ClinicalTrials.gg
RecruitingNCT07175428ROXI-ATLASUpdated Nov 5, 2026

Safety in Adult Participants With Atrial Fibrillation Who Are Treated With Anticoagulation

A Phase 2 interventional study of REGN7508 and REGN9933 in Atrial Fibrillation (AF), sponsored by Regeneron Pharmaceuticals. Recruiting at 91 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by Regeneron Pharmaceuticals · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year later.
Updated Nov 5, 202610 sites addedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
1,200
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is researching experimental drugs called REGN7508 and REGN9933. The study is focused on participants who have atrial fibrillation, which means that the heart beats too fast and unevenly. REGN7508 and REGN9933 are designed to help stop blood clots forming in patients with atrial fibrillation.

The aim of the study is to see how well REGN7508 and REGN9933 work in patients that get medicine for their atrial fibrillation. The bleeding effects of REGN7508 and REGN9933 will be compared to another medicine (apixaban), which is available on the market to treat and prevent formation of blood clots.

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

  • What side effects may happen from taking REGN7508 or REGN9933
  • How well do the study drugs reduce the risk of having a stroke
  • How much of REGN7508 or REGN9933 is in the blood at different times
  • Whether the body makes antibodies against REGN7508 or REGN9933 (which could make the drugs less effective or could lead to side effects)
02

Conditions studied

  • Atrial Fibrillation (AF)

Keywords

  • Bleeding
  • Stroke
  • Systemic embolism
  • Blood clots
03

In context

Atrial Fibrillation

4,009 studies on the registry are indexed under Atrial Fibrillation; 961 are open to participants now.

This study's planned enrollment of 1,200 is above the median of 150 across 2,476 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation 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. Has AF or flutter (paroxysmal or persistent), not felt to be secondary to a reversible cause, and an indication for indefinite anticoagulation treatment as described in the protocol
  2. Meets one of the following:

    1. CHA2DS2-VA [C: Congestive heart failure; H: Hypertension; A2: Age ≥75 years (double points); D: Diabetes mellitus; S2: Stroke or or Thromboembolism (double points); V: Vascular disease; A: Age 65-74 years] score ≥2 and Oral Anticoagulant (OAC) naïve or
    2. CHA2DS2-VA score ≥3 or
    3. CHA2DS2-VA score of 2 and at least 1 enrichment criteria as described in the protocol
  3. Must have an International Normalization Ratio () \<2.5 at the time of randomization if taking warfarin or another Vitamin K Antagonist (VKA)

Key Exclusion Criteria:

  1. Has a mechanical heart valve prosthesis (Note: transcatheter aortic valve replacement is not an exclusion)
  2. Has known moderate-to-severe mitral stenosis
  3. Has had successful ablation therapy or Left Atrial Appendage (LAA) occlusion/exclusion, or planned ablation or LAA occlusion/exclusion as described in the protocol
  4. Had an ischemic stroke within 2 days prior to randomization
  5. Has estimated (eGFR) \<15 mL/min/1.73m\^2 within 30 days prior to randomization or on dialysis or expected to be started as described in the protocol
  6. Has a history of central nervous system bleeding within 30 days prior to randomization

Note: Other protocol-defined Inclusion/ Exclusion criteria apply

Terms in these criteria, in plain language(3)

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
1,200 participants (estimated)

Study arms

  • Experimental
    REGN7508

    Drug: REGN7508

  • Experimental
    REGN9933

    Drug: REGN9933

  • Active comparator
    Apixaban

    Drug: Apixaban

Interventions

  • Administered per the protocol

    Also known as: cenvacibart

  • Administered per the protocol

    Also known as: amrecibart

  • Administered per the protocol

    Also known as: Eliquis

06

What researchers measure

Primary outcomes

  1. Incidence of any bleeding

    Defined as the composite of International Society on Thrombosis and Haemostasis (ISTH) major bleeding, ISTH Clinically Relevant Non-Major (CRNM) bleeding, or minor bleeding

