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D006526: Hepatitis C

Developed by Shray Alag, The Harker School
Sections: Correlations, Clinical Trials, and HPO

Correlations computed by analyzing all clinical trials.

Navigate: Clinical Trials and HPO


Correlated Drug Terms (3)


Name (Synonyms) Correlation
drug2402 Mobile Enhanced Prevention Support Wiki 0.71
drug4170 Usual Care plus Customized Referrals Wiki 0.71
drug3177 Quality Improvement Wiki 0.71

Correlated MeSH Terms (6)


Name (Synonyms) Correlation
D012749 Sexually Transmitted Diseases NIH 0.71
D015231 Sexually Transmitted Diseases, Bacterial NIH 0.71
D006509 Hepatitis B NIH 0.71
Name (Synonyms) Correlation
D006505 Hepatitis NIH 0.50
D006506 Hepatitis A NIH 0.50
D019966 Substance-Related Disorders NIH 0.20

Correlated HPO Terms (1)


Name (Synonyms) Correlation
HP:0012115 Hepatitis HPO 0.50

Clinical Trials

Navigate: Correlations   HPO

There are 2 clinical trials


1 Prevention Support for People Leaving Jail Study

This study will provide HIV prevention and related support services to men who have sex with men and transgender women who have substance use disorders and are either leaving jail or recently released from jail, living in a residential facility providing substance use services or supportive housing . The researchers will compare the utilization of HIV prevention and other support services between individuals who receive routine case management provided following enrollment to those who have access to GeoPassport, a global position service (GPS)-based mobile app, incentives, and peer mentor support.

NCT04036396
Conditions
  1. HIV Infections
  2. Sexually Transmitted Diseases, Bacterial
  3. Hepatitis C
  4. Substance Use Disorders
Interventions
  1. Behavioral: Mobile Enhanced Prevention Support
  2. Behavioral: Usual Care plus Customized Referrals
MeSH:Sexually Transmitted Diseases Sexually Transmitted Diseases, Bacterial Hepatitis C Substance-Related Disorders

Primary Outcomes

Description: Defined as the participant identifying and completing an appointment with a primary care provider who is willing and able to prescribe HIV pre-exposure prophylaxis. Provide documentation of the appointment.

Measure: Number of participants establishing a primary care provider who can prescribe PrEP (pre-exposure prophylaxis)

Time: 9 months

Description: Defined as the participant completing the screening process for PrEP with an eligible provider or PrEP navigator. Provide documentation of the appointment.

Measure: Number of participants obtaining screening for PrEP

Time: 9 months

Description: Defined as the participant obtaining a prescription for PrEP, providing documentation, reporting taking the medication

Measure: Number of participants who initiate PrEP regimen

Time: 9 months

Description: Defined as the participant self-reporting taking prescribed PrEP at least 4 days per week over the prior 30 days

Measure: Number of participants who demonstrate minimal adherence to PrEP

Time: 30 days

Description: The participant will provide documentation of filled PrEP prescriptions for 3 or more months

Measure: Number of participants who remain on PrEP for at least 3 months.

Time: 3 months

Description: Defined as the participant self-reporting having obtained HIV testing every 3 months over the 12 month follow-up period

Measure: Number of participants who undergo a HIV test every 3 months

Time: 9 months

Description: Defined by the participant self-reporting having obtained testing for these 3 bacterial sexually transmitted diseases (STDs) every 6 months over the 12 month follow-up period

Measure: Number of participants who undergo a test for gonorrhea, syphilis, and chlamydia every 6 months

Time: 9 months

Description: Defined by the participant self-reporting having obtained at least one test for Hepatitis C

Measure: Number of participants who undergo a test for hepatitis C

Time: 9 months

Description: Defined by the participant self-report of completing initial recommended SUD appointments within 3 months of jail release, consistent with each participant's recommended American Society of Addiction Medicine (ASAM) level of care

Measure: Number of participants obtaining treatment for substance use disorders (SUDs) in the community

Time: 3 months

Description: Defined by the participant self-reporting remaining engaged in treatment (i.e., continuing to attend meetings, counseling or other treatment activities) as defined by the recommended ASAM level of care in the 3 months prior to each follow-up interview.

Measure: Number of participants who remain engaged in treatment for substance use disorders (SUDs) in the community,

Time: 3 months

Secondary Outcomes

Description: Self-report of whether or not participants received follow-up care and treatment for HIV, STD, and hepatitis C infections diagnosed during study follow-up (n=300)

Measure: Number of participants in each arm receiving care and treatment for newly diagnosed HIV or STD infections.

