AzTrials
AzTrials

HIV InfectionPhase 3NCT04223791

Switch to Doravirine/Islatravir (DOR/ISL) in Human Immunodeficiency Virus 1 (HIV-1) Participants Treated With Bictegravir/Emtricitabine/Tenofovir Alafenamide (BIC/FTC/TAF) (MK-8591A-018)

A Phase 3 study testing DOR/ISL and BIC/FTC/TAF in people with HIV Infection, run by Merck Sharp & Dohme LLC at 89 sites in 11 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will evaluate the safety and efficacy of a switch to Doravirine/Islatravir (DOR/ISL) (MK-8591A) (a fixed dose combination of doravirine 100 mg and islatravir 0.75 mg) in participants living with human immunodeficiency virus-1 (HIV-1) virologically suppressed on a regimen of… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
HIV Infection
What is being tested?
DOR/ISL and BIC/FTC/TAF
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
643 participants
Where
89 sitesin 11 countries
Study dates
18 Feb 2020to 27 Feb 2025
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Is HIV-1 positive with plasma Human Immunodeficiency Virus 1 (HIV-1) RNA <50 copies/mL at screening.
  • Has been receiving bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) therapy with documented viral suppression (HIV-1 RNA <50 copies/mL) for ≥3 months prior to signing informed consent and has no history of prior virologic treatment failure on any past or current regimen.
  • Females are eligible to participate if not pregnant or breastfeeding, and at least one of the following conditions applies: Is not a woman of childbearing potential (WOCBP); is a WOCBP and using an acceptable contraceptive method, or be abstinent from heterosexual intercourse as their preferred and usual lifestyle; a WOCBP must have a negative highly sensitive pregnancy test ([urine or serum] as required by local regulations) within 24 hours before the first dose of study intervention; if a urine test cannot be confirmed as negative (e.g. an ambiguous result), a serum pregnancy test is required. In such cases, the participant must be excluded from participation if the serum pregnancy result is positive.

Who cannot join

  • Has HIV-2 infection.
  • Has an active diagnosis of hepatitis due to any cause, including active Hepatitis B Virus (HBV) co-infection.
  • Has a history of malignancy ≤5 years prior to signing informed consent except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or cutaneous Kaposi's sarcoma.
  • Is taking or is anticipated to require systemic immunosuppressive therapy, immune modulators, or any prohibited therapies.
  • Is currently participating in or has participated in a clinical study with an investigational compound or device from 45 days prior to Day 1 through the study treatment period.
  • Has a documented or known virologic resistance to doravirine (DOR).
  • expects to conceive or donate eggs at any time during the study.

Trial locations and contacts

89 sites in 11 countries.

89 sites in 11 countries

United States28 sites
  • Augusta University ( Site 2752)

    Augusta, Georgia, 30912

  • Pacific Oaks Medical Group ( Site 2765)

    Beverly Hills, California, 90211

  • North Texas ID Consultants, PA ( Site 2707)

    Dallas, Texas, 75246

  • Infectious Disease Specialists Of Atlanta PC ( Site 2719)

    Decatur, Georgia, 30033

  • TheraFirst Medical Center ( Site 2742)

    Fort Lauderdale, Florida, 33308

  • Midway Immunology and Research ( Site 2759)

    Ft. Pierce, Florida, 34982

  • ID Care ( Site 2751)

    Hillsborough, New Jersey, 08844

  • The Crofoot Research Center, Inc. ( Site 2715)

    Houston, Texas, 77098

  • Kansas City CARE Clinic ( Site 2718)

    Kansas City, Missouri, 64111

  • DCOL Center for Clinical Research ( Site 2769)

    Longview, Texas, 75605

  • Men's Health Foundation ( Site 2749)

    Los Angeles, California, 80069

  • Kaiser Permanente Los Angeles Medical Center ( Site 2775)

    Los Angeles, California, 90027

  • Mercer University ( Site 2738)

    Macon, Georgia, 31201

  • The Kinder Medical Group ( Site 2739)

    Miami, Florida, 33133

  • AHF South Beach ( Site 2780)

    Miami Beach, Florida, 33140

  • Hennepin County Medical Center ( Site 2733)

    Minneapolis, Minnesota, 55415

  • Icahn School of Medicine at Mount Sinai ( Site 2700)

