ClinicalTrials.gg
RecruitingNCT07071623Updated Oct 20, 2026

A Study of MK-8527 to Prevent Human Immunodeficiency Virus Type 1 (HIV-1) (MK-8527-010)

A Phase 3 interventional study of MK-8527 and Emtricitabine/tenofovir disoproxil (FTC/TDF) in Human Immunodeficiency Virus (HIV) and HIV Pre-Exposure Prophylaxis, sponsored by Merck Sharp & Dohme LLC. Recruiting at 30 sites in 3 countries. Open to female participants aged 16 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-20.

Primary conditionAcquired Immunodeficiency Syndrome(the registry's first term)UnverifiedIs this wrong?The registry often attaches Acquired Immunodeficiency Syndrome to studies about something else, and this study's title and listed conditions do not name it. No better condition is named, so the registry's term is kept.

Sponsored by Merck Sharp & Dohme LLC (part of Merck & Co., Inc) · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Started Nov 2025; still recruiting 1 year later.
Updated Oct 20, 2026Site recruiting status changedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
4,580
Allocation
Randomized
Ages
16 Years to 30 Years
Sex
Female
01

Study summary

Researchers are looking for new medicines to prevent HIV-1 (Human Immunodeficiency Virus Type 1) infection.

The goals of this study are to learn:

  • If taking MK-8527 once a month works to prevent HIV-1 infection better than a standard (usual) pre-exposure prophylaxis (PrEP) taken once a day
  • About the safety of MK-8527 and if people tolerate it
02

Conditions studied

  • Human Immunodeficiency Virus (HIV)
  • HIV Pre-Exposure Prophylaxis

Browse trials for

03

In context

Acquired Immunodeficiency Syndrome Unverified

3,035 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 306 are open to participants now.

This study's planned enrollment of 4,580 is above the median of 96 across 2,251 interventional studies indexed under Acquired Immunodeficiency Syndrome.

Browse Acquired Immunodeficiency Syndrome studies →

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,166 studies on the registry; 132 are open to participants now.

Of its 501 completed or terminated interventional studies of FDA-regulated products, 370 (74%) have results posted.

Compared within Acquired Immunodeficiency Syndrome, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →

04

Who can participate

Ages eligible
16 Years to 30 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

The main inclusion criteria include but are not limited to the following:

  • Is confirmed (HIV)-uninfected based on negative HIV-1/HIV-2 test results
  • Has been sexually active (2 vaginal intercourse encounters with cisgender male individual(s) within the last 3 months)
  • Was assigned female sex at birth and is cisgender.
  • Weighs ≥35 kg

Exclusion criteria

Exclusion Criteria:

The main exclusion criteria include but are not limited to the following:

  • Has or other to any component of the study interventions
  • Has evidence of acute or chronic infection
  • Has a history of within 5 years of screening except for adequately treated basal cell or squamous cell skin cancer, or in situ cervical cancer
  • Has taken cabotegravir, lenacapavir, or any other long-acting prevention product at any time
  • Is receiving or is anticipated to require any prohibited therapies from 30 days prior to Day 1 through the study duration
  • Has received an HIV vaccine at any time (ie, through past participation in an clinical study) or monoclonal antibodies to HIV within 12 months before Day 1
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
4,580 participants (estimated)

Study arms

  • Experimental
    MK-8527 + Placebo to FTC/TDF

    Participants will receive 11 mg MK-8527 once monthly (QM) and placebo matched to Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF) once daily (QD) for up to approximately 2 years. Participants will then receive open-label 200 mg FTC/245 mg TDF QD for an additional 28 days.

    Drug: MK-8527 · Drug: Placebo matched to FTC/TDF

  • Active comparator
    FTC/TDF + Placebo to MK-8527

    Participants will receive 200 mg FTC/245 mg TDF QD and placebo matched to MK-8527 QM for up to approximately 2 years. Participants will then receive open-label 200 mg FTC/245 mg TDF QD for an additional 28 days.

