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Doravirine/Islatravir (DOR/ISL) in Heavily Treatment-Experienced (HTE) Participants for Human Immunodeficiency Virus Type 1 (HIV-1) Infection (MK-8591A-019)

A Phase 3, Randomized, Clinical Study in HIV-1-Infected Heavily Treatment-Experienced Participants Evaluating the Antiretroviral Activity of Blinded Islatravir (ISL), Doravirine (DOR), and Doravirine/Islatravir (DOR/ISL), Each Compared to Placebo, and the Antiretroviral Activity, Safety, and Tolerability of Open-Label DOR/ISL

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04233216
Enrollment
35
Registered
2020-01-18
Start date
2020-03-18
Completion date
2023-11-01
Last updated
2024-12-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

HIV-1 Infection

Brief summary

This is a 2-part, phase 3 clinical study evaluating the antiretroviral activity and safety/tolerability of islatravir (ISL), doravirine (DOR), and a fixed dose combination (FDC) of DOR/ISL (also known as MK-8591A) in heavily treatment-experienced (HTE) participants with human immunodeficiency virus type 1 (HIV-1) infection. It is hypothesized that the percentage of participants receiving DOR/ISL to achieve ≥0.5 log10 decrease in HIV-1 ribonucleic acid (RNA) from study baseline (Day 1) to Day 8 is superior to placebo, each given in combination with failing antiretroviral therapy (ART).

Detailed description

Part 1 of this study (Day 1 to Day 7) is the double-blind period in which participants receive either ISL, DOR, DOR/ISL, or placebo. Part 2 of this study (Day 8 to Week 97) is the open-label period in which all participants receive DOR/ISL + optimized background therapy (OBT).

Interventions

DRUGISL

ISL 0.75 mg capsule taken by mouth.

DRUGDOR

DOR 100 mg tablet taken by mouth.

100 mg DOR/0.75 mg ISL FDC taken by mouth.

Placebo capsule matched to ISL taken by mouth.

DRUGPlacebo to DOR

Placebo tablet matched to DOR taken by mouth.

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* Is HIV-1 positive. * Has been receiving the same baseline ART for ≥3 months prior to signing the Informed Consent Form/Assent Form. * Weighs ≥35 kg. * Has at least triple-class resistance (must include nucleoside reverse transcriptase inhibitor \[NRTI\], non-nucleoside reverse transcriptase inhibitor \[NNRTI\], and resistance to either protease inhibitor (PI) or integrase strand transfer inhibitor (InSTI), based on central laboratory-based resistance or proviral DNA resistance testing at the Screening Visit, or historical resistance testing within 12 months of screening. * Has ≤2 fully active antiretroviral drugs remaining among all antiretroviral classes that can be effectively combined to form a viable regimen based on resistance, tolerability, safety, drug access, or acceptability to participant. * If female, is not pregnant or breastfeeding, and is: 1) not a woman of childbearing potential (WOCBP); 2) a WOCBP and uses an acceptable method of contraception/is abstinent; or 3) a WOCBP and has a negative pregnancy test within 24 hours of the first dose of study medication.

Exclusion criteria

* Has HIV type 2 (HIV-2) infection. * Has hypersensitivity or other contraindication to any of the components of the study interventions as determined by the investigator. * Has hepatitis B virus (HBV) co-infection (defined as hepatitis B surface antigen \[HBsAg\]-positive or HBV deoxyribonucleic acid \[DNA\] positive) and is not currently being treated for HBV. * Has a history or current evidence of any condition, therapy (including active TB co-infection), laboratory abnormality or other circumstance (including drug or alcohol abuse or dependence) that might, in the opinion of the investigator, confound the results of the study or interfere with study participation for the full study duration. * Is taking or is anticipated to require any of the prohibited therapies from the Screening Visit and throughout the study treatment period. * Is taking DOR as part of his/her current failing antiretroviral regimen. * Is taking efavirenz (EFV), etravirine, or nevirapine. * Is currently participating in or has participated in an interventional clinical study with an investigational compound or device from the Screening Visit through the study treatment period. * Is female and is expecting to conceive or donate eggs at any time during the study.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Receiving Doravirine/Islatravir (DOR/ISL) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 in Human Immunodeficiency Virus Type 1 (HIV-1) Ribonucleic Acid (RNA) Compared to Placebo TreatmentDay 1 (baseline) and Day 8Participants with a ≥0.5 log10 decrease from Day 1 baseline to Day 8 in HIV-1 RNA were identified by the central laboratory with an Abbott Real Time Polymerase Chain Reaction (PCR) assay which has a lower limit of detection (LLOD) of 40 copies/mL Only participants treated with DOR/ISL FDC or placebo were analyzed in this outcome measure.
Percentage of Participants With ≥1 AEs Through Week 49Up to 49 weeksAn AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
Percentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 25Up to 25 weeksAn AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
Percentage of Participants With ≥1 Adverse Events (AEs) Through Week 25Up to 25 weeksAn AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
Percentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 49Up to 49 weeksAn AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

