NCT04223778CompletedPhase 3
Safety and Efficacy of a Switch to Doravirine/Islatravir in Participants With HIV-1 (MK-8591A-017)
A Phase 3 Randomized, Active-Controlled, Open-Label Clinical Study to Evaluate a Switch to Doravirine/Islatravir (DOR/ISL) Once-Daily in Participants With HIV-1 Virologically Suppressed on Antiretroviral Therapy
Source: ClinicalTrials.gov · Last updated 18 Feb 2026
Brief summary (registry, in English)
This study will evaluate the safety and efficacy of a switch to MK-8591A (a fixed dose combination of doravirine and islatravir) in human immunodeficiency virus -1 (HIV-1)-infected participants virologically suppressed on a protocol-specified antiretroviral regimen. The primary hypothesis is that a switch to MK-8591A will be non-inferior to continued treatment with baseline antiretroviral therapy (ART) as assessed by the percentage of participants with HIV-1 ribonucleic acid (RNA) ≥50 copies/mL at Week 48.
- Status (registry)
- Completed
- Phase (registry)
- Phase 3
- Study type
- Interventional
- Enrollment
- 672 (actual)
- First submitted
- 8 Jan 2020
- Start date
- 18 Feb 2020
- Primary completion date
- 8 Sept 2021
- Lead sponsor
- Merck Sharp & Dohme LLC
- Diseases
- HIV
- NCT number
- NCT04223778
- EudraCT number
- 2019-000586-20
What you commit to
- Study type: Interventional · Phase 3
- Participants enrolled: 672
- From 18 Feb 2020 to the primary completion date, 8 Sept 2021
- 78 sites in 15 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Is taking or is anticipated to require systemic immunosuppressive therapy, immune modulators, or any prohibited therapies
- Is currently taking long-acting cabotegravir-rilpivirine
- 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
Other illness
- Has HIV-2 infection
- Has hypersensitivity or other contraindication to any of the components of the study interventions as determined by the investigator
- Has an active diagnosis of hepatitis due to any cause, including active Hepatitis B Virus (HBV) co-infection
Age
- 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
Other
- Has a documented or known virologic resistance to doravirine (DOR)
- Expects to conceive or donate eggs at any time during the study
Who the study is looking for
- Is human immunodeficiency virus (HIV-1) positive
- Has been receiving continuous, stable oral 2-drug or 3-drug combination (± pharmacokinetic (PK) booster) 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 she is 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
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (78)
Sites in registry order. Save your city in your profile to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Melbourne Sexual Health Centre ( Site 2305) Coordinator of this site? Confirm its status | Carlton | Australia | Unknown status |
| Royal Brisbane and Womens Hospital- Infectious Diseases Unit ( Site 2309) Coordinator of this site? Confirm its status | Herston | Australia | Unknown status |
| Fiona Stanley Hospital ( Site 2301) Coordinator of this site? Confirm its status | Murdoch | Australia | Unknown status |
| Holdsworth House Medical Practice ( Site 2300) Coordinator of this site? Confirm its status | Sydney | Australia | Unknown status |
| Southern Alberta HIV Clinic ( Site 1108) Coordinator of this site? Confirm its status | Calgary | Canada | Unknown status |
| Hamilton Health Sciences ( Site 1103) Coordinator of this site? Confirm its status | Hamilton | Canada | Unknown status |
| Clinique Medicale L Actuel ( Site 1114) Coordinator of this site? Confirm its status | Montreal | Canada | Unknown status |
| Clinique de Medecine Urbaine du Quartier Latin ( Site 1104) Coordinator of this site? Confirm its status | Montreal | Canada | Unknown status |
| Maple Leaf Research ( Site 1112) Coordinator of this site? Confirm its status | Toronto | Canada | Unknown status |
| Toronto General Hospital - University Health Network ( Site 1105) Coordinator of this site? Confirm its status | Toronto | Canada | Unknown status |
| Vancouver ID Research and Care Centre Society ( Site 1100) Coordinator of this site? Confirm its status | Vancouver | Canada | Unknown status |
| Universitaetsspital Basel ( Site 3302) Coordinator of this site? Confirm its status | Basel | Switzerland | Unknown status |
| Inselspital Universitaetsspital Bern ( Site 3303) Coordinator of this site? Confirm its status | Bern | Switzerland | Unknown status |
