Chronic HCV hepatitis, all fibrosis MedDRA version: 20.1 Level: PT Classification code 10008912 Term: Chronic hepatitis C System Organ Class: 10021881 - Infections and infestations MedDRA version: 20.0 Level: PT Classification code 10019755 Term: Hepatitis chronic active System Organ Class: 10019805 - Hepatobiliary disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Subjects illegal immigrants, refugees or asylum seekers in Italy for at least three months, observed for the first time or already known from our center, with HCV infection and who have signed informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 5000 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 1000
Exclusion criteria
Exclusion criteria: Subjects indigenous or registered refugees
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: 1.To improve knowledge on the prevalence of HCV infection in a hidden population, such as that of illegal, foreign refugees or asylum seekers politicoin an area of southern Italy. These subjects are indeed at high risk of infection by HCV date the origin from high endemic areas for HCV infection. 2. To evaluate the clinical, biochemical and virological subjects anti-HCV positive results. 3. Get a sustained virologic response in all subjects anti-HCV / HCV-RNA positive identified, thanks to a combination regimen of anti-HCV drugs pangenotipica (sofosbuvir / velpatasvir) for 12 weeks;Secondary Objective: Identifying the demographic and behavioral factors associated with positive anti-HCV in the immigrant population studied with the help of cultural mediators who speak not only English, franese, as expected from previous research program, but also Arabic, Somali and other African languages. 2. Tell the studied population health rules to be adopted to reduce the transmission of HCV, after administration of a questionnaire to assess the degree of perception of the problem by spreading an information booklet has been translated into English, French and Arabic. 3. perform a screening of the partners of irregular migrants, asylum seekers and refugees anti_HCV positive about the possibility of a sexual and familial transmission of these infections. 4. Identify factors riischio associated with the non-response to treatment with sofosbuvil + velpatasvir in this population. ;Primary end point(s): To improve knowledge on the prevalence of HCV infection in a hidden population, such as that of illegal, foreign refugees or asylum seekers politicoin an area of southern Italy. These subjects are indeed at high risk of infection by HCV date the origin from high endemic areas for HCV infection. To evaluate the clinical, biochemical and virological subjects anti-HCV positive results. Get a sustained virologic response in all subjects anti-HCV / HCV-RNA positive identifi | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Identifying the demographic and behavioral factors associated with positive anti-HCV in the immigrant population studied with the help of cultural mediators who speak not only English, franese, as expected from previous research program, but also Arabic, Somali and other African languages. Tell the studied population health rules to be adopted to reduce the transmission of HCV, after administration of a questionnaire to assess the degree of perception of the problem by spreading an information booklet has been translated into English, French and Arabic. perform a screening of the partners of irregular migrants, asylum seekers and refugees anti_HCV positive about the possibility of a sexual and familial transmission of these infections. Identify factors riischio associated with the non-response to treatment with sofosbuvil + velpatasvir in this population. ; Identifying the demographic and behavioral factors associated with positive anti-HCV in the immigrant population studied with the help of cultural mediators who speak not only English, franese, as expected from previous research program, but also Arabic, Somali and other African languages. Tell the studied population health rules to be adopted to reduce the transmission of HCV, after administration of a questionnaire to assess the degree of perception of the problem by spreading an information booklet has been translated into English, French and Arabic. perform a screening of the partners of irregular migrants, asylum seekers and refugees anti_HCV positive about the possibility of a sexual and familial transmission of these infections. Identify factors riischio associated with the non-response to treatment with sofosbuvil + velpatasvir in this population.;Timepoint(s) of evaluation of this end point: 36 months; 36 months | — |
Countries
Italy
Contacts
AOU "Luigi Vanvitelli"