Human Immunodeficiency Virus (HIV)Phase 3NCT07044297
A Clinical Study of MK-8527 to Prevent Human Immunodeficiency Virus Type 1 (HIV-1) (MK-8527-011)
A Phase 3 study testing MK-8527 and FTC/TDF in people with Human Immunodeficiency Virus (HIV) and HIV Pre-Exposure Prophylaxis, run by Merck Sharp & Dohme LLC at 81 sites in 16 countries.
Trial summary
Researchers are looking for new medicines to prevent HIV-1 (Human Immunodeficiency Virus Type 1) infection. The goals of this study are to learn: If taking MK-8527 once a month works to prevent HIV-1 infection as well as or better than a standard (usual) pre-exposure prophylaxis (PrEP) taken once a day About the… Read more about this study
- Who is it for?
- Ages 16 years and olderHealthy volunteers can take part
- Conditions the study is for
- Human Immunodeficiency Virus (HIV), HIV Pre-Exposure Prophylaxis
- What is being tested?
- MK-8527 and FTC/TDF
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 4,390 participants
- Where
- 81 sitesin 16 countries
- Study dates
- 31 Jul 2025to 22 Jul 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 16 years and older
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- The main inclusion criteria include but are not limited to the following:
- Is confirmed HIV-uninfected based on negative HIV-1/HIV-2 test results
- Is a cisgender man, transgender woman (assigned male sex at birth), transgender man (assigned female sex at birth), or gender nonbinary person
- Has had condomless receptive anal sex in the 12 months prior to screening (not including sex occurring in a mutually monogamous relationship) and has at least 1 of the following: receptive anal sex with 2 or more partners in the 3 months prior to screening (regardless of condom use), rectal or urethral gonorrhea or chlamydia or incident syphilis in the 6 months prior to screening, or any self-reported stimulant drug use with sex in the 3 months prior to screening
- Weighs ≥35 kg
Who cannot join
- The main exclusion criteria include but are not limited to the following:
- Has hypersensitivity or other contraindication to any component of the study interventions
- Has evidence of acute or chronic hepatitis B infection
- Has a history of malignancy within 5 years of screening except for adequately treated basal cell or squamous cell skin cancer, or in situ anal or cervical cancers
- Has taken cabotegravir, lenacapavir, or any other long-acting HIV prevention product at any time
- Is receiving or is anticipated to require any prohibited therapies from 30 days prior to Day 1 through the study duration
- Has received an HIV vaccine at any time (ie, through past participation in an investigational clinical study) or monoclonal antibodies to HIV within 12 months before Day 1
- Is expecting to donate eggs at any time during the study
Trial locations and contacts
81 sites in 16 countries.
81 sites in 16 countries
United States23 sites
Central Texas Clinical Research ( Site 0014)
Austin, Texas, 78705
Saint Hope Foundation, Inc. ( Site 0015)
Bellaire, Texas, 77401
University of Alabama at Birmingham-UAB 1917 Research Clinic ( Site 0006)
Birmingham, Alabama, 35222
NC TraCS Institute - CTRC; University of North Carolina at Chapel Hill ( Site 0008)
Chapel Hill, North Carolina, 27514-7064