Secondary

MeasureTime frameDescription
Percentage of Participants Receiving DOR/ISL (Given With ART) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 in HIV-1 RNA Compared to DOR or ISL TreatmentDay 1 (baseline) and Day 8Participants with a ≥0.5 log10 decrease from baseline (Day 1) to Day 8 in HIV-1 RNA were identified by at the central laboratory with an Abbott Real Time PCR assay which has a lower limit of detection (LLOD) of 40 copies/mL Only participants treated with DOR/ISL or DOR alone or ISL alone were analyzed in this outcome measure. Participants treated with placebo were not analyzed in this outcome measure.
Mean Change From Baseline Day 1 to Day 8 in HIV-1 RNA Following Treatment With DOR/ISL (Given With ART) Compared to DOR or ISL TreatmentDay 1 (baseline) and Day 8The change from baseline Day 1 to Day 8in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the t-distribution. The group treated with placebo were not analyzed in this outcome measure.
Percentage of Participants Receiving DOR/ISL (Given With ART) With ≥1.0 log10 Change From Day 1 Baseline to Day 8 in HIV-1 RNA Compared to DOR or ISL TreatmentDay 1 (baseline) and Day 8Participants receiving DOR/ISL with a ≥1.0 log10 decrease from baseline (Day 1) to Day 8 in HIV-1 RNA were identified by at the central laboratory with an Abbott Real Time PCR assay which has a lower limit of detection (LLOD) of 40 copies/mL Only participants treated with DOR/ISL or DOR alone or ISL alone were analyzed in this outcome measure. Participants treated with placebo were not analyzed in this outcome measure.
Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 1 Baseline to Week 25 in HIV-1 RNADay 1 (baseline) and Week 25The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 1 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 1 Baseline to Week 49 in HIV-1 RNADay 1 (baseline) and Week 49The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 1 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 1 Baseline to Week 97 in HIV-1 RNADay 1 (baseline) and Week 97The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 1 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 8 Baseline to Week 25 in HIV-1 RNADay 8 (baseline) and Week 25The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 8 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 8 Baseline to Week 49 in HIV-1 RNADay 8 (baseline) and Week 49The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 8 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 8 Baseline to Week 97 in HIV-1 RNADay 8 (baseline) and Week 97The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 8 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 1 Baseline to Week 25 in HIV-1 RNADay 1 (baseline) and Week 25The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 1 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 1 Baseline to Week 49 in HIV-1 RNADay 1 (baseline) and Week 49The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 1 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 1 Baseline to Week 97 in HIV-1 RNADay 1 (baseline) and Week 97The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 1 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 8 Baseline to Week 25 in HIV-1 RNADay 8 (baseline) and Week 25The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 8 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 8 Baseline to Week 49 in HIV-1 RNADay 8 (baseline) and Week 49The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 8 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <40 Copies/mL at Week 25Week 25The percentage of participants with HIV-1 RNA \<40 copies mL at week 25 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 8 Baseline to Week 97 in HIV-1 RNADay 8 (baseline) and Week 97The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 8 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Mean Change From Baseline Day 1 to Week 25 in HIV-1 RNA From the Pooled Treatment GroupDay 1 (baseline) and Week 25The change from baseline Day 1 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Mean Change From Baseline Day 1 to Week 49 in HIV-1 RNA From the Pooled Treatment GroupDay 1 (baseline) and Week 49The change from baseline Day 1 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Mean Change From Baseline Day 1 to Week 97 in HIV-1 RNA From the Pooled Treatment GroupDay 1 (baseline) and Week 97The change from baseline Day 1 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Mean Change From Baseline Day 8 to Week 25 in HIV-1 RNA From the Pooled Treatment GroupDay 8 (baseline) and Week 25The change from baseline Day 8 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Mean Change From Baseline Day 8 to Week 49 in HIV-1 RNA From the Pooled Treatment GroupDay 8 (baseline) and Week 49The change from baseline Day 8 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Mean Change From Baseline Day 8 to Week 97 in HIV-1 RNA From the Pooled Treatment GroupDay 8 (baseline) and Week 97The change from baseline Day 8 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <200 Copies mLDay 1 (baseline) and Day 8The percentage of participants with HIV-1 RNA \<200 copies mL was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method.
Percentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <50 Copies mLDay 1 (baseline) and Day 8The percentage of participants with HIV-1 RNA \<50 copies mL was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method.
Percentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <40 Copies mLDay 1 (baseline) and Day 8The percentage of participants with HIV-1 RNA \<40 copies mL was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method.
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <200 Copies/mL at Week 25Week 25The percentage of participants with HIV-1 RNA \<200 copies mL at week 25 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <200 Copies/mL at Week 49Week 49The percentage of participants with HIV-1 RNA \<200 copies mL at week 49 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <200 Copies/mL at Week 97Week 97The percentage of participants with HIV-1 RNA \<200 copies mL at week 97 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <50 Copies/mL at Week 25Week 25The percentage of participants with HIV-1 RNA \<50 copies mL at week 25 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <50 Copies/mL at Week 49Week 49The percentage of participants with HIV-1 RNA \<50 copies mL at week 49 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <50 Copies/mL at Week 97Week 97The percentage of participants with HIV-1 RNA \<50 copies mL at week 97 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <40 Copies/mL at Week 49Week 49The percentage of participants with HIV-1 RNA \<40 copies mL at week 49 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol.
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <40 Copies/mL at Week 97Week 97The percentage of participants with HIV-1 RNA \<40 copies mL at week 97 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to DOR at Week 25Week 25The prevalence of viral drug resistance to DOR was based on the percentage of participants with treatment-emergent (TE) resistance-associated substitutions (RASs), which is calculated by dividing the number of participants with TE RASs by the number of participants tested for resistance multiplied by 100. RASs for DOR were as follows: V106A/M, Y188C/L, F227C/H/I/L, M230I/L, L234I, Y318F, V108I, Y188F/H, G190E, H221Y, P236, and were determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.
Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to DOR at Week 49Week 49The prevalence of viral drug resistance to DOR was based on the percentage of participants with TE RASs, which is calculated by dividing the number of participants with TE RASs by the number of participants tested for resistance, multiplied by 100. RASs for DOR were as follows: V106A/M, Y188C/L, F227C/H/I/L, M230I/L, L234I, Y318F, V108I, Y188F/H, G190E, H221Y, P236, and were determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.
Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to ISL at Week 25Week 25The prevalence of viral drug resistance to ISL was based on the percentage of participants with TE RAS, which is calculated by dividing the number of participants with TE RAS by the number of participants tested for resistance, multiplied by 100. The RAS for ISL, M184V was determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.
Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to ISL at Week 49Week 49The prevalence of viral drug resistance to ISL was based on the percentage of participants with TE RAS, which is calculated by dividing the number of participants with TE RAS by the number of participants tested for resistance, multiplied by 100. The RAS for ISL, M184V was determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.
Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to Optimized Background Therapy (OBT) Components at Week 25Week 25The prevalence of viral drug resistance to OBT components was based on the percentage of participants with TE RASs, which is calculated by dividing the number of participants with TE RASs by the number of participants tested for resistance, multiplied by 100. The RASs for OBT components were determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.
Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to OBT Components at Week 49Week 49The prevalence of viral drug resistance to OBT components was based on the percentage of participants with TE RASs, which is calculated by dividing the number of participants with TE RASs by the number of participants tested for resistance, multiplied by 100. The RASs for OBT components were determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.
Number of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25Week 25The number of participants from the pooled treatment group who had HIV-1 RNA ≥200 copies/mL with treatment emergent RAS at week 25 showing the type of RAS .Analysis of the pooled treatment group was planned per protocol,
Number of Participants From the Pooled Treatment Group With Viral RASs at Week 49Week 49The number of participants from the pooled treatment group who had HIV-1 RNA ≥200 copies/mL with treatment emergent RAS at week 49 showing the type of RAS .Analysis of the pooled treatment group was planned per protocol,
Number of Participants From the Pooled Treatment Group With Viral RASs at Week 97Week 97The number of participants from the pooled treatment group with treatment emergent RAS at week 97 are presented, showing the type of RAS .Analysis of the pooled treatment group was planned per protocol,
Number of Participants From the Pooled Treatment Group Exhibiting Antiviral Resistance of HIV-1 RNA ≥200 Copies/mL at Week 25Week 25The number of participants from the pooled treatment group exhibiting antiviral resistance of HIV-1 RNA ≥200 copies/mL at Week 25 is presented. .Analysis of the pooled treatment group was planned per protocol,
Number of Participants From the Pooled Treatment Group Exhibiting Antiviral Resistance of HIV-1 RNA ≥200 Copies/mL at Week 49Week 49The number of participants from the pooled treatment group exhibiting antiviral resistance of HIV-1 RNA ≥200 copies/mL at Week 49 is presented. .Analysis of the pooled treatment group was planned per protocol,
Number of Participants From the Pooled Treatment Group Exhibiting Antiviral Resistance of HIV-1 RNA ≥200 Copies/mL at Week 97Week 97The number of participants from the pooled treatment group exhibiting antiviral resistance of HIV-1 RNA ≥200 copies/mL at Week 97 is presented. .Analysis of the pooled treatment group was planned per protocol,
Change From Baseline Day 1 to Week 25 in Cluster of Differentiation 4+ (CD4+) T-cell Counts From the Pooled Treatment GroupDay 1 (baseline) and Week 25The change from baseline Day 1 to Week 25 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Change From Baseline Day 1 to Week 49 in CD4+ T-cell Counts From the Pooled Treatment GroupDay 1 (baseline) and Week 49The change from baseline Day 1 to Week 49 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Change From Baseline Day 1 to Week 97 in CD4+ T-cell Counts From the Pooled Treatment GroupDay 1 (baseline) and Week 97The change from baseline Day 1 to Week 97 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants With ≥1 Adverse Events (AEs) Through Week 97Up to 97 weeksAn AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Change From Baseline Day 8 to Week 49 in CD4+ T-cell Counts From the Pooled Treatment GroupDay 8 (baseline) and Week 49The change from baseline Day 8 to Week 49 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Change From Baseline Day 8 to Week 97 in CD4+ T-cell Counts From the Pooled Treatment GroupDay 8 (baseline) and Week 97The change from baseline Day 8 to Week 97 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Change From Baseline Day 8 to Week 25 in CD4+ T-cell Counts From the Pooled Treatment GroupDay 8 (baseline) and Week 25The change from baseline Day 8 to Week 25 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants Discontinuing From Study Therapy Due to AE(s) Through Week 97Up to 97 weeksAn AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Percentage of Participants Receiving DOR or ISL (Given With Antiretroviral Therapy [ART]) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 HIV-1 RNA Compared to Placebo TreatmentDay 1 (baseline) and Day 8Participants with a ≥0.5 log10 decrease from Day 1 baseline to Day 8 in HIV-1 RNA were identified by the central laboratory with an Abbott Real Time PCR assay which has a LLOD of 40 copies/mL Only participants treated with either DOR or ISL or placebo (given with ART) were analyzed in this outcome measure. Participants treated with DOR/ISL FDC were not analyzed in this outcome measure.
Mean Change From Baseline Day 1 to Day 8 in HIV-1 RNA Following Treatment With DOR/ISL (Given With ART), DOR, or ISL Compared to Placebo TreatmentDay 1 (baseline) and Day 8The change from baseline Day to Day 8 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution.
Percentage of Participants Receiving DOR/ISL (Given With ART), DOR, or ISL With ≥1.0 log10 Change From Day 1 Baseline to Day 8 HIV-1 RNA Compared to Placebo TreatmentDay 1 (baseline) and Day 8Participants with a ≥1.0 log10 decrease from baseline (Day 1) to Day 8 in HIV-1 RNA were identified by at the central laboratory with an Abbott Real Time Polymerase Chain Reaction (PCR) assay which has a LLOD of 40 copies/mL

