Doravirine (DOR) in Human Immunodeficiency Virus (HIV)-Infected Children Ages 4 Weeks to <12 Years and <45 kg (MK-1439-066)

Last updated: May 2, 2025
Sponsor: Merck Sharp & Dohme LLC
Overall Status: Active - Recruiting

Phase

2

Condition

Hiv Infections

Aids And Aids Related Infections

Hiv/aids

Treatment

2 NRTIs

Doravirine

Clinical Study ID

NCT04375800
1439-066
2019-003955-13
MK-1439-066
  • Ages 4-11
  • All Genders

Study Summary

This is a single-group, open-label, multi-site study in pediatric participants with human immunodeficiency virus type 1 (HIV-1) infection, aged 4 weeks to <12 years and weighing <45 kg, who are treatment-naive (TN) or have been virologically suppressed (VS) on stable combination antiretroviral therapy (cART) for ≥3 months with no history of treatment failure. The first primary objective is to evaluate the steady state pharmacokinetics (PK) of doravirine (DOR) [MK-1439] when given in combination with 2 nucleoside/nucleotide analog reverse transcriptase inhibitors (NRTIs) or as part of the fixed dose combination (FDC) of DOR/lamivudine (3TC)/tenofovir disproxil fumarate (TDF) in participants ≥6 to <12 years and weighing ≥14 to <45 kg. The second primary objective is to evaluate the safety and tolerability of DOR when given with 2 NRTIs or as part of the FDC of DOR/3TC/TDF, in participants ≥6 to 12 years and weighing ≥14 to <45 kg, through Week 24.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Has HIV-1 infection confirmed at screening

  • Has treatment history defined as either TN or with documented viral suppression (HIV-1 RNA <50 copies/mL) for ≥3 months on combination antiretroviral therapy (cART)

  • Body weight is >3 kg to <45 kg

  • If female, is not pregnant or breastfeeding, and one of the following applies:

  • is not a woman of childbearing potential (WOCBP)

  • is a WOCBP using an acceptable form of contraception, or is abstinent

  • if a WOCBP must have a negative pregnancy test (urine or serum) within 24 hours ofthe first dose of study intervention

Study Extension Inclusion Criteria:

  • Has completed the Week 96 visit.

  • Is considered, in the opinion of the investigator, to have derived benefit fromtreatment with DOR plus the 2 NRTIs selected by the investigator, or DOR/3TC/TDF, byWeek 96 of the study

  • Is considered, in the opinion of the investigator, to be a clinically appropriatecandidate for additional treatment with DOR plus 2 NRTIs selected by theinvestigator.

  • Understands the procedures in the study extension and has provided (or have theparticipant's legally acceptable representative, if applicable, provide) documentedinformed consent/assent to enter the study extension and continue treatment with DORplus 2 NRTIs selected by the investigator until DOR is available commercially incountries participating in the study or for up to an additional 224 weeks (whichevercomes first).

Exclusion

Exclusion Criteria:

  • Has evidence of renal disease

  • Demonstrates evidence of liver disease

  • Has clinical or laboratory evidence of pancreatitis

  • Has any history of malignancy

  • Has presence of any active acquired immunodeficiency syndrome (AIDS)-definingOpportunistic Infection

  • Has an active diagnosis of hepatitis, including hepatitis B co-infection

  • Has current active tuberculosis and/or is being treated with a rifampicin-containingregimen

  • Has a medical condition that precludes absorption or intake of oral pellets/granules

  • Has a history or current evidence of any condition, therapy, laboratory abnormality,or other circumstance that might confound results of the study or interfere withparticipating for the entire duration of the study

  • Is taking or is anticipated to require systemic immunosuppressive therapy, immunemodulators, or other prohibited therapy

  • Is currently participating in or has participated in an interventional clinicalstudy with an investigational compound or device from 45 days prior to Day 1 throughthe treatment period

  • Has a documented or known virologic resistance to DOR

  • Has any history of viremia (HIV RNA >1000 copies/mL) after at least 3 months on anon-nucleoside reverse transcriptase inhibitor (NNRTI)-based regimen

Study Design

Total Participants: 84
Treatment Group(s): 2
Primary Treatment: 2 NRTIs
Phase: 2
Study Start date:
February 03, 2021
Estimated Completion Date:
April 11, 2034

Study Description

Participants who complete the Week 96 visit will be eligible to enroll in an Extension Study in which they may continue to receive DOR until it is commercially available, or for up to an additional 224 weeks (whichever comes first).

