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Safety and Efficacy of a Switch to Doravirine/Islatravir in Participants With HIV-1 (MK-8591A-017)

Primary Purpose

HIV Infection

Status
Active
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
DOR/ISL
ART
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infection

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Is 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.
  • Female is 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

Exclusion Criteria:

  • 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
  • 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 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
  • Has a documented or known virologic resistance to DOR
  • Female expects to conceive or donate eggs at any time during the study

Sites / Locations

  • Georgetown University Hospital ( Site 1018)
  • Midway Immunology and Research ( Site 1030)
  • Orlando Immunology Center ( Site 1007)
  • Bliss Healthcare Services ( Site 1025)
  • Triple O Research Institute, P.A. ( Site 1026)
  • Chatham County Health Department ( Site 1043)
  • Northstar Healthcare ( Site 1002)
  • Kansas City CARE Health Center ( Site 1008)
  • ID Care ( Site 1023)
  • University of North Carolina at Chapel Hill ( Site 1042)
  • University of Pennsylvania ( Site 1038)
  • Saint Hope Foundation, Inc. ( Site 1037)
  • North Texas ID Consultants, PA ( Site 1003)
  • Texas Centers for Infectious Disease Associates P.A. ( Site 1022)
  • The Crofoot Research Center, Inc. ( Site 1005)
  • Holdsworth House Medical Practice ( Site 2300)
  • Royal Brisbane and Womens Hospital- Infectious Diseases Unit ( Site 2309)
  • Melbourne Sexual Health Centre ( Site 2305)
  • Fiona Stanley Hospital ( Site 2301)
  • Southern Alberta HIV Clinic ( Site 1108)
  • Vancouver ID Research and Care Centre Society ( Site 1100)
  • Hamilton Health Sciences ( Site 1103)
  • Maple Leaf Research ( Site 1112)
  • Toronto General Hospital - University Health Network ( Site 1105)
  • Clinique de Medecine Urbaine du Quartier Latin ( Site 1104)
  • Clinique Medicale L Actuel ( Site 1114)
  • Hospital Dr. Hernan Henriquez Aravena ( Site 1305)
  • Clinica Arauco Salud ( Site 1300)
  • Centro de Investigacion Clinica UC CICUC ( Site 1303)
  • Fundacion Valle del Lili ( Site 1201)
  • Hopital Francois Mitterrand ( Site 2019)
  • CHU de Bordeaux- Hopital Saint Andre ( Site 2015)
  • CHU de Toulouse - Hopital Purpan ( Site 2004)
  • CHU Hotel Dieu Nantes ( Site 2020)
  • Hopital de la Croix-Rousse ( Site 2027)
  • CHU de Rouen ( Site 2005)
  • A.P.H. Paris, Hopital Saint Louis ( Site 2014)
  • ASST Fatebenefratelli-Ospedale Sacco ( Site 2200)
  • A.O.U. Universita degli Studi della Campania-Luigi Vanvitelli ( Site 2208)
  • Policlinico Gemelli Instituto di Clinica Chirurgica ( Site 2206)
  • National Hospital Organization Nagoya Medical Center ( Site 2403)
  • National Hospital Organization Osaka National Hospital ( Site 2402)
  • Tokyo Metropolitan Komagome Hospital ( Site 2406)
  • Tokyo Medical University Hospital ( Site 2404)
  • Center Hospital of the National Center for Global Health and Medicine ( Site 2401)
  • Christchurch Hospital ( Site 2303)
  • EMC Instytut Medyczny SA Przychodnia przy ul. Lowieckiej we Wroclawiu ( Site 1500)
  • Wojewodzki Szpital Specjalistyczny im. dr. Wladyslawa Bieganskiego ( Site 1503)
  • SP ZOZ Wojewodzki Szpital Zakazny ( Site 1505)
  • Wroclawskie Centrum Zdrowia SP ZOZ ( Site 1507)
  • Kemerovo Regional Center for the Prevention and Control of AIDS ( Site 1713)
  • Krasnoyarsk Regional Center for Prevention and Control of AIDS ( Site 1712)
  • Saint Petersburg Center for Prophylactic of AIDS and Inf. Diseases ( Site 1701)
  • Federal Scientific Methodological AIDS Prevention and Control Center ( Site 1703)
  • Infectious Clinical Hospital #2 ( Site 1719)
  • FGU Republican Clinical Infectious Hospital of Roszdrav ( Site 1700)
  • Regional Center for Prevent. and Control of AIDS and Inf. Diseases ( Site 1715)
  • Republican Clinical Hospital of Infectious Diseases n. a. A.F.Agafonov ( Site 1707)
  • JOSHA Research ( Site 1406)
  • Desmond Tutu HIV Foundation Clinical Trial Unit ( Site 1414)
  • Hospital General de Elche ( Site 1608)
  • Hospital Universitari Germans Trias i Pujol ( Site 1606)
  • Hospital Clinic i Provincial ( Site 1600)
  • Hospital General Universitario Gregorio Maranon ( Site 1603)
  • Hospital Universitario Infanta Leonor ( Site 1601)
  • Hospital Universitario Fundacion Jimenez Diaz ( Site 1602)
  • Hospital Universitario La Paz ( Site 1604)
  • Universitaetsspital Basel ( Site 3302)
  • Inselspital Universitaetsspital Bern ( Site 3303)
  • Hopitaux Universitaires de Geneve HUG. ( Site 3304)
  • Kantonsspital St. Gallen ( Site 3301)
  • Ospedale Regionale di Lugano Civico ( Site 3305)
  • Universitaetsspital Zuerich ( Site 3300)
  • Brighton and Sussex University Hospital NHS Trust ( Site 1908)
  • Southmead Hospital ( Site 1910)
  • Royal Free Hospital ( Site 1904)
  • Kings College Hospital NHS Foundation Trust ( Site 1907)
  • North Manchester General Hospital ( Site 1902)

