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Hepatitis CHCVPOCTNCT05042544

The Australian HCV Point-of-Care Testing Program

An observational study of Hepatitis C, run by Kirby Institute at 69 sites in Australia.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The National Australian HCV Point-of-Care Testing Program will establish an observational cohort to evaluate whether scale-up of finger-stick point-of-care HCV testing increases diagnosis and treatment for HCV infection. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Hepatitis C
What is being tested?
Point-of-Care Testing
How many people
60,000 participants
Where
69 sitesAustralia
Study dates
23 Feb 2022to 30 Jun 2029
How long will I take part?
12 Months
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Participants will be recruited from settings that provide services to people with a risk factor for the acquisition of HCV infection, including drug treatment clinics, needle and syringe programs, prisons, mobile outreach services, community health services, mental health services, homelessness services, and other appropriate settings nationally. It is anticipated approximately 40,000 participants will be screened for HCV infection using point-of-care HCV testing.

Who may be able to join

  • Provided informed consent.
  • ≥ 18 years of age.
  • Have a risk factor for the acquisition of HCV infection (including current or past injecting drug use, previous incarceration, HIV infection, receiving blood products prior to 1990, having a tattoo or piercing in an unregulated environment, a needle-stick injury, or a mother with HCV).
  • OR:
  • Are attending a service caring for people with risk factors for the acquisition of HCV infection (e.g. drug treatment clinics, needle and syringe programs, prisons, mobile outreach services, community health services, mental health services, and homelessness services).

Who cannot join

  • Is unable or unwilling to provide informed consent or abide by the requirements of the study.

Trial locations and contacts

69 sites in 1 country. Contact the study team or a site near you to ask about taking part.

David C Silk, BSc contact

+61293850900

dsilk@kirby.unsw.edu.au

69 sites in 1 country

Australia69 sites, 56 recruiting
  • Clinic H

    Adelaide, South Australia, 5000

    Benny Tang

    Benny Tang

    Recruiting
  • The Queen Elizabeth Hospital, Central Adelaide LHN

    Adelaide, South Australia, 5000

    Jeffery Stewart

    Morgyn Warner

    Recruiting
  • Drug and Alcohol Services South Australia

    Adelaide, South Australia, 5069

    Danica Liu

    Victoria Cock

    Recruiting
  • Lyell McEwin Hospital, North Adelaide LHN

    Adelaide, South Australia, 5112

    Bin Chen

    Damien Harding

    Recruiting
  • Flinders Medical Centre, South Adelaide LHN

    Adelaide, South Australia, 5168

    Sumudu Narayana

    Alan Wigg

    Recruiting
  • ADSCA - Alice Springs Hospital

    Alice Springs, Northern Territory

    Khim Tan

    Khim Tan

    Recruiting
  • Clinic 34

    Alice Springs, Northern Territory

    Khim Tan

    Khim Tan

    Recruiting
  • Ascot Vale Pharmacy

    Ascot Vale, Victoria, 3032

    Completed
  • Ballarat Community Health

    Ballarat, Victoria

    Ingrid Taylor

    Ingrid Taylor

    Recruiting
  • Western NSW LHD

    Bathurst, New South Wales, 2795

    Laura Boundy

    Laura Boundy

    Recruiting
  • Metro North HHS (Biala and Caboolture)