    New York, New York, 10029

  • Orlando Immunology Center ( Site 2734)

    Orlando, Florida, 32803

  • Eisenhower Medical Center ( Site 2744)

    Palm Springs, California, 92264

  • Pueblo Family Physicians ( Site 2717)

    Phoenix, Arizona, 85015

  • University of California, Davis, Division of ID Research ( Site 2702)

    Sacramento, California, 95811

  • Zuckerberg San Francisco General Hospital UCSF ( Site 2743)

    San Francisco, California, 94110

  • Chatham County Health Department ( Site 2731)

    Savannah, Georgia, 31401

  • Dr. Peter Shalit, MD ( Site 2770)

    Seattle, Washington, 98104

  • Multicare Health System ( Site 2713)

    Spokane, Washington, 99204

  • Montefiore Einstein Center ( Site 2730)

    The Bronx, New York, 10467

  • Whitman-Walker Clinic ( Site 2728)

    Washington D.C., District of Columbia, 20009

  • Triple O Research Institute, P.A. ( Site 2755)

    West Palm Beach, Florida, 33407

Other trials in United States

France12 sites
  • Hopital Edouard Herriot ( Site 3126)

    Lyon, Ain, 69003

  • Hopital Europeen Marseille ( Site 3117)

    Marseille, Bouches-du-Rhone, 13003

  • CHU de Montpellier - Hopital Saint-Eloi ( Site 3121)

    Montpellier, Herault, 34295

  • CHU Hotel Dieu Nantes ( Site 3120)

    Nantes, Loire-Atlantique, 44093

  • CHU de Nice Hopital Archet 1 ( Site 3103)

    Nice, Alpes-Maritimes, 06202

  • Centre Hospitalier Regional du Orleans ( Site 3108)

    Orléans, Loiret, 45000

  • Hopital Saint-Antoine ( Site 3113)

    Paris, 75012

  • Hopital Pitie Salpetriere ( Site 3111)

    Paris, 75013

  • Hopital Tenon ( Site 3118)

    Paris, 75020

  • Hopital Foch ( Site 3129)

    Suresnes, Hauts-de-Seine, 92151

  • Centre Hospitalier de Tourcoing ( Site 3100)

    Tourcoing, Nord, 59208

  • CHU de Nancy Hopital Brabois Adultes ( Site 3128)

    Vandœuvre-lès-Nancy, Meurthe-et-Moselle, 54511

Other trials in France

Germany11 sites
  • ZIBP-Zentrum fur Infektiologie Berlin Prenzlauer Berg GmbH ( Site 3003)

    Berlin, 10439

  • EPIMED GmbH ( Site 3008)

    Berlin, 12167

  • Universitaetsklinikum Bonn ( Site 3000)

    Bonn, North Rhine-Westphalia, 53127

  • Universitaetsklinikum Essen ( Site 3007)

    Essen, North Rhine-Westphalia, 45122

  • Infektiologikum ( Site 3001)

    Frankfurt am Main, Hesse, 60596

  • ICH Study Center GmbH & Co.KG ( Site 3009)

    Hamburg, 20146

  • Universitaetsklinikum Hamburg- Eppendorf (UKE) ( Site 3010)

    Hamburg, 20246

  • Medizinische Hochschule Hannover ( Site 3012)

    Hanover, Lower Saxony, 30625

  • MVZ Karlsplatz Dr.med.Hans Jaeger ( Site 3002)

    Munich, Bavaria, 80335

  • Klinikum der LMU München ( Site 3004)

    Munich, Bavaria, 80336

  • Klinikum rechts der Isar der Technischen Universitat ( Site 3005)

    Munich, Bavaria, 81675

Other trials in Germany

Spain10 sites
  • Hospital Universitari Germans Trias i Pujol ( Site 3601)

    Badalona, Barcelona [Barcelona], 08916

  • Hospital Universitari Vall d Hebron ( Site 3602)

    Barcelona, Barcelona [Barcelona], 08035

  • Hospital Clinic i Provincial ( Site 3600)

    Barcelona, 08036

  • Hospital Universitari de Bellvitge ( Site 3612)

    LHospitalet de Llobregat, Barcelona [Barcelona], 08907

  • Hospital General Universitario Gregorio Maranon ( Site 3603)