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Doravirine/Islatravir (DOR/ISL)

Baseline Background Antiretroviral Therapy (ART)

Arm Description

Participants who were previously treated with continuous background antiretroviral therapy (ART) will receive DOR/ISL, a fixed dose combination (FDC) of 100 mg doravirine (DOR)/0.75 mg islatravir (ISL) orally once daily for 96 weeks.

Participants will receive continuous background ART for 48 weeks and DOR/ISL, a FDC of 100 mg DOR/0.75 mg ISL orally once daily for 48 weeks.

Outcomes

Primary Outcome Measures

Percentage of Participants With Human Immunodeficiency Virus (HIV)-1 Ribonucleic Acid (RNA) ≥50 Copies/mL at Week 48
HIV-1 RNA levels in blood samples taken at each visit were measured by the Abbott RealTime polymerase chain reaction (PCR) assay with a reliable lower limit of quantification of 40 copies/mL. The percentage of participants with HIV-1 RNA ≥50 copies/mL at Week 48 is presented using the FDA Snapshot missing data approach.
Percentage of Participants With One or More Adverse Events (AEs) up to Week 48
An AE was defined as 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 percentage of participants who experienced at least one AE was reported.
Percentage of Participants Who Discontinued Study Intervention up to Week 48
An AE was defined as 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 percentage of participants who discontinued study intervention due to an AE was reported.