    Drug: Emtricitabine/tenofovir disoproxil (FTC/TDF) · Drug: Placebo matched to MK-8527

Interventions

  • Oral tablet

  • DrugEmtricitabine/tenofovir disoproxil (FTC/TDF)

    Oral tablet

    Also known as: Truvada, Emtricitabine/Tenofovir Disoproxil Fumarate

  • DrugPlacebo matched to MK-8527

    Placebo oral tablet matched to MK-8527

  • DrugPlacebo matched to FTC/TDF

    Placebo oral tablet matched to FTC/TDF

06

What researchers measure

Primary outcomes

  1. Number of Participants with Adjudicated Human Immunodeficiency Virus Type 1 (HIV-1) Infection

    The number of participants with adjudicated HIV-1 infection will be presented.

    Time frame: Up to ~2 years

  2. Number of Participants who Experience At Least One Adverse Event (AE)

    An AE is 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 number of participants that experienced AEs will be presented.

    Time frame: Up to ~2 years

  3. Number of Participants who Discontinue Study Intervention Due to an AE

    An AE is 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 number of participants that discontinued study intervention due to an AE will be presented.

    Time frame: Up to ~2 years

07

Study locations

21 of 30 sites recruiting
  • UW - KNH; Rachuonyo County Hospital ( Site 0006)
    Homabay County, Homa Bay County 40222, Kenya
    Recruiting
    • Study Coordinator · Contact+254758070947
  • Partners in Health and Research Development (PHRD) ( Site 0002)
    Thika, Kiambu County 00202, Kenya
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • KEMRI-CMR-RCTP ( Site 0003)
    Nairobi, Kisumu County 00200, Kenya
    Recruiting
    • Study Coordinator · Contact+254202600017
  • Kargeno Research & Policy Hub ( Site 0007)
    Kisumu, 40123, Kenya
    Recruiting
    • Study Coordinator · Contact+254732390992
  • Synergy Biomed Research Institute ( Site 0040)
    East London, Eastern Cape 5241, South Africa
    Recruiting
    • Study Coordinator · Contact+27437222306
  • Foundation For Professional Development ( Site 0031)
    Ndevana, Eastern Cape 5660, South Africa
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Josha Research ( Site 0045)
    Bloemfontein, Free State 9301, South Africa
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Wits RHI Ward 21 Clinical Research site ( Site 0022)
    Johannesburg, Gauteng 2001, South Africa
    Recruiting
    • Study Coordinator · Contact+27823776275
  • Helen Joseph Hospital-Clinical HIV Research Unit ( Site 0048)
    Johannesburg, Gauteng 2092, South Africa
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Perinatal HIV Research Unit (PHRU) ( Site 0033)
    Johnnesburg, Gauteng 1864, South Africa
    Recruiting
    • Study Coordinator · Contact+27 11 989 9711
  • Setshaba Research Centre ( Site 0032)
    Pretoria, Gauteng 0152, South Africa
    Recruiting
    • Study Coordinator · Contact0127992422
  • SA Medical Research Council - Chatsworth Clinical Research Site ( Site 0026)
    Chatsworth, KwaZulu-Natal 4092, South Africa
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • SA Medical Research Council - Botha's Hill Clinical Research Site ( Site 0035)
    Durban, KwaZulu-Natal 3660, South Africa
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • CAPRISA eThekwini Clinical Research Site ( Site 0030)
    Durban, KwaZulu-Natal 4001, South Africa
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Wits Maternal Adolescent and Child Health Research Unit (WMRU) ( Site 0027)
    Durban, KwaZulu-Natal 4001, South Africa
    Recruiting
    • Study Coordinator · Contact+27 31 001 1900
  • Umlazi Clinical Research Site ( Site 0047)
    Durban, KwaZulu-Natal 4089, South Africa
    Recruiting
    • Study Coordinator · Contact+2731 260 1982
  • SYNAPSE Research Clinic ( Site 0043)
    Edendale, KwaZulu-Natal 3216, South Africa
    Recruiting
    • Study Coordinator · Contact+27 73 297 2172
  • Qhakaza Mbokodo Research Clinic ( Site 0028)
    Ladysmith, KwaZulu-Natal 3370, South Africa
    Recruiting
    • Study Coordinator · Contact+27366312372
  • SA Medical Research Council - Phoenix Clinical Research Site ( Site 0037)
    Phoenix, KwaZulu-Natal 4068, South Africa
    Recruiting
    • Study Coordinator · Contact+27312423632
  • CAPRISA Vulindlela Clinical Research Site ( Site 0029)
    Pietermaritzburg, KwaZulu-Natal 3231, South Africa
    Recruiting
    • Study Coordinator · Contact+2731 655 0694
  • Africa Health Research Institute (AHRI) - Mtubatuba ( Site 0049)
    Somkhele - Mtubatuba, KwaZulu-Natal 3935, South Africa
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • SA Medical Research Council - Verulam Clinical Research Site ( Site 0036)
    Verulam, KwaZulu-Natal 4340, South Africa
    Recruiting
    • Study Coordinator · Contact+27325334145
  • Desmond Tutu Health Foundation. Philippi Village ( Site 0024)
    Cape Town, Western Cape 7781, South Africa
    Recruiting
    • Study Coordinator · Contact+27870572508
  • DTHF Masiphumelele Clinical Research Site ( Site 0023)
    Cape Town, Western Cape 7975, South Africa
    Recruiting
    • Study Coordinator · Contact+27217855454
  • Vuka Research Clinic ( Site 0025)
    Khayelitsha, Western Cape 7784, South Africa
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • MRC/UVRI and LSHTM Uganda Research Unit Masaka ( Site 0064)
    Entebbe, Central Region 256, Uganda
    Recruiting
    • Study Coordinator · Contact+256485660468
  • Infectious Diseases Institute Kalangala ( Site 0063)
    Kalangala District, Kalangala 30060, Uganda
    Recruiting
    • Study Coordinator · Contact+256312211482
  • MU-JHU Research Collaboration - Mityana ( Site 0061)
    Mityana, District, Mityana 30026/+256, Uganda
    Recruiting
    • Study Coordinator · Contact+25760334881
  • UVRI Clinical Research Program Initiative Ltd (UVRI CRP) ( Site 0067)
    Entebbe, Wakiso 30006, Uganda
    Recruiting
    • Study Coordinator · Contact+256312216100
  • MU-JHU Research Collaboration - Kampala ( Site 0062)
    Kampala, 10216/+256, Uganda
    Recruiting
    • Study Coordinator · Contact+256703419772
08

