ClinicalTrials.gg
RecruitingNCT07430956ROXI-INCLINEUpdated Nov 10, 2026

Stroke and Systemic Embolism Prevention in Adult Participants With Atrial Fibrillation for Whom Oral Anticoagulation is Unsuitable

A Phase 3 interventional study of REGN7508 and REGN9933 in Atrial Fibrillation (AF), sponsored by Regeneron Pharmaceuticals. Recruiting at 45 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-10.

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

From the registry’s dates

  • Started Apr 2026; still recruiting 7 months later.
Updated Nov 10, 2026First site in Canada10 sites addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
2,628
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is researching 2 different experimental drugs called REGN7508 and REGN9933 (called "study drugs"). The study is focused on people who have atrial fibrillation, which means that the heart beats too fast and unevenly. When this happens, blood cannot move smoothly through the heart; it can slow down or pool in one spot, which can lead to the formation of blood clots.

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 effective and safe REGN7508 and REGN9933, individually, are in preventing ischemic stroke or systemic embolism in people with atrial fibrillation who cannot or may choose to not take blood thinners.

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

  • What side effects may happen from taking REGN7508 or REGN9933
  • How well does REGN7508 or REGN9933 lower the risk of having an ischemic stroke and/or systemic embolism compared to the placebo
  • How well does REGN7508 or REGN9933 lower the risk of having a major health problem affecting heart and blood circulation compared to placebo
  • How well does REGN7508 or REGN9933 lower the risk of death compared to placebo
  • How much REGN7508 or REGN9933 is in the blood at different times
  • Whether the body makes antibodies against REGN7508 or REGN9933 (which could make the study drugs less effective or could lead to side effects)
02

Conditions studied

  • Atrial Fibrillation (AF)

Keywords

  • Blood clots
  • Ischemic stroke
  • Systemic embolism
  • Pulmonary embolism
  • Venous Thromboembolism (VTE)
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 2,628 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 considered to be secondary to a reversible cause
  2. At moderate to high risk for stroke defined as:

    1. CHA2DS2-VA [C: Congestive heart failure; H: Hypertension; A2: Age ≥75 years (double points); D: Diabetes mellitus; S2: Stroke or or Systemic embolism (double points); V: Vascular disease; A: Age 65-74 years] score ≥4 OR
    2. CHA2DS2-VA score of 3 AND at least 1 enrichment criteria as described in the protocol
  3. Shared decision making between the participant and provider determining that the bleeding risk of Oral Anticoagulant (OAC) therapy outweighs the benefits, making the participant unsuitable for OAC therapy as described in the protocol

Key Exclusion Criteria:

  1. Has a mechanical heart valve prosthesis (Note: transcatheter aortic valve replacement is not an exclusion)
  2. Had an ischemic stroke within 2 days prior to randomization
  3. Has persistent, uncontrolled hypertension (per investigator's discretion)
  4. Has a history of Central Nervous System (CNS) bleeding within 30 days prior to randomization
  5. Has a less than 12 months
  6. Has participated in a prior Factor XI (FXI) inhibitor study

Note: Other protocol-defined Inclusion/ Exclusion criteria apply

Terms in these criteria, in plain language(2)

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
2,628 participants (estimated)

Study arms

  • Experimental
    REGN7508

    Drug: REGN7508

  • Experimental
    REGN9933

    Drug: REGN9933

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • Administered per the protocol

    Also known as: cenvacibart

  • Administered per the protocol

    Also known as: amrecibart

  • DrugPlacebo

    Administered per the protocol

06

What researchers measure

Primary outcomes

  1. Time to first occurrence of ischemic stroke or systemic embolism

    Time frame: Up to 36 months

  2. Time to first occurrence of International Society on Thrombosis and Haemostasis (ISTH) major bleeding

    Time frame: Up to 36 months

Secondary outcomes

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

    Time frame: Up to 36 months

  2. Time to first occurrence of MACE, pulmonary embolism, or Venous Thromboembolism (VTE)

    Time frame: Up to 36 months

  3. Time to first occurrence of ischemic stroke

    Time frame: Up to 36 months

  4. Time to Cardiovascular (CV) death

    Time frame: Up to 36 months

  5. Time to all-cause death

    Time frame: Up to 36 months

  6. Occurrence of Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Up to 39 months

  7. Severity of TEAEs

    Time frame: Up to 39 months

  8. Concentrations of REGN7508 over time

    Time frame: Up to 36 months

  9. Concentrations of REGN9933 over time

    Time frame: Up to 36 months

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

    Time frame: Up to approximately 9 weeks

  11. Change from baseline in Prothrombin time (PT)/International Normalized Ratio (INR) over time

    Time frame: Up to approximately 9 weeks

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

    Time frame: Up to 36 months

  13. Magnitude of ADA to REGN7508 over time

    Time frame: Up to 36 months

  14. Occurrence of ADA to REGN9933 over time

    Time frame: Up to 36 months

  15. Magnitude of ADA to REGN9933 over time

    Time frame: Up to 36 months

07

Study locations

45 of 45 sites 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

2 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 Apr 2026 (actual). Primary completion is estimated for Mar 2029, 35 months after the start.

Of 83 phase 3 interventional studies under Atrial Fibrillation, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 32 and three quarters within 63. This study's planned 35 months is below that.

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

Registered
Feb 18, 2026
First posted
Feb 24, 2026
StartActual
Apr 3, 2026
Primary completionEst.
Mar 28, 2029
CompletionEst.
Jun 26, 2029
Last update
Nov 10, 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 — first site in Canada
Show 10 added (9 United States, 1 Canada)
  • Sun City Clinical Research · Glendale, United States
  • Valley Clinical Trials, LLC dba Flourish Research · Northridge, United States
  • FOMAT - Comprehensive Cardiovascular Care · Santa Maria, United States
  • East Coast Institute for Research, Jacksonville · Jacksonville, United States
  • Franciscan Physician Network, Indiana Heart Physicians · Indianapolis, United States
  • Profound Research, Powers Health Medical Group - Electrophysiology · Munster, United States
  • Flint Clinical Research · Flint, United States
  • Jackson Heart Clinic · Jackson, United States
  • Hamilton Medical Research Group (HMRG) · Hamilton, Canada
  • Olive Branch Family Medical Center · Olive Branch, United States
across 2 updates, Oct 14, 2026 – Nov 10, 2026
Show all 2 updates
  1. Nov 10, 2026
    1 site added
    Show site
    • Olive Branch Family Medical Center · Olive Branch, United States
    + 1 other change: verification date
  2. Oct 14, 2026
    9 sites added — first site in Canada
    Show 9 added (8 United States, 1 Canada)
    • Sun City Clinical Research · Glendale, United States
    • Valley Clinical Trials, LLC dba Flourish Research · Northridge, United States
    • FOMAT - Comprehensive Cardiovascular Care · Santa Maria, United States
    • East Coast Institute for Research, Jacksonville · Jacksonville, United States
    • Franciscan Physician Network, Indiana Heart Physicians · Indianapolis, United States
    • Profound Research, Powers Health Medical Group - Electrophysiology · Munster, United States
    • Flint Clinical Research · Flint, United States
    • Jackson Heart Clinic · Jackson, United States
    • Hamilton Medical Research Group (HMRG) · Hamilton, Canada
    + 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
NCT07430956
Responsible party
Sponsor
First posted
Feb 24, 2026
Start date
Apr 3, 2026
Primary completion
Mar 28, 2029 (estimated)
Completion
Jun 26, 2029 (estimated)
Last update
Nov 10, 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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