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En klinisk undersøgelse af Islatravir og Ulonivirine til personer med HIV-1, der ikke tidligere har fået behandling (MK-8591B-062)

2. november 2026 opdateret af: Merck Sharp & Dohme LLC

En fase 2/3, randomiseret, aktivt-kontrolleret, åben (fase 2) og dobbeltblind (fase 3) undersøgelse for at evaluere antiretroviral aktivitet, sikkerhed og tolerabilitet af Islatravir (ISL) og Ulonivirine (ULO) én gang ugentligt sammenlignet med Bictegravir/Emtricitabin/Tenofovir Alafenamid (BIC/FTC/TAF) én gang dagligt hos behandlingsnaïve voksne deltagere, der lever med HIV-1

Researchers are looking for new ways to treat HIV-1 (Human Immunodeficiency Virus Type 1). The usual (standard) treatment for HIV-1 is antiretroviral therapy (ART), which includes taking medicines to lower the amount of HIV-1 in the body. Standard ART helps people live longer, but people must take up to 3 medicines up to twice a day. Standard ART may also cause other health problems. Researchers want to know if a study ART works as well as a standard ART to treat HIV-1. The study ART combines 2 medicines, islatravir and ulonivirine, and is taken once a week. The goals of this study are to learn: 1) If the study ART works as well as a standard ART to treat HIV-1, and 2) About the safety of the study ART and if people tolerate it compared to a standard ART.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

