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Active, not recruitingNCT04776252Updated Dec 23, 2025

Open-label, Follow-up of Doravirine/Islatravir (DOR/ISL 100 mg/0.75mg) for Participants With Human Immunodeficiency Virus-1 (HIV-1) Infection (MK-8591A-033)

A Phase 3 interventional study of MK-8591A in HIV-1 Infection, sponsored by Merck Sharp & Dohme LLC. Active, not recruiting at 93 sites in 16 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-23.

Sponsored by Merck Sharp & Dohme LLC · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
2,000
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The safety and tolerability of MK-8591A, a 2-drug fixed dose combination (FDC) of doravirine (100mg) and islatravir (0.75mg) [DOR/ISL 100 mg/0.75 mg) will be evaluated in participants with Human Immunodeficiency Virus -1 (HIV-1) who were treated with DOR and ISL in earlier clinical studies.

Read the detailed description

As of Amendment 12, participants will have the option to continue receiving DOR/ISL (100 mg/0.75 mg) until treatment alternatives are identified, or up to Week 288 given that participants are still deriving benefit, based on individual benefit/risk assessment.

02

Conditions studied

  • HIV-1 Infection
03

In context

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,114 studies on the registry; 133 are open to participants now.

Of its 489 completed or terminated interventional studies of FDA-regulated products, 362 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Is currently receiving DOR 100 mg/ISL 0.75 mg adult FDC tablet in an MSD-sponsored clinical study and has completed the last treatment visit.
  • Is considered by the investigator to have derived clinical benefit from receiving DOR/ISL and for whom further treatment with DOR/ISL is considered clinically appropriate.
  • Female is not pregnant or breastfeeding, and at least one of the following conditions applies: Is not a woman of childbearing potential (WOCBP); or is a non-pregnant WOCBP who agrees to the following during the intervention period and for at least 6 weeks after the last dose of study intervention: Not be sexually active, or if sexually active, to use an acceptable method of contraception; or is pregnant and continues to receive study intervention (where allowed by local regulations and as appropriate based on available data/local standard-of-care guidelines)

Exclusion criteria

Exclusion Criteria:

  • Is taking or is anticipated to require any prohibited therapies.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
2,000 participants (estimated)

Study arms

  • Experimental
    MK-8591A

    Fixed dose combination (FDC) tablet of 100 mg doravirine, 0.75 mg islatravir taken orally, once daily for up to 192 weeks.

    Drug: MK-8591A

Interventions

  • DrugMK-8591A

    FDC tablet of 100 mg doravirine, 0.75 mg islatravir taken orally, once daily for up to 192 weeks

06

What researchers measure

Primary outcomes

  1. Participants with serious adverse events (SAEs)

    Percentage of participants with serious adverse events (SAEs)

    Time frame: Up to Week 198

  2. Participants who discontinued due to an adverse event (AE)

    Percentage of participants who discontinued study treatment due to an AE.