University of Illinois Chicago ( Site 0027)
Chicago, Illinois, 60612
Prisma Health Richland Hospital-Clinical Research Unit ( Site 0007)
Columbia, South Carolina, 29203
Hope Clinic of the Emory Vaccine Center ( Site 0009)
Decatur, Georgia, 30030
Regional Center for Infectious Diseases ( Site 0018)
Greensboro, North Carolina, 27401
Open Arms Healthcare Center ( Site 0025)
Jackson, Mississippi, 39202
UCLA Center for Clinical AIDS Research and Education ( Site 0004)
Los Angeles, California, 90035
St. Jude Children's Research Hospital ( Site 0026)
Memphis, Tennessee, 38105
University of Miami RAPID Research ( Site 0003)
Miami, Florida, 33136
USA Health University Hospitals ( Site 0020)
Mobile, Alabama, 36617
Meharry Medical College ( Site 0013)
Nashville, Tennessee, 37208
University Medical Center New Orleans ( Site 0024)
New Orleans, Louisiana, 70112
Rutgers New Jersey Medical School ( Site 0010)
Newark, New Jersey, 07103
Orlando Immunology Center ( Site 0021)
Orlando, Florida, 32803
Philadelphia Fight Community Health Centers ( Site 0011)
Philadelphia, Pennsylvania, 19107
University of Pittsburgh Medical Center-Division of Infectious Diseases ( Site 0022)
Pittsburgh, Pennsylvania, 15213
Bridge HIV - San Francisco Department of Public Health ( Site 0001)
San Francisco, California, 94102
Fred Hutchinson Cancer Center - The Seattle HIV Vaccine Trials Unit ( Site 0002)
Seattle, Washington, 98104
Montefiore Medical Center ( Site 0017)
The Bronx, New York, 10467
Whitman-Walker Institute ( Site 0016)
Washington D.C., District of Columbia, 20032
Brazil8 sites
School of Medicine Federal University of Minas Gerais ( Site 0417)
Belo Horizonte, Minas Gerais, 30130-100
Fundaçao de Medicina Tropical Doutor Heitor Vieira Dourado ( Site 0412)
Manaus, Amazonas, 69040-000
Hospital Geral de Nova Iguacu ( Site 0411)
Nova Iguaçu, Rio de Janeiro, 26030-380
Instituto Nacional de Infectologia Evandro Chagas ( Site 0407)
Rio de Janeiro, 21040-360
Obras Sociais Irma Dulce ( Site 0406)
Salvador, Estado de Bahia, 41680-430
Ricardo Diaz Scientific Solutions ( Site 0402)
São Paulo, São Paulo, 04030-030
Centro de Referência e Treinamento DST/AIDS ( Site 0400)
São Paulo, São Paulo, 04121-000
Hospital das Clinicas FMUSP ( Site 0401)
São Paulo, São Paulo, 05403-000
Peru6 sites
Asociación Civil Selva Amazónica ( Site 0556)
Iquitos, Loreto, 16001
Via Libre ( Site 0551)
Lima, 15001
Policlínico Socios en Salud ( Site 0557)
Lima, 15024
Investigaciones Medicas en Salud ( Site 0552)
Lima, 15046
Asociación Civil Impacta Salud y Educación ( Site 0553)
Lima, 15063
Universidad Nacional Mayor De San Marcos ( Site 0555)
Lima, 15081
South Africa6 sites
Desmond Tutu Health Foundation ( Site 0250)
Cape Town, Western Cape, 7925
Wits Maternal Adolescent and Child Health Research Unit (WMRU) ( Site 0256)
Durban, KwaZulu-Natal, 4001
Wits RHI Research Center ( Site 0251)
Johannesburg, Gauteng, 2001
Foundation For Professional Development ( Site 0257)
King Williams Town, Eastern Cape, 5660
Setshaba Research Centre ( Site 0252)
Pretoria, Gauteng, 0152
Perinatal HIV Research Unit (PHRU) ( Site 0253)
Soweto, Gauteng, 1864
Argentina5 sites
Fundación IDEAA ( Site 0351)
Buenos Aires, C1405CKC
Centro de Estudios Infectológicos S.A. ( Site 0357)
CABA, Buenos Aires, C1002ABN