    Brisbane, Queensland, 4000

    Kylie Page

    Jeremy Hayllar

    Recruiting
  • IHWH Micah Projects

    Brisbane, Queensland, 4101

    Kim Rayner

    Kim Rayner

    Recruiting
  • Far West LHD

    Broken Hill, New South Wales

    Trevor Slattery

    Kendall Jackman

    Not yet recruiting
  • Maari Ma Health Aboriginal Corporation

    Broken Hill, New South Wales

    Completed
  • Harm Reduction Victoria

    Brunswick, Victoria, 3056

    Jane Dicka

    Sione Crawford

    Recruiting
  • Peer Based Harm Reduction Bunbury

    Bunbury, Western Australia, 6230

    Jodie Savage

    Julie Byrne-King

    Recruiting
  • Cairns Sexual Health Service

    Cairns, Queensland, 4870

    Completed
  • Hepatitis ACT

    Canberra, Australian Capital Territory, 2612

    Kareen Tait

    Sarah Ahmed

    Recruiting
  • Galambila Aboriginal Health Service

    Coffs Harbour, New South Wales

    Completed
  • Hepatitis QLD

    Coorparoo, Queensland

    Anna Hawkes

    Suzy McLucas

    Recruiting
  • Western Health

    Footscray, Victoria, 3011

    Nhung Duong

    Thileepan Naren

    Recruiting
  • South Terrace Clinic - Fremantle Hospital

    Fremantle, Western Australia

    Joseph Cotter

    Joseph Cotter

    Recruiting
  • Central Coast LHD

    Gosford, New South Wales, 2250

    Amanda Burfitt

    Amanda Burfitt

    Recruiting
  • Pramana Medical Centre

    Gosnells, Western Australia, 6110

    Kate Fulford

    Kate Fulford

    Recruiting
  • Hepatitis SA

    Hackney, South Australia, 5069

    Lisa Carter

    Lisa Carter

    Recruiting
  • Tasmanian Sexual Health Service - Clinic 60

    Hobart, Tasmania

    Tina Evans

    Adriana Trujillo

    Recruiting
  • Kombi Clinic

    Inala, Queensland, 4077

    Mim O'Flynn

    Joss O'Loan

    Recruiting
  • Metro South Addiction Services - Inala AODS

    Inala, Queensland, 4077

    Joss O'Loan

    Joss O'Loan

    Recruiting
  • Armajun Health Service Aboriginal Corporation

    Inverell, New South Wales

    Completed
  • Ipswich AODS

    Ipswich, Queensland, 4305

    Lisa Ball

    Lisa Ball

    Recruiting
  • Ipswich Sexual Health and BBV Service, West Moreton Health

    Ipswich, Queensland, 4305

    Terminated
  • Rekindling the Spirit Health Service

    Lismore, New South Wales

    Completed
  • OneBridge

    Maroochydore, Queensland, 4560

    Jennifer Lang

    Sonia Martin

    Recruiting
  • Eastern Health

    Melbourne, Victoria, 3128

    Cathy Ngo

    Rohit Sawhney

    Recruiting
  • St Vincent's Hospital (Melbourne)

