Evidence map›Paper›PMID 41037024›Full record

Trial reportAIDS (London, England)2026

Efficacy and safety of doravirine/islatravir in heavily treatment-experienced participants living with HIV-1: results from a randomized trial.

Andrew Carr, Rosie Mngqibisa, Ilsiyar Khaertynova, Princy N Kumar, Shariq Haider, Ying Zhang, Todd Correll, Ernest Asante-Appiah, Wayne Greaves

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in AIDS (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04233216 (A Phase 3, Randomized, Clinical Study in HIV-1-Infected Heavily Treatment-Experienced Participants Evaluating the Antiretroviral Activity of Blinded Islatravir), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04233216 phase3completednot on this map

A Phase 3, Randomized, Clinical Study in HIV-1-Infected Heavily Treatment-Experienced Participants Evaluating the Antiretroviral Activity of Blinded Islatravir (ISL), Doravirine (DOR), and Doravirine/Islatravir (DOR/ISL), Each Compared to Placebo, and the Antiretroviral Activity, Safety, and Tolerability of Open-Label DOR/ISL

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2020 to 2023Enrolled35ConditionsHIV-1 InfectionArmsISL, DOR, DOR/ISL, Placebo to ISL, Placebo to DOR
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Andrew CarrSt Vincent's Hospital, Sydney, NSW, Australia.
Rosie MngqibisaEnhancing Care Foundation, King Edward Hospital, Durban, South Africa.
Ilsiyar KhaertynovaKazan State Medical Academy, Kazan, Russian Federation.
Princy N KumarGeorgetown University, Washington, DC, USA.
Shariq HaiderMcMaster University, Hamilton, ON, Canada.
Ying ZhangMerck & Co., Inc., Rahway, NJ, USA.
Todd CorrellMerck & Co., Inc., Rahway, NJ, USA.
Ernest Asante-AppiahMerck & Co., Inc., Rahway, NJ, USA.
Wayne GreavesMerck & Co., Inc., Rahway, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study evaluated the efficacy (day 8) and safety (week 49) of doravirine/islatravir (DOR/ISL; 100 mg/0.75 mg) plus baseline antiretroviral therapy (ART) and optimized background therapy (OBT) in heavily treatment-experienced (HTE) adults living with detectable HIV-1 RNA. DESIGN AND

methodsHTE adults with confirmed plasma viral load more than 500 copies/ml receiving a stable ART regimen for at least 3 months were randomly assigned 1 : 2 : 1 : 1 to receive once-daily ISL alone, DOR alone, DOR/ISL, or matching placebo for 7 days; at day 8, baseline ART was optimized and all participants received DOR/ISL and OBT through week 49. The primary efficacy endpoint was percentage of participants receiving DOR/ISL achieving at least 0.5 log 10 decline in viral load from baseline (day 1) to day 8. Secondary efficacy endpoints included HIV-1 RNA levels and CD4 + T-cell counts through week 49.

resultsThirty-five of the planned 100 participants were enrolled; most were White (57.1%) and men (77.1%) with median age of 50 years. From days 1 to 8, an at least 1.0 log 10 decrease in HIV-1 RNA was achieved in 85.7% of the DOR/ISL group compared with 0 in the placebo group. At week 49, HIV-1 RNA less than 50 copies/ml was achieved in 22 participants (71%) and the mean increase in CD4 + T-cell count was 87 cells/μl. Adverse events were reported in 29 participants (82.9%) through week 49; 9 (25.7%) were considered related to DOR/ISL.

conclusionDOR/ISL plus OBT improved HIV-1 suppression in HTE adults living with HIV-1 and was generally well tolerated. CLINICALTRIALSGOV: NCT04233216.

Indexed as

Anti-HIV AgentsHIV InfectionsPyridonesTriazolesAdultCD4 Lymphocyte CountDeoxyadenosinesDouble-Blind MethodDrug-Related Side Effects and Adverse ReactionsFemaleHIV-1HumansMaleMiddle AgedNitrilesPlacebosAnti-HIV AgentsDeoxyadenosinesdoravirineislatravirNitrilesPlacebosPyridonesRNA, ViralTriazolesantiretroviral agentsdoravirine/islatravirfixed-dosed combinationmultidrug resistant/heavily treatment-experiencedoptimized background therapy

Identifiers

PMID41037024
PMCPMC12746772

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.