    Time frame: 12 weeks

Secondary outcomes

  1. Incidence of the composite of ISTH major bleeding or ISTH CRNM bleeding

    Time frame: 12 weeks

  2. Incidence of ISTH major bleeding

    Time frame: 12 weeks

  3. Incidence of ISTH CRNM bleeding

    Time frame: 12 weeks

  4. Incidence of minor bleeding

    Time frame: 12 weeks

  5. Number of ISTH major bleeding events

    Time frame: 12 weeks

  6. Number of ISTH CRNM bleeding events

    Time frame: 12 weeks

  7. Number of minor bleeding events

    Time frame: 12 weeks

  8. Incidence of Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Approximately 25 weeks

  9. Severity of TEAEs

    Time frame: Approximately 25 weeks

  10. Incidence of the composite of stroke or systemic embolism

    Time frame: Approximately 12 weeks

  11. Incidence of Antidrug Antibodies (ADA) to REGN7508

    Time frame: 12 weeks

  12. Magnitude of ADA to REGN7508

    Time frame: 12 weeks

  13. Incidence of ADA to REGN9933

    Time frame: 12 weeks

  14. Magnitude of ADA to REGN9933

    Time frame: 12 weeks

  15. Concentrations of REGN7508

    Time frame: Approximately 25 weeks

  16. Concentrations of REGN9933

    Time frame: Approximately 25 weeks

  17. Change from baseline in activated Partial Thromboplastin Time (aPTT)

    Time frame: Approximately 25 weeks

  18. Change from baseline in Prothrombin Time (PT)

    Time frame: Approximately 25 weeks

07

Study locations

90 of 91 sites recruiting
  • SEC Clinical Research
    Dothan, Alabama 36305, United States
    Recruiting
  • Eastern Shore Research Institute
    Fairhope, Alabama 36532, United States
    Recruiting
  • Valley Clinical Trials, Inc
    Covina, California 91723, United States
    Recruiting
  • North Coast Cardiology
    Encinitas, California 92024, United States
    Recruiting
  • Mission Cardiovascular Research Institute
    Fremont, California 94538, United States
    Recruiting
  • National Institute of California Heart and Vein Specialists
    Huntington Beach, California 92648, United States
    Recruiting
  • Profound Research LLC at Southern California Heart Specialists
    Pasadena, California 91105, United States
    Recruiting
  • Empire Clinical Research
    Pomona, California 91767, United States
    Recruiting
  • The Cardiovascular Center
    Redding, California 96001, United States
    Recruiting
  • Northbay Clinical Research Center
    Santa Rosa, California 95405, United States
    Recruiting
  • Cardiology Associates Medical Group
    Ventura, California 93003, United States
    Recruiting
  • Interventional Cardiology Medical Group
    West Hills, California 91307, United States
    Recruiting
  • Nouvelle Clinical Research LLC
    Cutler Bay, Florida 33189, United States
    Recruiting
  • South Florida Research Organization LLC
    Medley, Florida 33166, United States
    Recruiting
  • Inpatient Research Clinic LLC
    Miami Lakes, Florida 33014, United States
    Recruiting
  • Cardiovascular Center of Sarasota Foundation for Research and Education
    Sarasota, Florida 34239, United States
    Recruiting
  • Clinical Site Partners, LLC DBA Flourish Research
    Winter Park, Florida 32789, United States
    Recruiting
  • Grady Health System
    Atlanta, Georgia 30303, United States
    Recruiting
  • Health Sciences Research Building II
    Atlanta, Georgia 30322, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • NSC Research, Inc
    Johns Creek, Georgia 30024, United States
    Recruiting
  • Indiana University
    Indianapolis, Indiana 46202, United States
    Recruiting
  • Blue Coast Research Center, LLC
    Indianapolis, Indiana 46237, United States
    Recruiting
  • Franciscan Physician Network, Indiana Heart Physicians
    Indianapolis, Indiana 46237, United States
    Recruiting
  • Indiana Medical Research
    Merrillville, Indiana 46410, United States
    Recruiting
  • Reid Physician Associates
    Richmond, Indiana 47374, United States
    Recruiting
  • Monroe Research, LLC
    West Monroe, Louisiana 71291, United States
    Recruiting
  • Anderson Medical Research
    Ft. Washington, Maryland 20744, United States
    Recruiting
  • Beth Israel Lahey Health, Beth Israel Deaconess Medical Center (BIDMC)
    Boston, Massachusetts 02215, United States
    Recruiting
  • Profound Research, Millennium Cardiology
    Farmington Hills, Michigan 48334, United States
    Recruiting
  • AA Medical Research Center (MRC)
    Flint, Michigan 48504, United States
    Recruiting
  • Fairview Health Services
    Maplewood, Minnesota 55109, United States
    Recruiting
  • Moses Cone Hospital Operating Corporation dba Cone Health, Lebauer-Brodie Center for Cardiovascular Research
    Greensboro, North Carolina 27401, United States
    Recruiting
  • K&R Research LLC
    Marion, Ohio 43302, United States
    Recruiting
  • Advanced Medical Research
    Maumee, Ohio 43537, United States
    Recruiting
  • Monument Health Clinical Research
    Rapid City, South Dakota 57701, United States
    Recruiting
  • East Coast Institute for Research, Jefferson City
    Jefferson City, Tennessee 37760, United States
    Recruiting
  • PharmaTex Research
    Amarillo, Texas 79106, United States
    Recruiting
  • Complete Heart Care P.A.
    McKinney, Texas 75071, United States
    Recruiting
