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MSD Originator
https://www.merck.com/
United States Merck & Co., Inc. is an American multinational pharmaceutical company known as Merck Sharp & Drone (MSD) in territories outside of the USA and Canada. Merck was originally established in 1891, and is currently headquartered in Rahway, New Jersey. The company is particularly well known for developing and manufacturing biologic therapies, vaccines, medicines and animal health products. |
MK-8527 Compound (4'-ethynyl-2-fluoro-2'-deoxyadenosine)
Oral solid form
Oral
A monthly oral PrEP option would probably fit well in many settings and be convenient for a number of clients. (Gravett et al. 2025) In safety and tolerability trials, in healthy male and female adult populations, MK-8527 was well tolerated. In Phase 1 studies, AEs were reported by the majority of participants (79 -90%), with top AEs being headache, influenza-like illness, cough, abdominal pain, nausea. No serious AEs or events of clinical interest were reported. There seemed to be no difference in meal fat content on the drug levels.
Oral tablet of 11mg is being evaluated in clinical programs in phase 3 clinical trials as once monthly dosing.
Not provided
MK-8527 is currently in clinical development.
MK-8527 is on the priority list of MPP since March 2025, as a candidate for which voluntary licensing and technology transfer through MPP would lead to expanded access, significant health benefits, and substantial public health impact compared to available standards of care (https://medicinespatentpool.org/progress-achievements/prioritisation#pills-hiv)
Not provided
Not provided
No delivery device
Manufacturing process is not publicly known. Capsule formulation is used in phase 3 clinical trials, 11 mg dose is under evaluation.
Not provided
Since this is an oral formulation, sterile facility will not be required.
Not provided
NCT06045507
https://clinicaltrials.gov/study/NCT06045507
Phase II
Completed
Merck Sharp & Dohme LLC
This double-blind, placebo-controlled study is designed to assess the safety, tolerability, and pharmacokinetics of oral MK-8527 taken once monthly (QM) in participants at low risk for human immunodeficiency virus Type 1 (HIV-1) infection.
Evaluate the Safety, Tolerability, and Pharmacokinetics of Oral MK-8527 Once Monthly in Participants at Low-Risk for HIV-1 Infection.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-11-08
Anticipated Date of Last Follow-up
2025-03-11
Estimated Primary Completion Date
2025-02-18
Estimated Completion Date
2025-02-18
Actual Primary Completion Date
2024-12-12
Actual Completion Date
2025-02-12
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Participants aged 18 to 65 years who are confirmed HIV-uninfected with low-risk of acquiring HIV. Participants are excluded if they have prior use of either islatravir (MK-8591) or MK-8527.
Interventional (clinical trial)
352
Randomized
Parallel Assignment
Participants receive the intervention for 6 months and are then followed-up for 8 weeks blinded safety period.
Double-blind masking
Double (Participant, Investigator)
PrEP
Type | Title | Content | Link |
---|---|---|---|
Link | South African National Clinical Trials Registry | https://sanctr.samrc.ac.za/TrialDisplay.aspx?TrialID=9389 | |
Link | MK-8527 PK/PD Threshold and Phase II Dose Selection for Monthly Oral HIV-1 Preexposure Prophylaxis - CROI2025- abstract 1232 | https://www.croiconference.org/abstract/3704-2025/ |
NCT03615183
https://clinicaltrials.gov/study/NCT03615183
Phase I
Completed
Merck Sharp & Dohme LLC
This study will evaluate the anti-retroviral activity of MK-8527 in HIV-1 infected, ART-naïve participants. The primary hypothesis is that MK-8527 has superior anti-retroviral activity compared to placebo, as measured by change from baseline in plasma HIV-1 ribonucleic acid (RNA) at 168 hours postdose.
Evaluate the Safety, Tolerability, Pharmacokinetics, and Anti-Retroviral Activity of MK-8527 Monotherapy in Anti-Retroviral Therapy (ART)-Naïve, HIV-1 Infected Participants.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2019-02-11
Anticipated Date of Last Follow-up
2020-09-04
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2019-09-26
Actual Completion Date
2019-09-26
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
Unspecified
Accepts healthy individuals
No
Participants are ART-naïve HIV-1 positive individuals with a Body Mass Index (BMI) ≤35 kg/m^2, inclusive.
