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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 16 Years to 30 Years |
| Sex | Women only |
| Enrollment | 4580 (estimated) |
| Sponsor | Merck Sharp & Dohme LLC Industry-sponsored |
| Locations | 30 sites (Homabay County, Homa Bay County and 29 other locations) |
| Status | Recruiting |
| Started | November 10, 2025 |
| Main results expected | October 18, 2027 |
| Study ends | October 18, 2027 |
| Registry record updated | October 20, 2026 |
| Trial ID | NCT07071623 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
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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
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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
- Study coordinator: Toll Free Number
- Email: Trialsites@msd.com
- Phone: 1-888-577-8839
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.