CClinicalTrials.gg
CompletedNCT05369507STAT-CUpdated Apr 19, 2024

Eliminating HCV in Rural South Carolina Utilizing NP Led Mobile Clinics and Virtual Care Coordination

An interventional study of Virtual Care Coordination in Hepatitis C and Substance Use Disorders, sponsored by Prisma Health-Upstate. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-19.

Sponsored by Prisma Health-Upstate · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 8 months after the study started (first participant enrolled Sep 2021, registered May 2022).
Phase
Not applicable
Study type
Interventional
Enrollment
146
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Up to 150 individuals with current hepatitis C (HCV) will be recruited from mobile health clinics in rural South Carolina - sites will be selected based on HCV prevalence rates and lack of current HCV screening/treatment resources. NPs will provide HCV care through mobile health units. Participants will be randomized (1:1) to either mobile health clinic treatment as usual or virtual care coordination. Virtual care coordination designed to move people along HCV care cascade will be conducted by the Emocha smartphone platform - an adaptable platform designed by emocha to link patients to care. Using quantitative methods, associations between psychosocial factors such as homelessness, mental illness, provider mistrust, poor social support, high levels of shame and stigma with HCV outcomes including SVR will be examined. Investigators hypothesize that SVR rate among the HCV-infected individuals treated (and with follow-up SVR determination) will be 90% with the Clopper-Pearson 95% CI having a width of 13%.

02

Conditions studied

  • Hepatitis C
  • Substance Use Disorders

Keywords

  • Mobile health
  • Nurse practitioner
  • Care coordination
  • Virtual care coordination
  • People who inject drugs
  • Rural health
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 146 is above the median of 79 across 1,633 interventional studies indexed under Hepatitis C.

Browse Hepatitis C studies →

Lead sponsor

Prisma Health-Upstate is the lead sponsor of 74 studies on the registry; 7 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 10 (83%) have results posted.

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

Inclusion criteria

  • Not previously treated with HCV direct-acting antiviral medications OR treatment-experienced and eligible for treatment with sofosbuvir/velpatasvir
  • Age 18+
  • Willing to be randomized to either emocha versus TAU arms
  • Able to provide informed consent

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
146 participants (actual)

Study arms

  • No intervention
    Treatment as Usual

    TAU group will receive standard care coordination efforts by health care team throughout course of HCV treatment

  • Experimental
    Virtual Care Coordination

    Participants will download a mobile phone app (emocha) to facilitate care coordination throughout course of HCV treatment

    Behavioral: Virtual Care Coordination

Interventions

  • BehavioralVirtual Care Coordination

    Participants randomly assigned to the virtual care coordination group will use a mobile app to assist in HCV treatment care coordination.

06

What researchers measure

Primary outcomes

  1. HCV Treatment Initiation Rates

    To determine whether treatment initiation rates are higher among patients randomized to Emocha virtual care coordination versus treatment as usual (TAU), among HCV-infected patients enrolled in a NP-led mobile clinic

    Time frame: 27 months

Secondary outcomes

  1. HCV Treatment Adherence

    Measured by pharmacy refills

    Time frame: 12 weeks

  2. HCV Treatment Completion

    Measured by 100% completion of 12-week treatment course

    Time frame: 12 weeks

  3. Rate of Sustained Virologic Response

    Measured by end of treatment SVR labs

    Time frame: 6 months

07

Study locations

1 site
  • Prisma Health Upstate
    Greenville, South Carolina 29605, United States
08

References and documents

Individual participant data

Plan to share: No

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 Apr 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05369507
Lead sponsor
Prisma Health-Upstate
Collaborators
Gilead Sciences
Responsible party
Sponsor
First posted
May 11, 2022
Start date
Sep 1, 2021
Primary completion
Sep 16, 2023
Completion
Sep 16, 2023
Last update
Apr 19, 2024

Oversight

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 Apr 2024. You cannot join it, but the record below documents what was studied.

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