Interventional (clinical trial)
17
Randomized
Sequential assignment
Not provided
Open label
None (Open Label)
PrEP
Type | Title | Content | Link |
---|---|---|---|
Link | Single Dose Administration of MK-8527, a Novel nRTTI, in Adults With HIV-1 | https://www.croiconference.org/abstract/single-dose-administration-of-mk-8527-a-novel-nrtti-in-adults-with-hiv-1/ | |
Link | Clinical trial results of MK-8527-002 on clinicaltrials.gov | https://clinicaltrials.gov/study/NCT03615183?intr=mk-8527&rank=6&tab=results |
NCT05494736
https://clinicaltrials.gov/study/NCT05494736
Phase I
Completed
Merck Sharp & Dohme LLC
Activity of MK-8527 Monotherapy in Anti-Retroviral Therapy (ART)-Naïve, HIV-1 Infected Participants
Evaluate the Safety, Tolerability, Pharmacokinetics, and Anti-Retroviral Activity of a Single Dose of MK-8527 Monotherapy in Anti-Retroviral Therapy (ART)-Naïve, HIV-1 Infected Participants.
Intervention 1
Intervention 2
Intervention 3
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2022-11-17
Anticipated Date of Last Follow-up
2025-03-06
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2024-01-31
Actual Completion Date
2024-01-31
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Participants are ART-naïve HIV-1 positive individuals aged 18-60 years.
Interventional (clinical trial)
20
Non-randomized
Sequential assignment
Not provided
Open label
None (Open Label)
PrEP
Type | Title | Content | Link |
---|---|---|---|
Link | Single Dose Administration of MK-8527, a Novel nRTTI, in Adults With HIV-1 | https://www.croiconference.org/abstract/single-dose-administration-of-mk-8527-a-novel-nrtti-in-adults-with-hiv-1/ | |
Link | AVAC trial entry | https://avac.org/trial/mk-8527-004/ | |
Link | Study Protocol | https://cdn.clinicaltrials.gov/large-docs/36/NCT05494736/Prot_SAP_000.pdf | |
Link | Safety and Pharmacokinetics of MK-8527, a Novel nRTTI, in Adults Without HIV | https://www.croiconference.org/abstract/safety-and-pharmacokinetics-of-mk-8527-a-novel-nrtti-in-adults-without-hiv/ | |
Link | Key results on Clinicaltrials.gov | https://clinicaltrials.gov/study/NCT05494736?intr=mk-8527&rank=1&tab=results |
NCT06295796
https://clinicaltrials.gov/study/NCT06295796
Phase I
Completed
Merck Sharp & Dohme LLC
The goal of this study is to evaluate the effect of moderate and severe renal impairment (RI) on the pharmacokinetics (PK), safety, and tolerability of MK-8527. There will be no hypothesis testing in the study.
A Study of MK-8527 in Participants With Moderate and Severe Renal Impairment (MK-8527-008)
Intervention 1
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2024-06-20
Anticipated Date of Last Follow-up
2025-02-05
Estimated Primary Completion Date
2024-03-06
Estimated Completion Date
2024-03-06
Actual Primary Completion Date
2025-01-31
Actual Completion Date
2025-01-31
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion Criteria: The main inclusion criteria include but are not limited to the following: Moderate and Severe RI * With the exception of RI, is in sufficient health for study participation. * Has stable renal function. Healthy * Matches mean age to participants with moderate and severe RI. * Has normal renal function. Exclusion Criteria: The main exclusion criteria include but are not limited to the following: All participants * History of cancer (malignancy). * Positive test results for Human-immunodeficiency virus (HIV), Hepatitis B surface antigen (HBsAg), or Hepatitis C virus (HCV). * Had a major surgery or lost significant volume of blood within 56 days prior to dosing. * Donated plasma within 7 days prior to dosing. Moderate and Severe RI * Failed renal transplant or h
Not provided
Interventional (clinical trial)
18
Non-randomized
Parallel Assignment
Not provided
Open label
Not provided
PrEP
NCT06893081
https://clinicaltrials.gov/study/NCT06893081
Phase I
Completed
Merck Sharp & Dohme LLC
The goal of this study is to learn what happens to MK-8527 in a healthy person's body over time when MK-8527 is given alone and with the medication CBZ. Carbamazepine, sold under the brand name Tegretol among others, is an anticonvulsant medication used in the treatment of epilepsy and neuropathic pain. It is used as an adjunctive treatment in schizophrenia along with other medications and as a second-line agent in bipolar disorder.
