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Clinical Trials/2025-520478-20-00
2025-520478-20-00
Not yet recruiting
Phase 3

A Phase 3, Multicenter, Randomized, Open-Label, Sponsor-Blinded, Study to Evaluate REGN7508, A Factor XI Monoclonal Antibody, Versus Apixaban and Enoxaparin for Prophylaxis of Venous Thromboembolism After Elective Total Knee Arthroplasty (ROXI-APEX).

Regeneron Pharmaceuticals Inc.15 sites in 5 countries1,067 target enrollmentStarted: October 8, 2025Last updated:

Overview

Phase
Phase 3
Status
Not yet recruiting
Sponsor
Regeneron Pharmaceuticals Inc.
Enrollment
1,067
Locations
15
Primary Endpoint
Incidence of the composite endpoint of asymptomatic or symptomatic Venous Thromboembolism (VTE) [including VTE-related death].

Overview

Brief Summary

To evaluate the efficacy of IV REGN7508 for the prevention of VTE after TKA compared to enoxaparin and apixaban.

Eligibility Criteria

Ages
18 years to 65+ years (18-64 Years, 65+ Years)
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Is undergoing a primary elective unilateral TKA .
  • Is in good health based on laboratory safety testing as described in the protocol.
  • Body weight <130 kg at screening visit as described in the protocol.
  • Other protocol-defined Inclusion Criteria apply.

Exclusion Criteria

  • Any condition that, as assessed by the investigator, may confound the results of the study or pose an additional risk to the participant by study participation.
  • History of bleeding in the 6 months prior to randomization requiring hospitalization or transfusion as described in the protocol.
  • History of thromboembolic disease or thrombophilia.
  • History of major surgery, including brain, spinal, or ocular, or major trauma within approximately the past 6 months prior to randomization.
  • Has an estimated Glomerular Filtration Rate (GFR) of <30 mL/min/1.73 m2 at the screening visit as described in the protocol.
  • Other protocol-defined Exclusion Criteria apply.

Outcomes

Primary Outcomes

Incidence of the composite endpoint of asymptomatic or symptomatic Venous Thromboembolism (VTE) [including VTE-related death].

Incidence of the composite endpoint of asymptomatic or symptomatic Venous Thromboembolism (VTE) [including VTE-related death].

Secondary Outcomes

  • Concentrations of REGN7508.
  • Incidence of confirmed symptomatic Deep Venous Thrombosis (DVT).
  • Incidence of confirmed Pulmonary Embolism (PE).
  • Incidence of VTE-related death.
  • Incidence of the composite endpoint of major and clinically relevant nonmajor (CRNM) bleeding.
  • Incidence of the composite endpoint of asymptomatic or symptomatic VTE (including VTE-related death).
  • Incidence of minor bleeding.
  • Incidence of Treatment Emergent Adverse Events (TEAEs).
  • Incidence of Anti-Drug Antibodies (ADA) to REGN7508.
  • Titer of ADA to REGN7508.

Investigators

Sponsor
Regeneron Pharmaceuticals Inc.
Sponsor Class
Pharmaceutical company
Responsible Party
Principal Investigator
Principal Investigator

Medical Affairs

Scientific

Regeneron Pharmaceuticals Inc.

Study Sites (15)

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