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S1204, Viral Screening in Newly Diagnosed Cancer Patients

A Sero-Epidemiologic Survey and Cost Effectiveness Study of Screening for Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) Among Newly Diagnosed Cancer Patients

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01946516
Enrollment
3051
Registered
2013-09-19
Start date
2013-08-29
Completion date
2022-10-13
Last updated
2023-07-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cancer

Keywords

viral screening

Brief summary

The goal of this study is to estimate the prevalence of HIV, Hepatitis B and hepatitis C infection among newly diagnosed cancer patients presenting to community and academic oncology clinics.

Detailed description

Primary Objective Among newly diagnosed cancer patients presenting to SWOG-affiliated community and academic oncology clinics, estimate the prevalence of human immunodeficiency virus (HIV), hepatitis B (HBV), and hepatitis C (HCV) infection. Prevalence estimates will be further stratified: by whether infection with the virus(es) is known, as reported by patients and/or their physician prior to study testing, vs. unknown; by presenting cancer type, and by self-reported risk factors for each virus. Secondary Objectives * Evaluate known sociodemographic, clinical, and behavioral factors that are significantly associated with previously undiagnosed HIV, HBV, and/or HCV infection in a population of people with newly diagnosed cancer. * Among patients who are identified as having HIV, HBV, and/or HCV, evaluate the timing and type of treatments received, both for the viral infections and the cancers. * Evaluate type and rate of cancer treatment-related adverse events in patients with HIV, HBV, and/or HCV infection. * Using simulation modeling that is directly informed by the data obtained from this study, determine the cost-effectiveness (expressed as cost per infection detected and cost per year of life gained) of (1) routine, universal screening and (2) risk factor-directed screening of newly diagnosed cancer patients for HIV, HBV, and/or HCV vs. current care. Tertiary Objective Create a biorepository of stored serum for future translational medicine studies that may include identifying genomic and viral factors that increase the risk of serious adverse effects among participants infected with HIV, HBV, and/or HCV being treated for invasive cancers.

Interventions

None listed

Sponsors

National Cancer Institute (NCI)
CollaboratorNIH
SWOG Cancer Research Network
Lead SponsorNETWORK

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* presenting for evaluation or treatment of a new cancer malignancy(including hematologic) * confirmed pathologic diagnosis must be within 120 days of registration (Patients presenting for second opinions of confirmed malignancies are eligible, including those who have started cancer treatment at other facilities) * at least 18 years of age * patient must have had their blood drawn for HIV, HBV and HCV testing prior to registration (Patients who have had HIV, HBV and/or HCV testing within 60 days prior to registration and who do not wish to be retested are eligible, provided supporting documents can be obtained confirming viral test results for all three viruses. Documentation must be obtained prior to registration. Patients who are viral positive for either HIV, HBV, and/or HCV and who do not wish to be retested are eligible, provided documentation of viral load within 120 days prior to registration can be obtained. Note that these patients must be tested for or provide current viral load for all three viruses to be eligible. Documentation must be obtained prior to registration.) * Patients must sign and give written informed consent in accordance with institutional and federal guidelines * Patients must be offered the opportunity to allow their blood specimens to be banked by the SWOG Repository for future research

Exclusion criteria

* diagnosed with a malignancy other than the current malignancy within the past five years (with the exception of basal cell or squamous cell skin cancer, in situ cervical cancer, or in situ breast cancer.)

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Positive Viral InfectionUp to 21 days after registrationAn estimate of the prevalence of human immunodeficiency virus (HIV), hepatitis B (HBV), and hepatitis C (HCV) infection among newly diagnosed cancer participants presenting to SWOG-affiliated community and academic oncology clinics.

Secondary

MeasureTime frameDescription
Presence of Important Risk Factors in Participants Tested for Chronic HBVUp to 21 days after registrationThe presence or absence of specific risk factors among participants evaluated for chronic HBV is evaluated.
Presence of Important Risk Factors in Participants Tested for HCVUp to 21 days after registrationThe presence or absence of specific risk factors among participants evaluated for HCV is evaluated.
Presence of Important Risk Factors in Participants Tested for HIVUp to 21 days after registrationThe presence or absence of specific risk factors among participants evaluated for HIV is evaluated.
Presence of Important Risk Factors in Participants Tested for Previous HBVUp to 21 days after registrationThe presence or absence of specific risk factors among participants evaluated for previous HBV is evaluated.
Type and Rate of Adverse Events Among Patients With Viral Infection.5 years after registrationEstimate type and rate of cancer-treatment related adverse events among persons with HIV, HBV, and/or HCV infection.
Cost-effectiveness of Viral Screening3 years after registrationEstimate the cost-effectiveness of screening for HIV, HBV, and HCV.
Type of Treatment for Cancer and Virus in Participants With Positive Viral Test60 days after registrationAmong participants with HIV, HBV, or HCV, the timing and type of treatments received, both for the viral infections and the cancers that were evaluated.

