Oral ISL QM as PrEP in Cisgender Women at High Risk for HIV-1 Infection (MK-8591-022)

Last updated: August 6, 2024
Sponsor: Merck Sharp & Dohme LLC
Overall Status: Terminated

Phase

3

Condition

Aids And Aids Related Infections

Hiv/aids

Hiv Infections

Treatment

Placebo to ISL

Islatravir

Placebo to FTC/TDF

Clinical Study ID

NCT04644029
8591-022
MK-8591-022
2021-001289-39
  • Ages 16-45
  • Female
  • Accepts Healthy Volunteers

Study Summary

This study will evaluate whether oral islatravir (ISL) is effective in preventing Human Immunodeficiency Virus Type 1 (HIV-1) infection in women at high-risk for HIV-1 infection. The study will compare oral ISL taken once a month with standard-of-care medication for prevention of HIV-1 infection, emtricitabine/tenofovir disoproxil (FTC/TDF), taken once per day. The primary hypothesis is that oral ISL is more effective than FTC/TDF at reducing the incidence rate per year of confirmed HIV-1 infections.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Confirmed HIV-uninfected based on negative HIV-1/HIV-2 test results beforerandomization.

  • Sexually active (vaginal and/or anal sex) with a male sexual partner in the 30 daysprior to screening.

  • High risk for HIV-1 infection.

  • Not pregnant or breastfeeding, and one of the following conditions applies: Not awoman of childbearing potential (WOCBP) or is a WOCBP and is using an acceptablecontraceptive method during the intervention period and for at least 42 days afterthe last dose.

  • A WOCBP must have a negative pregnancy test within 24 hours prior to the first doseof study intervention.

Exclusion

Exclusion Criteria:

  • Hypersensitivity or other contraindication to any of the components of the studyinterventions as determined by the investigator.

  • Findings of chronic hepatitis B virus (HBV) infection or past HBV.

  • Current or chronic history of liver disease.

  • History of malignancy within 5 years of screening except for adequately-treatedbasal cell or squamous cell skin cancer, or in situ cervical cancer.

  • Past or current use of cabotegravir, lenacapavir, or any other long-acting HIVprevention product.

  • Currently participating in or has participated in an interventional clinical studywith an investigational compound or device, within 30 days prior to Day 1.

  • Expecting to conceive or donate eggs at any time during the study.

Study Design

Total Participants: 730
Treatment Group(s): 4
Primary Treatment: Placebo to ISL
Phase: 3
Study Start date:
February 24, 2021
Estimated Completion Date:
June 11, 2024

Study Description

Based on laboratory findings of decreased lymphocyte and CD4+ T-cell counts across the islatravir program, dosing of blinded study intervention was halted on 13-Dec-2021 and screening and randomization of new participants was ended. Blinded assessments conducted prior to this date are designated as Study Part 1. During Study Part 2, participants from Part 1 have the option to receive daily open-label FTC/TDF while continuing in the study for safety monitoring. Study Part 3 was added to unblind each participant's Part 1 study intervention assignment, continue participants on FTC/TDF, and monitor safety.

Connect with a study center

  • Helen Joseph Hospital-Clinical HIV Research Unit ( Site 0020)

    Johannesburg, Gauteng 2092
    South Africa

    Site Not Available

  • Perinatal HIV Research Unit (PHRU)-HIV Prevention CRS ( Site 0023)

    Johannesburg, Gauteng 1864
    South Africa

    Site Not Available

  • Wits Reproductive Health and HIV Institute (WRHI)-Wits RHI Ward 21 Clinical Research site ( Site 002

    Johannesburg, Gauteng 2000
    South Africa

    Site Not Available

  • Setshaba Research Centre ( Site 0016)

    Tshwane, Gauteng 0152
    South Africa

    Site Not Available

  • SA Medical Research Council - Chatsworth Clinical Research Site ( Site 0030)

    Chatsworth, Kwazulu-Natal 4092
    South Africa

    Site Not Available

  • Maternal Adolescent and Child Health Research (MatCH) ( Site 0025)

    Durban, Kwazulu-Natal 4001
    South Africa

    Site Not Available

  • Qhakaza Mbokodo Research Clinic ( Site 0017)

    Ladysmith, Kwazulu-Natal 3370
    South Africa

    Site Not Available

  • Madibeng Centre for Research ( Site 0019)

    Brits, North-West 0250
    South Africa

    Site Not Available

  • Aurum Institute Klerksdorp CRS ( Site 0029)

    Klerksdorp, North-West 2571
    South Africa

    Site Not Available

  • Aurum Institute - Rustenburg ( Site 0022)

    Rustenburg, North-West 0299
    South Africa

    Site Not Available

  • MU-JHU Care Limited-Clinic ( Site 0041)

    Kampala, 10216
    Uganda

    Site Not Available

  • University of Alabama at Birmingham-UAB Sexual Health Research Clinic (SHRC) ( Site 0064)

    Birmingham, Alabama 35205
    United States

    Site Not Available

  • MedStar Health Research Institute (MedStar Physician Based R-MedStar Washington Hospital Center ( Si

    Washington, District of Columbia 20010
    United States

    Site Not Available

  • University of Miami Miller School of Medicine-Infectious Disease ( Site 0076)

    Miami, Florida 33136
    United States

    Site Not Available

  • Orlando Immunology Center ( Site 0068)

    Orlando, Florida 32803
    United States

    Site Not Available

  • Ponce De Leon Center Grady Health ( Site 0066)

    Atlanta, Georgia 30308
    United States

    Site Not Available

  • The University of Mississippi Medical Center ( Site 0065)

    Jackson, Mississippi 39216
    United States

    Site Not Available

  • KC CARE Health Center-Clinical Trials ( Site 0059)

    Kansas City, Missouri 64111
    United States

    Site Not Available

  • Rutgers New Jersey Medical School-Clinical Research Center ( Site 0071)

    Newark, New Jersey 07103
    United States

    Site Not Available

  • Bronx Prevention Center ICAP ( Site 0062)

    Bronx, New York 10451
    United States

    Site Not Available

  • The University of North Carolina at Chapel Hill-Medicine ( Site 0056)

    Chapel Hill, North Carolina 27599
    United States

    Site Not Available

  • Prisma Health Richland Hospital-Clinical Research Unit ( Site 0069)

    Columbia, South Carolina 29203
    United States

    Site Not Available

  • Prism Health North Texas, Oak Cliff Health Center ( Site 0070)

    Dallas, Texas 75208
    United States

    Site Not Available

  • West Virginia University-Department of Medicine ( Site 0061)

    Morgantown, West Virginia 26506
    United States

    Site Not Available

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