Centro Medico Dra. Laura Maffei- Investigacion Clinica Aplicada ( Site 0352)
CABA, Buenos Aires, C1425AGC
Fundación Huésped ( Site 0350)
CABA, Buenos Aires, C1427CEA
Instituto de Investigaciones Clínicas Mar del Plata ( Site 0353)
Mar del Plata, Buenos Aires, B7600FZO
Thailand5 sites
Chulalongkorn Hospital ( Site 0807)
Bangkok, Bangkok, 10330
HIV Netherlands Australia Thailand Research Collaboration ( Site 0808)
Bangkok, Bangkok, 10330
Institute of HIV Research and Innovation ( Site 0810)
Bangkok, Bangkok, 10330
Faculty of Medicine Siriraj Hospital ( Site 0806)
Bangkok, Bangkok, 10700
Research Institute for Health Sciences ( Site 0809)
Muang, Chiang Mai, 50200
Colombia4 sites
Clinica de la Costa S.A.S. ( Site 0501)
Barranquilla, Atlántico, 080020
Hospital Universitario San Ignacio ( Site 0503)
Bogotá, Bogota D.C., 110231
Fundación Valle del Lili ( Site 0502)
Cali, Valle del Cauca Department, 760032
IPS SURA San Diego ( Site 0500)
Medellín, Antioquia, 50016
Chile3 sites
Universidad San Sebastian - Providencia ( Site 0454)
Santiago, Region M. de Santiago, 7500000
Universidad de Chile - Hospital Clínico Universidad de Chile-Inmunologia Alergia y VIH ( Site 0450)
Santiago, Region M. de Santiago, 8380420
Hospital Dr. Hernán Henríquez Aravena ( Site 0451)
Temuco, Araucania, 4781151
Dominican Republic3 sites
CEMDOE - Centro Médico de Diabetes, Obesidad y Especialidades ( Site 1001)
Santo Domingo, Nacional, 10104
Endocardio ( Site 1003)
Santo Domingo, Nacional, 10147
Instituto Dermatológico y Cirugía de Piel "Dr. Huberto Bogaert Díaz" ( Site 1002)
Santo Domingo de Guzman, Santo Domingo Province, 10306
France3 sites
Hopital Saint Louis ( Site 0100)
Paris, 75010
Hôpital Tenon ( Site 0102)
Paris, 75970
Hopital Bichat - Claude Bernard ( Site 0101)
Paris, Île-de-France Region, 75018
Guatemala3 sites
Clínica Médica Especializada en Pediatría e Infectología Pediátrica - Dr. Mario Melgar ( Site 1051)
Guatemala City, 01009
MEDI-K ( Site 1053)
Guatemala City, 01009
CELAN,S.A ( Site 1052)
Guatemala City, 01010
Kenya3 sites
Nyanza Reproductive Health Society ( Site 0200)
Kisumu, 40100
Impact Research and Development Organisation (IRDO) ( Site 0202)
Kisumu, 40141
Partners for Health and Development in Africa ( Site 0201)
Nairobi, Nairobi City, 00506
Philippines3 sites
LoveYourself Inc. ( Site 0705)
Mandaluyong, National Capital Region, 1552
Philippine General Hospital ( Site 0700)
Manila, National Capital Region, 1000
Asian Hospital and Medical Center ( Site 0704)
Muntinlupa, National Capital Region, 1780
Switzerland3 sites
University Hospital Basel ( Site 1102)
Basel, Canton of Basel-City, 4031
Inselspital Bern ( Site 1103)
Bern, Canton of Bern, 3010
Checkpoint Zurich ( Site 1100)
Zurich, 8005
Vietnam2 sites
Hanoi Medical University Hospital ( Site 0851)
Hanoi, Hanoi, 100000
Thu Duc General Hospital ( Site 0881)
Ho Chi Minh City, 700000
Malaysia1 site
Universiti Malaya Medical Centre ( Site 0651)
Kuala Lumpur, 50603
About this study
Official title: A Phase 3, Randomized, Active-Controlled, Double-Blind Clinical Study to Evaluate the Efficacy and Safety of MK-8527 Oral Once-Monthly as HIV-1 Preexposure Prophylaxis
Researchers are looking for new medicines to prevent HIV-1 (Human Immunodeficiency Virus Type 1) infection.