Secondary Outcome Measures

Percentage of Participants With HIV-1 RNA <40 or <50 Copies/mL at Week 48
HIV-1 RNA levels in blood samples taken at each visit were measured by the Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL. The percentage of participants with HIV-1 RNA <40 copies/mL or <50 copies/mL at Week 48 is presented using the FDA Snapshot missing data approach.
Percentage of Participants With HIV-1 RNA ≥50 Copies/mL, <40 Copies/mL or <50 Copies/mL From Week 48 to Week 96
HIV-1 RNA levels in blood samples taken at each visit will be measured by the Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL. The percentage of participants with HIV-1 RNA ≥50 copies/mL, <40 copies/mL, or <50 copies/mL from Week 48 to Week 96 will be presented using the FDA Snapshot missing data approach.
Percentage of Participants With HIV-1 RNA ≥50 Copies/mL, <40 Copies/mL or <50 Copies/mL at Week 96
HIV-1 RNA levels in blood samples taken at each visit will be measured by the Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL. The percentage of participants with HIV-1 RNA ≥50 copies/mL, <40 copies/mL, or <50 copies/mL at Week 96 will be presented using the FDA Snapshot missing data approach.
Percentage Change From Baseline in CD4+ T-cell Count at Week 48
Plasma CD4+ T-Cell Count was measured in cells/mm^3 for baseline and 48 weeks. Baseline measurements were defined as the Day 1 value of each participant. The percentage change from baseline to Week 48 is presented.
Percentage Change From Baseline in CD4+ T-cell Count at Week 96
Plasma CD4+ T-Cell Count will be measured in cells/mm^3 for baseline and 96 weeks. Baseline measurements will be defined as the Day 1 value of each participant. The percentage change from baseline to Week 96 will be presented.
Percentage Change From Week 48 in CD4+ T-cell Count at Week 96
Plasma CD4+ T-Cell Count will be measured in cells/mm^3 for Week 48 and Week 96. The percentage change from Week 48 to Week 96 will be presented.
Percentage of Participants With Evidence of Viral Drug Resistance-associated Substitutions at Week 48
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 demonstrated drug resistance at Week 48 is presented.
Percentage 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 will be presented.
Change From Baseline to Week 24 in Fasting Lipids in Participants on Protease Inhibitor (PI)-Containing Regimens (Including PI- and Integrase Strand Transferase Inhibitor [InSTI]-Containing Regimens)
Blood serum samples were taken at baseline and Week 24. Per protocol, this outcome analysis was conducted in participants on PI-containing regimens (including PI- and InSTI-containing regimens), excluding participants who took lipid-lowering therapy during the study. The fasting lipids consisted of fasting cholesterol, fasting high density lipoprotein (HDL) cholesterol, fasting low density lipoprotein (LDL) cholesterol, fasting non-HDL cholesterol, and fasting triglycerides. The mean change from baseline to Week 24 in fasting lipids is presented.
Change From Baseline to Week 24 in Fasting Lipids in Participants on InSTI-based Regimens (Non-PI Containing Regimens)
Blood serum samples were taken at baseline and Week 24. Per protocol, this outcome analysis was conducted in participants on InSTI-based regimens (non-PI containing regimens), excluding participants who took lipid-lowering therapy during the study. The fasting lipids consisted of fasting cholesterol, fasting HDL cholesterol, fasting LDL cholesterol, fasting non-HDL cholesterol, and fasting triglycerides. The mean change from baseline to Week 24 in fasting lipids is presented.
Change From Baseline to Week 24 in Fasting Lipids in Participants on All Other Non-PI- and Non-InSTI Containing Regimens
Blood serum samples were taken at baseline and Week 24. Per protocol, this outcome analysis was conducted in participants on all other non-PI- and non-InSTI containing regimens, excluding participants who took lipid-lowering therapy during the study. The fasting lipids consisted of fasting cholesterol, fasting HDL cholesterol, fasting LDL cholesterol, fasting non-HDL cholesterol, and fasting triglycerides. The mean change from baseline to Week 24 in fasting lipids is presented.
Change From Baseline to Week 48 in Fasting Lipids in Participants on Protease Inhibitor (PI)-Containing Regimens (Including PI- and Integrase Strand Transferase Inhibitor [InSTI]-Containing Regimens)
Blood serum samples were taken at baseline and Week 48. Per protocol, this outcome analysis was conducted in participants on PI-containing regimens (including PI- and InSTI-containing regimens), excluding participants who took lipid-lowering therapy during the study. The fasting lipids consisted of fasting cholesterol, fasting high density lipoprotein (HDL) cholesterol, fasting low density lipoprotein (LDL) cholesterol, fasting non-HDL cholesterol, and fasting triglycerides. The mean change from baseline to Week 48 in fasting lipids is presented.
Change From Baseline to Week 48 in Fasting Lipids in Participants on InSTI-based Regimens (Non-PI Containing Regimens)
Blood serum samples were taken at baseline and Week 48. Per protocol, this outcome analysis was conducted in participants on InSTI-based regimens (non-PI containing regimens), excluding participants who took lipid-lowering therapy during the study. The fasting lipids consisted of fasting cholesterol, fasting HDL cholesterol, fasting LDL cholesterol, fasting non-HDL cholesterol, and fasting triglycerides. The mean change from baseline to Week 48 in fasting lipids is presented.
Change From Baseline to Week 48 in Fasting Lipids in Participants on All Other Non-PI- and Non-InSTI Containing Regimens
Blood serum samples were taken at baseline and Week 48. Per protocol, this outcome analysis was conducted in participants on all other non-PI- and non-InSTI containing regimens, excluding participants who took lipid-lowering therapy during the study. The fasting lipids consisted of fasting cholesterol, fasting HDL cholesterol, fasting LDL cholesterol, fasting non-HDL cholesterol, and fasting triglycerides. The mean change from baseline to Week 48 in fasting lipids is presented.
Change From Baseline in Body Weight at Week 48 for InSTI-based Regimens (Non-PI-containing Regimens)
Baseline measurements were defined as the Day 1 value of each participant. The change from baseline to Week 48 is presented for participants who received InSTI- based regimens.
Percentage of Participants With One or More AEs up to Week 96
An AE is defined as 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 percentage of participants who experience at least one AE will be reported.
Percentage of Participants Who Discontinued Study Intervention up to Week 96
An AE is defined as 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 percentage of participants who discontinue study intervention due to an AE will be reported.
Percentage of Participants With One or More AEs From Week 48 to Week 96
An AE is defined as 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 percentage of participants who experience at least one AE will be reported.
Percentage of Participants Who Discontinued Study Intervention From Week 48 to Week 96
An AE is defined as 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 percentage of participants who discontinue study intervention due to an AE will be reported.

