Drugs / Doravirine
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Doravirine

Small molecule

Developed for
HIV infectious disease · HIV wasting syndrome
Investigated by
Merck Sharp & Dohme LLC · Centre de Recherches et d'Etude sur la Pathologie Tropicale et le Sida · Chelsea and Westminster NHS Foundation Trust · Fight AIDS and Infectious Diseases Foundation · ANRS, Emerging Infectious Diseases · Bellvitge Biomedical Research Institute
+36 more · Hospital Universitari de Bellvitge · Mexican Social Security Institute · National Institute of Allergy and Infectious Diseases (NIAID) · Professor Francois Venter · University of Liverpool · Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections · Center for Primary Care and Public Health (Unisante), University of Lausanne, Switzerland · Clinique du Quartier Latin · Desmond Tutu Health Foundation · European and Developing Countries Clinical Trials Partnership (EDCTP) · Fundacion Clinic per a la Recerca Biomédica · Fundacion IDEAA · Fundación Huésped · Gilead Sciences · Hospital Clinic of Barcelona · Imperial College London · Insel Gruppe AG, University Hospital Bern · José Antonio Mata Marín · Liverpool School of Tropical Medicine · MSD France · MSD Pharmaceuticals LLC · Merck Canada Inc. · Merck Frosst Canada Ltd. · Organization providing support methodology coordination (Institut Pierre Louis d'Epidémiologie et de Santé Publique) · Quest Clinical Research · Radboud University Medical Center · Thomas Benfield · Thomas Jefferson University · University Health Network, Toronto · University Hospital, Caen · University of Bern · University of North Carolina, Chapel Hill · University of Texas Southwestern Medical Center · University of Witwatersrand, South Africa · Walter K. Kraft · ZonMw: The Netherlands Organisation for Health Research and Development

Regulatory milestones approvals, filings & regulatory actions · 6 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed HIV infectious disease 2 milestones
Filed US (FDA) — HIV infectious disease 2025-07-10

“today announced that the U.S. Food and Drug Administration (FDA) has accepted for review the New Drug Application (NDA) for doravirine/islatravir (DOR/ISL)” merck.com ↗

“the FDA accepted a New Drug Application (NDA) for doravirine/islatravir” merck.com ↗

Filed US (FDA) — HIV infectious disease 2018-01-08

“The FDA accepted for review two NDAs for doravirine, the company’s investigational non-nucleoside reverse transcriptase inhibitor, for the treatment of HIV-1 infection in adults.” merck.com ↗

“Food and Drug Administration (FDA) has accepted for review two New Drug Applications (NDAs) for doravirine” merck.com ↗

Approved Indication not stated 3 milestones
Label expansions (2) US (FDA) PIFELTRO — 2019-09-19 – 2022-01-27 fda.gov ↗
Approved EU (EMA) Pifeltro — 2018-11-22 europa.eu ↗
Approved US (FDA) PIFELTRO — 2018-08-30 fda.gov ↗

