A Clinical Study of MK-8527 to Prevent Human Immunodeficiency Virus Type 1 (HIV-1) (MK-8527-011)
A Phase 3, Randomized, Active-Controlled, Double-Blind Clinical Study to Evaluate the Efficacy and Safety of MK-8527 Oral Once-Monthly as HIV-1 Preexposure Prophylaxis
4 other identifiers
interventional
4,390
15 countries
78
Brief Summary
Researchers are looking for new medicines to prevent HIV-1 (Human Immunodeficiency Virus Type 1) infection. The goals of this study are to learn:
- If taking MK-8527 once a month works to prevent HIV-1 infection as well as or better than a standard (usual) pre-exposure prophylaxis (PrEP) taken once a day
- About the safety of MK-8527 and if people tolerate it
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Jul 2025
78 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 26, 2025
CompletedFirst Posted
Study publicly available on registry
June 29, 2025
CompletedStudy Start
First participant enrolled
July 31, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 22, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 22, 2027
April 13, 2026
April 1, 2026
2 years
June 26, 2025
April 8, 2026
Conditions
Outcome Measures
Primary Outcomes (3)
Number of Participants With Adjudicated Human Immunodeficiency Virus Type 1 (HIV-1) Infection
The number of participants with adjudicated HIV-1 infection will be determined.
Up to approximately 2 years
Number of Participants Who Experience At Least One Adverse Event (AE)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants that experienced AEs will be reported.
Up to approximately 2 years
Number of Participants Who Discontinue Study Intervention Due to an AE
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants that discontinued study intervention due to an AE will be reported.
Up to approximately 2 years
Study Arms (2)
MK-8527
EXPERIMENTALParticipants will receive 11 mg MK-8527 once monthly (QM) and placebo to FTC/TDF once daily (QD) for up to approximately 2 years. Participants will then receive open-label 200 mg FTC/245 mg TDF QD for an additional 28 days.
FTC/TDF
ACTIVE COMPARATORParticipants will receive 200 mg FTC/245 mg TDF QD and placebo to MK-8527 QM for up to approximately 2 years. Participants will then receive open-label 200 mg FTC/245 mg TDF QD for an additional 28 days.
Interventions
Oral tablet
Eligibility Criteria
You may qualify if:
- Is confirmed HIV-uninfected based on negative HIV-1/HIV-2 test results
- Is a cisgender man, transgender woman (assigned male sex at birth), transgender man (assigned female sex at birth), or gender nonbinary person
- Has had condomless receptive anal sex in the 12 months prior to screening (not including sex occurring in a mutually monogamous relationship) and has at least 1 of the following: receptive anal sex with 2 or more partners in the 3 months prior to screening (regardless of condom use), rectal or urethral gonorrhea or chlamydia or incident syphilis in the 6 months prior to screening, or any self-reported stimulant drug use with sex in the 3 months prior to screening
- Weighs ≥35 kg
You may not qualify if:
- Has hypersensitivity or other contraindication to any component of the study interventions
- Has evidence of acute or chronic hepatitis B infection
- Has a history of malignancy within 5 years of screening except for adequately treated basal cell or squamous cell skin cancer, or in situ anal or cervical cancers
- Has taken cabotegravir, lenacapavir, or any other long-acting HIV prevention product at any time
- Is receiving or is anticipated to require any prohibited therapies from 30 days prior to Day 1 through the study duration
- Has received an HIV vaccine at any time (ie, through past participation in an investigational clinical study) or monoclonal antibodies to HIV within 12 months before Day 1