Full Information

First Posted
January 8, 2020
Last Updated
November 3, 2022
Sponsor
Merck Sharp & Dohme LLC
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1. Study Identification

Unique Protocol Identification Number
NCT04223778
Brief Title
Safety and Efficacy of a Switch to Doravirine/Islatravir in Participants With HIV-1 (MK-8591A-017)
Official Title
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
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
February 18, 2020 (Actual)
Primary Completion Date
September 8, 2021 (Actual)
Study Completion Date
March 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Merck Sharp & Dohme LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
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 background 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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
672 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Doravirine/Islatravir (DOR/ISL)
Arm Type
Experimental
Arm Description
Participants who were previously treated with continuous background antiretroviral therapy (ART) will receive DOR/ISL, a fixed dose combination (FDC) of 100 mg doravirine (DOR)/0.75 mg islatravir (ISL) orally once daily for 96 weeks.
Arm Title
Baseline Background Antiretroviral Therapy (ART)
Arm Type
Active Comparator
Arm Description
Participants will receive continuous background ART for 48 weeks and DOR/ISL, a FDC of 100 mg DOR/0.75 mg ISL orally once daily for 48 weeks.
Intervention Type
Drug
Intervention Name(s)
DOR/ISL
Other Intervention Name(s)
MK-8591A
Intervention Description
A FDC of 100 mg DOR/ 0.75 mg ISL taken in tablet form, orally, once daily
Intervention Type
Drug
Intervention Name(s)
ART
Intervention Description
Baseline background ART regimen will be administered as per approved label. ART medication will not be provided by the Sponsor; participants will provide their own ART medications. Allowed drug classes include nucleoside analog reverse transcriptase inhibitors (NRTIs), non-nucleoside reverse transcriptase inhibitors (NNRTIs), protease inhibitors (PIs), integrase strand transferase inhibitors (InSTIs), fusion inhibitors, chemokine receptor 5 (CCR5) antagonists, post-attachment inhibitor, and pharmacokinetic (PK) boosters.
Primary Outcome Measure Information:
Title
Percentage of Participants With Human Immunodeficiency Virus (HIV)-1 Ribonucleic Acid (RNA) ≥50 Copies/mL at Week 48
Description
HIV-1 RNA levels in blood samples taken at each visit were measured by the Abbott RealTime polymerase chain reaction (PCR) assay with a reliable lower limit of quantification of 40 copies/mL. The percentage of participants with HIV-1 RNA ≥50 copies/mL at Week 48 is presented using the FDA Snapshot missing data approach.
Time Frame
Week 48
Title
Percentage of Participants With One or More Adverse Events (AEs) up to Week 48
Description
An AE was defined as 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 percentage of participants who experienced at least one AE was reported.
Time Frame
Up to ~48 Weeks
Title
Percentage of Participants Who Discontinued Study Intervention up to Week 48
Description
An AE was defined as 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 percentage of participants who discontinued study intervention due to an AE was reported.
Time Frame
Up to ~48 Weeks
Secondary Outcome Measure Information:
Title
Percentage of Participants With HIV-1 RNA <40 or <50 Copies/mL at Week 48
Description
HIV-1 RNA levels in blood samples taken at each visit were measured by the Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL. The percentage of participants with HIV-1 RNA <40 copies/mL or <50 copies/mL at Week 48 is presented using the FDA Snapshot missing data approach.
Time Frame
Week 48
Title
Percentage of Participants With HIV-1 RNA ≥50 Copies/mL, <40 Copies/mL or <50 Copies/mL From Week 48 to Week 96
Description
HIV-1 RNA levels in blood samples taken at each visit will be measured by the Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL. The percentage of participants with HIV-1 RNA ≥50 copies/mL, <40 copies/mL, or <50 copies/mL from Week 48 to Week 96 will be presented using the FDA Snapshot missing data approach.
Time Frame
Weeks 48-96 (up to ~48 weeks)
Title
Percentage of Participants With HIV-1 RNA ≥50 Copies/mL, <40 Copies/mL or <50 Copies/mL at Week 96
Description
HIV-1 RNA levels in blood samples taken at each visit will be measured by the Abbott RealTime PCR assay with a reliable lower limit of quantification of 40 copies/mL. The percentage of participants with HIV-1 RNA ≥50 copies/mL, <40 copies/mL, or <50 copies/mL at Week 96 will be presented using the FDA Snapshot missing data approach.
Time Frame
Week 96
Title
Percentage Change From Baseline in CD4+ T-cell Count at Week 48
Description
Plasma CD4+ T-Cell Count was measured in cells/mm^3 for baseline and 48 weeks. Baseline measurements were defined as the Day 1 value of each participant. The percentage change from baseline to Week 48 is presented.
Time Frame
Baseline and Week 48
Title
Percentage Change From Baseline in CD4+ T-cell Count at Week 96
Description
Plasma CD4+ T-Cell Count will be measured in cells/mm^3 for baseline and 96 weeks. Baseline measurements will be defined as the Day 1 value of each participant. The percentage change from baseline to Week 96 will be presented.
Time Frame
Baseline and Week 96
Title
Percentage Change From Week 48 in CD4+ T-cell Count at Week 96
Description
Plasma CD4+ T-Cell Count will be measured in cells/mm^3 for Week 48 and Week 96. The percentage change from Week 48 to Week 96 will be presented.
Time Frame
Week 48 and Week 96
Title
Percentage of Participants With Evidence of Viral Drug Resistance-associated Substitutions at Week 48
Description
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 demonstrated drug resistance at Week 48 is presented.