    Time frame: Up to Week 192

07

Study locations

93 sites
  • Pueblo Family Physicians ( Site 0010)
    Phoenix, Arizona 85015, United States
  • One Community Health ( Site 0045)
    Sacramento, California 95811, United States
  • Whitman-Walker Institute ( Site 0039)
    Washington D.C., District of Columbia 20005, United States
  • Georgetown University Medical Center-Clinical Trials Unit Division of Infectious Diseases ( Site 002
    Washington D.C., District of Columbia 20007, United States
  • Midway Immunology and Research Center ( Site 0033)
    Ft. Pierce, Florida 34982, United States
  • Orlando Immunology Center ( Site 0017)
    Orlando, Florida 32803, United States
  • Bliss Healthcare Services-Research ( Site 0030)
    Orlando, Florida 32806, United States
  • Triple O Research Institute, P.A ( Site 0031)
    West Palm Beach, Florida 33407, United States
  • Chatham County Health Department - Chatham CARE Center-Infectious Disease ( Site 0015)
    Savannah, Georgia 31401, United States
  • Northstar Healthcare ( Site 0003)
    Chicago, Illinois 60657, United States
  • KC CARE Health Center-Clinical Trials ( Site 0012)
    Kansas City, Missouri 64111, United States
  • ID Care ( Site 0028)
    Hillsborough, New Jersey 08844, United States
  • Icahn School of Medicine at Mount Sinai-Clinical and Translational Research Center ( Site 0006)
    New York, New York 10029, United States
  • Penn Medicine: University of Pennsylvania Health System-Perelman Center for Advanced Medicine ( Site
    Philadelphia, Pennsylvania 19104, United States
  • St Hope Foundation ( Site 0041)
    Bellaire, Texas 77401, United States
  • North Texas Infectious Diseases Consultants, P.A-Research ( Site 0004)
    Dallas, Texas 75246, United States
  • Texas Center for Infectious Disease Associates-Clinical Research ( Site 0026)
    Fort Worth, Texas 76104, United States
  • The Crofoot Research Center ( Site 0008)
    Houston, Texas 77098, United States
  • Holdsworth House Medical Practice ( Site 0700)
    Darlinghurst, New South Wales 2010, Australia
  • St Vincent's Hospital-IBAC ( Site 0702)
    Sydney, New South Wales 2010, Australia
  • Fiona Stanley Hospital ( Site 0706)
    Murdock, Western Australia 6150, Australia
  • Sheldon M. Chumir Health Centre-Southern Alberta Clinic ( Site 0106)
    Calgary, Alberta T2R 0X7, Canada
  • Vancouver Infectious Diseases Centre ( Site 0100)
    Vancouver, British Columbia V6Z 2C7, Canada
  • Hamilton Health Sciences- Urgent Care Centre-SIS Clinic ( Site 0109)
    Hamilton, Ontario L8S 1A4, Canada
  • Maple Leaf Research ( Site 0105)
    Toronto, Ontario M5G 1K2, Canada
  • Toronto General Hospital ( Site 0104)
    Toronto, Ontario M5G 2C4, Canada
  • Clinique de médecine Urbaine du Quartier Latin ( Site 0110)
    Montreal, Quebec H2L 4E9, Canada
  • Clinique Medicale lActuel ( Site 0108)
    Montreal, Quebec H2L 4P9, Canada
  • Hospital hernan henriquez aravena de temuco-Unidad de Investigación Clínica ( Site 0202)
    Temuco, Araucania 4781151, Chile
  • Biomedica Research Group-Infectology ( Site 0201)
    Santiago, Region M. de Santiago 7500710, Chile
  • Centro de Investigacion Clinicadela Universidad Catolica ( Site 0204)
    Santiago, Region M. de Santiago 8330034, Chile
  • Universidad de Chile - Hospital Clínico Universidad de Chile ( Site 0200)
    Santiago, Region M. de Santiago 8380420, Chile
  • Fundacion Valle del Lili- CIC ( Site 0300)
    Cali, Valle del Cauca Department 760032, Colombia
