Trial Outcomes & Findings for Pilot Study Evaluating the Use of Simultaneous HBV, HCV, and HIV Rapid Tests (NCT NCT01790633)

NCT ID: NCT01790633

Last Updated: 2016-12-13

Results Overview

The number of individuals who obtained test results for HBV, HCV, and/or HIV divided by the total number of tested individuals.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

327 participants

Primary outcome timeframe

Evaluated once, up to 4 months after testing

Results posted on

2016-12-13

Participant Flow

Volunteers were recruited from an innercity clinic for persons without healthcare coverage ("Médecins du Monde", Paris, France). From February 25, 2013 to June 21, 2013, individuals seeking care at the center were asked to participate.

554 participants were initially screened for eligibility. 150 did not meet inclusion criteria, 16 had a medical condition requiring immediate referral to a specialist, and 61 declined to participate. A total of 327 were randomized.

Participant milestones

Participant milestones
Measure
Standard Testing With ELISA
HBV, HCV, and HIV infection status determined by enzyme-linked immuno-assay (ELISA). ELISA: Enzyme-linked immuno-assay (ELISA) will be used to determine hepatitis B surface antigen (HBsAg), anti-HBsAg antibody (anti-HBs Ab), anti-HCV antibody, and anti-HIV antibody status. Results will be given after test results are available (8-10 days).
Rapid Testing
HBV, HCV, and HIV infection status determined by a rapid test Rapid Test: A rapid test will be performed to determine the subjects' hepatitis B surface antigen (HBsAg, using VIKIA®), anti-HCV antibody (HCV, using OraQuick®), and anti-HIV antibody (HIV, using VIKIA®) status. Results will be given the same day.
Overall Study
STARTED
163
164
Overall Study
COMPLETED
115
159
Overall Study
NOT COMPLETED
48
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Standard Testing With ELISA
HBV, HCV, and HIV infection status determined by enzyme-linked immuno-assay (ELISA). ELISA: Enzyme-linked immuno-assay (ELISA) will be used to determine hepatitis B surface antigen (HBsAg), anti-HBsAg antibody (anti-HBs Ab), anti-HCV antibody, and anti-HIV antibody status. Results will be given after test results are available (8-10 days).
Rapid Testing
HBV, HCV, and HIV infection status determined by a rapid test Rapid Test: A rapid test will be performed to determine the subjects' hepatitis B surface antigen (HBsAg, using VIKIA®), anti-HCV antibody (HCV, using OraQuick®), and anti-HIV antibody (HIV, using VIKIA®) status. Results will be given the same day.
Overall Study
Protocol Violation
1
2
Overall Study
Did not have serology performed
47
0
Overall Study
RT failure and no follow-up ELISA
0
3

Baseline Characteristics

Pilot Study Evaluating the Use of Simultaneous HBV, HCV, and HIV Rapid Tests

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Testing With ELISA
n=162 Participants
HBV, HCV, and HIV infection status determined by enzyme-linked immuno-assay (ELISA). ELISA: Enzyme-linked immuno-assay (ELISA) will be used to determine hepatitis B surface antigen (HBsAg), anti-HBsAg antibody (anti-HBs Ab), anti-HCV antibody, and anti-HIV antibody status. Results will be given after test results are available (8-10 days).
Rapid Testing
n=162 Participants
HBV, HCV, and HIV infection status determined by a rapid test Rapid Test: A rapid test will be performed to determine the subjects' hepatitis B surface antigen (HBsAg, using VIKIA®), anti-HCV antibody (HCV, using OraQuick®), and anti-HIV antibody (HIV, using VIKIA®) status. Results will be given the same day.
Total
n=324 Participants
Total of all reporting groups
Age, Continuous
39.0 years
STANDARD_DEVIATION 12.2 • n=5 Participants
37.0 years
STANDARD_DEVIATION 12.2 • n=7 Participants
37.6 years
STANDARD_DEVIATION 12.1 • n=5 Participants
Sex: Female, Male
Female
60 Participants
n=5 Participants
63 Participants
n=7 Participants
123 Participants
n=5 Participants
Sex: Female, Male
Male
102 Participants
n=5 Participants
99 Participants
n=7 Participants
201 Participants
n=5 Participants
HBV prevalence of birth country
Low (<2.0%)
2 participants
n=5 Participants
1 participants
n=7 Participants
3 participants
n=5 Participants
HBV prevalence of birth country
Intermediate (2.0%-8.0%)
27 participants
n=5 Participants
37 participants
n=7 Participants
64 participants
n=5 Participants
HBV prevalence of birth country
High (>8.0%)
133 participants
n=5 Participants
124 participants
n=7 Participants
257 participants
n=5 Participants
No health insurance plan
162 participants
n=5 Participants
162 participants
n=7 Participants
324 participants
n=5 Participants

PRIMARY outcome

Timeframe: Evaluated once, up to 4 months after testing

The number of individuals who obtained test results for HBV, HCV, and/or HIV divided by the total number of tested individuals.