    Madrid, 28007

  • Hospital Universitario Infanta Leonor ( Site 3606)

    Madrid, 28031

  • Hospital Universitario Ramon y Cajal ( Site 3611)

    Madrid, 28034

  • Hospital 12 de Octubre de Madrid ( Site 3605)

    Madrid, 28041

  • Hospital Universitario La Paz ( Site 3604)

    Madrid, 28046

  • Hospital Universitario Virgen de la Victoria ( Site 3609)

    Málaga, 29010

Other trials in Spain

Australia7 sites
  • Holdsworth House Medical Practice - Brisbane ( Site 3810)

    Brisbane, Queensland, 4006

  • St Vincent's Hospital ( Site 3807)

    Darlinghurst, New South Wales, 2010

  • Taylor Square Private Clinic ( Site 3804)

    Darlinghurst, New South Wales, 2010

  • Royal Brisbane and Womens Hospital- Infectious Diseases Unit ( Site 3812)

    Herston, Queensland, 4029

  • The Alfred Hospital ( Site 3802)

    Melbourne, Victoria, 3004

  • Prahran Market Clinic (PMC) ( Site 3806)

    Melbourne, Victoria, 3181

  • Holdsworth House Medical Practice ( Site 3800)

    Sydney, New South Wales, 2010

Other trials in Australia

Italy5 sites
  • Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico ( Site 3501)

    Milan, Lombardy, 20122

  • Universita' Vita Salute. Ospedale San Raffaele ( Site 3502)

    Milan, 20127

  • Azienda Ospedaliera San Paolo ( Site 3503)

    Milan, 20142

  • ASST Fatebenefratelli-Ospedale Sacco ( Site 3500)

    Milan, 20157

  • A.O.R.N. dei Colli - Ospedale Cotugno ( Site 3507)

    Naples, 80131

Other trials in Italy

Austria4 sites
  • LKH Graz West ( Site 3401)

    Graz, Styria, 8020

  • Medical University Vienna ( Site 3402)

    Vienna, State of Vienna, 1090

  • Sozialmedizinisches Zentrum Sued - Kaiser-Franz-Josef-Spital ( Site 3400)

    Vienna, State of Vienna, 1100

  • Social Medical Center - Otto Wagner Hospital ( Site 3404)

    Vienna, State of Vienna, 1145

Other trials in Austria

Canada4 sites
  • Hamilton Health Sciences ( Site 2803)

    Hamilton, Ontario, L8L 2X2

  • Clinique de Medecine Urbaine du Quartier Latin ( Site 2804)

    Montreal, Quebec, H2L 4E9

  • Clinique Medicale L Actuel ( Site 2814)

    Montreal, Quebec, H2L 4P9

  • Vancouver ID Research and Care Centre Society ( Site 2800)

    Vancouver, British Columbia, V6Z 2C7

Other trials in Canada

Puerto Rico4 sites
  • CAIMED Center - Ponce School of Medicine ( Site 2903)

    Ponce, 00716

  • Puerto Rico CONCRA ( Site 2904)

    Rio Piedras, 00925

  • Clinical Research Puerto Rico Inc ( Site 2900)

    San Juan, 00909

  • Hope Clinical Research, Inc. ( Site 2902)

    San Juan, 00909

Other trials in Puerto Rico

Japan3 sites
  • National Hospital Organization Nagoya Medical Center ( Site 7203)

    Nagoya, Aichi-ken, 460-0001

  • National Hospital Organization Osaka National Hospital ( Site 7202)

    Osaka, 540-0006

  • Center Hospital of the National Center for Global Health and Medicine ( Site 7201)

    Tokyo, 162-8655

Other trials in Japan

Finland1 site
  • Helsinki University Hospital ( Site 3200)

    Helsinki, Uusimaa, 00029

Other trials in Finland

About this study

Official title: A Phase 3, Randomized, Active-Controlled, Double-Blind Clinical Study to Evaluate a Switch to Doravirine/Islatravir (DOR/ISL) Once-Daily in Participants With HIV-1 Virologically Suppressed on Bictegravir/Emtricitabine/Tenofovir Alafenamide (BIC/FTC/TAF)

This study will evaluate the safety and efficacy of a switch to Doravirine/Islatravir (DOR/ISL) (MK-8591A) (a fixed dose combination of doravirine 100 mg and islatravir 0.75 mg) in participants living with human immunodeficiency virus-1 (HIV-1) virologically suppressed on a regimen of bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF). The primary hypothesis is that a switch to DOR/ISL (MK-8591A) will be non-inferior to continued treatment with BIC/FTC/TAF as assessed by the proportion of participants with HIV-1 ribonucleic acid (RNA) ≥50 copies/mL at Week 48. Participants who benefit from their assigned intervention (as determined by investigator) will be able to continue treatment through a 24-week study extension.