  • Texas Institute of Cardiology PA
    McKinney, Texas 75071, United States
    Recruiting
  • Synergy Group Medical, LLC
    Missouri City, Texas 77459, United States
    Recruiting
  • Permian Research Foundation
    Odessa, Texas 79761, United States
    Recruiting
  • Tyler Cardiovascular Consultants
    Tyler, Texas 75701, United States
    Recruiting
  • Alpine Research TC
    Clinton, Utah 84015, United States
    Recruiting
  • Centro de Investigacion Clinica
    Ciudad Autonoma de Buenos Aires, Buenos Aires 1060, Argentina
    Recruiting
  • DIM Clinica Privada
    Ramos Mejía, Buenos Aires 1704, Argentina
    Recruiting
  • Centro de Investigaciones Medicas Temperley (CIMET)
    Temperley, Buenos Aires B1834MJC, Argentina
    Recruiting
  • Fundacion Estudios Clinicos
    Rosario, Santa Fe Province 2000, Argentina
    Recruiting
  • Sanatorio Parque
    Rosario, Santa Fe Province 2000, Argentina
    Recruiting
  • STAT Research Argentina
    Buenos Aires, 1060, Argentina
    Recruiting
  • Sanatorio Duarte Quiros
    Córdoba, 5002, Argentina
    Recruiting
  • Centro de Investigaciones Clinicas del Litoral
    Santa Fe, S3000FWO, Argentina
    Recruiting
  • Via Medica Research Center
    Goiânia, Goiás 74223-130, Brazil
    Recruiting
  • Hospital Ruy Azeredo
    Goiânia, Goiás 74453-200, Brazil
    Recruiting
  • Hospital das Clinicas da Universidade Federal de Goias
    Goiânia, Goiás 74605-050, Brazil
    Recruiting
  • Cardiologia Assistencial e de Pesquisa Ltda (Cardresearch)
    Belo Horizonte, Minas Gerais 30150-274, Brazil
    Recruiting
  • Nucleo de Pesquisa do Hospital Cardiologico Costantini (NUPEC)
    Belo Horizonte, Minas Gerais 30220-140, Brazil
    Recruiting
  • Hospital Maternidade e Pronto Socorro Santa Lucia
    Poços de Caldas, Minas Gerais 37706-106, Brazil
    Recruiting
  • Eurolatino Medical Research
    Uberlândia, Minas Gerais 38400-500, Brazil
    Recruiting
  • Sociedade Hospitalar Angelina Caron
    Campina Grande do Sul, Paraná 83430-973, Brazil
    Recruiting
  • Quanta Diagnostico por Imagem
    Curitiba, Paraná 80045-110, Brazil
    Recruiting
  • Pontificia Universidade Catolica do Paraná (PUC) Trials
    Curitiba, Paraná 80230-130, Brazil
    Recruiting
  • Nucleo de Pesquisa Clínica SS
    Curitiba, Paraná 80730-150, Brazil
    Recruiting
  • Hospital Ernesto Dornelles
    Porto Alegre, Rio Grande do Sul 90160-092, Brazil
    Recruiting
  • CoraCentro Pesquisa Clinica
    Porto Alegre, Rio Grande do Sul 90840-440, Brazil
    Recruiting
  • Centro de Estudos Procardio
    Blumenau, Santa Catarina 89010-022, Brazil
    Recruiting
  • AngioKormann Blumenau
    Blumenau, Santa Catarina 89020-430, Brazil
    Recruiting
  • Instituto de Cardiologia de Santa Catarina
    São José, Santa Catarina 88103-450, Brazil
    Recruiting
  • Centro De Pesquisa Clinica Do Coracao
    Aracaju, Sergipe 49055-530, Brazil
    Recruiting
  • Faculdade de Medicina de Botucatu (UNESP)
    Botucatu, São Paulo 18618-687, Brazil
    Recruiting
  • Hospital Universitario Sao Francisco na Providencia de Deus
    Bragança Paulista, São Paulo 12916-542, Brazil
    Recruiting
  • Instituto De Pesquisa Clinica de Campinas (Ipecc)
    Campinas, São Paulo 13060-080, Brazil
    Recruiting
  • Hospital da Pontificia Universidade Catolica (PUC) Campinas
    Campinas, São Paulo 13060-904, Brazil
    Recruiting
  • CLINICOR - Clinica Cardiologica Ltda
    Ribeirão Preto, São Paulo 14026-900, Brazil
    Recruiting
  • Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto, Centro Integrado de Pesquisa (CIP)
    São José do Rio Preto, São Paulo 15090-000, Brazil
    Recruiting
  • Instituto Dante Pazanese de Cardiologia
    São Paulo, 04012-909, Brazil
    Recruiting
  • University of Alberta Hospital - Cardiology
    Edmonton, Alberta T6G 2G3, Canada
    Recruiting
  • Victoria Cardiac Arrhythmia Trials
    Victoria, British Columbia V8Z 0B9, Canada
    Recruiting
  • GA Research Associates Ltd.
    Moncton, New Brunswick E1G-1A7, Canada
    Recruiting
  • Health sciences North - Cardiology
    Greater Sudbury, Ontario P3E 5J1, Canada
    Recruiting
  • Hamilton Health Sciences Corporation
    Hamilton, Ontario L8L 2X2, Canada
    Recruiting
  • Hamilton Medical Research Group (HMRG)
    Hamilton, Ontario L8L 5G4, Canada
    Recruiting
  • Dr James Cha
    Oshawa, Ontario L1J 2K1, Canada
    Recruiting
  • Heart Health Institute Research Inc. - Cardiology
    Scarborough Village, Ontario M1B 4Z8, Canada
    Recruiting
  • Viacar Recherches Cliniques Inc. - Cardiologie
    Longueuil, Quebec J4H 4B9, Canada
    Recruiting
  • Montreal Heart Institute
    Montreal, Quebec H1T 1C8, Canada
    Recruiting
  • CISSS du Bas-Saint-Laurent - Hopital regional de Rimouski - Cardiologie
    Rimouski, Quebec G5L 5T1, Canada
    Recruiting
  • Centre Hospitalier Universitaire De Sherbrooke (CHUS) - Cardiologie
    Sherbrooke, Quebec J1H 5N4, Canada
    Recruiting
  • Diex Recherche Inc.
    Sherbrooke, Quebec J1LOK3, Canada
    Recruiting
  • CISSSLAN, Hopital Pierre-Le Gardeur
    Terrebonne, Quebec J6V 2H2, Canada
    Recruiting
  • Diex Recherche Trois-rivieres
    Trois-Rivières, Quebec G9A 4P3, Canada
    Recruiting
  • CHU de Quebec-Universite Laval
    Québec, G1R 2J6, Canada
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing

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 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

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

Timeline

4 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2025 (actual). Primary completion is estimated for Feb 2027, 15 months after the start.

Of 41 phase 2 interventional studies under Atrial Fibrillation, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 39. This study's planned 15 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 9, 2025
First posted
Sep 16, 2025
StartActual
Oct 20, 2025
Primary completionEst.
Feb 9, 2027
CompletionEst.
Apr 21, 2027
Last update
Nov 5, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
10 sites added
Show 10 added (5 Brazil, 3 Argentina, 2 Canada)
  • Eurolatino Medical Research · Uberlândia, Brazil
  • CoraCentro Pesquisa Clinica · Porto Alegre, Brazil
  • AngioKormann Blumenau · Blumenau, Brazil
  • Sanatorio Parque · Rosario, Argentina
  • Hospital Universitario Sao Francisco na Providencia de Deus · Bragança Paulista, Brazil
  • Montreal Heart Institute · Montreal, Canada
  • CLINICOR - Clinica Cardiologica Ltda · Ribeirão Preto, Brazil
  • CISSSLAN, Hopital Pierre-Le Gardeur · Terrebonne, Canada
  • DIM Clinica Privada · Ramos Mejía, Argentina
  • Centro de Investigaciones Medicas Temperley (CIMET) · Temperley, Argentina
across 4 updates, Sep 28, 2026 – Nov 5, 2026
Show all 4 updates
  1. Nov 5, 2026
    2 sites added
    Show 2 added (2 Argentina)
    • DIM Clinica Privada · Ramos Mejía, Argentina
    • Centro de Investigaciones Medicas Temperley (CIMET) · Temperley, Argentina
    + 1 other change: verification date
  2. Oct 21, 2026
    2 sites added
    Show 2 added (1 Brazil, 1 Canada)
    • CLINICOR - Clinica Cardiologica Ltda · Ribeirão Preto, Brazil
    • CISSSLAN, Hopital Pierre-Le Gardeur · Terrebonne, Canada
  3. Oct 9, 2026
    3 sites added
    Show 3 added (1 Argentina, 1 Brazil, 1 Canada)
    • Sanatorio Parque · Rosario, Argentina
    • Hospital Universitario Sao Francisco na Providencia de Deus · Bragança Paulista, Brazil
    • Montreal Heart Institute · Montreal, Canada
    + 1 other change: verification date
  4. Sep 28, 2026
    3 sites added
    Show 3 added (3 Brazil)
    • Eurolatino Medical Research · Uberlândia, Brazil
    • CoraCentro Pesquisa Clinica · Porto Alegre, Brazil
    • AngioKormann Blumenau · Blumenau, Brazil

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
NCT07175428
Responsible party
Sponsor
First posted
Sep 16, 2025
Start date
Oct 20, 2025
Primary completion
Feb 9, 2027 (estimated)
Completion
Apr 21, 2027 (estimated)
Last update
Nov 5, 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 drugs tested here: Cenvacibart · Amrecibart

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