NCT05630755Active, not recruitingPhase 3
A Switch to Doravirine/Islatravir (DOR/ISL) in Participants With Human Immunodeficiency Virus Type 1 (HIV-1) Who Are Virologically Suppressed on Bictegravir/Emtricitabine/Tenofovir Alafenamide (BIC/FTC/TAF) (MK-8591A-052)
A Phase 3, Randomized, Active-Controlled, Double-Blind Clinical Study to Evaluate a Switch to Doravirine/Islatravir (DOR/ISL 100 mg/0.25 mg) Once-Daily in Participants With HIV-1 Who Are Virologically Suppressed on Bictegravir/Emtricitabine/Tenofovir Alafenamide (BIC/FTC/TAF)
Source: ClinicalTrials.gov · Last updated 18 Nov 2025
Brief summary (registry, in English)
The primary objectives of this study are to evaluate the antiretroviral activity of a switch to Doravirine/Islatravir (DOR/ISL) compared with continued Bictegravir/Emtricitabine/Tenofovir Alafenamide (BIC/FTC/TAF) at Week 48; and to evaluate the safety and tolerability of a switch to DOR/ISL compared with continued BIC/FTC/TAF, through Week 48. The primary hypotheses are that (1) DOR/ISL is non-inferior to continued BIC/FTC/TAF, as assessed by the percentage of participants with HIV-1 ribonucleic acid (RNA) ≥50 copies/mL at Week 48, with a margin of 4 percentage points used to define non-inferiority; and (2) DOR/ISL is superior to BIC/FTC/TAF, as assessed by the percentage of participants with HIV-1 RNA ≥50 copies/mL at Week 48.
- Status (registry)
- Active, not recruiting
- Phase (registry)
- Phase 3
- Study type
- Interventional
- Enrollment
- 514 (actual)
- First submitted
- 18 Nov 2022
- Start date
- 17 Feb 2023
- Primary completion date
- 25 Oct 2024
- Lead sponsor
- Merck Sharp & Dohme LLC
- Diseases
- HIV
- NCT number
- NCT05630755
- EU CT number
- 2022-502079-49-00
What you commit to
- Study type: Interventional · Phase 3
- Participants enrolled: 514
- From 17 Feb 2023 to the primary completion date, 25 Oct 2024
- 49 sites in 6 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
- Has a diagnosis of an active acquired immunodeficiency syndrome (AIDS)-defining opportunistic infection within 30 days prior to screening
- Is taking or is anticipated to require systemic immunosuppressive therapy, immune modulators, or strong and moderate cytochrome P450 3A (CYP3A) inducers
- Is currently participating in or has participated in a clinical study and received (or is receiving) an investigational compound or device from 45 days prior to Day 1 through the study treatment period except those currently enrolled in the comparator arm of an ongoing DOR/ISL study
Other illness
- Has HIV-2 infection
- Has active hepatitis B virus (HBV) infection
- Has taken long-acting HIV therapy at any time (e.g., cabotegravir, lenacapavir)
Lab values
- Has chronic hepatitis C virus (HCV) infection with laboratory values consistent with cirrhosis
Age
- Has a history of malignancy ≤5 years prior to providing documented 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 DOR
Who the study is looking for
- Is HIV-1 positive with plasma HIV-1 RNA \<50 copies/mL
- Has been receiving BIC/FTC/TAF therapy with documented viral suppression (HIV-1 RNA \<50 copies/mL) for ≥3 consecutive months prior to providing documented informed consent and has no history of prior virologic treatment failure on any past or current regimen
- Female is not a participant of childbearing potential (POCBP); or if a participant of childbearing potential, not pregnant or breastfeeding, and is willing to use an acceptable contraceptive method or abstain from heterosexual intercourse for study duration
Criteria the registry did not label
- The key inclusion and exclusion criteria include but are not limited to the following:
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (49)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Holdsworth House Medical Practice - Brisbane ( Site 6201) Coordinator of this site? Confirm its status | Brisbane | Australia | Unknown status |
| Royal Brisbane and Women's Hospital-Infectious Diseases Research ( Site 6204) Coordinator of this site? Confirm its status | Brisbane | Australia | Unknown status |
| Holdsworth House Medical Practice ( Site 6200) Coordinator of this site? Confirm its status | Darlinghurst | Australia | Unknown status |
| Prahran Market Clinic ( Site 6202) Coordinator of this site? Confirm its status | Melbourne | Australia | Unknown status |
| St Vincent's Hospital-IBAC ( Site 6203) Coordinator of this site? Confirm its status | Sydney | Australia | Unknown status |
| Universidad de Chile - Hospital Clínico Universidad de Chile-Inmunologia Alergia y VIH ( Site 2200) Coordinator of this site? Confirm its status | Santiago | Chile | Unknown status |
| Clínica Universidad de Los Andes ( Site 2206) Coordinator of this site? Confirm its status | Santiago | Chile | Unknown status |
| Clinica Universidad Catolica del Maule ( Site 2204) Coordinator of this site? Confirm its status | Talca | Chile | Unknown status |
| Hospital hernan henriquez aravena de temuco-Unidad de Investigación Clínica ( Site 2205) Coordinator of this site? Confirm its status | Temuco | Chile | Unknown status |
| Queen Elizabeth Hospital Birmingham ( Site 5809) Coordinator of this site? Confirm its status | Birmingham | United Kingdom | Unknown status |
| Southmead Hospital ( Site 5805) Coordinator of this site? Confirm its status | Bristol | United Kingdom | Unknown status |
| University Hospital of Wales ( Site 5803) Coordinator of this site? Confirm its status | Cardiff | United Kingdom | Unknown status |
| Royal Liverpool University Hospital ( Site 5812) Coordinator of this site? Confirm its status | Liverpool | United Kingdom | Unknown status |