| Hopitaux Universitaires de Geneve HUG. ( Site 3304) Coordinator of this site? Confirm its status | Geneva | Switzerland | Unknown status |
| Ospedale Regionale di Lugano Civico ( Site 3305) Coordinator of this site? Confirm its status | Lugano | Switzerland | Unknown status |
| Kantonsspital St. Gallen ( Site 3301) Coordinator of this site? Confirm its status | Sankt Gallen | Switzerland | Unknown status |
| Universitaetsspital Zuerich ( Site 3300) Coordinator of this site? Confirm its status | Zurich | Switzerland | Unknown status |
| Clinica Arauco Salud ( Site 1300) Coordinator of this site? Confirm its status | Santiago | Chile | Unknown status |
| Centro de Investigacion Clinica UC CICUC ( Site 1303) Coordinator of this site? Confirm its status | Santiago | Chile | Unknown status |
| Hospital Dr. Hernan Henriquez Aravena ( Site 1305) Coordinator of this site? Confirm its status | Temuco | Chile | Unknown status |
| Fundacion Valle del Lili ( Site 1201) Coordinator of this site? Confirm its status | Cali | Colombia | Unknown status |
| Hospital Universitari Germans Trias i Pujol ( Site 1606) Coordinator of this site? Confirm its status | Badalona | Spain | Unknown status |
| Hospital Clinic i Provincial ( Site 1600) Coordinator of this site? Confirm its status | Barcelona | Spain | Unknown status |
| Hospital General de Elche ( Site 1608) Coordinator of this site? Confirm its status | Elche | Spain | Unknown status |
| Hospital Universitario Infanta Leonor ( Site 1601) Coordinator of this site? Confirm its status | Madrid | Spain | Unknown status |
| Hospital Universitario Fundacion Jimenez Diaz ( Site 1602) Coordinator of this site? Confirm its status | Madrid | Spain | Unknown status |
| Hospital Universitario La Paz ( Site 1604) Coordinator of this site? Confirm its status | Madrid | Spain | Unknown status |
| Hospital General Universitario Gregorio Maranon ( Site 1603) Coordinator of this site? Confirm its status | Madrid | Spain | Unknown status |
| CHU de Bordeaux- Hopital Saint Andre ( Site 2015) Coordinator of this site? Confirm its status | Bordeaux | France | Unknown status |
| Hopital Francois Mitterrand ( Site 2019) Coordinator of this site? Confirm its status | Dijon | France | Unknown status |
| Hopital de la Croix-Rousse ( Site 2027) Coordinator of this site? Confirm its status | Lyon | France | Unknown status |
| CHU Hotel Dieu Nantes ( Site 2020) Coordinator of this site? Confirm its status | Nantes | France | Unknown status |
| A.P.H. Paris, Hopital Saint Louis ( Site 2014) Coordinator of this site? Confirm its status | Paris | France | Unknown status |
| CHU de Rouen ( Site 2005) Coordinator of this site? Confirm its status | Rouen | France | Unknown status |
| CHU de Toulouse - Hopital Purpan ( Site 2004) Coordinator of this site? Confirm its status | Toulouse | France | Unknown status |
| Brighton and Sussex University Hospital NHS Trust ( Site 1908) Coordinator of this site? Confirm its status | Brighton | United Kingdom | Unknown status |
| Southmead Hospital ( Site 1910) Coordinator of this site? Confirm its status | Bristol | United Kingdom | Unknown status |
| Kings College Hospital NHS Foundation Trust ( Site 1907) Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| Royal Free Hospital ( Site 1904) Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| North Manchester General Hospital ( Site 1902) Coordinator of this site? Confirm its status | Manchester | United Kingdom | Unknown status |
| ASST Fatebenefratelli-Ospedale Sacco ( Site 2200) Coordinator of this site? Confirm its status | Milan | Italy | Unknown status |
| A.O.U. Universita degli Studi della Campania-Luigi Vanvitelli ( Site 2208) Coordinator of this site? Confirm its status | Naples | Italy | Unknown status |
| Policlinico Gemelli Instituto di Clinica Chirurgica ( Site 2206) Coordinator of this site? Confirm its status | Roma | Italy | Unknown status |
| National Hospital Organization Nagoya Medical Center ( Site 2403) Coordinator of this site? Confirm its status | Nagoya | Japan | Unknown status |
| National Hospital Organization Osaka National Hospital ( Site 2402) Coordinator of this site? Confirm its status | Osaka | Japan | Unknown status |
| Center Hospital of the National Center for Global Health and Medicine ( Site 2401) Coordinator of this site? Confirm its status | Tokyo | Japan | Unknown status |
| Tokyo Medical University Hospital ( Site 2404) Coordinator of this site? Confirm its status | Tokyo | Japan | Unknown status |