570

Fase

  • Fase 2
  • Fase 3

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • Buenos Aires
      • CABA, Buenos Aires, Argentina, C1427CEA
        • Rekruttering
        • Fundación Huesped ( Site 3100)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +541121209999
      • Caba, Buenos Aires, Argentina, C1425AGC
        • Rekruttering
        • Centro Medico Dra. Laura Maffei- Investigacion Clinica Aplicada ( Site 3102)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +5491141639539
      • Mar del Plata, Buenos Aires, Argentina, B7600FZN
        • Rekruttering
        • Instituto de Investigaciones Clinicas Mar del Plata ( Site 3103)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +5492234365218
    • Buenos Aires F.D.
      • Buenos Aires, Buenos Aires F.D., Argentina, C1405CKC
        • Rekruttering
        • Fundación IDEAA ( Site 3101)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +5491161835390
    • Santa Fe Province
      • Rosario, Santa Fe Province, Argentina, S2000PBJ
        • Rekruttering
        • Instituto CAICI SRL ( Site 3106)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +543414248045
    • Tucumán Province
      • San Miguel de Tucumán, Tucumán Province, Argentina, T4000IHE
        • Rekruttering
        • Clínica Mayo de Urgencias Médicas Cruz Blanca S.R.L ( Site 3105)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +5403814502600
    • British Columbia
      • Vancouver, British Columbia, Canada, V6Z 2T1
        • Afsluttet
        • Spectrum Health ( Site 3307)
    • Quebec
      • Montreal, Quebec, Canada, H2L 4P9
        • Rekruttering
        • Gestion clinique médicale l'Actuel ( Site 3303)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 5145243642x2271
    • Region M. de Santiago
      • Santiago, Region M. de Santiago, Chile, 7500710
        • Rekruttering
        • Biomedica Research Group ( Site 4201)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 56222045686
      • Santiago, Region M. de Santiago, Chile, 7620157
        • Rekruttering
        • Clínica Universidad de Los Andes ( Site 4207)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 56226183123
      • Santiago, Region M. de Santiago, Chile, 7770086
        • Aktiv, ikke rekrutterende
        • Espacio Eme ( Site 4202)
    • California
      • Los Angeles, California, Forenede Stater, 90036
        • Rekruttering
        • Ruane Clinical Research Group, Inc. ( Site 1513)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 323-954-0400
    • Colorado
      • Denver, Colorado, Forenede Stater, 80246
        • Rekruttering
        • Vivent Health ( Site 1519)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 303-393-8050
    • District of Columbia
      • Washington D.C., District of Columbia, Forenede Stater, 20032
        • Rekruttering
        • Whitman-Walker Institute ( Site 1538)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 202-207-2510
    • Florida
      • Ft. Pierce, Florida, Forenede Stater, 34982
        • Rekruttering
        • Midway Immunology and Research Center ( Site 1503)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 772-595-9830
      • Miami Gardens, Florida, Forenede Stater, 33055
        • Rekruttering
        • CAN Community Health- Miami Gardens ( Site 1549)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 954-955-0023
      • Orlando, Florida, Forenede Stater, 32803
        • Rekruttering
        • Orlando Immunology Center ( Site 1501)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 407-374-0220
      • Sarasota, Florida, Forenede Stater, 34237
        • Rekruttering
        • CAN Community Health ( Site 1510)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 941-366-0134
      • West Palm Beach, Florida, Forenede Stater, 33407
        • Rekruttering
        • Triple O Research Institute ( Site 1505)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 561-855-7871
    • Georgia
      • Decatur, Georgia, Forenede Stater, 30033
        • Rekruttering
        • Metro Infectious Diseases Consultants L.L.C. ( Site 1509)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 404-297-9755
      • Macon, Georgia, Forenede Stater, 31201
        • Rekruttering
        • Mercer university, Department of internal medicine-Clinical Research ( Site 1512)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 478-301-5846
    • Illinois
      • Chicago, Illinois, Forenede Stater, 60612
        • Rekruttering
        • Rush University Medical Center-Infectious Disease ( Site 1522)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 312-942-5865
    • Michigan
      • Detroit, Michigan, Forenede Stater, 48202
        • Rekruttering
        • Henry Ford Hospital ( Site 1535)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 313-916-2600
    • Missouri
      • Kansas City, Missouri, Forenede Stater, 64111
        • Rekruttering
        • KC CARE Health Center ( Site 1506)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 816-753-5144
    • New Jersey
      • Hillsborough, New Jersey, Forenede Stater, 08844
        • Rekruttering
        • ID Care ( Site 1507)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 908-281-0221
    • North Carolina
      • Charlotte, North Carolina, Forenede Stater, 28204
        • Rekruttering
        • Atrium Health Infectious Disease Kenilworth - Charlotte ( Site 1533)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 704-468-3510
      • Greensboro, North Carolina, Forenede Stater, 27401
        • Rekruttering
        • Regional Center for Infectious Diseases ( Site 1516)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 336-832-3275
    • Ohio
      • Columbus, Ohio, Forenede Stater, 43210
        • Rekruttering