| Royal London Hospital ( Site 5800) Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| Royal Free Hospital ( Site 5801) Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| Guy's & St Thomas' NHS Foundation Trust ( Site 5808) Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| The Mortimer Market Centre for Sexual Health and HIV Research ( Site 5810) Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| Royal Berkshire Hospital ( Site 5813) Coordinator of this site? Confirm its status | Reading | United Kingdom | Unknown status |
| Rambam Health Care Campus-Institute of Allergy, Clinical Immunology, ( Site 4801) Coordinator of this site? Confirm its status | Haifa | Israel | Unknown status |
| Hadassah Medical Center-Infecious Disease ( Site 4802) Coordinator of this site? Confirm its status | Jerusalem | Israel | Unknown status |
| Sheba Medical Center-HIV unit ( Site 4803) Coordinator of this site? Confirm its status | Ramat Gan | Israel | Unknown status |
| Sourasky Medical Center ( Site 4804) Coordinator of this site? Confirm its status | Tel Aviv | Israel | Unknown status |
| National Hospital Organization Nagoya Medical Center ( Site 6603) Coordinator of this site? Confirm its status | Nagoya | Japan | Unknown status |
| National Hospital Organization - Osaka National Hospital - Institute For Clinical Research ( Site 66 Coordinator of this site? Confirm its status | Osaka | Japan | Unknown status |
| Center Hospital of the National Center for Global Health and Medicine ( Site 6601) Coordinator of this site? Confirm its status | Shinjyuku-ku | Japan | Unknown status |
| Central Texas Clinical Research ( Site 1413) Coordinator of this site? Confirm its status | Austin | United States | Unknown status |
| St Hope Foundation ( Site 1410) Coordinator of this site? Confirm its status | Bellaire | United States | Unknown status |
| Be Well Medical Center ( Site 1408) Coordinator of this site? Confirm its status | Berkley | United States | Unknown status |
| Pacific Oaks Medical Group ( Site 1400) Coordinator of this site? Confirm its status | Beverly Hills | United States | Unknown status |
| AccessHealth MA ( Site 1419) Coordinator of this site? Confirm its status | Boston | United States | Unknown status |
| North Texas Infectious Diseases Consultants, P.A ( Site 1404) Coordinator of this site? Confirm its status | Dallas | United States | Unknown status |
| Prism Health North Texas, Oak Cliff Health Center ( Site 1409) Coordinator of this site? Confirm its status | Dallas | United States | Unknown status |
| Infectious Disease Specialists of Atlanta ( Site 1403) Coordinator of this site? Confirm its status | Decatur | United States | Unknown status |
| Therafirst Medical Center ( Site 1402) Coordinator of this site? Confirm its status | Fort Lauderdale | United States | Unknown status |
| Texas Centers for Infectious Disease Associates ( Site 1406) Coordinator of this site? Confirm its status | Fort Worth | United States | Unknown status |
| Midway Immunology and Research Center ( Site 1401) Coordinator of this site? Confirm its status | Ft. Pierce | United States | Unknown status |
| Regional Center for Infectious Disease Research ( Site 1435) Coordinator of this site? Confirm its status | Greensboro | United States | Unknown status |
| The Crofoot Research Center ( Site 1424) Coordinator of this site? Confirm its status | Houston | United States | Unknown status |
| KC CARE Health Center-Clinical Trials ( Site 1422) Coordinator of this site? Confirm its status | Kansas City | United States | Unknown status |
| Las Vegas Research Center ( Site 1436) Coordinator of this site? Confirm its status | Las Vegas | United States | Unknown status |
| DCOL Center for Clinical Research ( Site 1415) Coordinator of this site? Confirm its status | Longview | United States | Unknown status |
| Mills Clinical Research ( Site 1433) Coordinator of this site? Confirm its status | Los Angeles | United States | Unknown status |
| Ruane Clinical Research Group, Inc ( Site 1414) Coordinator of this site? Confirm its status | Los Angeles | United States | Unknown status |
| Mercer University, Department of Internal Medicine ( Site 1411) Coordinator of this site? Confirm its status | Macon | United States | Unknown status |
| AHF The Kinder Medical Group ( Site 1426) Coordinator of this site? Confirm its status | Miami | United States | Unknown status |
| Orlando Immunology Center ( Site 1407) Coordinator of this site? Confirm its status | Orlando | United States | Unknown status |
| Pueblo Family Physicians ( Site 1425) Coordinator of this site? Confirm its status | Phoenix | United States | Unknown status |
| Whitman-Walker Institute ( Site 1431) Coordinator of this site? Confirm its status | Washington D.C. | United States | Unknown status |
| Triple O Research Institute, P.A ( Site 1417) Coordinator of this site? Confirm its status | West Palm Beach | United States | Unknown status |
Related publications
- Switching to Daily Doravirine/Islatravir (100/0.25 mg) Maintains Viral Suppression Through Week 48 Despite Baseline Non-Nucleoside Reverse Transcriptase Inhibitor Resistance-Associated Mutations or M184I/V in Proviral DNA.J Infect Dis · 2026 · PMID 42213454
- Switch to fixed-dose doravirine (100 mg) and islatravir (0·25 mg) once daily in virologically suppressed adults with HIV-1 on bictegravir, emtricitabine, and tenofovir alafenamide: 48-week results of a phase 3, multicentre, randomised, controlled, double-blind, non-inferiority trial.Lancet · 2026 · PMID 41654375
This page is information, not medical advice. Discuss any trial with your doctor.