Outcome measures

Outcome measures
Measure
Standard Testing With ELISA
n=162 Participants
HBV, HCV, and HIV infection status determined by enzyme-linked immuno-assay (ELISA). ELISA: Enzyme-linked immuno-assay (ELISA) will be used to determine hepatitis B surface antigen (HBsAg), anti-HBsAg antibody (anti-HBs Ab), anti-HCV antibody, and anti-HIV antibody status. Results will be given after test results are available (8-10 days).
Rapid Testing
n=162 Participants
HBV, HCV, and HIV infection status determined by a rapid test Rapid Test: A rapid test will be performed to determine the subjects' hepatitis B surface antigen (HBsAg, using VIKIA®), anti-HCV antibody (HCV, using OraQuick®), and anti-HIV antibody (HIV, using VIKIA®) status. Results will be given the same day.
Accessibility of Testing Results
0.642 proportion of participants
0.981 proportion of participants

SECONDARY outcome

Timeframe: Evaluated once, up to 4 months after testing

Population: Analysis includes only participants with positive HIV, HBV, and/or HCV results.

The number of individuals seeking specialized care with a complete evaluation of disease severity divided by the total number of seropositive individuals.

Outcome measures

Outcome measures
Measure
Standard Testing With ELISA
n=16 Participants
HBV, HCV, and HIV infection status determined by enzyme-linked immuno-assay (ELISA). ELISA: Enzyme-linked immuno-assay (ELISA) will be used to determine hepatitis B surface antigen (HBsAg), anti-HBsAg antibody (anti-HBs Ab), anti-HCV antibody, and anti-HIV antibody status. Results will be given after test results are available (8-10 days).
Rapid Testing
n=20 Participants
HBV, HCV, and HIV infection status determined by a rapid test Rapid Test: A rapid test will be performed to determine the subjects' hepatitis B surface antigen (HBsAg, using VIKIA®), anti-HCV antibody (HCV, using OraQuick®), and anti-HIV antibody (HIV, using VIKIA®) status. Results will be given the same day.
Access to Care
0.938 proportion of participants
0.900 proportion of participants

OTHER_PRE_SPECIFIED outcome

Timeframe: At testing

The number of individuals accepting to participate in the study divided by the total number of individuals proposed.

Outcome measures

Outcome measures
Measure
Standard Testing With ELISA
n=554 Participants
HBV, HCV, and HIV infection status determined by enzyme-linked immuno-assay (ELISA). ELISA: Enzyme-linked immuno-assay (ELISA) will be used to determine hepatitis B surface antigen (HBsAg), anti-HBsAg antibody (anti-HBs Ab), anti-HCV antibody, and anti-HIV antibody status. Results will be given after test results are available (8-10 days).
Rapid Testing
HBV, HCV, and HIV infection status determined by a rapid test Rapid Test: A rapid test will be performed to determine the subjects' hepatitis B surface antigen (HBsAg, using VIKIA®), anti-HCV antibody (HCV, using OraQuick®), and anti-HIV antibody (HIV, using VIKIA®) status. Results will be given the same day.
Proportion Participating
0.890 proportion of participants

OTHER_PRE_SPECIFIED outcome

Timeframe: At testing

Population: Only patients randomized to the rapid testing arm.

The number of rapid tests giving inconclusive results divided by the total number of rapid tests (only available in the rapid test arm).

Outcome measures

Outcome measures
Measure
Standard Testing With ELISA
HBV, HCV, and HIV infection status determined by enzyme-linked immuno-assay (ELISA). ELISA: Enzyme-linked immuno-assay (ELISA) will be used to determine hepatitis B surface antigen (HBsAg), anti-HBsAg antibody (anti-HBs Ab), anti-HCV antibody, and anti-HIV antibody status. Results will be given after test results are available (8-10 days).
Rapid Testing
n=162 Participants
HBV, HCV, and HIV infection status determined by a rapid test Rapid Test: A rapid test will be performed to determine the subjects' hepatitis B surface antigen (HBsAg, using VIKIA®), anti-HCV antibody (HCV, using OraQuick®), and anti-HIV antibody (HIV, using VIKIA®) status. Results will be given the same day.
Proportion of Rapid Test Failures
0.074 proportion of participants

Adverse Events

Standard Testing With ELISA

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Rapid Testing

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Julie Bottero

Service des maladies infectieuses et tropicales - Hôpital Saint-Antoine

Phone: +33 1 49 28 04 24

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place