Time: 9 months

Description: Measure the comparative effectiveness of each intervention arm on reducing recidivism (n=300), quantified as the number of respondents who are reincarcerated and the total number of reincarcerations per arm over the study period.

Measure: Number of participants in each arm experiencing recidivism

Time: 9 months

Description: Describe the temporal distribution of PrEP uptake and supportive social service utilization patterns of the participants in the MEPS intervention arm using data collected via the GeoPassport mobile app (n=150).

Measure: Temporal service utilization patterns of intervention arm participants

Time: 9 months

Description: Report the geographic distribution of PrEP uptake and supportive social service utilization patterns of the participants in the MEPS intervention arm using data collected via the GeoPassport mobile app (n=150).

Measure: Geographic service utilization patterns of intervention arm participants

Time: 9 months
2 Screening for Hepatitis C and Hepatitis B in Inpatients: A Toronto Viral Hepatitis Care Network (VIRCAN) Collaboration

Currently, there is a lack of literature on programs evaluating rapid screening methods to traditional venipuncture methods for sample collection during screening for viral hepatitis. Due to the relatively low diagnosis and linkage to care rate, screening programs that provide same day results for viral hepatitis infection may improve both diagnosis and enable providers to engage patients shortly after diagnosis. This stands in contrast to the multi-visit, weeks long process that normally accompanies serum testing for hepatitis C virus (HCV) and hepatitis B virus (HBV). A few American studies have examined the implementation of HCV inpatient screening programs; however, they are focused specifically on high-risk patient populations, the barriers to accessing care experienced by study participants are not relevant to the Canadian healthcare system context, and do not use rapid testing. Furthermore, there are few, if any, data on HBV inpatient screening programs and the diagnosis rate remains low. This project will provide key data on a rapid inpatient screening and linkage to care strategy as well as the prevalence of these viruses across different age bands within the population. Finally, the study will help determine whether rapid inpatient screening is a feasible and acceptable approach for screening and linkage to care.

NCT04620226
Conditions
  1. Hepatitis C
  2. Hepatitis B
Interventions
  1. Other: Quality Improvement
MeSH:Hepatitis A Hepatitis C Hepatitis B Hepatitis
HPO:Hepatitis

Primary Outcomes

Description: To determine the proportion of HCV antibody positive participants who complete HCV RNA PCR in each arm. Participants will be contacted at 90 days and 1 year post-enrolment to self-report progress.

Measure: Number of HCV antibody positive participants who complete an HCV RNA PCR.

Time: 2 year

Description: To determine the proportion of HCV RNA positive participants successfully linked to care from each arm. Participants will be contacted at 90 days and 1 year post-enrolment to self-report.

Measure: Number of HCV RNA positive participants who attend their first hepatology appointment.

Time: 2 year

Description: To determine the proportion of HCV RNA positive participants who successfully achieved a sustained virological response at 12 weeks (SVR12) after treatment completion. Participants will be contacted at 90 days and 1 year post-enrolment to self-report.

Measure: Number of HCV RNA positive participants who achieve a Sustained Virological Response at 12 weeks (SVR12) after treatment completion.

Time: 2 year

Secondary Outcomes

Description: Proportion of screened participants who are positive and chronically infected in general internal medicine inpatient units.

Measure: Number of chronic hepatitis C and hepatitis B infection in the general internal medicine inpatient units.

Time: 1 year

Description: To determine acceptability of implementing hepatitis C and hepatitis B screening in general internal medicine inpatient units.

Measure: Number of patients willing to participate in hepatitis C and hepatitis B screening in general internal medicine inpatient units.

Time: 1 year

Description: To determine the effect of hepatitis C and hepatitis B screening on hospital staff workflow in general internal medicine inpatient units.

Measure: Percentage of physicians, residents, and nurses who believe that hepatitis C and hepatitis B screening can be incorporated into the general internal medicine inpatient units' workflow.

Time: 1 year

Description: To determine whether results of the Cepheid Xpert® HCV Viral Load assay are valid when compared to the standard commercial assay for HCV RNA PCR.

Measure: Proportion of Cepheid Xpert® HCV Viral Load test results matching test results from the standard commercial assay for HCV RNA PCR.

Time: 1 year

Description: To determine the historical rate of HCV screening and chronic HCV infection in general internal medicine inpatient units.

Measure: Retrospective rates of HCV testing, HCV antibody positive results, and HCV RNA positive results in general internal medicine inpatient units.

Time: 1 year

HPO Nodes


HPO

Alphabetical listing of all HPO terms. Navigate: Correlations   Clinical Trials


HPO Nodes


Reports

Data processed on September 26, 2020.

An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

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