Trials 54

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT04820933 Mar 2024 → Oct 2025 HIV infectious disease University of Texas Southwestern Medical Center Completed No outcome recorded
Phase 110 trials · 1 met primary · 1 missed
Phase 1 NCT07086079 Sep → Dec 2025 — Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT04900974 Jun 2022 → Mar 2025 HIV infectious disease, pregnancy disorder University of North Carolina, Chapel Hill Completed No outcome recorded
Phase 1 NCT04283656 Jan → Oct 2022 HIV infectious disease Thomas Jefferson University Completed Missed primary
Phase 1 NCT03894124 Jun → Jul 2019 HIV infectious disease Chelsea and Westminster NHS Foundation Trust Completed No outcome recorded
Phase 1 NCT03886701 Apr → May 2019 HIV infectious disease, isoniazid toxicity, latent tuberculosis infection Walter K. Kraft Completed No outcome recorded
Phase 1 NCT02641067 Jan → May 2016 impaired renal function disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT02715700 Sep 2015 → Jun 2016 HIV infectious disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT02549040 Sep → Dec 2015 HIV infectious disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT02089659 Mar → May 2014 HIV infectious disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT01466985 Oct 2011 → Apr 2012 HIV infectious disease Merck Sharp & Dohme LLC Completed Met primary
Phase 1/21 trial
Phase 1/2 NCT03332095 Jul 2018 → Aug 2020 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 210 trials · 1 met primary
Phase 2 NCT07862569 Dec 2026 → Sep 2029 expected HIV infectious disease Merck Sharp & Dohme LLC Not yet recruiting No outcome recorded
Phase 2 NCT06774872 Apr 2025 → Jan 2027 expected HIV infectious disease Centre de Recherches et d'Etude sur la Pathologie Tropicale et le Sida Recruiting No outcome recorded
Phase 2 NCT06034938 Feb 2024 → Apr 2026 overdue HIV infectious disease University Hospital, Caen Recruiting No outcome recorded
Phase 2 NCT04375800 Feb 2021 → Nov 2028 expected HIV infectious disease Merck Sharp & Dohme LLC Recruiting No outcome recorded
Phase 2 NCT04295772 Nov 2020 → Dec 2021 HIV infectious disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 2 NCT04513626 Sep 2020 → Oct 2025 overdue HIV infectious disease Centre de Recherches et d'Etude sur la Pathologie Tropicale et le Sida Recruiting No outcome recorded
Phase 2 NCT04097925 Feb → Aug 2020 HIV infectious disease Fight AIDS and Infectious Diseases Foundation Completed No outcome recorded
Phase 2 NCT02652260 Mar 2016 → Aug 2018 central nervous system disorder Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 2 NCT02629822 Jan 2016 → Nov 2018 HIV infectious disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 2 NCT01632345 Oct 2012 → Dec 2014 HIV infectious disease Merck Sharp & Dohme LLC Completed Met primary
Phase 316 trials · 8 met primary
Phase 3 NCT07075146 May 2025 → Jun 2026 overdue HIV infectious disease, obesity disorder José Antonio Mata Marín Recruiting No outcome recorded
Phase 3 NCT06203132 Jan 2025 → Nov 2026 expected HIV infectious disease ANRS, Emerging Infectious Diseases Recruiting No outcome recorded
Phase 3 NCT05766501 Mar 2023 → Oct 2025 overdue HIV infectious disease Merck Sharp & Dohme LLC Active not recruiting No outcome recorded