Time Frame
Week 48
Title
Percentage of Participants With Evidence of Viral Drug Resistance-associated Substitutions at Week 96
Description
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 will be presented.
Time Frame
Week 96
Title
Change From Baseline to Week 24 in Fasting Lipids in Participants on Protease Inhibitor (PI)-Containing Regimens (Including PI- and Integrase Strand Transferase Inhibitor [InSTI]-Containing Regimens)
Description
Blood serum samples were taken at baseline and Week 24. Per protocol, this outcome analysis was conducted in participants on PI-containing regimens (including PI- and InSTI-containing regimens), excluding participants who took lipid-lowering therapy during the study. The fasting lipids consisted of fasting cholesterol, fasting high density lipoprotein (HDL) cholesterol, fasting low density lipoprotein (LDL) cholesterol, fasting non-HDL cholesterol, and fasting triglycerides. The mean change from baseline to Week 24 in fasting lipids is presented.
Time Frame
Baseline and Week 24
Title
Change From Baseline to Week 24 in Fasting Lipids in Participants on InSTI-based Regimens (Non-PI Containing Regimens)
Description
Blood serum samples were taken at baseline and Week 24. Per protocol, this outcome analysis was conducted in participants on InSTI-based regimens (non-PI containing regimens), excluding participants who took lipid-lowering therapy during the study. The fasting lipids consisted of fasting cholesterol, fasting HDL cholesterol, fasting LDL cholesterol, fasting non-HDL cholesterol, and fasting triglycerides. The mean change from baseline to Week 24 in fasting lipids is presented.
Time Frame
Baseline and Week 24
Title
Change From Baseline to Week 24 in Fasting Lipids in Participants on All Other Non-PI- and Non-InSTI Containing Regimens
Description
Blood serum samples were taken at baseline and Week 24. Per protocol, this outcome analysis was conducted in participants on all other non-PI- and non-InSTI containing regimens, excluding participants who took lipid-lowering therapy during the study. The fasting lipids consisted of fasting cholesterol, fasting HDL cholesterol, fasting LDL cholesterol, fasting non-HDL cholesterol, and fasting triglycerides. The mean change from baseline to Week 24 in fasting lipids is presented.
Time Frame
Baseline and Week 24
Title
Change From Baseline to Week 48 in Fasting Lipids in Participants on Protease Inhibitor (PI)-Containing Regimens (Including PI- and Integrase Strand Transferase Inhibitor [InSTI]-Containing Regimens)
Description
Blood serum samples were taken at baseline and Week 48. Per protocol, this outcome analysis was conducted in participants on PI-containing regimens (including PI- and InSTI-containing regimens), excluding participants who took lipid-lowering therapy during the study. The fasting lipids consisted of fasting cholesterol, fasting high density lipoprotein (HDL) cholesterol, fasting low density lipoprotein (LDL) cholesterol, fasting non-HDL cholesterol, and fasting triglycerides. The mean change from baseline to Week 48 in fasting lipids is presented.
Time Frame
Baseline and Week 48
Title
Change From Baseline to Week 48 in Fasting Lipids in Participants on InSTI-based Regimens (Non-PI Containing Regimens)
Description
Blood serum samples were taken at baseline and Week 48. Per protocol, this outcome analysis was conducted in participants on InSTI-based regimens (non-PI containing regimens), excluding participants who took lipid-lowering therapy during the study. The fasting lipids consisted of fasting cholesterol, fasting HDL cholesterol, fasting LDL cholesterol, fasting non-HDL cholesterol, and fasting triglycerides. The mean change from baseline to Week 48 in fasting lipids is presented.
Time Frame
Baseline and Week 48
Title
Change From Baseline to Week 48 in Fasting Lipids in Participants on All Other Non-PI- and Non-InSTI Containing Regimens
Description
Blood serum samples were taken at baseline and Week 48. Per protocol, this outcome analysis was conducted in participants on all other non-PI- and non-InSTI containing regimens, excluding participants who took lipid-lowering therapy during the study. The fasting lipids consisted of fasting cholesterol, fasting HDL cholesterol, fasting LDL cholesterol, fasting non-HDL cholesterol, and fasting triglycerides. The mean change from baseline to Week 48 in fasting lipids is presented.
Time Frame
Baseline and Week 48
Title
Change From Baseline in Body Weight at Week 48 for InSTI-based Regimens (Non-PI-containing Regimens)
Description
Baseline measurements were defined as the Day 1 value of each participant. The change from baseline to Week 48 is presented for participants who received InSTI- based regimens.
Time Frame
Baseline and Week 48
Title
Percentage of Participants With One or More AEs up to Week 96
Description
An AE is defined as 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 percentage of participants who experience at least one AE will be reported.
Time Frame
Up to ~96 Weeks
Title
Percentage of Participants Who Discontinued Study Intervention up to Week 96
Description
An AE is defined as 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 percentage of participants who discontinue study intervention due to an AE will be reported.
Time Frame
Up to ~96 Weeks
Title
Percentage of Participants With One or More AEs From Week 48 to Week 96
Description
An AE is defined as 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 percentage of participants who experience at least one AE will be reported.
Time Frame
Weeks 48-96
Title
Percentage of Participants Who Discontinued Study Intervention From Week 48 to Week 96
Description
An AE is defined as 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 percentage of participants who discontinue study intervention due to an AE will be reported.
Time Frame
Weeks 48-96