        • The Ohio State University ( Site 1536)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 614-293-8112
    • Pennsylvania
      • Philadelphia, Pennsylvania, Forenede Stater, 19104
        • Rekruttering
        • University of Pennsylvania Perelman School of Medicine ( Site 1508)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 215-349-8092
    • Texas
      • Bellaire, Texas, Forenede Stater, 77401
        • Rekruttering
        • Saint Hope Foundation, Inc. ( Site 1504)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 713-839-7111
      • Dallas, Texas, Forenede Stater, 75208
        • Rekruttering
        • Prism Health North Texas, Oak Cliff Health Center ( Site 1514)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 214-521-5191
      • Dallas, Texas, Forenede Stater, 75246
        • Aktiv, ikke rekrutterende
        • North Texas Infectious Diseases Consultants ( Site 1500)
      • Fort Worth, Texas, Forenede Stater, 76104
        • Rekruttering
        • Texas Center for Infectious Disease Associates ( Site 1502)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 817-348-0042
      • Longview, Texas, Forenede Stater, 75605
        • Rekruttering
        • DCOL Center for Clinical Research ( Site 1511)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 903-238-8854
    • Washington
      • Seattle, Washington, Forenede Stater, 98104
        • Rekruttering
        • Harborview Medical Center ( Site 1526)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 206-744-8886
    • Gironde
      • Bordeaux, Gironde, Frankrig, 33076
        • Rekruttering
        • Bordeaux University Hospital - Pellegrin ( Site 3605)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +33556795536
    • Haute-Garonne
      • Toulouse, Haute-Garonne, Frankrig, 31059
        • Rekruttering
        • Centre Hospitalier Universitaire de Toulouse - Hôpital Purpan ( Site 3608)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +33561776800
    • Pays de la Loire Region
      • Nantes, Pays de la Loire Region, Frankrig, 44093
        • Rekruttering
        • Centre Hospitalier Universitaire de Nantes - L' Hopital l'hôtel-Dieu-Infectious Disease ( Site 3606)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +33240083109
    • Rhone
      • Lyon, Rhone, Frankrig, 69317
        • Rekruttering
        • HOPITAL DE LA CROIX ROUSSE ( Site 3613)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +33472071107
    • Île-de-France Region
      • Bobigny, Île-de-France Region, Frankrig, 93000
        • Rekruttering
        • Hôpital Avicenne ( Site 3602)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +33148955421
      • Paris, Île-de-France Region, Frankrig, 75018
        • Rekruttering
        • Hôpital Bichat - Claude-Bernard ( Site 3601)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +33140257803
      • Paris, Île-de-France Region, Frankrig, 75010
        • Rekruttering
        • Hôpital Saint-Louis ( Site 3600)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +33142494852
      • Guatemala City, Guatemala, 01009
        • Rekruttering
        • MEDI-K ( Site 3803)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +50222912323
      • Guatemala City, Guatemala, 01009
        • Rekruttering
        • Clínica Médica Especializada en Pediatría e Infectología Pediátrica - Dr. Mario Melgar ( Site 3801)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +50223196600
      • Guatemala City, Guatemala, 01010
        • Rekruttering
        • CELAN,S.A ( Site 3802)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +50222968018
      • Veracruz, Mexico, 91910
        • Rekruttering
        • Arké SMO S.A de C.V ( Site 4505)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +522299314102
    • Guanajuato
      • León, Guanajuato, Mexico, 37000
        • Rekruttering
        • Morales Vargas Centro de Investigacion, S.C. ( Site 4502)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: 4777160714
      • Barcelona, Spanien, 08035
        • Rekruttering
        • Hospital Universitari Vall d'Hebron ( Site 3402)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +34934894377
      • Barcelona, Spanien, 08036
        • Rekruttering
        • HOSPITAL CLÍNIC DE BARCELONA ( Site 3400)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +34932275574
      • Madrid, Spanien, 28041
        • Rekruttering
        • Hospital Universitario 12 de Octubre ( Site 3405)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +34917792853
      • Málaga, Spanien, 29010
        • Rekruttering
        • Complejo Hospitalario Virgen De La Victoria ( Site 3409)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +34 951032594
    • Madrid, Comunidad de
      • Madrid, Madrid, Comunidad de, Spanien, 28029
        • Rekruttering
        • Hospital Universitario La Paz ( Site 3404)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +34915383515
    • Valenciana, Comunitat
      • Valencia, Valenciana, Comunitat, Spanien, 46014
        • Rekruttering
        • Consorcio Hospital General Universitario de Valencia ( Site 3406)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +34 963131800x437834
    • Free State
      • Bloemfontein, Free State, Sydafrika, 9301
        • Rekruttering
        • Josha Research ( Site 4302)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +27 51 412 8160
    • KwaZulu-Natal
      • Durban, KwaZulu-Natal, Sydafrika, 4052
        • Rekruttering
        • Wentworth Hospital ( Site 4303)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +27837471149
    • Western Cape
      • Mbekweni, Paarl, Western Cape, Sydafrika, 7646
        • Rekruttering
        • Be Part Yoluntu Centre ( Site 4300)
        • Kontakt:
          • Study Coordinator
          • Telefonnummer: +27 21 8683990/1/2