Phase 3 NCT05705349 Mar 2023 → Oct 2025 overdue HIV infectious disease Merck Sharp & Dohme LLC Active not recruiting Met primary
Phase 3 NCT05631093 Feb 2023 → Oct 2024 overdue HIV infectious disease Merck Sharp & Dohme LLC Active not recruiting Met primary
Phase 3 NCT05630755 Feb 2023 → Oct 2024 overdue HIV infectious disease Merck Sharp & Dohme LLC Active not recruiting Met primary
Phase 3 NCT04892654 Aug 2022 → Nov 2026 expected HIV infectious disease Chelsea and Westminster NHS Foundation Trust Recruiting No outcome recorded
Phase 3 NCT04776252 Sep 2021 → May 2029 expected HIV infectious disease Merck Sharp & Dohme LLC Active not recruiting No outcome recorded
Phase 3 NCT04429152 Feb 2021 → Sep 2023 HIV infectious disease Professor Francois Venter Unknown No outcome recorded
Phase 3 NCT04433780 Jan 2021 → Feb 2023 HIV infectious disease Professor Francois Venter Completed No outcome recorded
Phase 415 trials · 1 missed
Phase 4 NCT07673965 Oct 2026 → Aug 2027 expected HIV infectious disease University of Witwatersrand, South Africa Not yet recruiting No outcome recorded
Phase 4 NCT07357584 Sep 2026 → Apr 2028 expected HIV infectious disease Fundación Huésped Recruiting No outcome recorded
Phase 4 NCT06602622 Aug 2024 → Nov 2025 overdue HIV wasting syndrome Mexican Social Security Institute Recruiting No outcome recorded
Phase 4 NCT05289986 Nov 2023 → Nov 2024 HIV infectious disease Chelsea and Westminster NHS Foundation Trust Terminated No outcome recorded Stop: Enrollment
Phase 4 NCT06037564 Nov 2023 → Oct 2026 expected HIV infectious disease Insel Gruppe AG, University Hospital Bern Enrolling by invitation No outcome recorded
Phase 4 NCT05630638 Oct 2023 → Jul 2028 expected HIV infectious disease University of Liverpool Recruiting No outcome recorded
Phase 4 NCT05648201 Mar 2023 → Nov 2024 HIV infectious disease Radboud University Medical Center Completed No outcome recorded
Phase 4 NCT05506605 Dec 2022 → Dec 2024 HIV infectious disease Fundacion Clinic per a la Recerca Biomédica Unknown No outcome recorded
Phase 4 NCT04636437 Jul 2021 → Oct 2024 HIV infectious disease Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections Completed Missed primary
Phase 4 NCT04665375 Apr 2021 → Mar 2024 HIV infectious disease University Health Network, Toronto Terminated No outcome recorded Stop: Enrollment
Phase not applicable1 trial
— NCT05477407 Oct 2022 → Mar 2024 HIV infectious disease Centre de Recherches et d'Etude sur la Pathologie Tropicale et le Sida Completed No outcome recorded
Comparator or background therapy5 trials
Phase 2 NCT06338826 Background Feb 2025 → Sep 2027 expected HIV infectious disease ANRS, Emerging Infectious Diseases Not yet recruiting No outcome recorded
Phase 2 NCT03272347 Background Nov 2017 → Mar 2021 HIV infectious disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 3 NCT06630299 Comparator Oct 2024 → Apr 2026 overdue HIV infectious disease Gilead Sciences Active not recruiting Met primary
Phase 3 NCT05457530 Comparator Aug 2022 → May 2023 HIV infectious disease, abdominal obesity-metabolic syndrome, obesity disorder Prism Health North Texas Withdrawn No outcome recorded Stop: Enrollment
Phase 3 NCT03631732 Comparator Aug 2018 → Aug 2019 HIV infectious disease Gilead Sciences Completed Met primary