Countries

Australia, Canada, Chile, Colombia, France, Germany, Italy, Japan, Peru, Portugal, Puerto Rico, Russia, South Africa, South Korea, Spain, Ukraine, United Kingdom, United States

Participant flow

Recruitment details

Heavily Treatment-Experienced (HTE) adult participants with Human Immunodeficiency Virus Type 1 (HIV-1) infection and currently on failing antiretroviral therapy (ART) were enrolled in this study.

Participants by arm

ArmCount
ISL + ART
HTE participants with HIV-1 infection took ISL 0.75 mg once daily (QD) in combination with failing ART from Day 1 to Day 7; followed by open-label 100 mg DOR/0.75 mg ISL fixed dose combination (FDC) QD + OBT from Day 8 to Week 97.
7
DOR + ART
HTE participants with HIV-1 infection took DOR 100 mg QD in combination with failing ART from Day 1 to Day 7; followed by open-label 100 mg DOR/0.75 mg ISL FDC QD + OBT from Day 8 to Week 97.
14
DOR/ISL + ART
HTE participants with HIV-1 infection took 100 mg DOR/0.75 mg ISL FDC QD in combination with failing ART from Day 1 to Day 7; followed by open-label 100 mg DOR/0.75 mg ISL FDC QD + OBT from Day 8 to Week 97.
7
Placebo + ART
HTE participants with HIV-1 infection took placebo QD in combination with failing ART from Day 1 to Day 7; followed by open-label 100 mg DOR/0.75 mg ISL FDC QD + OBT from Day 8 to Week 97.
7
Total35

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyLost to Follow-up1020
Overall StudyPhysician Decision0302
Overall StudyWithdrawal by Subject0210