    Melbourne, Victoria

    Adam Pastor

    Jacinta Holmes

    Recruiting
  • Youth Projects - The Living Room

    Melbourne, Victoria

    Ally Sampson

    Fiona Cook

    Recruiting
  • Latrobe Community Health Service Liited

    Morwell, Victoria, 3840

    Neal Daly

    Naomi Taylor

    Recruiting
  • Plantagenet Medical

    Mount Barker, Western Australia, 6324

    Amanda Villis

    Amanda Villis

    Not yet recruiting
  • Pangula Mannamurna Aboriginal Corporation

    Mount Gambier, South Australia

    Completed
  • North West HHS - Mount Isa ATODS

    Mount Isa, Queensland, 4825

    Georgia Steele

    Ruth Dewar

    Recruiting
  • Sunshine Coast HHS AODS

    Nambour, Queensland, 4560

    Matthew Reeves

    Matthew Reeves

    Recruiting
  • Moreton Group Rural Health

    New Town, Tasmania

    Withdrawn
  • Asylum Seeker Centre

    Newtown, New South Wales

    Emily Cumming

    Emily Cumming

    Not yet recruiting
  • Nepean Blue Mountains LHD

    Penrith, New South Wales

    Emma Phillips

    Prasun Datta

    Recruiting
  • Peer Based Harm Reduction - Perth

    Perth, Western Australia, 6230

    Julie Byrne-King

    Julie Byrne-King

    Recruiting
  • Hepatitis WA

    Perth, Western Australia

    Alison Lori

    Alison Lori

    Recruiting
  • Next Step East Perth

    Perth, Western Australia

    Shuan Tan

    Not yet recruiting
  • Next Step Fremantle

    Perth, Western Australia

    Active, not recruiting
  • Next Step Warwick

    Perth, Western Australia

    Michael Cao

    Wendy Lawrance

    Recruiting
  • North and Mid North Coast LHD

    Port Macquarie, New South Wales, 2444

    Alexandra Wade

    Alexandra Wade

    Recruiting
  • Walhallow Aboriginal Corporation

    Quirindi, New South Wales

    Completed
  • Goulburn Valley Community Health

    Shepparton, Victoria, 3630

    Vinay Menon

    Vinay Menon

    Recruiting
  • Primary Care Connect

    Shepparton, Victoria, 3630

    Lily Summers

    Lily Summers

    Recruiting
  • Bulgarr Ngaru Medical Aboriginal Corporation

    South Grafton, New South Wales

    Completed
  • Kirketon Road Centre

    Sydney, New South Wales, 2010

    Phillip Read

    Phillip Read

    Recruiting
  • NSLHD

    Sydney, New South Wales, 2065

    Erica Martin

    Mark Montebello

    Recruiting
  • WSLHD Drug Health

    Sydney, New South Wales, 2151

    Meryem Jefferies

    Thao Lam

    Recruiting
  • South West Sydney LHD

    Sydney, New South Wales, 2170

    Completed
  • Hepatitis NSW

    Sydney, New South Wales

    Kyle Leadbeatter

    Steven Drew

    Recruiting
  • NSW Users and AIDS Association

    Sydney, New South Wales

    Mary Harrod

    Mary Harrod

    Recruiting
  • Prince of Wales Hospital

    Sydney, New South Wales

    Renier Lagundy

    Marianne Martinello

    Recruiting
  • SESLHD Community and Mental Health POCT Allicance (SCAMPA)

    Sydney, New South Wales

    Nathan McGarry

    Amany Zekry

    Recruiting
  • SESLHD Drug Health

    Sydney, New South Wales

    Arshman Sahid

    Apo Demirkol

    Recruiting
  • Storr Liver Clinic (Westmead Hospital)

    Sydney, New South Wales

    Kindness Bondezi

    Jacob George

    Recruiting
  • Sydney Local Health District

    Sydney, New South Wales

    Sophie King

    Shih Chi Kao

    Recruiting
  • Murrumbidgee & Southern LHD

    Wagga Wagga, New South Wales

    Lauren Coelli

    Lauren Coelli

    Recruiting
  • Hunter New England LHD

    Waratah, New South Wales

    Melanie Kingsland

    Melanie Kingsland

    Recruiting
  • Ethnic Communities Council of Queensland

    West End, Queensland, 4101

    Zhihong Gu

    Zhihong Gu

    Recruiting
  • ISLHD Drug and Alcohol Service

    Wollongong, New South Wales

    Siyu Qian

    David Reid

    Recruiting

Other trials in Australia

About this study

Official title: The National Australian HCV Point-of-Care Testing Program: An Observational Cohort Study to Evaluate the Use of Finger-stick Point-of-care Hepatitis C Testing to Enhance Diagnosis and Treatment of HCV Infection

The National Australian HCV Point-of-Care Testing Program will establish an observational cohort to evaluate whether scale-up of finger-stick point-of-care HCV testing increases diagnosis and treatment for HCV infection. Participants will be recruited from settings providing services to people with a risk factor for the acquisition of HCV infection (including drug treatment clinics, needle and syringe programs, homelessness settings, mental health services, prisons, and mobile outreach). Participants will attend a single visit to have their HCV RNA status tested and complete a self-administered survey. Participants will not receive treatment as a part of this study. Participants who are HCV RNA positive will be linked to standard of care.

Read the detailed description

The advent of simple direct-acting antiviral hepatitis C (HCV) therapies with cure rates >95% is one of the greatest medical advances in decades, having led to a reversal in liver-related mortality. In Australia, treatment uptake has declined between 2016 (32,000 treated) and 2019/20 (2019: 11,500; 2020: 8,500).1 Progress towards HCV elimination has been impeded by COVID-19, affecting the delivery of national and state-based HCV strategies. Improving HCV treatment uptake to reduce disease burden is a key aim of global, national and state-based HCV strategies.2-4

Scale-up of HCV testing and treatment will be required to achieve elimination by 2030. Current diagnostic pathways require multiple visits to a practitioner reducing the proportion who receive a diagnosis. In Australia, 81% of people have had HCV antibody testing (indicates exposure), but only 47% have been HCV RNA tested (indicates active infection and the need for HCV treatment).5 Mathematical modelling suggests that HCV RNA testing needs to increase by at least 50% annually to achieve elimination in Australia by 2030.6

The Kirby Institute is an international leader in research evaluating the Xpert HCV assay (Grebely Lancet Gastro Hep 2017), having built a large network of Xpert platforms for HCV testing in needle and syringe programs, prisons, drug treatment clinics, tertiary hospitals, and Aboriginal Community Controlled Health Service. In Kirby-led research, point-of-care HCV testing interventions in needle and syringe programs and prisons have resulted in high HCV treatment uptake (70-90%). The Kirby Institute and Flinders University also have a strong track record of implementing point-of-care testing for STIs and COVID-19, providing an ideal foundation to scale-up Xpert HCV testing in Australia.