News releases announcing trial results or a regulatory action · 24

DateIssuerRelease
2026-07-15 Merck Sharp & Dohme LLC Results Merck to Present New Data on Daily, Weekly, and Monthly Options Across its HIV Treatment and Prevention Pipeline at AIDS 2026 merck.com ↗
Switching to doravirine/islatravir (100/0.25 mg) once-daily maintained viral suppression at Week 96 in the presence of baseline NNRTI resistance-associated mutations and/or M184I/V in proviral DNA (Abstract #OAB0105LB).
2026-05-15 MSD R&D (China) Co., Ltd. Regulatory FDA、1日1回投与のIDVYNSO™(ドラビリン/イスラトラビル)を承認 msd.co.jp ↗
FDA、1日1回投与のIDVYNSO™(ドラビリン/イスラトラビル)を承認
2026-04-21 Merck Sharp & Dohme LLC Regulatory FDA Approves Merck’s Once-Daily IDVYNSO™ (doravirine/islatravir) merck.com ↗
IDVYNSO is approved for adults with virologically suppressed HIV-1 with no history of virologic treatment failure and no known substitutions associated with resistance to doravirine
2026-03-13 MSD R&D (China) Co., Ltd. Results Merck & Co., Inc., Rahway, NJ, USA、HIV-1感染症成人患者を対象とした1日1回投与のドラビリン/イスラトラビル(DOR/ISL)の2剤配合錠について、第3相試験の最新のデータ3件をCROI 2026で発表 msd.co.jp ↗
Merck & Co., Inc., Rahway, NJ, USA(米国とカナダ以外ではMSD)は本日、開発中の1日1回経口投与のドラビリン/イスラトラビル[DOR/ISL(100 mg/0.25 mg)、(MK-8591A)]2剤配合錠について、HIV-1感染症成人患者を対象とする3件のピボタル第3相試験の結果を発表しました。
2026-02-25 Merck Sharp & Dohme LLC Results Merck Announces Late-Breaking Data from Three Phase 3 Trials Evaluating Doravirine/Islatravir (DOR/ISL), an Investigational, Once-Daily, Two-Drug Regimen for the Treatment of Adults Living with HIV-1 at CROI 2026 merck.com ↗
DOR/ISL is the first non-INSTI, two-drug regimen to demonstrate non-inferiority and a similar safety profile at Week 48 to BIC/FTC/TAF in adults living with HIV-1 who had not previously received antiretroviral treatment
2025-03-28 MSD R&D (China) Co., Ltd. Results Merck & Co., Inc., Rahway, NJ, USA、1日1回経口投与のドラビリン/イスラトラビル(DOR/ISL)の2剤配合錠の第3相試験の良好なデータを発表48週時においてHIV-1のウイルス学的抑制を維持 msd.co.jp ↗
いずれの試験でも、DOR/ISLは有効性の主要評価項目を達成し、対照群(MK-8591A-052試験:BIC/FTC/TAF、MK-8591A-051試験:bART)に対する非劣性を示しました。
2025-03-12 Merck Sharp & Dohme LLC Results Merck Announces Positive Data from Phase 3 Trials that Show the Investigational, Once-Daily, Oral, Two-Drug Regimen of Doravirine/Islatravir (DOR/ISL) Maintained HIV-1 Viral Suppression at Week 48 merck.com ↗
In the double-blind trial MK-8591A-052 (Abstract #204A), results for the primary endpoint (HIV-1 RNA ≥50 copies/mL) showed that 1.5% of participants who switched to DOR/ISL had a viral load of ≥50 copies/mL at Week 48, compared to 0.6% on BIC/FTC/TAF (treatment difference 0.9%, 95% CI -1.9, 2.9).
2025-01-14 MSD R&D (China) Co., Ltd. Results Merck & Co., Inc., Rahway, NJ, USA、ウイルス学的抑制が得られているHIV-1感染症成人患者の治療薬として1日1回経口投与のドラビリン/イスラトラビル(DOR/ISL)2剤配合錠を評価するピボタル第3相試験のトップラインデータを発表 msd.co.jp ↗
DOR/ISLは、非盲検のMK-8591A-051試験でbARTに対する非劣性、二重盲検のMK-8591A-052試験でBIC/FTC/TAFに対する非劣性を示しました。
2021-10-27 Merck Sharp & Dohme LLC Results Merck Presents New Data from Ongoing Phase 2b Clinical Trial Evaluating Efficacy and Safety of Investigational Islatravir in Combination With Doravirine Through 144 Weeks for HIV-1 Treatment at EACS 2021 merck.com ↗
Phase 2b data through 144 weeks demonstrated that islatravir combined with doravirine continued to maintain viral suppression, as measured by the number of study participants achieving HIV-1 RNA levels <50 copies/mL, similar to DOR/3TC/TDF.
2021-10-25 Merck Sharp & Dohme LLC Results Merck Announces Positive Top-Line Results from Pivotal Phase 3 Trials Evaluating Investigational, Once-Daily Oral Fixed Dose Combination of Doravirine/Islatravir for the Treatment of People with HIV-1 Infection merck.com ↗
At 48 weeks, both trials met their primary efficacy endpoint of percentage of participants with HIV-1 RNA levels ≥50 copies/mL, demonstrating that antiviral efficacy was comparable between DOR/ISL and ART (ILLUMINATE SWITCH A) and between DOR/ISL and BIC/FTC/TAF (ILLUMINATE SWITCH B).
2020-10-08 Merck Sharp & Dohme LLC Results Merck Announces Week 96 Data from Phase 2b Study Evaluating Islatravir in Combination With Doravirine in Adults With HIV-1 Infection merck.com ↗
Week 96 findings demonstrated that the combination of islatravir and doravirine maintained virologic suppression (as measured by the number of study participants achieving HIV-1 RNA levels <50 copies/mL, similar to DELSTRIGO™ (doravirine/lamivudine/tenofovir disoproxil fumarate)), and the findings were consistent with Week 48 results.
2020-07-06 Merck Sharp & Dohme LLC Results Merck Announces New Analyses Showing Additional Safety and Efficacy Data for Investigational Islatravir in Combination with Doravirine in Adults with HIV-1 Infection merck.com ↗
The first sub-analysis further characterized the tolerability and safety profile of islatravir in combination with doravirine (100 mg) through Week 48 across the three dose levels studied (0.25, 0.75, 2.25 mg).