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Phase 2: Is human immunodeficiency virus type 1 (HIV-1) positive with Plasma HIV-1 ribonucleic acid (RNA) ≥500 and ≤100,000 copies/mL.
  • Phase 3: Is HIV-1 positive with Plasma HIV-1 RNA ≥500 and ≤1,000,000 copies/mL
  • Phase 2: Has cluster of differentiation 4-positive (CD4+) T-cell count ≥200 cells/mm^3.
  • Is naïve to antiretroviral therapy (ART), defined as having received no prior therapy with any antiretroviral agent following a diagnosis of HIV 1 infection.

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) or active hepatitis B virus (HBV) infection.
  • 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.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Phase 2: ISL + ULO

Islatravir (ISL) 2mg and Ulonivirine (ULO) 200mg administered orally once weekly (qw) for 96 weeks

ISL 2 x 1 mg oral capsules administered qw for 96 weeks

Andre navne:
  • MK-8591
  • islatravir

ULO 2 x 100 mg oral tablets administered qw for 96 weeks

Andre navne:
  • MK-8507
  • ulonivirine
Aktiv komparator: Phase 2: BIC/FTC/TAF

Bictegravir/Emtricitabine/Tenofovir Alafenamide (BIC/FTC/TAF) 50/200/25 mg, administered orally once daily (qd) for 96 weeks

BIC/FTC/TAF 50/200/25 mg oral tablet administered qd for 96 weeks

Andre navne:
  • BIKTARVY®
  • bictegravir/emtricitabin/tenofoviralafenamid
Eksperimentel: Phase 3: ISL/ULO and Placebo to BIC/FTC/TAF

ISL/ULO fixed dose combination (2/200 mg), administered orally qw, and matching placebo to BIC/FTC/TAF administered orally qd for 96 weeks

BIC/FTC/TAF-matching placebo oral tablet administered qd for 96 weeks

ISL/ULO fixed-dose combination 2 mg/200 mg oral tablet administered qw for 96 weeks

Andre navne:
  • MK-8591B
Aktiv komparator: Phase 3: BIC/FTC/TAF and Placebo to ISL/ULO

BIC/FTC/TAF 50/200/25 mg, administered orally qd, and matching placebo to ISL/ULO administered orally qw for 96 weeks

BIC/FTC/TAF 50/200/25 mg oral tablet administered qd for 96 weeks

Andre navne:
  • BIKTARVY®
  • bictegravir/emtricitabin/tenofoviralafenamid

ISL/ULO-matching placebo oral tablets administered qw for 96 weeks

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Phase 2: Percentage of Participants With Human Immunodeficiency Virus Type 1 (HIV-1) Ribonucleic Acid (RNA) <50 Copies/mL at Week 24
Tidsramme: Week 24

Plasma HIV-1 ribonucleic acid (RNA) quantification will be performed at the central laboratory using a polymerase chain reaction (PCR) assay. Percentage of participants with HIV-1 RNA <50 copies/mL will be reported at week 24.

Week 24
Phase 2: Percentage of Participants Who Experience an Adverse Event (AE) at Week 24
Tidsramme: Week 24

An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

Week 24
Phase 2: Percentage of Participants Who Discontinue Study Intervention Due to an AE at Week 24
Tidsramme: Week 24

An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

Week 24
Phase 3: Percentage of Participants With HIV-1 RNA <50 Copies/mL at Week 48
Tidsramme: Week 48

Plasma HIV-1 RNA quantification will be performed at the central laboratory using a PCR assay. Percentage of participants with HIV-1 RNA <50 copies/mL will be reported at week 48.

Week 48
Phase 3: Percentage of Participants Who Experience an AE at Week 48
Tidsramme: Week 48

An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

Week 48
Phase 3: Percentage of Participants Who Discontinue Study Intervention Due to an AE at Week 48
Tidsramme: Week 48

An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

Week 48

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Phase 2: Percentage of Participants With HIV-1 RNA <50 Copies/mL at Week 48
Tidsramme: Week 48

Plasma HIV-1 RNA quantification will be performed at the central laboratory using a PCR assay. Percentage of participants with HIV-1 RNA <50 copies/mL will be reported at week 48.

Week 48
Phase 2: Percentage of Participants With HIV-1 RNA <50 Copies/mL at Week 96
Tidsramme: Week 96

Plasma HIV-1 RNA quantification will be performed at the central laboratory using a PCR assay. Percentage of participants with HIV-1 RNA <50 copies/mL will be reported at week 96.

Week 96
Phase 2: Percentage of Participants With HIV-1 RNA <200 Copies/mL at Week 24
Tidsramme: Week 24

Plasma HIV-1 RNA quantification will be performed at the central laboratory using a PCR assay. Percentage of participants with HIV-1 RNA <200 copies/mL will be reported at week 24.

Week 24
Phase 2: Percentage of Participants With HIV-1 RNA <200 Copies/mL at Week 48
Tidsramme: Week 48

Plasma HIV-1 RNA quantification will be performed at the central laboratory using a PCR assay. Percentage of participants with HIV-1 RNA <200 copies/mL will be reported at week 48.