A Study of Carbamazepine (CBZ) and MK-8527 in Healthy Adult Participants (MK-8527-012)
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
2025-04-28
Actual Start Date
2025-04-28
Anticipated Date of Last Follow-up
2025-07-28
Estimated Primary Completion Date
2025-06-19
Estimated Completion Date
2025-07-11
Actual Primary Completion Date
2025-06-19
Actual Completion Date
2025-07-17
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Inclusion Criteria: Inclusion criteria include, but are not limited to: * Is a healthy, adult, male or female of non-childbearing potential only, 18-55 years of age, inclusive * Is a continuous non-smoker who has not used nicotine- and tobacco-containing products for at least 3 months prior Exclusion Criteria: Exclusion criteria include, but are not limited to: * Has a history or presence of: * Seizures (except for febrile seizure), or is at an increased risk for seizures * Family history of severe dermatologic reactions including toxic epidermal necrolysis and Stevens-Johnson syndrome * Clinically meaningful hematologic diseases, bone marrow disorders, or hematologic adverse reactions to other medications * Depression, unusual changes in mood or behavior or suicidal thoughts
Interventional (clinical trial)
16
Non-randomized
Single group assignment
Not provided
Open label
Not provided
PrEP
EUCT2022-502081-24-00
https://euclinicaltrials.eu/search-for-clinical-trials/?lang=en&EUCT=2022-502081-24-00
Phase I
Completed
Merck Sharp & Dohme LLC
A Multiple-Dose Clinical Study to Evaluate Safety, Tolerability, and Pharmacokinetics of MK-8527 in Healthy Participants
A Multiple-Dose Clinical Study to Evaluate Safety, Tolerability, and Pharmacokinetics of MK-8527 in Healthy Participants
Intervention 1
Not provided
Anticipated Start Date
2022-12-07
Actual Start Date
Not provided
Anticipated Date of Last Follow-up
Not provided
Estimated Primary Completion Date
Not provided
Estimated Completion Date
2023-06-14
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
18-64 years
Interventional (clinical trial)
Not provided
Non-randomized
Single group assignment
Not provided
Open label
Not provided
PrEP
Type | Title | Content | Link |
---|---|---|---|
Link | Safety and Pharmacokinetics of MK-8527, a Novel nRTTI, in Adults Without HIV | https://www.croiwebcasts.org/console/player/52100?mediaType=slideVideo& |
NCT06826989
https://clinicaltrials.gov/study/NCT06826989
Phase I
Completed
Merck Sharp & Dohme LLC
The goal of this study is to learn how MK-8527 moves through a healthy person's body over time. Researchers will study how MK-8527 is absorbed by the body, broken down by the body, and how it leaves the body.
A Study of MK-8527 in Healthy Adult Participants (PK PD) (MK-8527-013)
Intervention 1
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2025-03-19
Anticipated Date of Last Follow-up
2025-06-10
Estimated Primary Completion Date
2025-05-07
Estimated Completion Date
2025-05-21
Actual Primary Completion Date
2025-06-04
Actual Completion Date
2025-06-04
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Inclusion Criteria: * Is in good health * Has a body mass index (BMI) of 18 to 32 kg/m\^2 Exclusion Criteria: * Has a history of cancer * Has positive tests for hepatitis B surface antigen, hepatitis C antibodies or human immunodeficiency virus
Interventional (clinical trial)
8
Non-randomized
Single group assignment
Not provided
Open label
Not provided
PrEP
NCT06580587
https://clinicaltrials.gov/study/NCT06580587
Phase I
Recruiting
Merck Sharp & Dohme LLC
The goal of this study is to learn how MK-8527 moves through the healthy person's body over time. Researchers will measure for the amount of MK-8527 in breast milk that the baby will receive at many time points.
