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RecruitingNCT03685045ETHOS IIUpdated May 14, 2026

ETHOS ENGAGE: Enhancing Treatment of Hepatitis C in Opioid Substitution Settings

An interventional study of Campaign days in Hepatitis C, sponsored by Kirby Institute. Recruiting at 32 sites in Australia. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-14.

Sponsored by Kirby Institute · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled May 2018, registered Sep 2018).
  • Started May 2018; still recruiting 8 years 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
6,000
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The overall goals of the ETHOS II Project are to enhance hepatitis C virus (HCV) care in drug treatment clinics and needle and syringe programs (NSPs) in New South Wales and Australia, and to develop a translational framework for subsequent establishment of HCV screening and treatment programs in drug treatment clinics and NSPs across NSW and nationally.

Read the detailed description

The ETHOS II Project is a collaborative research project led by the Kirby Institute, UNSW Sydney, in partnership with:

  • The Centre for Social Research in Health, UNSW Sydney
  • NSW Health
  • NSW Users and AIDS Association
  • Hepatitis NSW
  • Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM)

The overall goals of the ETHOS II Project are to enhance hepatitis C virus (HCV) care in drug treatment clinics and needle and syringe programs (NSPs) in New South Wales and Australia, and to develop a translational framework for subsequent establishment of HCV screening and treatment programs in drug treatment clinics and NSPs across NSW and nationally.

The ETHOS II Project is divided into three parts:

I. ETHOS ENGAGE cohort; II. Qualitative research on barriers/facilitators to HCV care; III. HCV toolkit, education and training.

Part I: ETHOS ENGAGE The ETHOS ENGAGE cohort is a non-randomised trial to assess the effect of an intervention incorporating on-site HCV RNA testing, liver fibrosis assessment, and linkage to care to enhance scale-up of direct-acting antiviral therapy for HCV infection among people with a history of injecting drug use, and recent injecting drug use (within the last 6 months) or receiving opioid substitution therapy (OST).

In addition to the above interventions, participants will complete a survey. They will also be invited to provide consent to link data with routinely collected data from a range of population databases and registers.

Participant recruitment will take place in public and private drug treatment clinics, high case-load GPs, and NSP programmes.

A sub study will be included in ETHOS ENGAGE. As part of this sub-study, 550 participants will be invited to provide a sample of blood collected via venepuncture, which will be used to evaluate simplified HCV diagnostic assays on finger-stick and DBS samples to diagnose chronic HCV infection.

Part II: Qualitative Interviews Policy makers, clinicians and patients from selected clinics will be interviewed to examine barriers and facilitators to HCV care.

Part III: HCV toolkit, education and training A HCV education and training program (including HCV tool-kit) will be developed in collaboration with ASHM, based on learnings generated through ETHOS ENGAGE and the qualitative interviews, to enhance workforce development and improve HCV care in drug treatment clinics and needles and syringe programmes.

02

Conditions studied

  • Hepatitis C

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Keywords

  • hepatitis c
  • opioid substitution settings
  • OST
  • people who inject drugs
  • direct-acting antiviral treatment
03

In context

Hepatitis C

1,743 studies on the registry are indexed under Hepatitis C; 97 are open to participants now.

This study's planned enrollment of 6,000 is above the median of 72 across 1,223 interventional studies indexed under Hepatitis C.

Browse Hepatitis C studies →

Lead sponsor

Kirby Institute is the lead sponsor of 94 studies on the registry; 15 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participant has voluntarily signed the form;
  • 18 years of age or older;
  • History of injecting drug use*;
  • Recent injecting drug use (previous six months) or currently receiving OST*.

    • These criteria will not apply for recruitment from residential rehabilitation centres

Exclusion criteria

Exclusion Criteria:

  • Nil
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
6,000 participants (estimated)

Study arms

  • Experimental
    Campaign Days

    All participants have the intervention of the campaign days which include hepatitis C screening, fibroscans and clinical assessments.

    Procedure: Campaign days

Interventions

  • ProcedureCampaign days

    Participants who consent will complete study procedures (Hep C test, fibroscan, questionnaire, clinical assessment) and followed up through medical record review.

06

What researchers measure

Primary outcomes

  1. Number of participants commencing anti-HCV treatment

    Evaluation of number of participants commencing anti-HCV treatment

    Time frame: Every year post enrolment for up to 3 years

07

Study locations

25 of 32 sites recruiting
  • Canberra Alliance for Harm Minimisation & Advocacy (CAHMA)
    Canberra, Australian Capital Territory 2617, Australia
    Recruiting
    • Chris Gough · Contact
    • Chris Gough · Principal investigator
  • Blacktown Methadone Management Clinic
    Blacktown, New South Wales 2148, Australia
    Recruiting
    • Meryem Jefferies · Contact
    • Thao Lam · Principal investigator
  • NSLHD Brookvale Community Health Centre
    Brookvale, New South Wales 2100, Australia
    Recruiting
    • Mark Montebello · Contact
    • Mark Montebello · Principal investigator
  • Campbelltown Drug Health Services
    Campbelltown, New South Wales 2560, Australia
    Recruiting
    • Gary Keogh · Contact
    • Gary Keogh · Principal investigator
  • HNELHD Drug and Alcohol Clinical Services Cessnock
    Cessnock, New South Wales 2325, Australia
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • MNCLHD Coffs Harbour Alcohol and Other Drug Services
    Coffs Harbour, New South Wales 2450, Australia
    Recruiting
    • Alexandra Wade · Contact
    • Alexandra Wade · Principal investigator
  • Rankin Court Treatment Centre
    Darlinghurst, New South Wales 2010, Australia
    Recruiting
    • Craig Rodgers · Contact
    • Craig Rodgers · Principal investigator
  • NNSWLHD Grafton Alcohol and Other Drug Services
    Grafton, New South Wales 2460, Australia
    Recruiting
    • Lucy Dodds · Contact
    • Lucy Dodds · Principal investigator
  • NBMLHD Drug & Alcohol Services Katoomba
    Katoomba, New South Wales 2780, Australia
    Completed

    Not enrolling at this site — choose another above.

