About this trial
The goal of this observational study is to learn if offering a point-of-care screening test for exposure to the Hepatitis C virus, before providing a diagnostic test for Hepatitis C infection can increase testing, diagnosis and treatment in Adults. Participants will be recruited from settings that provide services to people with a risk factor for the acquisition of Hepatitis C viral infection. The main question it aims to answer is:
What proportion of the participants that have been diagnosed with HCV infection have started treatment when their records are reviewed 12 weeks after diagnosis?
Participants will have one in-person visit where they will provide informed consent and receive a finger-prick rapid result test for Hepatitis C infection. Participants with no previous Hepatitis C infection will have a screening test to see if they have an immune reaction to Hepatitis C. Participants who know they have been infected with Hepatitis C in the past, and all participants with a positive screening test result will then be given a Hepatitis C diagnostic test at this visit.
No treatment is provided as a part of this study, participants who are diagnosed with Hepatitis C infection will be referred to testing locations standard of care for any additional clinical assessments and treatment initiation. A review of the participant's records will be made 12 weeks after their Hepatitis C result and their treatment data are gathered.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Provide informed consent
≥ 18 years of age.
Disqualifiers
Is unable or unwilling to provide informed consent
Trial population
Participants will be included 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 that 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
Diagnostic Test: Point-of-Care Testing
DeviceParticipants 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 finger-stick point-of-care 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 HCV antibody prevalence among people tested.
Prevalence
To evaluate the time to treatment uptake among people receiving point-of-care HCV antibody testing with reflex HCV RNA testing in those who are HCV antibody detectable who received HCV treatment;
Time to treatment
Sponsors and contacts
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Kirby Institute
Lead sponsor
Flinders University
Collaborator