- Is expecting to donate eggs at any time during the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (78)
University of Alabama at Birmingham-UAB 1917 Research Clinic ( Site 0006)
Birmingham, Alabama, 35222, United States
USA Health University Hospitals ( Site 0020)
Mobile, Alabama, 36617, United States
UCLA Center for Clinical AIDS Research and Education ( Site 0004)
Los Angeles, California, 90035, United States
Bridge HIV - San Francisco Department of Public Health ( Site 0001)
San Francisco, California, 94102, United States
Whitman-Walker Institute ( Site 0016)
Washington D.C., District of Columbia, 20032, United States
University of Miami RAPID Research ( Site 0003)
Miami, Florida, 33136, United States
Orlando Immunology Center ( Site 0021)
Orlando, Florida, 32803, United States
Hope Clinic of the Emory Vaccine Center ( Site 0009)
Decatur, Georgia, 30030, United States
University of Illinois Chicago ( Site 0027)
Chicago, Illinois, 60612, United States
University Medical Center New Orleans ( Site 0024)
New Orleans, Louisiana, 70112, United States
Open Arms Healthcare Center ( Site 0025)
Jackson, Mississippi, 39202, United States
Rutgers New Jersey Medical School ( Site 0010)
Newark, New Jersey, 07103, United States
Montefiore Medical Center ( Site 0017)
The Bronx, New York, 10467, United States
NC TraCS Institute - CTRC; University of North Carolina at Chapel Hill ( Site 0008)
Chapel Hill, North Carolina, 27514-7064, United States
Regional Center for Infectious Diseases ( Site 0018)
Greensboro, North Carolina, 27401, United States
Philadelphia Fight Community Health Centers ( Site 0011)
Philadelphia, Pennsylvania, 19107, United States
University of Pittsburgh Medical Center-Division of Infectious Diseases ( Site 0022)
Pittsburgh, Pennsylvania, 15213, United States
Prisma Health Richland Hospital-Clinical Research Unit ( Site 0007)
Columbia, South Carolina, 29203, United States
St. Jude Children's Research Hospital ( Site 0026)
Memphis, Tennessee, 38105, United States
Meharry Medical College ( Site 0013)
Nashville, Tennessee, 37208, United States
Central Texas Clinical Research ( Site 0014)
Austin, Texas, 78705, United States
Saint Hope Foundation, Inc. ( Site 0015)
Bellaire, Texas, 77401, United States
Fred Hutchinson Cancer Center - The Seattle HIV Vaccine Trials Unit ( Site 0002)
Seattle, Washington, 98104, United States
Centro de Estudios Infectológicos S.A. ( Site 0357)
CABA, Buenos Aires, C1002ABN, Argentina
Centro Medico Dra. Laura Maffei- Investigacion Clinica Aplicada ( Site 0352)
CABA, Buenos Aires, C1425AGC, Argentina
Fundación Huésped ( Site 0350)
CABA, Buenos Aires, C1427CEA, Argentina
Instituto de Investigaciones Clínicas Mar del Plata ( Site 0353)
Mar del Plata, Buenos Aires, B7600FZO, Argentina
Fundación IDEAA ( Site 0351)
Buenos Aires, C1405CKC, Argentina
Fundaçao de Medicina Tropical Doutor Heitor Vieira Dourado ( Site 0412)
Manaus, Amazonas, 69040-000, Brazil
Obras Sociais Irma Dulce ( Site 0406)
Salvador, Estado de Bahia, 41680-430, Brazil
School of Medicine Federal University of Minas Gerais ( Site 0417)
Belo Horizonte, Minas Gerais, 30130-100, Brazil
Hospital Geral de Nova Iguacu ( Site 0411)
Nova Iguaçu, Rio de Janeiro, 26030-380, Brazil
Ricardo Diaz Scientific Solutions ( Site 0402)
São Paulo, São Paulo, 04030-030, Brazil
Centro de Referência e Treinamento DST/AIDS ( Site 0400)
São Paulo, São Paulo, 04121-000, Brazil
Hospital das Clinicas FMUSP ( Site 0401)
São Paulo, São Paulo, 05403-000, Brazil
Instituto Nacional de Infectologia Evandro Chagas ( Site 0407)
Rio de Janeiro, 21040-360, Brazil
Universidad San Sebastian - Providencia ( Site 0454)
Santiago, Region M. de Santiago, 7500000, Chile
Universidad de Chile - Hospital Clínico Universidad de Chile-Inmunologia Alergia y VIH ( Site 0450)