Baseline characteristics

CharacteristicISL + ARTDOR + ARTDOR/ISL + ARTPlacebo + ARTTotal
Age, Continuous46.6 Years
STANDARD_DEVIATION 12.7
48.6 Years
STANDARD_DEVIATION 11.8
54.0 Years
STANDARD_DEVIATION 10
44.6 Years
STANDARD_DEVIATION 9.1
48.5 Years
STANDARD_DEVIATION 11.1
Custer of differentiation 4+ (CD4+) T-cell Count166.3 cells/mm^3
STANDARD_DEVIATION 121.7
132.4 cells/mm^3
STANDARD_DEVIATION 136.6
178.6 cells/mm^3
STANDARD_DEVIATION 135.5
132.6 cells/mm^3
STANDARD_DEVIATION 100.7
148.5 cells/mm^3
STANDARD_DEVIATION 123.3
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants2 Participants2 Participants0 Participants4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants12 Participants5 Participants7 Participants31 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Genotypic resistance
Integrase strand transfer inhibitor (InSTI )substitutions
5 Participants9 Participants5 Participants6 Participants25 Participants
Genotypic resistance
Non-nucleoside reverse transcriptase inhibitor (NNRTI) substitutions
7 Participants14 Participants7 Participants7 Participants35 Participants
Genotypic resistance
Nucleos(t)ide reverse transcriptase inhibitor (NRTI) substitutions
7 Participants14 Participants7 Participants7 Participants35 Participants
Genotypic resistance
Protease inhibitor (PI) substitutions
7 Participants14 Participants7 Participants7 Participants35 Participants
Phenotypic resistance
InSTI
5 Participants9 Participants5 Participants7 Participants26 Participants
Phenotypic resistance
NNRTI
6 Participants13 Participants7 Participants7 Participants33 Participants
Phenotypic resistance
NRTI
7 Participants14 Participants7 Participants7 Participants35 Participants
Phenotypic resistance
PI
7 Participants12 Participants7 Participants6 Participants32 Participants
Plasma HIV-1 RNA4.1 Log10 copies/mL
STANDARD_DEVIATION 0.8
4.3 Log10 copies/mL
STANDARD_DEVIATION 0.9
4.5 Log10 copies/mL
STANDARD_DEVIATION 0.8
4.2 Log10 copies/mL
STANDARD_DEVIATION 0.7
4.3 Log10 copies/mL
STANDARD_DEVIATION 0.8
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants1 Participants0 Participants1 Participants2 Participants
Race (NIH/OMB)
Black or African American
5 Participants5 Participants0 Participants1 Participants11 Participants
Race (NIH/OMB)
More than one race
0 Participants1 Participants1 Participants0 Participants2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
2 Participants7 Participants6 Participants5 Participants20 Participants
Sex: Female, Male
Female
2 Participants4 Participants1 Participants1 Participants8 Participants
Sex: Female, Male
Male
5 Participants10 Participants6 Participants6 Participants27 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 70 / 140 / 70 / 7
other
Total, other adverse events
6 / 714 / 146 / 77 / 7
serious
Total, serious adverse events
2 / 72 / 140 / 72 / 7

Outcome results

Primary

Percentage of Participants Receiving Doravirine/Islatravir (DOR/ISL) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 in Human Immunodeficiency Virus Type 1 (HIV-1) Ribonucleic Acid (RNA) Compared to Placebo Treatment

Participants with a ≥0.5 log10 decrease from Day 1 baseline to Day 8 in HIV-1 RNA were identified by the central laboratory with an Abbott Real Time Polymerase Chain Reaction (PCR) assay which has a lower limit of detection (LLOD) of 40 copies/mL Only participants treated with DOR/ISL FDC or placebo were analyzed in this outcome measure.

Time frame: Day 1 (baseline) and Day 8

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized and had baseline data for those analyses that require baseline data.

ArmMeasureValue (NUMBER)
DOR/ISL + ARTPercentage of Participants Receiving Doravirine/Islatravir (DOR/ISL) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 in Human Immunodeficiency Virus Type 1 (HIV-1) Ribonucleic Acid (RNA) Compared to Placebo Treatment85.7 Percentage of participants
Placebo + ARTPercentage of Participants Receiving Doravirine/Islatravir (DOR/ISL) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 in Human Immunodeficiency Virus Type 1 (HIV-1) Ribonucleic Acid (RNA) Compared to Placebo Treatment0.0 Percentage of participants
Primary

Percentage of Participants With ≥1 Adverse Events (AEs) Through Week 25

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

Time frame: Up to 25 weeks

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants With ≥1 Adverse Events (AEs) Through Week 2542.9 Percentage of participants
DOR + ARTPercentage of Participants With ≥1 Adverse Events (AEs) Through Week 2585.7 Percentage of participants
DOR/ISL + ARTPercentage of Participants With ≥1 Adverse Events (AEs) Through Week 2585.7 Percentage of participants
Placebo + ARTPercentage of Participants With ≥1 Adverse Events (AEs) Through Week 2585.7 Percentage of participants
Primary

Percentage of Participants With ≥1 AEs Through Week 49

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

Time frame: Up to 49 weeks

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants With ≥1 AEs Through Week 4971.4 Percentage of participants
DOR + ARTPercentage of Participants With ≥1 AEs Through Week 4985.7 Percentage of participants
DOR/ISL + ARTPercentage of Participants With ≥1 AEs Through Week 4985.7 Percentage of participants
Placebo + ARTPercentage of Participants With ≥1 AEs Through Week 4985.7 Percentage of participants
Primary

Percentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 25

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

Time frame: Up to 25 weeks

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 250.0 Percentage of participants
DOR + ARTPercentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 257.1 Percentage of participants
DOR/ISL + ARTPercentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 2514.3 Percentage of participants
Placebo + ARTPercentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 250.0 Percentage of participants
Primary

Percentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 49

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

Time frame: Up to 49 weeks

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 490.0 Percentage of participants
DOR + ARTPercentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 4914.3 Percentage of participants
DOR/ISL + ARTPercentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 4914.3 Percentage of participants
Placebo + ARTPercentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 490.0 Percentage of participants
Secondary

Change From Baseline Day 1 to Week 25 in Cluster of Differentiation 4+ (CD4+) T-cell Counts From the Pooled Treatment Group

The change from baseline Day 1 to Week 25 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 1 (baseline) and Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (MEAN)
ISL + ARTChange From Baseline Day 1 to Week 25 in Cluster of Differentiation 4+ (CD4+) T-cell Counts From the Pooled Treatment Group50.3 cells/mm^3
Secondary

Change From Baseline Day 1 to Week 49 in CD4+ T-cell Counts From the Pooled Treatment Group

The change from baseline Day 1 to Week 49 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 1 (baseline) and Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (MEAN)
ISL + ARTChange From Baseline Day 1 to Week 49 in CD4+ T-cell Counts From the Pooled Treatment Group86.9 cells/mm^3
Secondary

Change From Baseline Day 1 to Week 97 in CD4+ T-cell Counts From the Pooled Treatment Group

The change from baseline Day 1 to Week 97 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 1 (baseline) and Week 97

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (MEAN)
ISL + ARTChange From Baseline Day 1 to Week 97 in CD4+ T-cell Counts From the Pooled Treatment Group114.6 cells/mm^3
Secondary

Change From Baseline Day 8 to Week 25 in CD4+ T-cell Counts From the Pooled Treatment Group

The change from baseline Day 8 to Week 25 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 8 (baseline) and Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (MEAN)
ISL + ARTChange From Baseline Day 8 to Week 25 in CD4+ T-cell Counts From the Pooled Treatment Group38.0 cells/mm^3
Secondary

Change From Baseline Day 8 to Week 49 in CD4+ T-cell Counts From the Pooled Treatment Group

The change from baseline Day 8 to Week 49 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 8 (baseline) and Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (MEAN)
ISL + ARTChange From Baseline Day 8 to Week 49 in CD4+ T-cell Counts From the Pooled Treatment Group75.1 cells/mm^3
Secondary

Change From Baseline Day 8 to Week 97 in CD4+ T-cell Counts From the Pooled Treatment Group

The change from baseline Day 8 to Week 97 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 8 (baseline) and Week 97

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (MEAN)
ISL + ARTChange From Baseline Day 8 to Week 97 in CD4+ T-cell Counts From the Pooled Treatment Group108.0 cells/mm^3
Secondary

Mean Change From Baseline Day 1 to Day 8 in HIV-1 RNA Following Treatment With DOR/ISL (Given With ART) Compared to DOR or ISL Treatment

The change from baseline Day 1 to Day 8in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the t-distribution. The group treated with placebo were not analyzed in this outcome measure.

Time frame: Day 1 (baseline) and Day 8

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized and had baseline data for those analyses that require baseline data.

ArmMeasureValue (MEAN)
ISL + ARTMean Change From Baseline Day 1 to Day 8 in HIV-1 RNA Following Treatment With DOR/ISL (Given With ART) Compared to DOR or ISL Treatment-0.44 Log10 Copies/mL
DOR + ARTMean Change From Baseline Day 1 to Day 8 in HIV-1 RNA Following Treatment With DOR/ISL (Given With ART) Compared to DOR or ISL Treatment-0.96 Log10 Copies/mL
DOR/ISL + ARTMean Change From Baseline Day 1 to Day 8 in HIV-1 RNA Following Treatment With DOR/ISL (Given With ART) Compared to DOR or ISL Treatment-1.23 Log10 Copies/mL
Secondary

Mean Change From Baseline Day 1 to Day 8 in HIV-1 RNA Following Treatment With DOR/ISL (Given With ART), DOR, or ISL Compared to Placebo Treatment

The change from baseline Day to Day 8 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution.

Time frame: Day 1 (baseline) and Day 8

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized and had baseline data for those analyses that require baseline data.

ArmMeasureValue (MEAN)
ISL + ARTMean Change From Baseline Day 1 to Day 8 in HIV-1 RNA Following Treatment With DOR/ISL (Given With ART), DOR, or ISL Compared to Placebo Treatment-0.44 Log10 Copies/mL
DOR + ARTMean Change From Baseline Day 1 to Day 8 in HIV-1 RNA Following Treatment With DOR/ISL (Given With ART), DOR, or ISL Compared to Placebo Treatment-0.96 Log10 Copies/mL
DOR/ISL + ARTMean Change From Baseline Day 1 to Day 8 in HIV-1 RNA Following Treatment With DOR/ISL (Given With ART), DOR, or ISL Compared to Placebo Treatment-1.23 Log10 Copies/mL
Placebo + ARTMean Change From Baseline Day 1 to Day 8 in HIV-1 RNA Following Treatment With DOR/ISL (Given With ART), DOR, or ISL Compared to Placebo Treatment0.03 Log10 Copies/mL
Secondary

Mean Change From Baseline Day 1 to Week 25 in HIV-1 RNA From the Pooled Treatment Group

The change from baseline Day 1 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 1 (baseline) and Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (MEAN)
ISL + ARTMean Change From Baseline Day 1 to Week 25 in HIV-1 RNA From the Pooled Treatment Group-1.89 Log10 Copies/mL
Secondary

Mean Change From Baseline Day 1 to Week 49 in HIV-1 RNA From the Pooled Treatment Group

The change from baseline Day 1 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 1 (baseline) and Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (MEAN)
ISL + ARTMean Change From Baseline Day 1 to Week 49 in HIV-1 RNA From the Pooled Treatment Group-2.00 Log10 Copies/mL
Secondary

Mean Change From Baseline Day 1 to Week 97 in HIV-1 RNA From the Pooled Treatment Group

The change from baseline Day 1 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 1 (baseline) and Week 97

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (MEAN)
ISL + ARTMean Change From Baseline Day 1 to Week 97 in HIV-1 RNA From the Pooled Treatment Group-2.01 Log10 Copies/mL
Secondary

Mean Change From Baseline Day 8 to Week 25 in HIV-1 RNA From the Pooled Treatment Group

The change from baseline Day 8 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 8 (baseline) and Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (MEAN)
ISL + ARTMean Change From Baseline Day 8 to Week 25 in HIV-1 RNA From the Pooled Treatment Group-1.16 Log10 Copies/mL
Secondary

Mean Change From Baseline Day 8 to Week 49 in HIV-1 RNA From the Pooled Treatment Group

The change from baseline Day 8 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 8 (baseline) and Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (MEAN)
ISL + ARTMean Change From Baseline Day 8 to Week 49 in HIV-1 RNA From the Pooled Treatment Group-1.32 Log10 Copies/mL
Secondary

Mean Change From Baseline Day 8 to Week 97 in HIV-1 RNA From the Pooled Treatment Group

The change from baseline Day 8 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 8 (baseline) and Week 97

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (MEAN)
ISL + ARTMean Change From Baseline Day 8 to Week 97 in HIV-1 RNA From the Pooled Treatment Group-1.36 Log10 Copies/mL
Secondary

Number of Participants From the Pooled Treatment Group Exhibiting Antiviral Resistance of HIV-1 RNA ≥200 Copies/mL at Week 25

The number of participants from the pooled treatment group exhibiting antiviral resistance of HIV-1 RNA ≥200 copies/mL at Week 25 is presented. .Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 25

Population: All randomized participants who received at least 1 dose of study intervention and had baseline data for those analyses that require baseline data. with confirmed HIV-1 RNA ≥400 copies/mL, and with available genotypic or phenotypic data that show evidence of resistance irrespective of viral load.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
ISL + ARTNumber of Participants From the Pooled Treatment Group Exhibiting Antiviral Resistance of HIV-1 RNA ≥200 Copies/mL at Week 2512 Participants
Secondary

Number of Participants From the Pooled Treatment Group Exhibiting Antiviral Resistance of HIV-1 RNA ≥200 Copies/mL at Week 49

The number of participants from the pooled treatment group exhibiting antiviral resistance of HIV-1 RNA ≥200 copies/mL at Week 49 is presented. .Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 49

Population: All randomized participants who received at least 1 dose of study intervention and had baseline data for those analyses that require baseline data. with confirmed HIV-1 RNA ≥400 copies/mL, and with available genotypic or phenotypic data that show evidence of resistance irrespective of viral load.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
ISL + ARTNumber of Participants From the Pooled Treatment Group Exhibiting Antiviral Resistance of HIV-1 RNA ≥200 Copies/mL at Week 497 Participants
Secondary

Number of Participants From the Pooled Treatment Group Exhibiting Antiviral Resistance of HIV-1 RNA ≥200 Copies/mL at Week 97

The number of participants from the pooled treatment group exhibiting antiviral resistance of HIV-1 RNA ≥200 copies/mL at Week 97 is presented. .Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 97

Population: All randomized participants who received at least 1 dose of study intervention and had baseline data for those analyses that require baseline data. with confirmed HIV-1 RNA ≥400 copies/mL, and with available genotypic or phenotypic data that show evidence of resistance irrespective of viral load.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
ISL + ARTNumber of Participants From the Pooled Treatment Group Exhibiting Antiviral Resistance of HIV-1 RNA ≥200 Copies/mL at Week 975 Participants
Secondary

Number of Participants From the Pooled Treatment Group With Viral RASs at Week 49

The number of participants from the pooled treatment group who had HIV-1 RNA ≥200 copies/mL with treatment emergent RAS at week 49 showing the type of RAS .Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 49

Population: All randomized participants who received at least 1 dose of study intervention and had baseline data for those analyses that require baseline data. with confirmed HIV-1 RNA ≥200 copies/mL, and with available genotypic or phenotypic data that show evidence of resistance irrespective of viral load.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS V179I2 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS A98G1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS D67N1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS K103S1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS K219E1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS M184V1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS M41L1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS N348I1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS V106A2 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS V106I1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS V106M1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS F53L1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS L90M1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 49RAS M36I1 Participants
Secondary

Number of Participants From the Pooled Treatment Group With Viral RASs at Week 97

The number of participants from the pooled treatment group with treatment emergent RAS at week 97 are presented, showing the type of RAS .Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 97

Population: All randomized participants who received at least 1 dose of study intervention and had baseline data for those analyses that require baseline data. with confirmed HIV-1 RNA ≥400 copies/mL, and with available genotypic or phenotypic data that show evidence of resistance irrespective of viral load.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 97RAS D67N1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 97RAS M41L1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 97RAS N348I1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 97RAS T215F1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 97RAS V106A2 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 97RAS V106I1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 97RAS V106M1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 97RAS V179I1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 97RAS F53L1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 97RAS L90M1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral RASs at Week 97RAS M36I1 Participants
Secondary

Number of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25

The number of participants from the pooled treatment group who had HIV-1 RNA ≥200 copies/mL with treatment emergent RAS at week 25 showing the type of RAS .Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 25

Population: All randomized participants who received at least 1 dose of study intervention and had baseline data for those analyses that require baseline data. with confirmed HIV-1 RNA 200 copies/mL, and with available genotypic or phenotypic data that show evidence of resistance irrespective of viral load.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS A98G2 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS D67N1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS H221Y1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS K103S1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS K219E1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS L234I1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS M184V1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS M41L1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS N348I1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS V106A3 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS V106I2 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS V106M1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS V179I2 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS Y318F1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS F53L1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS L90M1 Participants
ISL + ARTNumber of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25RAS M36I1 Participants
Secondary

Percentage of Participants Discontinuing From Study Therapy Due to AE(s) Through Week 97

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

Time frame: Up to 97 weeks

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants Discontinuing From Study Therapy Due to AE(s) Through Week 970.0 Percentage of participants
DOR + ARTPercentage of Participants Discontinuing From Study Therapy Due to AE(s) Through Week 9721.4 Percentage of participants
DOR/ISL + ARTPercentage of Participants Discontinuing From Study Therapy Due to AE(s) Through Week 9728.6 Percentage of participants
Placebo + ARTPercentage of Participants Discontinuing From Study Therapy Due to AE(s) Through Week 9714.3 Percentage of participants
Secondary

Percentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <200 Copies mL

The percentage of participants with HIV-1 RNA \<200 copies mL was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method.

Time frame: Day 1 (baseline) and Day 8

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized and had baseline data for those analyses that require baseline data.

ArmMeasureGroupValue (NUMBER)
ISL + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <200 Copies mLDay 10.0 Percentage of participants
ISL + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <200 Copies mLDay 80.0 Percentage of participants
DOR + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <200 Copies mLDay 814.3 Percentage of participants
DOR + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <200 Copies mLDay 10.0 Percentage of participants
DOR/ISL + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <200 Copies mLDay 10.0 Percentage of participants
DOR/ISL + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <200 Copies mLDay 814.3 Percentage of participants
Placebo + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <200 Copies mLDay 10.0 Percentage of participants
Placebo + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <200 Copies mLDay 80.0 Percentage of participants
Secondary

Percentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <40 Copies mL

The percentage of participants with HIV-1 RNA \<40 copies mL was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method.

Time frame: Day 1 (baseline) and Day 8

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized and had baseline data for those analyses that require baseline data.

ArmMeasureGroupValue (NUMBER)
ISL + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <40 Copies mLDay 10.0 Percentage of participants
ISL + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <40 Copies mLDay 80.0 Percentage of participants
DOR + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <40 Copies mLDay 814.3 Percentage of participants
DOR + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <40 Copies mLDay 10.0 Percentage of participants
DOR/ISL + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <40 Copies mLDay 10.0 Percentage of participants
DOR/ISL + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <40 Copies mLDay 80.0 Percentage of participants
Placebo + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <40 Copies mLDay 10.0 Percentage of participants
Placebo + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <40 Copies mLDay 80.0 Percentage of participants
Secondary

Percentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <50 Copies mL

The percentage of participants with HIV-1 RNA \<50 copies mL was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method.

Time frame: Day 1 (baseline) and Day 8

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized and had baseline data for those analyses that require baseline data.

ArmMeasureGroupValue (NUMBER)
ISL + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <50 Copies mLDay 10.0 Percentage of participants
ISL + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <50 Copies mLDay 80.0 Percentage of participants
DOR + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <50 Copies mLDay 814.3 Percentage of participants
DOR + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <50 Copies mLDay 10.0 Percentage of participants
DOR/ISL + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <50 Copies mLDay 10.0 Percentage of participants
DOR/ISL + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <50 Copies mLDay 80.0 Percentage of participants
Placebo + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <50 Copies mLDay 10.0 Percentage of participants
Placebo + ARTPercentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <50 Copies mLDay 80.0 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 1 Baseline to Week 25 in HIV-1 RNA

The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 1 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 1 (baseline) and Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 1 Baseline to Week 25 in HIV-1 RNA85.3 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 1 Baseline to Week 49 in HIV-1 RNA

The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 1 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 1 (baseline) and Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 1 Baseline to Week 49 in HIV-1 RNA80.6 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 1 Baseline to Week 97 in HIV-1 RNA

The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 1 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 1 (baseline) and Week 97

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 1 Baseline to Week 97 in HIV-1 RNA84.6 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 8 Baseline to Week 25 in HIV-1 RNA

The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 8 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 8 (baseline) and Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 8 Baseline to Week 25 in HIV-1 RNA64.7 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 8 Baseline to Week 49 in HIV-1 RNA

The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 8 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 8 (baseline) and Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 8 Baseline to Week 49 in HIV-1 RNA67.7 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 8 Baseline to Week 97 in HIV-1 RNA

The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 8 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 8 (baseline) and Week 97

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 8 Baseline to Week 97 in HIV-1 RNA69.2 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 1 Baseline to Week 25 in HIV-1 RNA

The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 1 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 1 (baseline) and Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 1 Baseline to Week 25 in HIV-1 RNA67.6 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 1 Baseline to Week 49 in HIV-1 RNA

The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 1 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 1 (baseline) and Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 1 Baseline to Week 49 in HIV-1 RNA71.0 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 1 Baseline to Week 97 in HIV-1 RNA

The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 1 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 1 (baseline) and Week 97

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 1 Baseline to Week 97 in HIV-1 RNA73.1 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 8 Baseline to Week 25 in HIV-1 RNA

The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 8 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 8 (baseline) and Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 8 Baseline to Week 25 in HIV-1 RNA58.8 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 8 Baseline to Week 49 in HIV-1 RNA

The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 8 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 8 (baseline) and Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 8 Baseline to Week 49 in HIV-1 RNA61.3 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 8 Baseline to Week 97 in HIV-1 RNA

The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 8 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,

Time frame: Day 8 (baseline) and Week 97

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 8 Baseline to Week 97 in HIV-1 RNA61.5 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <200 Copies/mL at Week 25

The percentage of participants with HIV-1 RNA \<200 copies mL at week 25 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With HIV-1 RNA <200 Copies/mL at Week 2564.7 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <200 Copies/mL at Week 49

The percentage of participants with HIV-1 RNA \<200 copies mL at week 49 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With HIV-1 RNA <200 Copies/mL at Week 4977.4 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <200 Copies/mL at Week 97

The percentage of participants with HIV-1 RNA \<200 copies mL at week 97 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 97

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With HIV-1 RNA <200 Copies/mL at Week 9780.8 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <40 Copies/mL at Week 25

The percentage of participants with HIV-1 RNA \<40 copies mL at week 25 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With HIV-1 RNA <40 Copies/mL at Week 2558.8 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <40 Copies/mL at Week 49

The percentage of participants with HIV-1 RNA \<40 copies mL at week 49 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol.

Time frame: Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With HIV-1 RNA <40 Copies/mL at Week 4971.0 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <40 Copies/mL at Week 97

The percentage of participants with HIV-1 RNA \<40 copies mL at week 97 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 97

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With HIV-1 RNA <40 Copies/mL at Week 9769.2 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <50 Copies/mL at Week 25

The percentage of participants with HIV-1 RNA \<50 copies mL at week 25 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With HIV-1 RNA <50 Copies/mL at Week 2558.8 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <50 Copies/mL at Week 49

The percentage of participants with HIV-1 RNA \<50 copies mL at week 49 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With HIV-1 RNA <50 Copies/mL at Week 4971.0 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <50 Copies/mL at Week 97

The percentage of participants with HIV-1 RNA \<50 copies mL at week 97 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,

Time frame: Week 97

Population: Randomized participants who received at least 1 dose of study intervention, had baseline data for those analyses that require baseline data, and had not committed any major protocol violations. Examples of protocol violations include, but are not limited to nonadherence to study intervention; or becoming pregnant.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With HIV-1 RNA <50 Copies/mL at Week 9769.2 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to DOR at Week 25

The prevalence of viral drug resistance to DOR was based on the percentage of participants with treatment-emergent (TE) resistance-associated substitutions (RASs), which is calculated by dividing the number of participants with TE RASs by the number of participants tested for resistance multiplied by 100. RASs for DOR were as follows: V106A/M, Y188C/L, F227C/H/I/L, M230I/L, L234I, Y318F, V108I, Y188F/H, G190E, H221Y, P236, and were determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.

Time frame: Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had HIV-1 RNA ≥200 copies/mL, and were tested for resistance.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to DOR at Week 2533.3 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to DOR at Week 49

The prevalence of viral drug resistance to DOR was based on the percentage of participants with TE RASs, which is calculated by dividing the number of participants with TE RASs by the number of participants tested for resistance, multiplied by 100. RASs for DOR were as follows: V106A/M, Y188C/L, F227C/H/I/L, M230I/L, L234I, Y318F, V108I, Y188F/H, G190E, H221Y, P236, and were determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.

Time frame: Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had HIV-1 RNA ≥200 copies/mL, and were tested for resistance.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to DOR at Week 4928.6 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to ISL at Week 25

The prevalence of viral drug resistance to ISL was based on the percentage of participants with TE RAS, which is calculated by dividing the number of participants with TE RAS by the number of participants tested for resistance, multiplied by 100. The RAS for ISL, M184V was determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.

Time frame: Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had HIV-1 RNA ≥200 copies/mL, and were tested for resistance.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to ISL at Week 258.3 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to ISL at Week 49

The prevalence of viral drug resistance to ISL was based on the percentage of participants with TE RAS, which is calculated by dividing the number of participants with TE RAS by the number of participants tested for resistance, multiplied by 100. The RAS for ISL, M184V was determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.

Time frame: Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had HIV-1 RNA ≥200 copies/mL, and were tested for resistance.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to ISL at Week 4914.3 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to OBT Components at Week 49

The prevalence of viral drug resistance to OBT components was based on the percentage of participants with TE RASs, which is calculated by dividing the number of participants with TE RASs by the number of participants tested for resistance, multiplied by 100. The RASs for OBT components were determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.

Time frame: Week 49

Population: Randomized participants who received at least 1 dose of study intervention, had HIV-1 RNA ≥200 copies/mL, and were tested for resistance.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to OBT Components at Week 4928.6 Percentage of participants
Secondary

Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to Optimized Background Therapy (OBT) Components at Week 25

The prevalence of viral drug resistance to OBT components was based on the percentage of participants with TE RASs, which is calculated by dividing the number of participants with TE RASs by the number of participants tested for resistance, multiplied by 100. The RASs for OBT components were determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.

