DOR/ISL in HIV-1 Antiretroviral Treatment-naïve Participants (MK-8591A-053)

NCT ID: NCT05705349

Last Updated: 2025-10-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

537 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-08

Study Completion Date

2029-08-05

Brief Summary

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This is a randomized, active-controlled, double-blind clinical study designed to evaluate the antiretroviral activity, safety, and tolerability of doravirine/islatravir (DOR/ISL \[MK-8591A\]) in treatment-naïve participants with human immunodeficiency virus type 1 (HIV-1) infection. It is hypothesized that DOR/ISL is non-inferior to bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) as assessed by the percentage of participants with HIV-1 ribonucleic acid (RNA) \<50 copies/mL at Week 48.

Detailed Description

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Conditions

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HIV-1 Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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DOR/ISL

Participants take DOR/ISL and placebo to BIC/FTC/TAF once daily (qd) for 144 weeks.

Group Type EXPERIMENTAL

DOR/ISL

Intervention Type DRUG

Fixed dose combination tablet containing DOR/ISL 100 mg/0.25 mg taken by mouth.

Placebo to BIC/FTC/TAF

Intervention Type DRUG

Placebo tablet matched to BIC/FTC/TAF tablet taken by mouth.

BIC/FTC/TAF

Participants take BIC/FTC/TAF and placebo to DOR/ISL qd for 144 weeks.

Group Type ACTIVE_COMPARATOR

BIC/FTC/TAF

Intervention Type DRUG

Fixed dose combination tablet containing BIC/FTC/TAF 50 mg/200 mg/25 mg taken by mouth.

Placebo to DOR/ISL

Intervention Type DRUG

Placebo tablet matched to DOR/ISL tablet taken by mouth.

Interventions

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DOR/ISL

Fixed dose combination tablet containing DOR/ISL 100 mg/0.25 mg taken by mouth.

Intervention Type DRUG

BIC/FTC/TAF

Fixed dose combination tablet containing BIC/FTC/TAF 50 mg/200 mg/25 mg taken by mouth.

Intervention Type DRUG

Placebo to DOR/ISL

Placebo tablet matched to DOR/ISL tablet taken by mouth.

Intervention Type DRUG

Placebo to BIC/FTC/TAF

Placebo tablet matched to BIC/FTC/TAF tablet taken by mouth.

Intervention Type DRUG

Other Intervention Names

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MK-8591A

Eligibility Criteria

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Inclusion Criteria

* Is HIV-1 positive with plasma HIV-1 RNA ≥500 copies/mL at screening
* Is naïve to antiretroviral therapy (ART) defined as having received no prior therapy with any antiretroviral agent following a diagnosis of HIV-1 infection
* If female, is not a participant of childbearing potential (POCBP); or if a POCBP, is not pregnant or breastfeeding, and is willing to use an acceptable contraceptive method or abstain from heterosexual intercourse for study duration

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 a diagnosis of an active AIDS-defining opportunistic infection within 30 days prior to screening
* Has active hepatitis B infection (defined as hepatitis B surface antigen \[HBsAg\]-positive or HBV deoxyribonucleic acid \[DNA\]-positive).
* Has chronic hepatitis C virus (HCV) infection (detectable HCV ribonucleic acid \[RNA\]) and lab values are consistent with cirrhosis
* Has a history of malignancy ≤5 years prior to providing documented informed consent except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or cutaneous Kaposi's sarcoma
* Has a history or current evidence of any condition (including active tuberculosis infection), therapy, laboratory abnormality, or other circumstance (including drug or alcohol use or dependence) that might, in the opinion of the investigator, confound the results of the study or interfere with the participant's participation for the full duration of the study, such that it is not in the best interest of the participant to participate
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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Pueblo Family Physicians ( Site 5674)

Phoenix, Arizona, United States

Site Status

Pacific Oaks Medical Group ( Site 5681)

Beverly Hills, California, United States

Site Status

Ruane Clinical Research Group, Inc ( Site 5658)

Los Angeles, California, United States

Site Status

Vivent Health ( Site 5694)

Denver, Colorado, United States

Site Status

Washington Health Institute ( Site 5689)

Washington D.C., District of Columbia, United States

Site Status

Midway Immunology and Research Center ( Site 5657)

Ft. Pierce, Florida, United States

Site Status

AHF The Kinder Medical Group ( Site 5672)

Miami, Florida, United States

Site Status

AHF South Beach ( Site 5663)

Miami Beach, Florida, United States

Site Status

Orlando Immunology Center ( Site 5654)

Orlando, Florida, United States

Site Status

CAN Community Health - Sarasota ( Site 5668)

