CClinicalTrials.gg
TerminatedNCT03981211TOPICUpdated May 26, 2026

Treatment of HOsPitalised Inpatients for Hepatitis C (TOPIC): Therapeutic Intervention Enhancing Care Linkage in People Who Inject Drugs

An interventional study of Glecaprevir/Pibrentasvir 100 MG-40 MG Oral Tablet and Sofosbuvir 400 MG + Glecaprevir/Pibrentasvir 100 MG-40 MG Oral Tablet in Hepatitis C, Liver Inflammation and Liver Cirrhoses, sponsored by Kirby Institute. Terminated at 7 sites in Australia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-26.

Sponsored by Kirby Institute · Not applicable, Interventional, and Treatment

Why this study was terminated
The study was impacted by the COVID-19 pandemic. Once recruitment recommenced it remained slow. Removal of Sofosbuvir from the PBS November 2020 impacted recruitment into Cohort B. Study closed early on 15-Sep-26.
Phase
Not applicable
Study type
Interventional
Enrollment
21
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will evaluate the proportion of patients achieving confirmed SVR12 (undetectable HCV RNA at time point 12 weeks plus post treatment commencement) in patients hospitalised for IRID (injecting related infectious diseases) and commencing inpatient DAA treatment within public hospital services.

Read the detailed description

This study will be conducted as a Phase IV, multicentre, sequential cohort trial.

60 participants will be enrolled from participating hospital inpatient services. They will be evaluated for eligibility by the use of rapid point-of-care (POC) confirmation of viraemia in people who inject drugs (PWID) hospitalised for IRID. The period of hospitalisation for management of IRID, particularly when prolonged, may represent an ideal opportunity to engage HCV-infected PWID and a potential important strategy for broader HCV elimination.

Eligible patients will be enrolled into one of two treatment cohorts A and B.

A) 30 patients will immediately commence treatment whilst an inpatient of G/P (glecaprevir/pibrentasvir) with continuation of therapy and follow-up in viral hepatitis services post discharge (standard duration therapy).

Following the successful completion of Cohort A, eligible patients will be enrolled into Cohort B.

B) 30 patients will immediately commence treatment whilst an inpatient of 4 weeks of SOF/G/P (sofosbuvir/glecaprevir/pibrentasvir) with continuation of therapy and follow-up in viral hepatitis services post discharge (short duration therapy).

Any patient with recurrent viraemia during follow-up will be genotyped +/- sequenced to exclude re-infection. If relapse is confirmed the patient will be offered re-treatment with standard of care (SOC) salvage therapy based on results of resistance testing.

02

Conditions studied

  • Hepatitis C
  • Liver Inflammation
  • Liver Cirrhoses

Keywords

  • people who inject drugs
  • injecting related infectious diseases
03

In context

Hepatitis C

2,321 studies on the registry are indexed under Hepatitis C; 102 are open to participants now.

This study's enrollment of 21 is below the median of 79 across 1,633 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
No

Inclusion criteria

Participants must meet all of the following inclusion criteria to be eligible to participate in this study.

  1. Have voluntarily signed the informed consent form.
  2. 18 years of age or older.
  3. Injected drugs within the last 6 months
  4. Hospitalised with an IRID with an anticipated inpatient stay of > 1 week

    Participants must meet the following additional inclusion criteria to be treated in this study.

  5. HCV RNA positive
  6. Compensated liver disease
  7. Documented non-cirrhotic at enrolment with a qualifying liver FibroScan ≤ 9.5 kpA
  8. If co-infection with HIV is documented, the subject must meet the following criteria:

    1. ART naïve with CD4 T cell count >500 cells/mm3; OR
    2. On a stable ART regimen (containing only permissible ART) for >4 weeks prior to screening visit, with CD4 T cell count ≥200 cells/mm3 and a plasma HIV RNA level below the limit of detection.

Exclusion criteria

Exclusion Criteria:

Participants who meet any of the exclusion criteria are not to be enrolled in this study.

