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Switch to Doravirine/Islatravir (DOR/ISL) in Human Immunodeficiency Virus 1 (HIV-1) Participants Treated With Bictegravir/Emtricitabine/Tenofovir Alafenamide (BIC/FTC/TAF) (MK-8591A-018)
NCT04223791 · View on ClinicalTrials.gov ↗
Study 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 regimen of bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF). The primary hypothesis is that a switch to MK-8591A will be non-inferior to continued treatment with BIC/FTC/TAF as assessed by the proportion of participants with HIV-1 ribonucleic acid (RNA) ≥50 copies/mL at Week 48. Participants who benefit from their assigned intervention (as determined by investigator) will be able to continue treatment through a 24-week study extension.
Conditions Studied
Interventions
- DRUG BIC/FTC/TAF
- DRUG DOR/ISL
- DRUG Placebo to BIC/FTC/TAF
- DRUG Placebo to FDC DOR/ISL
Study Locations (20)
California
- Pacific Oaks Medical Group ( Site 2765) — Beverly Hills
- Men's Health Foundation ( Site 2749) — Los Angeles
- Kaiser Permanente Los Angeles Medical Center ( Site 2775) — Los Angeles
- Eisenhower Medical Center ( Site 2744) — Palm Springs
- University of California, Davis, Division of ID Research ( Site 2702) — Sacramento
- Zuckerberg San Francisco General Hospital UCSF ( Site 2743) — San Francisco
Florida
- TheraFirst Medical Center ( Site 2742) — Fort Lauderdale
- Midway Immunology and Research ( Site 2759) — Ft. Pierce
- The Kinder Medical Group ( Site 2739) — Miami
- AHF South Beach ( Site 2780) — Miami Beach
- Orlando Immunology Center ( Site 2734) — Orlando
- Triple O Research Institute, P.A. ( Site 2755) — West Palm Beach
Georgia
- Augusta University ( Site 2752) — Augusta
- Infectious Disease Specialists Of Atlanta PC ( Site 2719) — Decatur
- Mercer University ( Site 2738) — Macon
- Chatham County Health Department ( Site 2731) — Savannah
Arizona
- Pueblo Family Physicians ( Site 2717) — Phoenix
District of Columbia
- Whitman-Walker Clinic ( Site 2728) — Washington D.C.
Minnesota
- Hennepin County Medical Center ( Site 2733) — Minneapolis
Missouri
- Kansas City CARE Clinic ( Site 2718) — Kansas City
Trial Details
| Field | Value |
|---|---|
| Enrollment Target | 643 participants |
| Start Date | 2020-02-18 |
| Est. Completion | 2025-02-27 |
| Phase | Phase 3 |
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Full Details on ClinicalTrials.gov ↗What the Registry Record Tells You About NCT04223791
The ClinicalTrials.gov registry entry for NCT04223791 describes a study currently listed as completed. It is categorized as Phase 3, which is the standard way researchers label where a study sits along the investigational pathway from early safety work through later efficacy and post-marketing evaluation. The registered enrollment target is 643 participants, a figure that helps gauge the scale of data the investigators plan to collect. The listed sponsor is Merck Sharp & Dohme, which has 741 total studies on file at ClinicalTrials.gov, and sponsors are the parties responsible for study design, oversight, and regulatory filings.
The record links to 1 condition, with HIV Infection appearing as the primary indexed condition, and to 4 interventions — of which BIC/FTC/TAF is the first listed. Interventions can include drugs, devices, procedures, behavioral programs, or observational arms, and each is tracked as a separate registry field so that downstream queries can filter accurately. When a trial lists multiple interventions, it usually reflects a multi-arm design or a comparison protocol rather than a single treatment being tested in isolation. The brief summary published in the registry is the clearest source of protocol intent and should be read before drawing conclusions from any sidebar tags.
Geographic footprint matters for practical reasons: NCT04223791 reports 20 study locations spanning 7 distinct geographic areas — top geographies include California, Florida, Georgia. A larger site network tends to correlate with broader recruitment capacity, but it does not imply anything about study quality, and site-level enrollment status can diverge from the overall registry status shown above. Every data point on this page comes from the public ClinicalTrials.gov dataset and is reproduced here for reference only; it is not a medical recommendation, an endorsement of the sponsor, or an invitation to enroll. Verify current status, eligibility criteria, and contact details directly at ClinicalTrials.gov, and discuss any participation decision with your own healthcare provider.
Frequently Asked Questions
What is clinical trial NCT04223791 about?
NCT04223791 is a clinical study titled "Switch to Doravirine/Islatravir (DOR/ISL) in Human Immunodeficiency Virus 1 (HIV-1) Participants Treated With Bictegravir/Emtricitabine/Tenofovir Alafenamide (BIC/FTC/TAF) (MK-8591A-018)". 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 regimen of bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF). Th...
What is the current status of trial NCT04223791?
This trial is currently completed. It is a Phase 3 study. The enrollment target is 643 participants. The study started on 2020-02-18. Estimated completion is 2025-02-27.
What conditions does trial NCT04223791 study?
This clinical trial studies the following conditions: HIV Infection. These conditions were identified from the trial registry and reflect the primary focus areas of the research.
What interventions are being tested in trial NCT04223791?
The interventions under investigation include: BIC/FTC/TAF (DRUG), DOR/ISL (DRUG), Placebo to BIC/FTC/TAF (DRUG), Placebo to FDC DOR/ISL (DRUG). Each intervention is being evaluated for safety and efficacy as part of this clinical study.
Who is sponsoring clinical trial NCT04223791?
This trial is sponsored by Merck Sharp & Dohme, which has 741 total clinical trials registered on ClinicalTrials.gov. The sponsor is responsible for the study's design, funding, and regulatory compliance.
Where is trial NCT04223791 being conducted?
This trial has 20 study locations across Arizona, California, District of Columbia, Florida, Georgia. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.
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