About this trial
The National Australian HCV Point-of-Care Testing Program will establish an observational cohort to evaluate whether scale-up of finger-stick point-of-care HCV testing increases diagnosis and treatment for HCV infection. Participants will be recruited from settings providing services to people with a risk factor for the acquisition of HCV infection (including drug treatment clinics, needle and syringe programs, homelessness settings, mental health services, prisons, and mobile outreach). Participants will attend a single visit to have their HCV RNA status tested and complete a self-administered survey. Participants will not receive treatment as a part of this study. Participants who are HCV RNA positive will be linked to standard of care.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Provided informed consent.
≥ 18 years of age.
Have a risk factor for the acquisition of HCV infection (including current or past injecting drug use, previous incarceration, HIV infection, receiving blood products prior to 1990, having a tattoo or piercing in an unregulated environment, a needle-stick injury, or a mother with HCV).
Are attending a service caring for people with risk factors for the acquisition of HCV infection (e.g. drug treatment clinics, needle and syringe programs, prisons, mobile outreach services, community health services, mental health services, and homelessness services).
Disqualifiers
None
Trial population
Participants will be recruited from settings that provide services to people with a risk factor for the acquisition of HCV infection, including drug treatment clinics, needle and syringe programs, prisons, mobile outreach services, community health services, mental health services, homelessness services, and other appropriate settings nationally. It is anticipated approximately 40,000 participants will be screened for HCV infection using point-of-care HCV testing.
Trial design
Cohort
Prospective
Treatments tested in this trial
Point-of-Care Testing
Diagnostic testParticipants will be offered finger-stick point-of-care testing for HCV
Treatment groups
Trial outcomes
Primary outcomes
To evaluate the proportion of HCV infected (HCV RNA quantifiable) participants who initiate HCV treatment at 12 weeks following HCV RNA testing.
HCV treatment
Secondary outcomes
To evaluate the proportion of people who accept point-of-care testing among those offered testing.
Accepting testing
To evaluate the prevalence of current HCV infection (HCV RNA quantifiable) among people tested.
Prevalence
To evaluate the time to HCV treatment uptake among HCV RNA detectable participants following HCV RNA testing
Time to treatment
To evaluate the proportion of HCV RNA detectable participants who initiate HCV treatment at 12 months (52 weeks) following detectable finger-stick point-of-care HCV RNA testing.
Initiation of treatment
Sponsors and contacts
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Kirby Institute
Lead sponsor
Flinders University
Collaborator