All press releases naming this drug 40 releases

DateIssuerRelease

Evidence & citations 11 cited values

Every value below carries the sentence it was read from. 65 sources stand behind the page.

FieldValueCited text
Known as Doravirine “Objective:To evaluate the effectiveness, safety, and tolerability of Doravirine/Lamivudine/Tenofovir Disoproxil Fumarate (DOR/3TC/TDF) compared with...” NCT07075146 ↗
58

“This is a phase 2 study of the pharmacokinetics, safety, and efficacy of oral doravirine/islatravir (100 mg/0.25 mg) \[MK-8591A\] in pediatric participants with human...” NCT07862569 ↗

“Doravirine / lamivudine / tenofovir disoproxil fumarate (Delstrigo®) 100 mg doravirine, 300 mg lamivudine,300 mg tenofovir disoproxil fumarate equivalent to 245 mg de tenofovir...” NCT04233372 ↗

“Doravirine 100 mg (Pifeltro®) will be administered once daily in combination with co-formulated dolutegravir/lamivudine 50/300 mg (Dovato®) for a duration of 48 weeks.” NCT06037564 ↗

“received either doravirine (100 mg) and islatravir (0·25 mg) or bictegravir (50 mg), emtricitabine (200 mg), and tenofovir alafenamide (25 mg) orally once daily.” PMID 41763226 ↗ Feb 2026

“Delstrigo (300 mg of tenofovir disoproxil fumarate equivalent to 245 mg of tenofovir disoproxil, 300 mg of lamivudine and 100 mg of doravirine” NCT05289986 ↗

“The goal of this study is to learn what happens to doravirine (DOR) and islatravir (ISL) in a healthy lactating female's body over time.” NCT07086079 ↗

“Single tablet combination of 100 mg doravirine (DOR) with 0.25 mg Islatravir (ISL) in tablet form, taken orally, once daily.” NCT05631093 ↗

“Doravirine/Islatravir (DOR/ISL) in Pediatric Participants With Human Immunodeficiency Virus Type 1 (HIV-1)” NCT04295772 ↗

“100mg of doravirine (DOR), 300mg of lamivudine (3TC), and 300mg of tenofovir disoproxil fumarate (TDF)” NCT04665375 ↗

“FDC tablet of 100 mg doravirine, 0.75 mg islatravir taken orally, once daily for up to 192 weeks” NCT04776252 ↗

Show 48 more sources

Known as DOR “BACKGROUND: New regimens may provide better tolerability, convenience, and safety for nonoccupational human immunodeficiency virus (HIV) postexposure prophylaxis (PEP). For...” PMID 37539061 ↗ Jul 2023
16

“Objective:To evaluate the effectiveness, safety, and tolerability of Doravirine/Lamivudine/Tenofovir Disoproxil Fumarate (DOR/3TC/TDF) compared with...” NCT07075146 ↗

“This randomized, three-period crossover, open-label, phase I trial assessed the effects of doravirine (DOR) and tenofovir disoproxil fumarate (TDF) on the pharmacokinetics...” PMID 38421210 ↗ Mar 2024