The Kirby Institute and Flinders University will establish the Australian National HCV Point-of-care Testing Program for the scale-up of point-of-care HCV RNA testing in services with high prevalence of HCV infection, including community health centres, drug treatment clinics, needle and syringe programs, and prisons. This program will include the development of standard operating procedures, logistics/deployment, initial set-up, an operator training program, and quality assurance and competency assessment program.

An observational cohort study that will be established to evaluate HCV treatment uptake following scale-up of point-of-care HCV testing among people with a risk factor for acquisition of HCV infection or people attending a service caring for people with risk factors for the acquisition of HCV infection. This study will also include the linkage of survey data to a range of administrative datasets which will be used to evaluate the impact of HCV testing and treatment scale-up on a range of long-term health outcomes.

Participants will be recruited from settings that provide services to people with a risk factor for the acquisition of HCV infection. Participants will attend a single visit to receive point-of-care HCV testing and complete a self-administered survey. Testing will be performed using point-of-care HCV antibody testing (results within 1-20 minutes, depending on the test) and if positive, HCV RNA testing will be performed. Participants who have previously had HCV infection or previously received HCV treatment will be tested using point-of-care HCV RNA testing. Participants will not receive treatment as a part of this study. Participants who are HCV RNA detectable will be linked to standard of care for any other clinical assessments and treatment initiation.

Conditions
Hepatitis C
Being tested
Point-of-Care Testing
Keywords
Hepatitis C Virus
Medical subject headings
Hepatitis C

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Point-of-Care TestingDiagnostic test

    Participants will be offered finger-stick point-of-care testing for HCV

Study groups in NCT05042544
Study groupRoleWhat they receive
People at risk of HCV acquisitionThis is an observational cohort study. Participants will be recruited from settings that provide services to people with a risk factor for the acquisition of HCV infection. Participants will attend a single visit to receive point-of-care HCV testing and complete a self-administered survey. Testing will be performed using point-of-care HCV antibody testing (results within 1-20 minutes, depending on the test) and if positive, HCV RNA testing will be performed. Participants who have previously had HCV infection or previously received HCV treatment will be tested using point-of-care HCV RNA testing. Participants will not receive treatment as a part of this study. Participants who are HCV RNA detectable will be linked to standard of care for any other clinical assessments and treatment initiation.
Receives: Diagnostic Test: Point-of-Care Testing

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To evaluate the proportion of HCV infected (HCV RNA quantifiable) participants who initiate HCV treatment at 12 weeks following HCV RNA testing.

    HCV treatment

    Measured: 12 Weeks from enrolment

Secondary outcomes (8)
  1. To evaluate the proportion of people who accept point-of-care testing among those offered testing.

    Accepting testing

    Measured: Recruitment phase

  2. To evaluate the prevalence of current HCV infection (HCV RNA quantifiable) among people tested.

    Prevalence

    Measured: Recruitment phase

  3. To evaluate the time to HCV treatment uptake among HCV RNA detectable participants following HCV RNA testing

    Time to treatment

    Measured: 52 weeks

  4. To evaluate the proportion of HCV RNA detectable participants who initiate HCV treatment at 12 months (52 weeks) following detectable finger-stick point-of-care HCV RNA testing.

    Initiation of treatment

    Measured: 52 weeks

  5. To evaluate the proportion of participants who complete HCV direct-acting antiviral (DAA) treatment.

    Completion of treatment

    Measured: 52 weeks

  6. To evaluate the proportion of participants who achieve an SVR (defined as HCV RNA below the lower limit of quantitation at post treatment week 12) following a detectable HCV RNA test result.

    SVR

    Measured: 12 weeks

  7. To evaluate the proportion of participants who are HCV RNA negative at 12 months (52 weeks) following a detectable HCV RNA test.

    HCV negative

    Measured: 52 weeks

  8. To evaluate the cost-effectiveness of different testing strategies

    Cost-effectiveness

    Measured: 52 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Sep 2021
  2. Study start23 Feb 2022
  3. Primary completion30 Jun 2029 (estimated)
  4. Study completion30 Jun 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
60,000 participants (estimated)
Target duration
12 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT05042544
Sponsor's protocol ID
VHCRP2101
Acronym
HCVPOCT
Status last verified
Sep 2026
First submitted
20 Aug 2021
Last updated
28 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Hepatitis C, run by Kirby Institute at 69 sites in Australia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 28 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 69 sites in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact David C Silk, BSc (+61293850900, dsilk@kirby.unsw.edu.au), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To evaluate the proportion of HCV infected (HCV RNA quantifiable) participants who initiate HCV treatment at 12 weeks following HCV RNA testing. (time frame: 12 Weeks from enrolment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Sep 2026.

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