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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04014179
Registration number
NCT04014179
Ethics application status
Date submitted
7/07/2019
Date registered
10/07/2019
Date last updated
6/03/2024
Titles & IDs
Public title
Enhancing Hepatitis C Testing and Treatment Among People Who Inject Drugs Attending Needle and Syringe Programs
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Scientific title
A Multi-centre, Practice-level, Cluster Randomized Controlled Trial to Compare Point-of-care HCV RNA Testing, Dried Blood Spot Testing, and Standard of Care to Enhance Treatment Uptake Among People With HCV Who Have Recently Injected Drugs Attending Needle and Syringe Programs: the TEMPO Study
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Secondary ID [1]
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VHCRP1904
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Universal Trial Number (UTN)
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Trial acronym
TEMPO
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hepatitis C
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Hepatitis C, Chronic
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Condition category
Condition code
Infection
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Other infectious diseases
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Diagnosis / Prognosis - Xpert HCV Viral Load Fingerstick
Diagnosis / Prognosis - Aptima HCV Quant DX Assay
Experimental: Dried Blood Spot (Intervention) - Blood samples will be tested for HCV RNA from dried blood spot cards.
Experimental: Point-of-care RNA (Intervention) - Blood samples will be tested for HCV RNA using the Xpert HCV Viral Load Fingerstick point-of-care assay.
No intervention: Standard of Care (Control) - Sites will continue with their standard of care for hepatitis C testing.
Diagnosis / Prognosis: Xpert HCV Viral Load Fingerstick
The Cepheid Xpert HCV Viral Load (VL) Fingerstick assay is an in vitro nucleic acid amplification test designed for the quantitation of Hepatitis C Virus (HCV) DNA in human whole blood using the automated GeneXpert Systems. The HCV RNA result from the Xpert test will be used to initiate HCV treatment.
Diagnosis / Prognosis: Aptima HCV Quant DX Assay
The Aptima HCV Quant Dx assay is a real-time transcription-mediated amplification test.
The assay is used for both detection and quantitation of hepatitis C virus (HCV) RNA in fresh and frozen human serum and plasma from HCV-infected individuals, and in this study from dried blood spots. The HCV RNA result from the Aptima assay will be used to initiate HCV treatment.
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Intervention code [1]
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Diagnosis / Prognosis
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Proportion of HCV RNA positive who initiate HCV treatment
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Assessment method [1]
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To compare the proportion of HCV RNA positive participants who initiate HCV treatment at 12 weeks following enrolment between those who receive point-of-care HCV RNA testing, dried blood spot testing, and standard of care.
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Timepoint [1]
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12 weeks from Enrolment
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Eligibility
Key inclusion criteria
Inclusion criteria for participants:
Attendees of the NSP service are eligible for inclusion if the following criteria are met:
1. Provided written informed consent
2. = 18 years of age
3. Recent injecting drug use - defined as self-reported use within the previous six months.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Exclusion criteria for participants:
a. Is unable or unwilling to provide informed consent or abide by the requirements of the study.
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Study design
Purpose of the study
Other
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
27/07/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/12/2025
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Actual
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Sample size
Target
2700
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA
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Recruitment hospital [1]
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Bankstown NSP - Bankstown
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Recruitment hospital [2]
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WSLHD Drug Health - Blacktown NSP - Blacktown
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Recruitment hospital [3]
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Coffs Harbour Primary NSP - Coffs Harbour
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Recruitment hospital [4]
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Gosford NSP - Gosford
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Recruitment hospital [5]
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Grafton Primary NSP - Grafton
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Recruitment hospital [6]
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Kempsey Primary NSP - Kempsey
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Recruitment hospital [7]
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Lismore Primary NSP - Lismore
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Recruitment hospital [8]
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Liverpool Southwest NSP - Liverpool
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Recruitment hospital [9]
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WSLHD Drug Health - Mt Druitt NSP - Mount Druitt
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Recruitment hospital [10]
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Tweed Primary NSP - Tweed Heads
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Recruitment hospital [11]
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Orana Centre - Wollongong
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Recruitment hospital [12]
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Alcohol and Drug Harm Reduction Biala - Brisbane
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Recruitment hospital [13]
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Severin St NSP (Youth Link) - Cairns
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Recruitment hospital [14]
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Inala - Inala
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Recruitment hospital [15]
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Kobi House - Toowoomba
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Recruitment hospital [16]
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UC Adelaide - Adelaide
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Recruitment hospital [17]
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Wonggangga Turtpandi Aboriginal Primary Health Care Services - Adelaide
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Recruitment hospital [18]
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Northern DASSA - Elizabeth
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Recruitment hospital [19]
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Noarlunga Health Precinct - Noarlunga
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Recruitment postcode(s) [1]
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2200 - Bankstown
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Recruitment postcode(s) [2]
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2148 - Blacktown
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Recruitment postcode(s) [3]
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2450 - Coffs Harbour
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Recruitment postcode(s) [4]
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2250 - Gosford
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Recruitment postcode(s) [5]
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2460 - Grafton
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Recruitment postcode(s) [6]
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2440 - Kempsey
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Recruitment postcode(s) [7]
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2480 - Lismore
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Recruitment postcode(s) [8]
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2170 - Liverpool
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Recruitment postcode(s) [9]
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2770 - Mount Druitt
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Recruitment postcode(s) [10]
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2485 - Tweed Heads
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Recruitment postcode(s) [11]
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2500 - Wollongong
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Recruitment postcode(s) [12]
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4000 - Brisbane
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Recruitment postcode(s) [13]
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4870 - Cairns
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Recruitment postcode(s) [14]
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4077 - Inala
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Recruitment postcode(s) [15]
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4350 - Toowoomba
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Recruitment postcode(s) [16]
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5000 - Adelaide
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Recruitment postcode(s) [17]
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5015 - Adelaide
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Recruitment postcode(s) [18]
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5112 - Elizabeth
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Recruitment postcode(s) [19]
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5168 - Noarlunga
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Funding & Sponsors
Primary sponsor type
Government body
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Name
Kirby Institute
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This project aims to evaluate two strategies of Hepatitis C virus (HCV) testing compared to standard of care among people who inject drugs at needle and syringe program (NSP) services in Australia, to see if it can improve the number of people who start treatment following an HCV diagnosis: 1. HCV testing from collected dried blood spots sent to a central laboratory 2. HCV testing using a point-of-care device at the NSP site 3. HCV testing using standard of care at the NSP site
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Trial website
https://clinicaltrials.gov/study/NCT04014179
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Elise Tu, PhD
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Address
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Country
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Phone
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61-2-9385-9000
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04014179
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