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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

Full criteria on ClinicalTrials.gov

Sites (49)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Holdsworth House Medical Practice - Brisbane ( Site 6201)
Coordinator of this site? Confirm its status
BrisbaneAustraliaUnknown status
Royal Brisbane and Women's Hospital-Infectious Diseases Research ( Site 6204)
Coordinator of this site? Confirm its status
BrisbaneAustraliaUnknown status
Holdsworth House Medical Practice ( Site 6200)
Coordinator of this site? Confirm its status
DarlinghurstAustraliaUnknown status
Prahran Market Clinic ( Site 6202)
Coordinator of this site? Confirm its status
MelbourneAustraliaUnknown status
St Vincent's Hospital-IBAC ( Site 6203)
Coordinator of this site? Confirm its status
SydneyAustraliaUnknown status
Universidad de Chile - Hospital Clínico Universidad de Chile-Inmunologia Alergia y VIH ( Site 2200)
Coordinator of this site? Confirm its status
SantiagoChileUnknown status
Clínica Universidad de Los Andes ( Site 2206)
Coordinator of this site? Confirm its status
SantiagoChileUnknown status
Clinica Universidad Catolica del Maule ( Site 2204)
Coordinator of this site? Confirm its status
TalcaChileUnknown status
Hospital hernan henriquez aravena de temuco-Unidad de Investigación Clínica ( Site 2205)
Coordinator of this site? Confirm its status
TemucoChileUnknown status
Queen Elizabeth Hospital Birmingham ( Site 5809)
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BirminghamUnited KingdomUnknown status
Southmead Hospital ( Site 5805)
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BristolUnited KingdomUnknown status
University Hospital of Wales ( Site 5803)
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CardiffUnited KingdomUnknown status
Royal Liverpool University Hospital ( Site 5812)
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LiverpoolUnited KingdomUnknown status
Royal London Hospital ( Site 5800)
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LondonUnited KingdomUnknown status
Royal Free Hospital ( Site 5801)
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LondonUnited KingdomUnknown status
Guy's & St Thomas' NHS Foundation Trust ( Site 5808)
Coordinator of this site? Confirm its status
LondonUnited KingdomUnknown status
The Mortimer Market Centre for Sexual Health and HIV Research ( Site 5810)
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LondonUnited KingdomUnknown status
Royal Berkshire Hospital ( Site 5813)
Coordinator of this site? Confirm its status
ReadingUnited KingdomUnknown status
Rambam Health Care Campus-Institute of Allergy, Clinical Immunology, ( Site 4801)
Coordinator of this site? Confirm its status
HaifaIsraelUnknown status
Hadassah Medical Center-Infecious Disease ( Site 4802)
Coordinator of this site? Confirm its status
JerusalemIsraelUnknown status
Sheba Medical Center-HIV unit ( Site 4803)
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Ramat GanIsraelUnknown status
Sourasky Medical Center ( Site 4804)
Coordinator of this site? Confirm its status
Tel AvivIsraelUnknown status
National Hospital Organization Nagoya Medical Center ( Site 6603)
Coordinator of this site? Confirm its status
NagoyaJapanUnknown status
National Hospital Organization - Osaka National Hospital - Institute For Clinical Research ( Site 66
Coordinator of this site? Confirm its status
OsakaJapanUnknown status
Center Hospital of the National Center for Global Health and Medicine ( Site 6601)
Coordinator of this site? Confirm its status
Shinjyuku-kuJapanUnknown status
Central Texas Clinical Research ( Site 1413)
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AustinUnited StatesUnknown status
St Hope Foundation ( Site 1410)
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BellaireUnited StatesUnknown status
Be Well Medical Center ( Site 1408)
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BerkleyUnited StatesUnknown status
Pacific Oaks Medical Group ( Site 1400)
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Beverly HillsUnited StatesUnknown status
AccessHealth MA ( Site 1419)
Coordinator of this site? Confirm its status
BostonUnited StatesUnknown status
North Texas Infectious Diseases Consultants, P.A ( Site 1404)
Coordinator of this site? Confirm its status
DallasUnited StatesUnknown status
Prism Health North Texas, Oak Cliff Health Center ( Site 1409)
Coordinator of this site? Confirm its status
DallasUnited StatesUnknown status
Infectious Disease Specialists of Atlanta ( Site 1403)
Coordinator of this site? Confirm its status
DecaturUnited StatesUnknown status
Therafirst Medical Center ( Site 1402)
Coordinator of this site? Confirm its status
Fort LauderdaleUnited StatesUnknown status
Texas Centers for Infectious Disease Associates ( Site 1406)
Coordinator of this site? Confirm its status
Fort WorthUnited StatesUnknown status
Midway Immunology and Research Center ( Site 1401)
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Ft. PierceUnited StatesUnknown status
Regional Center for Infectious Disease Research ( Site 1435)
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GreensboroUnited StatesUnknown status
The Crofoot Research Center ( Site 1424)
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HoustonUnited StatesUnknown status
KC CARE Health Center-Clinical Trials ( Site 1422)
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Kansas CityUnited StatesUnknown status
Las Vegas Research Center ( Site 1436)
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Las VegasUnited StatesUnknown status
DCOL Center for Clinical Research ( Site 1415)
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LongviewUnited StatesUnknown status
Mills Clinical Research ( Site 1433)
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Los AngelesUnited StatesUnknown status
Ruane Clinical Research Group, Inc ( Site 1414)
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Los AngelesUnited StatesUnknown status
Mercer University, Department of Internal Medicine ( Site 1411)
Coordinator of this site? Confirm its status
MaconUnited StatesUnknown status
AHF The Kinder Medical Group ( Site 1426)
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MiamiUnited StatesUnknown status
Orlando Immunology Center ( Site 1407)
Coordinator of this site? Confirm its status
OrlandoUnited StatesUnknown status
Pueblo Family Physicians ( Site 1425)
Coordinator of this site? Confirm its status
PhoenixUnited StatesUnknown status
Whitman-Walker Institute ( Site 1431)
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Washington D.C.United StatesUnknown status
Triple O Research Institute, P.A ( Site 1417)
Coordinator of this site? Confirm its status
West Palm BeachUnited StatesUnknown status

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This page is information, not medical advice. Discuss any trial with your doctor.