DOR/ISL in HIV-1 Antiretroviral Treatment-naïve Participants (MK-8591A-053)
NCT05705349 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 537
Last updated 2025-10-23
Summary
This is a randomized, active-controlled, double-blind clinical study designed to evaluate the antiretroviral activity, safety, and tolerability of doravirine/islatravir (DOR/ISL \[MK-8591A\]) in treatment-naïve participants with human immunodeficiency virus type 1 (HIV-1) infection. It is hypothesized that DOR/ISL is non-inferior to bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) as assessed by the percentage of participants with HIV-1 ribonucleic acid (RNA) \<50 copies/mL at Week 48.
Conditions
- HIV-1 Infection
Interventions
- DRUG
-
DOR/ISL
Fixed dose combination tablet containing DOR/ISL 100 mg/0.25 mg taken by mouth.
- DRUG
-
BIC/FTC/TAF
Fixed dose combination tablet containing BIC/FTC/TAF 50 mg/200 mg/25 mg taken by mouth.
- DRUG
-
Placebo to DOR/ISL
Placebo tablet matched to DOR/ISL tablet taken by mouth.
- DRUG
-
Placebo to BIC/FTC/TAF
Placebo tablet matched to BIC/FTC/TAF tablet taken by mouth.
Sponsors & Collaborators
- lead INDUSTRY
Principal Investigators
-
Medical Director · Merck Sharp & Dohme LLC
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-03-08
- Primary Completion
- 2025-10-13
- Completion
- 2029-08-05
- FDA Drug
- Yes
Countries
- United States
- Argentina
- Canada
- Chile
- Colombia
- Dominican Republic
- France
- Germany
- Guatemala
- Israel
- Japan
- Kenya
- Malaysia
- Mexico
- Puerto Rico
- South Africa
- Spain
- Switzerland
- Thailand
- Turkey (Türkiye)
- United Kingdom
Study Locations
More Related Trials
-
Safety and Efficacy of a Switch to Doravirine/Islatravir in Participants With HIV-1 (MK-8591A-017)
NCT04223778 ·Status: COMPLETED ·Phase: PHASE3
-
Doravirine/Islatravir (DOR/ISL) in Pediatric Participants With Human Immunodeficiency Virus Type 1 (HIV-1) Who Are <18 Years of Age and Weigh ≥35 kg (MK-8591A-028)
NCT04295772 ·Status: COMPLETED ·Phase: PHASE2
-
Islatravir (MK-8591) With Doravirine and Lamivudine in Participants Infected With Human Immunodeficiency Virus Type 1 (MK-8591-011)
NCT03272347 ·Status: COMPLETED ·Phase: PHASE2
-
Safety and Pharmacokinetics of Oral Islatravir (MK-8591) Once Monthly in Participants at Low Risk of Human Immunodeficiency Virus 1 (HIV-1) Infection (MK-8591-016)
NCT04003103 ·Status: COMPLETED ·Phase: PHASE2
-
A Study of Islatravir (MK-8591) in Anti-Retroviral Therapy-Naive, Human Immunodeficiency Virus-1 Infected Participants (MK-8591-003)
NCT02217904 ·Status: COMPLETED ·Phase: PHASE1
-
Dose Ranging, Switch Study of Islatravir (MK-8591) and Ulonivirine (MK-8507) Once-Weekly in Virologically-Suppressed Adults With Human Immunodeficiency Virus Type 1 (HIV-1) [MK-8591-013]
NCT04564547 ·Status: COMPLETED ·Phase: PHASE2
-
Study Evaluating the Safety and Efficacy of Islatravir in Combination With Lenacapavir in Virologically Suppressed People With HIV
NCT05052996 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Single-Dose Islatravir in Moderate Hepatic Impairment (MK-8591-030)
NCT04515641 ·Status: COMPLETED ·Phase: PHASE1
-
Activity of MK-8504 in Anti-retroviral-naïve, Human Immunodeficiency Virus 1 (HIV-1) Infected Participants (MK-8504-002)