Countries

United States

Participant flow

Pre-assignment details

3092 participants were screened for the trial; 41 were deemed ineligible and 3051 eligible participants were registered to the trial.

Participants by arm

ArmCount
Participants With Newly Diagnosed Cancer
Participants with newly diagnosed cancer that underwent viral testing for at least one of the following: HBV, HCV, and HIV.
3,051
Total3,051

Baseline characteristics

CharacteristicParticipants With Newly Diagnosed Cancer
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
1084 Participants
Age, Categorical
Between 18 and 65 years
1967 Participants
Age, Continuous60.6 years
Cancer Type
Blood or marrow
369 Participants
Cancer Type
Breast
1058 Participants
Cancer Type
Gastrointestinal, liver
62 Participants
Cancer Type
Gastrointestinal, other
235 Participants
Cancer Type
Gastrointestinal tract, colorectal
362 Participants
Cancer Type
Head and neck
112 Participants
Cancer Type
Lung
356 Participants
Cancer Type
Missing
5 Participants
Cancer Type
Other
392 Participants
Cancer Type
Prostate
100 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
558 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2478 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
15 Participants
Race/Ethnicity, Customized
Race
Asian
102 Participants
Race/Ethnicity, Customized
Race
Black
553 Participants
Race/Ethnicity, Customized
Race
Other
115 Participants
Race/Ethnicity, Customized
Race
White
2281 Participants
Region
South and Northeast United States
1955 Participants
Region
West and Midwest United States
1096 Participants
Sex: Female, Male
Female
1842 Participants
Sex: Female, Male
Male
1209 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 3,051
other
Total, other adverse events
0 / 3,051
serious
Total, serious adverse events
0 / 3,051

Outcome results

Primary

Number of Participants With Positive Viral Infection

An estimate of the prevalence of human immunodeficiency virus (HIV), hepatitis B (HBV), and hepatitis C (HCV) infection among newly diagnosed cancer participants presenting to SWOG-affiliated community and academic oncology clinics.