A Study of MK-8527 in Healthy Lactating Female Participants (MK-8527-009)
Intervention 1
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2025-04-15
Anticipated Date of Last Follow-up
2025-04-21
Estimated Primary Completion Date
2025-12-19
Estimated Completion Date
2025-12-19
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
Yes
Accepts healthy individuals
Yes
Inclusion Criteria: The key inclusion criteria include but are not limited to the following: * Is at least 6 weeks postpartum at the time of administration of study intervention, following the delivery of a healthy singleton neonate * Is willing and able to express breast milk at least twice daily for at least 120 hours after enrollment * Is willing to discontinue breastfeeding from the time of administration of study intervention until at least 6 weeks following the administration of study intervention. This includes the avoidance of both directly breastfeeding and the administration of breast milk pumped during the above-specified time frame to the infant. Is willing to confirm with the site that the infant is able to bottle feed (breast milk) prior to Day 1 and that alternative nutrit
Interventional (clinical trial)
12
Non-randomized
Single group assignment
Not provided
Open label
Not provided
PrEP
NCT06783192
https://clinicaltrials.gov/study/NCT06783192
Phase I
Completed
Merck Sharp & Dohme LLC
This study is designed to assess the effect of a single dose of MK-8527 on the single-dose pharmacokinetics (PK) and the safety and tolerability of levonorgestrel/ethinyl estradiol (LNG/EE) in healthy adult postmenopausal or ovariectomized female participants.
A Drug-Drug Interaction Study of MK 8527 With a Combined Oral Contraceptive (LNG/EE) in healthy adult postmenopausal or ovariectomized female participants.
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-08-14
Anticipated Date of Last Follow-up
2025-01-14
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2023-10-11
Actual Completion Date
2023-10-11
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion Criteria: 18 Years to 70 Years (Adult, Older Adult ) * is in good overall health * assigned female at birth Exclusion Criteria: * has a history of clinically significant endocrine, GI, cardiovascular, hematological, thromboembolic, hepatic, immunological, renal, respiratory, genitourinary, or major neurological (including stroke and chronic seizures) abnormalities or diseases * is mentally or legally incapacitated, has significant emotional problems at the time of prestudy (screening) visit or expected during the conduct of the study or has a history of clinically significant psychiatric disorder of the last 5 years * has a history of cancer (malignancy)
Interventional (clinical trial)
14
Non-randomized
Single group assignment
Not provided
Open label
Not provided
PrEP
Type | Title | Content | Link |
---|---|---|---|
Link | Phase 1, open-label study to evaluate the drug interaction between MK-8527, an HIV-1 nucleoside reverse transcriptase translocation inhibitor, and the oral contraceptive levonorgestrel/ethinyl estradi | https://www.natap.org/2024/IAS/IAS_115.htm |
NCT06816043
https://clinicaltrials.gov/study/NCT06816043
Phase I
Completed
Merck Sharp & Dohme LLC
The goal of this study is to learn what happens to MK-8527 in a healthy person's body over time, called a pharmacokinetic (PK) study. Researchers want to learn if there is a difference in the healthy person's body when MK-8527 is taken as a single dose (Treatment A) or with the medication Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF) (Treatment B).
A Study of Emtricitabine/Tenofovir Disoproxil Fumarate (FTC/TDF) and MK-8527 in Healthy Participants
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2025-02-21
Anticipated Date of Last Follow-up
2025-06-25
Estimated Primary Completion Date
2025-06-05
Estimated Completion Date
2025-06-05
Actual Primary Completion Date
2025-06-05
Actual Completion Date
2025-06-17
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion Criteria: The main inclusion criteria include but are not limited to the following: * Continuous non-smoker who has not used nicotine- and tobacco-containing products for at least 3 months prior * Has body mass index (BMI) ≥18 and ≤32.0 kg/m\^2 Exclusion Criteria: The main exclusion criteria include but are not limited to the following: * History of low bone density, renal impairment, Fanconi syndrome, autoimmune disorders (such as Graves' disease, polymyositis, Guillain-Barré syndrome, and autoimmune hepatitis), liver disease * History of cancer (malignancy) * Positive results for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV)
Interventional (clinical trial)
20
Randomized
Cross-over assignment
Not provided
Open label
Not provided
PrEP
NCT07044297
https://clinicaltrials.gov/study/NCT07044297
Phase III
Recruiting
Merck Sharp & Dohme LLC
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
A Clinical Study of MK-8527 to Prevent HIV-1: study toefficacy, safety, and tolerability of MK-8527 compared to daily oral PrEP (TDF/FTC).
