MK-4646 Multiple Dose Trial in Participants With Human Immunodeficiency Virus Type 1 (HIV-1) (MK-4646-003)

NCT ID: NCT07042945

Last Updated: 2026-01-23

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-09

Study Completion Date

2026-04-14

Brief Summary

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This study will examine if at least one dose level of MK-4646 can lower HIV-1 viral load in a person's blood by a certain amount. The goals of this study are to learn about the safety of MK-4646 and if people tolerate it; and how HIV-1 viral load may decrease after starting to take MK-4646.

Detailed Description

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Conditions

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HIV Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MK-4646 Panel A

MK-4646 160 mg every 24 hours (q24h) for 7 days

Group Type EXPERIMENTAL

MK-4646

Intervention Type DRUG

MK-4646 in capsular form administered orally

MK-4646 Panel B

MK-4646 ≤460 mg q24h for 7 days

Group Type EXPERIMENTAL

MK-4646

Intervention Type DRUG

MK-4646 in capsular form administered orally

MK-4646 Panel C

MK-4646 ≤460 mg q24h for 7 days

Group Type EXPERIMENTAL

MK-4646

Intervention Type DRUG

MK-4646 in capsular form administered orally

MK-4646 Panel D

MK-4646 ≤460 mg every 12 hours (q12h) for 7 days

Group Type EXPERIMENTAL

MK-4646

Intervention Type DRUG

MK-4646 in capsular form administered orally

Interventions

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MK-4646

MK-4646 in capsular form administered orally

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Other than having HIV-1, is in good health
* Is antiretroviral therapy (ART)-naïve
* If ART-experienced has not received any antiretroviral therapy within 60 days (or 5 half-lives, whichever is longer) prior to screening
* Is willing to receive no other ART prior to Day 8 post-dose of the trial
* If capable of producing sperm agrees to use contraception
* If assigned female sex at birth is not breastfeeding
* A participant of childbearing potential (POCBP) is not pregnant and has a negative highly sensitive pregnancy test (urine or serum), and uses a contraceptive method that is highly effective

Exclusion Criteria

* Has acute (primary) HIV-1 infection
* Has history of clinically significant endocrine, gastrointestinal (GI), cardiovascular, hematological, hepatic, immunological, renal, respiratory, genitourinary, or major neurological (including stroke and chronic seizures) abnormalities or diseases
* Is mentally or legally incapacitated, has significant emotional problems at the time of prestudy (screening) visit or expected during the conduct of the study or has a history of clinically significant psychiatric disorder of the last 5 years.
* Has history of cancer (malignancy)
* Has history of significant multiple and/or severe allergies
* Tests positive for hepatitis B surface antigen (HBsAg), hepatitis C antibodies
* Has had a major surgery and/or donated or lost 1 unit of blood (approximately 500 mL) within 4 weeks prior to the prestudy (screening) visit
* Has received any vaccine starting from 30 days prior to study intervention or is scheduled to receive any vaccine through 14 days following study intervention
* Is unable to refrain from using protocol specified prohibited medications
* Is an excessive smoker, or consumes excessive amounts of alcoholic or caffeinated beverages
* Is a regular user of any illicit drugs or has a history of drug (including alcohol) abuse
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 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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PMSI Republican Clinical Hospital "T.Mosneaga" ( Site 0002)

Chisinau, , Moldova

Site Status RECRUITING

ARENSIA Exploratory Medicine ( Site 0001)

Bucharest, București, Romania

Site Status RECRUITING

Countries

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Moldova Romania

Central Contacts

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Toll Free Number

Role: CONTACT

1-888-577-8839

Facility Contacts

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Study Coordinator

Role: primary

+37369014957

Study Coordinator

Role: primary

+40212010980

Related Links

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http://www.merckclinicaltrials.com

Merck Clinical Trials Information

Other Identifiers

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MK-4646-003

Identifier Type: OTHER

Identifier Source: secondary_id

2025-521102-17-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1318-7985

Identifier Type: REGISTRY

Identifier Source: secondary_id

4646-003

Identifier Type: -

Identifier Source: org_study_id

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