The goals of this study are to learn:
- If taking MK-8527 once a month works to prevent HIV-1 infection as well as or better than a standard (usual) pre-exposure prophylaxis (PrEP) taken once a day
- About the safety of MK-8527 and if people tolerate it
- Being tested
- MK-8527, FTC/TDF, Placebo to MK-8527, Placebo to FTC/TDF
- Medical subject headings
- Acquired Immunodeficiency Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MK-8527Drug
Oral tablet
FTC/TDFDrug
Also called Truvada, Emtricitabine/Tenofovir Disoproxil Fumarate
Oral tablet
Placebo to MK-8527Drug
Placebo tablet matched to MK-8527
Placebo to FTC/TDFDrug
Placebo tablet matched to FTC/TDF
| Study group | Role | What they receive |
|---|---|---|
| MK-8527 | Experimental | Participants will receive 11 mg MK-8527 once monthly (QM) and placebo to FTC/TDF once daily (QD) for up to approximately 2 years. Participants will then receive open-label 200 mg FTC/245 mg TDF QD for an additional 28 days. Receives: Drug: MK-8527; Drug: FTC/TDF; Drug: Placebo to FTC/TDF |
| FTC/TDF | Active comparator | Participants will receive 200 mg FTC/245 mg TDF QD and placebo to MK-8527 QM for up to approximately 2 years. Participants will then receive open-label 200 mg FTC/245 mg TDF QD for an additional 28 days. Receives: Drug: FTC/TDF; Drug: Placebo to MK-8527 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Adjudicated Human Immunodeficiency Virus Type 1 (HIV-1) Infection
The number of participants with adjudicated HIV-1 infection will be determined.
Measured: Up to approximately 2 years
Number of Participants Who Experience At Least One Adverse Event (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. The number of participants that experienced AEs will be reported.
Measured: Up to approximately 2 years
Number of Participants Who Discontinue 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. The number of participants that discontinued study intervention due to an AE will be reported.
Measured: Up to approximately 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jun 2025
- Study start31 Jul 2025
- Primary completion22 Jul 2027 (estimated)
- Study completion22 Jul 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Human Immunodeficiency Virus (HIV)Studies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 4,390 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07044297
- Sponsor's protocol ID
- 8527-011
- Other IDs
- MK-8527-011, 2025-520610-58-00, U1111-1317-6239, 2025
- Status last verified
- Sep 2026
- First submitted
- 26 Jun 2025
- Last updated
- 18 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Study at a glance
From the registry record, last updated by the sponsor on 18 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Active-Controlled, Double-Blind Clinical Study to Evaluate the Efficacy and Safety of MK-8527 Oral Once-Monthly as HIV-1 Preexposure Prophylaxis
- ClinicalTrials.gov ID
- NCT07044297
- Acronym / sponsor ID
- 8527-011
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 4,390 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 31 Jul 2025 (actual)
- Primary completion
- 22 Jul 2027 (estimated)
- Study completion
- 22 Jul 2027 (estimated)
- First posted
- 29 Jun 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Researchers are looking for new medicines to prevent HIV-1 (Human Immunodeficiency Virus Type 1) infection.