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Not provided
Anticipated Start Date
2025-07-31
Actual Start Date
2025-07-31
Anticipated Date of Last Follow-up
2025-09-09
Estimated Primary Completion Date
2027-10-20
Estimated Completion Date
2027-10-20
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion criteria include: * 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
Interventional (clinical trial)
4390
Randomized
Parallel Assignment
Not provided
Double-blind masking
Not provided
PrEP
Type | Title | Content | Link |
---|---|---|---|
Link | In collaboration with the Gates Foundation, Merck advances MK-8527 pre-exposure prophylaxis (PrEP) clinical trials globally | https://www.merck.com/news/merck-to-initiate-phase-3-trials-for-investigational-once-monthly-hiv-prevention-pill/ | |
Link | Safety and pharmacokinetics of MK-8527 oral once-monthly: a phase 2 study in adults at low risk of HIV-1 exposure - IAS2025 - Mayer et al-Abstract OAS0106LB | https://onlinelibrary.wiley.com/doi/10.1002/jia2.26518 |
NCT07025551
https://clinicaltrials.gov/study/NCT07025551
Phase I
Recruiting
Merck Sharp & Dohme LLC
The purpose of this study is to learn what happens to MK-8527 in a person's body over time (a pharmacokinetic \[PK\] study). Researchers will compare what happens to MK-8527 in the body when it is given to healthy participants and participants with mild and moderate hepatic (liver) impairment.
A Clinical Study of MK-8527 in Participants With Mild and Moderate Hepatic Impairment (MK-8527-015)
Not provided
Not provided
Anticipated Start Date
2025-09-08
Actual Start Date
Not provided
Anticipated Date of Last Follow-up
2025-08-27
Estimated Primary Completion Date
2025-12-08
Estimated Completion Date
2026-01-07
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion Criteria: The main inclusion criteria include but are not limited to the following: All participants: * Is a continuous non-smoker or moderate smoker (≤ 10 cigarettes per day or equivalent) for at least 3 months prior to dosing * Has body mass index (BMI) ≥ 18.0 and ≤ 40.0 kg/m\^2 * Has a diagnosis of chronic, stable, hepatic insufficiency with features of cirrhosis due to any etiology Participants with Mild HI (Group 1) and Moderate HI (Group 2): * Has mild or moderate hepatic impairment * Is generally in good health with the exception of HI Healthy Control Participants (Group 3): - Healthy with no clinically significant medical history, physical examination, clinical laboratory profiles, vital signs, and ECGs Exclusion Criteria: The main exclusion criteria include but
Interventional (clinical trial)
18
Not provided
Parallel Assignment
Not provided
Open label
Not provided
PrEP
NCT07063238
https://clinicaltrials.gov/study/NCT07063238
Phase I
Recruiting
Merck Sharp & Dohme LLC
Researchers are looking for new medicines to prevent Human Immunodeficiency Virus Type 1 (HIV-1) infection. HIV-1 is the most common type of HIV, which is a virus that attacks cells of the immune system. Medicines to prevent HIV-1 infection are called pre-exposure prophylaxis (PrEP). Some people may have trouble following a PrEP plan because it involves either taking medicine everyday by mouth or getting injections (shots) often. MK-8527 is a study medicine designed to prevent HIV-1 infection. MK-8527 is different from standard (usual) PrEP because it is taken once a month, by mouth, as a tablet. The goal of this study is to learn if taking a higher-than-normal dose of MK-8527 increases the QT interval (a measure of heart rhythm) by a certain amount.
A Clinical Study of MK-8527 in Healthy Adult Participants (MK-8527-014)
Intervention 1
Intervention 2
Intervention 3
Not provided
Anticipated Start Date
2025-07-22
Actual Start Date
2025-08-12
Anticipated Date of Last Follow-up
2025-08-20
Estimated Primary Completion Date
2025-11-25
Estimated Completion Date
2025-11-25
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion Criteria: The main inclusion criteria include but are not limited to the following: * Is in good health before randomization * Has body mass index (BMI) between 18 and 32 kg/m\^2, inclusive Exclusion Criteria: The main exclusion criteria include but are not limited to the following: * Has history of clinically significant endocrine, gastrointestinal (GI), cardiovascular, hematological, hepatic, immunological, renal, respiratory, genitourinary, or major neurological abnormalities or diseases. * Has history of cancer (malignancy). * Has positive test(s) for Hepatitis B surface antigen (HBsAg), hepatitis C antibodies or human immunodeficiency virus (HIV).