Sarasota, Florida, United States

Site Status

Triple O Research Institute, P.A ( Site 5666)

West Palm Beach, Florida, United States

Site Status

Emory University and Grady Health System-Medicine ( Site 5690)

Atlanta, Georgia, United States

Site Status

Emory University Hospital Midtown Infectious Disease Clinic ( Site 5673)

Atlanta, Georgia, United States

Site Status

Atlanta I.D. Group ( Site 5680)

Atlanta, Georgia, United States

Site Status

Metro Infectious Diseases Consultants L.L.C. ( Site 5653)

Decatur, Georgia, United States

Site Status

Mercer University, Department of Internal Medicine ( Site 5655)

Macon, Georgia, United States

Site Status

Rush University Medical Center-Infectious Disease ( Site 5671)

Chicago, Illinois, United States

Site Status

University of Illinois at Chicago-Project WISH ( Site 5685)

Chicago, Illinois, United States

Site Status

Howard Brown Health Center-Clinical Research ( Site 5665)

Chicago, Illinois, United States

Site Status

Be Well Medical Center ( Site 5650)

Berkley, Michigan, United States

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Henry Ford Hospital ( Site 5667)

Detroit, Michigan, United States

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KC CARE Health Center-Clinical Trials ( Site 5670)

Kansas City, Missouri, United States

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Jubilee Clinical Research ( Site 5679)

Las Vegas, Nevada, United States

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Las Vegas Research Center ( Site 5691)

Las Vegas, Nevada, United States

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ID Care ( Site 5676)

Hillsborough, New Jersey, United States

Site Status

Saint Michael's Medical Center ( Site 5682)

Newark, New Jersey, United States

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Columbia University Irving Medical Center-Division of Infectious Diseases ( Site 5688)

New York, New York, United States

Site Status

Jacobi Medical Center ( Site 5683)

The Bronx, New York, United States

Site Status

Atrium Health Infectious Disease Kenilworth - Charlotte ( Site 5675)

Charlotte, North Carolina, United States

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Regional Center for Infectious Diseases ( Site 5687)

Greensboro, North Carolina, United States

Site Status

University of Cincinnati Medical Center-Infectious Diseases - Outpatient ( Site 5662)

Cincinnati, Ohio, United States

Site Status

Central Texas Clinical Research ( Site 5661)

Austin, Texas, United States

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St Hope Foundation ( Site 5659)

Bellaire, Texas, United States

Site Status

Prism Health North Texas, Oak Cliff Health Center ( Site 5660)

Dallas, Texas, United States

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North Texas Infectious Diseases Consultants, P.A ( Site 5651)

Dallas, Texas, United States

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AXCES Research - Texas - El Paso ( Site 5692)

El Paso, Texas, United States

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Texas Centers for Infectious Disease Associates ( Site 5656)

Fort Worth, Texas, United States

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DCOL Center for Clinical Research ( Site 5664)

Longview, Texas, United States

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Fundación Huésped ( Site 5850)

CABA, Buenos Aires, Argentina

Site Status

Instituto de Investigaciones Clínicas Mar del Plata ( Site 5854)

Mar del Plata, Buenos Aires, Argentina

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Instituto CAICI SRL ( Site 5852)

Rosario, Santa Fe Province, Argentina

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Fundación IDEAA ( Site 5851)

Buenos Aires, , Argentina

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Instituto Oulton ( Site 5853)

Córdoba, , Argentina

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Hamilton Health Sciences-Urgent Care Centre ( Site 5750)

Hamilton, Ontario, Canada

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Toronto General Hospital ( Site 5753)

Toronto, Ontario, Canada

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Clinique Medicale lActuel ( Site 5752)

Montreal, Quebec, Canada

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McGill University Health Centre ( Site 5751)

Montreal, Quebec, Canada

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Regina General Hospital ( Site 5754)

Regina, Saskatchewan, Canada

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Clinica Universidad Catolica del Maule ( Site 5954)

Talca, Maule Region, Chile

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Biomedica Research Group-Infectology ( Site 5951)

Santiago, Region M. de Santiago, Chile

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Espacio Eme ( Site 5952)

Santiago, Region M. de Santiago, Chile

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Centro de Investigacion Clinicadela Universidad Catolica ( Site 5953)

Santiago, Region M. de Santiago, Chile

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Universidad de Chile - Hospital Clínico Universidad de Chile-Inmunologia Alergia y VIH ( Site 5950)

Santiago, Region M. de Santiago, Chile

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Hospital hernan henriquez aravena de temuco-Unidad de Investigación Clínica ( Site 5955)

Temuco, Región de la Araucanía, Chile

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Ciensalud Ips S A S ( Site 6050)

