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Enrolling by invitationNCT07875218INTEGRATE BUpdated Oct 15, 2026

Integrating Hepatitis B Elimination Into the HIV Program in Zambia

An interventional study of Integrated HBV/HIV Service Delivery Model in Hepatitis B, HIV and Implementation Science, sponsored by Centre for Infectious Disease Research in Zambia. Enrolling by invitation at 1 site in Zambia. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-15.

Sponsored by Centre for Infectious Disease Research in Zambia · Not applicable, Interventional, and Health services research

Updated Oct 15, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
460
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this study is to develop an integrated HBV-HIV service care model in Zambia by working with people living with HBV, healthcare workers, policy makers and other key stakeholders to co-design an intervention.

Read the detailed description

The study aims to develop and test a practical way of integrating hepatitis B (HBV) services into existing HIV care services in Zambia. It will first work with people living with HBV, healthcare workers, policymakers, and other stakeholders to understand current challenges and co-design an integrated HBV-HIV care model. The model will then be piloted in selected health facilities in Lusaka Province.

The study will assess whether the integrated model is acceptable, feasible, effective, and sustainable, with particular attention to HBV screening, linkage to care, treatment, health worker capacity, and service delivery. The findings will provide evidence to help the Ministry of Health determine how HBV services can be integrated into HIV programmes and potentially scaled up nationally.

02

Conditions studied

  • Hepatitis B
  • HIV
  • Implementation Science

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03

In context

Hepatitis B

1,662 studies on the registry are indexed under Hepatitis B; 192 are open to participants now.

This study's planned enrollment of 460 is above the median of 120 across 1,191 interventional studies indexed under Hepatitis B.

Browse Hepatitis B studies →

Lead sponsor

Centre for Infectious Disease Research in Zambia is the lead sponsor of 39 studies on the registry; 5 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

Eligibility criteria

Healthcare Workers:

Inclusion Criteria:

  • Age 18 years and above
  • Work (provide services) at the 4 facilities across various cadres (both lay and professional)
  • Have been working at facility for at least 6 months

Exclusion Criteria:

  • None

Client participants:

Inclusion Criteria:

  • Age 18 years and above
  • Received at least one HBV-related service at the facility including but not limited to testing, enrollment for HBV care, and HBV antiviral medicines
  • They consider the facility their medical home
  • If HBV-positive are willing to stay in care at the same facility

Exclusion Criteria:

- The person was NOT enrolled in the Hep-Mec study and NOT enrolled in the Liver Fibrosis study irrespective of screening status

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
460 participants (estimated)

Study arms

  • Other
    Integrated HBV/HIV Service Model

    A co-designed HBV/HIV service delivery intervention

    Other: Integrated HBV/HIV Service Delivery Model

  • Active comparator
    Control

    Sites initially in this arm will not receive an integrated HBV/HIV service delivery package, but will crossover in Year 3.

    Other: Integrated HBV/HIV Service Delivery Model

Interventions

  • OtherIntegrated HBV/HIV Service Delivery Model

    This intervention encompasses a package which will include training, HBV screening campaigns and HBV vaccination campaigns.

06

What researchers measure

Primary outcomes

  1. Implementation Outcome

    Pilot will be evaluated using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework

    Time frame: Six-months post-intervention

Other outcomes

  1. Acceptability

    Perception among stakeholders (e.g. clinic staff, patients) that the model is agreeable, satisfactory, worth using

    Time frame: Six-months post-intervention

  2. Completion of the integrated HBV-HIV service package (Feasibility)

    Percentage of enrolled participants who receive all services required by the study protocol, such as HIV testing or treatment review, hepatitis B surface antigen testing, clinical assessment, referral, and treatment or vaccination when indicated.

    Time frame: Six-months post-intervention

  3. Adoption

    Uptake and initial use of the innovation by the target provider

    Time frame: Six-months post-intervention

  4. Reach

    Primary reach outcome will be defined as the proportion of the target population that HBV screening.

    Time frame: Six-months post-intervention

  5. Fidelity

    Degree to which the intervention is delivered as intended by its protocol

    Time frame: Six-months post-intervention

  6. Cost

    Incremental cost of implementation with the integrated HBV model

    Time frame: Six-months post-intervention

07

Study locations

1 site
  • Centre for Infectious Disease Research in Zambia
    Lusaka, Lusaka Province, Zambia
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2026 (actual). Primary completion is estimated for Jun 2028, 23 months after the start.

Of 86 non-industry interventional studies with no phase under Hepatitis B, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 48. This study's planned 23 months is below that.

Counting every sponsor, half of 95 studies reached it within 30 months; a quarter within 11 and three quarters within 48.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 23, 2026
First posted
Oct 15, 2026
StartActual
Jul 21, 2026
Primary completionEst.
Jun 30, 2028
CompletionEst.
Mar 31, 2029
Last update
Oct 15, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 15, 2026
Show all 1 update
  1. Oct 15, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07875218
Lead sponsor
Centre for Infectious Disease Research in Zambia
Collaborators
The Task Force for Global Health
Responsible party
Sponsor
First posted
Oct 15, 2026
Start date
Jul 21, 2026
Primary completion
Jun 30, 2028 (estimated)
Completion
Mar 31, 2029 (estimated)
Last update
Oct 15, 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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