Conditions
HIV Infection
Being tested
DOR/ISL, BIC/FTC/TAF, Placebo to BIC/FTC/TAF, Placebo to FDC DOR/ISL
Medical subject headings
HIV Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DOR/ISLDrug

    Also called MK-8591A

    100 mg DOR/ 0.75 ISL FDC single tablet taken orally once daily

  • BIC/FTC/TAFDrug

    50 mg BIC, 200 mg FTC, and 25 mg TAF combined in a single tablet, taken orally once daily

  • Placebo to BIC/FTC/TAFDrug

    Placebo to BIC/FTC/TAF in a single tablet taken orally, once daily

  • Placebo to FDC DOR/ISLDrug

    Also called Placebo to MK-8591A

    Placebo to FDC DOR/ISL in a single tablet taken orally, once daily

Study groups in NCT04223791
Study groupRoleWhat they receive
DOR/ISLExperimentalParticipants with Human Immunodeficiency Virus-1 (HIV-1) that have been virologically suppressed for ≥3 consecutive months with no history of treatment failure who were previously treated with bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) received a once daily (QD) fixed dose combination (FDC) of 100 mg doravirine (DOR)/0.75 mg islatravir (ISL) for 144 weeks; and a placebo to BIC/FTC/TAF for 96 weeks. At Week 144, participants who consent to enter the optional open-label study extension will continue to receive QD FDC of DOR/ISL (100 mg/0.75 mg) for an additional 24 weeks, up to Week 168.
Receives: Drug: DOR/ISL; Drug: Placebo to BIC/FTC/TAF
BIC/FTC/TAFActive comparatorParticipants with Human Immunodeficiency Virus-1 (HIV-1) that have been virologically suppressed for ≥3 consecutive months with no history of treatment failure who were previously treated with bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) received once daily (QD) 50 mg bictegravir (BIC), 200 mg emtricitabine (FTC), 25 mg tenofovir alafenamide (TAF) for 144 weeks, and placebo to fixed dose combination (FDC) DOR/ISL for 96 weeks. At Week 144, participants who consent to enter the optional open-label study extension will continue to receive QD BIC/FTC/TAF (50 mg/200 mg/25 mg) for an additional 24 weeks, up to Week 168.
Receives: Drug: BIC/FTC/TAF; Drug: Placebo to FDC DOR/ISL

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Human Immunodeficiency Virus 1 Ribonucleic Acid (HIV-1 RNA) ≥50 Copies/mL at Week 48

    The Abbott RealTime polymerase chain reaction (PCR) assay with a reliable lower limit of quantification of 40 copies/mL was used to measure the HIV-1 RNA level in blood samples obtained at each visit. Per protocol, the primary outcome measure, the percentage of participants with HIV-1 RNA ≥50 copies/mL at Week 48, is presented using the Food and Drug Administration (FDA) Snapshot missing data approach. The percentage values were rounded to the nearest tenth digit.

    Measured: Week 48

  2. Percentage of Participants With One or More Adverse Events (AEs) up to Week 48

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants who experienced an AE up to week 48 is presented.

    Measured: Up to 48 weeks

  3. Percentage of Participants Who Discontinued Study Intervention Due to an AE up to Week 48

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants who discontinued study intervention due to an AE up to week 48 is presented.

    Measured: Up to 48 weeks

Secondary outcomes (19)
  1. Percentage of Participants With HIV-1 RNA ≥50 Copies/mL at Week 96

    The Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL was used to measure the HIV-1 RNA level in blood samples obtained at each visit. Per protocol, the secondary outcome measure, percentage of participants with HIV-1 RNA ≥50 copies/mL at Week 96, is presented using the Food and Drug Administration (FDA) Snapshot missing data approach. The percentage values were rounded to the nearest tenth digit.

