Epidemiology of Hepatitis C Virus Infection Among Opioid Substituted Patients

NCT ID: NCT02395198

Last Updated: 2017-05-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

2467 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-08-31

Study Completion Date

2017-07-31

Brief Summary

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The aim of the present study is to estimate the national annual prevalence and incidence of current hepatitis C virus (HCV) infections among opioid dependent individuals in opioid substitution treatment (OST) based on a representative sample of approximately 2,500 outpatients in 100 substitution facilities across Germany. Furthermore, the study aims to describe factors influencing HCV therapy initiation and seroconversion during OST.

Detailed Description

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In this non-interventional, observational, longitudinal study, data is collected at two time points. The primary outcome measures HCV prevalence and incidence will be based on documentation from routine patient care at baseline and 12-month follow-up. Secondary outcome measures will be investigated by means of surveys of opioid substituted patients and their clinicians (completed at baseline), as well as data from routine patient care.

The sample size calculation is based on the primary outcome variable of HCV incidence among OST patients. The literature reports an HCV incidence of about 4/100 person-years +/- 2 new infections per 100 person-years in this target group. For a partial sample size of (at least) 32 patients with HCV seroconversion and an observation period of 1 year, 800 HCV antibody-negative patients are needed as an initial group for observation. Assuming an HCV antibody prevalence of 68% among OST patients, 2500 patients are needed in total (32% corresponds to N = 800).

Recruitment of clinicians is conducted via the national Substitution Registry in which all clinicians in Germany, who hold a qualification to prescribe substitution medication, are registered. To ensure that all substituting clinicians in Germany are considered in the present study, the investigators sent study invitations to all 3,356 addresses in the Substitution Registry as of 31.12.2013. Of the clinicians eligible for participation, a representative sample of clinician is drawn according to two criteria: 'German Federal State' (GFS) and 'Number of Patients Per Clinician' (PPC). Using the SPSS Complex Samples Procedure, clinicians are stratified by GFS and PPC, such that each GFS is represented at least once, and such that the same proportions of clinicians per GFS and per PPC category are achieved (to the best of our ability) as in the total sample of clinicians registered in the Substitution Registry.

Conditions

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Hepatitis C

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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HCV negative or in HCV treatment at T1

This group will be followed up at T2

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* minimum age 18
* diagnosed opioid dependence according to the ICD-10
* currently in opioid substitution treatment

Exclusion Criteria

* severe mental impairment
* insufficient German reading and writing skills
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen-Cilag G.m.b.H

INDUSTRY

Sponsor Role collaborator

Prof. Dr. med. Jens Reimer

OTHER

Sponsor Role lead

Responsible Party

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Prof. Dr. med. Jens Reimer

Head, Addiction Medicine Unit, University Medical Center Hamburg Eppendorf; Centre for Interdisciplinary Addiction Research (CIAR), Hamburg University

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jens Reimer, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

University Medical Center Hamburg-Eppendorf, Centre for Interdisciplinary Addiction Research (CIAR), Hamburg University

Locations

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Dr. Rudolf Dinkelacker

Crailsheim, Baden-Wurttemberg, Germany

Site Status

Dr. Manfred Hartmann

Herrenberg, Baden-Württenberg, Germany

Site Status

Dr. Reinhold Burr

Hirrlingen, Baden-Württenberg, Germany

Site Status

Dr. Christoph von Ascheraden

Saint Blasien, Baden-Württenberg, Germany

Site Status

Dr. Barbara Haider

Aichach, Bavaria, Germany

Site Status

Dr. Eugen Fürmann

Augsburg, Bavaria, Germany

Site Status

Dr. Astrid Beck

Fürstenfeldbruck, Bavaria, Germany

Site Status

Dr. Winfred Dresel

Warngau, Bavaria, Germany

Site Status

Dr. Monika Peter-Giglio

Bad Nauheim, Hesse, Germany

Site Status

Dr. Andreas Weselek

Ehringshausen, Hesse, Germany

Site Status

Dr. Georg Wetzig

Frankfurt am Main, Hesse, Germany

Site Status

Dr. Christine Rose

Goslar, Lower Saxony, Germany

Site Status

Dr. Uta Menschikowski

Parchim, Mecklenburg-Vorpommern, Germany

Site Status

Dr. Georg Kramann

Achim, Niedersachen, Germany

Site Status

Dr. Detmar Jobst

Bonn, North Rhine-Westphalia, Germany

Site Status

Dr. Michel Voss

Cologne, North Rhine-Westphalia, Germany

Site Status

Dr. Helmut Walter

Hamm, North Rhine-Westphalia, Germany

Site Status

Dr. Manfred Plum

Herne, North Rhine-Westphalia, Germany

Site Status

Dr. Martin Burger und Dr. Wolfgang Lüttecken

Münster, North Rhine-Westphalia, Germany

Site Status

Dr. Astrid Weber

Koblenz, Rhineland-Palatinate, Germany

Site Status

Dr. Liane Arimond

Trier, Rhineland-Palatinate, Germany

Site Status

Dr. Maria Viehweger

Chemnitz, Saxony, Germany

Site Status

Dr. Ernst Soldan

Norderstedt, Schleswig-Holstein, Germany

Site Status

Dr. Alexander Cegla

Wenningstedt, Schleswig-Holstein, Germany

Site Status

Dr. Gerd Klausen

Berlin, , Germany

Site Status

Dr. Clemens Micus

Berlin, , Germany

Site Status

Dr. Lutz Weinrich

Berlin, , Germany

Site Status

Dr. Wieland Tietje

Bremen, , Germany

Site Status

Dr. Nico le Claire

Hamburg, , Germany

Site Status

Dr. Felix Maas

Hamburg, , Germany

Site Status

Dr. Wirkner Thiel

Hamburg, , Germany

Site Status

Dr. Eckhard Zeigert

Hamburg, , Germany

Site Status

Countries

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Germany

References

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Strada L, Schmidt CS, Rosenkranz M, Verthein U, Scherbaum N, Reimer J, Schulte B. Factors associated with health-related quality of life in a large national sample of patients receiving opioid substitution treatment in Germany: A cross-sectional study. Subst Abuse Treat Prev Policy. 2019 Jan 3;14(1):2. doi: 10.1186/s13011-018-0187-9.

Reference Type DERIVED
PMID: 30606188 (View on PubMed)

Strada L, Schulte B, Schmidt CS, Verthein U, Cremer-Schaeffer P, Kruckeberg S, Reimer J. Epidemiology of hepatitis C virus infection among people receiving opioid substitution therapy (ECHO): study protocol. BMC Infect Dis. 2015 Dec 10;15:563. doi: 10.1186/s12879-015-1307-z.

Reference Type DERIVED
PMID: 26653754 (View on PubMed)

Other Identifiers

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12748

Identifier Type: -

Identifier Source: org_study_id

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