Interventional (clinical trial)
42
Randomized
Cross-over assignment
Not provided
Double-blind masking
Not provided
Not provided
Not provided
Not provided
Not provided
NCT07071623
https://clinicaltrials.gov/study/NCT07071623
Phase III
Not yet recruiting
Merck Sharp & Dohme LLC
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 better than a standard (usual) pre-exposure prophylaxis (PrEP) taken once a day * About the safety of MK-8527 and if people tolerate it
A Study of MK-8527 to Prevent Human Immunodeficiency Virus Type 1 (HIV-1) (MK-8527-010)
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Not provided
Anticipated Start Date
2025-10-31
Actual Start Date
Not provided
Anticipated Date of Last Follow-up
2025-08-26
Estimated Primary Completion Date
2027-10-18
Estimated Completion Date
2027-10-18
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
The main inclusion criteria include: * Is confirmed Human Immunodeficiency Virus (HIV)-uninfected based on negative HIV-1/HIV-2 test results * Has been sexually active (2 vaginal intercourse encounters with cisgender male individual(s) within the last 3 months) * Was assigned female sex at birth and is cisgender. * Weighs ≥35 kg Exclusion Criteria include: * 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 cervical cancer *Has taken cabotegravir, lenacapavir, or any other long-acting HIV prevention product at any time
Interventional (clinical trial)
4580
Randomized
Parallel Assignment
Not provided
Quadruple-blind masking
Not provided
PrEP
Not provided
Not provided
Not provided
Patent description | Representative patent | Categories | Patent holder | Licence with MPP | Patent source |
---|---|---|---|---|---|
MK-8527 compound and analogues
Expiry date: 2034-03-28 Provided is 4'-substituted nucleoside derivatives of Formula I and their use in the inhibition of HIV reverse transcriptase, the prophylaxis of infection by HIV, the treatment of infection by HIV, and the prophylaxis, treatment, and delay in the onset or progression of AIDS and/or ARC. |
WO2015143712 | Compound | Merck Sharp & Dohme Corp. | No |
Patent status/countries | Low, Low- middle and upper-middle | High income |
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Filed | Argentina, Ecuador, Guatemala, Nicaragua, Belize, Egypt, Jamaica, Sri Lanka, Thailand | Croatia, Barbados, Brunei Darussalam, Kuwait, United Arab Emirates, Bahrain, Saudi Arabia, Oman, Qatar |
Not in force | World Intellectual Property Organization (WIPO), Tajikistan, Turkmenistan, Kyrgyzstan, Sierra Leone, Eswatini, Liberia, Sao Tome and Principe, Mozambique, Uganda, Zambia, Zimbabwe, Tanzania, United Republic of, Malawi, Rwanda, Sudan, Lesotho, Gambia (the) | World Intellectual Property Organization (WIPO), San Marino, Monaco, United States of America |
Gravett RM, Long DM, Biello KB, et al. Preferences for Monthly Oral PrEP Over Other PrEP Modalities Among a National Sample of Gay, Bisexual, and Other Men Who Have Sex With Men in the United States. J Acquir Immune Defic Syndr. 2025;99(2):128-137. doi:10.1097/QAI.0000000000003651
Introduction: Pre-exposure prophylaxis (PrEP) cannot meaningfully affect the HIV epidemic in the United States without improving access to PrEP and reducing PrEP disparities among gay, bisexual, and other men who have sex with men (GBM), especially GBM of color. A patient-centered approach to increase PrEP options will offer better PrEP solutions to GBM. We sought to understand how GBM prefer current and emerging PrEP modalities.
Methods: We conducted a national online survey among adult GBM to determine preferences for current and emerging PrEP modalities (daily, on-demand, and monthly oral, subcutaneous and intramuscular injectable, implantable, and rectal douche) and perceived barriers, based on their lived experiences. We determined PrEP modality preferences and associations using multivariable exploded logit regression model.
