ClinicalTrials.gg
RecruitingNCT07318610ROXI-PALISADEUpdated Nov 5, 2026

Reducing Adverse Vascular Outcomes With Factor XI Inhibition in Adult Participants With Peripheral Artery Disease

A Phase 3 interventional study of REGN7508 and REGN9933 in Peripheral Artery Disease (PAD), sponsored by Regeneron Pharmaceuticals. Recruiting at 32 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-05.

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

From the registry’s dates

  • Started Jul 2026; still recruiting 4 months later.
Updated Nov 5, 2026First site in United Kingdom15 sites addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
7,050
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is researching 2 different experimental drugs called REGN7508 and REGN9933. The study is focused on people who have Peripheral Artery Disease (PAD), which means that the blood vessels in their arms and legs have become too narrow. People with PAD have a higher risk of getting blood clots after procedures like Lower Extremity Revascularization (LER), a procedure to improve blood flow in the legs and feet.

The aim of this study is to see how well REGN7508 and REGN9933 prevent life-threatening blood clots in participants with PAD who have recently had LER. The effects of REGN7508 and REGN9933, individually, will also be compared to rivaroxaban and a placebo.

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

  • What side effects might happen from taking the study drugs and how do they compare to the side effects of rivaroxaban
  • How much study drug is in the blood at different times
  • Whether the body makes antibodies against the study drugs (which could make the drugs less effective or could lead to side effects)
  • If the study drugs affect the ability of the blood to clot normally
02

Conditions studied

  • Peripheral Artery Disease (PAD)

Keywords

  • Blood clots
  • Lower Extremity Revascularization (LER)
03

In context

Peripheral Arterial Disease

1,377 studies on the registry are indexed under Peripheral Arterial Disease; 275 are open to participants now.

This study's planned enrollment of 7,050 is above the median of 70 across 927 interventional studies indexed under Peripheral Arterial Disease.

Browse Peripheral Arterial Disease 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. Successful LER distal to the external iliac artery for ischemia due to atherosclerotic disease within 10 days prior to randomization as described in the protocol
  2. At least 1 of the following enrichment factors for major thrombotic vascular events:

    1. Bypass with prosthetic graft
    2. Endovascular treatment with stenting
    3. Target lesion length >15 cm
    4. History of LER or amputation for PAD prior to qualifying LER
    5. Type 2 diabetes mellitus requiring pharmacologic treatment
    6. Comorbid symptomatic coronary artery disease as described in the protocol
    7. Chronic kidney disease as described in the protocol
    8. Age ≥75 years

Key Exclusion Criteria:

  1. Has any active clinical condition requiring chronic therapeutic anticoagulation after the index revascularization including known triple positive antiphospholipid syndrome
  2. Has known bleeding diathesis, count \<50,000/mm\^3 or history of non-traumatic intracerebral hemorrhage, known cerebral amyloid angiopathy, or known unrepaired cerebrovascular malformations
  3. Has recent coronary revascularization as described in the protocol
  4. For Cohort 2 only: Has estimated (eGFR) \<15 mL/min/1.73m\^2 within 14 days prior to randomization or on dialysis or expected to be started on dialysis within the next 12 weeks starting from randomization
  5. Has any other condition or therapy which would make the participant unsuitable for this study or not allow participation for the full planned study period
  6. Has allergy, , or other to REGN7508, REGN9933, or rivaroxaban (Cohort 2 only) or their

Note: Other Protocol Defined Inclusion/ Exclusion Criteria Apply

Terms in these criteria, in plain language(5)

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
7,050 participants (estimated)

Study arms

  • Experimental
    Cohort 1

    Drug: REGN7508 · Drug: REGN9933 · Drug: Placebo

  • Experimental
    Cohort 2

    Drug: REGN7508 · Drug: REGN9933 · Drug: Rivaroxaban

Interventions

  • Administered per the protocol

    Also known as: cenvacibart

  • Administered per the protocol

    Also known as: amrecibart

  • DrugPlacebo

    Administered per the protocol

  • Administered per the protocol

06

What researchers measure

Primary outcomes

  1. Time-to-first occurrence of a major thrombotic vascular event, consisting of Acute Limb Ischemia (ALI), major amputation (above the ankle) of vascular etiology, Myocardial Infarction (MI), ischemic stroke, or Cardiovascular (CV) death

