ClinicalTrials.gg
RecruitingNCT07015905ROXI-APEXUpdated Nov 6, 2026

REGN7508 Versus Apixaban and Enoxaparin for Thromboprophylaxis After Total Knee Arthroplasty in Adults

A Phase 3 interventional study of REGN7508 and Apixaban in Venous Thromboembolism (VTE), sponsored by Regeneron Pharmaceuticals. Recruiting at 47 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Regeneron Pharmaceuticals · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 4 months later.
Updated Nov 6, 2026Site recruiting status changedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
2,000
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is researching an experimental drug called REGN7508 (called "study drug"). The study is focused on adults undergoing elective, unilateral (one side) total knee replacement surgery.

The aim of the study is to see how effective the study drug is at preventing Venous Thromboembolism (VTE) and other related diseases after total knee replacement surgery.

The study is looking at several other research questions, including:

  • What side effects may happen from taking the study drug
  • How much study drug is in the blood at different times
  • Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects)
02

Conditions studied

  • Venous Thromboembolism (VTE)

Keywords

  • Unilateral Total Knee Arthroplasty (TKA)
  • Factor XI (FXI)
03

In context

Venous Thromboembolism

712 studies on the registry are indexed under Venous Thromboembolism; 146 are open to participants now.

This study's planned enrollment of 2,000 is above the median of 240 across 401 interventional studies indexed under Venous Thromboembolism.

Browse Venous Thromboembolism studies →

Lead sponsor

Regeneron Pharmaceuticals is the lead sponsor of 411 studies on the registry; 90 are open to participants now.

Of its 125 completed or terminated interventional studies of FDA-regulated products, 79 (63%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Is undergoing a primary elective unilateral TKA
  2. Is in good health based on laboratory safety testing as described in the protocol
  3. Body weight ≤130 kg at screening visit as described in the protocol

Key Exclusion Criteria:

  1. 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
  2. History of bleeding in the 6 months prior to randomization requiring hospitalization or transfusion as described in the protocol
  3. History of thromboembolic disease or thrombophilia
  4. History of major surgery, including brain, spinal, or ocular, or major trauma within approximately the past 6 months prior to randomization
  5. Has an estimated (GFR) of \<30 mL/min/1.73 m2 at the screening visit as described in the protocol

Note: Other protocol-defined Inclusion/ Exclusion Criteria apply

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
2,000 participants (estimated)

