in Sydney. Journal of the International AIDS Society. 2015, 18:20221. URL: http://dx.doi.org/10.7448/IAS.18.1.20221 5. Conway DP, Guy R, Davies SC, Couldwell DL, McNulty A, Smith DE, Cunningham P, Keen P, Holt M on behalf of the Sydney Rapid HIV Test Study. Rapid HIV testing is highly acceptable and preferred among high-risk gay and bisexual men after implementation in Sydney sexual health clinics. PLOS One. 2015, 10(4): e0123814. URL: http://dx.doi.org/10.1371/journal.pone.0123814 6. Conway DP, Guy R, McNulty A, Couldwell DL, Davies SC, Smith DE, Keen P, Cunningham P, Holt M on behalf of the Sydney Rapid HIV Test Study. Effect of testing experience and profession on provider acceptability of rapid HIV testing after implementation in public sexual health clinics in Sydney. HIV Medicine. 2015, 16: 280–287. URL: http://dx.doi.org/10.1111/hiv.12209
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Public notes
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Contacts
Principal investigator
Name
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Dr Damian Conway
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Address
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The Kirby Institute, Faculty of Medicine, Wallace Wurth Building, UNSW Australia, Sydney, NSW 2052
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Country
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Australia
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Phone
33380
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+610293850900
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Fax
33380
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+610293850920
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Email
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[email protected]
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Contact person for public queries
Name
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Lucienne Bamford
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Address
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The Kirby Institute
Wallace Wurth Building
UNSW Medicine
UNSW Sydney
NSW 2052
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Country
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Australia
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Phone
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+61 02 9385 0900
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Fax
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+61 02 9385 0920
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Email
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[email protected]
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Contact person for scientific queries
Name
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Damian Conway
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Address
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The Kirby Institute
Wallace Wurth Building
UNSW Medicine
UNSW Sydney
NSW 2052
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Country
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Australia
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Phone
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+61 02 9385 0900
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Fax
7555
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+61 02 9385 0920
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Email
7555
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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