  • MNCLHD Kempsey Alcohol and Other Drug Services
    Kempsey, New South Wales 2440, Australia
    Recruiting
    • Alexandra Wade · Contact
    • Alexandra Wade · Principal investigator
  • NNSWLHD Lismore (Riverlands) Alcohol and Other Drug Services
    Lismore, New South Wales 2480, Australia
    Recruiting
    • Lucy Dodds · Contact
    • Lucy Dodds · Principal investigator
  • NBMLHD Drug & Alcohol Services Lithgow
    Lithgow, New South Wales 2790, Australia
    Completed

    Not enrolling at this site — choose another above.

  • Liverpool Opioid Treatment Program
    Liverpool, New South Wales 2170, Australia
    Recruiting
    • Gary Keogh · Contact
    • Gary Keogh · Principal investigator
  • WSLHD Mount Druitt Drug Health OST Clinic
    Mount Druitt, New South Wales 2770, Australia
    Recruiting
    • Meryem Jefferies · Contact
    • Thao Lam · Principal investigator
  • HNELHD Drug and Alcohol Clinical Services Newcastle
    Newcastle, New South Wales 2300, Australia
    Recruiting
    • Antoni Pazeski · Contact
    • Adrian Dunlop · Principal investigator
  • Lawrence Avenue Methadone Program (LAMP)
    Nowra, New South Wales 2541, Australia
    Recruiting
    • Siyu Qian · Contact
    • David Reid · Principal investigator
  • WSLHD Fleet Street Drug Health OST Clinic
    Parramatta, New South Wales 2150, Australia
    Recruiting
    • Meryem Jefferies · Contact
    • Thao Lam · Principal investigator
  • MNCLHD Port Macquarie Alcohol and Other Drug Services
    Port Macquarie, New South Wales 2444, Australia
    Recruiting
    • Alexandra Wade · Contact
    • Alexandra Wade · Principal investigator
  • NSLHD Herbert Street Clinic
    Saint Leonards, New South Wales 2065, Australia
    Recruiting
    • Mark Montebelllo · Contact
    • Mark Montebello · Principal investigator
  • HNELHD Drug and Alcohol Clinical Services Tamworth
    Tamworth, New South Wales 2340, Australia
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • HNELHD Drug and Alcohol Clinical Services Taree
    Taree, New South Wales 2430, Australia
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • NNSWLHD Tweed Heads Alcohol and Other Drug Services
    Tweed Heads, New South Wales 2485, Australia
    Recruiting
    • Lucy Dodds · Contact
    • Lucy Dodds · Principal investigator
  • The Orana Centre
    Wollongong, New South Wales 2500, Australia
    Recruiting
    • Siyu Qian · Contact
    • David Reid · Principal investigator
  • Biala City Community Health Centre
    Brisbane, Queensland 4034, Australia
    Recruiting
    • Nikola Ognyenovits · Contact
    • Nikola Ognyenovits · Principal investigator
  • Youthlink
    Cairns, Queensland 4870, Australia
    Recruiting
    • Jessica Ben-Porat · Contact
    • Daniel Morris · Principal investigator
  • Queensland Injectors Health Network (QuIHN)
    Kirwan, Queensland 4817, Australia
    Completed

    Not enrolling at this site — choose another above.

  • Townsville Sexual Health Services, North Ward Health Campus
    Townsville, Queensland 4810, Australia
    Completed

    Not enrolling at this site — choose another above.

  • Northern Drug and Alcohol Services South Australia (DASSA)
    Elizabeth, South Australia 5112, Australia
    Recruiting
    • Sarah Michelmore · Contact
    • Sarah Michelmore · Principal investigator
  • Central Drug and Alcohol Services South Australia (DASSA)
    Stepney, South Australia 5069, Australia
    Recruiting
    • Vicky Cock · Contact
    • Vicky Cock · Principal investigator
  • Next Step Fremantle
    Fremantle, Western Australia 6160, Australia
    Recruiting
    • Michael Christmass · Contact
    • Michael Christmass · Principal investigator
  • Next Step Joondalup
    Joondalup, Western Australia 6027, Australia
    Recruiting
    • Craig Connelly · Contact
    • Craig Connelly · Principal investigator
  • Next Step East Perth
    Perth, Western Australia 6004, Australia
    Recruiting
    • Michael Christmass · Contact
    • Michael Christmass · Principal investigator
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03685045
Lead sponsor
Kirby Institute
Collaborators
National Health and Medical Research Council, Australia
Responsible party
Sponsor
First posted
Sep 26, 2018
Start date
May 28, 2018
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
May 14, 2026

Study contacts

David Silk, BSc
Contact
dsilk@kirby.unsw.edu.au
+61 2 9385 0878
Jessie Payne
Contact
jpayne@kirby.unsw.edu.au
+61 2 9348 1578
Jason Grebely
study chair · The University of New South Wales

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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