Results: In total, 723 GBM completed the survey. The largest proportion preferred monthly oral PrEP (n = 207, 28.6%), and more than half preferred some form of oral PrEP. Race was significantly associated with PrEP modality preference, and Black GBM preferred daily oral PrEP most. Side effects, health care visits, administration route, and frequency influenced PrEP preferences. PrEP and HIV knowledge, and HIV risk were associated with PrEP modality choice. GBM considered out-of-pocket cost and side effects as the significant barriers to PrEP care.
Conclusions: Monthly oral PrEP was most preferred with oral options preferred more than other modalities. Black GBM most preferred daily oral PrEP, which could be because of lack of familiarity with the emerging products. Future PrEP provision must include patient-centered prevention plans that include enhanced education and counseling to promote use of newer agents.
Raheem IT, Girijavallabhan V, Fillgrove KL, et al. MK-8527 is a novel inhibitor of HIV-1 reverse transcriptase translocation with potential for extended-duration dosing. PLoS Biol. 2025;23(8):e3003308. Published 2025 Aug 26. doi:10.1371/journal.pbio.3003308
Nucleoside reverse transcriptase translocation inhibitors (NRTTIs) are potent antiretroviral agents that block HIV replication. A comprehensive lead optimization campaign was undertaken to develop a novel long-acting NRTTI with the potential for extended-duration dosing for HIV prophylaxis. Broad exploration of nucleoside structure-activity relationship (SAR), leveraging ribose core, periphery, and nucleobase modifications, along with systematic progression of compounds of interest through key in vitro and in vivo studies led to the discovery of MK-8527. MK-8527 is a novel deoxyadenosine analog that is phosphorylated intracellularly to its active triphosphate (TP) form, which inhibits reverse transcription. Iron footprinting and primer extension assays demonstrated that MK-8527-TP inhibits translocation of reverse transcriptase on the primer and template, and this inhibition allows for both immediate and delayed chain termination of reverse transcription. MK-8527 inhibits viral replication in human peripheral blood mononuclear cells (PBMCs), with a half maximal inhibitory concentration (IC50) of 0.21 nM. The pharmacokinetic (PK) profile of MK-8527 in rats and rhesus monkeys was characterized by low-to-moderate clearance and volume of distribution, with good oral absorption (57% and 100% in rats and monkeys, respectively). Following oral administration of MK-8527 to monkeys, MK-8527-TP exhibited an intracellular half-life of approximately 48 h in PBMCs, significantly longer than the apparent plasma half-life of the parent compound (approximately 7 h). MK-8527 and MK-8527-TP demonstrated favorable in vitro off-target profiles, with IC50 values of ≥95 µM against human DNA polymerases tested, and no off-target activities at 10 μM against a panel of 114 enzyme and receptor binding assays. Collectively, the potent antiretroviral activity and favorable preclinical PK and off-target profiles make MK-8527 an attractive clinical candidate, and it is currently in clinical trials for once-monthly oral HIV-1 pre-exposure prophylaxis.
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Collaborate for developmentConsider on a case by case basis, collaborating on developing long acting products with potential significant public health impact, especially for low- and middle-income countries (LMICs), utilising the referred to long-acting technology Not provided |
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Share technical information for match-making assessmentProvide necessary technical information to a potential partner, under confidentiality agreement, to enable preliminary assessment of whether specific medicines of public health importance in LMICs might be compatible with the referred to long-acting technology to achieve a public health benefit Not provided |
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Work with MPP to expand access in LMICsIn the event that a product using the referred to long-acting technology is successfully developed, the technology IP holder(s) will work with the Medicines Patent Pool towards putting in place the most appropriate strategy for timely and affordable access in low and middle-income countries, including through licensing Not provided |
MK-8527 is an investigational nucleoside reverse transcriptase translocation inhibitor (NRTTI) being developed for the prevention of HIV as once-monthly oral capsule. It is prioritised by the Medicines Patent Pool (MPP) for public health oriented voluntary licensing since 2025. See more details here: https://medicinespatentpool.org/progress-achievements/prioritisation#pills-hiv