    Cohort 1

    Time frame: Approximately up to 42 months

  2. Time-to-first occurrence of International Society of Thrombosis and Hemostasis (ISTH) major or Clinically Relevant Non-major (CRNM) bleeding

    Cohort 1 and 2

    Time frame: Approximately up to 42 months

Secondary outcomes

  1. Total (first and subsequent) occurrences of major thrombotic vascular events, consisting of ALI, major amputation (above the ankle) of vascular etiology, MI, ischemic stroke, or CV death

    Cohort 1 and 2

    Time frame: Approximately up to 42 months

  2. Time-to-first occurrence of an expanded thrombotic vascular event, consisting of ALI, major amputation (above the ankle) of vascular etiology, MI, ischemic stroke, CV death, unplanned index limb revascularization, or Venous Thromboembolism (VTE)

    Cohort 1 and 2

    Time frame: Approximately up to 42 months

  3. Time-to-first occurrence of ALI, major amputation (above the ankle) of vascular etiology, MI, ischemic stroke or coronary death

    Cohort 1

    Time frame: Approximately up to 42 months

  4. Time-to-first occurrence of vascular hospitalization for a coronary cerebrovascular, or peripheral event of thrombotic nature

    Cohort 1

    Time frame: Approximately up to 42 months

  5. Time-to-first occurrence of ALI, major amputation of vascular etiology, MI, ischemic stroke, or all-cause mortality

    Cohort 1

    Time frame: Approximately up to 42 months

  6. Time-to-first occurrence of unplanned index limb revascularization for ischemia

    Cohort 1

    Time frame: Approximately up to 42 months

  7. Time-to-first occurrence of VTE

    Cohort 1

    Time frame: Approximately up to 42 months

  8. Time-to-all-cause mortality

    Cohort 1

    Time frame: Approximately up to 42 months

  9. Time-to-first occurrence of Major Adverse Limb Event (MALE)

    Cohort 1

    Time frame: Approximately up to 42 months

  10. Time-to-first occurrence of Major Adverse Cardiovascular Event (MACE)

    Cohort 1

    Time frame: Approximately up to 42 months

  11. Time-to-first occurrence of a major thrombotic vascular event or ISTH fatal/critical organ bleeding (net clinical benefit)

    Cohort 1

    Time frame: Approximately up to 42 months

  12. Time-to-first occurrence of Thrombolysis in Myocardial Infarction (TIMI) major bleeding

    Cohort 1 and 2

    Time frame: Approximately up to 42 months

  13. Occurrence of Treatment-Emergent Adverse Event (TEAEs)

    Cohort 1 and 2

    Time frame: Approximately up to 45 months

  14. Severity of TEAEs

    Cohort 1 and 2

    Time frame: Approximately up to 45 months

  15. Occurrence of Anti-Drug Antibody (ADA) to REGN7508 over time

    Cohort 1 and 2

    Time frame: Approximately up to 45 months

  16. Magnitude of ADA to REGN7508 over time

    Cohort 1 and 2

    Time frame: Approximately up to 45 months

  17. Occurrence of ADA to REGN9933 over time

    Cohort 1 and 2

    Time frame: Approximately up to 45 months

  18. Magnitude of ADA to REGN9933 over time

    Cohort 1 and 2

    Time frame: Approximately up to 45 months

  19. Concentrations of REGN7508 over time

    Cohort 1 and 2

    Time frame: Approximately up to 45 months

  20. Concentrations of REGN9933 over time

    Cohort 1 and 2

    Time frame: Approximately up to 45 months

  21. Change from baseline in activated Partial Thromboplastin Time (aPTT) over time

    Cohort 1 and 2

    Time frame: Approximately up to week 9

  22. Change from baseline in Prothrombin Time (PT)/International Normalization Ratio (INR) over time

    Cohort 1 and 2

    Time frame: Approximately up to week 9

  23. Total (first and subsequent) occurrences of expanded thrombotic vascular events

    Cohort 2

    Time frame: Approximately up to 42 months

  24. Time-to-first occurrence of a major thrombotic vascular event

    Cohort 2

    Time frame: Approximately up to 42 months

  25. Total (first and subsequent) occurrences of ALI, major amputation (above the ankle) of vascular etiology, MI, all-cause stroke, or CV death

