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A Study of Islatravir (MK-8591) in Trans and Gender Diverse Participants (MK-8591-035)

Primary Purpose

Human Immunodeficiency Virus (HIV) Infections

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Islatravir
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Human Immunodeficiency Virus (HIV) Infections

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Is confirmed HIV-uninfected based on negative HIV-1/HIV-2 test result before allocation to study intervention.
  • Is on stable GAHT and does not intend to change therapy through Week 4 of the study.
  • Has a low-risk of HIV infection.
  • Identifies with a gender that is different from that assigned at birth.
  • A participant assigned female at birth is eligible if not pregnant or chest-feeding and is not of childbearing potential (POCBP) or: Is a POCBP and using an acceptable contraceptive method, or be abstinent from penile-vaginal intercourse with an individual capable of producing sperm (abstinent on a long term and persistent basis); a POCBP 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; the investigator is responsible for review of medical history, menstrual history, and recent sexual activity to decrease the risk for inclusion of a participant assigned female at birth with an early undetected pregnancy; contraceptive use by participant assigned female at birth should be consistent with local regulations.

Exclusion Criteria:

  • Has known current or chronic history of liver disease (e.g, non-alcoholic or alcoholic steatohepatitis) or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome, asymptomatic gallstones, or cholecystectomy), unless the participant has stable liver function tests and no evidence of hepatic synthetic dysfunction.
  • Has a history of malignancy within 5 years of screening except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or in situ anal cancers.
  • Has taken cabotegravir, lenacapavir, or any other long-acting HIV prevention product at any time (past or current use).
  • Is currently participating in or has participated in a clinical study with an investigational compound or device, within 30 days before Day 1 through the duration of the study.
  • Is expecting to conceive or donate eggs at any time during the study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Islatravir

    Arm Description

    60 mg Islatravir taken orally in tablet form once monthly for up to 24 weeks

    Outcomes

    Primary Outcome Measures

    Participants with one or more adverse events (AEs)
    Number of participants with one or more AEs will be reported.
    Participants with an AE leading to discontinuation of study intervention
    Number of participants with an AE leading to discontinuation of study intervention will be reported.

    Secondary Outcome Measures

    Area Under the Curve (AUC) of plasma islatravir (ISL)
    Area Under the Curve from time 0 to 672 hours post-dose (AUC0-672hr) of plasma islatravir (ISL) will be reported.
    Maximum concentration (Cmax) of plasma ISL
    Maximum concentration (Cmax) of plasma ISL will be reported.
    Trough concentration (Ctrough) of plasma ISL
    Trough concentration (Ctrough) of plasma ISL will be reported.
    Apparent terminal half-life (t1/2) of plasma ISL
    Apparent terminal half-life (t1/2) of plasma ISL will be reported.

    Full Information

    First Posted
    November 10, 2021
    Last Updated
    October 13, 2022
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05130086
    Brief Title
    A Study of Islatravir (MK-8591) in Trans and Gender Diverse Participants (MK-8591-035)
    Official Title
    A Phase 2 Open-Label Study to Evaluate the Safety and Pharmacokinetics of Oral Islatravir Once-Monthly in Trans and Gender Diverse Individuals on Gender-Affirming Hormone Therapy and at Low-Risk for HIV-1 Infection
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2022
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Business Reasons
    Study Start Date
    October 17, 2022 (Anticipated)
    Primary Completion Date
    March 25, 2024 (Anticipated)
    Study Completion Date
    March 25, 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
    No

    5. Study Description

    Brief Summary
    The primary objective of this study is to evaluate the safety and tolerability of Islatravir (ISL) in trans and gender diverse (TGD) participants who are receiving gender-affirming hormone therapy (GAHT) and are at low-risk for human immunodeficiency virus 1 (HIV-1) infection.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Human Immunodeficiency Virus (HIV) Infections