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Is 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. Female is 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 Exclusion Criteria: 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 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 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 Has a documented or known virologic resistance to DOR Female expects to conceive or donate eggs at any time during the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Merck Sharp & Dohme LLC
Official's Role
Study Director
Facility Information:
Facility Name
Georgetown University Hospital ( Site 1018)
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States
Facility Name
Midway Immunology and Research ( Site 1030)
City
Fort Pierce
State/Province
Florida
ZIP/Postal Code
34982
Country
United States
Facility Name
Orlando Immunology Center ( Site 1007)
City
Orlando
State/Province
Florida
ZIP/Postal Code
32803
Country
United States
Facility Name
Bliss Healthcare Services ( Site 1025)
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Triple O Research Institute, P.A. ( Site 1026)
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33407
Country
United States
Facility Name
Chatham County Health Department ( Site 1043)
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31401
Country
United States
Facility Name
Northstar Healthcare ( Site 1002)
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60657
Country
United States
Facility Name
Kansas City CARE Health Center ( Site 1008)
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64111
Country
United States
Facility Name
ID Care ( Site 1023)
City
Hillsborough
State/Province
New Jersey
ZIP/Postal Code
08844
Country
United States
Facility Name
University of North Carolina at Chapel Hill ( Site 1042)
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599
Country
United States
Facility Name
University of Pennsylvania ( Site 1038)
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Saint Hope Foundation, Inc. ( Site 1037)
City
Bellaire
State/Province
Texas
ZIP/Postal Code
77401
Country
United States
Facility Name
North Texas ID Consultants, PA ( Site 1003)
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
Texas Centers for Infectious Disease Associates P.A. ( Site 1022)
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76104
Country
United States
Facility Name
The Crofoot Research Center, Inc. ( Site 1005)
City
Houston
State/Province
Texas
ZIP/Postal Code
77098
Country
United States
Facility Name
Holdsworth House Medical Practice ( Site 2300)
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2010
Country
Australia
Facility Name
Royal Brisbane and Womens Hospital- Infectious Diseases Unit ( Site 2309)
City
Herston
State/Province
Queensland
ZIP/Postal Code
4029
Country
Australia
Facility Name
Melbourne Sexual Health Centre ( Site 2305)
City
Carlton
State/Province
Victoria
ZIP/Postal Code
3053
Country
Australia
Facility Name
Fiona Stanley Hospital ( Site 2301)
City
Murdoch
State/Province
Western Australia
ZIP/Postal Code
6150
Country
Australia
Facility Name
Southern Alberta HIV Clinic ( Site 1108)
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2R 0X7
Country
Canada
Facility Name
Vancouver ID Research and Care Centre Society ( Site 1100)
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V6Z 2C7
Country
Canada
Facility Name
Hamilton Health Sciences ( Site 1103)
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8L 2X2
Country
Canada
Facility Name
Maple Leaf Research ( Site 1112)
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 1K2
Country
Canada
Facility Name
Toronto General Hospital - University Health Network ( Site 1105)
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2N2
Country
Canada
Facility Name
Clinique de Medecine Urbaine du Quartier Latin ( Site 1104)
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2L 4E9
Country
Canada
Facility Name
Clinique Medicale L Actuel ( Site 1114)
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2L 4P9
Country
Canada
Facility Name
Hospital Dr. Hernan Henriquez Aravena ( Site 1305)
City
Temuco
State/Province
Araucania
ZIP/Postal Code
4781151
Country
Chile
Facility Name
Clinica Arauco Salud ( Site 1300)
City
Santiago
State/Province
Region Metropolitana De Santiago
ZIP/Postal Code
7560994
Country
Chile
Facility Name
Centro de Investigacion Clinica UC CICUC ( Site 1303)
City
Santiago
State/Province
Region Metropolitana De Santiago
ZIP/Postal Code
8330034
Country
Chile
Facility Name
Fundacion Valle del Lili ( Site 1201)
City
Cali
State/Province
Valle Del Cauca
ZIP/Postal Code
760032
Country
Colombia
Facility Name
Hopital Francois Mitterrand ( Site 2019)
City
Dijon
State/Province
Cote-d'Or
ZIP/Postal Code
21079
Country
France
Facility Name
CHU de Bordeaux- Hopital Saint Andre ( Site 2015)
City
Bordeaux
State/Province
Gironde
ZIP/Postal Code
33075
Country
France
Facility Name
CHU de Toulouse - Hopital Purpan ( Site 2004)
City
Toulouse
State/Province
Haute-Garonne
ZIP/Postal Code
31059
Country
France
Facility Name
CHU Hotel Dieu Nantes ( Site 2020)
City
Nantes
State/Province
Loire-Atlantique
ZIP/Postal Code
44093
Country
France
Facility Name
Hopital de la Croix-Rousse ( Site 2027)
City
Lyon
State/Province
Rhone-Alpes
ZIP/Postal Code
69317
Country
France
Facility Name
CHU de Rouen ( Site 2005)
City
Rouen
State/Province
Seine-Maritime
ZIP/Postal Code
76031
Country
France
Facility Name
A.P.H. Paris, Hopital Saint Louis ( Site 2014)
City
Paris
ZIP/Postal Code
75010
Country
France
Facility Name
ASST Fatebenefratelli-Ospedale Sacco ( Site 2200)
City
Milano
ZIP/Postal Code
20157
Country
Italy
Facility Name
A.O.U. Universita degli Studi della Campania-Luigi Vanvitelli ( Site 2208)
City
Napoli
ZIP/Postal Code
80131
Country
Italy
Facility Name
Policlinico Gemelli Instituto di Clinica Chirurgica ( Site 2206)
City
Roma
ZIP/Postal Code
00168
Country
Italy
Facility Name
National Hospital Organization Nagoya Medical Center ( Site 2403)
City
Nagoya
State/Province
Aichi
ZIP/Postal Code
460-0001
Country
Japan
Facility Name
National Hospital Organization Osaka National Hospital ( Site 2402)
City
Osaka
ZIP/Postal Code
540-0006
Country
Japan
Facility Name
Tokyo Metropolitan Komagome Hospital ( Site 2406)
City
Tokyo
ZIP/Postal Code
113-8677
Country
Japan
Facility Name
Tokyo Medical University Hospital ( Site 2404)
City
Tokyo
ZIP/Postal Code
160-0023
Country
Japan
Facility Name
Center Hospital of the National Center for Global Health and Medicine ( Site 2401)
City
Tokyo
ZIP/Postal Code
162-8655
Country
Japan
Facility Name
Christchurch Hospital ( Site 2303)
City
Christchurch
State/Province
Canterbury
ZIP/Postal Code
8011
Country
New Zealand
Facility Name
EMC Instytut Medyczny SA Przychodnia przy ul. Lowieckiej we Wroclawiu ( Site 1500)
City
Wroclaw
State/Province
Dolnoslaskie
ZIP/Postal Code
50-220
Country
Poland
Facility Name
Wojewodzki Szpital Specjalistyczny im. dr. Wladyslawa Bieganskiego ( Site 1503)
City
Lodz-Baluty
State/Province
Lodzkie
ZIP/Postal Code
91-347
Country
Poland
Facility Name
SP ZOZ Wojewodzki Szpital Zakazny ( Site 1505)
City
Warszawa
State/Province
Mazowieckie
ZIP/Postal Code
01-201
Country
Poland
Facility Name
Wroclawskie Centrum Zdrowia SP ZOZ ( Site 1507)
City
Wroclaw
ZIP/Postal Code
50-136
Country
Poland
Facility Name
Kemerovo Regional Center for the Prevention and Control of AIDS ( Site 1713)
City
Kemerovo
State/Province
Kemerovskaya Oblast'
ZIP/Postal Code
650056
Country
Russian Federation
Facility Name
Krasnoyarsk Regional Center for Prevention and Control of AIDS ( Site 1712)
City
Krasnoyarsk
State/Province
Krasnoyarskiy Kray
ZIP/Postal Code
660049
Country
Russian Federation
Facility Name
Saint Petersburg Center for Prophylactic of AIDS and Inf. Diseases ( Site 1701)
City
Saint Petersburg
State/Province
Leningradskaya Oblast'
ZIP/Postal Code
190020
Country
Russian Federation
Facility Name
Federal Scientific Methodological AIDS Prevention and Control Center ( Site 1703)
City
Moscow
State/Province
Moskva
ZIP/Postal Code
105275
Country
Russian Federation
Facility Name
Infectious Clinical Hospital #2 ( Site 1719)
City
Moscow
State/Province
Moskva
ZIP/Postal Code
105275
Country
Russian Federation
Facility Name
FGU Republican Clinical Infectious Hospital of Roszdrav ( Site 1700)
City
Saint Petersburg
State/Province
Sankt-Peterburg
ZIP/Postal Code
196645
Country
Russian Federation
Facility Name
Regional Center for Prevent. and Control of AIDS and Inf. Diseases ( Site 1715)
City
Yekaterinburg
State/Province
Sverdlovskaya Oblast'
ZIP/Postal Code
620102
Country
Russian Federation
Facility Name
Republican Clinical Hospital of Infectious Diseases n. a. A.F.Agafonov ( Site 1707)
City
Kazan
State/Province
Tatarstan, Respublika
ZIP/Postal Code
420140
Country
Russian Federation
Facility Name
JOSHA Research ( Site 1406)
City
Bloemfontein
State/Province
Free State
ZIP/Postal Code
9301
Country
South Africa
Facility Name
Desmond Tutu HIV Foundation Clinical Trial Unit ( Site 1414)
City
Cape Town
State/Province
Western Cape
ZIP/Postal Code
7925
Country
South Africa
Facility Name
Hospital General de Elche ( Site 1608)
City
Elche
State/Province
Alicante
ZIP/Postal Code
03202
Country
Spain
Facility Name
Hospital Universitari Germans Trias i Pujol ( Site 1606)
City
Badalona
State/Province
Barcelona [Barcelona]
ZIP/Postal Code
08916
Country
Spain
Facility Name
Hospital Clinic i Provincial ( Site 1600)
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
Hospital General Universitario Gregorio Maranon ( Site 1603)
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Facility Name
Hospital Universitario Infanta Leonor ( Site 1601)
City
Madrid
ZIP/Postal Code
28031
Country
Spain
Facility Name
Hospital Universitario Fundacion Jimenez Diaz ( Site 1602)
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Hospital Universitario La Paz ( Site 1604)
City
Madrid
ZIP/Postal Code
28046
Country
Spain
Facility Name
Universitaetsspital Basel ( Site 3302)
City
Basel
State/Province
Basel-Stadt
ZIP/Postal Code
4031
Country
Switzerland
Facility Name
Inselspital Universitaetsspital Bern ( Site 3303)
City
Bern
State/Province
Berne
ZIP/Postal Code
3010
Country
Switzerland
Facility Name
Hopitaux Universitaires de Geneve HUG. ( Site 3304)
City
Geneva
State/Province
Geneve
ZIP/Postal Code
1211
Country
Switzerland
Facility Name
Kantonsspital St. Gallen ( Site 3301)
City
St. Gallen
State/Province
Sankt Gallen
ZIP/Postal Code
9007
Country
Switzerland
Facility Name
Ospedale Regionale di Lugano Civico ( Site 3305)
City
Lugano
State/Province
Ticino
ZIP/Postal Code
6903
Country
Switzerland
Facility Name
Universitaetsspital Zuerich ( Site 3300)
City
Zuerich
State/Province
Zurich
ZIP/Postal Code
8091
Country
Switzerland
Facility Name
Brighton and Sussex University Hospital NHS Trust ( Site 1908)
City
Brighton
State/Province
Brighton And Hove
ZIP/Postal Code
BN2 1ES
Country
United Kingdom
Facility Name
Southmead Hospital ( Site 1910)
City
Bristol
State/Province
Bristol, City Of
ZIP/Postal Code
BS10 5NB
Country
United Kingdom
Facility Name
Royal Free Hospital ( Site 1904)
City
London
State/Province
Camden
ZIP/Postal Code
NW3 2QG
Country
United Kingdom
Facility Name
Kings College Hospital NHS Foundation Trust ( Site 1907)
City
London
State/Province
London, City Of
ZIP/Postal Code
SE5 9RJ
Country
United Kingdom
Facility Name
North Manchester General Hospital ( Site 1902)
City
Manchester
ZIP/Postal Code
M8 5RB
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
IPD Sharing URL
http://engagezone.msd.com/ds_documentation.php

Learn more about this trial

Safety and Efficacy of a Switch to Doravirine/Islatravir in Participants With HIV-1 (MK-8591A-017)

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