Time frame: Up to 21 days after registration

Population: The analysis population includes the 3051 participants eligible to receive at least one viral test (for HBV, HCV, or HIV). 3050 participants were evaluable for HBV analysis (1 participants had no HBV test results available), 2990 participants were evaluable for HCV analysis (5 participants had no HCV test results available and 56 participants incomplete test results), and 3045 participants were evaluable for HIV analysis (6 participants had no HIV test results available).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Evaluated for Chronic HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Lung Cancer2 Participants
Evaluated for Chronic HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Other Cancer1 Participants
Evaluated for Chronic HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with GI, Other Tract Cancer3 Participants
Evaluated for Chronic HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in All Participants19 Participants
Evaluated for Chronic HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Head and Neck Cancer1 Participants
Evaluated for Chronic HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Newly Diagnosed Participants8 Participants
Evaluated for Chronic HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Blood/Marrow Cancer2 Participants
Evaluated for Chronic HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Previously Diagnosed Participants11 Participants
Evaluated for Chronic HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Prostate Cancer0 Participants
Evaluated for Chronic HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Breast Cancer4 Participants
Evaluated for Chronic HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Colorectal Cancer2 Participants
Evaluated for Chronic HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Liver Cancer4 Participants
Evaluated for Previous HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Previously Diagnosed Participants25 Participants
Evaluated for Previous HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Liver Cancer5 Participants
Evaluated for Previous HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Blood/Marrow Cancer16 Participants
Evaluated for Previous HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Head and Neck Cancer9 Participants
Evaluated for Previous HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Lung Cancer31 Participants
Evaluated for Previous HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with GI, Other Tract Cancer22 Participants
Evaluated for Previous HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in All Participants197 Participants
Evaluated for Previous HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Colorectal Cancer18 Participants
Evaluated for Previous HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Breast Cancer66 Participants
Evaluated for Previous HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Newly Diagnosed Participants172 Participants
Evaluated for Previous HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Other Cancer18 Participants
Evaluated for Previous HBVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Prostate Cancer12 Participants
Evaluated for HCVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with GI, Other Tract Cancer3 Participants
Evaluated for HCVNumber of Participants With Positive Viral InfectionPositive Viral Test in All Participants71 Participants
Evaluated for HCVNumber of Participants With Positive Viral InfectionPositive Viral Test in Previously Diagnosed Participants49 Participants
Evaluated for HCVNumber of Participants With Positive Viral InfectionPositive Viral Test in Newly Diagnosed Participants22 Participants
Evaluated for HCVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Blood/Marrow Cancer9 Participants
Evaluated for HCVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Breast Cancer9 Participants
Evaluated for HCVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Colorectal Cancer7 Participants
Evaluated for HCVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Liver Cancer9 Participants
Evaluated for HCVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Head and Neck Cancer5 Participants
Evaluated for HCVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Lung Cancer17 Participants
Evaluated for HCVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Prostate Cancer3 Participants
Evaluated for HCVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Other Cancer9 Participants
Evaluated for HIVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Colorectal Cancer5 Participants
Evaluated for HIVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Breast Cancer2 Participants
Evaluated for HIVNumber of Participants With Positive Viral InfectionPositive Viral Test in All Participants34 Participants
Evaluated for HIVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Lung Cancer4 Participants
Evaluated for HIVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Blood/Marrow Cancer7 Participants
Evaluated for HIVNumber of Participants With Positive Viral InfectionPositive Viral Test in Newly Diagnosed Participants2 Participants
Evaluated for HIVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Other Cancer9 Participants
Evaluated for HIVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Prostate Cancer1 Participants
Evaluated for HIVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with GI, Other Tract Cancer5 Participants
Evaluated for HIVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Liver Cancer0 Participants
Evaluated for HIVNumber of Participants With Positive Viral InfectionPositive Viral Test in Previously Diagnosed Participants32 Participants
Evaluated for HIVNumber of Participants With Positive Viral InfectionPositive Viral Test in Participants with Head and Neck Cancer1 Participants
Secondary

Cost-effectiveness of Viral Screening

Estimate the cost-effectiveness of screening for HIV, HBV, and HCV.

Time frame: 3 years after registration

Secondary

Presence of Important Risk Factors in Participants Tested for Chronic HBV

The presence or absence of specific risk factors among participants evaluated for chronic HBV is evaluated.

Time frame: Up to 21 days after registration

Population: The analysis population includes the 2940 of the 3050 participants who were evaluable for HBV analysis and completed the risk factor survey.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVBorn in high HBV prevalence regionRisk Factor Present8 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVBorn in high HBV prevalence regionRisk Factor Absent10 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVNeedle-stick exposureRisk Factor Present3 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVNeedle-stick exposureRisk Factor Absent15 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVUnprotected sex with MSM, multiple, or anonymous partnersRisk Factor Present2 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVUnprotected sex with MSM, multiple, or anonymous partnersRisk Factor Absent16 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVUnprotected sex with high-risk personRisk Factor Present2 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVUnprotected sex with high-risk personRisk Factor Absent16 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVSexual contact with hepatitis-positive personRisk Factor Present1 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVSexual contact with hepatitis-positive personRisk Factor Absent17 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVDiagnosis or treatment for STDRisk Factor Present4 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVDiagnosis or treatment for STDRisk Factor Absent14 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVSelf-reported infection with HCV or HIVRisk Factor Present2 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVSelf-reported infection with HCV or HIVRisk Factor Absent16 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVHousehold contact with hepatitis-positive personRisk Factor Present1 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVHousehold contact with hepatitis-positive personRisk Factor Absent17 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVHousehold contact with hepatitis-positive personRisk Factor Absent2737 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVBorn in high HBV prevalence regionRisk Factor Present298 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVSexual contact with hepatitis-positive personRisk Factor Present65 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVBorn in high HBV prevalence regionRisk Factor Absent2624 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVSelf-reported infection with HCV or HIVRisk Factor Present174 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVNeedle-stick exposureRisk Factor Present145 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVSexual contact with hepatitis-positive personRisk Factor Absent2857 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVNeedle-stick exposureRisk Factor Absent2777 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVHousehold contact with hepatitis-positive personRisk Factor Present185 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVUnprotected sex with MSM, multiple, or anonymous partnersRisk Factor Present115 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVDiagnosis or treatment for STDRisk Factor Present304 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVUnprotected sex with MSM, multiple, or anonymous partnersRisk Factor Absent2807 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVSelf-reported infection with HCV or HIVRisk Factor Absent2748 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVUnprotected sex with high-risk personRisk Factor Present128 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVDiagnosis or treatment for STDRisk Factor Absent2618 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Chronic HBVUnprotected sex with high-risk personRisk Factor Absent2794 Participants
Secondary

