CClinicalTrials.gg
CompletedNCT04809246PIVOTUpdated Jan 14, 2022

Prisons Evaluation of a One-stop-shop InterVentiOn

An interventional study of 'One-stop-shop' hepatitis clinic in Hepatitis C, sponsored by Kirby Institute. Completed at 1 site in Australia. Open to male participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-01-14.

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

From the registry’s dates

  • Registered 1 year 3 months after the study started (first participant enrolled Oct 2019, registered Feb 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
541
Allocation
Non-randomized
Ages
18 Years and older
Sex
Male
01

Study summary

A prospective historically controlled study to assess the effect of an intervention integrating point-of-care hepatitis C (HCV) RNA testing, non-invasive liver fibrosis assessment, fast-tracked direct-acting antiviral (DAA) prescription, and linkage to hepatitis care (a 'one-stop-shop' intervention), on the proportion of participants initiating DAA therapy among people who are recently incarcerated within reception correctional centre(s) in Australia.

02

Conditions studied

  • Hepatitis C

Keywords

  • Hepatitis C
  • Public Health
  • Health Service
  • Prisons
03

In context

Hepatitis A

2,709 studies on the registry are indexed under Hepatitis A; 142 are open to participants now.

This study's enrollment of 541 is above the median of 100 across 1,886 interventional studies indexed under Hepatitis A.

Browse Hepatitis A 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
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  1. has provided written, informed consent to participate;
  2. is male and ≥18 years of age on enrolment;
  3. has been incarcerated within the last six weeks;
  4. is HCV DAA treatment naïve;
  5. is able and willing to provide informed consent and abide by the requirements of the study.

    For HCV RNA positive participants commencing treatment:

  6. if HIV-1 infected must also meet the following criteria:

    1. HIV infection documented by any licensed rapid HIV test or HIV enzyme or chemiluminescence immunoassay (E/CIA) test kit at any time prior to study entry (Baseline) and confirmed by a licensed Western blot or a second antibody test by a method other than the initial rapid HIV and/or E/CIA, or by HIV-1 p24 antigen, or plasma HIV-1 RNA viral load; and
    2. be on HIV antiretroviral therapy (ART) for at least 4 weeks prior to study entry using an ART regimen that is allowable with the selected DAA regimen as determined by the current PI and the Liverpool drug interaction website (http://www.hiv-druginteractions.org/ )

Exclusion criteria

Exclusion criteria

For HCV RNA positive participants commencing treatment, the subject will be excluded if they have:

  1. untreated HIV co-infection;
  2. chronic HBV co-infection;
  3. any clinically significant condition, history or concomitant medication known to contraindicate DAA therapy or would not be suitable for management within a prison-based treatment setting;
  4. is unable to gain an accurate reading on the fibroscan or the result is invalid;
  5. known clinical or laboratory evidence of cirrhosis, or cirrhosis documented on fibro-elastography (> 12.5 Kpa).
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
541 participants (actual)

Study arms

  • No intervention
    Standard of care

    The first group (n=240) of participants enrolled in the study will be assigned to the control period to receive the standard of care.

  • Experimental
    'One-stop-shop' intervention

    Following the control period, the second group (n=300) of participants enrolled in the study will be assigned to the intervention period to receive the 'one-stop-shop' intervention.

    Other: 'One-stop-shop' hepatitis clinic

Interventions

  • Other'One-stop-shop' hepatitis clinic

    Establishment of a 'one-stop-shop' hepatitis clinic, integrating point-of-care HCV RNA testing, followed by clinical assessment, non-invasive liver fibrosis assessment by fibro-elastography (Fibroscan), and early DAA prescription (for those with chronic HCV) followed by linkage to ongoing hepatitis care, all in the same 60-minute visit.

06

What researchers measure

Primary outcomes

  1. The proportion of people who have initiated DAA therapy within 12 weeks from enrolment

    Time frame: 12 weeks from enrolment

Secondary outcomes

  1. The proportion of people tested for HCV infection at 12 weeks from enrolment

    Time frame: 12 weeks from enrolment

  2. The proportion of participants who complete DAA therapy in prison

    Time frame: End of Treatment (8 weeks from treatment initiation)

  3. The proportion of people who have an end of treatment response

    Time frame: End of Treatment (8 weeks from treatment initiation)

  4. The proportion of people who have an HCV treatment response (sustained virological response)

    Time frame: Sustained virological response at 12 weeks post treatment completion

  5. The time taken from testing to each step in the care cascade

    Time frame: Varying, up to 9 months post-enrolment.

  6. The proportion of people lost to follow-up

    Time frame: Varying, up to end of study (estimated to be 12 months from study commencement)

  7. The acceptability of the 'one-stop-shop' (proportion of prisoners who refuse to participate)

    Time frame: Varying, up to end of subject enrolment (estimated to be 12 months from study commencement)

  8. The proportion of people reinfected at SVR12

    Time frame: Varying, up to 9 months post-enrolment.

  9. The proportion of people reporting injecting risk behaviours (at ETR and SVR12)

    Time frame: Varying, up to 9 months post-enrolment.

  10. The cost-effectiveness of the 'one-stop-shop' (cost-ratio of 'one-stop-shop' and standard of care)

    Time frame: End of study (estimated to be 12 months from study commencement)

07

Study locations

1 site
  • Mid North Coast Correctional Centre
    Kempsey, New South Wales 2441, Australia
08

References and documents

Individual participant data

Plan to share: Yes — Data may be available immediately following publication for 7 years, no end date determined, upon request to the researchers. Data may be available to researchers on a case-by-case basis at the discretion of Principal Investigator. Data may be available to researchers upon request for conducting IPD meta-analyses (separate ethics approval required). Access to data is subject to approvals by Principal Investigator (a.lloyd@unsw.edu.au)

Supporting information: Csr

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 14, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04809246
Lead sponsor
Kirby Institute
Collaborators
Justice Health & Forensic Mental Health Network NSW Australia
Responsible party
Sponsor
First posted
Mar 22, 2021
Start date
Oct 31, 2019
Primary completion
Apr 23, 2021
Completion
Sep 10, 2021
Last update
Jan 14, 2022

Study contacts

Andrew Lloyd, Prof
principal investigator · Kirby Institute, University NSW

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion