Doravirine/Islatravir: A 2-Drug Regimen for the Treatment of HIV-1 Infection.

Authors

Elias B Chahine, David E Koren, Rafik Samuel, Harrison Van der Kloot, Elizabeth M Sherman

Published in

The Annals of pharmacotherapy. Pages 10600280261472079. Aug 11, 2026. Epub Aug 11, 2026.

Abstract

The objective of this study is to review the efficacy and safety of doravirine/islatravir for the treatment of HIV-1 infection.
A literature search was conducted in PubMed and Google Scholar (January 2016-June 2026) using the search terms doravirine or MK-1439 and islatravir or MK-8591. Other resources included abstracts presented at recent conferences and the prescribing information.
All English-language studies assessing the efficacy and safety of doravirine/islatravir for the treatment of HIV-1 infection were included.
Doravirine is an established second-generation nonnucleoside reverse transcriptase inhibitor. Islatravir is a new nucleoside reverse transcriptase inhibitor that uniquely interferes with translocation and is highly active against HIV-1. Doravirine/islatravir once daily was shown to be safe and effective in three phase 3 clinical trials, using a lower dose of islatravir (0.25 mg), after a higher dose (0.75 mg) was shown in earlier trials to reduce total lymphocyte and CD4+ T-cell counts. The FDA approved this combination for the treatment of HIV-1 infection in adults who are virologically suppressed on stable antiretroviral therapy with no history of virologic treatment failure and no known resistance to doravirine.Relevance to Patient Care and Clinical Practice in Comparison to Existing Drugs:Doravirine/islatravir is the first integrase strand transfer inhibitor-free 2-drug regimen indicated for the treatment of HIV-1 infection. The combination could be useful for patients who want to simplify their regimen and those who cannot receive an integrase inhibitor.
Doravirine/islatravir is safe and effective as a 2-drug regimen for the treatment of HIV-1 infection.

PMID:
42578305
Bibliographic data and abstract were imported from PubMed on 11 Aug 2026.

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