Presence of Important Risk Factors in Participants Tested for HCV

The presence or absence of specific risk factors among participants evaluated for HCV is evaluated.

Time frame: Up to 21 days after registration

Population: The analysis population includes the 2882 of the 2990 participants who were evaluable for HCV analysis completed the risk factor survey.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVInjected drug useRisk Factor Present21 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVInjected drug useRisk Factor Absent48 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVTested because of blood exposure, injected drug use, or transfusion before 1992Risk Factor Present9 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVTested because of blood exposure, injected drug use, or transfusion before 1992Risk Factor Absent60 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVTested because of symptomsRisk Factor Present7 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVTested because of symptomsRisk Factor Absent62 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVBlood transfusion between 1978-1985Risk Factor Present11 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVBlood transfusion between 1978-1985Risk Factor Absent58 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVTested because born between 1945-1965Risk Factor Present11 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVTested because born between 1945-1965Risk Factor Absent58 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVSelf-reported infection with HIVRisk Factor Present4 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVSelf-reported infection with HIVRisk Factor Absent65 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVSnorted cocaineRisk Factor Present15 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVSnorted cocaineRisk Factor Absent54 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVNeedle-stick exposureRisk Factor Present7 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVNeedle-stick exposureRisk Factor Absent62 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVHigh-risk occupationRisk Factor Present3 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HCVHigh-risk occupationRisk Factor Absent66 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVSnorted cocaineRisk Factor Absent2559 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVInjected drug useRisk Factor Present67 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVTested because born between 1945-1965Risk Factor Absent2687 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVInjected drug useRisk Factor Absent2746 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVHigh-risk occupationRisk Factor Absent2618 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVTested because of blood exposure, injected drug use, or transfusion before 1992Risk Factor Present45 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVSelf-reported infection with HIVRisk Factor Present48 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVTested because of blood exposure, injected drug use, or transfusion before 1992Risk Factor Absent2768 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVNeedle-stick exposureRisk Factor Present134 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVTested because of symptomsRisk Factor Present46 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVSelf-reported infection with HIVRisk Factor Absent2765 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVTested because of symptomsRisk Factor Absent2767 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVHigh-risk occupationRisk Factor Present195 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVBlood transfusion between 1978-1985Risk Factor Present104 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVSnorted cocaineRisk Factor Present254 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVBlood transfusion between 1978-1985Risk Factor Absent2709 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVNeedle-stick exposureRisk Factor Absent2679 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HCVTested because born between 1945-1965Risk Factor Present126 Participants
Secondary

Presence of Important Risk Factors in Participants Tested for HIV

The presence or absence of specific risk factors among participants evaluated for HIV is evaluated.