Week 48
Phase 2: Percentage of Participants With HIV-1 RNA <200 Copies/mL at Week 96
Tidsramme: Week 96

Plasma HIV-1 RNA quantification will be performed at the central laboratory using a PCR assay. Percentage of participants with HIV-1 RNA <200 copies/mL will be reported at week 96.

Week 96
Phase 2: Mean Change From Baseline in Cluster of Differentiation 4-Positive (CD4+) T-Cell Count at Week 24
Tidsramme: Baseline (Day 1) and Week 24

Blood samples will be collected to measure CD4+ T-cell count. The mean change from baseline in CD4+ T-cell count will be calculated at 24 weeks.

Baseline (Day 1) and Week 24
Phase 2: Mean Change From Baseline in CD4+ T-Cell Count at Week 48
Tidsramme: Baseline (Day 1) and Week 48

Blood samples will be collected to measure CD4+ T-cell count. The mean change from baseline in CD4+ T-cell count will be calculated at 48 weeks.

Baseline (Day 1) and Week 48
Phase 2: Mean Change From Baseline in CD4+ T-Cell Count at Week 96
Tidsramme: Baseline (Day 1) and Week 96

Blood samples will be collected to measure CD4+ T-cell count. The mean change from baseline in CD4+ T-cell count will be calculated at 96 weeks.

Baseline (Day 1) and Week 96
Phase 2: Percentage of Participants Who Experience an AE
Tidsramme: Up to approximately 102 weeks

An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

Up to approximately 102 weeks
Phase 2: Percentage of Participants Who Discontinue Study Intervention Due to an AE
Tidsramme: Up to approximately 96 weeks

An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

Up to approximately 96 weeks
Phase 2: Number of Participants With Evidence of Viral Drug Resistance-Associated Substitutions at Week 24
Tidsramme: Week 24

Participants who meet the definition of clinically significant confirmed viremia (CSCV) or who discontinue study intervention for another reason and have HIV-1 RNA ≥200 copies/mL at the time of discontinuation, will be assessed for development of viral drug resistance. Among such participants, those with confirmed HIV-1 RNA ≥400 copies/mL will be included in the resistance analyses set. In addition, anyone for whom available genotypic and/or phenotypic data show evidence of resistance, irrespective of viral load, will also be included in the resistance analyses set. The number of participants in each treatment group who have evidence of resistance-associated substitutions at week 24 will be presented.

Week 24
Phase 2: Number of Participants With Evidence of Viral Drug Resistance-Associated Substitutions at Week 48
Tidsramme: Week 48

Participants who meet the definition of clinically significant confirmed viremia (CSCV) or who discontinue study intervention for another reason and have HIV-1 RNA ≥200 copies/mL at the time of discontinuation, will be assessed for development of viral drug resistance. Among such participants, those with confirmed HIV-1 RNA ≥400 copies/mL will be included in the resistance analyses set. In addition, anyone for whom available genotypic and/or phenotypic data show evidence of resistance, irrespective of viral load, will also be included in the resistance analyses set. The number of participants in each treatment group who have evidence of resistance-associated substitutions at week 48 will be presented.

Week 48
Phase 2: Number of Participants With Evidence of Viral Drug Resistance-Associated Substitutions at Week 96
Tidsramme: Week 96

Participants who meet the definition of clinically significant confirmed viremia (CSCV) or who discontinue study intervention for another reason and have HIV-1 RNA ≥200 copies/mL at the time of discontinuation, will be assessed for development of viral drug resistance. Among such participants, those with confirmed HIV-1 RNA ≥400 copies/mL will be included in the resistance analyses set. In addition, anyone for whom available genotypic and/or phenotypic data show evidence of resistance, irrespective of viral load, will also be included in the resistance analyses set. The number of participants in each treatment group who have evidence of resistance-associated substitutions at week 96 will be presented.

Week 96
Phase 3: Percentage of Participants With HIV-1 RNA <50 Copies/mL at Week 96
Tidsramme: Week 96

Plasma HIV-1 RNA quantification will be performed at the central laboratory using a PCR assay. Percentage of participants with HIV-1 RNA <50 copies/mL will be reported at week 96.