    Cohort 2

    Time frame: Approximately up to 42 months

  26. Total (first and subsequent) occurrences of ALI, major amputation (above the ankle) of vascular etiology, MI, all-cause stroke, CV death, unplanned index limb revascularization, or VTE

    Cohort 2

    Time frame: Approximately up to 42 months

07

Study locations

32 of 32 sites recruiting
  • Advanced Cardiovascular
    Alexander City, Alabama 35010, United States
    Recruiting
  • Lake Martin Medical and Vascular Center
    Alexander City, Alabama 35010, United States
    Recruiting
  • Axsendo Clinical Research, Integrated Medical Services
    Avondale, Arizona 85392, United States
    Recruiting
  • Applied Research Center of Arkansas
    Little Rock, Arkansas 72205, United States
    Recruiting
  • Angel City Research, Inc.
    Los Angeles, California 90010, United States
    Recruiting
  • Pacific Cardiovascular and Vein Institute
    Oxnard, California 93036, United States
    Recruiting
  • Interventional Cardiology Medical Group
    West Hills, California 91307, United States
    Recruiting
  • Nature Coast Clinical Research - Cardiology
    Crystal River, Florida 34429, United States
    Recruiting
  • University of Florida (UF) Health Jacksonville Clinical Center
    Jacksonville, Florida 32209, United States
    Recruiting
  • Inpatient Research Clinic LLC
    Miami Lakes, Florida 33014, United States
    Recruiting
  • Cardiovascular Institute of Northwest Florida, Main Office
    Panama City, Florida 32405, United States
    Recruiting
  • Tampa Cardiovascular Interventions and Research
    Tampa, Florida 33614, United States
    Recruiting
  • Lutheran Medical Group LLC dba Lutheran Health Physicians
    Fort Wayne, Indiana 46804, United States
    Recruiting
  • ASHA Clinical Research Munster, LLC
    Hammond, Indiana 46324, United States
    Recruiting
  • Profound Research, Powers Health Medical Group
    Munster, Indiana 46321, United States
    Recruiting
  • Cardiovascular Solutions
    Shreveport, Louisiana 71103, United States
    Recruiting
  • Rovia Clinical Research - Hattiesburg Clinic
    Petal, Mississippi 39465, United States
    Recruiting
  • Advanced Heart and Vascular Institute of Hunterdon
    Flemington, New Jersey 08822, United States
    Recruiting
  • Westchester Medical Center
    Valhalla, New York 10595, United States
    Recruiting
  • Mecklenburg Heart Specialists Vascular Institute and Vein Center
    Charlotte, North Carolina 28207, United States
    Recruiting
  • Accellacare of Piedmont, Piedmont Healthcare
    Mooresville, North Carolina 28117, United States
    Recruiting
  • Hightower Clinical
    Oklahoma City, Oklahoma 73102, United States
    Recruiting
  • Monument Health Clinical Research
    Rapid City, South Dakota 57701, United States
    Recruiting
  • Apex Research Foundation, LLC
    Jackson, Tennessee 38301, United States
    Recruiting
  • Tennova TCMC
    Knoxville, Tennessee 37934, United States
    Recruiting
  • Vanderbilt Heart and Vascular Tullahoma, Cardiology and Vascular Associates
    Tullahoma, Tennessee 37388, United States
    Recruiting
  • PharmaTex Research
    Amarillo, Texas 79106, United States
    Recruiting
  • Vital Heart and Vein
    Cypress, Texas 77429, United States
    Recruiting
  • Epic Medical Research
    DeSoto, Texas 75115, United States
    Recruiting
  • Epic Medical Research-Plano
    Plano, Texas 75093, United States
    Recruiting
  • Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
    Doncaster, DN2 5LT, United Kingdom
    Recruiting
  • Charing Cross Hospital
    London, W6 8RF, United Kingdom
    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 Jul 2026 (actual). Primary completion is estimated for Aug 2029, 37 months after the start.

