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Completed Phase 3 Interventional Results available

Switch to Doravirine/Islatravir (DOR/ISL) in Human Immunodeficiency Virus 1 (HIV-1) Participants Treated With Bictegravir/Emtricitabine/Tenofovir Alafenamide (BIC/FTC/TAF) (MK-8591A-018)

ClinicalTrials.gov ID: NCT04223791

Public ClinicalTrials.gov record NCT04223791. Field values are reproduced from the official study page; the official ClinicalTrials.gov record remains the source of truth for eligibility, enrollment, and contact information.

ClinicalTrials.gov public records Last synced Oct 21, 2026, 10:35 AM EDT

Data is sourced from official ClinicalTrials.gov public API records. Always review the official ClinicalTrials.gov record for the latest information.

Official title

A Phase 3, Randomized, Active-Controlled, Double-Blind Clinical Study to Evaluate a Switch to Doravirine/Islatravir (DOR/ISL) Once-Daily in Participants With HIV-1 Virologically Suppressed on Bictegravir/Emtricitabine/Tenofovir Alafenamide (BIC/FTC/TAF)

Brief summary

Reproduced verbatim from the official ClinicalTrials.gov record. Not medical advice.

This study will evaluate the safety and efficacy of a switch to Doravirine/Islatravir (DOR/ISL) (MK-8591A) (a fixed dose combination of doravirine 100 mg and islatravir 0.75 mg) in participants living with human immunodeficiency virus-1 (HIV-1) virologically suppressed on a regimen of bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF). The primary hypothesis is that a switch to DOR/ISL (MK-8591A) will be non-inferior to continued treatment with BIC/FTC/TAF as assessed by the proportion of participants with HIV-1 ribonucleic acid (RNA) ≥50 copies/mL at Week 48. Participants who benefit from their assigned intervention (as determined by investigator) will be able to continue treatment through a 24-week study extension.

Study identification

NCT ID
NCT04223791
Recruitment status
Completed
Study type
Interventional
Phase
Phase 3
Lead sponsor
Merck Sharp & Dohme LLC
Industry
Enrollment
643 participants

Conditions and interventions

Eligibility (public fields only)

Age range
18 Years and older
Sex
All
Healthy volunteers
Healthy volunteers not accepted

This page does not interpret eligibility. Detailed inclusion and exclusion criteria are on the official ClinicalTrials.gov record.

Study timeline

Start date
Feb 18, 2020 (Actual)
Primary completion
Aug 26, 2021 (Actual)
Completion
Feb 27, 2025 (Actual)
Last update posted
Mar 27, 2026

2020 – 2025

United States locations

U.S. sites
28
U.S. states
11
U.S. cities
27
Facility City State ZIP Site status
Pueblo Family Physicians ( Site 2717) Phoenix Arizona 85015 —
Pacific Oaks Medical Group ( Site 2765) Beverly Hills California 90211 —
Men's Health Foundation ( Site 2749) Los Angeles California 80069 —
Kaiser Permanente Los Angeles Medical Center ( Site 2775) Los Angeles California 90027 —
Eisenhower Medical Center ( Site 2744) Palm Springs California 92264 —
University of California, Davis, Division of ID Research ( Site 2702) Sacramento California 95811 —
Zuckerberg San Francisco General Hospital UCSF ( Site 2743) San Francisco California 94110 —
Whitman-Walker Clinic ( Site 2728) Washington D.C. District of Columbia 20009 —
TheraFirst Medical Center ( Site 2742) Fort Lauderdale Florida 33308 —
Midway Immunology and Research ( Site 2759) Ft. Pierce Florida 34982 —
The Kinder Medical Group ( Site 2739) Miami Florida 33133 —
AHF South Beach ( Site 2780) Miami Beach Florida 33140 —
Orlando Immunology Center ( Site 2734) Orlando Florida 32803 —
Triple O Research Institute, P.A. ( Site 2755) West Palm Beach Florida 33407 —
Augusta University ( Site 2752) Augusta Georgia 30912 —
Infectious Disease Specialists Of Atlanta PC ( Site 2719) Decatur Georgia 30033 —
Mercer University ( Site 2738) Macon Georgia 31201 —
Chatham County Health Department ( Site 2731) Savannah Georgia 31401 —
Hennepin County Medical Center ( Site 2733) Minneapolis Minnesota 55415 —
Kansas City CARE Clinic ( Site 2718) Kansas City Missouri 64111 —
ID Care ( Site 2751) Hillsborough New Jersey 08844 —
Icahn School of Medicine at Mount Sinai ( Site 2700) New York New York 10029 —
Montefiore Einstein Center ( Site 2730) The Bronx New York 10467 —
North Texas ID Consultants, PA ( Site 2707) Dallas Texas 75246 —
The Crofoot Research Center, Inc. ( Site 2715) Houston Texas 77098 —
DCOL Center for Clinical Research ( Site 2769) Longview Texas 75605 —
Dr. Peter Shalit, MD ( Site 2770) Seattle Washington 98104 —
Multicare Health System ( Site 2713) Spokane Washington 99204 —

Site contact phone numbers, emails, and investigator names are intentionally not displayed here. Open the official ClinicalTrials.gov record for site contact information.

Non-U.S. locations

This page focuses on the U.S. directory. The official record also lists 61 non-U.S. sites.

About this trial record page

What this page shows
Public field values for ClinicalTrials.gov record NCT04223791, including study identification, conditions, interventions, eligibility (age, sex, healthy volunteer), timeline, and U.S. site list.
What this page does not do
No medical advice, eligibility judgments, treatment recommendations, study quality scoring, or AI-generated medical summaries. No site contact phone numbers, emails, or investigator names.
Where the data comes from
Sourced from the official ClinicalTrials.gov public API. The official record is the source of truth.
Last refresh
Last update posted Mar 27, 2026 · Synced Oct 21, 2026

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Open the official record

The complete public registry record, listed eligibility criteria, and available contact information for NCT04223791 live on ClinicalTrials.gov.

View official ClinicalTrials.gov record →