Barranquilla, Atlántico, Colombia

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Clinica de la Costa S.A.S. ( Site 6055)

Barranquilla, Atlántico, Colombia

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Hospital Universitario San Ignacio-Infectious ( Site 6053)

Bogotá, Bogota D.C., Colombia

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Clinica Colsanitas S.A, Sede Clínica Universitaria Colombia ( Site 6051)

Bogotá, Bogota D.C., Colombia

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Fundación Valle del Lili ( Site 6052)

Cali, Valle del Cauca Department, Colombia

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Instituto Dermatológico y Cirugía de Piel "Dr. Huberto Bogaert Díaz" ( Site 8250)

Santo Domingo de Guzman, Santo Domingo Province, Dominican Republic

Site Status

Centre Hospitalier Universitaire de Nice - Hôpital l'Archet ( Site 6153)

Nice, Alpes-Maritimes, France

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Tourcoing Hospital ( Site 6150)

Tourcoing, Nord, France

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Hôpital Bichat - Claude-Bernard ( Site 6162)

Paris, , France

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Hôpital Saint Antoine ( Site 6158)

Paris, , France

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Hôpital Avicenne ( Site 6160)

Bobigny, Île-de-France Region, France

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Hôpital Saint-Louis ( Site 6159)

Paris, Île-de-France Region, France

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Pitie Salpetriere University Hospital ( Site 6156)

Paris, Île-de-France Region, France

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Klinikum der Ludwig-Maximilians-Universitaet Muenchen-Medizinische Klinik und Poliklinik IV, Sektio

München, Bavaria, Germany

Site Status

Universitaetsklinikum Freiburg ( Site 6256)

Freiburg, Brandenburg, Germany

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Universitätsklinikum Bonn-Immunologie ( Site 6250)

Bonn, North Rhine-Westphalia, Germany

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ICH Study Center GmbH & Co. KG ( Site 6259)

Hamburg, , Germany

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Universitaetsklinikum Hamburg-Eppendorf-Infektiologie ( Site 6260)

Hamburg, , Germany

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CLINIPHARM ( Site 8352)

Guatemala City, , Guatemala

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Clínica Médica Especializada en Pediatría e Infectología Pediátrica - Dr. Mario Melgar ( Site 8350)

Guatemala City, , Guatemala

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CELAN,S.A ( Site 8351)

Guatemala City, , Guatemala

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Rambam Health Care Campus-Institute of Allergy, Clinical Immunology, ( Site 6751)

Haifa, , Israel

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Hadassah Medical Center-Infecious Disease ( Site 6752)

Jerusalem, , Israel

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Sheba Medical Center-HIV unit ( Site 6753)

Ramat Gan, , Israel

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Sourasky Medical Center ( Site 6754)

Tel Aviv, , Israel

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National Hospital Organization Nagoya Medical Center ( Site 6953)

Nagoya, Aichi-ken, Japan

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Tokyo Medical University Hospital ( Site 6954)

Shinjuku-ku, Tokyo, Japan

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Center Hospital of the National Center for Global Health and Medicine ( Site 6951)

Shinjyuku-ku, Tokyo, Japan

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National Hospital Organization Osaka National Hospital ( Site 6952)

Osaka, , Japan

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CCR KEMRI (Center for Clinical Research) ( Site 8652)

Nairobi, Nairobi City, Kenya

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PHRD KEMRI (Partners in Health Research & Development) ( Site 8651)

Nairobi, Nairobi City, Kenya

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KEMRI-CMR-RCTP ( Site 8650)

Kisumu, , Kenya

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Hospital Sultanah Bahiyah ( Site 7776)

Alor Star, Kedah, Malaysia

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University Malaya Medical Centre-Clinical Investigation Centre (CIC) ( Site 7777)

Lembah Pantai, Kuala Lumpur, Malaysia

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Hospital Pulau Pinang ( Site 7779)

George Town, Pulau Pinang, Malaysia

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Sarawak General Hospital ( Site 7772)

Kuching, Sarawak, Malaysia

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Hospital Selayang ( Site 7770)

Batu Caves, Selangor, Malaysia

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Hospital Sungai Buloh ( Site 7778)

Sungai Buloh, Selangor, Malaysia

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Hospital Kuala Lumpur ( Site 7773)

Kuala Lumpur, , Malaysia

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Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran ( Site 7251)

Mexico City, Mexico City, Mexico

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Ponce Medical School Foundation Inc. ( Site 7452)

Ponce, , Puerto Rico

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Clinical Research Puerto Rico ( Site 7450)

San Juan, , Puerto Rico

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HOPE Clinical Research ( Site 7451)

San Juan, , Puerto Rico

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Josha Research ( Site 6652)

Bloemfontein, Free State, South Africa

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Perinatal HIV Research Unit (PHRU)-Adult Treatment and Research ( Site 6654)

Johannesburg, Gauteng, South Africa

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Helen Joseph Hospital-Clinical HIV Research Unit ( Site 6661)

Johannesburg, Gauteng, South Africa

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Ezintsha-Clinical Research Site ( Site 6656)

Johannesburg, Gauteng, South Africa

Site Status

Wentworth Hospital ( Site 6653)

Durban, KwaZulu-Natal, South Africa

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Qhakaza Mbokodo Research Clinic ( Site 6659)

Ladysmith, KwaZulu-Natal, South Africa

Site Status

Human Sciences Research Council-Centre for Community Based Research ( Site 6664)

Pietermaritzburg, KwaZulu-Natal, South Africa

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Madibeng Centre for Research ( Site 6660)

Brits, North West, South Africa

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Family Clinical Research Unit (Fam-Cru)-Adult Infectious Diseases ( Site 6657)

Cape Town, Western Cape, South Africa

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Desmond Tutu Health Foundation ( Site 6651)

Cape Town, Western Cape, South Africa

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Be Part Yoluntu Centre ( Site 6650)

Paarl, Western Cape, South Africa

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Hospital General Universitario de Elche-Infectius Disease ( Site 6358)

Elche, Alicante, Spain

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Hospital Germans Trias i Pujol-Fundació Lluita contra la Sida ( Site 6351)

Badalona, Barcelona, Spain

Site Status

HOSPITAL CLÍNIC DE BARCELONA-Infection Day Hospital ( Site 6350)

Barcelona, Catalonia, Spain

Site Status

Hospital Universitari de Bellvitge ( Site 6360)

L'Hospitalet de Llobregat,Barcelona, Catalonia, Spain

Site Status

HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑON-Unidad de Enfermedades Infecciosas ( Site 6353)

Madrid, Madrid, Comunidad de, Spain

Site Status

Hospital Universitario Ramón y Cajal-ENFERMEDADES INFECCIOSAS ( Site 6361)

Madrid, Madrid, Comunidad de, Spain

Site Status

Hospital Universitari Vall d'Hebron-Infectious Diseases: HIV unit ( Site 6352)

Barcelona, , Spain

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Hospital Universitario Fundación Jiménez Díaz-Internal Medicine. Infectious disease ( Site 6357)

Madrid, , Spain

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Hospital Universitario 12 de Octubre ( Site 6355)

Madrid, , Spain

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Hospital Universitario La Paz ( Site 6354)

Madrid, , Spain

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Hospital Universitario Virgen de la Victoria ( Site 6359)

Málaga, , Spain

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University Hospital Basel-Infectiology ( Site 8151)

Basel, Canton of Basel-City, Switzerland

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Hôpitaux Universitaires de Genève (HUG)-Infectious Disease Department ( Site 8150)

Geneva, Canton of Geneva, Switzerland

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HIV Netherlands Australia Thailand Research Collaboration ( Site 7851)

Bangkok, Bangkok, Thailand

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Faculty of Medicine Siriraj Hospital-Preventive and social ( Site 7850)

Bangkok, Bangkok, Thailand

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Research Institute for Health Sciences-Research Institute for Health Sciences Building 1 ( Site 7852

Chiang Mai, , Thailand

Site Status

Hacettepe Universite Hastaneleri ( Site 7650)

Altindağ, Ankara, Turkey (Türkiye)

Site Status

Ankara Bilkent Şehir Hastanesi-Infectious Disease and Clinical Microbiology ( Site 7659)

Ankara, , Turkey (Türkiye)

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Southmead Hospital ( Site 7952)

Bristol, Bristol, City of, United Kingdom

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Royal London Hospital ( Site 7951)

London, England, United Kingdom

Site Status

The Hathersage Centre ( Site 7953)

Manchester, England, United Kingdom

Site Status

King's College Hospital ( Site 7950)

London, London, City of, United Kingdom

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The Mortimer Market Centre for Sexual Health and HIV Research ( Site 7954)

London, London, City of, United Kingdom

Site Status

Countries

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United States Argentina Canada Chile Colombia Dominican Republic France Germany Guatemala Israel Japan Kenya Malaysia Mexico Puerto Rico South Africa Spain Switzerland Thailand Turkey (Türkiye) United Kingdom

Related Links

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Other Identifiers

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2022-502099-22-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

jRCT2031220720

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1283-2516

Identifier Type: REGISTRY

Identifier Source: secondary_id

8591A-053

Identifier Type: -

Identifier Source: org_study_id

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