Hepatitis c care at opioid clinics boosts treatment access
NCT ID NCT03155906
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested whether offering hepatitis C treatment at the same clinic where people receive opioid therapy leads to better outcomes than referring them to a separate infectious disease clinic. About 298 people on opioid therapy with chronic hepatitis C took part. The goal was to see if integrated care increases the number of people cured and improves treatment adherence.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Integrated healthcare delivery (HCV treatment at opioid substitution therapy clinics)
- What this could lead to
- If this approach works, it could make hepatitis C treatment much easier for people on opioid therapy, leading to higher cure rates and fewer new infections.
- What could go wrong
- This is a completed trial, but the integrated model may not work in all settings or for all patients. Also, reinfection remains a risk if drug use continues.
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
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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298 people
The number who actually took part.
- Started
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May 2017
- Finished
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Mar 2025
- 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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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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.
Inclusion Criteria: * Receiving OST from included outpatient clinic * Chronically infected with HCV (HCV RNA positive and also HCV RNA positive or anti-HCV at least 6 months before inclusion) * Eligible for treatment according to national guidelines (criteria specified below) * Obtaining informed consent At the time of study initiation , eligibility for treatment according to national guidelines was defined as follows: * Genotype 1 and 4 independent of degree of fibrosis * Genotype 2 and 3, dependent on significant fibrosis. Significant fibrosis will be assessed with FibroScan indicating elastography of above 7 kPa. Where elastography cannot be obtained, significant fibrosis will be assessed with AST to platelet ratio index (APRI score) of \> 0.7 (http://www.hepatitisc.uw.edu/page/clinical-calculators/apri), i.e. APRI = ASAT levels (in IU/L) / 40 (upper normal levels of ASAT in IU/L) / platelet count (109/L). An APRI score greater than 0.7 had a sensitivity of 77% and specificity of 72% for predicting significant hepatic fibrosis. Exclusion Criteria: * Co-infection with HIV * Severe extrahepatic HCV associated diseases (e.g. cerebral vasculitis, cryoglobulinemia/membranoprolifereative glomerulonephritis (MPGN), renal failure (eGFR \<30), polyarthritis) * Decompensated liver failure assessed with Child-Pugh (CP) score (\>6 points, class B and C) * Currently receiving treatment for HCV
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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.
Contacts and locations
Locations
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Department of Addiction Medicine, Haukeland University Hospital
Bergen, Hordaland, 5020, Norway
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LAR Helse Stavanger HF
Stavanger, Rogaland, 4010, Norway
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