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Islatravir
    Arm Type
    Experimental
    Arm Description
    60 mg Islatravir taken orally in tablet form once monthly for up to 24 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    Islatravir
    Other Intervention Name(s)
    MK-8591
    Intervention Description
    60 mg Islatravir taken orally in tablet form once monthly for up to 24 weeks
    Primary Outcome Measure Information:
    Title
    Participants with one or more adverse events (AEs)
    Description
    Number of participants with one or more AEs will be reported.
    Time Frame
    Up to 26 weeks
    Title
    Participants with an AE leading to discontinuation of study intervention
    Description
    Number of participants with an AE leading to discontinuation of study intervention will be reported.
    Time Frame
    Up to 20 weeks
    Secondary Outcome Measure Information:
    Title
    Area Under the Curve (AUC) of plasma islatravir (ISL)
    Description
    Area Under the Curve from time 0 to 672 hours post-dose (AUC0-672hr) of plasma islatravir (ISL) will be reported.
    Time Frame
    Pre-dose on Day 1; any time on Weeks 1, 2 and 3; pre-dose on Weeks 4, 8, 12, 16, 20; any time on Week 24
    Title
    Maximum concentration (Cmax) of plasma ISL
    Description
    Maximum concentration (Cmax) of plasma ISL will be reported.
    Time Frame
    Pre-dose on Day 1; any time on Weeks 1, 2 and 3; pre-dose on Weeks 4, 8, 12, 16, 20; any time on Week 24
    Title
    Trough concentration (Ctrough) of plasma ISL
    Description
    Trough concentration (Ctrough) of plasma ISL will be reported.
    Time Frame
    Pre-dose on Day 1; any time on Weeks 1, 2 and 3; pre-dose on Weeks 4, 8, 12, 16, 20; any time on Week 24
    Title
    Apparent terminal half-life (t1/2) of plasma ISL
    Description
    Apparent terminal half-life (t1/2) of plasma ISL will be reported.
    Time Frame
    Pre-dose on Day 1; any time on Weeks 1, 2 and 3; pre-dose on Weeks 4, 8, 12, 16, 20; any time on Week 24

    10. Eligibility

    Sex
    All
    Gender Based
    Yes
    Gender Eligibility Description
    Participants will include anyone who identifies with a gender that is different from the sex assigned at birth (e.g., transgender woman, transgender man, gender nonbinary, etc.), including those with differences in sex development (sometimes called intersex).
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Is confirmed HIV-uninfected based on negative HIV-1/HIV-2 test result before allocation to study intervention. Is on stable GAHT and does not intend to change therapy through Week 4 of the study. Has a low-risk of HIV infection. Identifies with a gender that is different from that assigned at birth. A participant assigned female at birth is eligible if not pregnant or chest-feeding and is not of childbearing potential (POCBP) or: Is a POCBP and using an acceptable contraceptive method, or be abstinent from penile-vaginal intercourse with an individual capable of producing sperm (abstinent on a long term and persistent basis); a POCBP 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; the investigator is responsible for review of medical history, menstrual history, and recent sexual activity to decrease the risk for inclusion of a participant assigned female at birth with an early undetected pregnancy; contraceptive use by participant assigned female at birth should be consistent with local regulations. Exclusion Criteria: Has known current or chronic history of liver disease (e.g, non-alcoholic or alcoholic steatohepatitis) or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome, asymptomatic gallstones, or cholecystectomy), unless the participant has stable liver function tests and no evidence of hepatic synthetic dysfunction. Has a history of malignancy within 5 years of screening except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or in situ anal cancers. Has taken cabotegravir, lenacapavir, or any other long-acting HIV prevention product at any time (past or current use). Is currently participating in or has participated in a clinical study with an investigational compound or device, within 30 days before Day 1 through the duration of the study. Is expecting 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

    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

    A Study of Islatravir (MK-8591) in Trans and Gender Diverse Participants (MK-8591-035)

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