  • Centre Hospitalier Universitaire de Nice - Hôpital l'Archet ( Site 1504)
    Nice, Alpes-Maritimes 06202, France
  • Centre Hospitalier Universitaire Dijon Bourgogne - Hôpital François Mitterrand ( Site 1516)
    Dijon, Bourgogne-Franche-Comté 21000, France
  • CHU de Bordeaux Hop St ANDRE-Médecine interne et maladies infectieuses ( Site 1512)
    Bordeaux, Gironde 33075, France
  • CHU de Toulouse-Infectious Disease-Tropical Diseases ( Site 1505)
    Toulouse, Haute-Garonne 31400, France
  • CHU Charles Nicolle-Inefectious disease ( Site 1506)
    Rouen, Haute-Normandie 76031, France
  • Hospital La Colombière ( Site 1518)
    Montpellier, Herault 34090, France
  • Centre Hospitalier Universitaire de Nantes - L' Hopital l'hôtel-Dieu ( Site 1517)
    Nantes, Loire-Atlantique 44093 Cedex 1, France
  • Tourcoing Hospital-Service Universitaire des Maladies Infectieuses et du Voyageur ( Site 1519)
    Tourcoing, Nord 59200, France
  • Hôpital de la Croix Rousse-Service des Maladies infectieuses et tropicales ( Site 1503)
    Lyon, Rhone 69004, France
  • Hôpital Bichat - Claude-Bernard-infectious diseases ( Site 1523)
    Paris, 75018, France
  • Hôpital Avicenne ( Site 1502)
    Bobigny, Île-de-France Region 93000, France
  • Hôpital Saint-Louis-Infectious Diseases and tropical diseases ( Site 1511)
    Paris, Île-de-France Region 75010, France
  • Pitie Salpetriere University Hospital-Infectious Disease - Tropical Diseases ( Site 1508)
    Paris, Île-de-France Region 75013, France
  • Medizinische Hochschule Hannover-Department of Immunology and Rheumatology ( Site 1661)
    Hanover, Lower Saxony 30625, Germany
  • Fondazione Policlinico Universitario Agostino Gemelli-UOC Malattie Infettive ( Site 1606)
    Rome, Lazio 00168, Italy
  • Ospedale San Raffaele-U.O. Malattie Infettive ( Site 1602)
    Milan, Lombardy 20127, Italy
  • Fondazione IRCCS Policlinico San Matteo-Dipartimento di Malattie Infettive: SC Malattie Infettive (
    Pavia, Lombardy 27100, Italy
  • Ospedale Luigi Sacco-UOC Malattie Infettive I ( Site 1600)
    Milan, Milano 20157, Italy
  • National Hospital Organization Nagoya Medical Center ( Site 0903)
    Nagoya, Aichi-ken 460-0001, Japan
  • Tokyo Medical University Hospital ( Site 0904)
    Shinjuku-ku, Tokyo 160-0023, Japan
  • Center Hospital of the National Center for Global Health and Medicine ( Site 0901)
    Shinjyuku-ku, Tokyo 162-8655, Japan
  • National Hospital Organization - Osaka National Hospital - Institute For Clinical Research ( Site 09
    Osaka, 540-0006, Japan
  • Tokyo Metropolitan Komagome Hospital ( Site 0906)
    Tokyo, 113-8677, Japan
  • Christchurch Hospital-Infectious Diseases ( Site 0800)
    Christchurch, Canterbury 8011, New Zealand
  • Wrocl.Centr.Zdrowia SPZOZ Osr. Prof-Lecz Ch. Zak. i Terapii Uzaleznien ( Site 1703)
    Wroclaw, Lower Silesian Voivodeship 50-136, Poland
  • EMC Instytut Medyczny S. A. Przychodnia przy ul. Lowieckiej we Wroclawiu ( Site 1700)
    Wroclaw, Lower Silesian Voivodeship 50-220, Poland
  • Wojewódzki Szpital Zakaźny w Warszawie ( Site 1702)
    Warsaw, Masovian Voivodeship 01-201, Poland
  • WSS im. W Bieganskiego O. Chorob Zakaznych i Hepatologii-F ( Site 1701)
    Ód, Łódź Voivodeship 90-001, Poland
  • Kuzbasskiy Center for the Prevention and Control of AIDS ( Site 2305)
    Kemerovo, Kemerovo Oblast 650056, Russia
  • Krasnoyarsk Regional Center for the Prevention and Control of AIDS ( Site 2304)
    Krasnoyarsk, Krasnoyarsk Krai 660049, Russia
  • Republican Clinical Infectious Hospital ( Site 2300)