Of 26 phase 3 interventional studies under Peripheral Arterial Disease, half reached primary completion within 51 months of starting (the median), counting those still running; a quarter within 37 and three quarters within 58. This study's planned 37 months is below that.

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

Registered
Jan 2, 2026
First posted
Jan 6, 2026
StartActual
Jul 10, 2026
Primary completionEst.
Aug 18, 2029
CompletionEst.
Nov 16, 2029
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
15 sites added — first site in United Kingdom
Show 15 added (13 United States, 2 United Kingdom)
  • Interventional Cardiology Medical Group · West Hills, United States
  • Cardiovascular Institute of Northwest Florida, Main Office · Panama City, United States
  • Tampa Cardiovascular Interventions and Research · Tampa, United States
  • Lutheran Medical Group LLC dba Lutheran Health Physicians · Fort Wayne, United States
  • Advanced Cardiovascular · Alexander City, United States
  • ASHA Clinical Research Munster, LLC · Hammond, United States
  • Rovia Clinical Research - Hattiesburg Clinic · Petal, United States
  • Advanced Heart and Vascular Institute of Hunterdon · Flemington, United States
  • Mecklenburg Heart Specialists Vascular Institute and Vein Center · Charlotte, United States
  • Monument Health Clinical Research · Rapid City, United States
  • Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust · Doncaster, United Kingdom
  • Charing Cross Hospital · London, United Kingdom
  • University of Florida (UF) Health Jacksonville Clinical Center · Jacksonville, United States
  • Inpatient Research Clinic LLC · Miami Lakes, United States
  • Westchester Medical Center · Valhalla, United States
across 4 updates, Sep 25, 2026 – Nov 5, 2026
Show all 4 updates
  1. Nov 5, 2026
    3 sites added
    Show 3 added (3 United States)
    • University of Florida (UF) Health Jacksonville Clinical Center · Jacksonville, United States
    • Inpatient Research Clinic LLC · Miami Lakes, United States
    • Westchester Medical Center · Valhalla, United States
    + 1 other change: verification date
  2. Oct 22, 2026
    8 sites added — first site in United Kingdom
    Show 8 added (6 United States, 2 United Kingdom)
    • Advanced Cardiovascular · Alexander City, United States
    • ASHA Clinical Research Munster, LLC · Hammond, United States
    • Rovia Clinical Research - Hattiesburg Clinic · Petal, United States
    • Advanced Heart and Vascular Institute of Hunterdon · Flemington, United States
    • Mecklenburg Heart Specialists Vascular Institute and Vein Center · Charlotte, United States
    • Monument Health Clinical Research · Rapid City, United States
    • Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust · Doncaster, United Kingdom
    • Charing Cross Hospital · London, United Kingdom
  3. Oct 15, 2026
    1 site added
    Show site
    • Lutheran Medical Group LLC dba Lutheran Health Physicians · Fort Wayne, United States
    + 1 other change: verification date
  4. Sep 25, 2026
    3 sites added
    Show 3 added (3 United States)
    • Interventional Cardiology Medical Group · West Hills, United States
    • Cardiovascular Institute of Northwest Florida, Main Office · Panama City, United States
    • Tampa Cardiovascular Interventions and Research · Tampa, United States
    + 1 other change: verification date

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
NCT07318610
Responsible party
Sponsor
First posted
Jan 6, 2026
Start date
Jul 10, 2026
Primary completion
Aug 18, 2029 (estimated)
Completion
Nov 16, 2029 (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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