Study arms

  • Experimental
    IV REGN7508

    Drug: REGN7508

  • Experimental
    IV Placebo, SC REGN7508

    Drug: REGN7508 · Drug: Placebo

  • Active comparator
    IV Placebo, apixaban

    Drug: Apixaban · Drug: Placebo

  • Active comparator
    IV Placebo, enoxaparin

    Drug: Enoxaparin · Drug: Placebo

Interventions

  • Administered per the protocol

    Also known as: cenvacibart

  • Administered per the protocol

  • Administered per the protocol

    Also known as: Inhixa

  • DrugPlacebo

    Administered per the protocol

06

What researchers measure

Primary outcomes

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

    Time frame: Through day 12 visit, approximately 14 days

Secondary outcomes

  1. Time-to-first event of the composite endpoint of asymptomatic or symptomatic VTE (including VTE-related death)

    Time frame: Through day 12 visit, approximately 14 days

  2. Incidence of confirmed symptomatic Deep Venous Thrombosis (DVT)

    Time frame: Through day 12 visit, approximately 14 days

  3. Incidence of confirmed Pulmonary Embolism (PE)

    Time frame: Through day 12 visit, approximately 14 days

  4. Incidence of VTE-related death

    Time frame: Through day 12 visit, approximately 14 days

  5. Time-to-first event of confirmed symptomatic DVT

    Time frame: Through day 12 visit, approximately 14 days

  6. Time-to-first event of confirmed PE

    Time frame: Through day 12 visit, approximately 14 days

  7. Time to VTE-related death

    Time frame: Through day 12 visit, approximately 14 days

  8. Incidence of the composite endpoint of major and Clinically Relevant Non-Major (CRNM) bleeding

    Time frame: Through day 12 visit, approximately 14 days

  9. Incidence of the composite endpoint of asymptomatic or symptomatic VTE (including VTE-related death)

    Time frame: Through day 12 visit, approximately 14 days

  10. Incidence of minor bleeding

    Time frame: Through day 12 visit, approximately 14 days

  11. Incidence of Treatment Emergent Adverse Events (TEAEs)

    Time frame: Approximately day 90

  12. Occurrence of Anti-Drug Antibodies (ADA) to REGN7508

    Time frame: Approximately day 90

  13. Magnitude of ADA to REGN7508

    Time frame: Approximately day 90

  14. Concentrations of REGN7508

    Time frame: Approximately day 90

07

Study locations

43 of 47 sites recruiting
  • Shoals Medical Trials, Inc.
    Sheffield, Alabama 35660, United States
    Recruiting
  • CARI Clinical Trials
    Riverside, California 92504, United States
    Recruiting
  • Denver Metro Orthopedics, P.C. Englewood Location
    Englewood, Colorado 80113, United States
    Recruiting
  • Delray Physician Care Center
    Delray Beach, Florida 33445, United States
    Recruiting
  • Bioresearch Partner
    Miami, Florida 33175, United States
    Recruiting
  • Sacred Heart Health System Inc
    Pensacola, Florida 32504, United States
    Recruiting
  • Gulfcoast Research Institute
    Sarasota, Florida 34232, United States
    Recruiting
  • Phoenix Clinical Research
    Tamarac, Florida 33321, United States
    Recruiting
  • Sinai Hospital of Baltimore, Inc.
    Baltimore, Maryland 21215, United States
    Recruiting
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
    Recruiting
  • Curalta Clinical Trials
    Westwood, New Jersey 07675, United States
    Recruiting
  • Duke University Health System (Duke Health), Duke University Hospital
    Durham, North Carolina 27710, United States
    Recruiting
  • Keystone Clinical Studies LLC, dba Flourish Research
    Plymouth Meeting, Pennsylvania 19462, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • HD Research - First Surgical Hospital
    Bellaire, Texas 77401, United States
    Recruiting
  • University of Texas (UT); Southwestern Medical Center
    Dallas, Texas 75390, United States
    Recruiting
  • NextStage Clinical Research, All American Orthopedics and Sports Medicine
    Houston, Texas 77058, United States
    Completed

    Not enrolling at this site — choose another above.

  • Futuro Clinical Trials
    McAllen, Texas 78501, United States
    Recruiting
  • Flourish Research - San Antonio (Formerly Clinical Trials of Texas)
    San Antonio, Texas 78229, United States
    Recruiting
  • DRx Clinical Research, LLC; South Texas Bone and Joint Institute
    San Antonio, Texas 78249, United States
    Recruiting
  • DRx Clinical Research, LLC
    St. George, Utah 84770, United States
    Recruiting
  • Multi-profile Hospital for Active Treatment Hearth and Brain EAD
    Pleven, 5804, Bulgaria
    Recruiting
  • Multiprofile Hospital for Active Treatment; Sveta Sofia EOOD (MBAL Sveta Sofia),
    Sofia, 1404, Bulgaria
    Recruiting
  • University Multiprofile Hospital for Active Treatment "Prof. Dr. Stoyan Kirkovich"
    Stara Zagora, 6003, Bulgaria
    Withdrawn

    Not enrolling at this site — choose another above.

  • Szegedi Tudomanyegyetem; Albert Szent-Gyorgyi Clinical Center
    Szeged, Csongrad-Csanad 6725, Hungary
    Recruiting
  • Gyor-Moson-Sopron Varmegyei Egyetemi Oktato Korhaz
    Győr, Győr-Moson-Sopron 9024, Hungary
    Recruiting
  • University of Debrecen
    Debrecen, Hajdú-Bihar 4031, Hungary
    Recruiting
  • Semmelweis University
    Budapest, 1082, Hungary
    Recruiting
  • Kansai Rosai Hospital
    Amagasaki-shi, Hyōgo 660-8511, Japan
    Recruiting
  • Yuuai Medical Center
    Tomigusuku, Okinawa 901-0224, Japan
    Recruiting
  • National Hospital Organization Osaka Minami Medical Center
    Kawachi-Nagano, Osaka 586-8521, Japan
    Recruiting
  • Osaka Saiseikai Nakatsu Hospital
    Kita-Ku, Osaka 530-0012, Japan
    Recruiting
  • Juntendo University Hospital
    Bunkyo-ku, Tokyo 113-8431, Japan
    Recruiting
  • Saga University Hospital
    Saga, 849-8501, Japan
    Recruiting
  • Liepajas regionala slimnica; SIA
    Liepāja, LV-3414, Latvia
    Recruiting
  • Rigas 2 slimnica, SIA
    Riga, LV-1004, Latvia
    Recruiting
  • Hospital of Traumatology and Orthopaedics
    Riga, LV-1005, Latvia
    Recruiting
  • ORTO Klinika
    Riga, LV-1005, Latvia
    Recruiting
  • Vidzemes slimnica
    Valmiera, LV-4201, Latvia
    Recruiting
  • Lietuvos sveikatos mokslu universiteto Kauno ligonine
    Kaunas, LT-47144, Lithuania
    Recruiting
  • Lietuvos sveikatos mokslu universiteto ligonine Kauno klinik
    Kaunas, LT-50161, Lithuania
    Recruiting
  • Vsi Klaipedos Universitetine Ligonine
    Klaipėda, LT-92288, Lithuania
    Recruiting
  • Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie sp. z o.o.
    Krakow, 31-826, Poland
    Recruiting
  • Uniwersytecki Szpital Kliniczny nr.2 Uniwersytetu Medycznego w Lodzi
    Lodz, 90-549, Poland
    Completed

    Not enrolling at this site — choose another above.

  • Samodzieny Publiczny Zaklad Opieki Zdorowotne (SP ZOZ) Centralny Szpital Kliniczny Uniwersytetu Medycznego w Lodzi - Hematology
    Lodz, 92-213, Poland
    Recruiting
  • Ortopedyczno-Rehabilitacyjny Szpital Kliniczny im. Wiktora Degi Uniwersytetu Medycznego w Poznaniu
    Poznan, 61-545, Poland
    Recruiting
  • Arensia Clinics S.R.L
    Bucharest, 011658, Romania
    Recruiting
  • ARENSIA Exploratory Medicine, County Hospital Cluj-Napoca
    Cluj-Napoca, 400006, Romania
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — When Regeneron has: received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication or has globally discontinued development of the product for all indications on or after April 2020 and has no plans for future development made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry) the legal authority to share the data, and ensured the ability to protect participant privacy

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: When Regeneron has received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication, has made results publicly available (e.g., scientific publication, scientific conference, clinical trial registry), has the legal authority to share the data, and has ensured the ability to protect participant privacy.

Access criteria: Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Updates

3 registry updates since Sep 25, 2026
Sites
4 sites changed recruiting status (2 now withdrawn, 2 now completed)
Show 4 sites
  • Keystone Clinical Studies LLC, dba Flourish Research · Plymouth Meeting, United StatesRecruiting→Withdrawn
  • NextStage Clinical Research, All American Orthopedics and Sports Medicine · Houston, United StatesRecruiting→Completed
  • University Multiprofile Hospital for Active Treatment "Prof. Dr. Stoyan Kirkovich" · Stara Zagora, BulgariaRecruiting→Withdrawn
  • Uniwersytecki Szpital Kliniczny nr.2 Uniwersytetu Medycznego w Lodzi · Lodz, PolandRecruiting→Completed
across 3 updates, Sep 28, 2026 – Nov 6, 2026
Show all 3 updates
  1. Nov 6, 2026
    Uniwersytecki Szpital Kliniczny nr.2 Uniwersytetu Medycznego w Lodzi is now Completed
    + 1 other change: verification date
  2. Oct 8, 2026
    2 sites changed recruiting status (1 now completed, 1 now withdrawn)
    Show 2 sites
    • NextStage Clinical Research, All American Orthopedics and Sports Medicine · Houston, United StatesRecruiting→Completed
    • University Multiprofile Hospital for Active Treatment "Prof. Dr. Stoyan Kirkovich" · Stara Zagora, BulgariaRecruiting→Withdrawn
    + 1 other change: verification date
  3. Sep 28, 2026
    Keystone Clinical Studies LLC, dba Flourish Research is now Withdrawn

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07015905
Responsible party
Sponsor
First posted
Jun 11, 2025
Start date
Jun 25, 2025
Primary completion
Feb 20, 2027 (estimated)
Completion
May 12, 2027 (estimated)
Last update
Nov 6, 2026

Study contacts

Clinical Trials Administrator
Contact
clinicaltrials@regeneron.com
844-734-6643
Clinical Trial Management
study director · Regeneron Pharmaceuticals

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Cenvacibart

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