NCT03188523 ·Status: COMPLETED ·Phase: PHASE1
-
Study to Compare an Oral Weekly Islatravir/Lenacapavir Regimen With Standard of Care in Virologically Suppressed People With HIV-1
NCT06630299 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Study to Compare an Oral Weekly Islatravir/Lenacapavir Regimen With Bictegravir/Emtricitabine/Tenofovir Alafenamide in Virologically Suppressed People With HIV-1
NCT06630286 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
A Clinical Study of Islatravir and Ulonivirine for People With HIV-1 Who Have Not Been Treated Before (MK-8591B-062)
NCT07266831 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Study to Compare the Safety and Anti-HIV Effect of GSK1265744 Versus Placebo in HIV-1 Infected Adults (ITZ112929)
NCT00920426 ·Status: COMPLETED ·Phase: PHASE2
-
A Study to Evaluate the Efficacy, Safety, and Tolerability of Using an Oral Once-daily 2 Drug Regimen Compared to an Oral Once-daily 3 Drug Regimen for the Treatment of Human Immunodeficiency Virus (HIV)-1 in Adults Who Have Not Previously Taken Antiretroviral Therapy
NCT05979311 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Study of Treatment of Antiretroviral-naive, HIV-1-Infected Patients Comparing Tenofovir Disoproxil Fumarate Administered in Combination With Lamivudine and Efavirenz vs. Stavudine, Lamivudine and Efavirenz.
NCT00158821 ·Status: COMPLETED ·Phase: PHASE3
-
A Study of Islatravir (MK-8591) in Trans and Gender Diverse Participants (MK-8591-035)
NCT05130086 ·Status: WITHDRAWN ·Phase: PHASE2
-
A Study of Islatravir (ISL) and Ulonivirine (ULO) Once Weekly (QW) in Virologically Suppressed Adults With Human Immunodeficiency Virus Type 1 (HIV-1) (MK-8591B-060)
NCT06891066 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
MK-8527 Single-Dose Trial in HIV-1 Infected Participants (MK-8527-004)
NCT05494736 ·Status: COMPLETED ·Phase: PHASE1
-
A Comparison of Zidovudine (AZT) and Stavudine in HIV-Infected Patients
NCT00002307 ·Status: COMPLETED ·Phase: NA
-
Oral Islatravir (MK-8591) Once-Monthly as Preexposure Prophylaxis (PrEP) in Men and Transgender Women Who Are at High Risk for HIV-1 Infection (MK-8591-024)
NCT04652700 ·Status: TERMINATED ·Phase: PHASE3
-
Single and Repeated Dose Escalation Study of GSK2838232
NCT02795754 ·Status: COMPLETED ·Phase: PHASE1
-
The Efficacy and Safety of Retrovir in Patients Infected With HIV Who Are Asymptomatic (CDC Group II) or Have Persistent Generalized Lymphadenopathy (CDC Group III)
NCT00002048 ·Status: COMPLETED ·Phase: NA
-
Safety Study of Isentress® + Truvada® in Post-exposure Treatment of HIV Infection
NCT01114425 ·Status: COMPLETED ·Phase: PHASE3
-
Safety and Efficacy of Doravirine, Tenofovir, Lamivudine (MK-1439A) in Participants Infected With Treatment-Naïve Human Immunodeficiency Virus (HIV) -1 With Transmitted Resistance (MK-1439A-030)
NCT02629822 ·Status: COMPLETED ·Phase: PHASE2
-
A Randomized Trial of the Efficacy and Safety of a Strategy of Starting With Nelfinavir Versus Ritonavir Added to Background Antiretroviral (AR) Nucleoside Therapy in HIV-Infected Individuals With CD4+ Cell Counts Less Than or Equal to 200/mm3
NCT00000859 ·Status: COMPLETED ·Phase: NA