References and documents

Individual participant data

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

Data sharing details ↗ · externaldatasharing-msd.com

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2025 (actual). Primary completion is estimated for Oct 2027, 23 months after the start.

Of 34 industry-sponsored phase 3 interventional studies under Acquired Immunodeficiency Syndrome, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 27. This study's planned 23 months is close to that.

Counting every sponsor, half of 65 studies reached it within 26 months; a quarter within 19 and three quarters within 34.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 8, 2025
First posted
Jul 17, 2025
StartActual
Nov 10, 2025
Primary completionEst.
Oct 18, 2027
CompletionEst.
Oct 18, 2027
Last update
Oct 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
CAPRISA eThekwini Clinical Research Site ( Site 0030) is now Active, not recruiting
Oct 20, 2026
Site contacts
Changed at 2 sites. See the sites
Show 2 sites
  • UW - KNH; Rachuonyo County Hospital ( Site 0006) · Homabay County, KenyaContact •••9756→•••0947
  • CAPRISA eThekwini Clinical Research Site ( Site 0030) · Durban, South AfricaContact removed •••1961
Oct 20, 2026
Show all 1 update
  1. Oct 20, 2026
    CAPRISA eThekwini Clinical Research Site ( Site 0030) is now Active, not recruiting
    Site contacts Changed at 2 sites. See the sites
    Show 2 sites
    • UW - KNH; Rachuonyo County Hospital ( Site 0006) · Homabay County, KenyaContact •••9756→•••0947
    • CAPRISA eThekwini Clinical Research Site ( Site 0030) · Durban, South AfricaContact removed •••1961
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07071623
Responsible party
Sponsor
First posted
Jul 17, 2025
Start date
Nov 10, 2025
Primary completion
Oct 18, 2027 (estimated)
Completion
Oct 18, 2027 (estimated)
Last update
Oct 20, 2026

Study contacts

Toll Free Number
Contact
Trialsites@msd.com
1-888-577-8839
Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Alimatravir

Start the discussion