    Measured: Week 96

  2. Percentage of Participants With HIV-1 RNA ≥50 Copies/mL at Week 144

    The Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL was used to measure the HIV-1 RNA level in blood samples obtained at each visit. Per protocol, the secondary outcome measure, percentage of participants with HIV-1 RNA ≥50 copies/mL at Week 144, is presented using the FDA snapshot missing data approach. The percentage values were rounded to the nearest tenth digit.

    Measured: Week 144

  3. Percentage of Participants With HIV-1 RNA <50 Copies/mL at Week 48

    The Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL was used to measure the HIV-1 RNA level in blood samples obtained at each visit. Per protocol, the secondary outcome measure, the percentage of participants with HIV-1 RNA <50 copies/mL at Week 48, is presented using the FDA snapshot missing data approach. The percentage values were rounded to the nearest tenth digit.

    Measured: Week 48

  4. Percentage of Participants With HIV-1 RNA <40 Copies/mL at Week 48

    The Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL was used to measure the HIV-1 RNA level in blood samples obtained at each visit. Per protocol, the secondary outcome measure, the percentage of participants with HIV-1 RNA <40 copies/mL at Week 48, is presented using the FDA snapshot missing data approach.

    Measured: Week 48

  5. Percentage of Participants With HIV-1 RNA <50 Copies/mL at Week 96

    The Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL was used to measure the HIV-1 RNA level in blood samples obtained at each visit. Per protocol, the secondary outcome measure, the percentage of participants with HIV-1 RNA <50 copies/mL at Week 96, is presented using the FDA snapshot missing data approach. The percentage values were rounded to the nearest tenth digit.

    Measured: Week 96

  6. Percentage of Participants With HIV-1 RNA <40 Copies/mL at Week 96

    The Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL was used to measure the HIV-1 RNA level in blood samples obtained at each visit. Per protocol, the secondary outcome measure, the percentage of participants with HIV-1 RNA <40 copies/mL at Week 96, is presented using the FDA snapshot missing data approach.

    Measured: Week 96

  7. Percentage of Participants With HIV-1 RNA <50 Copies/mL at Week 144

    The Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL was used to measure the HIV-1 RNA level in blood samples obtained at each visit. Per protocol, the secondary outcome measure, the percentage of participants with HIV-1 RNA <50 copies/mL at Week 144 is presented using the FDA snapshot missing data approach. The percentage values were rounded to the nearest tenth digit.

    Measured: Week 144

  8. Percentage of Participants With HIV-1 RNA <40 Copies/mL at Week 144

    The Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL was used to measure the HIV-1 RNA level in blood samples obtained at each visit. Per protocol, the secondary outcome measure, percentage of participants with HIV-1 RNA <40 copies/mL at Week 144, is presented using the FDA snapshot missing data approach.

    Measured: Week 144

  9. Mean Change From Baseline in Cluster of Differentiation-positive (CD4+) T-cell Count at Week 48

    Plasma CD4+ T-cell count was measured in cells/mm^3 for baseline and 48 weeks by a central laboratory. Baseline measurement of CD4+ T-cell count is defined as the day 1 value for each participant. The mean change from baseline in CD4+ T-cell count at week 48 using the data as observed (DAO) approach is presented. A negative value indicates a mean decrease in CD4+ T-cell count from baseline and a positive value indicates a mean increase in CD4+ T-cell count from baseline.

    Measured: Baseline and Week 48

  10. Mean Change From Baseline in CD4+ T-cell Count at Week 96

    Plasma CD4+ T-cell count was measured in cells/mm^3 for baseline and 96 weeks by a central laboratory. Baseline measurement of CD4+ T-cell count is defined as the day 1 value for each participant. The mean change from baseline in CD4+ T-cell count at week 96 using the data as observed (DAO) approach is presented. A negative value indicates a mean decrease in CD4+ T-cell count from baseline and a positive value indicates a mean increase in CD4+ T-cell count from baseline.

    Measured: Baseline and Week 96

  11. Mean Change From Baseline in CD4+ T-cell Count at Week 144

    Plasma CD4+ T-cell count was measured in cells/mm^3 for baseline and 144 weeks by a central laboratory. Baseline measurement of CD4+ T-cell count is defined as the day 1 value for each participant. The mean change from baseline in CD4+ T-cell count at week 144 using the data as observed (DAO) approach is presented. A negative value indicates a mean decrease in CD4+ T-cell count from baseline and a positive value indicates a mean increase in CD4+ T-cell count from baseline.