Time frame: Up to 21 days after registration

Population: The analysis population includes the 2934 of the 3045 participants were evaluable for HIV analysis and completed the risk factor survey.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVDiagnosis or treatment for STDRisk Factor Present20 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVSelf-reported infection with HBVRisk Factor Absent30 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVUnprotected sex with MSM, multiple, or anonymous partnersRisk Factor Present16 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVDiagnosis or treatment for tuberculosisRisk Factor Present5 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVDiagnosis or treatment for STDRisk Factor Absent14 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVDiagnosis or treatment for tuberculosisRisk Factor Absent29 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVSexual contact with HIV-positive personRisk Factor Absent18 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVInjected drug useRisk Factor Present3 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVUnprotected sex with high-risk personRisk Factor Present12 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVInjected drug useRisk Factor Absent31 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVUnprotected sex with MSM, multiple, or anonymous partnersRisk Factor Absent18 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVNeedle-stick exposureRisk Factor Present1 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVUnprotected sex with high-risk personRisk Factor Absent22 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVNeedle-stick exposureRisk Factor Absent33 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVSexual contact with HIV-positive personRisk Factor Present16 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVHigh-risk occupationRisk Factor Present1 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVSelf-reported infection with HBVRisk Factor Present4 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for HIVHigh-risk occupationRisk Factor Absent33 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVHigh-risk occupationRisk Factor Absent2701 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVSexual contact with HIV-positive personRisk Factor Present23 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVSexual contact with HIV-positive personRisk Factor Absent2877 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVUnprotected sex with MSM, multiple, or anonymous partnersRisk Factor Present101 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVUnprotected sex with MSM, multiple, or anonymous partnersRisk Factor Absent2799 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVDiagnosis or treatment for STDRisk Factor Present288 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVDiagnosis or treatment for STDRisk Factor Absent2612 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVUnprotected sex with high-risk personRisk Factor Present118 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVUnprotected sex with high-risk personRisk Factor Absent2782 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVSelf-reported infection with HBVRisk Factor Present51 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVSelf-reported infection with HBVRisk Factor Absent2849 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVDiagnosis or treatment for tuberculosisRisk Factor Present92 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVDiagnosis or treatment for tuberculosisRisk Factor Absent2808 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVInjected drug useRisk Factor Present104 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVInjected drug useRisk Factor Absent2796 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVNeedle-stick exposureRisk Factor Present147 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVNeedle-stick exposureRisk Factor Absent2753 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for HIVHigh-risk occupationRisk Factor Present199 Participants
Secondary

Presence of Important Risk Factors in Participants Tested for Previous HBV

The presence or absence of specific risk factors among participants evaluated for previous HBV is evaluated.

Time frame: Up to 21 days after registration

Population: The analysis population includes the 2940 of the 3050 participants who were evaluable for HBV analysis and completed the risk factor survey.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVInjected drug useRisk Factor Present21 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVSexual contact with HIV-positive personRisk Factor Absent176 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVSelf-reported infection with HCV or HIVRisk Factor Present41 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVSelf-reported infection with HCV or HIVRisk Factor Absent149 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVBorn in high HBV prevalence regionRisk Factor Present63 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVBorn in high HBV prevalence regionRisk Factor Absent127 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVSexual contact with HIV-positive personRisk Factor Present14 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVInjected drug useRisk Factor Absent169 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVUnprotected sex with high-risk personRisk Factor Present21 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVUnprotected sex with high-risk personRisk Factor Absent169 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVSexual contact with hepatitis-positive personRisk Factor Present10 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVSexual contact with hepatitis-positive personRisk Factor Absent180 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVUnprotected sex with MSM, multiple, or anonymous partnersRisk Factor Present14 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVUnprotected sex with MSM, multiple, or anonymous partnersRisk Factor Absent176 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVDiagnosis or treatment for STDRisk Factor Present32 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVDiagnosis or treatment for STDRisk Factor Absent158 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVBlood transfusion between 1978-1985Risk Factor Present13 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVBlood transfusion between 1978-1985Risk Factor Absent177 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVNeedle-stick exposureRisk Factor Present12 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVNeedle-stick exposureRisk Factor Absent178 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVHousehold contact with hepatitis-positive personRisk Factor Present15 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVHousehold contact with hepatitis-positive personRisk Factor Absent175 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVHigh-risk occupationRisk Factor Present11 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVHigh-risk occupationRisk Factor Absent179 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVCompleted HBV vaccine (3 or more doses)Risk Factor Present8 Participants
Evaluated for Chronic HBVPresence of Important Risk Factors in Participants Tested for Previous HBVCompleted HBV vaccine (3 or more doses)Risk Factor Absent182 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVNeedle-stick exposureRisk Factor Absent2614 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVSexual contact with HIV-positive personRisk Factor Present25 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVUnprotected sex with MSM, multiple, or anonymous partnersRisk Factor Absent2647 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVSexual contact with HIV-positive personRisk Factor Absent2725 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVCompleted HBV vaccine (3 or more doses)Risk Factor Present236 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVSelf-reported infection with HCV or HIVRisk Factor Present135 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVDiagnosis or treatment for STDRisk Factor Present276 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVSelf-reported infection with HCV or HIVRisk Factor Absent2615 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVHousehold contact with hepatitis-positive personRisk Factor Present171 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVBorn in high HBV prevalence regionRisk Factor Present243 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVDiagnosis or treatment for STDRisk Factor Absent2474 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVBorn in high HBV prevalence regionRisk Factor Absent2507 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVHigh-risk occupationRisk Factor Absent2560 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVInjected drug useRisk Factor Present86 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVBlood transfusion between 1978-1985Risk Factor Present110 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVInjected drug useRisk Factor Absent2664 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVHousehold contact with hepatitis-positive personRisk Factor Absent2579 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVUnprotected sex with high-risk personRisk Factor Present109 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVBlood transfusion between 1978-1985Risk Factor Absent2640 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVUnprotected sex with high-risk personRisk Factor Absent2641 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVCompleted HBV vaccine (3 or more doses)Risk Factor Absent2514 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVSexual contact with hepatitis-positive personRisk Factor Present56 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVNeedle-stick exposureRisk Factor Present136 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVSexual contact with hepatitis-positive personRisk Factor Absent2694 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVHigh-risk occupationRisk Factor Present190 Participants
Evaluated for Previous HBVPresence of Important Risk Factors in Participants Tested for Previous HBVUnprotected sex with MSM, multiple, or anonymous partnersRisk Factor Present103 Participants
Secondary