Santiago, Region M. de Santiago, 8380420, Chile
Hospital Dr. Hernán Henríquez Aravena ( Site 0451)
Temuco, Región de la Araucanía, 4781151, Chile
IPS SURA San Diego ( Site 0500)
Medellín, Antioquia, 50016, Colombia
Clinica de la Costa S.A.S. ( Site 0501)
Barranquilla, Atlántico, 080020, Colombia
Hospital Universitario San Ignacio ( Site 0503)
Bogotá, Bogota D.C., 110231, Colombia
Fundación Valle del Lili ( Site 0502)
Cali, Valle del Cauca Department, 760036, Colombia
CEMDOE - Centro Médico de Diabetes, Obesidad y Especialidades ( Site 1001)
Santo Domingo, Nacional, 10104, Dominican Republic
Endocardio ( Site 1003)
Santo Domingo, Nacional, 10147, Dominican Republic
Instituto Dermatológico y Cirugía de Piel "Dr. Huberto Bogaert Díaz" ( Site 1002)
Santo Domingo de Guzman, Santo Domingo Province, 10306, Dominican Republic
Hopital Saint Louis ( Site 0100)
Paris, 75010, France
Hôpital Tenon ( Site 0102)
Paris, 75970, France
Hopital Bichat - Claude Bernard ( Site 0101)
Paris, Île-de-France Region, 75018, France
Clínica Médica Especializada en Pediatría e Infectología Pediátrica - Dr. Mario Melgar ( Site 1051)
Guatemala City, 01009, Guatemala
MEDI-K ( Site 1053)
Guatemala City, 01009, Guatemala
CELAN,S.A ( Site 1052)
Guatemala City, 01010, Guatemala
Universiti Malaya Medical Centre ( Site 0651)
Kuala Lumpur, 50603, Malaysia
Asociación Civil Selva Amazónica ( Site 0556)
Iquitos, Loreto, 16001, Peru
Via Libre ( Site 0551)
Lima, 15001, Peru
Policlínico Socios en Salud ( Site 0557)
Lima, 15024, Peru
Investigaciones Medicas en Salud ( Site 0552)
Lima, 15046, Peru
Asociación Civil Impacta Salud y Educación ( Site 0553)
Lima, 15063, Peru
Universidad Nacional Mayor De San Marcos ( Site 0555)
Lima, 15081, Peru
LoveYourself Inc. ( Site 0705)
Mandaluyong, National Capital Region, 1552, Philippines
Philippine General Hospital ( Site 0700)
Manila, National Capital Region, 1000, Philippines
Asian Hospital and Medical Center ( Site 0704)
Muntinlupa, National Capital Region, 1780, Philippines
Foundation For Professional Development ( Site 0257)
King Williams Town, Eastern Cape, 5660, South Africa
Wits RHI Research Center ( Site 0251)
Johannesburg, Gauteng, 2001, South Africa
Setshaba Research Centre ( Site 0252)
Pretoria, Gauteng, 0152, South Africa
Perinatal HIV Research Unit (PHRU) ( Site 0253)
Soweto, Gauteng, 1864, South Africa
Wits Maternal Adolescent and Child Health Research Unit (WMRU) ( Site 0256)
Durban, KwaZulu-Natal, 4001, South Africa
Desmond Tutu Health Foundation ( Site 0250)
Cape Town, Western Cape, 7925, South Africa
University Hospital Basel ( Site 1102)
Basel, Canton of Basel-City, 4031, Switzerland
Inselspital Bern ( Site 1103)
Bern, Canton of Bern, 3010, Switzerland
Checkpoint Zurich ( Site 1100)
Zurich, 8005, Switzerland
Chulalongkorn Hospital ( Site 0807)
Bangkok, Bangkok, 10330, Thailand
HIV Netherlands Australia Thailand Research Collaboration ( Site 0808)
Bangkok, Bangkok, 10330, Thailand
Institute of HIV Research and Innovation ( Site 0810)
Bangkok, Bangkok, 10330, Thailand
Faculty of Medicine Siriraj Hospital ( Site 0806)
Bangkok, Bangkok, 10700, Thailand
Research Institute for Health Sciences ( Site 0809)
Muang, Chiang Mai, 50200, Thailand
Hanoi Medical University Hospital ( Site 0851)
Hanoi, Hanoi, 100000, Vietnam
Thu Duc General Hospital ( Site 0881)
Ho Chi Minh City, 700000, Vietnam
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Medical Director
Merck Sharp & Dohme LLC
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 26, 2025
First Posted
June 29, 2025
Study Start
July 31, 2025
Primary Completion (Estimated)
July 22, 2027
Study Completion (Estimated)
July 22, 2027
Last Updated
April 13, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will share
https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf