A Study of Islatravir (ISL) and Ulonivirine (ULO) Once Weekly (QW) in Virologically Suppressed Adults With Human Immunodeficiency Virus Type 1 (HIV-1) (MK-8591B-060)

NCT ID: NCT06891066

Last Updated: 2025-10-16

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

PHASE2

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-14

Study Completion Date

2031-09-30

Brief Summary

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Investigators are trying to find better treatments for people with HIV-1. In this clinical study, investigators want to see how well a new treatment called ISL+ULO, taken once a week, works compared to an existing treatment called BIC/FTC/TAF, which is taken every day. Investigators will check how many people still have a high level of the virus in their blood after 24 weeks. The investigators also want to understand if the new treatment, MK-8591B, is safe and how well people can handle it.

Detailed Description

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Conditions

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Human Immunodeficiency Virus Type 1 (HIV-1) Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ISL + ULO in Group 1

In part 1 of the study, participants will receive ISL 2mg + ULO 200mg orally once a week (QW) for 48 weeks. In part 2 (2nd 48 weeks), participants will continue to receive ISL 2mg + ULO 200mg once a week till week 96.

Group Type EXPERIMENTAL

ISL

Intervention Type DRUG

ISL 1mg oral capsule will be administered as 2mg orally (each capsule 1mg) as part of ISL and ULO combination to group 1 participants for 96 weeks and for group 2 participants in part 2 of the study from 49 to 96 weeks.

ULO

Intervention Type DRUG

ULO 100mg oral tablet will be administered as 200mg (2 tablets) orally as part of ISL and ULO combination to group 1 participants for 96 weeks and for group 2 participants in part 2 of the study from 49 to 96 weeks.

BIC/FTC/TAF in Group 2

In part 1 of the study, participants will receive BIC 50mg/FTC 200mg/TAF 25mg orally once daily (QD) for 48 weeks.

Group Type ACTIVE_COMPARATOR

BIC/FTC/TAF

Intervention Type DRUG

BIC 50mg oral tablet/FTC 200mg oral tablet/TAF 25 mg oral tablet administered orally to group 2 participants for 48 weeks in part 1 of the study.

ISL + ULO in Group 2

In part 2 of the study, participants previously on BIC/FTC/TAF (for the 1st 48 weeks, or part 1) will switch to ISL + ULO, to week 96.

Group Type EXPERIMENTAL

ISL

Intervention Type DRUG

ISL 1mg oral capsule will be administered as 2mg orally (each capsule 1mg) as part of ISL and ULO combination to group 1 participants for 96 weeks and for group 2 participants in part 2 of the study from 49 to 96 weeks.

ULO

Intervention Type DRUG

ULO 100mg oral tablet will be administered as 200mg (2 tablets) orally as part of ISL and ULO combination to group 1 participants for 96 weeks and for group 2 participants in part 2 of the study from 49 to 96 weeks.

Interventions

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ISL

ISL 1mg oral capsule will be administered as 2mg orally (each capsule 1mg) as part of ISL and ULO combination to group 1 participants for 96 weeks and for group 2 participants in part 2 of the study from 49 to 96 weeks.

Intervention Type DRUG

ULO

ULO 100mg oral tablet will be administered as 200mg (2 tablets) orally as part of ISL and ULO combination to group 1 participants for 96 weeks and for group 2 participants in part 2 of the study from 49 to 96 weeks.

Intervention Type DRUG

BIC/FTC/TAF

BIC 50mg oral tablet/FTC 200mg oral tablet/TAF 25 mg oral tablet administered orally to group 2 participants for 48 weeks in part 1 of the study.

Intervention Type DRUG

Other Intervention Names

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MK-8591 Islatravir MK-8507 Ulonivirine. BIKTARVY®

Eligibility Criteria

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Inclusion Criteria

\- Has been receiving Bictegravir/Emtricitabine/Tenofovir alafenamide (BIC/FTC/TAF) therapy with documented viral suppression \[Human immunodeficiency virus type 1 (HIV-1) ribonucleic acid (RNA) \<50 copies/mL\] for ≥6 months prior to providing documented informed consent and has no history of prior virologic treatment failure on any past or current regimen.

Exclusion:

Exclusion Criteria

* Has Human immunodeficiency virus type 2 (HIV-2) infection.
* Has a diagnosis of an active Acquired immune deficiency syndrome (AIDS)-defining opportunistic infection.
* Has active hepatitis C virus (HCV) coinfection.
* Has hepatitis B virus (HBV) coinfection.
* 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 or in situ anal cancer, or cutaneous Kaposi's sarcoma.
* Has prior exposure to Islatravir (ISL) or Ulonivirine (ULO) for any duration any time prior to Day 1.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

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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Zuckerberg San Francisco General Hospital and Trauma Center ( Site 4107)

San Francisco, California, United States

Site Status

Mills Clinical Research ( Site 4109)

West Hollywood, California, United States

Site Status

Georgetown University Medical Center ( Site 4106)

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

Site Status

Orlando Immunology Center ( Site 4103)

Orlando, Florida, United States

Site Status

Triple O Research Institute ( Site 4111)

West Palm Beach, Florida, United States

Site Status

Chatham County Health Department - Chatham CARE Center ( Site 4116)

Savannah, Georgia, United States

Site Status

KC CARE Health Center ( Site 4101)

Kansas City, Missouri, United States

Site Status

Regional Center for Infectious Diseases ( Site 4115)

Greensboro, North Carolina, United States

Site Status

Central Texas Clinical Research ( Site 4100)

Austin, Texas, United States

Site Status

Prism Health North Texas, Oak Cliff Health Center ( Site 4114)

Dallas, Texas, United States

Site Status

DCOL Center for Clinical Research ( Site 4112)

Longview, Texas, United States

Site Status

Momentum Clinical Research - Darlinghurst ( Site 4260)

Darlinghurst, New South Wales, Australia

Site Status

St. Vincent's Hospital ( Site 4263)

Darlinghurst, New South Wales, Australia

Site Status

Momentum Clinical Research Fortitude Valley ( Site 4261)

Fortitude Valley, Queensland, Australia

Site Status

The Alfred Hospital ( Site 4264)

Melbourne, Victoria, Australia

Site Status

Prahran Market Clinic ( Site 4262)

Prahran, Victoria, Australia

Site Status

Ponce Medical School Foundation Inc./CAIMED Center ( Site 4301)

Ponce, , Puerto Rico

Site Status

Clinical Research Puerto Rico ( Site 4300)

San Juan, , Puerto Rico

Site Status

HOPE Clinical Research ( Site 4303)

San Juan, , Puerto Rico

Site Status

University Hospital Basel-Infectiology ( Site 4402)

Basel, Canton of Basel-City, Switzerland

Site Status

Inselspital Bern-Inselspital Infektiologie ( Site 4403)

Bern, Canton of Bern, Switzerland

Site Status

Hôpitaux Universitaires de Genève (HUG)-Infectious Disease Department ( Site 4404)

Geneva, Canton of Geneva, Switzerland

Site Status

Ospedale Regionale di Lugano, Sede Civico-Servizio Malattie Infettive ( Site 4405)

Lugano, Canton Ticino, Switzerland

Site Status

Countries

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United States Australia Puerto Rico Switzerland

Related Links

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http://www.merckclinicaltrials.com

Merck Clinical Trials Information

Other Identifiers

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MK-8591B-060

Identifier Type: OTHER

Identifier Source: secondary_id

8591B-060

Identifier Type: -

Identifier Source: org_study_id

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