About this trial
The study will test a Community-based Simplified HCV Testing and Treatment Algorithm (CBSA), implemented at community harm reduction fixed or mobile sites.
All potential participants with positive anti-HCV test will undergo diagnostic procedures including HCV-RNA testing. Those eligible for CBSA will be prescribed a fixed dose combination tablet: sofosbuvir/daclatasvir.
Sustained virologic response (SVR) will be assessed 12 weeks after treatment completion. All those who achieve SVR will be tested for HCV\_RNA at six and 12 months after SVR12.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Drug use in the past 90 days
Age 18 and above
Positive for HCV RNA
Disqualifiers
No meeting inclusion criteria
Pregnancy
Trial design
Single group
Treatments tested in this trial
Community-based Simplified HCV Testing and Treatment Algorithm
Other interventionThe distinctive features of CBSA are: (i) community-based service provision, substantially lowering the threshold for HCV services and eliminating the need to visit health care facilities for the majority of patients; (ii) the use of simple, once-daily, pan-genotypic HCV treatment regimens; (iii) a minimum of required laboratory tests and assessments; (iv) task sharing of essential functions from physicians to the case-managers; (v) integration of HCV testing and treatment with existing harm reduction services, addressing multiple health needs and facilitating patient-centered care.
Treatment groups
Trial outcomes
Primary outcomes
Number of participants successfully completing HCV treatment
Hepatitis C screening, confirmation and treatment will be monitored for the number of confirmed positive participants that enroll and complete treatment. Suppression of the virus will be recorded per participant as well as re-infection rates up to 1 year after treatment was completed.
Secondary outcomes
The percentage of participants with treatment satisfaction using a tool called: Health seeking behavior and health service utilization
The tool will measure, in the last 6 months, the number of times participants 1. seeked medical assistance, 2. if assistance was provided, 3. the reason for not seeking assistance (if relevant) and 4. treatment satisfaction (if assistance was provided). These multiple measurements will be aggregated to give a score per participant used to classify participants into percentage with and without treatment satisfaction.
Locations
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Frontline AIDS
Lead sponsor
Alliance for the Public's Health
Collaborator
This trial is not recruiting at the moment. You can still explore other options: