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). All participants who undergo HCV point-of-care testing at the study site will be included in the data collection. 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
≥ 18 years of age.
Received point-of-care HCV testing.
Disqualifiers
Nil
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
The proportion of HCV infected participants who initiate HCV treatment at 12 weeks
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.
Secondary outcomes
The proportion of participants who accept point-of-care testing
To evaluate the proportion of people who accept point-of-care testing among those offered testing.
The prevalence of HCV infection amongst study participants tested
To evaluate the prevalence of current HCV infection (HCV RNA quantifiable) among people tested.
To evaluate the time to HCV treatment uptake among HCV RNA positive participants
To evaluate the length of time participants take to initiate HCV treatment after diagnosis
To evaluate proportion of HCV RNA positive participants who initiate HCV treatment
To evaluate the proportion of HCV RNA positive participants who initiate HCV treatment at 12 months (52 weeks) following finger-stick point-of-care HCV RNA testing.
Sponsors and contacts
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Kirby Institute
Lead sponsor
Flinders University
Collaborator