| Tokyo Metropolitan Komagome Hospital ( Site 2406) Coordinator of this site? Confirm its status | Tokyo | Japan | Unknown status |
| Christchurch Hospital ( Site 2303) Coordinator of this site? Confirm its status | Christchurch | New Zealand | Unknown status |
| Wojewodzki Szpital Specjalistyczny im. dr. Wladyslawa Bieganskiego ( Site 1503) Coordinator of this site? Confirm its status | Lodz-Baluty | Poland | Unknown status |
| SP ZOZ Wojewodzki Szpital Zakazny ( Site 1505) Coordinator of this site? Confirm its status | Warsaw | Poland | Unknown status |
| EMC Instytut Medyczny SA Przychodnia przy ul. Lowieckiej we Wroclawiu ( Site 1500) Coordinator of this site? Confirm its status | Wroclaw | Poland | Unknown status |
| Wroclawskie Centrum Zdrowia SP ZOZ ( Site 1507) Coordinator of this site? Confirm its status | Wroclaw | Poland | Unknown status |
| Republican Clinical Hospital of Infectious Diseases n. a. A.F.Agafonov ( Site 1707) Coordinator of this site? Confirm its status | Kazan' | Russia | Unknown status |
| Kemerovo Regional Center for the Prevention and Control of AIDS ( Site 1713) Coordinator of this site? Confirm its status | Kemerovo | Russia | Unknown status |
| Krasnoyarsk Regional Center for Prevention and Control of AIDS ( Site 1712) Coordinator of this site? Confirm its status | Krasnoyarsk | Russia | Unknown status |
| Federal Scientific Methodological AIDS Prevention and Control Center ( Site 1703) Coordinator of this site? Confirm its status | Moscow | Russia | Unknown status |
| Infectious Clinical Hospital #2 ( Site 1719) Coordinator of this site? Confirm its status | Moscow | Russia | Unknown status |
| Saint Petersburg Center for Prophylactic of AIDS and Inf. Diseases ( Site 1701) Coordinator of this site? Confirm its status | Saint Petersburg | Russia | Unknown status |
| FGU Republican Clinical Infectious Hospital of Roszdrav ( Site 1700) Coordinator of this site? Confirm its status | Saint Petersburg | Russia | Unknown status |
| Regional Center for Prevent. and Control of AIDS and Inf. Diseases ( Site 1715) Coordinator of this site? Confirm its status | Yekaterinburg | Russia | Unknown status |
| Saint Hope Foundation, Inc. ( Site 1037) Coordinator of this site? Confirm its status | Bellaire | United States | Unknown status |
| University of North Carolina at Chapel Hill ( Site 1042) Coordinator of this site? Confirm its status | Chapel Hill | United States | Unknown status |
| Northstar Healthcare ( Site 1002) Coordinator of this site? Confirm its status | Chicago | United States | Unknown status |
| North Texas ID Consultants, PA ( Site 1003) Coordinator of this site? Confirm its status | Dallas | United States | Unknown status |
| Texas Centers for Infectious Disease Associates P.A. ( Site 1022) Coordinator of this site? Confirm its status | Fort Worth | United States | Unknown status |
| Midway Immunology and Research ( Site 1030) Coordinator of this site? Confirm its status | Ft. Pierce | United States | Unknown status |
| ID Care ( Site 1023) Coordinator of this site? Confirm its status | Hillsborough | United States | Unknown status |
| The Crofoot Research Center, Inc. ( Site 1005) Coordinator of this site? Confirm its status | Houston | United States | Unknown status |
| Kansas City CARE Health Center ( Site 1008) Coordinator of this site? Confirm its status | Kansas City | United States | Unknown status |
| Orlando Immunology Center ( Site 1007) Coordinator of this site? Confirm its status | Orlando | United States | Unknown status |
| Bliss Healthcare Services ( Site 1025) Coordinator of this site? Confirm its status | Orlando | United States | Unknown status |
| University of Pennsylvania ( Site 1038) Coordinator of this site? Confirm its status | Philadelphia | United States | Unknown status |
| Chatham County Health Department ( Site 1043) Coordinator of this site? Confirm its status | Savannah | United States | Unknown status |
| Georgetown University Hospital ( Site 1018) Coordinator of this site? Confirm its status | Washington D.C. | United States | Unknown status |
| Triple O Research Institute, P.A. ( Site 1026) Coordinator of this site? Confirm its status | West Palm Beach | United States | Unknown status |
| JOSHA Research ( Site 1406) Coordinator of this site? Confirm its status | Bloemfontein | South Africa | Unknown status |
| Desmond Tutu HIV Foundation Clinical Trial Unit ( Site 1414) Coordinator of this site? Confirm its status | Cape Town | South Africa | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.