Could family clinics cure hepatitis c as well as specialists?
NCT ID NCT06306300
First seen Aug 17, 2026 · Last updated Aug 18, 2026 · Updated 1 time
Summary
This trial tests whether treating hepatitis C in primary care clinics, with non-specialist doctors, works as well as the standard specialist care in Brazil. It also evaluates the use of rapid tests and self-testing to find more people with the infection. The goal is to see if a simpler, more accessible approach can help more people achieve a cure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- sofosbuvir/velpatasvir (Epclusa) tablets, with or without specialist follow-up
- What this could lead to
- If simplified treatment works as well as specialist care, it could make hepatitis C cure accessible to many more people in Brazil and similar settings.
- What could go wrong
- The trial is large but still needs to show that non-specialist care is truly non-inferior; adherence and follow-up in primary care may be challenging, and results may not generalize beyond Brazil's health system.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 30,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2022
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 79 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Study I and Sub-Study Inclusion Criteria: \- Age between 18-79 years-old Exclusion Criteria: * Presence of a disease that need urgent/emergency treatment and/or acute febrile illness, such as COVID-19, Dengue, Zyca virus infection or Chikungunya * Lack of capacity to sign the informed consent or refuse to participate Study II Inclusion Criteria: * Age between 18 and 79 years old. * Presence of active/chronic hepatitis C, defined by a positive HCVab test and detectable HCV-RNA Exclusion Criteria: * Children and adolescents (\< 18 years old) * Pregnancy, defined by a positive β-HCG urinary test * Lactating individuals * Co-infection with HBV or HIV * Regular use of medications with potential drug interactions or contraindication for co-administration with SOF/VEL * Presence of severe acute illness, active neoplasia, solid organ transplant, or use of immunosuppressive medications * Presence of clinical signs of decompensated liver cirrhosis (ascites, hepatic encephalopathy, report of a recent episode of gastrointestinal bleeding within the last 12 weeks)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Evandro Chagas National Institute of Infectious Diseases
RECRUITINGRio de Janeiro, Rio de Janeiro/RJ, 21040-360, Brazil
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Hugo Perazzo
RECRUITINGRio de Janeiro, Rio de Janeiro, Brazil
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