Time frame: Week 25

Population: Randomized participants who received at least 1 dose of study intervention, had HIV-1 RNA ≥200 copies/mL, and were tested for resistance.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to Optimized Background Therapy (OBT) Components at Week 2525.0 Percentage of participants
Secondary

Percentage of Participants Receiving DOR/ISL (Given With ART), DOR, or ISL With ≥1.0 log10 Change From Day 1 Baseline to Day 8 HIV-1 RNA Compared to Placebo Treatment

Participants with a ≥1.0 log10 decrease from baseline (Day 1) to Day 8 in HIV-1 RNA were identified by at the central laboratory with an Abbott Real Time Polymerase Chain Reaction (PCR) assay which has a LLOD of 40 copies/mL

Time frame: Day 1 (baseline) and Day 8

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized and had baseline data for those analyses that require baseline data.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants Receiving DOR/ISL (Given With ART), DOR, or ISL With ≥1.0 log10 Change From Day 1 Baseline to Day 8 HIV-1 RNA Compared to Placebo Treatment14.3 Percentage of participants
DOR + ARTPercentage of Participants Receiving DOR/ISL (Given With ART), DOR, or ISL With ≥1.0 log10 Change From Day 1 Baseline to Day 8 HIV-1 RNA Compared to Placebo Treatment50.0 Percentage of participants
DOR/ISL + ARTPercentage of Participants Receiving DOR/ISL (Given With ART), DOR, or ISL With ≥1.0 log10 Change From Day 1 Baseline to Day 8 HIV-1 RNA Compared to Placebo Treatment85.7 Percentage of participants
Placebo + ARTPercentage of Participants Receiving DOR/ISL (Given With ART), DOR, or ISL With ≥1.0 log10 Change From Day 1 Baseline to Day 8 HIV-1 RNA Compared to Placebo Treatment0.0 Percentage of participants
Secondary

Percentage of Participants Receiving DOR/ISL (Given With ART) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 in HIV-1 RNA Compared to DOR or ISL Treatment

Participants with a ≥0.5 log10 decrease from baseline (Day 1) to Day 8 in HIV-1 RNA were identified by at the central laboratory with an Abbott Real Time PCR assay which has a lower limit of detection (LLOD) of 40 copies/mL Only participants treated with DOR/ISL or DOR alone or ISL alone were analyzed in this outcome measure. Participants treated with placebo were not analyzed in this outcome measure.

Time frame: Day 1 (baseline) and Day 8

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized and had baseline data for those analyses that require baseline data.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants Receiving DOR/ISL (Given With ART) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 in HIV-1 RNA Compared to DOR or ISL Treatment28.6 Percentage of participants
DOR + ARTPercentage of Participants Receiving DOR/ISL (Given With ART) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 in HIV-1 RNA Compared to DOR or ISL Treatment78.6 Percentage of participants
DOR/ISL + ARTPercentage of Participants Receiving DOR/ISL (Given With ART) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 in HIV-1 RNA Compared to DOR or ISL Treatment85.7 Percentage of participants
Secondary

Percentage of Participants Receiving DOR/ISL (Given With ART) With ≥1.0 log10 Change From Day 1 Baseline to Day 8 in HIV-1 RNA Compared to DOR or ISL Treatment

Participants receiving DOR/ISL with a ≥1.0 log10 decrease from baseline (Day 1) to Day 8 in HIV-1 RNA were identified by at the central laboratory with an Abbott Real Time PCR assay which has a lower limit of detection (LLOD) of 40 copies/mL Only participants treated with DOR/ISL or DOR alone or ISL alone were analyzed in this outcome measure. Participants treated with placebo were not analyzed in this outcome measure.

Time frame: Day 1 (baseline) and Day 8

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized and had baseline data for those analyses that require baseline data.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants Receiving DOR/ISL (Given With ART) With ≥1.0 log10 Change From Day 1 Baseline to Day 8 in HIV-1 RNA Compared to DOR or ISL Treatment14.3 Percentage of participants
DOR + ARTPercentage of Participants Receiving DOR/ISL (Given With ART) With ≥1.0 log10 Change From Day 1 Baseline to Day 8 in HIV-1 RNA Compared to DOR or ISL Treatment50.0 Percentage of participants
DOR/ISL + ARTPercentage of Participants Receiving DOR/ISL (Given With ART) With ≥1.0 log10 Change From Day 1 Baseline to Day 8 in HIV-1 RNA Compared to DOR or ISL Treatment85.7 Percentage of participants
Secondary

Percentage of Participants Receiving DOR or ISL (Given With Antiretroviral Therapy [ART]) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 HIV-1 RNA Compared to Placebo Treatment

Participants with a ≥0.5 log10 decrease from Day 1 baseline to Day 8 in HIV-1 RNA were identified by the central laboratory with an Abbott Real Time PCR assay which has a LLOD of 40 copies/mL Only participants treated with either DOR or ISL or placebo (given with ART) were analyzed in this outcome measure. Participants treated with DOR/ISL FDC were not analyzed in this outcome measure.

Time frame: Day 1 (baseline) and Day 8

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized and had baseline data for those analyses that require baseline data.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants Receiving DOR or ISL (Given With Antiretroviral Therapy [ART]) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 HIV-1 RNA Compared to Placebo Treatment28.6 Percentage of participants
DOR + ARTPercentage of Participants Receiving DOR or ISL (Given With Antiretroviral Therapy [ART]) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 HIV-1 RNA Compared to Placebo Treatment78.6 Percentage of participants
Placebo + ARTPercentage of Participants Receiving DOR or ISL (Given With Antiretroviral Therapy [ART]) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 HIV-1 RNA Compared to Placebo Treatment0.0 Percentage of participants
Secondary

Percentage of Participants With ≥1 Adverse Events (AEs) Through Week 97

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

Time frame: Up to 97 weeks

Population: All randomized participants who received at least 1 dose of study intervention based on the treatment group to which they were randomized.

ArmMeasureValue (NUMBER)
ISL + ARTPercentage of Participants With ≥1 Adverse Events (AEs) Through Week 9785.7 Percentage of participants
DOR + ARTPercentage of Participants With ≥1 Adverse Events (AEs) Through Week 97100.0 Percentage of participants
DOR/ISL + ARTPercentage of Participants With ≥1 Adverse Events (AEs) Through Week 9785.7 Percentage of participants
Placebo + ARTPercentage of Participants With ≥1 Adverse Events (AEs) Through Week 97100.0 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026