Week 96
Phase 3: Percentage of Participants With HIV-1 RNA <200 Copies/mL at Week 48
Tidsramme: Week 48

Plasma HIV-1 RNA quantification will be performed at the central laboratory using a PCR assay. Percentage of participants with HIV-1 RNA <200 copies/mL will be reported at week 48.

Week 48
Phase 3: Percentage of Participants With HIV-1 RNA <200 Copies/mL at Week 96
Tidsramme: Week 96

Plasma HIV-1 RNA quantification will be performed at the central laboratory using a PCR assay. Percentage of participants with HIV-1 RNA <200 copies/mL will be reported at week 96.

Week 96
Phase 3: Mean Change From Baseline in Cluster of Differentiation 4-Positive (CD4+) T-Cell Count at Week 48
Tidsramme: Baseline (Day 1) and Week 48

Blood samples will be collected to measure CD4+ T-cell count. The mean change from baseline in CD4+ T-cell count will be calculated at 48 weeks.

Baseline (Day 1) and Week 48
Phase 3: Mean Change From Baseline in Cluster of Differentiation 4-Positive (CD4+) T-Cell Count at Week 96
Tidsramme: Baseline (Day 1) and Week 96

Blood samples will be collected to measure CD4+ T-cell count. The mean change from baseline in CD4+ T-cell count will be calculated at 96 weeks.

Baseline (Day 1) and Week 96
Phase 3: Percentage of Participants Who Experience an AE
Tidsramme: Up to approximately 102 weeks

An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

Up to approximately 102 weeks
Phase 3: Percentage of Participants Who Discontinue Study Intervention Due to an AE
Tidsramme: Up to approximately 96 weeks

An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

Up to approximately 96 weeks
Phase 3: Number of Participants With Evidence of Viral Drug Resistance-Associated Substitutions at Week 48
Tidsramme: Week 48

Participants who meet the definition of clinically significant confirmed viremia (CSCV) or who discontinue study intervention for another reason and have HIV-1 RNA ≥200 copies/mL at the time of discontinuation, will be assessed for development of viral drug resistance. Among such participants, those with confirmed HIV-1 RNA ≥400 copies/mL will be included in the resistance analyses set. In addition, anyone for whom available genotypic and/or phenotypic data show evidence of resistance, irrespective of viral load, will also be included in the resistance analyses set. The number of participants in each treatment group who have evidence of resistance-associated substitutions at week 48 will be presented.

Week 48
Phase 3: Number of Participants With Evidence of Viral Drug Resistance-Associated Substitutions at Week 96
Tidsramme: Week 96

Participants who meet the definition of clinically significant confirmed viremia (CSCV) or who discontinue study intervention for another reason and have HIV-1 RNA ≥200 copies/mL at the time of discontinuation, will be assessed for development of viral drug resistance. Among such participants, those with confirmed HIV-1 RNA ≥400 copies/mL will be included in the resistance analyses set. In addition, anyone for whom available genotypic and/or phenotypic data show evidence of resistance, irrespective of viral load, will also be included in the resistance analyses set. The number of participants in each treatment group who have evidence of resistance-associated substitutions at week 96 will be presented.

Week 96
Phase 3: Mean Change From Baseline in Body Weight at Week 48
Tidsramme: Baseline (Day 1) and Week 48

Body weight will be collected throughout the study.

Baseline (Day 1) and Week 48
Phase 3: Mean Change From Baseline in Body Weight at Week 96
Tidsramme: Baseline (Day 1) and Week 96

Body weight will be collected throughout the study.

Baseline (Day 1) and Week 96

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Studieleder: Medical Director, Merck Sharp & Dohme LLC

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

18. december 2025

Primær færdiggørelse (Anslået)

1. februar 2029

Studieafslutning (Anslået)

18. december 2031

Datoer for studieregistrering

Først indsendt

1. december 2025

Først indsendt, der opfyldte QC-kriterier

1. december 2025

Først opslået (Faktiske)

5. december 2025

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

4. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

2. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 8591B-062
  • U1111-1323-4689 (Registry Identifier: UTN)
  • 2025-522519-40 (Registry Identifier: EU CT)
  • MK-8591B-062 (Anden identifikator: MSD)
  • 2025 (U.S. NIH-bevilling/kontrakt)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .