Leveraging HIV care infrastructure for implementation of context-adapted liver cancer comprehensive control strategies in uganda: the LC3 study

Active Cooperative Agreement Awarded Last action

Award ID
U01CA275117
Recipient
Awarding agency
Obligated
$2,390,332

Award facts

Assistance listing
93.393 Cancer Cause and Prevention Research
Completion date 43% complete
Place of performance
Baltimore, MD 21205, USA

Award details come from USAspending.gov.

Description

Abstract
For >18 years, makerere and johns hopkins universities have partnered in uganda to characterize the epidemiology of hepatitis b (HBV) and HIV CO-infection, define the subsequent sequelae including hepatocellular carcinoma (HCC) and advance clinical management. Through an NCI-supported U54 program, we conducted one of the largest and well-characterized studies of HCC in africa, recruiting from both central urban and northern rural regions of uganda. Moreover, we have performed mixed-methods research to identify knowledge and clinical barriers to implementation of HBV screening and diagnosis within HIV care settings. Recently, our collaborative team successfully completed a demonstration project focused on integrating HBV diagnostic and treatment services into HIV care in the west nile region and also launched an implementation assessment of antenatal care screening for and delivery of hepb birth dose vaccination at multiple sites across uganda. Importantly, the burden and lethality of HCC can be successfully ameliorated with implementation of evidence- based and contextually appropriate prevention, screening, diagnostic and treatment interventions. However, these measures have not been comprehensively implemented into routine care settings in uganda or other high HCC burden regions of sub-saharan africa. Leveraging this long-standing work in uganda, our proposed bundle of interventions, the liver cancer comprehensive control (LC3) package, incorporates diagnostic testing and treatment of HBV, primary prevention through vaccination of susceptible adults, and referral for liver disease staging and active surveillance for early HCC detection among at-risk populations. We will integrate the LC3 package into existing HIV care delivery platforms among adults living with HIV in uganda. Our overarching goal is to demonstrate the reach, effectiveness, and maintenance of delivering LC3 services within HIV care settings. Successful implementation of LC3 in uganda will serve as a model for integrating complex cancer control intervention packages into existing HIV care delivery systems across similar countries in sub-saharan africa.

Transactions

Action Obligated Date
Amendment $223,400
Amendment $99,946
Amendment $234,017
Amendment $0
Amendment $0
Amendment $39,960
Amendment $39,960
Amendment $223,400
Amendment $223,400
Amendment $337,004
Amendment $337,004
Original award $632,241
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Subawards

Subrecipient Amount Awarded
The Infectious Diseases Institute LIMITED Infectious Diseases Institute will be responsible for ensuring that data collection procedures are adhered too with the aims, protocols and procedures laid… $446,800
Makerere University School Of Public Health College of Health Sciences will be responsible for a. Establish the stakeholders required for the project b. Ensure the clinics are properly set up for proper… $39,960
Makerere University School Of Public Health $43,200
The Infectious Diseases Institute LIMITED Infectious Diseases Institute will be responsible for ensuring that data collection procedures are adhered too with the aims, protocols and procedures laid… $242,913

Quick answers

Who received award U01CA275117?

U01CA275117 was awarded to The Johns Hopkins University by National Cancer Institute (National Institutes of Health) on September 3, 2024.

How much is award U01CA275117 worth?

$2,390,332 has been obligated on U01CA275117.

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