Connect with a study center

  • Clinica Somer ( Site 1003)

    Rionegro, Antioquia 054040
    Colombia

    Site Not Available

  • Clinica Somer ( Site 1003)

    Rionegro., Antioquia 054040
    Colombia

    Active - Recruiting

  • Ciensalud Ips S A S ( Site 1001)

    Barranquilla, Atlantico 08001
    Colombia

    Active - Recruiting

  • CEIP - Centro de Estudios en Infectología Pediátrica ( Site 1002)

    Cali, Valle Del Cauca 760042
    Colombia

    Active - Recruiting

  • Hospital Infantil de Mexico Federico Gomez ( Site 0702)

    Mexico City, Distrito Federal 06720
    Mexico

    Active - Recruiting

  • Unidad de Atencion Medica e Investigacion en Salud S.C. ( Site 0700)

    Merida, Yucatan 97000
    Mexico

    Completed

  • Instituto Nacional de Pediatria ( Site 0701)

    Mexico City, 04530
    Mexico

    Completed

  • Kuzbasskiy Center for the Prevention and Control of AIDS ( Site 0506)

    Kemerovo, Kemerovskaya Oblast 650056
    Russian Federation

    Suspended

  • Clinical Centre for Prevention and Control of AIDS ( Site 0504)

    Krasnodar, Krasnodarskiy Kray 350015
    Russian Federation

    Completed

  • Krasnoyarsk Regional Center for Prevention and Control of AIDS ( Site 0507)

    Krasnoyarsk, Krasnoyarskiy Kray 660049
    Russian Federation

    Completed

  • Infectious Clinical Hospital #2 ( Site 0501)

    Moscow, Moskva 105275
    Russian Federation

    Completed

  • FGU Republican Clinical Infectious Hospital of Roszdrav ( Site 0500)

    Saint Petersburg, Sankt-Peterburg 196645
    Russian Federation

    Suspended

  • FARMOVS PTY LTD ( Site 0601)

    Bloemfontein, Free State 9301
    South Africa

    Completed

  • Empilweni Services and Research Unit ( Site 0604)

    Johannesburg, Gauteng 2093
    South Africa

    Completed

  • Perinatal HIV Research Unit ( Site 0602)

    Johannesburg, Gauteng 1864
    South Africa

    Active - Recruiting

  • Wits Reproductive Health and HIV Institute (WRHI) ( Site 0603)

    Johannesburg, Gauteng 2001
    South Africa

    Active - Recruiting

  • King Edward Hospital ( Site 0600)

    Durban, Kwazulu-Natal 4001
    South Africa

    Active - Recruiting

  • Family Clinic Research With UBUNTU ( Site 0605)

    Cape Town, Western Cape 7505
    South Africa

    Active - Recruiting

  • Be Part Yoluntu Centre ( Site 0606)

    Paarl, Western Cape 7626
    South Africa

    Active - Recruiting

  • Tsitsikamma Clinical Research Initiative (TCRI) ( Site 0607)

    Plettenberg Bay, Western Cape 6600
    South Africa

    Completed

  • Siriraj Hospital ( Site 0901)

    Bangkok, Krung Thep Maha Nakhon 10700
    Thailand

    Active - Recruiting

  • Research Institute for Health Sciences ( Site 0902)

    Chiang Mai, 50200
    Thailand

    Active - Recruiting

  • Faculty of Medicine - Khon Kaen University ( Site 0903)

    Khon Kaen, 40002
    Thailand

    Active - Recruiting

  • University of Colorado at Denver ( Site 0108)

    Aurora, Colorado 80045
    United States

    Completed

  • Emory Children's Center ( Site 0103)

    Atlanta, Georgia 30322
    United States

    Active - Recruiting

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