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US FDA approves Merck’s pill combo to treat HIV infection

By Thomson Reuters Apr 21, 2026 | 10:55 AM

April 21 (Reuters) – The U.S. Food and Drug Administration has approved Merck’s once-daily, oral, combination regimen for HIV infections, the health ​regulator’s website showed on Tuesday.

The two-drug ‌combination of doravirine and islatravir was approved to replace the current antiretroviral regimen for treating Human Immunodeficiency Virus-1 infection in some adults.

While islatravir is an experimental treatment, ‌Merck’s ​doravirine is already approved ⁠and sold in the ⁠U.S. under the brand name Pifeltro for HIV-1 treatment in combination with other antiretrovirals, and as a single-tablet regimen, Delstrigo.

About 40.8 million ​people are living with HIV globally, and about 1.3 million new infections occur annually, ⁠according to National Institutes of ⁠Health data.

The drugmaker did not immediately ​respond to Reuters requests for comment.

In two late-stage ​studies with more than 1,000 patients, the ‌treatment combination met the main goal of significantly suppressing replication of the HIV-1 in adults receiving another form of therapy.

Last year, Merck’s oral ⁠drug combo was found to be non-inferior to Gilead’s top-selling drug, Biktarvy, achieving similar HIV-1 suppression to the ⁠current standard ‌of care.

HIV-1 is the most ⁠common strain of the retrovirus that ​causes ‌Acquired Immunodeficiency Syndrome, commonly known as ​AIDS.

Islatravir is ⁠now being tested in multiple trials in combination with other antiretrovirals for potential daily and once-weekly treatments for HIV-1.

(Reporting by Christy Santhosh and Sriparna Roy in Bengaluru; Editing by Sahal Muhammed and ​Shinjini Ganguli)