Clinical trial Recruiting at 21 sites Phase 3 Interventional Ages 16 to 30 Women only

Monthly MK-8527 to prevent HIV-1 infection

Official title: 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 in Women

Run by Merck Sharp & Dohme LLC · NCT07071623 · Data updated 2026-11-12

This study will test whether taking MK-8527 once a month prevents HIV-1 better than daily oral PrEP in HIV-negative, sexually active cisgender women.

More Human Immunodeficiency Virus (HIV) trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages16 Years to 30 Years
SexWomen only
Enrollment4580 (estimated)
SponsorMerck Sharp & Dohme LLC
Industry-sponsored
Locations30 sites (Homabay County, Homa Bay County and 29 other locations)
StatusRecruiting
StartedNovember 10, 2025
Main results expectedOctober 18, 2027
Study endsOctober 18, 2027
Registry record updatedOctober 20, 2026
Trial IDNCT07071623 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are HIV-negative, sexually active cisgender women who were assigned female at birth and can attend study visits at participating Kenyan sites.

Probably not a fit

People with active hepatitis B, a recent history of malignancy, prior use of long-acting HIV prevention products, or those who are not cisgender women assigned female at birth are unlikely to benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

In this Phase 3, randomized trial participants who are HIV-negative cisgender women will receive either monthly MK-8527 or daily emtricitabine/tenofovir disoproxil (FTC/TDF) with matching placebos. The study will compare rates of HIV-1 infection between the groups and closely monitor safety and tolerability. Major inclusion criteria include being assigned female at birth, cisgender, sexually active, HIV-uninfected, and weighing at least 35 kg; key exclusions include hepatitis B infection, recent malignancy, or prior use of long-acting HIV prevention products. The trial is sponsored by Merck and is being conducted at multiple sites in Kenya.

Why it matters

Potential benefit: If successful, a once-monthly MK-8527 option could make HIV prevention easier to use and help reduce new infections among at-risk women.

How similar studies have gone: Other long-acting prevention approaches—most notably injectable cabotegravir—have shown higher protection than daily oral PrEP in prior trials, so the monthly long-acting approach has promising precedent.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

The main inclusion criteria include but are not limited to the following:

* 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:

The main exclusion criteria include but are not limited to the following:

* 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
* 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

Where it's running

  • UW - KNH; Rachuonyo County Hospital ( Site 0006)
    Homabay County, Homa Bay County, Kenya
    Recruiting
  • KEMRI-CMR-RCTP ( Site 0003)
    Nairobi, Kisumu County, Kenya
    Recruiting
  • Kargeno Research & Policy Hub ( Site 0007)
    Kisumu, Kenya
    Recruiting
  • Synergy Biomed Research Institute ( Site 0040)
    East London, Eastern Cape, South Africa
    Recruiting
  • Wits RHI Ward 21 Clinical Research site ( Site 0022)
    Johannesburg, Gauteng, South Africa
    Recruiting
  • Perinatal HIV Research Unit (PHRU) ( Site 0033)
    Johnnesburg, Gauteng, South Africa
    Recruiting
Show 24 more locations
  • Setshaba Research Centre ( Site 0032)
    Pretoria, Gauteng, South Africa
    Recruiting
  • Wits Maternal Adolescent and Child Health Research Unit (WMRU) ( Site 0027)
    Durban, KwaZulu-Natal, South Africa
    Recruiting
  • Umlazi Clinical Research Site ( Site 0047)
    Durban, KwaZulu-Natal, South Africa
    Recruiting
  • SYNAPSE Research Clinic ( Site 0043)
    Edendale, KwaZulu-Natal, South Africa
    Recruiting
  • Qhakaza Mbokodo Research Clinic ( Site 0028)
    Ladysmith, KwaZulu-Natal, South Africa
    Recruiting
  • SA Medical Research Council - Phoenix Clinical Research Site ( Site 0037)
    Phoenix, KwaZulu-Natal, South Africa
    Recruiting
  • CAPRISA Vulindlela Clinical Research Site ( Site 0029)
    Pietermaritzburg, KwaZulu-Natal, South Africa
    Recruiting
  • SA Medical Research Council - Verulam Clinical Research Site ( Site 0036)
    Verulam, KwaZulu-Natal, South Africa
    Recruiting
  • Desmond Tutu Health Foundation. Philippi Village ( Site 0024)
    Cape Town, Western Cape, South Africa
    Recruiting
  • DTHF Masiphumelele Clinical Research Site ( Site 0023)
    Cape Town, Western Cape, South Africa
    Recruiting
  • MRC/UVRI and LSHTM Uganda Research Unit Masaka ( Site 0064)
    Entebbe, Central Region, Uganda
    Recruiting
  • Infectious Diseases Institute Kalangala ( Site 0063)
    Kalangala District, Kalangala, Uganda
    Recruiting
  • MU-JHU Research Collaboration - Mityana ( Site 0061)
    Mityana, District, Mityana, Uganda
    Recruiting
  • UVRI Clinical Research Program Initiative Ltd (UVRI CRP) ( Site 0067)
    Entebbe, Wakiso, Uganda
    Recruiting
  • MU-JHU Research Collaboration - Kampala ( Site 0062)
    Kampala, Uganda
    Recruiting
  • Partners in Health and Research Development (PHRD) ( Site 0002)
    Thika, Kiambu County, Kenya
    Active not recruiting
  • Foundation For Professional Development ( Site 0031)
    Ndevana, Eastern Cape, South Africa
    Active not recruiting
  • Josha Research ( Site 0045)
    Bloemfontein, Free State, South Africa
    Active not recruiting
  • Helen Joseph Hospital-Clinical HIV Research Unit ( Site 0048)
    Johannesburg, Gauteng, South Africa
    Active not recruiting
  • SA Medical Research Council - Chatsworth Clinical Research Site ( Site 0026)
    Chatsworth, KwaZulu-Natal, South Africa
    Active not recruiting
  • SA Medical Research Council - Botha's Hill Clinical Research Site ( Site 0035)
    Durban, KwaZulu-Natal, South Africa
    Active not recruiting
  • CAPRISA eThekwini Clinical Research Site ( Site 0030)
    Durban, KwaZulu-Natal, South Africa
    Active not recruiting
  • Africa Health Research Institute (AHRI) - Mtubatuba ( Site 0049)
    Somkhele - Mtubatuba, KwaZulu-Natal, South Africa
    Active not recruiting
  • Vuka Research Clinic ( Site 0025)
    Khayelitsha, Western Cape, South Africa
    Active not recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.