Type and Rate of Adverse Events Among Patients With Viral Infection.

Estimate type and rate of cancer-treatment related adverse events among persons with HIV, HBV, and/or HCV infection.

Time frame: 5 years after registration

Secondary

Type of Treatment for Cancer and Virus in Participants With Positive Viral Test

Among participants with HIV, HBV, or HCV, the timing and type of treatments received, both for the viral infections and the cancers that were evaluated.

Time frame: 60 days after registration

Population: The analysis population includes the 224 participants who were viral positive for at least one viral test (for HBV, HCV, or HIV) and had treatment outcome data available. Of the 292 patients were who were viral positive for at least one viral test, 11 patients did not have data submitted and 57 patients did not have data available.

ArmMeasureGroupValue (NUMBER)
Evaluated for Chronic HBVType of Treatment for Cancer and Virus in Participants With Positive Viral TestReceived Antiviral or Antiretroviral Drugs11.8 percentage of participants
Evaluated for Chronic HBVType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment59.2 percentage of participants
Evaluated for Chronic HBVType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment due to Viral Positive Status7.9 percentage of participants
Evaluated for Chronic HBVType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment due to Viral Positive Status and Added Antiviral or Antiretroviral Drugs5.3 percentage of participants
Evaluated for Previous HBVType of Treatment for Cancer and Virus in Participants With Positive Viral TestReceived Antiviral or Antiretroviral Drugs73.3 percentage of participants
Evaluated for Previous HBVType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment due to Viral Positive Status and Added Antiviral or Antiretroviral Drugs13.3 percentage of participants
Evaluated for Previous HBVType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment53.3 percentage of participants
Evaluated for Previous HBVType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment due to Viral Positive Status13.3 percentage of participants
Evaluated for HCVType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment due to Viral Positive Status and Added Antiviral or Antiretroviral Drugs2 percentage of participants
Evaluated for HCVType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment55.1 percentage of participants
Evaluated for HCVType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment due to Viral Positive Status6.1 percentage of participants
Evaluated for HCVType of Treatment for Cancer and Virus in Participants With Positive Viral TestReceived Antiviral or Antiretroviral Drugs8.2 percentage of participants
Evaluated for HIVType of Treatment for Cancer and Virus in Participants With Positive Viral TestReceived Antiviral or Antiretroviral Drugs66.7 percentage of participants
Evaluated for HIVType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment50 percentage of participants
Evaluated for HIVType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment due to Viral Positive Status and Added Antiviral or Antiretroviral Drugs13.3 percentage of participants
Evaluated for HIVType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment due to Viral Positive Status16.7 percentage of participants
Participants With Any Type Of Viral InfectionType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment due to Viral Positive Status and Added Antiviral or Antiretroviral Drugs6.3 percentage of participants
Participants With Any Type Of Viral InfectionType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment due to Viral Positive Status8 percentage of participants
Participants With Any Type Of Viral InfectionType of Treatment for Cancer and Virus in Participants With Positive Viral TestChange in Cancer Treatment58.5 percentage of participants
Participants With Any Type Of Viral InfectionType of Treatment for Cancer and Virus in Participants With Positive Viral TestReceived Antiviral or Antiretroviral Drugs19.6 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026