  1. Inability or unwillingness to provide informed consent or abide by the requirements of the study
  2. Actively intoxicated.

    Participants that meet any of the additional exclusion criteria are not to be treated in this study.

  3. History of any of the following:

    b. Clinical hepatic compensation (i.e. ascites, encephalopathy or variceal haemorrhage) c. Solid organ transplant d. History of severe, life-threatening or other significant sensitivity to study drugs (glecaprevir/pibrentasvir/sofosbuvir) or any excipients of the study drugs

  4. Creatinine clearance (CLcr) \< 30 mL/min at screening (Cohort B only)
  5. Pregnant or nursing female
  6. Decompensated liver disease
  7. Use of prohibited concomitant medications
  8. Chronic use of systemically administered immunosuppressive agents (e.g. prednisone equivalent > 10 mg/day for >2 weeks)
  9. Prior treatment failure with an NS5A based DAA regimen

Patients without an IRID but who fulfill all other criteria and are admitted with an expected duration of stay > 1 week may also be included at discretion of study team.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
21 participants (actual)

Study arms

  • Experimental
    Cohort A: 8 weeks G/P standard therapy

    8 weeks treatment of a three fixed-dose combination of glecaprevir/pibrentasvir 100/40 mg tablets administered once daily with food (standard duration therapy).

    Drug: Glecaprevir/Pibrentasvir 100 MG-40 MG Oral Tablet

  • Experimental
    Cohort B: 4 weeks SOF/G/P shortened therapy

    4 weeks treatment of 1 tablet sofosbuvir 400 mg and a three fixed-dose combination of glecaprevir/pibrentasvir 100/40 mg tablets administered once daily with food (shortened duration therapy).

    Drug: Glecaprevir/Pibrentasvir 100 MG-40 MG Oral Tablet · Drug: Sofosbuvir 400 MG + Glecaprevir/Pibrentasvir 100 MG-40 MG Oral Tablet

Interventions

  • DrugGlecaprevir/Pibrentasvir 100 MG-40 MG Oral Tablet

    8 weeks of 3 x co-formulated tablets of glecaprevir (100mg) and pibrentasvir (40mg) once daily or 4 weeks of 1 tablet sofosbuvir 400 mg and a three fixed-dose combination of glecaprevir/pibrentasvir 100/40 mg tablets administered once daily

  • DrugSofosbuvir 400 MG + Glecaprevir/Pibrentasvir 100 MG-40 MG Oral Tablet

    4 weeks of 1 x sofosbuvir (400mg) tablet and 3 x co-formulated tablets of glecaprevir (100mg) and pibrentasvir (40mg) once daily

06

What researchers measure

Primary outcomes

  1. SVR12 outcomes for all total patient population

    To evaluate the proportion of patients achieving confirmed SVR12 (undetectable HCV RNA at time point 12 weeks plus post treatment commencement) in patients hospitalised for IRID and commencing inpatient DAA treatment within public hospital services.

    Time frame: 12 weeks post completion of commenced treatment

07

Study locations

7 sites
  • Prince of Wales Hospital
    Randwick, New South Wales 2031, Australia
  • St Vincent's Hospital Sydney
    Sydney, New South Wales 2010, Australia
  • Blacktown Mt Druitt Hospital
    Sydney, New South Wales 2148, Australia
  • Westmead Hospital
    Westmead, New South Wales 2145, Australia
  • Royal Adelaide Hospital
    Adelaide, South Australia 5000, Australia
  • The Alfred Hospital
    Melbourne, Victoria 3004, Australia
  • St Vincent's Hospital
    Melbourne, Victoria 3065, Australia
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03981211
Lead sponsor
Kirby Institute
Responsible party
Sponsor
First posted
Jun 10, 2019
Start date
Feb 12, 2021
Primary completion
Dec 11, 2024
Completion
Sep 15, 2025
Last update
May 26, 2026

Oversight

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

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This study is terminated, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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