The goals of this study are to learn:
- If taking MK-8527 once a month works to prevent HIV-1 infection as well as or better than a standard (usual) pre-exposure prophylaxis (PrEP) taken once a day
- About the safety of MK-8527 and if people tolerate it
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| MK-8527 | Experimental | Drug: MK-8527, Drug: FTC/TDF, Drug: Placebo to FTC/TDFParticipants will receive 11 mg MK-8527 once monthly (QM) and placebo to FTC/TDF once daily (QD) for up to approximately 2 years. Participants will then receive open-label 200 mg FTC/245 mg TDF QD for an additional 28 days. |
| FTC/TDF | Active comparator | Drug: FTC/TDF, Drug: Placebo to MK-8527Participants will receive 200 mg FTC/245 mg TDF QD and placebo to MK-8527 QM for up to approximately 2 years. Participants will then receive open-label 200 mg FTC/245 mg TDF QD for an additional 28 days. |
Who may qualify
- Ages
- 16 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (5 listed)
- Is confirmed HIV-uninfected based on negative HIV-1/HIV-2 test results
- Is a cisgender man, transgender woman (assigned male sex at birth), transgender man (assigned female sex at birth), or gender nonbinary person
- Has had condomless receptive anal sex in the 12 months prior to screening (not including sex occurring in a mutually monogamous relationship) and has at least 1 of the following: receptive anal sex with 2 or more partners in the 3 months prior to screening (regardless of condom use), rectal or urethral gonorrhea or chlamydia or incident syphilis in the 6 months prior to screening, or any self-reported stimulant drug use with sex in the 3 months prior to screening
- Weighs ≥35 kg
Key exclusion criteria (8 listed)
- Has hypersensitivity or other contraindication to any component of the study interventions
- Has evidence of acute or chronic hepatitis B infection
- Has a history of malignancy within 5 years of screening except for adequately treated basal cell or squamous cell skin cancer, or in situ anal or cervical cancers
- Has taken cabotegravir, lenacapavir, or any other long-acting HIV prevention product at any time
- Is receiving or is anticipated to require any prohibited therapies from 30 days prior to Day 1 through the study duration
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MK-8527Oral tablet | Drug | MK-8527 |
| FTC/TDFAlso: Truvada, Emtricitabine/Tenofovir Disoproxil FumarateOral tablet | Drug | FTC/TDF, MK-8527 |
| Placebo to MK-8527Placebo tablet matched to MK-8527 | Drug | FTC/TDF |
| Placebo to FTC/TDFPlacebo tablet matched to FTC/TDF | Drug | MK-8527 |
Primary outcome
Number of Participants With Adjudicated Human Immunodeficiency Virus Type 1 (HIV-1) Infection
Time frame: Up to approximately 2 years
The number of participants with adjudicated HIV-1 infection will be determined.
Number of Participants Who Experience At Least One Adverse Event (AE)
Time frame: Up to approximately 2 years
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. The number of participants that experienced AEs will be reported.
Number of Participants Who Discontinue Study Intervention Due to an AE
Time frame: Up to approximately 2 years
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. The number of participants that discontinued study intervention due to an AE will be reported.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Sep 2026.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Plain Language SummaryLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Related trials for Human Immunodeficiency Virus (HIV)
Not yet recruiting
HealthMpowerment Korea: Pilot Testing the Cultural Adaptation of a Digital HIV Intervention for Men Who Have Sex With Men in South Korea
HIV Infections, HIV Prevention and Care
Not yet recruiting
Prescribe to Prevent HIV: A Hybrid Trial Helping Addiction Clinics Prevent HIV & Infections Through Safer Drug Use Support
People Who Use Opioids/People With Opioid Use Disorder (OUD)
Recruiting
Evaluating the Impact of Using the B-OK Bottles for HIV and ART Literacy in South Africa
HIV, HIV Treatment
Recruiting
Trial Phase: Syndemic Adapted Medly Uganda
Mental Health
RecruitingObservational study
Olfactory Function and Model-Based Behavior in People Living With HIV and SUD
HIV, Substance Use Disorder
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Merck Sharp & Dohme LLC
81 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing MK-8527 and FTC/TDF in people with Human Immunodeficiency Virus (HIV) and HIV Pre-Exposure Prophylaxis, run by Merck Sharp & Dohme LLC at 81 sites in 16 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 5 inclusion and 8 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: under way, not looking for participants, as of the sponsor's last update on 18 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 81 sites in United States, Brazil, Peru, South Africa, Argentina and 11 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?
This study is still under way. Results are not available in the source record yet.
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?
Number of Participants With Adjudicated Human Immunodeficiency Virus Type 1 (HIV-1) Infection (time frame: Up to approximately 2 years). 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?
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 18 Sep 2026.