    Saint Petersburg, Leningradskaya Oblast' 196645, Russia
  • Moscow Infectious Diseases Clinical Hospital Number 2 ( Site 2306)
    Moscow, Moscow 105275, Russia
  • Scientific Advisory Clinical Diagnostic Center Central Resea-Federal AIDS Center ( Site 2302)
    Moscow, Moscow 105275, Russia
  • Saint-Petersburg Center for Prophylactic of AIDS and Infecti-Saint-Petersburg Center for Prophylact
    Saint Petersburg, Sankt-Peterburg 190020, Russia
  • Smolensk Center for prevention and control of AIDS ( Site 2308)
    Smolensk, Smolensk Oblast 214006, Russia
  • Republican Clinical Hospital for Infectious Diseases A.F. Agafonova ( Site 2303)
    Kazan', Tatarstan, Respublika 420140, Russia
  • Josha Research ( Site 2403)
    Bloemfontein, Free State 9300, South Africa
  • Ezintsha ( Site 2404)
    Johannesburg, Gauteng 2193, South Africa
  • Mediclinc Muelmed ( Site 2401)
    Pretoria, Gauteng 0083, South Africa
  • King Edward VIII Hospital ( Site 2410)
    Durban, KwaZulu-Natal 4001, South Africa
  • Wentworth Hospital ( Site 2400)
    Durban, KwaZulu-Natal 4052, South Africa
  • Desmond Tutu Health Foundation ( Site 2402)
    Cape Town, Western Cape 7925, South Africa
  • Hospital General Universitario de Elche-Infectius Disease ( Site 1908)
    Elche, Alicante 03202, Spain
  • Hospital Germans Trias i Pujol-Fundació Lluita contra la Sida ( Site 1901)
    Badalona, Barcelona 08916, Spain
  • HOSPITAL CLÍNIC DE BARCELONA-Infection Day Hospital ( Site 1900)
    Barcelona, Catalonia 08036, Spain
  • HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑON-Unidad de Enfermedades Infecciosas ( Site 1903)
    Madrid, Madrid, Comunidad de 28007, Spain
  • Hospital Universitario Infanta Leonor ( Site 1906)
    Madrid, 28031, Spain
  • Hospital Universitario Fundación Jiménez Díaz-Internal Medicine. Infectious disease ( Site 1902)
    Madrid, 28040, Spain
  • Hospital Universitario La Paz-Internal Medicine ( Site 1904)
    Madrid, 28046, Spain
  • University Hospital Basel-Infectiology ( Site 2002)
    Basel, Canton of Aargau 4031, Switzerland
  • Hôpitaux Universitaires de Genève (HUG)-Infectious Disease Department ( Site 2004)
    Geneva, Canton of Geneva 1211, Switzerland
  • Cantonal Hospital St.Gallen ( Site 2001)
    Sankt Gallen, Canton of St. Gallen 9007, Switzerland
  • UniversitätsSpital Zürich ( Site 2000)
    Zurich, Canton of Zurich 8091, Switzerland
  • Ospedale Regionale di Lugano, Sede Civico-Servizio Malattie Infettive ( Site 2005)
    Lugano, Canton Ticino 6903, Switzerland
  • Inselspital Bern-Inselspital Infektiologie ( Site 2003)
    Bern, 3010, Switzerland
  • Brighton and Sussex University Hospitals NHS Trust ( Site 2104)
    East Sussex, Brighton And Hove BN2 5BE, United Kingdom
  • Southmead Hospital ( Site 2103)
    Bristol, Bristol, City of BS10 5NB, United Kingdom
  • Royal Free Hospital ( Site 2102)
    London, England NW32QG, United Kingdom
  • King's College Hospital ( Site 2101)
    London, England SE5 9RS, United Kingdom
  • North Manchester General Hospital ( Site 2105)
    Manchester, M8 5RB, United Kingdom
08

References and documents

Individual participant data

Plan to share: Yes — https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04776252
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Mar 1, 2021
Start date
Sep 15, 2021
Primary completion
May 29, 2029 (estimated)
Completion
May 29, 2029 (estimated)
Last update
Dec 23, 2025

Study contacts

Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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