    Measured: Baseline and Week 144

  12. Number of Participants With Viral Drug Resistance-associated Substitutions at Week 48

    Viral drug resistance is defined as participants with confirmed HIV-1 RNA ≥400 copies/mL having genotypic or phenotypic evidence of resistance to the study drug administered. The number of participants who demonstrate drug resistance is presented.

    Measured: Week 48

  13. Number of Participants With Evidence of Viral Drug Resistance-associated Substitutions at Week 96

    Viral drug resistance is defined as participants with confirmed HIV-1 RNA ≥400 copies/mL and/or genotypic or phenotypic analysis of data showing evidence of resistance to the study drug administered. The number of participants who demonstrate drug resistance at week 96 is presented.

    Measured: Week 96

  14. Number of Participants With Evidence of Viral Drug Resistance-associated Substitutions at Week 144

    Viral drug resistance is defined as participants with confirmed HIV-1 RNA ≥400 copies/mL and/or genotypic or phenotypic analysis of data showing evidence of resistance to the study drug administered. The number of participants who demonstrate drug resistance at week 144 is presented.

    Measured: Week 144

  15. Change From Baseline in Body Weight at Week 48

    Body weight was measured and recorded at baseline and week 48. Participants removed their shoes and wore a single layer of clothing at each measurement. The mean change from baseline in body weight at week 48 is presented.

    Measured: Baseline and Week 48

  16. Change From Baseline in Body Weight at Week 96

    Body weight was measured and recorded at baseline and week 96. Participants removed their shoes and wore a single layer of clothing at each measurement. The mean change from baseline in body weight at week 96 is presented.

    Measured: Baseline and Week 96

  17. Change From Baseline in Body Weight at Week 144

    Body weight was measured and recorded at baseline and week 144. Participants removed their shoes and wore a single layer of clothing at each measurement. The mean change from baseline in body weight at week 144 is presented.

    Measured: Baseline and Week 144

  18. Percentage of Participants With One or More AEs

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants who experienced at least one or more AEs is presented. Per protocol, pregnancy-related AEs collected for enrolled participants are reported separately and are presented in the AE module.

    Measured: Up to approximately 55 months

  19. Percentage of Participants Who Discontinued Study Intervention Due to an AE

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The percentage of participants who discontinued study intervention due to an AE is presented. Per protocol, pregnancy-related AEs collected for enrolled participants are reported separately and are presented in the AE module.

    Measured: Up to approximately 40 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jan 2020
  2. Study start18 Feb 2020
  3. Primary completion26 Aug 2021
  4. Study completion27 Feb 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
643 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04223791
Sponsor's protocol ID
8591A-018
Other IDs
MK-8591A-018, 205166, 2019-000587-23, 2019
Status last verified
Mar 2026
First submitted
8 Jan 2020
Last updated
27 Mar 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Publications

  • Mills AM, Rizzardini G, Ramgopal MN, Osiyemi OO, Bogner JR, Hagins DP, Paredes R, Reynes J, Rockstroh JK, Carr A, Su FH, Klopfer SO, Eves K, Plank RM, Correll T, Fox MC. Switch to fixed-dose doravirine (100 mg) with islatravir (0.75 mg) once daily in virologically suppressed adults with HIV-1 on bictegravir, emtricitabine, and tenofovir alafenamide: 48-week results of a phase 3, randomised, controlled, double-blind, non-inferiority trial. Lancet HIV. 2024 Jun;11(6):e357-e368. doi: 10.1016/S2352-3018(24)00030-4. Epub 2024 May 8.

    PubMed 38734016

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing DOR/ISL and BIC/FTC/TAF in people with HIV Infection, run by Merck Sharp & Dohme LLC at 89 sites in 11 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 89 sites in United States, France, Germany, Spain, Australia and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Aug 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Human Immunodeficiency Virus 1 Ribonucleic Acid (HIV-1 RNA) ≥50 Copies/mL at Week 48 (time frame: Week 48). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04223791, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Mar 2026.

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