“Doravirine (DOR) is a new second generation Non-Nucleosidic Reverse Transcriptase Inhibitor (NNRTI) highly effective both in naïve and experienced patients in combination with...” NCT05477407 ↗

“This is a pilot study investigating the efficacy of Doravirine (DOR) in combination with Lamivudine (3TC) and Tenofovir Disoproxil Fumarate (TDF) administered over 48 weeks” NCT04429152 ↗

“The goal of this study is to learn what happens to doravirine (DOR) and islatravir (ISL) in a healthy lactating female's body over time.” NCT07086079 ↗

“Single tablet combination of 100 mg doravirine (DOR) with 0.25 mg Islatravir (ISL) in tablet form, taken orally, once daily.” NCT05631093 ↗

“Doravirine (DOR) in combination with Lamivudine (3TC) and Tenofovir Disoproxil Fumarate (TDF) administered over 48 weeks” NCT04433780 ↗

“100mg of doravirine (DOR), 300mg of lamivudine (3TC), and 300mg of tenofovir disoproxil fumarate (TDF)” NCT04665375 ↗

“FDC tablet of 100 mg doravirine (DOR)/0.25 mg islatravir (ISL) taken once daily” NCT05766501 ↗

“100 mg of doravirine (DOR), 300 mg of lamivudine (3TC), and 300 mg of TDF” NCT05457530 ↗

Show 6 more sources

Known as Doravirina ChEMBL registry synonym — accepted as the source's own label CHEMBL2364608 ↗
Known as Doravirine (PIFELTRO) “Doravirine (PIFELTRO™)” NCT02397096 ↗
Known as Doravirine component of delstrigo ChEMBL registry synonym — accepted as the source's own label CHEMBL2364608 ↗
Known as MK-1439 “FDC tablet containing MK-1439 (doravirine) 100 mg / lamivudine 300 mg / tenofovir disoproxil fumarate 300 mg taken by mouth.” NCT02629822 ↗
4

“Safety and Efficacy of Doravirine (MK-1439) in Participants With Human Immunodeficiency Virus 1 (HIV-1) (MK-1439-018)” NCT02275780 ↗

“Single tablet containing MK-1439 (doravirine) 100 mg, lamivudine 300 mg, and tenofovir disoproxil fumarate 300 mg” NCT02397096 ↗

“Effects of Doravirine (MK-1439) on Methadone Pharmacokinetics in Methadone-Maintained Participants (MK-1439-045)” NCT02715700 ↗

“Doravirine (MK-1439) 100 mg administered orally once daily” NCT04097925 ↗

Known as Mk-1439a ChEMBL registry synonym — accepted as the source's own label CHEMBL2364608 ↗
Known as Pifeltro “Doravirine 100 mg (Pifeltro®) will be administered once daily in combination with co-formulated dolutegravir/lamivudine 50/300 mg (Dovato®) for a duration of 48 weeks.” NCT06037564 ↗
4

“Participants randomised in the "arm 1" will receive the DORAVIRINE/LAMIVUDINE combination: doravirine (PIFELTRO®) 100 mg 1 pill a day + lamivudine 300 mg 1 pill a day” NCT06774872 ↗

“Switch from etravirine to Doravirine (Pifeltro) 100 mg each day” NCT05506605 ↗

“PIFELTRO (doravirine) 100 mg tablet one daily for 3 months” NCT04820933 ↗

“DORAVIRINE 100 MG [Pifeltro]” NCT04513626 ↗

Action Inhibit “Doravirine is a novel, potent, nonnucleoside reverse-transcriptase inhibitor” PMID 28026013 ↗ Dec 2016
Modality Small molecule “Doravirine is a novel, non-nucleoside reverse transcriptase inhibitor” PMID 31740348 ↗ Nov 2019
Route Oral “Doravirine tablets, orally, once daily for 7 days at a dose of 25 mg in Panel A and 200 mg in Panel B; dose in Panel C to be determined (≤200 mg).” NCT01466985 ↗