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Active, not recruiting Phase 2

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)

NCT06891066 · tracked via the Priya Life Science USA tracker
Phase
Phase 2
Started
2025-04-14
Last updated
2025-10-16

Condition(s) studied

Human Immunodeficiency Virus Type 1 (HIV-1) Infection

Investigational drug(s) / intervention(s)

ISLULOBIC/FTC/TAF →

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.

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.

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.

Study summary

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.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion: The main inclusion criteria include but are not limited to the following: \- 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: The main exclusion criteria include but are not limited to the following: * 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.

Primary outcome measure(s)

  • Percentage of Participants With HIV-1 RNA ≥50 copies/mL at Week 24 — 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.
  • Percentage of Participants who Experience an Adverse Event (AE) — Up to ~ 96 weeks
    An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The percentage of participants who experience an AE will be reported.
  • Percentage of Participants Discontinuing Study Treatment due to AEs — Up to ~ 96 weeks
    An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The percentage of participants who discontinue study treatment due to an AE will be reported.

Trial sites (23)

FacilityCityRegionStatus
Zuckerberg San Francisco General Hospital and Trauma Center ( Site 4107) San Francisco California
Mills Clinical Research ( Site 4109) West Hollywood California
Georgetown University Medical Center ( Site 4106) Washington D.C. District of Columbia
Orlando Immunology Center ( Site 4103) Orlando Florida
Triple O Research Institute ( Site 4111) West Palm Beach Florida
Chatham County Health Department - Chatham CARE Center ( Site 4116) Savannah Georgia
KC CARE Health Center ( Site 4101) Kansas City Missouri
Regional Center for Infectious Diseases ( Site 4115) Greensboro North Carolina
Central Texas Clinical Research ( Site 4100) Austin Texas
Prism Health North Texas, Oak Cliff Health Center ( Site 4114) Dallas Texas
DCOL Center for Clinical Research ( Site 4112) Longview Texas
Momentum Clinical Research - Darlinghurst ( Site 4260) Darlinghurst New South Wales
St. Vincent's Hospital ( Site 4263) Darlinghurst New South Wales
Momentum Clinical Research Fortitude Valley ( Site 4261) Fortitude Valley Queensland
The Alfred Hospital ( Site 4264) Melbourne Victoria
Prahran Market Clinic ( Site 4262) Prahran Victoria
Ponce Medical School Foundation Inc./CAIMED Center ( Site 4301) Ponce Puerto Rico
Clinical Research Puerto Rico ( Site 4300) San Juan Puerto Rico
HOPE Clinical Research ( Site 4303) San Juan Puerto Rico
University Hospital Basel-Infectiology ( Site 4402) Basel Canton of Basel-City
Inselspital Bern-Inselspital Infektiologie ( Site 4403) Bern Canton of Bern
Hôpitaux Universitaires de Genève (HUG)-Infectious Disease Department ( Site 4404) Geneva Canton of Geneva
Ospedale Regionale di Lugano, Sede Civico-Servizio Malattie Infettive ( Site 4405) Lugano Canton Ticino
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06891066 on ClinicalTrials.gov ↗ ← All trials in the USA